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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

Yotal No. esse eeeeees Yearly No. ZZZ.. Date of Entry. eek: os i Oe ee 199-7, Jame of Destased tee eae. co Ae. fee Ee ye ee a a 1 sable ( Married CI Single AT Widowed FE Divorced (What Race) 2esidence pie Catten é (Busband[ ]Wite[ ]widow eM er ae ne pee Rt . ote A A Oe 2 > ital uel ca ee me tharge to LtlatZLen Sew. ax ee : i Complete Funeral (except eutlays)... $ ddress 7 4A rentts bee. grade hacwadle Ag . ey, 2 4 Casket, £47, Sretnesiger in. Bee AP #e\e0. Irder given byZ (alia Stete? feeb prt edn) eS Burial Vault or Bo Kee « weeell. ¥97TE2Q., or inforfnan’ tate Kin low Secured eed: or wee Su le Embalming Body .. teed te ee . e Cee Name of Embalmer) f Veteran, Name of War ZZ@,... ce cece cece ees sn , ~ = § sees Hair is ste Le So . cos ncn / / ressing Body,$... nderwear,$..H..Jeceeee Pr Wg tee ee eas ia Sian Suit or Dress.. ‘ise ade enieg tt open tone der nae imployer and Addres§ ....0ccc cece ee eeeeeuee Slippers, $.... TROBE Sevens: slur P ic Siete altee el Ler, 12 . Pe , . Folding Chairs, $.. M@OLPAULIM, Sus, «1m «psusts tll Petraes SE rate of Deatix-7, bl Cpl BOR. an)" FO EO ‘. Candelabrum, $.. Candles, $...]J..).0008 date of Birth’ AEA 5S. Age.F/%.2.26<. Door Spray, $... Gloves, $.../l. 0.0}. eee ~ (Mo.) (Dayy Xr.) (¥rs.) (Mos) (Days) . Funeral Car, $.. Ambulance, $.2-./. .0.]. 00. ervices aby yAt AO = LG AEA eee eee Limousines to Cemetery.. ts. Cire ja ees vs . Meher sift Sp ee ae ae Extra Limousines ... Ss 1 anne callac'aced olawesed ee, 2 (Address) Autos to R. R. Station. .. 8 5) eis eh lle ee religion of the Deceased. “A420. eee e cece cccec eee Getting Remains from.....--clleccccecleccece rs , Z pea Taking Remains to. 2.2.0. .00. ccc ceullecccccclecewcs sirthpl SU Le ince Sow cs. SelM Eee Slew doe eg ale har cai Trip to Coroner’s Inquest ..... loc ccc cc leee eee Delivering Box to. ...ccceeceeee celle. c cc lee sees ‘esided in the State“. fs PHAR. voce ass Sess ban (or BY. en or County) (Yeas) (Months) ‘lace of ee , ketand. {freed ng oe ‘ause of D d LH. eee meee ee ee eee SF eo eeeeeresesenese vertifying Physician. . ‘ JA. hat ee is 0 (or C roner) lis Address. Lf. ehikten, ae Seon. ieee Tame of Féther. LET 4p dh NALCHLL . vec ccecceees lis Birthplace. LWQ°Z. occ cc cccccccccceveuce. Taiden Name of Mother“Zy ee. CMU, vv eccecee. [er Birthplace. Vi EA coat ices th cod deeobe late of Funeral GG ee 42M! (Date) (Day of 7 Week) (Hour) rotor) Remain$ to. /..ceseessseseceeucuceeuens. ize of Casket( 4tet fMhlathe ooo o coc ccececucececce, (State Color and Number) fanufactured by. G4G~. Cashed Reir-sanis w vied capae te ya Bs snoner MW ER 2, A a een Ll LOGINOW. .niccies « scektee Grave No.+2. 7%... Section No. Pas Frerelniecie et ee =i Tiana Block No... ig BEd Diagram of Lot or Vault Owner. ...0e0e00e, Tiscellaneous Deliver Flowers to Removal Charges....ccccceeeceee Procuring Burial Permit...... (State Number and District) ——Certif.Copiesof Death CertificatesNo. (State Physician’s or Coroner's) Pall Bearer Service, $. Use of Chapel, $ Ce rs seeee ee ey eee eae TT MS ee Ce re er Flowers, $ Palms, $ Matting, $.. Rental of Tent, $.of Temporary Vault,$. Opening of Grave or Tomb..... Lining Grave, $ Lowering Device, $ Outlay for Shipping Charges. ,.... Clergyman, $2 . Singers,$? Organist, A Clergyman i ist, FZ. pi Mont }Tickets, $ plane Service,$ Telegr., Phone, Cable or Radio Charges Cash Advanced ee ee eh AMID, Dees ee ee eee eAUWELITIE JLICVICE, Dw. ee ce ee ec ee he ee er er rs wee ee te PAVOCID 2c ee eee O18 © 0 ONG Ole SxS eee: 8 iW Sadie S16 His sm wee Swe CoM eres 0 8 bb we Ce Se Cot LETHE HOH CERO TECHS HOD C SC CES ORE Ces eee Coe Sere ee eres ereneeseesesnseseosece a es COMP R SEH C REHOME TET ROO ROHR Oe ee Cee Oe Balance Entered into Ledger, page ed see eee a see wens eeeeee see eee see eee see eee secre see eee er os NV i nannllananss~

