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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 Total No..seeseeeeeee . . Yearly Now Ho. Date of Entry..Lcan ed ovecccccsseeee 1969 Name of Deceased... (a ek. f oe Lhe £4 she ie he LAE Lae. ws ee eeee Shek tee Rare rete af ge ied [J ke 7A Widowed O Div. (What Race) Residence: MA bated. gd he So ST ean ean pies ee i ae Pe he Peet eee e chee esse eseeeseeeeeeeenes LY, Ore ees of Age of Husband or Wife (if living).......... Years Charge to: eras, Lh sohstogss. Chipite badd eeatven sl 3. ra yf omplete Funeral (except outlays)...... ly erfeeee ’ i sf — Address. . “art 7.. a oa 4 ROARS SOM BL SELES. NN. FST IO. Order given by. oA: HN eos tn “<+~Burial Vault or Box ... Gaickeag dere efeee orinforman tate Ki How Secured . +327 Lor fh aslemtmee: . iy Sen laonbel 5 54, teak Embalming Body ... Ges Gettin pcb LL ame of Embalmer) If Veteran, Name of War.%/.24.27. ie A ey Barber, $...... Haw Dressing, $22.. 26H.. [ieee a zi Dressing Body, $..... Underwear,$...]/..../... GCETIEEION Fie che, siege occas el Msi dle eee a epeDe er henenre Mee : P , (Godel Basti Boktals fp UNOS DORE. os occas Ganeicacs ot ere ens Employer and ee mise wip einiallolalecrn feitehtial s Sissi lle seme ltia=tae« Slippers, $....... 3 RE Rane pote Amtereie eo) Pa eee ae) eae Folding Chairs, $.... ere Bis cd ois sie Ape ee eee be ccaee Date of Death Sie Na Bn Oo sige ke Hiour) 7 aie Candelabrum, $.... CROSS Sos 5 Foss. one Mireraid's wale be es Date of Birth Juche. 2 ee AE Shee 2k~£-2-<. Door Spray,$..... CHOVER ES: eA.) ee hfs de Mo.) (Day) (Yr) Z Vola, (Mos) " “ Days) Funeral Car, $.... Ambulance, $i. c mallow cheats cale's Services at. : ea TGR wk . TLE ee eemeeneee! sees Limousines to Cemetery... Gre Lk cvay Salle ssmehoue wc Clerg¢man.: Fibre g Kila te” oS PS ee Extra Limousines ...... CN Sais tes fhe ts ee (Address) Autos to R. R. Station. ... Gs, er a Nes SR Religion of 5 ei well ela Sateaeualate wile: soir eae Uaiees Getting Remains from. Tran. bx. Ce tek. ls AS. ti ivthplade: ete ey, hae wah ae Taking Remains to........0ccceeeeee Jas ceeee. ecees ee era Trip to Coroner’s Inquest .........-]]...[eeeee i i LIS . LER loa) A Ng PP oA Sieve Teo gel iveri Resided in the yee B.8.ae iy hie hen’ dois stetenge ae = Retr cesetel eter opal ciate Beaten, Lene ts alfa Urata Place of Death. .>74,<Z2i-0. UM. PER Ss hme Ale ee Be rage Wh fet at eae A eie tian Byer cline og = Removal Charges.......ccceeeeccececcllec cece ee ¢ Cries Set tea 5 ie in BS LiouAdaty . Ceusieres <ceier Sete roe a een : Sa wi babi’ occcpoc Contributory Causes.......c ccc cecceceeececccees a [<n Mail Pon / Seton eee Pall Bearer Service, $.. Use of Chapel,$... eeeeee eee eee eeeeeeee sees eeeeeeeseeosseeeeeeeseeeeeeeeees Gross Total for Sales Tax Te ae gece $ ST a Val Certifying Physician...... ee Ga TT aimee paces eta TOR Re oss cas cada eee eet, tee oe : . Me DM NON 26a a"s MAPA adie alan? weiss ale salaly oot maleate BES ACTORS s 0. iis wlevitca'e Line 54 Sele bl Pens Cou deuec ldelae Vitae.. Palms, $:;;;;Matting, $.00 40000" Blame OF aber. 6. casey sa tes Dod ses coo cael Rental of Tent, $..of Temporary Vault,$..]. .... ... reer Opening of Grave or Tomb.........1..../ec005 BUMP UND ISOGy 6 ci «oS stl s ie ae Ula Juss wwii a's s ba linadibede. lining Gave %. Lpwarihe Dees st dee oe. Maiden Name of Mother........cccccccececccee Outlay for Shipping Charges. Scat oe ey poe UR ee n IGT AMM DINCO Ss ce Riche ud chine Zsipd hot ok eke eee Clergyman,$... Singers,$. . . .Organist, $37. .]. ...3. 5. 7. vy Fe pogr eee } Tickets, ale en AcroService,$...)..../... Date of Funeral. hk heats iti oe i 36} m. or Motor plane = ‘(Day of Week Telegr., Phone, Gable or-Radio-Charges.... 2 PALO. ship r} Remains ts BR's se dale baled Bite wale SEE eee, CD ROVGREOA «fail t sxe wad einige nde ele. loah, si Size-of Casket.’ ’ Out of town Funeral Director’s Charges.... . ....]... ee ees usta adie Pe Peraonal SOMO ss ir. s oh vhf scence «acc ebai Noes sc Ae ec Pelminatabsbureday sc 3 oh cs Cl dea de a teal, weg A baa Fg s win sien Ces canton Sivlew wee eed piee Ha o's oie Bey .a s of ee's als Cemetery ..line Death Notices in... Papers .... mts Peceret ener ana aa eee een an ee ane Fema ae. en Oe eae Meld caer iy eR Nae, (Names of News: Te MONT Sona) te eee eh iS ele Ite Mea Dae Grave No bie ore! wiwtelotec:<, cldietecollet te eo 0: Sie 6 Sie "Oretta,-4 leeire ©) g.6 @i0i 06 Sie) 9 6 0:6: Hew aulie Sw ore . . as cc Section N LS oe Ee ile EA a a beens Mh Bk ee ah en ee Total Footing of Bill......0.0.20 005. $1.04 . FO — Sears Block No..... side Sat” Urey eg Sireletngtanly Sree a RY eh SRL ay anne ae $. Diagram of Lot or Vault Owner.. ..eeeee seer ens Balance....... + bal eeasibe tel te a Miscellaneous SS POR CGS 00 Co 6 oe 6 swe es ess elele 6 eels eee ee See ws Entered into Ledger, page Bee ee or below. AP Sa AnAnllawanesn