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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

~~ 7"®" RECORD OF FUNERAL .
otal No.... fie Yearly None Gases Date of Entry. ALEMLLY. ar Stn ial 1942 ;
einelel Demand 2 aoed ss. Vere Ha SRY Salk ob fie geeky ze rh i YiiA ts iv eale a eee
0 Married [Al or ne {J Divorced (What Race) “4
esidence. . & “F. Pe Bill. Str a . Mex Pa kee ea iin eon Ref ria Sins: oss Pe dinis> seas cin ;
eee Va of Age of Husband or Wife (if living).. 4
aarge to. fe. ML Yt Ue. TE. th, ABEL Wat: ae We Oe 7 = '
Adecn. 0a é. he V> LG (eg ae 2 , Complete Funeral (except outlays)...... $ : —
pci eee oe? ee a lie, ea Cette oreo iv Bet eae ede dob AOE Ren > i
vder given by. Wa Le. tid, bc BOE Bix 1S done Burial Vault or Box AEE Chet.. SO Or),
ow Secured. ? fo CE sh Ee airs po OR eee Embalming Body ... Gets otter fees :
Veteran, Mamie of War jg alae an cage) oo ber, a a weeee Hair pine te SEE Page nny Meet 5 ;
ressing Body, $..... nderwear, $...\)..s.cclessced
seupation. A/ymer>..!.. Wb 2 8 fs AS. ss fe it ‘ hy 4
ee (State KindandColor) =f “4
nployer and Address Me eyMeat. Minin dB ping t. Slippers, $...... wHlose, Coe cain, Wels ai Set, Penne : t
B, Oo 7 AS YP fj. Folding Chairs, $.... Tarpaulin, $. ....]]....[..c0ck
woot Dar Zp. d= £ EE.. cake ee pene Candelabrum, $.... Candles, $.....0..00.)e.0.
ate of Birth“/Ae7..9 ./£ FF? Age Z é7.7-.2.2-,. Door Spray, $..... CHOVOG Be os yies cn vietilel coeacbeweal a
cL, oy Oe Cs), = Ga) Cte): Gass + Puneral Car, $5.04.. Ambulance, $.....])....J..008
rvices at. 47.¢% Le LF 0s os tL. 5 iy Pe a pee ees Limousines to Cemetery... Cs. 4 cu. Diels ee ry
ergyman. “e Gt ilies Fe Ts ape a, Extra Limousines ...... OA ses «Seen Sellers coeul. coal
Wher, : siege Autos to R. R. Station. ... CEB ese o ge een Cea cleo re
sligion of the Deceased. . fe DAMES. Lect cig a aes aa Getting Remains from.........eceecllec cece cleo ore x
rhplce Ze LA yo esevsevvsnnveseeeee eth Taking Remains to AE, . SSS. Ast siiee =A eagtie meneae (Tee aK a 5
Sea teus 47 =~ Trip to. Coroner’s Inquest. ¢<.6.6. cas ve ec ebcllecs cco clowee ay
2sided in the Kea Pie s a ty ke Sag “iss” agent” a asd S fe eta aed rate ot al opens ‘ a
ies ED @ 0 90:6 0:0: 800 0) O16 9 60% 858.8 8.00 © elles ue Seis elles 08 ee
ace of Death Af.. 28.4. MEA ee vereee, Removal Charges......c.csecssecee wcodlleccecct .s
vase of Death. wF OF Oo ae Ne kee Re E Procuring Burial Permit. ..... sibiddey’ fof “8
mntributory Cansea L707 TELA CACHE FSS occ. —Certif. Copiesot rent h Certificatesio.— —» Voc “
eg ttneat bath, Ley Soccrcccvicci aA Acgear OCW ie coe a
”) Gross Total for Sales Tax Se eee . ead Mae = ;
rtifying Physician. \Z. id hee « Zi¢ cpl! otter eeeeee RIGA AE My i Ses oh, on Bole Se estas Vale oles Ahi gat. he 8
b Addiwes: Me Bt es Fe Aig att Mabiet ate GOOMAAOEL C25 5 Ln citi «gh S vnc we ca gdwlaw twee ahabecuwels rr
Flowers, $... Palms, $.:::.Matting, $... ].... . com
ame of Father. Ve Lx, vA “7. MTGE sb aek Rental of Tent, $..of Temporary Vault,$... . .... .Ary
s Birthplace. ..£. SE 7a Ae. ie et ee a ON Opening of Grave or Tomb.... a eageeeeseleesaese veees :
vy, ve Vy, i), A Lining Grave, $... Lowering Device, $...]].... Recs:
aiden Name of Mother.2.4.4 Akasa. Kt 4G Mids. 4..) Outlay for Shipping Gy Ft: ee . xz OO
ar Birthplace. Ss, Ly oes timers Uh _. Clergyman, Sis. -Singers,$. eet: ganist,$ teeee AS Radats
ate of Funeral. Sau beAT ae. Ak oe. bP, .m. & Motor sr} Tickets, $.... plane Service,$...].... ae:
sor (Date) Lb af Weeiy (Hour) Telegr., Phone, Cable or Radio Charges....]. ...ooe
for} RUIN NS 5 as Mig a a Subs o'dlle « wialle Sauieeis bestabe & Cash AGvanted 050.5 sce cca cde cctisvidassclhcsct ce ee
pot Cipla se ee Out of town:Funeral Director’s Charges....]].... oes
(State “3 and Number) Personal Bervie’. . cue ses ek vase cc wed dvees bhoew ek ces
anufactured by. ‘oc ae LP Mfage C2). Beet Suedhasall Peer Sta 8 Soh or Rite (AUS ote nPRe Ratan le are x 'ey'uiln a Sr vioiy &)ai elevates ile” s ei . oavere taal he 4
metery pn pen oan 5 ae kite pie A ye i ieee ae a at ele Papers .... or ae a
ae tGtatineebenye crttresresedies: "
eae ie ae ee as i ee e:
sii ail Pret rete siete ae Total Footing of Bill.........0 000. 3). 252. 772
OOK INO sain 5 oelie wis ls od de Z
eee ise Fy he ea Eee CRESS one ire Sek 8 POO eL eee wire) f * $ .
Diagram of Lot or Vault wner er Balance a gin belt ded aoa ae $ ig ce oot
-iscellaneous ad de wR io OO .\Plel'S die 5) MSR, Biaiene, Com d-Olw wae 6.856 aw aE Entered into Ledger, page or below. :