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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

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lek es Yearly No. xRA... Dateof Baty. A. Eo ecesceccesse19 SO
me of Deceased.44.4.¢i. uh €e. Md. Ye lye ELT Pda ea Mates ra tice Be hitter oat, Fle wil
CO Married LC) Single al Widowed [1] Divorced (What Race)
idence: 27. Z. K3.a KH Be hb rig MGA SA> Gell, CBusbane wit wiser } Ea ya) eee ee
; . ioe ee of Age of Husband or Wife (if living).. Years
arge to: AV. Kable £4a.6. Thac SPE Hasle) a
dress.. 72.5551 AKe2 me sti au. ie. Alhle: (genre CS $ f4G0
e
. BER OL oe eee eee espe cece ec eee pe neccsce ll AA LO,. COD.
ter given by. nA. £44. &. cho. a S.. Burial Vault or Box . lean bal baer.. FESR.
: t informan . tate Kin
w Secured ; ? A aa Ge robehetetebatsts Spots She's aityy Petts 4 ieee Embalming Body Per emie (Nans of Enibalmer) SES iOS AOS 082 CES wie elle e
7eteran, Name of War. A c#) Wrereial seid vx tuelst alee aly. catt ae Barber, $ eee SRA ee) Be us air cms $ i pieis (ers 6: IPSs: 5.016%. olelne wade
; ; Dressing Body, $..... Underwear,$.... )....]...
upation . MA MS Se. HUNT Rew Mae ?.femee.--. Suitor Fes siphon ge Mialereis aca lhe Ph face: J cdMle's oc Bell
" Gebeit becuase ene eee ag tine tre Stile owen did Bis
ployer and Address .. W/ 4 PAA eat Sela Sintereie epee ted at Slippers, $....... Jt UC eee RUG eres A lat ft
al BLO § Yo ~wv/ \ Folding Chairs, $.... Tarp, $.\. au.. « .cisbee ease
eof Death. 24.44 in ea BG Ee ee tae Ge. Candles, $......)..000 F007!
e of Birth 4/.fc. .02+,18§2 Age ZF -— 7. ~21 2-. Door Spray, $.:.... Gloves, $......]....0..
(Mo.) (Day) yr.) (Yrs) (Mos.) (Days) . Fynera] Car, $.... Ambulance, $...../]....]...
‘ices at. ; atk ode el . WEE, Tree eee : ye Limousines to Cemetery..:@$...... ].... ...
Oex,. LA Chtig, BL: GH) dpa A_\ Extra Limousines ...... CR stesso «x d's Aedes
babe i Ke ; ws Le te Autos to R. R. Station.... Gas.. ete.. dihde cl
gion of the Deceased. ./076°20 20.. cece cece eee eee Getting Remains from.........../...0 0002)
hplace : Fae ee a ee /.,. Taking Remains to........000..010000 Lo,
io Trip to Coroner’s Inquest ..........].... ...
ded in the State... 1 ae ee ee ee Delivering Box to........00.0cccec lhl
_7 (or U.S. or Ci r County), (Years) ( Months)
5 of Death Mécd. €ar.. LSyO. Deliver Flowers to.......0.ccceceeee Ho Lo,
~ Le . mf Removal Charges........0000.0000.04100000 Ll,
eof Death: 24647, HAE En. Procuring Burial Permit. oo oes s sews sifocs sc fussees
5 J ly oe . . tate Num an istrict)
ributory Causes. Cly MPS Cer Alig OLGA PA y/ ee certlt vipat Death CertificatesNo teenie Std Bo
Pall Bearer Service, $.. Use of Chapel, $...
mi sia ata elpleraieldasea alls eo (oa tn ie tat Gross Total for Sales Tax.....0.. a ae
tying Physician. 4a Aew,.di/, Meek apie Guilayfor Tol scien
7 % ‘Coronfe) ‘ De RAO CA se n't Wee's dou gters ws SLAM es ax . AS
\ddress : Meili. %, CF Pee ee, ANE ne remation..., a a Ts ES ORS FCM Tae! . ey lL all > Same
mee y eFo: Flowers, $25, >7Palms, $.:: Matting, $... aes, eo,
e of Father. 10241 47, META Rental of Tent, $.. -of Temporary Vault,$..]. ....]...
3irthplace jae 7 _,,. Opening of Grave or Tomb % £4¢. sv F...(. Bicol,
Ms: ir Gi ee Y yy ea, Lining Grave, $... Lowering Device, v4 a rf I_# wuckTodioe dle <s
len Name of Mother.. Ma tf. G80. SUiCacery Outlay for Shipping Charges...... Aye ere ee
Birthplace; . 2. // Clergyman,$/?. —Singers,$. . Organist, $7.27"l]..4.39. .sO
C ne on . 5% ps : " a: Ons ne net eg SMe }Tickets, eh ae Pnibe, Service,$.:..1....[.000
** Watey "ay of Week)” Grou’ Telegr., Phone, Cable or Radio Charges......._. ...
} Remains to.... 00. ccccescccceccccecsccees., CM DAVEE i, awit ota acs We
of Casket . 2242 2. Sate. 08s. [CaS &. Out of town Funeral Director’s Charges.... . ,... ...
(State Color and a Personal Service......0.0.cceceeee
ifactured by: ec ae bE Se Stl ce Sr SEP Pe Pa tier meee ae’ pedeatig Aue Ube taza alia wisi sie a sele Cols wis irlame) Ties flied ln i Ncketg ls
ol Coes _S ..line Death Notices in... Papers .... . ....]...
COPY Fes 2 er 0 OL oe GP Ele als eC): 8 Bele er@yecat alate teieiaae
EOt BG 22s de chine oe dl cscs. en Oe oe as ae ot tes,
G e N PCRS Sleiwie oiSiehe se aleVe. pe sie Siar 9) PP e's #08 (miei miiere! oe lee. 618 (05 sRe ele ewes clacs iil « oleie a Rab. & Loe
ce : BONERS oo ose dee bc's soe Slew bed dal oct £2l. Eo
hairs imamate a) ee Total Footing of Bill........... g]220.).22.,
+ r— Block No..... Bee sve a toss g
Diagram of Lot or Vault os See ee igs ck gia Sillect ic okt thee eee