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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

( RECORD OF FUNERAL Total No. eee cece ees Yearly No. ay BOL Sine Date of Entry. LOT Palo Meal ayaa ghd 19:3 75 Name of Deceased./ OETA dat fa: Ke AA OTe Tan, ge ie a ee Hike es Se! I Married CI Single (O Widowed (0 Divorced (What Race) Residence: wiles e Cha de dt rs in RE esl ss da Bird ortllng eae ak Deen ene eet tte e eee eee eee eeee og rn A . BR ns of Age of Husband or Wife (if living)...0... Years Charge to: Mares OSs <oft wh to eet Fal POR ok ET OR . : wt omplete Funeral (except outlays)... a3 —_ Address. . hehe Tee i ee oN a wir ty Sygewis mig an od 4 cs a iT ‘fl CABO Lies 5.4 oe eA. c atest aw thuies Sa em 5 EF SA ete Order given by 27. EGA. begga ste ata 4 ee ee Burial Vault or Box . Chascad hirtne Fata eA LSS. orman tate How Secured: rin. OTHE wea dl Chieodln Lt atin ook eS Embalming Body .. Pot ye aie or a If Veteran, N me, of War te els } Barber, Gu. 2-06 Hair Dressing, $2.) . fet osc 2]e in esis TE SSF-e13¢ SDressing Body, $... Underwear,$.. . .. .0Occupation . dee CARE. 6 LJ wove een e eee BIC re PIU Lee EN Bile oe onl gre ciscaey corset ally oa oeelons wate i ey pe oe (State Kind and Color) Employer and Address . Coal Fone . Slippers, $..4.40 04. ris . r pers Lf 2 Q' LZ Folding Chairs, $.. MARDAGIT Drees hl ets cae eee te cial katate Date of Death Of. ha i SK. rie coo" on Tage ee 3 Candelabrum, $.. BOCAS a eee . SNe Samu the aera Date of Birth .@ =} Re KEL. py, ate ae Yogiy P Door Spray, $... SSIOUOH, Ge 5 ors ove cwe sak, 2b 2 ta ces Méepe (ay, ¥: as? @ays) . Funeral Car, $.. Ambulance, $.../)..[.04Services at. fen? one grees Sean “fl papa stp ee cece Limousines to Cemetery.. CP a pe ae a aca . anes 2 Mier Clergym es irk gr oe ee Extra Limousines ... Ere ee ee ra iota ME Ry re ve a ok (Address) Autos to R. R. Station. .. (Gi ie Nacsieem ret ee . EO Fg apeat Religion of the Deceased. egies GPAs Ass sin aldo sigs + WER mais Getting Remains from....2.eeccslleccceacleceece Birthplace <2. Le a Walking? Remains t0.< echo ss eee sles ae ce Wba we oath oo ae -o 7 a Trp vo Coroner sInquest «cc jacciali< ies ale ee aeanloms nes Resided in the State..%. Se Deliveting Bok tes. in cok sch gacdeee sos tte cog Cee wwe be Deliver Flowers to.. 0c. ccc cece eee eee elec cc ccleeeees Place of Death, i 4 i) RemovaliG@harges on. icccic slew saws eae nes reeyncocetleceete 6 Cause of Death. abaneiia A, ve aH gure. Procuring Burial Permit.. etal cchephg eae as . nena i pre ges cas tA fia dee 7 Spica _/ Certif.Copiesof a Wie le. LOK. sratdinahh Pall Bearer Service, $. Use of Chapel, $.. Lit BM sy AASACA LACK Ae phKOMA Ts. Xe fre, af, po Gross Total for Sales Tax..,.4.00Selb in beer cr Certifying tha Ef ave Wake sla eee Outlay for Lots: Lilrvierd. © ado 3238 A2¥ . . His Radres. eas 2. sh ‘O. ROATION ili’. oii sey delete asks s ooo ceca alle bn Sd es ea Ti, ter ee oe ee Oe us CA bee a leita Flowers, $..Palms, $.:::.Matting, $..1..].. Name of Father. ./ Let: v fits netnetrk Venseres Rental of Tent, $.of Temporary Vault,$.. ).. .6. His Birthplace. . ey Cake Ce cre Che Pelee ee ee cde aia weet Opening of Grave or Tomb.