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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

RECORD OF FUNERAL — Roti Noni Yearly No. . A502. Deerat Baits ther ee 1%.0 Name of vee: wo, eh, Leretlle Mbit Folens ag ain: in Nate ee a renal s out WA. Pegion viel acue a ecart 3X) Married oO ay (0 Widowed (1 Divorced (What Race) Residence: Sa KASS « Laie re nn nate pe eal Fi pap grb aig stent steeestseseccuareeeerseces, [iF elie teat EO ° Age of Husband or Wife (if living)..0.000... Yea: omplete eral (except outlays)... Address; .S>. SOL. "BITE: S, SFAISES pies a = 559 Oc = Ly Ma Se causes oe ace a gc ae « eRe g PAIS pee yee ee Order given by rs Magu gael ku Ab Alte. “2.) Burial Vault or Box . Clana olinéew.. . . AS . CS oriniormant (State Kind) How Secured: : Ke Wp ec. Sal Bet OE ar ine «hacen wy Gar ule Embalming Body ...0¢:0iecqscevcsseciecceecs F . (Name of Embalmer) If Veteran, Name of War. HA) oe te SP Barber, $... Hair Dressing, $. .+<. . .0.'.]. Z Dressing Body, $... ser aa cSt eel . esas ee Occupationtlecdi cad Lact cir. 2. tlh kd OS) Suitor Dress. Ayn L{s Us as A oF lay Goci ty ) (State Kind ef Color) Employer and Address S2/7%. 2 42 fo. Le 17-€ ef. .«. Slippers, $.... PIG Bie ies es Mee ee ae 4 ae yg Folding Chairs, $.. Tarpaulin, $.../]..]. Date of Dem <7, ee AF LER. “an” oS nas Candelabrum, $.. Te I RS eae . Arie wei Bane Date of Birth JZs222u, ihe xAge 39,7 axes .Y. Door Spray, $... CBGWOE IS Foo Caikow'ei float ab slsbecia'e (Mo.) (Day) (Yrs) (Mos.) Funeral Car, $.. Ambulance, $.../).. site Services at.Carfen.icloa 0171 le Hohe. Limousines to Cemetery.. (IGN rt os celal paaeee bapa Clergyman Ae. . G/ L664 LE ae at te, Extra Limousines ... CS Sees orn + ois ey A on (Address) Autos to R. R. Station. .. GS ase ibee . (PE aya Religion of the Deceased.‘ Cage. ee Getting Remains from....../).. Birtiplace. 47 gl i ke Taking Remains to.....0.0005 > «is» sone ae na Trip to Coroner’s Inquest .....-llocc.e ee eee Resided in the State. ~S22. Geet c eee cece eee eces Delivering Box to...... 2.1L, Sue, wen v om a ey «. Deliver Flowers to Pl f SYP = y wp, . . WEMVEr DIOWETS TO. eee eee ee eee eee eee eee eee ace of Deaths? Hei 4s A. MVE ates Cad ie Removal Charges...cccccccessccccecle cscs ccfeces Cause of Death Steaks. LY, oe trvadt sap vtech rob rocuring Burial Permit. . SR ee rots . ea a Contributory Causes. 0.22 Gc 4 Ce Las)bin. _. Loertt. Copiesof a, BIOL Z Bei eutie yee Pere. Dich mest Pall Bearer Service, $. Use of Chapel, $.. VL ee Gross Total for Sales Tax..,,.,,.-$l..]. Certifying Pp ysician\-, 74. SE oda de Aatbiter AY 5 esa Ne Outlay for Lot Lele). 20 dof oo eee QP ee Ox. His Address: ; .C—-cs . Ld ea ah ee Ona PERE OM in. bs. 5 5 winials, hg Bani lols oe cule she se ORs” ale da Flowers, $.. Palms, $.:::.Matting, $..]].. wok Name of Father.22/, AZ ree ; M. : Wharton sighera erates, Sale Rental of Tent,$.of Tengetarr Vault: $0. less es ee His Birthplace. . My Da __ . Opening of Grave or Tomb %.0leSJung.. dS. .Or8 pas eta te Lining Grave, $..Lowering Devicd,$.. . .. . Maiden Name of Mother. A 8 (Ed. R. Orc va cece: Outlay for Shipping SC Ea ey ee eect ye. . Eile: am eg . Her birthplace. QO o 3 Clergyman,$<¢.’7.Singers,$.Organist,$.. MEP . OL a of Funeral, Le CZ. va “é Ais A Glee. 3 ag ae. g. ui PaMond }Tickets, a ie Aero Service,$..]]..). ay“ot Week) Telegr., Phone, Cable or Radio Charges... . .. . sist al Remains re PSH ails voce Pass, achuneleala y edicen. AE COREE RAVOUOML es oo 60.6455 Up llinae se Le tut lee aoe ney Size of Casket “OE Lt our. SG Sr vecccee a seit le Funeral Director’s Charges../)..].+. Color and Number CTVICE. . 2. ccc es ila gO CC se) . canines iia Manufactured by. .C./ ZL Kaha PLANO Clansten Marker lh lrid, 3,000 NV LS] 0? Cemetery . . gy -'. ,,, line Death Notices in..Papers../].. . Gnenicet Chen 447.0.2 Pi SPigsce Te tate a, 2 caeosl Bat Uber a ea eee a: EEDeM “Stel es ered =i Da ace i mpegs ee APG ge’ Be ig ee leh bl ae 8 scuaie tno easels Se wears leg 0. ee wl e ad one laledieee leva nd ee er Se OOS 19.19) OS Rie 1S TATE 6: $18 [80:1 C wi Oe (Ge Ore G8) s oS Sp wD ous) «aye se ea paielg IES EAN iia. eee eee pend bo Say Ls dues eu ele FS Te ection NG. clietews ce. rgb Total Footing of Bill... 22.20.00. SZ F2F PE — ) Block Now. 054. Gee cae Tg Ps eg On a Ne a Nn, emma $ “s Diagram of Lot or Vault OWNED. -. +. .seeeeese ene. Balanee,. 3.0. Bas Ps ema eee i ches Ne Ae ne a Os I Entered into Ledger, page.. or below

