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Collection: Original Records > Death Records

Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)

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eee RECORD OF FUNERAL Total No... Yearly No.. 7s.2.Z. Date of Entry. Path, rad ier ay é Nols Kel tes, de Name of Deceased ii cies AE he ee Kilo» ite AAG CLM ke ch oO Married O Single K Widowed a Divorced Residences. Art «.G ee a tae ey + ee Cee Charge to: ea behest Meat ede eee? ‘Karem, . Lnle. ae “a6 A wo ois = SY, y, Complete Funeral (except goles) Cadleot oe tic. yee cas one Order given by. Aad. hei dh Cla re Be Burial bhi or Box ben kak, (orinformant) How Secured: : GOEL ee vee cent e eee ee ence ees ies i) Ii Veteran, Name of War.. 222? a. 000. ccc cccccee cee : Hair Dressing, $.. . Underwear, $ Occupation . WZrane. andthe Pas f er a (Social Security Number) Employer and Address . hes oe Date of Death. er Ae, KES, CAE.. Aa (Mo. (hy) (Wr) Gloss) Candelabrum, $ Date of Birth e222 J EE DABe 7 Door Spray, $ isos er) ie), rie yeep (Days) . Funeral Car, $ Ambulance, $ Services at i Se LoCatededan Chet oF A ee Limousines to Cemetery Clergyman. Sti Za f tea had Extra Limousines Religion of the as Cb PT ey He os Netty ee ee Getting Remains from Birthplace wack Taking Remains to pene Trip to Coroner’s Inquest Resided in the Staté.. 7 CE Oi henwk Reve 5 prctaaeeeae Delivering Box to (or U.S. 9 Dp County) (Years) (Months) Place of Death. LE: Ld £ + yf ha bad Cause of Death. . & Phi Pe Y: they. AED Procuring Burial Permit Seed “bd Date Contributory Ca $. Caled: ade otiraLiu. : = Carel. Coptenat oo , Pall Bearer Service, $.. Use of Chapel, $ Poe ae Lie whe nee? Ail esata Reina epee reek — a, Gross Total for Sales Tax Céatitytcig Physician. .%/ 226%7<.6.. 77% Outlay for Lot: (or Corre En : ar, Cremation His Address: Seceteee J gor asker. oe meee Flowers, $ $ Matting, $ Name of Father. EE a. = hel Rental of Tent, $..of Temporary Vault,$ . fis Bitholaxe. 7 9 fez Opening of Grave or Tomb ¢.£42£ ¢: Lining Grave, $ Lowering Device, $ Maiden Name of Mother. Outlay for Shi ex. Charges. .......00. Her birthplace: Lead Clergyman,$’Singers,$. . . Organist, $ Date of Funeral. . 7-4 “7 ALA’ 2. On ga een. or Motor J Tickets, Blane ervice,$ sae (Date) LARC Week) Telegr., Phone, Cable or Radio Charges Ship } Remains to Cash Advanced Size of Casket HLF Z.&, Ja a Out of town Funeral Director’s Charges (State Col 2, aie Personal Service Folding Chairs, $ Manufactured b44 Cc y ies Diagram of Lot or Vault Miscellaneous Balance Entered into Ledger, page =e ”