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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
ae
243
Yearly No.. 7S%..... Date of Entry
ne of Deceased A/C ¥in¢ (7 LER.. Koga bed yao Ne ne Jidtotece, pioss's 6
( Married O) Single ( Widowed Divorced a (What Race)
idence: . eeu. 3 Re. th a AX 2G. = seg ent, DBusband[JWitel Widow
rge to: Sy Ctectwer Pos Siu ch
ORBMEL): CA ww ody aires namics se ghd ktess MCs. one eo
er given by. /Xcavy. C. (og MOI oc dis an WAS Burial Vault or Box .....0.e0cceeee sees.
(or info t) ‘ (State Kind) )
v Secured: : fi Ls oe oh Ree gay era Go WIP oe . Embalming Body toss Fete Chase) watkae ee gh pon SP. <2 .
eteran, Name of War..42....0000..... Barber, ey oe Hair Dressing, $..../]....]...
: we, vrare aa, Dressing Body,$..... Underwear,$...]]..../...
upation . . 6020.$.4. ce tm.. OE AAT 5 ove : p {social Security Nester; . SUitor Dress...., Mares f agi ke tle whns all nedlaadenlewes
dloyer and Address ...... cece ceeeccceccucceee Slippers, $....... FROGS. Fats dons vells oc os Sl eribieisle
——., A ee Folding Chairs, $.... AOPPMUII BS oes on tes daa th otee
2 of Death ali ha ( bd La ©. ae Agel ‘**! Candelabrum, $.... Candles, $. 0.5.0 00 Mec ccie cles sees
2 of Birth MLL che Aly Age LFo22 /... Door Spray, $::.... SORIV ER, Bio's cis ia iy nels ta ae bes [eo has
(Mo.) — (Day) “(¥r) (¥rs.) Gos.) (Days) . Funeral Car, $.... Amobulance, $ oc. ccs, ees levee’
ices at. A200 L OG SLUM. evn es Limousines to Cemetery..:@$....../. ....]..00.
Extra Limousines ...... COR Bae OLS eae . Na Sry eee na
ect, eae a ahaha aah (Adasen) "7°77 Autos to R.R. Station. ... Ne Sie en lhe a
gional the Desensed acs 5s o:5 oe oa ties eas ss Pe liekvanicls Getting Remains from...........)....1.005,
aplace .. Be OE lt sic) ie li le gles ae Taking Pees COP as i ices es ba a'n ee Ws Caen Meek de
: ce Trip to Coroner’s Inquest ..........{1. 0.00 fee e eee
ded in the State. . eg ey oe oe oan aeT Soly 6 igs Box ¥ Aa rn aia id AB Sd, theese utalosg Sep ET, Peng MERC te y
3 of Death,. A777 Zl e8s eive.e. feat eT . EVEN SOWOER UM esa wnn'a no Unie’ yale leun ape gales Siclhe = cus iT MD eo
* : Removal Charges... 2.. .c.cccccedecce ce, 1 AS (Ore).
ie of Death SAL C.tel Fee, Meee epdhial, saves Procuring Burial Permit......... 000 .[eccc ce. [eceees
‘i tite nee, sdk Certif.Copiesof Death Certiicateio.
ributory Causes. . <4 OMA« AK. . PLETE.. a i ; coat Sm Sep te ere . tee . ia
eee" ~* 4 . ervice,$.. Use of Chapel,$...
666 6. UPLATE. Medi Kee salle oe $ idee
rae a — he, Gross Total for Sales Tax.......... ila eicbinad PRM « fo
fying Physician. 4 St Ave ae aoa ial abs ae Eo as i> . Sn arg be a
or ner 7 Pile ee ees vis eevee
sath ROME cae ers hey OUI igi ds 0 «ova bv dats Res haul ee odie dalla Address: ; .¢ ey, aS @ pes i Flowers, $... Palms, $.;.:; ; Matting, $..4].:..1...,
e of Father. A766 © Cty hee Lo: Pecans Rental of Tent, $..of Temporary Vault,$... ....}..c0.
. ok Opening of Grave or Tomb.........1].... ... PENANG sb siy Here Cv son wae oboe eueweteu ee. . ee : :
. ahs eet eee Lining Grave, $... Lowering Device, $...]. ....]...
ien Name of Mother. -S<2reAePELE.. Outlay for Shipping Charges.........]].... ...
Bice is MM slices «ve hs adh pieamnan, >.. .bingers,S: -Organist, $. . .. lacks
eS ees 8 aeons} Tickets, $.... lave Service,$...1. 0.. .[... of Funeral. TA76.49.09€@...... mJ or Motor plane ‘
(Date) (Day ‘ot Week) _ our) . Telegr., Phone, Cable-or j Be tetas snail) Sate NSO
} Remains to. Signe. MIR LE KL OFHMMM POVAUORE 0 5.58 ho cc adlen tis PCO cs MM EY te
Out of town Funeral Director’s SRIOG cs Bt uN weed
TERING as oes eck ctods iw din hiv. coat lee :
(State Color and Number) POMONA DOTTIE Ls i os wisla ve ui esl ewes mao.
afactured FOE SN = oa rls S since APY inlolina eS ARNT MAE > tah in ADM es ig ora MC ae Note
ety ..-line Death Notices in... PM ccs hk < Ate.
Palins tieiptadnatiapen,, et ete re en eee, Ae om er epee ee fe Seat ve
(Names of News:
Lao Be.. Uo.ow. els ede x ed Ste Ce econ see Reet C vets e eesti atch 1 ammeeenres e
Grave No. ee eee O Gie exten Cll Cee tte ee Ode: &) on Wipamy sland Baie leielie 4:4 Won epan eters «Slee ste elt bee se
Section N ates TEBE las ade est odode: Ree dees yes eG. :
OM ING atile occas arate te
vi Total Footing of Bill........... 3. .44 2.
r— Block No..... tosteus =i Tess $
Diagram of Lot or Vault WEE is, « clos chicas Dita a Balance....... “ana, ase fh
allaneous SSR SS TRR Mie 6 WRG 2 bes 65's 6.6 F-5 N ee Se wes 0. ule Gullcw Entered into Ledger, page ee or below