RECORD OF FUNERAL — Roti Noni Yearly No.. . A502.. Deerat Baits ther ee 1%.0 Name of vee: wo, eh, Leretlle Mbit Folens ag ain: in Nate ee a renal s out WA. Pegion viel acue a ecart 3X) Married oO ay (0 Widowed (1 Divorced (What Race) Residence: Sa KASS « Laie re nn nate pe eal Fi pap grb aig stent steeestseseccuareeeerseces, [iF elie teat EO ° Age of Husband or Wife (if living)...0.000..... Yea: omplete eral (except outlays)...... Address; .S>. SOL. "BITE: S, SFAISES pies a = 559 Oc = Ly Ma Se causes oe ace a gc ae « eRe g PAIS pee yee ee Order given by rs Magu gael ku Ab Alte. “2.) Burial Vault or Box . Clana olinéew... . . AS . CS oriniormant (State Kind) How Secured: : Ke Wp ec. Sal Bet OE ar ine «hacen wy Gar ule Embalming Body .....0¢:0iecqscevcsseciecceecs F . (Name of Embalmer) If Veteran, Name of War. HA) oe te SP Barber, $...... Hair Dressing, $.. .+<. . ..0.'.].. Z Dressing Body, $..... ser aa cSt eel . esas ee Occupationtlecdi cad Lact cir. 2. tlh kd OS) Suitor Dress. Ayn L{s Us as A oF lay Goci ty ) (State Kind ef Color) Employer and Address S2/7%. 2 42 fo. Le 17-€ ef. .«.. Slippers, $....... PIG Bie ies es Mee ee ae 4 ae yg Folding Chairs, $.... Tarpaulin, $...../]....].. Date of Dem <7, ee AF LER. “an” oS nas Candelabrum, $.... Te I RS eae . Arie wei Bane Date of Birth JZs222u, ihe xAge 39,7 axes .Y.. Door Spray, $..... CBGWOE IS Foo Caikow'ei float ab slsbecia'e (Mo.) (Day) (Yrs) (Mos.) Funeral Car, $.... Ambulance, $...../).... site Services at.Carfen.icloa 0171 le Hohe.. Limousines to Cemetery... (IGN rt os celal paaeee bapa Clergyman Ae. . G/ L664 LE ae at te, Extra Limousines ...... CS Sees orn + ois ey A on (Address) Autos to R. R. Station. ... GS ase ibee . (PE aya Religion of the Deceased.‘ Cage. ee Getting Remains from.........../).... Birtiplace. 47 gl i ke Taking Remains to..........0.0005 > «is» sone ae na Trip to Coroner’s Inquest .........-llocc.e ee eee Resided in the State.. ~S22. Geet c eee cece eee eces Delivering Box to............ 2.1L, Sue, wen v om a ey «. Deliver Flowers to Pl f SYP = y wp, . . WEMVEr DIOWETS TO.. eee eee ee eee eee eee eee eee ace of Deaths? Hei 4s A. MVE ates Cad ie Removal Charges......cccccccessccccecle cscs ccfeces Cause of Death Steaks. LY, oe trvadt sap vtech rob rocuring Burial Permit. .. SR ee rots . ea a Contributory Causes.. 