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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
Te ys Yearly No.. :
wae ate on ie eee hiss ral ade tales stone tacata Cristie es enat os teTete (eee :
OO Single 00 Widowed 0D Divorced
Date of Entry. ea
xsidence eee eee e reese ag ed : eee eee eee re Pa of nef . “hea of Husband or Mite Gt eefitl os! vee
range to. eY’. Com BARA. i Bence. < geile ee aay jade :
, omplete Funeral (except outlays)...... =
idress. Keg en, FEEL S ZTE Cake. : = E Zs
FY} ee D7 D7 COMI wcae oh.aghin ately om caed hee ae ea otk Paral . wersiensl ise (loidelet en
‘der given “Ba ih Gllenac(owte Keo ... Burial Vault or Box . CCnbad iy ented .. . . . . KO OR.
oriniorman tate
yw Secured. . Sol pose. Shige 4 -OM tas Supls wsdlamieals « es Body .. (Sexes Ny duiece Sills Camacho see
, Name of War....-eeccceecccececceeeees ALDEN AP. Ss «4! -\sysi0 air Dressing, $f scale deal eelee
<eten Dressing Body, $..... Underwear) $2.) /oaeeee sulin < oes
SOLPEIGLEAO TRL tla) adisa eo Poeeevaviedl oul o'sicel'e Sl aietahe eee eleapt eUbns ieleeeenoeaee cup Social Bectiiy Naatey . Suitor Dress...., Sah ce trent 2 in Sine dgfomatanin
aployer and ay SF sic ca MET pita rE, & Slippers, $....... Bree Bs 5 Th hes ava nes Hate ovina vlads we
Pa Folding Chairs, $.... TPEGMPAULN, Oooo e-oes, estes Uo cleo q)
Sn tft me ga "ar = eee "Howry 7” Candelabrum, $.... Candles,’ $0. 35 Stic ly. ch dbs eee
ite of oe . Age Z = i BAB He ee Door Spray, $..... LS (ac. ee cera . IMD onaNL A) GaN Sea
Magia: 4 {Mos (Days) . Funeral Car, $.... Ambulance, $..... )....].-.00cvices at. “4 7a". . a Qemetin Lic, te eeeee Limousines to Cemetery... Be ee Sac ak Nb b eee iosulens
argym fees e feet oe a ote ees Extra Limousines ...... occa ama . Mee nane 0 ial
sa a (Addresé) Autos to R. R. Station. ... tne eh eiaeetics [tate giote
ligion of the Deceased.. .'.) 0.000 cseseceeceeerae. Getting Remains from..........ee{lecceeccfece ews
cthplace . LZ -aade. fiat W/f a as apa Pease eal ee mares PB AETO a Ps tones sles «i lleva vesofowe nen
eee Oe : VA Trip to Coroner’s Inquest ........0.-[lec ce cele eee .
‘sided in the State. . ‘rt.s. pops cases * "Xears) ** (aon ths) : Delivering HES ORE Chas Prem ge anly g-wtauere note NESS al toad Abe oriole
svat Went el Deliver Mlowets 60 ii.) icc ecatedigs co cdg scence ocllecd-vus lfececes
BRS ADE tak CRP we, 5) vse ole oS en es 6198s: veiw a erie ele eS ©: o ole suerere Removal Charges. Fre. eee. . . I in = >.
AMD OE TDCRE IGS i slice as’ © sco are eistbeh oicwie oe aisaeals « een tes Procuring Burial Permit. iste Rnniet ‘ahd added’ tcf
_——Certif.Copiesof Death CertificatesNo. mes el OP eae sr
MUP DUCONYy CANSEs ct, c 5 cise evcls cieis siviv a Oats eve Ob cele (State Physician’s or Coroner’s)
Pall Bearer Service, $.. Use of Chapel,$...
erates : Sse arh al URES OA) Set a trek alley: ol etokea esl Gece gees eee alee (Seo tehua ten Bak rl Areata er eu Yaa Ae
rtifying Physician PE CS ES id ( or Giwhae Te ead ate SH SY Outlay Ot DIG ics s oeties. uss poe So ican . Paeeraeeinaes carar ry .
CPPIIEIAOTE «oi 8s-5 52s Dbs ude Seat done vad peck othe dutta ds ‘ SACGYONE <i o15iGap oh ccna oa ik awe weds Bbiela 5s a bbaale cial Pies.. Dates.. oc Matinges: [see
AIAG EP ACHOT, » oy. oc sseie gsi bin Un Reina ess wad Gd we eats oe SES Rental of Tent, $..of Tempo Vault, $2.. 0.. fee eee
a Bireholane __ . Opening of Grave or Tomb Clee. yigne Me 5 A fone Scot Oy Sede AIS de Soein Marware the alee Re leas alee Lining Grave,§... Lowering Device.. apple: ok
aiden Name of Mother.......0seeeeeeeeeeeeees Outlay for Shipp} iE REP OR a ee itd clialie te ieioe [Lesa oneal erence ;
Ri Clergyman, $2. = ingers,$..Organist,$...]]. LO . OX. x Birthplace..,..... Re 5 Onis ie ee cule 3 . Batre Vricket gers,$. sro — : :
t f Fu ral. 7 fara ca ‘M or otor ep Pewee vvene 5) ane PP eee eellee eee eeis rere ¥
576 = (D ede andes of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... ]....J--+e0aa Bien ari tty oS. ue vs cna oss cee eller ese. Gael) AGVAnsed soi. sicko ac sene be ew cote cee Hoe ae dabees ove
mick Casket. Out of town Funeral Director’s Charges.... . .... .-eeee
Lilie cs abe hbeebige iiectascdseade Personal Service......0ceeccccceeeeeees SAE.
anufactured by.::.... Une e eee eee ceceseneseseeedl fees ae : = : shane ‘ Mauer t Sere ast cbdae=dnal liebe webct bere ielerels
% e Dea OULCES Iie « sPAPOTS 6c <3. 5 Spills oie wis sis fo oem le
poe a A » Treathg a2 Pees piece. 9 Ser Sai Te ee. ar ok calitet ey Wald
(Names of Newspapers)
ae a cane J Mes NN URGE fen Spee greet a a Aol a= RRMA AT Sy on Val) Ry Re
G Ni ne ce wcceccce ccc cel (TOO TE SMES O TCM e eg eran erenceeesecesosce sev allevescceiacacecs
5 zu x BATES AX on Meas cco sl cuacasoeene GRU Sa Me, ac ke Zi
cae aie Sr gee Total Footing of Bill........... $i. 24). A.
ooo iia Block No..... ‘gee . CS as of RMN ey eae Git SR flo a eR $
Diagram of Lot or Vault Owner eee ee eeee ese eesreeease Balance ee ike Me $ ian catia ety eters
iscellaneous sid [189 <4 elevate! ipo) @! Ki6Le aerblNl wield W ie. a eke Bie aeeee) OLE Entered into Ledger, D age 1 Saeeer or below.