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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 Siig’
IR ee Yearly No.. AAS.. Date of Entry. ie ne AME 192
ne of Deceased ew. 626. Lher, coe hilo Pee ES oo gl eri fetta ale ti A, Fer Grae ic estrsligiar shal otatieng
[i] Married CO Singie 0 Widowed O Tiverced (What Race)
dence. .P.42.204 0.6 an pee A cad ne CBusbanel]witel widow f pha chet Re Gehan ee
OP ici o rene se cnvraadsead of Age of Husband or Wife (if living) canted Years
rge tos PAL Mcrarany LEIS Mad chee. nt, . BE EES Pontes ;
ey : . ompiete Funeral (except outlays)......
ress.. CESS. 40. , FU Re =. S28: . Ft 20 Sop S Z
44 CAME: som File Riv tine oda o dyn ede. Lh Mf oS ee a
x given by. A421 v2 7 filaode Pete e eens Burial Vault or Box Cen ect the. Av nae. . . AL) me,
: informan . State Kind)
Secured . Hoh BPO oe sede ct ei bee te scat pammceis Re OC A ea Oe MT
(Name of Embalmer)
steran, Name of War. 22 47..0.0........ Barber, $..060505. <3 Hair Dressing, $....]. ....]...
ake. Dressing Body,$..... Underwear,$...])....)...
pation. .A“ AS LENT RR eee :
p s (Social Security Number’ . SUitor Dress.... Gla xis es bees
loyer and Address ..0..0.00 00. cscs odeceeec. oe. Slippers, $....00.00 Pose oe dd Feces oe ee
Sse S$ Zio Folding Chairs, $.... Tarpaulin, $.....])....]...
of Death. . ay Ady ora PEAY ig oe (Hour) ** Candelabrum, $...., Candles, $......]1....[00..
of Birth. 7” OV &, eel Age S£-.€-2© . Door Spray, $..... SOMOS SoS sie oe all oa ode ae
(Mo.) “ (ay) (¥r.) _& 5) Qllos.) Days) . Fyneral Car. ae, Ambulance, $i. 2065 oc die
ces at. ATA, PYLE, CLARE eee ccecce, Limousines to Cemetery.. . BP a cere tw ky abe cit Pal
yman. Te. if ee AhesKer Sete i oe Extra Limousines ...... eS irs Oe aban see Teng . tl
i/. (Address) Autos to R. R. Station. ... Behe te el fe
ion of the Deceased. AN 6.076.. cece vcesee ce. Getting Remains from........... 000000007)
place .C:@ Von 5 eG TR NL, hc oe Lek Neuking Meeninie tO. Jd. eald ss ees ac'cs Al. oe,
; Trip to Coroner’s Inquest ......... 00077
ed in the State. . wt.s. a Gity or County) hi “(Xears) ss (Months) ‘ Delivering BE a Nari oe Ass ates Nc dbey alee
BE TIMRER ais Matty beet de tate, ohn a DeHver FIOWEEN TO. 6 eis kee sis dedseusei A Loeek
PRS erin Wey cocaebiiac drake i stan ee gS aa Removal Charges............ ea py ie ial el De SS
OE TBR oe cook gyn e Pgs bo «sy HU tcl, dein "+ (jProcuting Burial Permits. ooo. oe
if. Copiesof Death Certificates
thutory Cansei. 6s ested. vis ences resveietc. J —Certif. oe Guano deere PS ee Me
Pall Bearer Service, $.. Use of Chapel, $...
: Fa ely f ; Kh Kies nthe aise Side dlbandee als adn eee Gross Total for Sales Tax.. a ee
ying Physician...... lab Comins A eee StS 0 Outlay for BM iI liv aee fen el LR Hee ce ee
MR Siecle gen cog het Pa joa [lh Cg Cremation......., wetig O58 ¥. sip eter tate GH ye alee « pny
: : op Be Flowers, $... Palms, $ .’: Matting, $...11....[...
of Father. . idan 0 tS Min eet og ee Rental of Tent, $.. .of Temporary Vault,$../. .... ...
Opening of Grave or Tombir(Lesvnz)..._ cscs «. rae.
PROS eel Lite «is dhe a Ded russ ined dance cosets tee be : é £
ag Lining Grave, $... Lowering Devied Pe 2, RE I When:
n Name of Mother.. 0.2.0.. 0.. ccceecee cen c Outlay for Shipping Charges, Ty ee apeiae Ruees . alee TA MS egy
irthplace. Clergyman, $/27 Pings 8B baci $57 =], «A, . OB,
ae eee bee es pm . Mee }Tickets, $00.. plane Service,$...) . ..
Date J Bag of Week, Me Telegr., Phone, GableorRadie-Charges.... . . . #2. .60 EP,
POSAANE 0 6 i dE aa Wace. bag MiG gs el » certain ee eRe ee en al ee Nien
Casket. ; Out of town Funeral Director’s Charges. ..04 . Wee, .
‘tpeiek fe: (State Colorand Number)" ""*'** ". Pe Jee Ae pe RG aan ASO PO
PEE IT S Si9 socscd aie dete wie s vaiels Cod ayy. ochy aha AGKROCM... pe ee sin Seee
7 Label Sl ae RRO TA econ reel FONE ice hee AE
tnt No (Names of Newspapers)
eur a SD pee) pea cl” eC ae Ee Ge a . O-o
ection No........ “ey }
) ie Total Footing of Bill........... $23 . . <2.
7 —— Heth Naw. 25. sie ie TE OE ss a occuoes OREO ae oe $ .
‘iagram of Lotor Vault Owner RSS OO 6: O18 6-0! B ble SS: & inna se