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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 N91 43 POpAE Nas. poe ve less Yearly No. /Z07.0 Date of Entry. D.6.6.55 Acc eececcuccecess 19.84 Name of Deceased. Ka ipl Ah Ger. Gia é. AK SE ETE Lia cae A Ne en, kL en Pe (4 Married C1 ‘Single (1 Widowed (1 Divorced (What Race) Residence: .7. AA. NV. E.od: beancoln. 7 Cu fee amg Fete e eee e nett sect e teen eee e eee ees ' OPE ecg of Age of Husband or Wife (if living)..... Years Sharge to: Fe. 47-5 6th auth. . Ft 7 bitin. ths 4.477 € a i Complete Funeral (except outlays)... $ \ddress.Asin.c.c/.22 pte PERE he Pa tictt «Smale wa mieuliie’s COREG ce ra x3 oes a os ean fee ee wee wale AILS ead hale + em Inder given by..00.6+sseceuseees gee eceneeeeeeeees Burial Veale oF Bow 50.05 008 ye oe SARS Saeed as (orinformant) « (State Kind) of ine tow Secured BPUE SEE etalon Serene te ale : ee epte el oe Melee tekaea ecela: sileth ete reli Embalming Body sees Gate $4 Sesbaiedie) cece ewe elon a Maes CE. . “f Veteran, Name of War.. OLE BS Fe cna ce me Eh ales Barber, $... Hair Dressing, $... . ..-/.00ou Z Dressing Body,$... Underwear, $0.05 -.2ll.co 00 cul oases Jecupation. MS, a tl. ; Es tele. ¥en sete eee ees PO IRENE ores ic res aca ge vale fm aps + Ge SAEs ee cis Da eRSS as — +; gue Sem essere Beeee ec) (State Kind and Color) Imployer and Address .>2/ (ee ie foley eck. ee Slippers, $...+. Hose, $...+205-. [ee cee cfeeeeee re Oye 36.7 Folding Chairs, $.. MLR VIGNLLITIG octv, Spec See. I Meee aT cate coe Date of Death Lie. ar ee f “ Pan ends 40. Ftd. ‘. Candelabrum, $.. Candles, $...][..)e eee ee Date of Birth. AL: LA: . (GLb Age £0-.9-%%,.. Door Spray, $... CROVORES a, DRS sa ceeds (Mo) = @ay) (¥r.) (irs) Qos) — evs) . Funeral Car, $.. Ambulance,’ $ .. <a]. 220, i)e «eels services at. FG tI28: terourth. Fantef. Fesmes Limousines to Cemetery.. OS ee opens Neda Boe ta ees Extra Limousines ... (Dic Mer ee el iis eae tabace bes Neer ee Pepin ar fe we rappel clas (Address) 9 Autos to R. R. Station. .. a Se ep eM ie ie ue Religion of = Deceased. oiles sci es os viv aeie dele y tgs emicler Getting Remains from.....eecelleeeeeecleceees 3irthplace . ./ F, thn ee te a le ae Taking STAIRS VOR: cas Mecay este Mata ci)h. ene a cgeerie lc adele ee] at eae eae 49 Trip te Coroner's Inquest 4. 6.0.5 055 Vass vl Caw ealeoe's oe Resided in the State. ee a ee EN gia Sule lee Sols wah SEM hye «afc a = Daliver lowers tO. on. Scale ose cs dacs vs OF sen ee beable wows ave OL DCA Pie eis bisa seo Malo iee & otic ie Smale ares nue 5, . Removal! Chargesec.4 so. fodiens sive slay eld co Ws earn cl lac deee Sause of Death. Aue. My .ac.amelsa./.. Procaring Burial Permit. oes vegoc goes feoceseseeeees ‘ LMT AMCHI 0 Certif.Copiesof Death CertificatesNo ea ee DONUIBULOPY: CAUSE ace se este o vise be wl eulblntien oc dane er j (Sine Physician's or Coroners) Pall Bearer Service, $. Use of Chapel,$.. ei Ga. AWE PA eoftr—Corpne Gross Total for Sales Tax...0. 000004 ene ee Certifying Physician. . .WWa./ Veen & _& tn.ith AEP?) Outlay for Lot. .. ccc eeeeeeeeeeeecccellec ccc. feceees oy: : _ ee AVOMBTAOR 5 ocx store the 4s Son SC dole 4 oes ndinn Siteteate sls als . — hk se. tk BEE A Te 1 eb topetl ds A Pelle Cond OUR . osc nn Rc Kaa SOTA IR ST Bp MS Aan . B SCRE) (CE ie Babee, fe io iy 4 7 Flowers, $.. Palms, $::::: Matting, $..11.. .<. Name of Father. ./{. 4. H. : © CA, K. RAUDe det cng Rental of Tent, $.of Temporary Vault,$.. . ..J.. 5 His Bi a fc o> eee eet a ee Opening of Grave or Tomb.....]