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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL H99115) TotaleNo: src cos cisions Yearly No..£5. Shiels oe Date of Entry. DLE? lie eee Kuyt wiheietassiets 193% 4 a . Name of Deceased.. rate Gea? Le. ‘ LeLbousgeler ie cae peur eres od Ze Chad Nh pare edt ve XM oO ‘Single Aq) Widowed ( Divorced (What Race) Residence: . A [tActensrect be eh hig, Petes Vek de dnt sais ein enti bene e eee e cette eset eeeeee eee eneees So cee ee en al, of Age of Husband or Wife (if living)....00.-00000.. Years Charge to: ee EA . Ion ie on eh Chinen tina Perel aia ; 42 aes . omplete Funeral (except outlays)...... —— addres.. s Mee Z Casket.. . 000s see ve tree eee eee = etaogeae ea a a ee Order given a ac . Burial Vault or Box ae ae SY eT eR pe 45 \e2. Embalming Bod aa How Secured: : aE g Y soccer Game of Embaimer) e-6) Oe 1e oe 0 oO fislerte ole ee sf eeee If Veteran, Name of War. Ltn ae i z . aN ae Hair 0 = lhe Reel aout aan w STF Dressing OAV, Po eecsvvee TIGET WAT sf wisi c 50 chaiere wlore fee's ose a0 ee 2 7-Sa Occupation . AAR ae a eE ee ike Ret PF Suit or Dress..... REE ie ncaa ye eo i 0 ne a Employer and Address Ae Fg er Slippers, $....... ROSES ciagie sie Stee cis sil eae et fee « slere , J! oo 74 Folding Chairs, $.... Parpaginyi.<. sees. «alee whee eases Date of Death. 2 ree _ A Sigh See. ge Gai Candelabrum, $.... Candles, $i. 86. . . . cae ee le sloiws Date of Birth tek and té Age. 2<?~ 2-22 . Door Spray, $..... Gloves, $200.. ce. e. Sletnse ne ve ie: (Day) eae, Mos.) . (Days). Funeral Car, $.... Ambulance, $n. cee SS pete ifossle «nie Services at. ae ee oe ae Lion’) teseees ‘Limousines to Cemetery... OS ate Weoncadlln eines $4 Clergym C4. ; LL Bhht/. $FE ee Pegites V3 _. Extra Limousines ...... (Oe fou Ss Ale feet aulen ee ee ae aes —@ y (Address) Autos to R.R. Station.... GaSe. ly, ee ease ee Religion of the Deceased.. FOF.4S ove ee eee eee eee eee Getting Remains from.........eeceulleeee ee cfece ees Birthplace . BAA. at: ds bee 2 iN ia = eae Taking Remeiis (On) 6.. 6 ose kc ectels » sews flees cake eine ee Trip to Coroner sAmquest cca x os dd otkes ss eile aa eden bed cos Resided i in ioe — = (or U. s. eae a (Years) . (MM sae pr ie A pte Box bs © 6 6 hs oe a6 © 40 6 Eee 4c 6 2.8 6 Ce tie eo wo sls Oe es Oe pen < ind. Diba. LCs p Deliver Flowers to....-.1-0. se eeeeee eee fires ee afoee ees Remo Val CRATER occu) aie & «hoe bielei dl rule sO nsw o's [Soe etle Mls we sie Cause of Death oe, LE eae LEO KAI Ly .. Procuring BerallPermite nt, ¢ sive <3 Soke: pe tele acalerem siels A a “. _/Certif.Copiesof Death CertificatesNo_ Aart Same Causes ie es a ee opieso ae rolicales hi. Or ae en, ee a Pall Bearer Service, $.. Use of Chapel, $... ee Ken Sat fees jd y Gross Total for Sales Tax.........6. Vssabiewbes we a Physician. ; ees GS Ole ERGs a cevde atea nel soe det Bagh ees LL Zz Le / Crea ONena ncn ss wnswaw re Cacia oslo games Ssflc caee etn + ve on TRE jie Flowers, $... Palms, $.:: :: Matting, $...1....]. 0. Name of Father. ye Lartced. meal OP Pa Rental of Tent, $..of Temporary Vault,$... . .... ... His Birthplace “9 Se eae ee Opening of Grave or Tomb.+. cL Otas Tp eel. ee ON Si ee ela ee . oe eee Lining Grave, $...Lowering Device, $.../}....]... Maiden Name of Mother la derccisd ee Lyi =) Outlay for Shipping Charges. ....... eolcctpocy Her birthplace: . Chad « ieieaaia isle Palos © vst creys ous silye <a lees sepa ici oy Singers,$. . A -Organist,$37~~./. ... 3) .a ee ‘0. : ero: Date of Funeral. 2: te. on AIS cia Wales aa Pm! Or Hroad \ Tickets, Ee plane SETVICE,$. 2. fee. e ceeds eee ne Date) Bay of Wi Telegr., Phone, Cable or Radio Charges..../. .... .-.Ship ry Remains ig SNieiasbot Gia 2 hia’ oslgas sole dailctlesedie aw iewe eo Cash Advanced....cccccecccccccscecccecll. oc ccc clecees Size of Casket. Le 00. Sz. Oie hon. f a Out of town Funeral Director’s Charges....]. ....]... oy olor Personal Service.. oc. p ices penices dene ovusesectleces fie es Manufactured by Lae a Za.. Ee eee dg! ley Le aschece B FEI Me pose ert i . te DIAS C e Death Notices in./.. eel STS is Ola ee, arene Sty} eect bte press escs. NETRA IIE ie Seed aa et aap ae hae tare cae po No. Re ¢ sieperel wis weed desl oie lM daaties eondtaime oho meneeAas ate-anstans Cet eee cs asters loli we dal ee ee a E Nord OOF Sd a na op stepineinie step a wales E> smcedinlW nda Vidlgis Vass ole dea sie Seoti 3 oe ‘ BRIER, DRE re veo qaeted ada hese pa es sla = noes LZ SX ; “fe m4 <". Total Footing of Bill........0.005apa Bea ___ —PCR OED 24's sore kl he ve RA yt So ID ar $ Sn epngelins OWHEE. 7 oars noma 4 tO Balance....... $ 5.4 4S] wy Miscellaneous sis) Spiele rolls eonimiiel ple wlslciare: sis cets Spiele wee Soles ele mtery aie Entered into Ledger, page... or below. Miicantiananne