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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL 070237 EO NOs vec aws oete's f Yearly Nod Mae 6 Date of Entry.. wae. en.. ee oicaisere kine 194.< Name of Deceased.. Mp ege a ‘ oe ag AD, MERE cree URES nl RA a Whe. Leis Sahn ie: ( Married CO Single [A Widowed (0 Divorced (What Race) : : Z Sai CBusband(JWitel Widow) cece cece cece eecees Residence: .A. “<3. Bac Fale Pa ee Sen Ee rats pula aa bias t?-§ _ Charge to: =. ciparr Goes cece cee ence eee eeeeeeeees 1 eerge" ae Zz sage ete ‘ Complete Funeral (except outlays)...... $ Sg miertat at is CEEOL 9 ps Beat Bag oo Order given by, 420%, AKG. eased 702474 ocf.. Burial Vault or Box ... ee . orinforman (State Kind) How Secured: :. A Cae ab 6 oi Nx 6 ale men 6 oie & 0 we obi qne nea S Embalming Body scene Ciasne “Galan ee . eee a If Veteran, Name of War.. Wha ‘Ga Lip en are . ek eee Hair Dressing, $..... ]....]..+eh, Dressing Body, $..... WriderwearoS 0.. coll! Stee opens ws Occupation bad: REL SR : (ttle.. Wtthe. DIE OC RES. dw linc e otro byaec'ee'« Co tea Deh ee ie Rae Seats eae (State Kind and Color) Employer and Address .$24 ‘Y.-L t2f). ie AY. NE ede. SHipperss Soest eet crs ai redd EUS oeh cl s'sccocai less: or al ee aia ecole : i Folding Chairs, $.... PL GUTAeEULTEA yalte.s «cosh taf reeck eal eif ode meuete Dateot Death J ivz enh fe FAL? ai aa a: Ae Candelabrum, $.... CANGIOR . S ctore,.22 chins cia . Yee sr aetele = <i « Date of Birth. %. ALFY. Age .Z7K~.4.~23,3.. Door Spray, $..... TION, ie ruiane walithcRnen opiate si4r0 Mo.) ““@ay) Cr.) Yrs.) (Mos) ays) . Funeral Car, $.... AmbulancesGes. 2 42 2 league rab Services at. 4fn.e. fir. GEE ¢€ ...+.---. Limousines to Cemetery.. iS eri. a es a ae ee ee ee Extra Limousines ...... GE eo s'est ea we helnale oh Olereyman. . Aa ee, Fe: Me aes Ot eT Autos to R. R. Station. ... ead IN ae Religion of the Deceased.......:. see eeeeeeeeee eee Getting Remains from... Te Alas sade otis oe eee Wie Glichacd oS Ee ooh Soaks nv en hes adel ae Taking Remains to. 2c 72......0 42. OS). oe zx Trip to Coroner’s Inquest .......0.e0ee[lee cee ee feces Resided in the State.<. Ce ee eee Delivering Box to.. .... ccc eee e cece ceeeellececeee . (or U.S. or City or County) (Years) (Months) Deiter ea am Place of Death. #2 £<..£2.. AF SJR costae Nae a ge kro Cause of Death. CeTtlhtal. Mec rth ge Procurin SONA PANO. eo wos avis a's foc Moo xs.0uhe= Contributory On teed. : Se HCNOS clerass (State Number and District) ,__Certif. Copiesof Death CertificatesNo (‘S (State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel,$... ay Sey Bacco 5 Pl: i en teeeeeneces he SacsihdP SAT fer glen iag, ok. ee sas Pe ie Certifying Physician. . 272 ahd fe Ake fAF..-Outlay for Lot as Ah! Zat ao Cog gt . ACA ee 2 RES /, 2 1 : CREST i's are are cenarcle pss 4 Sin Se SETS SSH. moths opie ae cal v5 Mee Oe ae ee img eg Flowers, $... Palms, $.:::.Matting, $... ]....].. Name of Father. x7. 7077, 21. on ccc eee Rental of Tent, $..of Temporary Vault,$..]....]. His Birthplace.. fhe ae er eg RM or i et Opening of Grave or Tomb. . aise peeeeeeeeal cece efeees eel Lining Grave, $... Lowering Device, $...]]....).. Maiden Name of Mother. 2420.2 75/1 SCZ.) Outlay for Shipping Br ass Ls ee ne oe US tess. Her birthplace: .. OZ Hoo coc eec ce ccceee eens: Clergyman,$/?. --Singers,$ S~-Organist, 85.. 22) 25 5 ero€ Date of Funeral 74-72 . WALA.. ce Bc fiay. ot Motor} Tickets, $.... plane Service,$... ).... rs (Date) (Day. of Week) (Hour) Telegr., Phone, Gable-or Radio Charges....]. . ML, APF uot} Remains to. ~“Gicé @ ZO.. 1-0 eee Sees ers Cash AdvanGod ss. 2 Licina sa csia es dikes espaienttlodhscealsec s Size of Casket ae. LO j2 ni ect ik 4 ae WA Bs eek . Out of town Funeral Director’s Charges....]]....].--LEE te Color gad Number) Pai Personal ET VICE. ee eee eee eect eee teen eee cece Pas Manufactured by LLG. Vle 5¢a hig <> Ep ACRE. Ord eye tal aa el Gee Snpi\ ue ai olf oe eS. Cemetery \ ' fees AL eb 55 eae ie ee a ./.line Death Notices in... PApere 0. ok afelsidis, neon : Grematory : ee Tee" SA Svat ay oa RR emt pit reat nig co, wlmaR Nga ednreemt ga aaa lyre amas AMT ih Wallen ta Srsics ig. ea, CTP Se all eid as a No v va (Names of Newspapers) Grave No. ea CC a Ce . Ca feet Bane Fae Units Sera bir 0 es wiv es ale So din ae evolels FASTA PIN Ode oretecs 5 cet 500 8 = . ai at Total Footing of Bill..... 00.0000. 000 $. . £21 —— — Block No.....1+++++-IUCRS 2 cate ccere sttuigh Satie algun teal eames & Gade le, tare $ Diagram of Lot or Vault Owner. ....++.2-0-5-: Balance....... Sieccetes: PEAGOAMOOWRS Ya a y.c 0 kiaio sa't6 slice «incile see aides vin claweats Sun als Entered into Ledger, page... or below. Wiicadnllanoanne