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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

C1 Married Single [i Widowed CD Divorced (What Race)
nsidence SH CMI 048.28. ye =a “kK: eas aranctelere ral act t . fe . sek . . oe 2k “e ‘ tte eeee = a
. , . OF cece chstupneteesestesnsose °. ge of Husband or Wile DV ETNG fsa caneseeyntae mans ears
large toc Verd. 001 4h hank ET LRM ER: es ia si A
: — LS ; vomplete Funeral (except outlays)......
-der given by..7<=& AOL bu Gytoeg aah seal Burial Vault or Box { Coan Cont. Aba e.. . . gee tao!
n orinforman f tate Kind
yw Secured: : . fA Peet Soe d sicher sate es PtOV a TOY, (5c ol we Te ie pcs os vw Goss wilde aiyia’s alle mete <4
(Name of Embalmer)
Veteran, Name of War.. We J Meal Bo Ni Tha oe Ue Va ee PERE OPPOSES Bo os Oa imac feecn Be
: Dressing Body, $..... Underwear, $.... )....[eeeeee
2cupation . a bbe ew. titted.. J Sold 2 oe Suit or Dress
iy wali eiene tides ark tories aia Wile pasa iP eres ticle «Ws aloe a
nployer and Address AG OI eyo eee an Slippers, $....... Te ee tele ate! . Reta ny Heeger
& we Fe oa Folding Chairs, $.... PAPOAUET pre ns ace « eof ete pales late WIL Li F g ’ arp ,
ae Oe tre °) ee er : fe. Fe. as EM ‘. Candelabrum, $.... Watidles,. Sis sich os «fle weed Ge eens
ate of Birth. Hau. 2.3/4 23dge0 . Skew Ev.. . Door Spray, $..... Gloves) Gai. dhs. ous Be Peabo eons
(Mo) = (Da (ee _ (tre) (Mos) “(Days). Funeral Car, $.... Ambulance,!$ <. sot i. He 1. 0e. alee ate ate
rvices at. AeyIenr. MORO as 9 beter eeee Limousines to Cemetery..:@$......]]....[---08
Z 2 AB age : Extra Limousines ...... Reo EP asain: asin, -5 oe oo hee gs
i : ‘ i aan Autos to R. R. Station. ... ee ere Ree 4 Pate
sligion of the Deceased.. UY. 7a 5 aM, Oe eR GettinonRemaims hom 27.. detec 1a) cao oars o's louueeol a wth aa
rthplace a Vo, LE. 4 Bed Re es Taking EU CYVPEUEIS CO My (cyan taste Yea olin slave ore la ace algal] os Sieitaeal [law wih e re
one : EPID GOLOnGl B ANGUOEE oat a. wa). . s ap odcw ewe oa] nee bem
»sided in the State... Ale ic Nel 4s Unerh a DGliVRNE POR TO ss bse 2 lon pada fe wile i Ew Se
Den yy, U.S. or City or Bol. (Years ( Months) chives Piewers Eee ies ec Pa «rik i Sma
; t tbc » . Deliver Flowers ton.. svieic ss La bee sb cclen well mocew [ieee nk
ace of Death. ia Hike i ae reat eee > /WRemovali@ harcesa re 5 fac rhea ia cctive ool co cca . ecelale ere
wse of Death: AKA Wee: ache. a tA iI. (j. . Procuring Burial Permit. ee dled Deeg Bea ead
mtributory Causes. ANAL A KA Es. ot Me. Sie Sie —Certif. ea Death CertinicatesNo—_ pe gi ae
os Je ae ve “fs ; Pall Bearer Service, $.. Use of Chapel,$...
Ee Pn ae A a . SMPs le 'a\ 0 4 6 ove 6s 08-06 9 Cie wie wb ales
Oe te ee Se a tae Gross Total for Sales Tax..60..ccc0ee. all et it
rtifying Physician. Sao ber ee oo Caret we. cies Sus Outlay POROUS Wek ed cdr lcce ts be elacentne one fleet le te alle
§ bddrees:’CHESS. Te oe ei fo ied in TEMALION Ee carck hidleietiies Se: sive! sue ook eet e eee ences eefee ees
hi . Flowers, $... Palms, 'S . s3>3 Matting, $02.0, cash..
ame of Father. ye oo, FAO L! 1 RE. heer. --. Rental of Tent, $..of Temporary Vault,$../)....J...
s Rirtbpiane, 4278 __ . Opening of Grave or Tomb........./}. BS)..
Pe eit att cries Walco eye of Lining Grave, $... Lowering Device, $... . .... ..0
aiden Name of Mother./ ea orc 56 PARES: 2: Outlay for Shipping Charges. ........ loc ccc clee eens
Atte, : Clergyman, $4 ““—Singers,$.. Organist, $S72=". . . . .77. . <2 or Birthplate: (YA. ! 57 <3 soos bse acles on eeek poe Railroad ry re : gers,$ Ph eicacha lx
ate of Funeral. 3.47600. 6, A244. A Fade) 8 Motors “IKE, Be. eee ee. plane Service,$...})....[eeeeee
(Date) (Day’ot Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . ....[.-0005
oy "y HROMAIS CO Jigs anos Oe ssaiols Reis isys Mere 4.8 close oie ROGMEAOVONGOD «5's os Ss ta Ke pall ook oe oS audbon cus etlhe cote
ze of Casket.. 2o. 54 L. ic Io Lagoa St hit Funeral Director’s Charges.... . ,.... ..00
(State Color and Number) ‘ erso: ci ce nti ires ngeiiei¢
zele ein Migs aie) e fooler e! © isKels vs. o:4]o clare icoullelers é10.6
‘anufactured te tl dae Ln ween . Great ®. MarKQdG GZS2d... LS O. . oP
metery seed op etn f ..line Death Notices in... EDGR UE Oe elt cated 5 vend
et 2 ee ee ea . alah ee tetre ss ba ae cae alfesiiy we Pout
Grave Noe od occ cc ac te ead 8 8 Ee ae WORE wT Gee ere ce ND eee ee we eelle owe lll gee
z ae ae SOP eck Ce a ae Salli’ viele Ze
ea ee ee Total Footing of Bill......ceseeeeee. 3 4 . ee
—— oe Block No..... Peseeee Po LU wae One wegh healt aay $
Diagram of Lot or Vault Ownercic Si ini ae dene, Balances.. o-oo re
LISGOUOTIBOUN, 0.550 ois au ve «vias coe gs boss ba ciple Okie s wale vite Entered into Ledger, page... or below