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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL hea Yearly No.. .7.Z... Date of Entry. .2-662-4beGo.. -Zoececcccccccee 1927 Arauet Ul.. Kheg mee Cs, ales Milan Cel, Be is —_. ; Zo o sx Complete Funeral (except outlays)...... $. Address. 40H. Le, = eee es ae Casket. Fa Jeerespu Mire satie’ nls srechclieg 20902 . Order given b¥< : .. ey ste eee cece e eens Burial Vault or Box ,JeHetmmeLe FOC. . (State Kind) How Secured AF aOR Se VO ge aa lg Embalming Body ... eee aga oe Hier aha) ee If Veteran, Name of War. ee Cee ee PPO: eck gictncn os Hair Dressing, $..... . ....J... ; Dressing Body, Sy sep .-Underwear,$...l....]... Occupation ern renereras ¥1~ aehs8e-inie eal Geen eee it a Sees er oe Employer and ddress Rept Ee eee eh othe chen tr: le a ppers, SD racieretele earah ies FROSE, Sole lhc, «wane» Sie sll oeaeiele ha ene ais olding Chairs, $.... LAIR Si teeth, sth me Pie a Date of Dea BLOT. Tes, he Me) Candelabram, $.. Candles, $......)[...-[000-. Date of Birth ws f(a TE bee oe ; Pi om ae gl Door Spray, $..... Gloves, $.....--cll.ccesclesces (Mo) ¢ ohne (¥rs.)“(Mfos:) “ays . Funeral Gar, $. canes. Ambulance, $...../. ....[... Services meas ayn IRA Rae ee eee Limousines to Cemetery... CLS A, ee . . . PRI a ey Extra Limousines ...... Bhd uae ss soles oe oes ux Clergy an Me, AIM (Address) 7 77 7 Autos to R. R. Station. ..:.@$......H....[... See ee teen e ee eee eens Getting Remains from..........0clle eee cule wees tt ee Oe te ah 2 ey Taking Remains to's.. svn ce cl weles ee dlloasdstelicess Trip to Coroner’s Inquest ........0ee-{lo. cece lee eee ee Detar: a Ga oa SS 5 we. sont Os oll ced wile weed oe ee Deliver Flowers to.......cce cece cee ecell ccc ccc lee ees i lb yee . Removal Charges..... Sih etbyndh ai aeons: Mad Hage (Ree oboe: lens Oe Procuring Burial Permit. Gis ianes Crees “. ee _——Certif.Copiesof Death CertificatesNo aged! Sel (a ere rco reese sees (State Physician’s or Coroner's) Z Pall Bearer Service, $.. Use of Chapel,$... ee ape . va Gross Total for Sales Tax Sees ees on Ene Oe $e. eee lee eee Certifying in A.. Pg 3 Me. Omitting Sor Tit ssc oe owl Nees culls dees His ‘KAdvens Cremation. wig Raia wit acne s 'n sikvie Wie-os saris wee Pr aailus Una daiges > id Lh so er Flowers, %2=~~ Palms, $.:::.Matting, $... .. FOIZ0. Name of F = gene ne gpa. Rental of Tent, $.. .of Temporary Vault, Ghee Nae Sede oo His =O Opening of Grave or Tomb......... 1. 2128, NN ak oe a ce te . Lining Grave, $...Lowering Device, $.../. .... ... Maiden Name of Mother. ke ahech. hb. Outlay for Shipping CORBUBOS . oe an ssn da AM Ss ecole sss Her birthplace: . Clergyman,$... Singers,$..Organist, $7 = a uit WA. Date of i ral We, > S4s.'f 02 BEL. " 22 . Ro Monr } Tickets, $u25 igs AcroService,$... )....J.06+ Moto (Day of Week) """“Goury “. Telegr., Phone, Cable or Radio Charges....\. ..../.+++ ot} Remains to. Brahe baistiatess 627513 «ce hy ae cTe Cree te Cael AVANCE. 5 ose iccee cals «ob onal sae THs oes colesenls a j y e A hex. Out of town Funeral Director’s Charges.... . ..../..-peat. Casket Zoe, _ State Li AC.. Personal Service......cceeeccccceecceell. oc ccc cleeees Manufactured ed by; i ie ee is I eae eT Et PEE fle lai eh ute eit elelkcl whi cute slarsaule a ile wre ie ave ees) aets ead fo SoM eee a. chal canes te line Death Notices in... Papers fh. oh, cM. te on eee Greamntery } tt CE pA. AAG eee . S (Names of Newspapers) Sales Tax ...-sssssceteeereeseceeeee eZ ‘oral Footing of BNt 27S duls-woshel o ocdelelc cate $ CEL. Fe 7. — . CCR AsO a an Om Rn Dg cReD ee ee $ Diagram of Lot or Vault OWREE a.. ole dale cue clostcc Palanee <=.. shows $ jets tae oe Miscellaneous wie; Siem ales we sles: meee el bial ots ore!late@«:ale.ai biatiore’ ete cher ial vice Entered into Ledger, page... or below.