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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
n° 0295
‘GbALIN Onc cicc'sve oie ooiee Yearly No../. ro ee Date of Entry. Fi ok we . ¢. den Nay och 2 194
Tame of Deceased. Nek 0b. dh Obg DAME 4 GLEE Sal MR, An. 11 eg Be SO IM REI VA Aer ltt: bell ee
FG vie Single 2.7 LD Divorced (What Race)
esidence. yl. 1125. STE. MAB SEM BME cece aie: ania Spode Re eee, oot
OFS iiencanccancseneceusan~t ° e of Hus! or Ail Fiving) ,—..--.c2.2.. ears
‘harge to: ALI. that 2b. LUA. dee ae Cocislete Henaals eas, ;
omplete Funeral (except outlays)......
ddress. 4.72.7 4S.. Latah. SAG. be ue “. cane a us [EZ De
der given by. CUMAB ALICIA. 7 de, 777s..) Burial Vault or Box . ed utoad. Bar.. . . 42.1.2..
or informan' ! (State Kind)
low Secured z Me bos Pree ark . o Bel li etal ci Stel ela 5 la aa daneheeeis Embalming Body eeeee an oe ae we . 4 Ae a Cee eee? Cee
f Veteran, Name of War. Mel, Oo Naeger cea un, oe 4 : § sisis (ors Hair el te a saa sishete tsi =) she erty ies (ee
ue ressing Body, $..... Jnderwear,$.... . ... alesse
\ecupation . PLS deus RB.. LE fergie FILE.. Suitor Dress-wWh ite. Shit Black Hie.. . ... Pa ie Ae
pepe e ee Namie) (State Kind and Color)
imployer and Address WZ AEE: Ld. SACLE ccs. Slippers, $... 251+ s0-06fe ee anne MEE ns ed Pie, Ss mica ie
yn 7 Ve Folding Chairs, $.... Tarpaulin, $e.. -3 546 cfs. <ot-slatneee
Jateof Death. 44 Gee. ae FEO. eee i eee Candelabrum, $.... Candles spats i eis crane cet Yates aiergliieus teres
date of Birth. .47 A t.e4 L2G bee EETL. / ~%_.. Door Spray, $..... lOvG8;, Sess seis c cess Pepe ee e's whee
(Mo.) ay) Wr) / (rs) (his) (ays) . Funeral Car, $.... Ambulance, $25.6. cain. > free eie
ervices at ited <. a al ior es , Limousines to Cemetery.:.:@$....----. leee eee efeeeees
: ora ---5n Aes Mite Avees,..\ Extra Limousines ...... Re eer . Pras Sar Vc
‘erayman 72 ¢ (Address) Autos to R. R. Station. ... A es as ed SRS Law esate vat aca
deligion of the Deceased.. £7470.. vette eee eee ees Getting Remains from..,...--e.ecpepecciecececefeceres
sirthplace Mest. fiw. rue eh os ik ee Taking Remains to. Cre(#én. Gave. Hat beak. fS)\.ore
Bee os ye Trip to Coroner’s Inquest .......e eee celle e eee cele eeeee
Sr > A °
tesided in the State. ‘or U.S. hig ce Copsess a ~ (aia. . . (Mont ths) : Delivering SOK UES SAT nee wee ace sie ete scas ttle, wise ltieteccliotie allie sere
‘lace of Death..27~. POR LOO ECE EN Deliver P 1OWETS (O's isin is vl oc oe clesie ote as.e cicie eel ete niwis eepaieisintes
ae a Removal GHargeses .atcie cise acc cle ers aiiehe oeietto.s ios [Psere rolagae [om == erp
‘ause of Death: in, C0 £. ee A: te ue Procuring Burial Permit.. wos Senet “ahd penken W Pn
Cea Sh O°? 4 Certif.Copiesof Death CardhoatesNo. dec. 13 £)\.E2.
Jontributory Causes. 0.. 0 cse ces svete ce seees espe ae (State Physician's or Coroner's)
Pall Bearer Service, $.. Use of Chapel, $...
Se Je eee Ud ere sb Ss ae eM otcha: ai gate Bah
Jertifying Physician. . we esse Whee MO oo CARE EOI BOG Dele ches og oie ave ae soos Ve eee Bae bale ow ole
MLE.. LAEE BS a lt (Gheasarann tyre Ap ek Ree A aCe of See ge, co eae . Re Um MA a
bees og . le. sta Lo pore Sehaes Palms, $.:::.Matting, $...]....]...
Jame of Father. 2-A@ z Me CME WE. LA Stk Hlth Abe. 5.. Rentalof Tent,$..of Temporary Vault,$..]/....J...Opening of Grave or Tomb.........-])...00]65dis Birthplace... ie Rel NE alates 5 dia axeiste sterols ters: penne a gees Saag aay eat Pros a aes bat
aye ia le. vp Lining Grave, $... Lowering Device, $... . ....)--000:
Maiden Name of Mother..Y.05<. 4. oO. FLL @/7...) Outlay for Shipping Charges. .),..... gr Relies Nee ore
Aer Birthplace: .. ule Ae ale rigk acs Bale tthna,eoeagi te ale Slesrmanyaey <. -Singers,$S. Organist, ie . 2 Ee
3 : ; Tickets $.5 << 4s as SSEPVICCsD< sialic s ovis seale.seerwia's
Date of Funeral. x, UY is A) SHER.. ox? a, frm oF Motor } ; plane ’ =
‘ ate) (Day of Site (Hour) Telegr., Phone, Gable orRadioCharges.... es lPO.
his rt TREMIAINSIEO cco hete sn Sh celeteIees ldiaye, oealene wah sioamnes + xe Avance his UAT ee sche «Founrele me oc als dees Ibias ten lardtelare:e
Size of Casket. 7K. Sel Via oor tag, Me IF4.2... Out of town Funeral Director’s Charges.... ]....].---++
State Color and ) Personal ae RM i gaac da bigs pics Gath eo ae ee wees aise
Viscinictired bee? eee Fae ee ee ig. AN Ee ey oe. evi ate ke PAB S
gern} Lew Meee: Mic Cece ty) «aa rth Nota Pape oo on fo
G Now. cccccccccccccac] LUStSES teense eee eee teres eeeees sees ee cece celeron a eRe Se
5 et i Baler came ieee aie ee fete Sore Mrs Sissel sia nis wed
Pa eee fe Total Footing of Bill......0.0eee eee. $. .727.\//.
— a see reek fsb fiat a OR, oe Simin oh axa SG HaRUM IEA Et $
Diagram of Lot or Vault Owner i B alance lived eae $ FAL deem ekg
AVIS ScelAMGOUB.s 255 cet sis ole ope e oleh «vista m' sl <ceryiginl eperecelss avis oaks Entered into Ledger, page... or below