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

Name of eiisrnate Bona CL dttl. Ze. Charge to: . Place of Dea Gemeter:esidence Sf Aeeete . Le pt GO. oe ceccecee ( ne z Sige ids Cause of Death Aerie. Meh, Cremato: wee RECORD OF FUNERAL . eiscaehys Yearly No. ZK, Married OO Single KT Widowed (8usband[_]Wifel_]Widow i Sena She Sei 8 B) 8 4) e Se le's 6210's ele 6) 6616 eleiare « Address. 7 Order given by. . POLAEE. [. CL LLY. ss. How S CE ae eivle welts als ere eels we ees If Veteran, Name of War Ab. civ ios lenapee-nieks arevs cto mtenel okelece ° en ear” S Occupation. L@hMeZe.. (bbe hipantige 3. i Employer and Address .... cece ee ecececeees Date of Deat bef. FILET. ILE AM. Date of B LA LES SEK, Mae @.20. 2£. -) hay Wr.) (Yrs.) (Mos.) (Days) Services a7? OMIA LE a 6 6 a Sao s vdvene sas Clergyman 7.7. tte he «pales Wee # algae ill kneel (Address) Religion of the Deceased. PF a ae de or Gity or County) (Years) (Months) Cth. PLP osu tins eee ee eee eee COOP CH OOOH CES OBOE HE eproecsrresreersecerereeesseeeseseoer Certifying Physici oy ti (isnt ft. ty (or Coroner) _ Bis Address eet. . C2, ae a Pad Date of Fune Utd Lilie! 24, (B22. LIL! Motor (Date) (Day of Week) (Hour) Ship } Remains to .4. 0. ccc cp cece ce cecsccececcecs Size of Caskete4Z2. AL. Lea Ler ~ glean iayy Manufactured by: : Leb Lind Ehamatid + Whit ee, —— Diagram of Miscellaneous oo LC ry ae Lot or Vault Owner oe: Lawesinsle Gece oh OES SFP SH 80 A_ © SIRS 6 lenalo owe @ Cagle @.e16/— eS Sleserete tere 6 Complete Funeral (except outlays)... $ ge Burial Vault or Box ere ees eoececesscee ee es er cese (Name of Embalmer) Barber, $... Hair Dressing, $.. ? ? Dressing Body, $... Underwear,$.. Suit or Dress O56 4 010 $08! Dime 210 67616 O10 b 6 6% 6 6 Sele © So 00 Slippers, $.... Hose, $.... Folding Chairs, $.. Tarpaulin, $... Candelabrum, $.. Candles, $... Door Spray, $... Gloves, $... Funeral Car, $.. Ambulance, $.. raure Limousines to Cemetery .. COSA A as Extra Limousines ... @$ Autos to R. R. Station. .. @$... Getting Remains from...... Taking Remains to Ce Trip to Coroner’s Inquest ..... Delivering Box to.. 0. ccc eee cece eee Deliver Flowers to... 0 ccc ccccceccceee eee e ere meee eee rere reese sone (State Number and District) Z.Certif -Copiesof Death CertificatesNo.____—_. (State Physician’s or Coroner's) Pall Bearer Service, $. Use of Chapel, $ ee eae Gross Total for Sales Tax..... $i Outlay for Ss ae Seely feds leis ace flats soe ee oak: Zee esi co ae ie ee Flowers, $.. Palms, $:::::Matting, $.. Rental of Tent, $. . .of Temporary Vault,$. Opening of Grave or Tomb..... Lining Grave, $.. Lowering Device, $ Outlay for Shipping Charges. Railroad . m: A . Reva, } Tickets, $.. plano Service,$.. Telegr., Phone, Cable or Radio Charges Cash Advanced. 2.0. ccc cee ccccceceecee Out of town Funeral Director’s Charges ee ee eee Pergonal Service. .. 0. cep ees e cece cece Cage, t batllat. a ve -lin th Notices in Papers eee e ee RAaAVElys . cc eeee POSES RUMEN ELS 96) e A N56 6 oe ele ele SS bs © & 84 6 oe 6 ae oo lee 9 FiOS DR 98 OF Oe sas nlic ig ow Lave! 66 Os 6) 90% ‘Oreos weld es Som ee AGS SSNS OO Rie Bie 056 @ O10) Bele: Se Ole ete, ne ce bum we coll» of wile SCHOO He SEO CETE RAH eC ee Ce Desc eeeia et ee eae rs eee eee a a sees se eee seer se eee se eee se eee see ee see ewes eseece se eees a Entered into Ledger, page.. or below.