Yotal No.. esse eeeeees Yearly No.. ZZZ... Date of Entry. eek: os i Oe ee 199-7, Jame of Destased tee eae. co Ae. fee Ee ye ee a a 1 sable ( Married CI Single AT Widowed FE Divorced (What Race) 2esidence pie Catten é (Busband[ ]Wite[ ]widow eM er ae ne pee Rt . ote A A Oe 2 > ital uel ca ee me tharge to LtlatZLen Sew. ax ee : i Complete Funeral (except eutlays)...... $ ddress 7 4A rentts bee. grade hacwadle Ag . ey, 2 4 Casket, £47, Sretnesiger in. Bee AP #e\e0. Irder given byZ (alia Stete? feeb prt edn) eS Burial Vault or Bo Kee « weeell.. ¥97TE2Q., or inforfnan’ tate Kin low Secured eed: or wee Su le Embalming Body ... teed te ee . e Cee Name of Embalmer) f Veteran, Name of War ZZ@,...... ce cece cece ees sn , ~ = § sees Hair is ste Le So . cos ncn / / ressing Body,$..... nderwear,$...H....Jeceeee Pr Wg tee ee eas ia Sian Suit or Dress.... ‘ise ade enieg tt open tone der nae imployer and Addres§ .......0ccc cece ee eeeeeuee Slippers, $....... TROBE Sevens: slur P ic Siete altee el Ler, 12 . Pe , . Folding Chairs, $.... M@OLPAULIM, Sus, «1m «psusts tll Petraes SE rate of Deatix-7, bl Cpl BOR. an)" FO EO ‘. Candelabrum, $.... Candles, $......]J....).0008 date of Birth’ AEA 5S.. Age.F/%..2..26<. Door Spray, $..... Gloves, $....../l.. 0.0}. eee ~ (Mo.) (Dayy Xr.) (¥rs.) (Mos) (Days) . Funeral Car, $.... Ambulance, $..2-../. ..0..]. 00. ervices aby yAt AO = LG AEA eee eee Limousines to Cemetery... ts.. Cire ja ees vs . Meher sift Sp ee ae ae Extra Limousines ...... Ss 1 anne callac'aced olawesed ee, 2 (Address) Autos to R. R. Station. ... 8 5) eis eh lle ee religion of the Deceased. “A420.. eee e cece cccec eee Getting Remains from..........--clleccccecleccece rs , Z pea Taking Remains to.. 2.2.0.. .00. ccc ceullecccccclecewcs sirthpl SU Le ince Sow cs. SelM Eee Slew doe eg ale har cai Trip to Coroner’s Inquest .......... loc ccc cc leee eee Delivering Box to.. .....ccceeceeee celle. c cc lee sees ‘esided in the State“. fs PHAR. voce ass Sess ban (or BY. en or County) (Yeas) (Months) ‘lace of ee , ketand. {freed ng oe ‘ause of D d LH. eee meee ee ee eee SF eo eeeeeresesenese vertifying Physician. . ‘ JA. hat ee is 0 (or C roner) lis Address. Lf. ehikten, ae Seon. ieee Tame of Féther. LET 4p dh NALCHLL . vec ccecceees lis Birthplace. LWQ°Z. occ cc cccccccccceveuce. Taiden Name of Mother“Zy ee.. CMU, vv eccecee. [er Birthplace. Vi EA coat ices th cod deeobe late of Funeral GG ee 42M! (Date) (Day of 7 Week) (Hour) rotor) Remain$ to.. /....ceseessseseceeucuceeuens. ize of Casket( 4tet fMhlathe ooo o coc ccececucececce, (State Color and Number) fanufactured by. G4G~. Cashed Reir-sanis w vied capae te ya Bs snoner MW ER 2, A a een Ll LOGINOW. .niccies « scektee Grave No..+2. 7%..... Section No. Pas Frerelniecie et ee =i Tiana Block No..... ig BEd Diagram of Lot or Vault Owner. .....0e0e00e, Tiscellaneous Deliver Flowers to Removal Charges........ccccceeeceee Procuring Burial Permit........... (State Number and District) ——Certif.Copiesof Death CertificatesNo. (State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel, $ Ce rs seeee ee ey eee eae TT MS ee Ce re er Flowers, $ Palms, $ Matting, $... Rental of Tent, $..of Temporary Vault,$.. Opening of Grave or Tomb......... Lining Grave, $ Lowering Device, $ Outlay for Shipping Charges. ,....... Clergyman, $2 . Singers,$? Organist, A Clergyman i ist, FZ. pi Mont }Tickets, $ plane Service,$ Telegr., Phone, Cable or Radio Charges Cash Advanced ee ee eh AMID, Dees ee ee eee eAUWELITIE JLICVICE, Dw.. ee ce ee ec ee he ee er er rs wee ee te PAVOCID 2c ee eee O18 © 0 ONG Ole SxS eee: 8 iW Sadie S16 His sm wee Swe CoM eres 0 8 bb we Ce Se Cot LETHE HOH CERO TECHS HOD C SC CES ORE Ces eee Coe Sere ee eres ereneeseesesnseseosece a es COMP R SEH C REHOME TET ROO ROHR Oe ee Cee Oe Balance Entered into Ledger, page ed see eee a see wens eeeeee see eee see eee see eee secre see eee er os NV i nannllananss~

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

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

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