¥. LL btn Veil, teal etsy Lining Grave, $.. Lowering Device, $..]].. .. Maiden Name of Mother. i hv wh oe Wivase see UR alse ¢ Sinha evanctel o 3M Outlay for Shipping COSTER so eo aoa Pe calh cot bine Alene oles Her birthplace: ..< tere fl BT bc isa St hen tek ee ---. Rate yet ote ‘TSingers, $< = Capantiat, SB: cal A tees ee “<< Tickets, $.. fang BETVICE,S. os ole. ceca c[os ees. Date of Funeral. /722°%. 77, /ALZ.. ae, Ayan Geen plane , an a sib Wei Bay of wel r= Telegr., Phone, Cable or Radio Charges../. .. .-sin} RGB MIAI cess sacs eRe Le aes aes OPS 6 ene cd CASI NOGA Te res eae oy Bo Nie Means) Size of Casket. ./ KEE, WH. cde dey Gig ona Out of town Funeral Director’s Charges.. . .. .. r (State Color Personal ee es ee ee ee eae et Fea a . Manufactured b ele. er Sen ee TZ: -rtdeend W £. E.R) teenies .0. . = Cemetery } i, vy ha Be Age re ib ater oh area “line Death Notes in.. nant RSP ES . e eee eee Crematory eos Guicbcahd Newenapecy Tit tet ese sefeeees ie FNO.Gee aE A A a re Oo) at ae ee aaa SIL . ga Gtave 0. & See i, Givi [ites etehwis sioye@ ool Bis ecm ibI Hi buw wal eles ectieice eels a '.6) 4 ors wilf ala eee slo eens suet at ENE ES coe, Fk alte a wee viele ie tel pee Oh 2 iceman tee ae Soe Total Footing of Bill...0.c0.e0 eee. eS ate — ‘ata Rot ING. +550 a he ak RE igh iy rad! seen MR Se al Py $ Diagram of Lot or Vault Owner. rd Balance LJ cea $ Lf, (3. At ITARCEMAMOOU, J 5520s. wing ov Pe dae ov wld een pc ee ode TH Entered into Ledger, page.. ot below 4 iaiag Seas, eis Ew beremia eee ele is 2M Micnallananne

( RECORD OF FUNERAL Total No.. eee cece ees Yearly No.. ay BOL Sine Date of Entry. LOT Palo Meal ayaa ghd 19:3 75 Name of Deceased../ OETA dat fa: Ke AA OTe Tan, ge ie a ee Hike es Se! I Married CI Single (O Widowed (0 Divorced (What Race) Residence: wiles e Cha de dt rs in RE esl ss da Bird ortllng eae ak Deen ene eet tte e eee eee eee eeee og rn A . BR ns of Age of Husband or Wife (if living).....0..... Years Charge to: Mares OSs <oft wh to eet Fal POR ok ET OR . : wt omplete Funeral (except outlays)..... a3 —_ Address. . hehe Tee i ee oN a wir ty Sygewis mig an od 4 cs a iT ‘fl CABO Lies 5.4 oe eA. c atest aw thuies Sa em 5 EF SA ete Order given by 27. EGA. begga ste ata 4 ee ee Burial Vault or Box . Chascad hirtne Fata eA LSS. orman tate How Secured: rin. OTHE wea dl Chieodln Lt atin ook eS Embalming Body ... Pot ye aie or a If Veteran, N me, of War te els } Barber, Gu.. 2-06 Hair Dressing, $2..) . fet osc 2]e in esis TE SSF-e13¢ SDressing Body, $..... Underwear,$.... . .... ..0Occupation . dee CARE. 6 LJ wove een e eee BIC re PIU Lee EN Bile oe onl gre ciscaey corset ally oa oeelons wate i ey pe oe (State Kind and Color) Employer and Address . Coal Fone . Slippers, $....4.40 04. ris . r pers Lf 2 Q' LZ Folding Chairs, $.... MARDAGIT Drees hl ets cae eee te cial katate Date of Death Of. ha i SK. rie coo" on Tage ee 3 Candelabrum, $.... BOCAS a eee . SNe Samu the aera Date of Birth .@ =} Re KEL.. py, ate ae Yogiy P Door Spray, $..... SSIOUOH, Ge 5 ors ove cwe sak, 2b 2 ta ces Méepe (ay, ¥: as? @ays) . Funeral Car, $.... Ambulance, $...../)....