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Collection: Original Records > Death Records

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

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g99124 RECORD OF FUNERAL Pek WR nl Yearly No.. 7%.... Date of Bantry. ee Ok mylle 1957 Name of Se Ale sco CES Pune 0 ie eee eS st ar i o Married LW Single 1 Widowed OD Divorced (What Race) Residence. Seton CHA. «occas ceeds bse Sia aan. Prt tet eee e cette tte eee e eens i <P ‘ yt Octo of Age of Husband or Wife (if living).......... md Charge to. MA ste, TCR. ag ai Gee fe See aL puiiaus ¢ ys omplete Funeral (except outlays)...... address. ./42. Metbnead Ae.. ikon, Nea exits Soh! 34416. . wre CFG Ln Oe i ST po ital MARS ISO Units hae eratiocs clio. seRich taeda Noo Te la ene Giotse ages Sethe ved Tye, Order given by 214 tte. . Be trk Se Burial Vault or Box . « el I. a Bel & . Las las or informan' tate Kin How Secured . . : eA Iter. ccc ccc ccc ccuccennccecce Embalming. Body i (0 1.6 skecs shuers ie aes oc efnn oe e,afy ote (Name of Embalmer) If Veteran, Name of War. 22 ae Fe ene at Barber, (Since Grea ees Hair Dressing; $..... . ....].. 2 Dressing Body, $..... Underwear,$...H....].. Occupation. ee oe AF 707 ORIG BMT OF TORS 3 5. oon cate bende wus Sayes ab ab ieee lc Aes ee Ay Social Hocurity Number) (State Kind and Color) Employer and RE: Se sactrs we Po ro: a oe, ae Slippers, $....... SCs Nbewmtera Mes areal eecaced les sills Dapp Folding Chairs, $.... DAN Durnin ace ae alee tea Date of Death. i: pare api 7. 453.. : OOH, Candelabrum, $.... Candles, $2.. ay eee . e we Dacor Bi “lve Aes Age 47.22. To..) Door Spray, $ .ooa80 Gloves, $..00...00 ties cess sby es wees (ay) (Wr) _. (Yrs) (Mos) (Days) . Funeral Car, $.... Ambulanceys 2 . ace sal we ae Services at. Cove ao Ws, oo cee tee e cree eee Limousines to Cemetery... DG icin Se Moe s a] ite EE Mere. <<. . Extra Limousines ...... CR inarrees ieyilbetioeste—.). Py) ga namie [Ae Clergyman. a ae (aaaresg Autos to R. R. Station. ... 1D Oho Soi ky olla « Cae es Religion of the Deceased.. C°42-€4....0..0060005. Getting Remains from...........})....).0. : ie PEN TUITE GD ead ks ena: lee a ae Seals bRaa oleae Birthpl ~ 6%, ee pa He ty Trip to Coroner’s Inquest ..........])....[. CL ASL st Resided in the ne State cee re : PIE Se oe ae pea Box “i eal Maar vergho nad Saati eetdootta ete oy totes all tah ten eae Place of Death..) <ruetz/, /7, ‘a eign) pangs H eliver Flowers to......ccceeeecesecccell.ccccee Removal Charges.......ccccceeeeceeell wee eee Cause of Death (er Cer ey, WA aes a Bai Benen Burial Permit. . (State eae go District) ec . on aa Contributory Causes. be 1d hea Ly 4 As nt oe, Mee ae : —Certif.Copiesof ee an Ae eee.G hates 6 td seed Fblicbre ris. hg i gee he ras ae gies hie gs Wy si 5 + Gross Total for Sales Tax........005 +1 . ete le sab Contitstng at, tenes eee Le Be ‘+! Outlay for To: me get ycoeees 2 Alea 2b CHOMBTG Hs a, cece tele vies eMac ek ere Ol be echt ees hs ie cian ck fovasth be hh Ww V7 Flowers, $:2£ “Palms, $...Matting, $... ela Name of Father. . {4 LI 2, veh weit eS Rental of Tent, $..of Temporary Vault,$..!. .... .. His Birthol ak b el 0 gh AP ee res a Opening of Grave or Tomb.........H00.0.)eee i cal ” ‘a Lining Grave, $... Lowering Device, $.../}....].-Maiden Name of Motheta<,¢1-4z-<.~. Kien.. Outlay for Shipping Charges.........]].. . eri gee Fler Birthplace. . whey Clergyman,$/-+. .<Singers,$..Organist,$... AR ee ee ee ew eee eree eee eee eee eeeeeeene Railroad }ri ie t eros 5 A Dats of Pencral, dhe , pre Le eer. th m. oF Motor f Tickets, $.... plane P€rvice,$...//.... Dats) (Day of Wee (Hour) Telegr., Phone, Cable or Radio Charges..... . .... siete } Remains bs mia Coe = UT she: wht de side ees <3 CathAdvanced <2 5 2). 5. 0< dad vs bbe eat oe a thee, meals Size of Casket “2-2. ra Ge ee ae J Zé, Out of town Funeral Director’s Charges....]. .... ' are nee Number) ) 7 ot Servicey... Dee aerials th OM 7 Manufactured by ,.~-@e he.. Cf ahek, oy WS Od 8 ee 2 ae Ave, ae <a dik A an xe Say ae ik mee Cemetery Cemetery we Cl dioatd C. os oa . line Death Notices in... Papers 2.. floee es MSOEING. yn lee elaleiwiclelc sxbsis ses tee eee osiote Sehr ies bose Lope ea cele Grave No. ewww ec becdcccscscc. TR MOH HRM OMe esos Me wele sc ceere ered eeeeeeseeileeacceeles Section N USSD bs eh Ae cel cd gale A ee . ra i se en Total Neotine of Bill. 025 6070 bo. Secs Sire es a i ts Block No ag te Ee a Less Pe Aim) bathe wumel are! pidiip etpusid.'s] 0676 6 aisle © Siwlevors) ota © $ Diagram of Lot or Vault COPTER a ns es gaia gfe ha cturats sh, Pied hy en 5 DP3A\ Miiaceliameons. 19. 5 oi wicls oa x eb na vie one « yee 0 paste cael Entered into Ledger, page... or below RUGUMi ours: ‘alagsulsi'e a) sim, ico. 6.16 a 40s Pb, 4b fal 6! OS Sila) 46 ede ols o ele sus lerele eS 6 whe ailetasbre Micrallananinia