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Collection: Original Records > Death Records

Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)

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Page: of 326

or Ae er itp Z »sidence: $2217. sd al e to: Ron iol IA cowie ty ible ak pe. Bax oe ones der given by. =. Cy2, 4. Woreck. Ccliw veered (orinformant) yw Secured. :. he: revs aia louse ave he ae, ote eee Veteran, Name of War .<.74% 727 AT a Ou ‘cupation . eae dss & aye iudlic SU ASOSTE . (Social Security Number) aployer and Address Bla, f ‘st hiases 4. oe), teof Death. et. LOG. Gb 8erpa1y (Mo.) Day) &. T.) (Hour) te of Birth. FED./.50 (2 24Ag097.7. 24. (Mo.) (Day) oh if Yrs.) (Mos.)_— (Days) vices at. Lage Cn + MCEVE pe oe . NL ‘S oh Ce a ee argyman. Rid frees! & . ae ligion of the Deceased . tie. 7 gh gy oe eS ‘thplace ee! DEP Oe Tey ade Sos os bo Bl ee sided in the State.. & fe Seat Mess aectglaticta a's eee ame for Us . 8. or City or be ope: (Years) (Months) ‘ce of Death. fil. ees er? OMICS 5 in i-n ale ase of Death: 47 ¢7.4).x /. A. oh! ios ete ee ee ET Pall Bearer Service, $. Use of Chapel, $.. winiiSeyAdeetlig 5-048 508 by'm dated bi sath ola daca dic Slate als tence Ae Ces trices tebe eal Aes -tifying Physician. fi Meee. . Meee CE. TEIN IT . Outlay for Lot. NE k Cee, Po way ee ‘ Addit gee PSS A tee i MOUORAREIOIL 5 oo a De Slap « onde Sate oad dbs owe at ae s ee Ay sence OS aa a Flowers, $..Palms, $.:;:::Matting,$.. me of Father. . /4/ LFA Tere a 2: 3 Nad ef OS Rental of Tent, $.of Temporary Vault, $ . Bi . Opening of Grave or Tomb. .¢/ES5717S. Birthplace. Aslete eoessseressseseenngeeee oegt Lintiy Grave, $2.0: ees iden Name of Mother. AE LIE, r AL 5 LIT we Outlay for Shipping Charges. .... r Birthplace; MHI. ai Clergyman,$/¢? :~Singers,$$. “Organist, gai. te'of Fane has es a eos VISE wee eS: Dee ee . oe Mont }Tickets, $.. plane Service,$.. “"(Datey 7" eee of Week (Hour) “" . Telegr., Phone, Cable or Radio Charges.. } BING OB sic eon t «aa ltin 5 as gig deo decay Ch yh een! Cash Advanced. : : e of Casket. ae CALLS ras e/. Metidletcey, te Color and N mufactured by: s: 4 ¢2 £LTO) 1 CBS shel LO SAG? os 2 os ae a = e Fee odie l ners St Mose ss ou i Shea Grave No. 3 ... Section No. GY ma ietel a Rens Block No... AS Ae Diagram of Lot or Vault Owner #06 080 6 6 web alsin ees (Name of Embalmer) Barber, $... Hair Dressing, $.. ressing Body, $... Underwear, $.. BO Od Dee iter 5 6 ede arc ood ous OMS, (State Kind and Color) Slippers, Sc: oes sc SHORE Lothian sis es Folding Chairs, $.. Tarpaulin, $... Candelabrum, $.. Candles, $... Door Spray, $.:.. Gloves, $.. 0.5.2. Funeral Car, $.. Ambulance, $... Limousines to Cemetery.:.:@$.:.. Extra Limousines ... Si a nance os Ce Se Getting Remains from Taking Remains to.....000005. Trip to Coroner’s Inquest Delivering Box to. Cr ee re a ee a ery pe ee ee Se Te a “(State Number and District’ * ” ——Certif. Copiesof Death GertificatesNo (State Physician's or Coroner's) CeCe Hee KC Be eeseresneseceeeens eee ewes Out of town Funeral Director’s Charges Personal Service BLO (SLS 0)4 UNO Oo We 0416 6.0/6 0 belle ee ete -w SO OR PS Peo SOE OIG Te Ses 1S 6) ob eTS «ANS Te: die eek a Oe 6-6. © Be ee eens 9 OES, SORE TS! S601 O18) B's AS 8) 89 CAST ON eel S666 we 0-6 Slee wei no ee SARTRE AOE Be 88 10 SSS He 6 16 6 ONS 8 81C.8 (07.6. Bie 0:6) Se eh 4408 Vo ere ES SSNS SOO" 6: O10) 61.6 0.6) 6: DEO 6 6S 6 O16 Sig 0.9 8 66-0566 woes « BR TE nl r5 sow hyve Sane a Ee ode Total Footing of Bill.....0. $ ERM Ws osu) stand bain tales cbs Sam sc cee $ a rd a eee eens see eee see eee ee eeee OR ag ee 726 . OS