. ..Jeeeave sh oaagia Wanda fy Lining Grave, $.. Lowering Device, $..]]..].. Maiden Name of Mother. 2/774. dine wet eeeeee Outlay for Shipping Charges...../00..)..: Cle MONA Singers,$.Organist,$..]. ..J.00. Her birthplace: .6/4 Ki. ccc ecceceeseceeeeeenees Railroad . r, : . angers mi ae $ Date.of Panereh 2s ess. nicole ae sinas ve Xo Soa es m. oF Motor f Tickets, $.. plane ervice,$../..)-+++04 ak (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges... . ..].. Ship ry PeGIAG A on, Sy ae ee ks Seis Gane & Sect tees BOO On IRA Re aa ee . Oe eg, Bae eae Size of Casket Out of town Funeral Director’s Charges.. . .. .. Ul inl TRY (State Colorand Number) —st=té=(<CS~S*t*~‘<s*‘YsC Ma eric. we eee cece cecccwll. occ cleceees DAU CEMIEU) Eye, grace braled seule Ws etc tuln chu Dla a mas Poor a Miao Sk os 'e aunties itis ual a tae 2 pool ws Kose BG ie Silvey leo tesy Waclbaas gee Cemetery .--line Death Notices in.. PB ec sscfhel iia sete fess, ei ete (secreundas of 1 Weta Se a ie ta Ra a crea toa Sala colle he calc oa 2 te e OUROP hl Gy Sa Se ice [MUTI fea FA eee ames of News: Ts BiQe PhO eis ew siecle, Se y ors" bun pred gietale teas wShie We ; ? sds ie ieee : Seyler ee Oe . rel SL eee olan Grave No ae) (Pg . eT (ea Section ’N RO AM ie eee isco geen fetctidie a en leeks ule niet ee ection Now. ..cccccsees ; 5 Total Footing of Bill....0.000. g. . #3). e-2. ay = shat a a a te eS Oe Es dant fun cage « $ Diagram of Lot or Vault OWE ts iy Mod ala ts Balance.... eee eae PE eUABOOH 8 oe lack cnn saws She sd co saad te hoe Entered into Ledger, page.. a below: TS O161s WS wie He a BTEC Bele @ Winie-9 BOOS otis Sue bo 6 odie BOOK 010s B's ole Miscellaneous

RECORD OF FUNERAL N91 43 POpAE Nas. poe ve less Yearly No.. /Z07..0 Date of Entry.. D.6.6..55 Acc eececcuccecess 19.84 Name of Deceased. Ka ipl Ah Ger.. Gia é. AK SE ETE Lia cae A Ne en, kL en Pe (4 Married C1 ‘Single (1 Widowed (1 Divorced (What Race) Residence: .7. AA. NV. E.od: beancoln. 7 Cu fee amg Fete e eee e nett sect e teen eee e eee ees ' OPE ecg of Age of Husband or Wife (if living).......... Years Sharge to: Fe. 47-5 6th auth. . Ft 7 bitin. ths 4.477 € a i Complete Funeral (except outlays)...... $ \ddress..Asin.c.c/.22 pte PERE he Pa tictt «Smale wa mieuliie’s COREG ce ra x3 oes a os ean fee ee wee wale AILS ead hale + em Inder given by....00.6+sseceuseees gee eceneeeeeeeees Burial Veale oF Bow 50.05 008 ye oe SARS Saeed as (orinformant) « (State Kind) of ine tow Secured BPUE SEE etalon Serene te ale : ee epte el oe Melee tekaea ecela: sileth ete reli Embalming Body sees Gate $4 Sesbaiedie) cece ewe elon a Maes CE. . “f Veteran, Name of War... OLE BS Fe cna ce me Eh ales Barber, $...... Hair Dressing, $..... . ...-/..00ou Z Dressing Body,$..... Underwear, $0.05 -.2ll.co 00 cul oases Jecupation. MS, a tl. ; Es tele.. ¥en sete eee ees PO IRENE ores ic res aca ge vale fm aps + Ge SAEs ee cis Da eRSS as — +; gue Sem essere Beeee ec) (State Kind and Color) Imployer and Address .>2/ (ee ie foley eck. ee Slippers, $......+. Hose, $.....+205-. [ee cee cfeeeeee re Oye 36.7 Folding Chairs, $.... MLR VIGNLLITIG octv, Spec See. I Meee aT cate coe Date of Death Lie. ar ee f “ Pan ends 40. Ftd. ‘. Candelabrum, $.... Candles, $......][....)e eee ee Date of Birth. AL: LA: . (GLb Age £0-.9-%%,... Door Spray, $..... CROVORES a, DRS sa ceeds (Mo) = @ay) (¥r.) (irs) Qos) — evs) . Funeral Car, $.... Ambulance,’ $ .... <a]. 