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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

eo bd Vegcent cS. 2 SERRE NON ee ofvalgties« Date of Entry. Pose ase
Tame of ep wer wh mcoks. We ktanaw sie Bi eiateya ie eitoete myers addterara!<reforevabeie Gis! a dials STs sie.craiea lain aia Sieratvie er
arried _» [L SirGle (0 Widowed OD Div (What Race)
esidence. Avteraunt . Hs bl tes ie Aa, Whe Ue ee iy Mina ec tence ete e eect eee seer eee ee ee eeees
OB a csrettenstesanoeest of Age of Husband or Wife (if living).........-. Years
harge to: Lf Fahad ads x ve eé. DLP ;
pe 347., B2pe Ye. Shon hkl é/ ae am ris ag, Funeral (except outlays)...... $ Bae iz
SET oer MOU ES ON eh bec aos MU ae LAT les one, ere al Poeetage ec oe.
irder given by. bd AATF EM: OX -o tir echo «v¢ecg. Burial Vault or Box .Céonend’. ie reve elle. SST). Ored.
or informant) we (State Kind)
‘ow Secured. ss fil rte ce ib ee ae Embalming Body ... ge ea eee mea Mace
: Veteran, Name of War.. Je, et ino wre ire, eee ne #, ee Hair Dressing, $..... ]....]..0ressing Body, $..... Und AE ne ieratee . Sedeetasea. emo
‘ecupation . pode: a hod, Mie iene 7 S75. 7:A8 1 Ky. Suitor ai * a LENCE
Fogel Security Number)
. ‘ gue = ee oe 5 PIS eens . Mec rears rr ty
mployer and Address é os Sib phi Cc i Slippers, $s.. .<5+.%: oR Ea SA SE ee . gee oie ee a
vate of Death. A Se ee ag cae hy Folding Chairs, $.... TVAPPAUIENG Bailes. aos 2 ois slob abe 3 x oie
(Mo.) ig (Day) xr.) {iow Candelabrum, $.... CARTERS. 4)6 Sao Mais o.4. . o> wre etal eee
vate of Birth 74-4.. 26, ELM Age 7277.7 = 5:7.. Door Spray, $..... Ug OS ee PRL . i
i “(ho SBey) SEED yi) Set (Mos.) (Days) . Funeral Car, $.... Ambulance, Suc 05 os a oie cceniallete eros 6
ervices at. > Ahnrryjle ni. 7. i BELA vee eee Limousines to Cemetery..:@$......]. 2. eee fee eees
lergyman. /! fall Ah.fm . Ae. box Ole La. = Tn ain Extra Limousines ...... CUS F Piet nee cel) exae . aii, Megas
i (Address) Autos to R. R. Station. ... Seay wnat alles coe leu ses
eligion of the Deceased. . AS¢ PLYP eve c eee e een eeeenees Getting Remains from. 2.5 nc. cee. ees ce eles cee dafew sees
irtiplace . 203! 2 eae bo Ge loti ak ig Ve Ste Tale F emvais LO) A « kas Sle devo osu eels ocak lp web ces
‘Trpito Coroner 8 LNGUESE <3 cae ccs cll oho odie soll scarcer aie o 0
ae ee .
° .
vesided in the State. . ot eer ise oa Gj ah Cousty), os (waa). = (ston! ths) i Delivering WO ON cans eet oct ee a ecane an erp ce aie e'. lis,ceviarcie cde wlecslace
nse OE Digth. i OF il Seta bee eae, ht a ee aie
salen Leute? PE Mead Frade . Procnt Butal Peraite
State Number and District)
lauteitnstory Cann. a UA 2 ie og ie, ie fi Nae ___Certif.Copiesof Death CertificatesNNo— Sn eee eee
urtlen : “Pall Bearer Service, $.. Use of Chapel,$...
om Se Es Beal ee err Se Dr ssnedeentestibnd it enna? SAO ai ene ibe met ¢
te Mie fon . Gross Total for Sales Tax....-.2000.00 Be ewes cde weno
ertifying Saeed, 1 A at taf, . . P22 fb oa brine Outlay for Lot. et ee A Se MS . OR.
lis Address: 5 ftekypn ne ey é Lhing ee a CLEMSON 2 a. Sea wis eine ais w sscteere asses ¢ cle ele < Sle oul slows ws
ff, es re Flowers, $... Palms; $ .:2s:; Matting, $ oo. Nec d sw . . oe oe
Jame of Father. fd gies xn hs a LEC FP laGOo% sf sapere’ Rental of Tent, $..of Temporary Vault,$... . .... .---+.
lis Birthplace.... a Aaa te nie 4 a ee Opening of Grave or Tomb. Cd ute.. es Oe ers
A Lining Grave, $... Lowering mace Rise . ieelen Neel Mecca
laiden Name of Mother. Le URetg. CZ. CHM 2 LL. € Outlay for Shipping Charges. BS ee eee . at yee cree
ler Birthplace: . fs Ht the gheucte. Risin Seca aneisicke etaieleioiegee aeyman, Fi o:% Singers,$s~ ia Organist, $7. cao is) (ae A oe eae
me of Funeral. L020 A, (RIF. 00s 2! Aes) oF Motor or} TENGE Fete 2) > plane Service$......]--+++.
tr} E (Date) ay of Wak) (Hour) Telegr., Phone, Cable or Radio Charges..... ]....J--ee0she RPADLTS Oe aie a ia lose orb sejalicto wlnie eIuCsid le’ Soore verb bivehoce CaRHeAGVANCOR Al iit Mol cl <M. ois isie han) ateiere aster . . ction ti Mion casts
Size of Casket 227. 4 ga he Le Hae 3 Zz. a Va be ee Out of town Funeral Director’s Charges....]}.... ..00:
Poy, oa and N incr ‘at aa Sa ely ee eee ares eg ers ett satel et et
ool by: LA eed oT ee ae 2 . SO Ree ea Ae, . SBPere.
\ A or . et ee aed le: . line Death Notices . . 0 Depa Papers. 35 teat c. bemaretd ia . B oraderery
= Leo igliaied 7” Gn ea ay Gidbiiidesasay trees feeees
; Rakes Fae abl we Malindi the sddiia sc foal LLIN x
Section No..47..... 5
ie Hotalehootingsor le ccs oe + aisle etal winnie Peppa re
l SR re et geet 2 Des ai eppeds cL daw Cate aka $
Owner st s-.s:s 15 ie elec ae 2¢
OS male st gl Plane sf if. se $22.7. 3X. =
RUB Sc occ dhe Crack bie te 6-die AU oalene 6 cl die a wlee sa eceusle wis Entered into Ledger, page peter) or below
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