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Collection: Original Records > Death Records

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

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nO : RECORD OF FUNERAL ‘otal No.. .esceeeeees Yearly No..Z ZB .-0-Date of Entry. <otele..Z. bs cee atl eels wees 1997. lame of Deceased.. Letcted..Ccheis, pate ta 2 Lilet ee Dx Married C1 Single 1 Widowed Divorced Ahn 5 rays ; _2iusband_]Witel]widow Litt Z ! hile cori ote sisiareisee vesidence (twa. AEs. Rey © wislayoiti = cin sir somite ee t t Age of Husband or Wife a eee Years $ . y ye Piel Ie Complete Funeral (except outlays) .....$ ‘i men es 4 “ar Casket Maes Ne-tacctoey e.g ata 5 ee Z 4 ; ale onveters AFP. NCP.. LA AE: a wate ais.aie eines © © Burial Vault or Box GC: ant (State Kind) ; Embalming Body ......cece eeee eee eeffee ee escfertees Tow Secured. 4 KAGE ccc cece cence cree eee eneereees mbalming body evar aah f Veteran, Name of Wap IA ices cee vd salen tben aes = ned > f + ry Hair oo Suse weal cee se feet ee = ressing Body,$....-nderwear,$.... . .-.-+-leeeeee jecupation teach. Matedea.. BEER: EFAl. . suitor Dres8..++eeveeseeeseypecneceeeeeedfeedeee. erees (Social Security Number) (State Kind and Color) Employer‘and Address ....-sseeeeeeeeseesessreeess Slippers, $. . sai ea ows Hose, $...20ececcePoceesssfeeeees Folding Chairs, $.... Tarpaulin, $. ....-[leeeees [eseees Jate of meas Ly GE.. FOG e-. Candelabrum, $..--. Coptiog ST. ise Heth be Date of Birth /ZZ A (702.. [email protected].. Door SOray, © <li ie was Cloves, So cian cnee oo eects cine» owe (Mo.) ayy Wr) (Yrs) (Mos) (Days) . Funeral Car, $.... Ambulance, $....-. . -.----. eeteee Services atwx4 it 5.. ee {ee re Limousines to Cemetery... (a ee Pie ee) tet as Cera eniei aa x, 2 aac salt elnie eles tae Pe mann Extra Limousines .....-OS x cb ce cle fees se Saleen ee : : fi (Address) Autos to R.R. Station. ... (7 al ear PRA a ee) CR Religion of the Deceased ,4 Spi. wesc eset ere eeeeeeeees Getting Remains from......0e-eee eee effee eee eferee rile : Taking Remains to. ....2--2ceee sees ee eealfes sees ce ceces Birthplace .¢¢4< S clislslsceolelelgle: aye vo = 9:0 G 9 Abe MANS @ laces lerstene _ Trip to Coroner’s Inquest ....---+e+eeeeeefeee cee etrrees Resided in the State. 74.. 7 RAPA oo veer nee ee ees Delivering Box to..... UN lees giana dy alee Ms aitys ol 3) (or U. % or City or County) (Years) ( Months) . Doliver Flowers! COs a2 cs bie ois eee ecelns Foie ells go owe o[rtoe ss Place of Death ae ba. ae po Removal Charges......scccceecneescecelsecsccctesres Cause of Death C-At¢ziidier. [ZZ Cl eeted het.. Procuring Burial Permit. vided Wated “ead babi’ WTP , é, Z _Certif.Copiesof Death CertificatesNo 6 IAQO. State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel,$... Gross Total for Sales Tax.....-.eeeesees Slee. sclera ss Outlay for LotAL EA. .ZATF3 HL.. eee AAO \A0. CIPEMREION os oc aisle c eloele oes o melee esine sas eiqeeal[ominemer. s>s > Flowers, $... Palms, $.:::.Matting, $...]]....]---+ Rental of Tent, $..of Temporary Vault,$... . .... --+++ Opening of Grave or Tomb......-++++0:f].Po WO.. Lining Grave, $... Lowering Device, $...]}...-. --++* Outlay for Shipping Charges. ....-..-+es. eeeeeeelereee Clergyman,$... Singers,$..Organist,$... /..----[eeees Raitvosd . Tickets, $...~.esa Service,$... }...-[e-0° Telegr., Phone, Cable or Radio Charges....-l. ..-++++[-++°° Cash Advanced. .:..cccceecec cece secetetlaweccenfeoees Out of town Funeral Director’s Charges....l. ...-. --++: . Personal Service.. ... eee cece e eee e cere ee ele cece ee ferees Sn Aes. coke eI BA eLS ©) © MUM ofe 6s 6 ete = io Bhs erg a Bebe 66 91% eR seere mes © ih 6 eels isles Ose OFS) 4 ole -opmlewielw 46,09 6) § S/S 8) Cne ‘= (0°SL 2 © 6 ORR eo 08) s TP «516 & BTS) Oe WEOTOLS Cael Hie Se ©! Hireje-o Sm Ee oO EH Bee © SS Ke DCN Ow SIS MIE SF e206 eibre im ona leie Lal PRIS O) Samia ShRISN 61s reels wae: WiAle + 6.4) Soe Ala ee vite wee 5e) SOUR T Section No. Fag Bnet ue ted BOC NOs. oceie 5 civ tare aise as 5 eee wary Diagram of Lot or Vault