220, i)e «eels services at. FG tI28: terourth. Fantef. Fesmes Limousines to Cemetery... OS ee opens Neda Boe ta ees Extra Limousines ...... (Dic Mer ee el iis eae tabace bes Neer ee Pepin ar fe we rappel clas (Address) 9 Autos to R. R. Station. ... a Se ep eM ie ie ue Religion of = Deceased. oiles sci es os viv aeie dele y tgs emicler Getting Remains from.........eecelleeeeeecleceees 3irthplace . ./ F, thn ee te a le ae Taking STAIRS VOR: cas Mecay este Mata ci)h. ene a cgeerie lc adele ee] at eae eae 49 Trip te Coroner's Inquest 4.. 6.0.5 055 Vass vl Caw ealeoe's oe Resided in the State.. ee a ee EN gia Sule lee Sols wah SEM hye «afc a = Daliver lowers tO. on. Scale ose cs dacs vs OF sen ee beable wows ave OL DCA Pie eis bisa seo Malo iee & otic ie Smale ares nue 5, . Removal! Chargesec.4 so.. fodiens sive slay eld co Ws earn cl lac deee Sause of Death. Aue. My .ac.amelsa./.... Procaring Burial Permit. oes vegoc goes feoceseseeeees ‘ LMT AMCHI 0 Certif.Copiesof Death CertificatesNo ea ee DONUIBULOPY: CAUSE ace se este o vise be wl eulblntien oc dane er j (Sine Physician's or Coroners) Pall Bearer Service, $.. Use of Chapel,$... ei Ga. AWE PA eoftr—Corpne Gross Total for Sales Tax......0. 000004 ene ee Certifying Physician. . .WWa./ Veen & _& tn.ith AEP?) Outlay for Lot. .... ccc eeeeeeeeeeeecccellec ccc. feceees oy: : _ ee AVOMBTAOR 5 ocx store the 4s Son SC dole 4 oes ndinn Siteteate sls als . — hk se. tk BEE A Te 1 eb topetl ds A Pelle Cond OUR . osc nn Rc Kaa SOTA IR ST Bp MS Aan . B SCRE) (CE ie Babee, fe io iy 4 7 Flowers, $... Palms, $::::: Matting, $...11.... ..<. Name of Father. ./{. 4. H. : © CA, K. RAUDe det cng Rental of Tent, $..of Temporary Vault,$... . ....J... 5 His Bi a fc o> eee eet a ee Opening of Grave or Tomb.........]. ....Jeeeave sh oaagia Wanda fy Lining Grave, $... Lowering Device, $...]]....]... Maiden Name of Mother.. 2/774.. dine wet eeeeee Outlay for Shipping Charges........./00...)...: Cle MONA Singers,$..Organist,$...]. ....J..00. Her birthplace: ..6/4 Ki.. ccc ecceceeseceeeeeenees Railroad . r, : . angers mi ae $ Date.of Panereh 2s ess. nicole ae sinas ve Xo Soa es m. oF Motor f Tickets, $.... plane ervice,$.../....)-+++04 ak (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . ....]... Ship ry PeGIAG A on, Sy ae ee ks Seis Gane & Sect tees BOO On IRA Re aa ee . Oe eg, Bae eae Size of Casket Out of town Funeral Director’s Charges.... . .... ... Ul inl TRY (State Colorand Number) —st=té=(<CS~S*t*~‘<s*‘YsC Ma eric.. we eee cece cecccwll.. occ cleceees DAU CEMIEU) Eye, grace braled seule Ws etc tuln chu Dla a mas Poor a Miao Sk os 'e aunties itis ual a tae 2 pool ws Kose BG ie Silvey leo tesy Waclbaas gee Cemetery .--line Death Notices in... PB ec sscfhel iia sete fess, ei ete (secreundas of 1 Weta Se a ie ta Ra a crea toa Sala colle he calc oa 2 te e OUROP hl Gy Sa Se ice [MUTI fea FA eee ames of News: Ts BiQe PhO eis ew siecle, Se y ors" bun pred gietale teas wShie We ; ? sds ie ieee : Seyler ee Oe . rel SL eee olan Grave No ae) (Pg . eT (ea Section ’N RO AM ie eee isco geen fetctidie a en leeks ule niet ee ection Now. ...cccccsees ; 5 Total Footing of Bill........0.000. g. .. #3). e-2. ay = shat a a a te eS Oe Es dant fun cage « $ Diagram of Lot or Vault OWE ts iy Mod ala ts Balance....... eee eae PE eUABOOH 8 oe lack cnn saws She sd co saad te hoe Entered into Ledger, page... a below: TS O161s WS wie He a BTEC Bele @ Winie-9 BOOS otis Sue bo 6 odie BOOK 010s B's ole Miscellaneous

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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