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Collection: Original Records > Death Records

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

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190129 RECORD OF FUNERAL Total No.... sme ae Yearly No... yr ae Date of Entry. VE if VOTE feds oc ceca 19. >, 4 wt : E 4 a Name of Deceased. titre ee ae I A rs ts ed oe a oh Ce Ky Lee. Pe x Married C1 Single . OD Widowed 1D Divorced (What Race) Residence. . CW4#55,. £4. la ae bas rR! Me coe tene ng eae me Shel ayaa! id Vines ce cae ey ie ae ole at ee ed 0 eee epee eee of Age of Husband or Wife (if living)........-.ear Charge to: 39. W. .A46t¢ S07 pees Sele ticle Seeaohe el ame —vesAaron, AREA. Ett toe. 62> — Ge le... mere Eamert exept oo).. IE, — BEE aes iw Suns MES ve Ca aes vewume biaw pelt Gaal Gee Order given by) Ali. He ai, PEE pr Groh sine ie ae Burial Vault or Box eighierns i VL. 7a we p Or iniorman’ i «S) dte Kin How Secured. . JCA ties PER ere a AEG 8 ans sccy aoe en doe ble alee Embalming Body ... Bon er agama . a las acc If Veteran, Name of War. Moy a Re He oe fs aie Hair eine ERED Ct eke ; ; o __. . Dressin Sh sa A ae, ry . ane. ala Pepa . Occupation. . Ho CLS LLEA fad. AE FO EE De ie irs ide 7% ek dees wean sets melo ey or arya aia dpa eae Ch Employer and Address . Fe OW Gee ncn). daniel an teak te Slippers, $....... HORE) Se Pe ae ot eA eh eee al Qe /9ys De . Folding Chairs, $.... darpanlin, $50.50. ile. dvae. bes oes Dateof Death Meu). 28 LIF.. CUTE Me Candelabras $s Garde 9.6 Ga Na en eh Date of Birth. FA +8 J . {2 AZo» Age ae / 2 =. ae Door ee Seo eu Peee ily Be ois xe uid ss oa Welee dee : gr mag jay) Wr. Le a ays) . Fune aS ck Sart Ambulance $5 ee, So ele tew's Services at. JZ. r Ka. Ae Laks a ye J? fdas Te Limousines to Cemetery... OES Bae tf Sil een es oe Extra Limousines ...... SB ey atc re tupac dln eUPM vail sinetots Cloroyimasy. i: dices tate RG biajet se fam abi lene edad ngactele she @ er (Address) Autos to R. R. Station. ... GS Bee scr oles pecans: eke Religioniol the Deceased 21.. sess a. cee 6 Slates 5 ay « Getting Remains from.........eeclecceeecleceen Birthplace Pts ee aes Mell eS eee, RIDE TROMAITIB EO a sii osc Sine vw gb 0 caleddice olleic cede els sous Giada acne Pe eats. Trip to Coroner’s POOR 5S sass lelae oes wigan me caelowe as “. ‘orth Oe A City or County) ae (Years) +s (Mon ths) Delivering Box Ee ey iad SS aie wll mame . Ucn oe tela . PA na VET IOWONS GO, iene cei lala ty icierali relates gala tare Me tee lees Place af Death res coho vedis ols cde thes ce von dances i's Del Fl t , ws : “ Removal Chargets cc. coc ocieccspceeueceee ce culliccecyslessus Cause of Death. Mle fz ate thee Jf: Sid fle ft«. Procuring Burial Permit......... celles cece clecees , ; L L (State Number and District) Contributory Causes. . eA fee CT ABLON. coo ccccce. —Certif.Copiesof D eath CertificatesNo.——_ wee og eager Pall Bearer Service, $.. Use of Chapel, $... Slats bert tlg ts cane pop emer om ego Caen raat eee Certifying Physician. 2. 4. [Uean an. &. ecrah tee) Outlay for Ao ous 7 igi a ag i eae dO ee ERR yO Oe ge poe Meltaluabs ont eal Cremation ie Si geet A Ae ee ) 6 # Va ee Flowers, $... Palms, $.;::.Matting, $...l]....]...Name of Father./f.2:./7. 4 > AA ad. eee . ee Rental of Tent, $..of Temporary Vault, Sr err ile accleakeels His Birthplace.. Yak Seshe 5 + akrge eRe vise als we 4.0 ik tay Ae ae oF = aa De ie fe. ae ms ae j ft eee ning Grave, $... wering Device, $...]]....]... Maiden Name of Mother. SAKE A. or Taf. -+++-! Qutlay for Shipping Charges. ..... r S Yacsis oval esclacd auatol sisrape Her Birthplace. ...4 IS a pe eee lg Sere Oey aan, sapere Singers,$. i OrEnistS ee . oo ba ss Daterof Funeral oi ico sos vast gtisectace souls does M, °F Botorf Tickets, $/ 4.87. plane Service,$... . Bh. Ex . ; (Date), (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges....]. ... oy b.2 ee Remains to . Las OPED En o's OS buchanan Cash Advanced 35 6a ble oe ee eel cen olewtelSize of Casket.. rad cy. Ln Out of town Funeral Director’s Charges.... . .... ..‘J tate Color snd Numer) 7” * “Ls ie FE CIBGHGL SOPVICES NS feos onc vee tebe Beck. octet. oe dimes Manufactured by tx 6-24.. Cette CD Mv lu fois @: 7 OTaRRe wit gotee Sue rerchelehend SO UWeeTe S entue ws are seatkia hey see tL aie ote sera Cemetery \ ..line Death Notices in... Papers os. clle. deseo an Pg BE Aa ea Sa a Rag ia Ta in te hc, ia ee dg) es JE Os aR ag am fe . Ce . (mae Lot No (Names of Newspapers) Grave No. mec c ccc c cc cece wee] MTT TTT TOO ee wee eee e reer rer errr eersscellecnsece osse Section No poszh foes rol 2 Ga A ates es Ea Oat a con eT 2 Ss iui Ge ie * Total Footing of Bill...........$]...-ee oo Block No..... ree ae ; Diagram of Lot or Vault ONE oon Goes Balance....... $ FAST) LF Miscellaneous SSIS eS elnth ene eS 6 BUM eats. & fe wasl'e 16 late eedauar ert abelieleaelerein: ois Entered into Ledger, page... or below.