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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 ¢ Notal Noes .4 snc0ceiae cis Yearly No.. 2227.. Date of Entry. 421. ae die sicaw dae sls 19969 Jame of Dagan May i ado Ms Bt elt ad neg is iN, «coer iam bi Ma Tex Nae ye "5 ee Married 5 ( Widowed CD Divorced (What Race) sesidence. .(AVHKS. .k elles CH) a eee eg ne ede rey ace 4 ash tat ecint ses dpiinnsd ce tibencrsene. r) 2 ae aoe of Age of Husband or Wife (if living).........--. Years harge to: FLUME Et eg hee Mee. Bias soul ctayet eae eT ae nia : omplete eral (except outlays)...... dress. LEAL, Fax. AR Cah hilly ep a oa ae rer given by. Ala. ttee had A tah AA tat aie ten ie Be oie . (State Kind) tom ieeured sper a rc dikes a. ts phos Embalming Body ... er oct WAP naea a a ht Bs "Veteran, Name of War. 4¢(¢¢7 tal eee pas Be in a ‘iG ‘g oie a> Hair on ps ee so tgeriiccnces slecvece Tv. ny oe ressing Body, $..... nderweary$. . csi '. locie-s enlfeceee ove ecupation.A/ 2. TEL.. JMR SBE GL OY ’ Suit or Dress. . A474. Oxted oo.. ML. AGISQ. ip J (Social Security a (State Kind and Color) mployer and Address ./“ bd, Me lAf. ai ord Pet (AR Shoppers Sos c dea FUN Ee a ou vccincflamees doles aces . GeO) Pos y-stf, Folding Chairs, $.... PAUP By a.0i9 5 ad's coreln ces se oa ate of Death Adee. 4 si Uy Fb ; Ta \ ee oy tH) Candelabrum, $.... Candies hte cereale eels Sea ee vate of Birth” i. el gy. A 4O/. Age See eee <£_ . Door Spray, $..... COVES) Sith. On.. coe silts aeeralac: cw ae OM @y) Cr) (Yrs) oS (Days) . Funeral Car, $.... Ambulance, $...../....]... SPVICES EG. 5 Sais o Srbicrlastagee Mote AUecl wie cittetl on oreby wwttt Faameeeanvatcnauaeh els Limousines to Cemetery ee @ $ Tepito lam PLE eat Pe . : map eee Ls . Dec peepeeae 8 -_.)\)") . Kenta: Dimousines 04.2.0. os. Cb SEER ees eee! Sie eee SP ee aaa pS Sei Ca tae Se ae (Address) Autos to R. R. Station. ... ME ics Vkbesls Fi dmat a wales eligion of the Deceased. . settee eee eee eee e tence eens Getting Remains from....,.... 1 die ee a ea Leas mes irthplace .:S. ctw. Fiat & 2c ceceeeeeees Taking Remains to. rae. ACR (4 ces . .. SRS Fee, Trip to.Coroner’s Inquest.. oc vdeo ccc cunlles coceuls coe ° esided in the State. . mat Fg Es Peres ee DeVere BOK UG sie sole e oases hols Saw oe see, clcaltee beds (or U.S. = iy y exeoanty) (Years) (Months) Deliver Blowers Ae lace of Death. i t f2 ale Nie es ie Mi “orghion Pest ae GROOM © wae may anton! (ef pair 4 Sepa Roe RCN UG eg ere . Top a . Fates ause of Death wA aul phe fn Lila OD i oe . Procuring Burial Permit. . Ree ad panet eee ea . ak ry u & umber an: nstri: ontributory Causes. «5. wiscisfecas cow svedecoeeccadeeleses FCertit.Copiesot re oe mt ei Fon, Pall Bearer Service, $.. Use of Chapel, $... = hie Bly en eee Bech copier 5 Cory Gross Total for Sales Tax. .0. 0.0.. ees ese Sl.. cle os ces ertifying Physician. -*. DIE bees (ian L9O1 Outlay for Lot. .c... cece cece scceueee call, r Coroner Fe RA SSE aD [UM er Peal sie ig Lt ree tticdion Basa aR AS hd) . FAC CS i . ie a ° j : — Mecke de wees il, elk CS PORIAION. ohana s cw tinbislls ow Siren sell val tat aelh. : oh (fi (ace ga hogs wer Flowers, $... Palms, $.:::.Matting, $...]....]..6 ame of Fath 0: h ¥). n € Als Seo Ark rears yan ee Rental of Tent, $. . .of Temporary Walt: $:iach eck nese . ae. lef ioh Opening of Grave or Tomb.........l.0..cfeceees is Birthplace. On ci envi ales bil eleeahes lee seas eacih ieee antag Gikek Bos loveleiDaie, <a ee Iaiden Name of Les AN i Te. Hilis ere siege Steelers seater deed Outlay for Shipping Charges. ........M 00.0.. /.000er Birthplace. . cs ae i I ep ope pag! OD alread oy wees Singers,$ ~ 2 Organist, $ glow $l kiaedee ech amet : ‘ate of Funeral. = is HUGA LM Pcie m. oF Motors Tickets, $.... plane Service,$... J.. ..Je++ees i bye of wep (Hour) Telegr., Phone, Cable-or-Radie-Charges-.... iQ 7. a} Remains to. .4/1., © Aa G VY. GIHE Cer cee. AER DAVAO Bie. od. cclEes «Lots ceccds pals koh Seka : ; 3 Fld ize of Casket . eee a : ae) &. Seen Le; ig ae hey aa aa Director’s Charges.... Dh le. \. FA. “t ior ZAWILIAL PELVIC, 6 we ee cee eee ener reser eee en eerling geen eleeeeee® lanufactured by, : O68 Li. Bag Bee Le aft AZ.. BEF AW CSAy° Le ad. Sve ee eee e reece cece ere edeeees MhZ.O. Se ne lin ants en ecg SOR, ee ee (Names of News: rs) Lot No....seeeees eel Ms eget ai bee fet SIN Hey las SE OR! Rp CED G N mec ccc ccc wc cee cc] TTT TTT TET REHM Heer ere e sense sere e ween ealinwesecelersrne vee e Milena, a) hic tWiocs us Cogilyee kes oe £31 et Te hale abs de es Total Footing of Bill......eceseeeeee. $. ZA. . £7. BROCK ING s.5 0.5 ode eo eats oa So sini eM LAUR «5s Stat ates ail ain cay es WS Os olan wa wale $ Diagram of Lot or Vault Owner ee ew ewer e eee ee eens Balance ef La eee RE $ chee eee ba Dota ixeecate TIBCOMATOOUS Sc, LR issn oa Ee wine dv sels ioe Uke teen Lute Entered into Ledger, page... or below. Perera alte yw lel taller slaueueis! Voget wFatmrn wiles Slexier wt cits =) OPe POReHee hig ee eos ciel soa Micrallanenns