Name of eiisrnate Bona CL dttl. Ze. Charge to: . Place of Dea Gemeter:esidence Sf Aeeete . Le pt GO. oe ceccecee ( ne z Sige ids Cause of Death Aerie. Meh, Cremato: wee RECORD OF FUNERAL . eiscaehys Yearly No.. ZK, Married OO Single KT Widowed (8usband[_]Wifel_]Widow i Sena She Sei 8 B) 8 4) e Se le's 6210's ele 6) 6616 eleiare « Address. 7 Order given by. . POLAEE. [. CL LLY. ss. How S CE ae eivle welts als ere eels we ees If Veteran, Name of War Ab. civ ios lenapee-nieks arevs cto mtenel okelece ° en ear” S Occupation. L@hMeZe.... (bbe hipantige 3. i Employer and Address ........ cece ee ecececeees Date of Deat bef. FILET. ILE AM. Date of B LA LES SEK, Mae @.20. 2£. -) hay Wr.) (Yrs.) (Mos.) (Days) Services a7? OMIA LE a 6 6 a Sao s vdvene sas Clergyman 7.7. tte he «pales Wee # algae ill kneel (Address) Religion of the Deceased. PF a ae de or Gity or County) (Years) (Months) Cth. PLP osu tins eee ee eee eee COOP CH OOOH CES OBOE HE eproecsrresreersecerereeesseeeseseoer Certifying Physici oy ti (isnt ft. ty (or Coroner) _ Bis Address eet. . C2, ae a Pad Date of Fune Utd Lilie! 24, (B22. LIL! Motor (Date) (Day of Week) (Hour) Ship } Remains to ..4.. 0.. ccc cp cece ce cecsccececcecs Size of Caskete4Z2. AL. Lea Ler ~ glean iayy Manufactured by: : Leb Lind Ehamatid + Whit ee, —— Diagram of Miscellaneous oo LC ry ae Lot or Vault Owner oe: Lawesinsle Gece oh OES SFP SH 80 A_ © SIRS 6 lenalo owe @ Cagle @.e16/— eS Sleserete tere 6 Complete Funeral (except outlays)...... $ ge Burial Vault or Box ere ees eoececesscee ee es er cese (Name of Embalmer) Barber, $...... Hair Dressing, $.... ? ? Dressing Body, $..... Underwear,$... Suit or Dress O56 4 010 $08! Dime 210 67616 O10 b 6 6% 6 6 Sele © So 00 Slippers, $....... Hose, $....... Folding Chairs, $.... Tarpaulin, $..... Candelabrum, $.... Candles, $......

Door Spray, $..... Gloves, $...... Funeral Car, $.... Ambulance, $... raure Limousines to Cemetery ... COSA A as Extra Limousines ...... @$ Autos to R. R. Station. ... @$...... Getting Remains from........... Taking Remains to Ce Trip to Coroner’s Inquest .......... Delivering Box to.... 0.. ccc eee cece eee Deliver Flowers to..... 0 ccc ccccceccceee eee e ere meee eee rere reese sone (State Number and District) Z.Certif -Copiesof Death CertificatesNo.____—_. (State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel, $ ee eae Gross Total for Sales Tax.......... $i Outlay for Ss ae Seely feds leis ace flats soe ee oak: Zee esi co ae ie ee Flowers, $... Palms, $:::::Matting, $... Rental of Tent, $. . .of Temporary Vault,$.. Opening of Grave or Tomb......... Lining Grave, $... Lowering Device, $ Outlay for Shipping Charges. Railroad . m: A . Reva, } Tickets, $.... plano Service,$... Telegr., Phone, Cable or Radio Charges Cash Advanced.. 2.0.. ccc cee ccccceceecee Out of town Funeral Director’s Charges ee ee eee Pergonal Service. .... 0.. cep ees e cece cece Cage, t batllat. a ve -lin th Notices in Papers eee e ee RAaAVElys . cc eeee POSES RUMEN ELS 96) e A N56 6 oe ele ele SS bs © & 84 6 oe 6 ae oo lee 9 FiOS DR 98 OF Oe sas nlic ig ow Lave! 66 Os 6) 90% ‘Oreos weld es Som ee AGS SSNS OO Rie Bie 056 @ O10) Bele: Se Ole ete, ne ce bum we coll» of wile SCHOO He SEO CETE RAH eC ee Ce Desc eeeia et ee eae rs eee eee a a sees se eee seer se eee se eee se eee see ee see ewes eseece se eees a Entered into Ledger, page... or below.