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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
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RECORD OF FUNEKAL
f ~
rst) WO.. cscs cosa seee Yearly No... A9.&2.. Date of Entry MY: Pens ee a. salen Balle 2 19
< 7 ts a a f
Name of Deceased. . JD BLMEE. EM La. Weed A SIS = Uy ee Sg ort Mah Za PAT .
(1 Married CO Single J Widowed —_ LL] Divorced (What Race)
Residence. A$). F MLCLE. Ue Creek. ka: N: meee: bogota steelers seen ress rererercenees
jf . : OP eae of Age of Husband or Wife (if living)..........
Charge to. CDM en 3, A ifed Sateen cae RRL EE IC F Mueas ;
B: f ete n CDU OULIAYS) .. cw ews ee
address. 4.0, Mal bt-brn C25. ladley 1. oe Of
mo LZ f Wore Filta 1b UR eateueeae neal 9) Sis ie (es Peiteiiella))< i« aut aus ie Ewe we tee ee ee oe, poses
Order given by. Cr the le er Hee Jel Fay eres Burial Vault or Box kita. Khe yc ici aoe 3
qY or informan = (State Kind
How Secured. .YW2G €2i 01. -ypeeesersseeeeteeneeees Website Body EM. a ose coy > annul « ohaustor
/ (Name of Embalmer)
If Veteran, Name of War.. Wo. dacnseey tous s 6 ee Barber, OTT Gas pee Hair Dressing; $....]]....].
VY ‘ A Ui, E Dressing Body, $..... Underwear, $06.05 ches ss. te
Occupation .4.2%/SE MIG eevee i EaliDtec Sse CEE MOREE, se! cing tw gle bo a pee on Meese sts
Be ue (Social Security Number) (State Kind and Color)
Employer and Address . We EAI gh ny . a lt ae Ue 6 eae TGR Bsa a cle atts salve deaunelllngeret bees he
ee fg o pAioy Folding Chairs, $.... Tarpauliny$. oles. fit. coke}
i > VB >? ’
Date of Death. BL Ad CEs * eyes toe te AM. Candelabrum, $.... Candles, $...... [...¢].
Date of Birth. a4. 42%. JES MeeGHa7n-f... Door Spray, $..... Gloves, $......fe.. eed
roe Way) (Yr) oe (Mos.) (Days) . Funeral Car, $.... Ambulance, $...../].... :
Services at. iret CAREER svi obin ves Limousines to Cemetery...@$.....-...4/MLECLH 3 Et ZL. Cac 00 ay 5 SACP Extra Limousines ...... FOES 9 oe ete clas bl lle ee-ahloned =
Clergyman . aia ti (Address) Autos to R. R. Station. ... (tas aa rallies cil
Religion of the Deceased.....---eseeeeeeeeeeeeeee Getting Remains from........0.0.00-lece ee eel
Birthplace .. Leer G/ eee AR ges . a ae Taking Remain’ 06 oii cet he bean ne tage viele geese
eM Trip to Coroner’s Inquest .........0-].. 2. 08fResided in the State... nape S wee settee eee ees Dera ret os Ss raphe lactase less
Wr (or U. 8. or City "le (Years) (Months) Deliver Flowers to
Place of Death.A.26..22¢1.. 44 Sees Ve ee ace te eA ae SS ata
2 Mar BSONONEL CUBIBOG oa. hoo iciv wl! <u ak ochpain Koll a +e aflslea eo
Cause of Death. My past RAG & CMLL EEL, . Procuring Burial Permit.» Number and Di trict) ehe Billiai, seas! sue
Contributory Causes: oc sins van ladlin sola seopoie’s ols © s1Uy'e se' ceeak Sasha ies Death CrpacatesNo._— a elas le
Pall Bearer Service, $.. Use of Chapel,$...
eae Teka clea ana ee tere: dame Ue On, eee ee au Se
Certifying Physician MNali bik: hod j 4 ed. seeeeees ES ge ra . NUR a Se yaa OD . . a a
His Address. :. A0Z2.. Lf. vs, in, Weta ae Cremation ch 5. os vnpeawick ee rr) Sener .
kf, i f Flowers, $... Palms, $... Matting, Sil .nile cn cl
Name of Father. .-7) Mad chun i SHLLPOK. .--. Rental of Tent, $..of Temporary Vault,$..]]....].
ae Opening of Grave or Tomb”. (¢A5%7.<%... te
His Birthplace... eke EAs alle Arcee leoel Neatte att alt wives td Linn Goave,e 2. Lewanie Davies. ‘6 Peat all
Maiden Name of Mother. hank. A ioe ILM aR ese ileus ae Outlay for Shipping Charges 5. 35.. sepa tiraceat gs
Her Birthplace. ... Ce a ee ee ee ele Clergym al ~Singers,$ gee sgi reo.
Date of Funeral. “0/64. 22%LL6.0.. SCA fru. F Motors “IKE, Be ve nena plane SEVICEB «os Feces
(Date) (Day41 Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . ...Motor} Ttedie te, J. asi nds elssn ees acta wets A thd Cael REO say orale x Chonda phe Se Mo's ane a aT aed
Size of Casketo?222 — es Chel Cow ets Bene ft. Ab of town Funeral Director’s Charges.... . ....
(State Color and Number el PYBOM GL SCUUICE, yee che oe i seeks wits s wreha oer ata wes aubee's
Manufactured by.C’4# 4 Ayal. Ease er Ce Mieral one iets eo cco . Oca oe
Geer} Letter load Cn PEE ee vesces. Re Le. ke
EE ae ee a pion tees ae ee oa! Or
<A << A Se Oe . Pere eee) mri Pete eee weer cere) Heanty ?
meet Sieshag Baste lo as ste a KE bre cs ivinstnd Ls
et ae arg dead ie Total Footing of Bill.....-.0s0e00000 $. . 277.
a= r— Block No..... Peseeee Piet SR A Gioia Sn ee a $ .
Dinetata of Lok oc Vault OW TER ekcere strat 6 i hele gr ie . are ele
DL Tracie ERTS AE ele ic ec ssn stata a ace iot he ds cuetone Oh ata wl Uleiaiensl aries Entered into Ledger, PALO.. es or below.
PRE MRER Ss gc tih cee aetaeth SUME gt dns Wlatedn Whiscetlanieoms. gis. 5:.tec eee o suena. % wie aeee