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Collection: Original Records > Death Records

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

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5g ee a A Yearly No.. £Z... Date of Baty 22g ie svat sng pr ee 194 Name of Deceased. <Cro21/,. EunestheS Ct Vecata.. A MEP A ie, aos ( Married CO Single C0 Widowed _ B& Divorced (What Race) Residence: 3.2. 40.5 72 Jééx 27. SEx. Gtxcha day bs eas aaa hap ida Sours Ante ooo iF 4 Die re excess ocede as vader eeennces °. e usband or © Ul living). __ oe eeee ears Charge to, 4%S. . Mol: ad. Mid ots Gas sativus SMe ope LE Complete Funeral (except outlays)...... $ a Address.. £74. 0.001 8a: 7 = OL ee Tbh Pa ae yo) Png Sed eae PE = EN RIO. aig io; eite le 4) st aishw aro gum oreliele 4's 6:6 06 “eels, o aie ee et . OLS Order given by 475. 4/1. eet : Mhé se --+. Burial Vault or Box Céemnent? Lider. . . S. Ae, F orinforman (State Kind) How Secured: : x Lied ee dss se as eran lave ee seele conde rene tarsi Embalming Body t0) ones Gn he Py TL te ae meso ee silee ees cele ce clee If Veteran, Name of War. MO. Takagi oh ee etn Sl Barber, Dele delve cues Hair Dressing, $..../. ....J... 2 al wr ae oe Dressing Body, $..... Underwear,$...)/....J... Occupation a LA 2 1 on ae WL EALG TT STFHL. Bear Or Saad oivicia siya: hae Were wed «ee Peete Fe ok Ceocial Sonctaty uagoet? i Gtate Kind and Colon Employer and Address . £-vaiye sera. Ahysse. <o... Slippers, $.....-.. Bless calcphas. wile Uae . Zelty ¢ So 2 ~ Zep Folding Chairs, $.... Tarpaulin, $5 «eo. M 2 nn old onan sasirelse Death Oe op a wi an Ea ies Candelabrum, $.... Candies, S$. 0500 ial) cade oo Date of Birth hd 4ere. . 4.2 ZH Age .fL—72 2. . Door Spray, $..... Si oe Me al Pe ea (Mo) (Daf), Oi) Glos) Days) . Funeral Car, $.... Ambulance, $.....]]....). pis Services at A4o’ eid AR lis ge eee ere ory Limousines to Cemetery.. . ike te i, 2 eam «ies Clergyman. +7: MEEL tee MNS ee Er ela Ace Extra Limousines ...... Oo SURRORIL Shain lagen te Mela y im ZZ ie (Address) Autos to R. R. Station. ... RP poorest Religion of the Deceased.. crc ese e tera 5 Sumer Getting Remains from...........].... ... Birthplace_ ir 2S Le. bee et eure. Taking POGUE Oni eds slo ol Bes oul vc ee ce err : Trip to Coroner’s Inquest ......... loc.. cleceeee Resided in the State.. =~. Fh POPs ccs Stitt dg Lda dig cite Delivering: Box toss, 2.5.0 a esl el nie ee Nee ee ok, / OE Wai cigs Wiha diet se pollo ck wel eldae Gans a (or U.S. or ‘ity or County) (Years) (Months) Deliver Ficwets> 2? Z ” -y "2 = EE a gh ee RN a BWVE ES AD 0 6 ay has 9 fore 6 e's. shies 0) e’Sn\ pita ime one elle sets ag ce buy dcats “lace of Death.//#z..:. ae ee ae ee eae Removal-Charges.). 03.5 00.00.cecac ese theo, eeec es Jause of Death. LOCH. . AG jE ote cece Procuring Burial Permit. (iste Habel aid bate’ Ivete fcc Sontributory Causes. . LE tot ans 044 So ott Pyg —Cartif. Copiesof Death CertificatesNo a aie i a Pall Bearer Service, $.. Use of Chapel, $... Sea Det ee, el sagen ple Sa tae a Gletatie Wai eS aS Sertifying Physician. Vhladller$ebdt PS” ia a Outlay for Lot Mees, cc tee iy ect we 0 AS, NFR. Fis Address»: Mae a Aa laws ihe ees mel Ua, . ORB OR sansa yp tide de. Gays Sor Peis ek. : Z = Sa Flowers, $... Palms, $.:::.Matting,$...l].... ... Name of Father. J20.6.6. S00 GaTR io.. Rental of Tent, $..of Temporary Vault,$..l. .... ... Tie Birthplace os ses BAe a ce. ok ee Opening of Grave or Tomb. %.¢4.45/ ie teh ees Wl aos : Lining Grave, $... Lowering Device, $... . ....]... “Maiden Name of Mother. giles CLAMP Lows s. Outlay for Shipping Charges....... Ve oe eee ler hirthplace: ..,-2-4@ Oy a ee: ote cpm aiel. diye lek etpstere Clergyman, {¢--Singers,§ < Organist, $7 “. . .. e.brce. a ero; Date of Panerai, Me wy he > ne F:.22/m\ 7 Morr} Tickets, Bs d os plane Service SH. ial. eos F (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... ....]... 1 } GAIA ROE chasis Sivas 0 sage Puta does Me Cash Advanced.. . 0.. ..0ccceecesceseeecall... oe. ‘ize of Casket. #29, 272 Si Lake, paren g.,.,,. Cut of town Funeral Director’s Charges....J).000 [0.00 (State Color and Number), Personal RUMOR. Pita be ewnaesaeis laces) af cee. a Aanufactured by Sai¥A. C20 6KG {CO .. VGC AYAIREO. cece SKE.. ‘emetery ME. Ke ..line Death Notices in... Papeta shiek. ee. Bet Now ECM cs sa noed ae Meee . 0, 9 ae Lew. Tesla tele cetearne. Cian mets Od pelo aw mhael. wdc iale h siae-e lense. « sur 2 alee cots MNT R ND, iseheve ee each er, ROMO, isd ea <hG oo es cdi ale ZNSE ONIN Oe. oss eyes deans ae oe Total Footing of Bill......... 002. gl. 442. . e <t—einy l Block Nou. 9.7. besewes. Sete ote: weet te, alata $ Diagram of Lot or Vault Owner.. .eeeee ee ait Balance....... S. eke sist al asta oe x Tiscellaneous SOLERO COR HS Re © SCP Wid © @.Herere . b Sib) Oe wre 1S ere «aloe aii Entered into Ledger, page Tee Seaeets or below.