0.22 Gc 4 Ce Las)bin. _. Loertt. Copiesof a, BIOL Z Bei eutie yee Pere. Dich mest Pall Bearer Service, $.. Use of Chapel, $... VL ee Gross Total for Sales Tax....,,..,,..-$l....].. Certifying Pp ysician\-, 74. SE oda de Aatbiter AY 5 esa Ne Outlay for Lot Lele). 20 dof oo eee QP ee Ox. His Address: ; .C—-cs . Ld ea ah ee Ona PERE OM in. bs. 5 5 winials, hg Bani lols oe cule she se ORs” ale da Flowers, $... Palms, $.:::.Matting, $...]].... wok Name of Father.22/, AZ ree ; M. : Wharton sighera erates, Sale Rental of Tent,$..of Tengetarr Vault: $0. less es ee His Birthplace. . My Da __ . Opening of Grave or Tomb %.0leSJung.... dS. .Or8 pas eta te Lining Grave, $...Lowering Devicd,$... . .... . Maiden Name of Mother. A 8 (Ed. R. Orc va cece: Outlay for Shipping SC Ea ey ee eect ye. . Eile: am eg . Her birthplace. QO o 3 Clergyman,$<¢.’7.Singers,$..Organist,$... MEP . OL a of Funeral, Le CZ. va “é Ais A Glee. 3 ag ae. g. ui PaMond }Tickets, a ie Aero Service,$...]]....).. ay“ot Week) Telegr., Phone, Cable or Radio Charges..... . .... . sist al Remains re PSH ails voce Pass, achuneleala y edicen. AE COREE RAVOUOML es oo 60.6455 Up llinae se Le tut lee aoe ney Size of Casket “OE Lt our. SG Sr vecccee a seit le Funeral Director’s Charges..../)....].+. Color and Number CTVICE. . 2.. ccc es ila gO CC se) . canines iia Manufactured by. .C./ ZL Kaha PLANO Clansten Marker lh lrid, 3,000 NV LS] 0? Cemetery . . gy -'. ,,, line Death Notices in...Papers..../].... . Gnenicet Chen 447.0.2 Pi SPigsce Te tate a, 2 caeosl Bat Uber a ea eee a: EEDeM “Stel es ered =i Da ace i mpegs ee APG ge’ Be ig ee leh bl ae 8 scuaie tno easels Se wears leg 0. ee wl e ad one laledieee leva nd ee er Se OOS 19.19) OS Rie 1S TATE 6: $18 [80:1 C wi Oe (Ge Ore G8) s oS Sp wD ous) «aye se ea paielg IES EAN iia. eee eee pend bo Say Ls dues eu ele FS Te ection NG. clietews ce. rgb Total Footing of Bill..... 22.20.00.. SZ F2F PE — ) Block Now.. 054. Gee cae Tg Ps eg On a Ne a Nn, emma $ “s Diagram of Lot or Vault OWNED. -. +. .seeeeese ene. Balanee,. 3.0. Bas Ps ema eee i ches Ne Ae ne a Os I Entered into Ledger, page... or below

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

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

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