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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

tal Now. 00. ccseaeees Yearly No.. 4%.7... Date of Entry. Hi€. ee oe yw)
ume of Vessel: AZ Ochre vere Ld. MAM ML bk. ard A RS ted cr RS A aA, eh It Us ERE RB Beace
Married sete Single (1 Widowed 1 Divorced (What Race)
sidence.. 44.5 A. KA Calle CIO iy eee a ar ee oer Pe eet tense et eee cent ener ataee eee eaeeeee
OR ee ee ee os of Age of Husband or Wife (if living).......... Years
iarge to: OL ME FUCA te. Koad be: SoGove es. Talat es, ;
omplete Funeral (except outlays)......
tdress.. JPA). £2.0:%.744.Grzass. valley ie. a Bae bods
‘der given by. pi ‘. ke (B18 Fe Wa A a Burial Vault or Box . KL gorges Pop LOek. AO2. .e?.
or informan’
tate ni
yw Secured. : wh Pec em ea Ca aTel y iGta Pleuahes vente Gare tae Embalming Body eseteue at (Name St Exbalmes) cece a sevelleceesecioeveve
Veteran, Name of War w “Wl. AY tw i ay oat pa Borer, Bi. veces Hair Dressing, $.. gc: theese
/ gE Dressing Body, $..... Laderwear, $3, oH . Ob ZAP.
‘cupation . Raa oe oe se 1. tre ‘bey’ . . Sttitor-Dress, ./ Au, ont Ra Ve ede . ee AST.
one (State Kind and Color)
aployer and Address «14. 4-4 722 pele: Gt. ef-.. Slippers, $......; POG Bese Pe yak alts Cee me an
Folding Chairs, $.... arpauliny$:ic:.4 scene. dosscbe eres ««
SF, fe) 7
ilies aes ree. ) MG LEO.» a 22M. ‘. Candelabrum, $.... Candles (Si.. «ols Wy bow oa alee wees
ite of Birth. Jy rid A Ay lf PArge OS. 772-74, . Door Spray, $..... GIOVER I aceis la vale CSE lnsiche aa sooner
: (Mo.) (Day) “ Yr.) Yrs.) (Mos.) (Days) . Funeral Car, $.... Ambulances: yu. of cic us wc dladene ©
wviees at. Wee FOIE MME OPT ag oil ogc Limousines to Cemetery...@$.. 2.2.2.. . )-. 0.. feeeeee
. We gmk Di le ee ae a Extra Limousines ...... ES se 2 eset g : Ae
eee = ee Sp is Autos to R. R. Station. ... CL ik. ee ales gael
ligion of the Deceased.. ¥.’. uh Seam Ste Pi eo Getting Remains from.,....,.., = Damages rt Okie tt WR
Se 502 A A a Taking Remains to. Gaiden. cpete. Lgurre. . B5. AL.
eS. Trip to Coroner’s Inquest ........000. {loc cece [eee eee
= ee . .
‘sided in the State. . ae 2. City nol ate * ‘(nny : (aon: ths) Ne Box E Salt (6.8 SU6 lah a wiv on WINS 8 via le ® © etl g a le eee aqme we. 8-®
werob Death. kts ERE el bid a See LUVORA OWENS LO a5 <8 < ee ce ciaie w los cfs. vo viele bothers sul daas «eee
Removal Charges......cccceeeeeeecccclleccccecleseees
use of Death: yo toes ar. “Ce. fest oez. . Procuring Burial Permit.........0..].0...[eeeees
3 Certif.Copiesof Death ee Mar Ch
mtributory Causes. Wr zy x4 ALA. TSC KG, oo aT, Gr.. “oP (State Physician's or Coroner's) . . . 4
A Pall Bearer Service, $.. Use of Chapel, $...
Lao AAD Re ne ey eh RE oP Sy RE :
ross Dotal-torSales Vag veces os waging co Sle se cc lew cues
rtifying Physician. 7.4: ONL, Fe LE LEG teense Outi gtoe Lae nie ee vera ss wc ss neve soils wade cohen eee
2 Reddo, Lee AVe. le ee ok a CrOloatOt. 2. jas ices ses bS aca eadhcien se caalles ne peta . ae
, ‘ # Flowers, $ 2° Palms, $.:::.Matting, $... te
ume of Father. nek, a2. a G CB aca de Mk eS -. Rental of Tent, $..of Temporary Vault,$..])....J...
s Birthplace UY. wk. (Dating OF SatavO Or Tomy). 60 5. 2 VWs weer s Henin b se ofaev oo
See ea ee . , oe ae a ee se, Oe
aiden Name of Mother.. Md “a x sa loe ielalg ot ern eioreneoncie yee Qutlay for Shipping Charges. . 6.0.. tlecl ees cles ees
Clergyman,$... Singers,$.. .Organist,$97—. . ... 1 ites xr Birthplace: . re ie pase. ae eh ee Daw he Balled \reyots : gers,$ sro = sr ai
ate of Funeral. A242 6B oo AOL: My OF Motor Av plane ee ts
7 (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . ....].005
tel Remains se erties AattnG TAS, eaetabicuery 2 rate de telet« MaDe SARE OCA ROI . ~ 5icla's, sles» «vc ace Fate tin Ge tl. . Fluthees x's
ze of Casket 2 ZG al Zt y 9 é x Me its Out of town Funeral Director’s Charges....]].... ..2.
(State Color and ees me fee Leck fed Personal Services. 0 oa). swaas «cate vewes vac Ho. orc ulowaw ke
anufactured by: Sz x. ox. lCaské ela dele ei laam losers calcanteascatonieiateCalints) sae matw hal eee tons, ele acttess: SOK ERE. WEE Loi-so . . Steuer Salnalal Lugs wh
metery ae eas. ee ‘ ob. A Ze 2 ae en line Death Notices in... Papers.. covisaleos coc]. eels ss
mates} Ss Ae (iticandbiceenas CTU ee eae ie bee ee
Ra tereelitin iy PR AO. phledecte "ek cree ol Hee eet ie
Total Footing of Bill.........000. BALL NL .
TORS a oder eco eee he te wrsgn FeVeeal oroha os Mattoo cre iste Chee te $
Balante vss 5.5 Setesiee Sic grees we owe
Entered into Ledger, page... or below.
Nisaanllananne