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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
oer eag ee Yearly No. /9° G0. 0.00. Date of Entry. 047.. 2.F%.0.0.0. ae, 19¢2,
Name of Deceased bat alah Lab a. Cahuns. SL, NAD co, Fees ARNON HAO ACR RU FM bh bide Ae er
(0 Married ei WA D1 Widowed C) Divorced (What Race)
Residence. ee: a. oe ate hte aR Pes Fs Le pana ac leery fits gle cole ue Mens ence as
ae a Lah Y ; (Ree eee of Age of Husband or Wife (if living).......... Years
Eo ee at 7. en i
= A LB i Complete Funeral (except outlays)...... $
Nt cee ieee Me ES a, a eee ee ere Te. i
Ci fhe WROE sc Maas 5) Senate seors wa isiale conden os fpSO\.00,
Irder given by. LAK AA Leet. APS ig A Sie pide peemnat yes Burial Vault or Box ... Por ree . e Ce
tow Secured oe tittle eNO re Freee eee eee eee r aren eens Embalming Body sees (Name ene) re . eos ee
‘€ Veteran, Name of Wars. 2i. cc ccccecvtevecceer. Barber Gaon as neice nal Pair Dressing; $2.5. 1c..-] 0 ie eee saw
: : ata ws ee Dressing Body, $..... Underwear; $.'63.cWs.0. eee oe
i Z, cr aap eae CAS Bae ASR AL pi RR ESET a) 2 :
Jecupation A A477. EOL.. ss ee doe vel OFA ERS. 2.. ‘dae Kadendtang occ pone
Tmiplovyer ANG AGAORS 2520655 cine sc oles owe aos Cee oa ations Slippers, $....... RSE ier si cent pcs seks oll eae. s, adetedteince ou
a ee : > ef i i i sda Ue al la eeeeats ville eto
Yate of Death 47.. 2 %,. fete be ZA 554 FA. ia Chairs, $.... Tarpaulin, $
(Mp) (Day) wr) _ Hour) andelabrum, $.... Candler. (S.. vase sats cf] Settng cuales ee a
Yate of Birth ae AL.L95GK.. Age. Pa Sey er es . BOOF Beray, F Ys coceis on Gloves, Seo. sees Ella ee ie aes alee
(Gilo,) May) Oy (ts) Mos.) (Days) . Funeral Car, $.... Am DulanGeucg cs . ee neene leu. wy wy a Meese tee
vervices at. “&* mass oe Age. ak en Limousines to Cemetery.. . CN Uae ae (ts
3 a ee MOLT 9 eh Extra Limousines ...... CG, ads weve fine eon bes teen
lergyman I @e¢-. : (Aires) Autos to R. R. Station. ... Be ee eae ae
religion of the Deceased Foe een eee ee nee ceeeteeteeee eens Getting Remains from.. 05.06. ec eso Het aad pce
3irthplace . [4 VA f Be aa oat tit eget i) aoa Taking Remains tls one cs ceo fos Sine Vie ood awe ee Foe ck LPR ad
Trip to Coroners Inquest 2,2. 663 ew a oe low cc sreefoe see
Resided in the State © oe © Li €c sles 6 Gps (etepe is etese anmastebanevers Delivering Box SO ce ecole reians eee Cre ok, Seca. Pe. MCuen caineteatte ‘
: (or U.S. or City or County) . (Years) . (Months) D Ji Fl t
Ydane'of Death.. Cress KGHE: LY Kes dn ee) Deliver Flowers to.....seee cece eeeeee eee ee ee efeeees .
a ; Removal Charice 1G te EL GEE key ccs sles accle cwalll, 2 Sete ole «oh
Jause of Death_.L. 074 vital. & He g eel, Ooo casa kon s Procuring Burial Permits oi. so.. ical s oso lee se cie. e oon .
a Certif. Copiesof Death CertificatesNo.
Jontributory Causes. . 7 £77 Off hac easel oes spaced ial . rere gigging Pheer er ig tie eg : .
Pall Bearer Service, $.. Use of Chapel, $... .
ate . Roe, cee ; by ccide sabctye,'d eats sts seteeereneeeeeeeeeees atin dan Tes ho Pe" fale ya
vertifying Physician. . Sh Lab OA Et i Baca Outlay for Lot. Gree. u200k. occ ccc ey il Fa ae
lin ldrens 2 ve. Vie tt AE a) ene Cremation 3456 <a cele oss ovat ae peeeee secede sce e efor ees
of e WZ Flowers, $... Palms, $... Matting, $... ]....]..008
Jame of Father £207.. COMGLRS. vv cccecccvences Rental of Tent, $..of Temporary Vault,$... . ....]..08
lis Birthplace. oy. i a eae PaO Os Op cee Opening of Grave or Tomb. .......+ 00 .ffeceeeesfereees
VW ; Lining Grave, $... Lowering Device, $...}}....J.-.008
Maiden Name of Mother, 42 “gs MCCA Fae. Outlay for Shipping Charges. ...... pee . Aenea
Jer Birthplace Loak Sasa a ies Singers,$..Organist, $37 . ]... Z. S0PA.
» Gone Tine JOS patisegae seagate oad Wickets, $.... me siae. Kear.
Date of Funeral 4¢-77. 2 6.) KAZE.. KA. 0% Fem) F Motor Jen plane sean aha Oba te oe
‘ia inde" hin GE: Aig Telegr., Phone, Cable or Radio Charges....\. ....[.0e+«
Se r} VEINS LOR Gey). cheated =. 5 cieeedeia-nie a oe Cale ery Be COORD AVANCE Gr 5 or cues «die @5iy acts oes val, c ouklet ew ower
Size of Casket .2.20 <2 +7 . ae Ld wa TA; 2 A Out of town Funeral Director’s Charges.... . .... .-+0+
Poe, it abe AS Guatdopetiusies og 1 san ee. lds Ve ces, whew Ho ha den be eulded gleseess
Manufactured by. Seats Cz. CttKal, Lo ile Te ‘ marke. Tove eect nee e eee eens yg FS. or.
eo eee ee Be, cine sks) aaa es oe ee
Giishea bi Nerrtepsey CU etteefeces
Dot NG ies eeraivtorereline cconetezs=alt He < tle aol talus eies'e A athe GM ests 5 cepteisle arkpsect ins a eee aT GMs ao efemetasea
St aor ae Sai as 00020
Sea Wi ag iN ok Total Footing of Bill........0.0 005. 3.2 78. .32.
ee ee Block No..... Sides lade TE cose) wiereramy cmt CMC Rb Ue cig eek es oo A $] soe
Diagram of Lot or Vault PROS ow. «sissy died Daleee th 4 Patansets oe eee eee
Miscellaneous oe ee ee ek i ee er eee ee 0 Entered into Ledger, page Mes Sa or below. es
Weecatatlenc Peters teie Sil ho wre caer wits) pie. er pleas etn: © tev wana eke gis UNE ales Sie! Reeve Maseelianeous. 2 Sec se > eee ul eR Bee ets eth ata