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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
0-9 229
eee oe Yearly No.. A 2%.. Date of Entry.. Leh hit oceeeccccceeees 19fc>
any at > .
me Of Deneangd. S16 Cyc Lee A AMPS alyces Fy als va ees vn aghsadi nt saueccn bo Hiphee gh
1 Married 0 Singie [Kl Widowed DD Divorced (What Race)
sidence. PA Ie, DP, La. A Pe Ces. ket flag nl el ein} i A RTS LI a eR, Stok tl, al
1 ay “a Ff A OE ee of Age of Husband or Wife (if living).......... Years
arge to: .Dessire. Aitas. A Brerslwicisistivevetsin olateees tht ‘clwesicicn was
. 2. ete outlays).. os..
dress.. 4.2%. 2Sa0. LS Ak hres hd 7 id i ae Se eS) ; CH lan
ye a C018 w.10) 6 -aae ®. Bie 6.¢. @ (Selena La ene We wo Sieene lows coalleire Mane Aren. Baste ne eas
ler given by. 424.3 4. “: JN enBte Eels eae sete d Burial Vault or Box ...2000 0 eeeeeseeeeeaeescefeecses
PI oriniorman' State ind)
w Secured . folic Wed + de be Gees Westnet oredly o-daten te Embalming Body ... alte a agian St oz .nl. oom vape* wae
Teteran, Name of War.4%2..... ce eeccee cece. Barber, $...!.20..% Hair Dressing, $....-. . .5..«f..00s
Dressing Body, $..... Und pais Aik mdlls: § cater EDEL RE
mupation. MAK S60. LIA Eee cece cece ences Silene Ral tear ; Sach Atos lhe Ah
Ce Mae dba icdenaceng Teepe
ployer and Address ...... 2c ccc cece ce cceeaee Slippers, $....... TORS, Bisis o i iia, 05s wh cot Rv Wws ble Leste s
eof Death 724 RZ SLLLO tie CL SPL). Folding Chairs, $.... Tatpaulin, $. 02 lve sca rloweoes
(Myf 7 (Day) (vr) (Hour) Candelabrum, $.... Mandless So 5 sles he eho eae =
se of Birth. PA. 4.2. 2/4877 Age 2-7-8 &:9,.. Door Spray, $..... NOW GE, Fs coho iva oe ee cfd vals A win fete dace
a (Day) Yn) (Yrs) (Mos) (Days) . Funeral Car, $.... Ambulance, $.....//....]...
ices at. 642 OEM MEM LE snes vane cans Limousines to Cemetery..:@$...0..]..0.J.0005
sgyman “AL. LE. KEE EE, Aalech db.. Extra Limousines ...... COB EA asters aie alc wes, Aa regal re
(=. Ae an >) Zz (Address) Autos to R. R. Station. ... GB Rs sce ES Cy cae bled as
igion of the Deceased.. 17222 7.00.. .5.ccuceeeeeeets Getting Remains-from. 30.01.04 ecco oes wale eden
dnlnce ai Fe Ay a Se Lig DAMS TRESS EDs. sis aljeot ans peadels o ce Sle Yano panes oe
tae ¢ Trip to Coroner’s Inquest .........-lo. cc cc lee eee
1 in the bP ° tug aa : te aN * “(xears) os (Mon ths) : =a BAECS see ars cd ak oe ee cls WN ee ee eS
ie Death. 223-4 ; Mel Levi. Ut sf. _ . Deliver Flowers Drs eral Seats le ahroan gene cave urate: a Aer caitellllgbigds tel bebe. Met rs
ns 1 J: Removal Charged: 5. ads os sd vee ces Wait. lab ee Uae
se of Death: Avena. Ot Evtdlag.-. Procuring Burial Permit.........-....feeeee
SY A774 s ps acetate Copiesof Death CertificatesNo.
tributory CAUISORY ices 550th Oe watts heed lice MRS Ponteptalseae! oo ¥ (State Physician’s or Coroners) . Lie cteannes [ hates a .
Pall Bearer Service, $.. Use of Chapel, $...
ret eeeeeeeeeeeseeeenseenes gare Wea preeteee Cate Tee eh eee
ttying Physician.. A Aion pein Bos seveesens a ee aaa Oe ilies ae
Rides: eee ig oe aes Cremation S774. Me. LATA. F scehr Ga Np 2p
aaa Vis ares . ee ea Flowers, $...Palms, $.::;.Matting, $...]....]...
ne of Father. . EM GE . VO OPIN Rental of Tent, $..of Temporary Vault,$...]. ....J...
Birthplace....7 SOE? Pie: CR ae S. Opening of Grave or Tomb..3.0.2.5.00.5 eH. ov.. lecwwde
Ua AU BS eer Oe Lining Grave, $... Lowering Device, $...]].... ...
den Name of Mother4777¢<.. Aite.e. a2 <~.. Outlay for Shipping Charges eet oe . ES
Birthplace: ... Pee ee Pe” a Halo by $/¢7 Singers,$3 Organist, $3.2. . . .. 2227] 0.
a ‘Le Motor Tickets, $ ang Service,$
e of Funeral. Gy. 4, LEO. oe FE. m. & Motor ple ahs te plane Me Nee Fs aa th
o& 7 (Dayot Week) (Hour) Telegr., Phone, Cable or Radio Charges....]]....].0e0%
a TAMAS Bi lirics Soe so. ae od ep at sleetue ceeds KREDI MEER oOo Ios + lec «has ercitecelcaites ct.
of Casket. 27.22 Luce. Site. if Zine. Out of town Funeral Director’s Charges....]]....]...
State Color and Number) WOM A OLY). Sivsesin ys eoaiseons swan ohne'e he oad ve lees ccs
aufactured by: Oa, Meee ffs Co @ika fo Eu i CN. es i A uf Bei OOO . Rann ie ee
ster} ‘tein Meek ee ae Pa a Notices in... PANES pws Sle sees
BR Pies aac iene Giaksblelievercray TUTTE Etat Pps eet fences
Grae ING meet PU cen oe irre rey auefeleyeneae lade eraar’ Uistwsa) o> ate giles St Ds Ge hn ed
ae RIOR BR eo, lenge Obie cele wativives sekcd ZF! 6&
ection No.). sack Jonas:* Total Footing of Bill......e.0ee eee, $. .6227. .24.
“1 ee ock No..... ae ae MMI ed Ce shal ood od ol chat chide ace pee ie ll $
Diagram of Lot or Vault Owner eee ee ee wee eee ewe ne Balance ae eh etn eee ll $ Sa . . ROL Pe =
cellaneous.. CUR MOTHER SCE C SO rece r eee eNnereeeecons Entered into Ledger, page Weer or below.