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Collection: Original Records > Death Records

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

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ae RECORD OF FUNERAL MOCADNOs oot aw ceri ieee fame of Deceased... 5 EY Married oO Single ae Ca ddress“<#7, rder given as ‘ow Secured SLES, Ga rc Mel OP eee <8 Fearly No. A “Aaa ' Veteran, Name of co Ba Hees, Nt ceupation. karl pf CACAM, LA EP he BEF R. (Social Security Number) mployer and Address a ate of Death Yat ct, LAE.. FBE SAM: (ay) Ye) lergyman. © weepette. eligion of the Deceased. ear irthplac esided in the State.<-2 “Ze lace of Death“#7. Mitac saeere (r.) ate of Birth(/Ze-. beh BEC, Age ZZ.7..2 ae(Yrs.) ae ee Ly Lee. ee eee ee City or County eae as ays) Ce ee ee ee er ee rd ee ey (Years) (Months) ee ee eet ause of Dea ae Pu ei. LTE A BEE a a Talila vate ® Se ue ce.0 0 Date of Entry. oe a er Lae (What Race) Joa Divorced “teat 0 f eae cae & $i f= PRR Ssh ogt ag Rec) age Mer Sus Lee — (Name of Embalmer) Barber; $2 lv fosid.5 eG Hair Dressing; $.... Dressing Body, $..... Underwear,$... SUC OR TOIORS we As aia a wel ales» ages 4 eplhae's (State Kind and Color) Slippers, $....... NFORO TS eh. 3.. ctsee oles Folding Chairs, $.... Tarpaulin, $..... . Candelabrum, $.... Candles, $...... Door Spray, $..... Gloves, $......
Funeral Car, $.... Ambulance, $..... Limousines to Cemetery... @$..... Extra Limousines ...... @$...... Autos to R. R. Station. ... @$. 6 Getting Remains from........... Taking Remains eaezee. Ltda ten Trip to Coroner’s Inquest .......... Delivering Box to.. 2.22.0.. cece ee eeeeeee Deliver Flowers to.....ccccccecceeeeces Removal Charges...... Se De Spree 2 Procuring Burial Permit (State Number and District) ——Certif.Copiesof Death CertificatesNo (State Physician’s or Coroner's) wee eee see eee see eee a eee ee seeeee ste eee seeeee seeeee eeeees seesee Pall Bearer Service, $.. Use of Chapel, $... SSK eb ee, eal’assia a ele reg gions ad Usb: aoe argh Bee eal ebatiow Goals fs lala heme Stal Total forte ter.. SF. a taal ertifying Physician Lech 0 ee ‘tame Hh «CHE. Outlay for Lote co. sec cies essdhlececnceccllocadcs teceules oe ana ak Aa ne fein) meee es is Address. ile ae heed. Madly “4 logy et ae Flowers, $... Palms, $... Matting, $: .. e. cccccleasu ss ame of F . ettilig MAPK cee Rental of Tent, $..of Temporary Vault,$../. ..../... FA Opening of Grave or Tomb.........1)....[eceeee is semua 7m estates isles i Leleleies Selere ey nbiehats Tinie Gere, $4.0 Lowaieg Deas. ck ee -aiden Name of Mother. as CHAS. woes even. Outlay for Shipping Charges. ......... 00.. [. cee er Birthplace. Z4G47..... ae Dae Lh ae Kalbe bok ir aie Singers,$. . : . -Organist,$. . ps ga hl Se oc a sp Lickets, $.... lane Service, SLA. A LZLALEF. « tf <i Pee ZF .Z2.M. oF Motor ! plane ‘ Se ae = Funeral ogZ Ca of Week (Hour) Telegr., Phone, Cable or Radio Charges.... LA. ee : sue . Remains to “LAG SC, oe SAGO. v0.5 shi Cashy Advanced 055s cleus wclewvins vs'cececsccllccs.cccteemes : Out of town Funeral Director’s Charges.... . ....]..-: ze of Casket2776 =. ee ae 5 anna Permonal Services: Wn Sac Sees rae cco dv cee ae OE bee nae ‘anufactured aires, (oe SSIs C106 'w oral el epl: oP CHG © Cielo astral 6leis 6.0) FA. w me ew! G)8ue, ate . e) Wi ene: ellelleiiele wilwis © & wiilelecs elatuhatie eee sametery } Mas Mite ae line Death Notices in... Papers ....]}....[..00% abbas 5 sda aise. thls, ee ee ee Gide tintegaey otter eefeee PAIR Teas cade wale WE oad wires anble acd LP aly bs Se ANON ben a alla wis ccs cae cHimalt tcc ace Sera p SieiTee e a pe Sear ait gene Total Footing of Bill......0.0.0 005. S. ZZ.. — is int ta eg ele SLAG L Te hela Bsn. ds dnc east $ Diagram of Lot or Vault Owner Ce Balance a Sh orien $ ss ae ON Oe cs Sic -iscellaneous WW 6 Mie/erid s) #B 5S BS ele @: Schse S956 6 Os 6b @ elk eav6 B slatule alae Entered into Ledger, page Vows ie or below. OBA € Oak eo 10 6 we elise ee 6 5 4 lem SS ee) WW ss US ol ode os