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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 ACNZO3 TE TNO 5 oa dina sig seca Yearly No.. 7.77.. Date of Entry 72227, oes pee dL Sas 194. <2 me of Deceased 4-H. Winco #8. MeN lon dees dso cadais Poe Le MA Lie Ma Salt! eis A Married OO Single [ Widowed 0D Divorced (What Race) sidence: . ME 4 ak: es LG ARE ee vie aan he ape Toes lade wade Cie oot ol, Be a P te fee eat ee 0: ¢ of Hiusband or Wife VEER). wasnt nn sb et ones ears aime: Ano hed AWS LAM => al pe Complete Funeral (except outlays)...... $ dress. AZ Lo. IER FIOM cccusen. as Se es ler given bY LOOP, wee 6 he Phe sist ea ene stile ee Burial Vault or Box .< fan fat fabri LICE.. oriniorman’ % tate L w Secured: fetta ed Fae gag we OR Le, Embalming Body Saat ove (Name ot Emibalmses) Ce eee las pe endl ee cece veteran, Name of War.. 42............ Barber, $...... Hair Dressing, $..... . ....]... . =a 2 _. -4 Dressing Body,$..... Underwear,$...]]....]... ‘upation ithe. $6 LON S425 KH L728) suit or DIG A sss ae al eee «ihe: GES. oak eke : (Social meraehy, N umber) (State Kind and Color) ployer and Address Ss¢. 7% 7 2x. Woyeck..... Slippers, $....... Hose, ARE alt hs ot ae . SEL6O re 4 Folding Chairs, $.... A aepandliny Sik. te ec lecale ccs. eof Death Figs ae EG.. eee AA Candelabrum, $.... Candles, '$. 00.0 oe e of Birth_ 272. % oy ae Age F277 A~Z... Door Spray, $..... SES ose ccecctes . ee A eee (Mo.) “ (Day) . (¥r,) (Yrs) (Mos.) (Days) . Funeral Cars oie es Ambulance, $.....1..5.]. 02.. "ices me SPE os FEE OMO oie bays ny sh Limousines to Cemetery... ee ea . S fae ae yma a ee eet Extra Limousines ...... CE et sate, Agama ee ME Lanes ans #. ( (Address) Autos to R. R. Station. ... SE RC Se lee fh gion of the Deceased...... 0.0.. ce eeeee scenes Getting Remains from...........]]....1... biplanes, Ne ete! fer oe eS ond Taking Remains to.........s.c0seeef0...1..., f ; _ Trip to Coroner’s Inquest ..........1]....... .ded in the ecm 4 Pg Gity or County), . “(Years #6 (atom ths) * ee Box ° Rs eamitriel Bien was deen: wiles sides fed eiioi reall gite: oe so yl Siena wee eof Death..£254 A 6G. ENCE PLOW ETS GO. os isp eas when Sti de vs cowlcecta .ovinbocex 4 a r Removal Charges.........ccc00e001... 1.. se of Death ve Cale: Olga APL E/. Lv Tes Procuring Burial Permit. iste Hchbel ‘aid binds “'Ifot ee fttees : arF io Z . ; , . Number an a 5 tributory Causes. C2074 vi3. A Mat O27.. ~£Certit.Copiesot Death CertificatesNo re ae COLA ye ALM Cty. PbS Ca ee Pall Bearer Service, $.. Use of Chapel, $.. a iz Pens ak LLL Lh Gross Total for Sales Tax et eerAaels sour da. es AER AE ifying Physicians, Sees ee : Oi AK.. Outlay for Lot .c44 Lindeoad. (> ARS . ER, Address: 1. ASZREG MEMES . . oye.. EPSON ee oe sche ae keke atisles om cee. d rae 44 a bah ae Flowers, $... Palms, $.::: » Matting’ $ 00.1.0.. led. .e of Father. 0 Zguweis. #:. Nat Abhi oe, . Rental of Tent, $..of Temporary Vault,$../. ,...]... £ Birthplace anit, a ey Opening of Grave or Tomby.Glessne:.... PT NERC. De Behe Geb.” ot ane a abe Lining Grave, $... Lowering Devic ae wig alls caters cake wate jen Name of Mother. CUPOLA Se Lh clea ben -++-. Outlay for Shipping Charges........ Oi ee ceeag ee birthplace: ee ee Ratio Vict . Singers,$.. Organist, $5 <. .. STa22 : wea. GUT Wee wha ct Cees eee oles, saath pei Pe ‘ ; 3 y = Tickets, $.... Service. Sy less ol oh eeae of Funeral. L4%7.4. €y LEE. te gy or Motor j plane , “ : (ike, (Day of Week) (Hour) Telegr., Phone, Cable or Radio Chargers Esl es chee. } Remaing tO. 0.. sie. clctsascendeotieensent. Cash Advanced 5.0.3 ie rtvedsvtssvseee Hon. ot Coalee. zag KA, _po Lia Vee Ee Out of town Funeral Director’s Charges....].... ... ; {State Col6egnd Number) i FONE Sa gas al enaes then heed lo ufactured by. LA Mawel’ Ce MAL, ac en ee a (se Grats ae ae eye Meco Ie i = ; } “adi t ti 0.3 pe POPOEES, Se. ee ee sary} RE tre civak. Mime. Lavcitteres.. 0 ™ Ait ec i iy ir RR TU Sas ein wie icey Mins See ee aun i Oui a ee fe ste acta) gts tela, Ales, letioe Dh . aeecdn Le Section N pales TBR agate soos whe Se cecsat whee) oa2 [acta OWING’, & sie ele csico ced On d > cera Total Footing of Bill........... $i. LAE. SFA a “= r— Block No..... Goede _— $ Dikgram of Lot o¢ Vacit PREIS 55 oor De inst dS Ralnnte.. Si. Cee ee allaneous SAGE VESTS © 9 bie RISE 6) 40 Ge iS Stee aw Wie & © aed eet Entered into Ledger, page oe ee or below.