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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

NAVAS
RECORD OF ed a
aT obit DOs As sheen nraice Yearly No...: aa @... Date of Entry.. .76-€?.0G57F.. cece ecee ceed 1%
< 4 —
Name of Deceased. LY, Gir. . ew ree Lee. Ae fle Tustin iy Vicierelei nis als) Slble sinkelaldiera s wleiete sic ioe. Fs Hl pire 88 Gh EEO OeLC
(0 Married b% ingle (1 Widowed Oo Divorced (What Race)
Residence. . &. a. kt Ma L Mie tot. Ye. Lats F oe ee Sie eee ree et s ™ ag bee “i bes ‘ ea a 659) PIS RECS) ©) OEMs
Cs ee EN eh: ° ge of Husband or Wife (if living). ....2..000..
Charge to Ys. ree Bisais WFR da tedek «Siac
phe ce yim A 7) et . oe FA) x ¢ C4 y Complete Funeral (except outlays)...... $ oe
Pr Clerc ee ey wt ta oe Bee.
Order given by fi . ts ace Ce “e [oa Ses Re as Burial Vault or Box . CGiibas. Kage.. . .. KGV
or informan' (State Kind
How Secured. Pn. Ah Bec aeeeode aie aoe) wise ahh imo) eiaile 6 revs . uiele ole e'olae Embalming Body oe eee ors — . . ee . ee ae 1G
If Veteran, N; a, Name of War. V2 SN MEBs Baan © terse alcaen ade rst ’ oe “4 . ‘g reese Hair ry oo = Sr . I
. Dressing Body, $..... Inderwear,$...H....].
Oaeipation. Mes CEG sn (eo ad ns tie 5b Pras < A “¢ 5% Bote Loree eh. eee fee a8 bon
eae mu Ey (State Kind and Color)
Employer and Address a. ia I ee Shippers, $f. 0) ass HGgES BSc stn, He ne whe tee) als
fg A. 2 Py 4/4 . Folding Chairs, $.... PAF DAUIIN, 19-3.. sectors scale
Date of Death , as 65, 4E ee ee i Zep ge . Candelabrum, $.... Candles. $c sts shel ass ale ets
Date of Birth /¢ ar : se EG /. .Age a hae 22. > : mise! sid Po sage 8 Gloves, $....... /...--f° bs Ts Os. ave eral Car, $.... Ambulance, $.....]].... Services at. .S. LF Bs ae A= KS S.CAUKEA.. Limousines to Cemetery... Sh eos . Moai, Bl
Clergyman. ‘SF: : eZ HE. clk Se a Ae cal Ae un Extra Limousines ...... Cl ee . eee
eC ne Autos to R. R. Station. ... . 7k Rance neta call SE
Religion of the Deceased. .(-¢« 7 hi nS a ee ee ee Getting Remains from...........]]..00[Birthplace . < 2. a = ap ee ne ale, Taking Bemains TO. si ius tg cs ecto css cess thessse cule
Trip to Coroner’s Inquest .........-}o0..04]Resided in the State... Aut fe ee ees Delivering Box to FEES Po ral ee tee Ls tl ach ain tebe ta ees ae ot .
: > _ Rnd ies stele: © oa ace Inly! % sale loce, 6):a202W ww /iouy: aillateoatone ate
Place of Death, AP era CHRD.. MT ESP wooo Removal Charges.......ccceecccececedo cc eees
Carse of Death onc. l a. oocccite ul dbus kas pages oe ew od Procuring Burial Permit..........-./...4.
—Certif.Copiesof Death CertificatesN res
Contributory Causes. 225% civic sib ics evjce otean diesen. sss " P (State Physician's or PA Lap ura
Pall Bearer Service, $.. Use of Chapel,$...
SsieSotere edap titre d sieke: ete vale iar Mri chen MOT Eee Rte e ime y Ae i eaifTctih She Galba ies ee * (eee
Certifying Physician...... eed Capen Qdday for Lage eee dk ee ccd. Geew ste oreo. ah
He bans el ee isc as (so a ee <r Cm Rae, . ema! ¥
i i te ee Flowers, $... Palms, $... Matting, $...]]....1.
Name of Father. re kh. Li chee cS Le Oe ee ay Rental of Tent, $..of Temporgry Vauit,$ .. iv soaalt
His Birthplace...$. C Gl. ie Rieta?'s ot snta ang Slo ieVeuaie raise ee rane Grave or Tomb. 5% ae 7 FE: SFE).
ning Grave, $... Lowering Device, $... ].... .
Maiden Name of Mother. M MAG eet A Ve V$... Outlay for Shipping Charges........./...41.
Her Birthplace.. CARE. seseveveseeneeeneee _. Glergyman, $22. 7Singers,$.;-Organist,§... Fe)
Date of Funerals cc“? Ls A, 2 2 SGLO.. Lb bn fam Nort, }Tickets, See hess s plane Service,$...]/.. sels
bala (Date) fay of Week) (Hour) Telegr., Phone, 6 io Charges....//.. MA,
Ship _ WGinaW tO. sacs oh <p we de eee Cash Advanced.. 0.. cc. ccsctsscccuceececcllooce cele
Size of Casket PIL 2G. Mtoe &, Ser Cegsty4 Out of town Funeral Director's Charges. ... af:
(State Color and Num! Personal Service. ....0..cececeeeeceecoells cee ee cle
Manufactured by. Aap 9 eZ: on £< Easkef. ow gab) 6_ 2, ¥ Aieemsa SN Sy Re Si sliel wae olf Slee) bee: lee sue, B Wt eLa@ ei 9.1076) ele whet cle tele) ope
Cemetery Le tthe. py ae New.£ Lee line Death Notices in... Papers. es 9's ctsgea< heeds
Seki . oy lh 4y ble acetates’, ohare heete maeetagh ctr erstceesealle see seed,
Grave No Soran feck g ho tg eet eile Va cotbg © [Lee Mae Soe eee See OLRSE 8 19.6) elere Cees aie's! Slee! © [ee ¥: 6 0-6 9x9) 4-4 [fiers ols
Section N PSALCS ORT ES Wists che Seyeweati ie carota e Waiie cos oa ores Mall a
Sai a, janine i Total Footing of Bill......eseeee cee 3. 424
— I Block No..... Fess eees ere G. . e peed arte ims ls UES $
Diagram of Lot or Vault Owner ed ete wale sarees les Dalnhonll See .
WMitacellaneous, . .s.<.c'bs owe big cese tel sean oy duleeioesaes Entered into Ledger, PALE wa.. or below