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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 oreg1s , / TOEN OL. 560 cece nea Yearly No..AAsS.0... Date of Entry.. A/4.9..Z..0ccceccccascees 194 ¢, Name of Deceased. . x OEE 8 AYIA. occ ccccccucecucee eal VOI eens ete JK) Married CO Single 1 Widowed OO Divorced (What Race) Residence; ° OTKES SG. Me hick ay } eee eee eee cp um cena . “he ae ae . oe ae awe ee eee eae ‘ ae * et tf OE eatesiase anuncacieexee= ° e tus or Wile (if living).. ears Charge to: MMe Kgl. Pra fos Me. eee, . ad J = Complete Funeral (except outlays)...... $ Address. 2605 5. Kas 6. Loe Goble. ae : AG\OD Sep ee ry wie pe CMA LI PEROGROL, 6) 2 eR: ara nes hatha ee eee le feel. . Aber ck ee Lea re Order given by. Aetjerd. Ai MN ASAE GI, 0.444%) Burial Vault or Box.. COn bytes IEA S. , vine (orinformant) Embalmi B F (State Kind) Za, 9/9 : MHI VATE DOGGY 1.. cc eee wwe D066) Aue a: sxe a She, otal ness atehguay hele (eo How Secured. fee ee ee mbalming Body cnis hoa If Veteran, Name of War.. 4727....0. 000.. ec eeee Barber, $...... Hair Dressing, $....])...-J... E £Lé if : 4 Dressing Body, $..... Underwear,$.../)....)...8 3 #2 a oe en is MS Sa +e el+ SPs b> %. 2 Occupation . .“41“4 #2. Shy Le She Nite)’ ". Suttor Dress ALMID kTgthe es il Keka a Ne Pier . 2 Employer and Address . A.¢2%cliwi eee cee ccececeut. SHppers, Bicyeae de View sioed tL eS ee) one ee J 2 /Ko “ps 2 fh Folding Chairs, $.... Tarpaulin, $.....]..../... Date of Death. <7 ee mia EF ae) LOB, LUE Candelabrum, $.... Candies, Bei 6 elector tau teks vale Date of Birth. £27: <0, /4£7Age . Ake. ET AR . Door Spray, $..... Jet Tae a as . og Ae a Gio)’ DOH) r) ), 1%) Gon) Days) . Funeral Car, $.... Ambulance, $..... )....J... Services at. . Anta ye? ov. LEER EER cece Limousines to Cemetery.. . Se Sel al AE eee Clergyman. 2: Low.. olive! Rieu a nih ‘Extra Limousines ttt eee eeees OM, Sale ete opts « See vi = Zo (Address) Autos to R. R. Station. ... Ca yeas ae Lee id nee wore Religion of the Deceased.. .¢?. LE, lsc be ae Getting Remains from...........]....1... Birthplace . iZ Pie Meh AA ly Meat Taking Remains to).. sels el cwsaclleocc coches: ae vr on Trip to Coroner’s Inquest ..........l]....]..-. Resided in the State. ‘ er Ue 8. i woiees “ co a6 (Mont ths) . er tid sana Riv lsestars ely: Si eleis +, 0 eeedine satis gin, 2 Selb ang ogo > Jie Diet oa Zo cei et aces Sean ee ee ERS, WEDS) 9055) dials aiialnce MMe on is oes, wnibnalaierese, ofl called a ctelfe ota al lace of Death. > iii AOA we negiy Removal Charges. cose ls ecks ewes oe New kee. Jause of Death. Cyrar.Ga RADE bl ALUM 4 vvec ee. Procuring Burial Permit...........l. 2.. [eceees LF SAFI IES (State Number and District) i B ? ; . % 2 <=>) Jontributory Causes.<4<66 td Kec. MOLL. MM a fat Copies Death CertificatesNo_—— 6 ROE, Zt Ag figs re 4 ete a Pall Bearer Service, $.. Use of Chapel, $... Oi cee a alga Ih ia pl Few _ x _. Gross Total for Sales Tax......0000c. UR aie vertifying P. hysician. ALT AL« oe adie: ac Outlay for Lot. WAR. ASSP.. Me oot a Tek Adroue. 4. Kees. Oe > i ae eS Re MIN ay whee Mielec ON 5 tracy cic, eats ce wee fe a y Flowers, $... Palms, $.::::Matting,$...].... ... Name of Father. . eer F ke F. A 6 ae ele Nel Rental of Tent, $.. .of Temporary WOU, Fess tecs es coh we oes aii ae fs Opening of Grave or Tomb?. @ /as.cc.¢9... . . 9st ac. Pie Birla gh Oo P m8 i 6 oe oh ok dn vn bv nee mae Pang : o eae 44. _ or Lining Grave, $... Lowering Device, $/..]]....]... Maiden Name of Mother.. ifr. Aly Y Aor Ae ark Outlay for Shipping RN se. 2S hee DP Seen pene oP ter Bithplate.,. . .cZ.7r® Ae KL. j _,,. Clergyman, $277. Singers,$.. Organist, $6 = . . . wee.lact. ite wD Ai bid, este? . Chen } Tickets, $.0... pints Service,$...1 0.. foc.. etn Bea OH inp cn wren dey Telegr., Phone, Cable or Radio Charges..... .... ... hip "} Remains to..... ad ops «leas» aaa Wels we'e:kwledea bie aia RB OVORMOE oF ose a se sci eve see dE uN yt ize of Casket..82.602. (deg tte, Yr .e, . Out of town Funeral Director’s Charges....]. . . . .. 5 . (State @élor and Nymber), Personal Service. ......20eeecsseccecedl.. Lo.. Aanufactured by, LYLE. CELE A CA eee VRE OE inc so oe bee pense ees, ; Ae ys ..line Death Notices in... is ees ese a 20) MER en NE I eins tery gee pide ya * “25 cule (Names of Newspapers) Grave No... Deed a lal Pe ieee ek oP Os slardlcalie signers bobbie chs ovshd ieee de fete hae Sales TAR He Si lceeae mac tve kee sceseel 2. Soe SESE N O22 eee, Total Footing of Bill......... 0.. $1772. 1GX. — Block No..... sap! a Aneel ele oie ape $ Dingram of Lster Vault Omer l.5L leaned adie 20 ly We tye 0. hee lee Tiscellaneous