or Ae er itp Z »sidence: $2217. sd al e to: Ron iol IA cowie ty ible ak pe. Bax oe ones der given by. =. Cy2, 4.. Woreck. Ccliw veered (orinformant) yw Secured. :. he: revs aia louse ave he ae, ote eee Veteran, Name of War .<.74% 727 AT a Ou ‘cupation . eae dss & aye iudlic SU ASOSTE . (Social Security Number) aployer and Address Bla, f ‘st hiases 4.. oe), teof Death. et.. LOG.. Gb 8erpa1y (Mo.) Day) &. T.) (Hour) te of Birth. FED../.50 (2 24Ag097..7.. 24. (Mo.) (Day) oh if Yrs.) (Mos.)_— (Days) vices at. Lage Cn + MCEVE pe oe . NL ‘S oh Ce a ee argyman. Rid frees! & . ae ligion of the Deceased . tie. 7 gh gy oe eS ‘thplace ee! DEP Oe Tey ade Sos os bo Bl ee sided in the State... & fe Seat Mess aectglaticta a's eee ame for Us . 8. or City or be ope: (Years) (Months) ‘ce of Death. fil. ees er? OMICS 5 in i-n ale ase of Death: 47 ¢7.4).x /. A. oh! ios ete ee ee ET Pall Bearer Service, $.. Use of Chapel, $... winiiSeyAdeetlig 5-048 508 by'm dated bi sath ola daca dic Slate als tence Ae Ces trices tebe eal Aes -tifying Physician. fi Meee. . Meee CE. TEIN IT . Outlay for Lot. NE k Cee, Po way ee ‘ Addit gee PSS A tee i MOUORAREIOIL 5 oo a De Slap « onde Sate oad dbs owe at ae s ee Ay sence OS aa a Flowers, $...Palms, $.:;:::Matting,$... me of Father. . /4/ LFA Tere a 2: 3 Nad ef OS Rental of Tent, $..of Temporary Vault, $ . Bi . Opening of Grave or Tomb. .¢/ES5717S.. Birthplace.. Aslete eoessseressseseenngeeee oegt Lintiy Grave, $2.0: ees iden Name of Mother. AE LIE, r AL 5 LIT we Outlay for Shipping Charges. ....... r Birthplace; MHI. ai Clergyman,$/¢? :~Singers,$$. “Organist, gai. te'of Fane has es a eos VISE wee eS: Dee ee . oe Mont }Tickets, $.... plane Service,$... “"(Datey 7" eee of Week (Hour) “" . Telegr., Phone, Cable or Radio Charges.... } BING OB sic eon t «aa ltin 5 as gig deo decay Ch yh een! Cash Advanced. : : e of Casket. ae CALLS ras e/. Metidletcey, te Color and N mufactured by: s: 4 ¢2 £LTO) 1 CBS shel LO SAG? os 2 os ae a = e Fee odie l ners St Mose ss ou i Shea Grave No. 3 ..... Section No.. GY ma ietel a Rens Block No..... AS Ae Diagram of Lot or Vault Owner #06 080 6 6 web alsin ees (Name of Embalmer) Barber, $...... Hair Dressing, $.... ressing Body, $..... Underwear, $... BO Od Dee iter 5 6 ede arc ood ous OMS, (State Kind and Color) Slippers, Sc: oes sc SHORE Lothian sis es Folding Chairs, $.... Tarpaulin, $..... Candelabrum, $.... Candles, $...... Door Spray, $.:.... Gloves, $... 0.5.2.. Funeral Car, $.... Ambulance, $..... Limousines to Cemetery.:.:@$.:.... Extra Limousines ...... Si a nance os Ce Se Getting Remains from Taking Remains to.........000005. Trip to Coroner’s Inquest Delivering Box to. Cr ee re a ee a ery pe ee ee Se Te a “(State Number and District’ * ” ——Certif. Copiesof Death GertificatesNo (State Physician's or Coroner's) CeCe Hee KC Be eeseresneseceeeens eee ewes Out of town Funeral Director’s Charges Personal Service BLO (SLS 0)4 UNO Oo We 0416 6.0/6 0 belle ee ete -w SO OR PS Peo SOE OIG Te Ses 1S 6) ob eTS «ANS Te: die eek a Oe 6-6. © Be ee eens 9 OES, SORE TS! S601 O18) B's AS 8) 89 CAST ON eel S666 we 0-6 Slee wei no ee SARTRE AOE Be 88 10 SSS He 6 16 6 ONS 8 81C.8 (07.6. Bie 0:6) Se eh 4408 Vo ere ES SSNS SOO" 6: O10) 61.6 0.6) 6: DEO 6 6S 6 O16 Sig 0.9 8 66-0566 woes « BR TE nl r5 sow hyve Sane a Ee ode Total Footing of Bill.........0.. $ ERM Ws osu) stand bain tales cbs Sam sc cee $ a rd a eee eens see eee see eee ee eeee OR ag ee 726 . OS

Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)

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Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)

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