[..04Services at. fen? one grees Sean “fl papa stp ee cece Limousines to Cemetery... CP a pe ae a aca . anes 2 Mier Clergym es irk gr oe ee Extra Limousines ...... Ere ee ee ra iota ME Ry re ve a ok (Address) Autos to R. R. Station. ... (Gi ie Nacsieem ret ee . EO Fg apeat Religion of the Deceased. egies GPAs Ass sin aldo sigs + WER mais Getting Remains from........2.eeccslleccceacleceece Birthplace <2. Le a Walking? Remains t0.< echo ss eee sles ae ce Wba we oath oo ae -o 7 a Trp vo Coroner sInquest «cc jacciali< ies ale ee aeanloms nes Resided in the State...%. Se Deliveting Bok tes.. in cok sch gacdeee sos tte cog Cee wwe be Deliver Flowers to.... 0c. ccc cece eee eee elec cc ccleeeees Place of Death, i 4 i) RemovaliG@harges on. icccic slew saws eae nes reeyncocetleceete 6 Cause of Death. abaneiia A, ve aH gure.. Procuring Burial Permit... etal cchephg eae as . nena i pre ges cas tA fia dee 7 Spica _/ Certif.Copiesof a Wie le. LOK. sratdinahh Pall Bearer Service, $.. Use of Chapel, $... Lit BM sy AASACA LACK Ae phKOMA Ts. Xe fre, af, po Gross Total for Sales Tax....,..4..00Selb in beer cr Certifying tha Ef ave Wake sla eee Outlay for Lots: Lilrvierd. © ado 3238 A2¥ . .. His Radres. eas 2. sh ‘O.. ROATION ili’. oii sey delete asks s ooo ceca alle bn Sd es ea Ti, ter ee oe ee Oe us CA bee a leita Flowers, $...Palms, $.:::.Matting, $...1....]... Name of Father. ./ Let: v fits netnetrk Venseres Rental of Tent, $..of Temporary Vault,$... ).... ..6. His Birthplace. . ey Cake Ce cre Che Pelee ee ee cde aia weet Opening of Grave or Tomb.¥. LL btn Veil, teal etsy Lining Grave, $... Lowering Device, $...]].... ... Maiden Name of Mother. i hv wh oe Wivase see UR alse ¢ Sinha evanctel o 3M Outlay for Shipping COSTER so eo aoa Pe calh cot bine Alene oles Her birthplace: ....< tere fl BT bc isa St hen tek ee ---. Rate yet ote ‘TSingers, $< = Capantiat, SB: cal A tees ee “<< Tickets, $.... fang BETVICE,S. os ole. ceca c[os ees. Date of Funeral. /722°%. 77, /ALZ... ae, Ayan Geen plane , an a sib Wei Bay of wel r= Telegr., Phone, Cable or Radio Charges..../. .... ..-sin} RGB MIAI cess sacs eRe Le aes aes OPS 6 ene cd CASI NOGA Te res eae oy Bo Nie Means) Size of Casket. ./ KEE, WH. cde dey Gig ona Out of town Funeral Director’s Charges.... . .... ... r (State Color Personal ee es ee ee ee eae et Fea a . Manufactured b ele. er Sen ee TZ: -rtdeend W £. E.R) teenies .0. . = Cemetery } i, vy ha Be Age re ib ater oh area “line Death Notes in... nant RSP ES . e eee eee Crematory eos Guicbcahd Newenapecy Tit tet ese sefeeees ie FNO.Gee aE A A a re Oo) at ae ee aaa SIL . ga Gtave 0.. & See i, Givi [ites etehwis sioye@ ool Bis ecm ibI Hi buw wal eles ectieice eels a '.6) 4 ors wilf ala eee slo eens suet at ENE ES coe, Fk alte a wee viele ie tel pee Oh 2 iceman tee ae Soe Total Footing of Bill......0.c0.e0 eee. eS ate — ‘ata Rot ING. +550 a he ak RE igh iy rad! seen MR Se al Py $ Diagram of Lot or Vault Owner. rd Balance LJ cea $ Lf, (3. At ITARCEMAMOOU, J 5520s. wing ov Pe dae ov wld een pc ee ode TH Entered into Ledger, page... ot below 4 iaiag Seas, eis Ew beremia eee ele is 2M Micnallananne

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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