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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 — Total NOs sis0 005.0000 v0 Yearly No...07.4%... Date of Entry. Sule, 7, tee daeatsater Le 19 2: Name of Deceased. Agrira/...L... rele Pee eee ete tem lai ou, Hotty ‘tale Ke ie JM Married CO Single 1 Widowed (1 Divorced (What Race) Residence: . ba exad.% Lhe. Ln Relajhe pets Cisarer ee Tot ees OR ae ae Charge to: = VEC Mae; Ben tee a eee ‘Rae ie " Mt a VA Complete Funeral (except outlays)...... $ Address. . Z.s7. LE BAO OKT. hitind Pr. L.b:. Casket AGO 22 Order given by. 4n. Leia az, Hag. om Onn bee cree cece Burial Vault or Box . La ” Cogn. ae LALO. . .. ENA.2 or iniorman tate bal How Secured: :.. jr in ee Bo A eS A Cos oe Embalming Body ss eee Gx a 5 eee Dre Sita TAL Ske 6s ceumiiial janie te! oils (s)he Sie aie If Veteran, Name of War.. 422.. oe cece cccccccecee Barker, Bogs oils. ols Hair Dressing, $023. .<. . , oc<++ fe. s 0s re . Dressing Body, $...,..Underwear, $5eX. . . . es A422, Occupation. y4 LteDLt?. Rh AE! Wercedidatcen ee Res ‘. Suit or Dress .4*~4¢.7 hea. les fete. (Sente Laolal, .AA.92. Employer and Address KUEN Ah Lt Pe. Tite: Co Slippers, $....... LOGE ay oes elt ts gis atelier wie) ath eee SO Folding Chairs, $.... SDAPPAULUN, Ep oe py sate . . S. [eee ate ot ae ee fit, i G ibn. vr) ‘i ee El ‘. Candelabrum, $... Pega Bilicey no yn eal ote 5 wth: ot ofa atte Date of Birth. fet! 7 4A. Hk.. Age. F#-~w~7Z,.. Door Spray, $..... OVER sire ici te oe as Hae eh he ee ls CB) Bn Ci) Glos) (aye) . Muneral Car, 3.. .2)5 Ambulance, $...... c..ac]ee.ee Services at. as ee MeN Pe 6 racle RUN es Limousines to Cemetery... GDB Sots inid'e Suse wea IEEE Clergyman. $93. ee eee i Extra Limousines ...... A Bins Sd oasis ap ee ewe ue i 4. af. (Address) Autos to R. R. Station. ... GQioas tae eR eeml eee Heligion of the Decended. ji.. dogs te ee ape leks Getting Remains from.. eee ee alles ce elewoen Birthplace Le we 4. ur at ee ee tee Taking Remains OEE ata idp ox Ma ice syle Fiabe (Gaeeeed oer f mA . ‘Trip Go Coroner's. luguéet oo. Se ee eo lea ews oe Resided in the State.. .a7f. 7. eA tl eta to ote Delivering Box to. 044 05 ccc eg leta se sed se tullie tot. dum ees (or U.S. or City or County) (Years) (Months) D a Fl t Place of Death.. 22 A elas ak, elo Ope): GUINEDAL OWENS bO". Me dlaneals. scatter Midis s.s)aseac <lfteta de clas B@DIOVAL DATOS o'ek o's tin ve) oa dis davww nollede van Jlpelewe Cause of Death. Hem ALT hag e-, ~S e@-e-.. Procuring Burial Permit... TE ng i Oe Te oh! ata Contributory Causes. Aer eile Qk. se SORA: pare ae oF ac, ae Pa Mas be.. Nake. pe, sf Ad. Libspes. iis saad oh aie 5 yy Ss crexeGoap, . C8088 Total for Sales Tax....0....25.5 BGs a sie tte ge Certifying PhysicianwWacg-e<. 1 Jes FP eACe: . Outlay for Lot.orned alaed.¥ a0. CK . za e. ae eee Sete pata Ci, ee OMEN gc kk elt ie « <ceeteesS dhe oe SN eee ZA vei Flowers, $... Palms, $.::::Matting,$...l].... ... Name of Father. MEL Ce ee ae 4 a Rental of Tent, $..of Rideaiciaier Vault, Pie calls bce cgied® eeiare His Birthplace. . a>" Ye ENS eG dS ohn sp oc weal Opening of Grave or Tomb.¥.Cdasz« ng, sedi ae -wAS . 25 foe Zz Lining Grave, $... Lowering Device,’$ ...]. .... ... Maiden Name of Mother. CL SB bea: <r. & SAGES. &.. Outlay for Shipping Charges........./....}... Her birthplace: L/L. Zoicseccsssseeeeeseeeeesee. sare ek ie le eo ge te Date-ot Func. Kise LE, LILO.. 22?! .2o.P.y. or MotorfTicke 5 MP yeadeln as. are plane 5ervice,$...])....[... the (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges....]. .... ..-. Ship Fe UCC eas, ceive etdeiaiw 0 Uren ecb die ia alte Mate i laes CAB RCN BRC ails Bla gsc Tyee Pewee athens ee ee Size of Casket. 2/7. XK, fe Ter. = lloros sa a {Peron Serie Director’s Charges.... Eee eee tate lor. i as SO)_€. SO 8 SpOre' 66 e: 6 2 8 6016 Gere e Sele eS) alba «. ¢: die Ziadie» © ele Manufactured by. . won ae ee ae pone a? Ss Pes spine tag ae 866 aie Siativieg. + + Alda) . oe Hist wlein ee] ache Bs ees Yee eels, ae taolal . . cc esl ai Li aie» ama omamick, 2 ge Sea Or IBN eevvreceessreee. oeeeceene Set ah sgemndael a aim Sele (ein eas Ct @ No... Bats er NN aa olay wien ete eM eS Sreedad oo 04 Breddin'e «il LL, Wan Moen We cee ' A ae 7S Da ee Ean ee £24 £0 pes i a Total Footing of Bill......... 00. $. . Z2ALFO. a BADE ND a “fae Te 1 SC Sy Hs Bae Wen OO Aeon le $ Diagram of Lotor Vault NO sore wage acme Belarc ce. pig ae Lee PaReM ROOM nF ces clas ncis a» Sy os citi g.d MIL as Entered into Ledger, page... or below