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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 079280 tal NOs). solos atlases _ Yearly No.. . ee Date of Entry.. . “ft ee 19.4 Name of Deceased. Mhethasig & Bude, Sy, Be 5 Sea ciel a ec CA MAMEL ae (CO Married O si [MX Widowed CD Divorced (What Race) Residence PAF ha ya SH. Caos. sie a te ik Decl tenes s rsh Ui aie sian oat : ; WSs en ° Age of Husband or Wife (if living).......... Y Charge Mi Be £ LA fed. Seer IS LTB 7 = Address. “LAS.. e . Cte. fA ob: SF Olod eo, — Sa Ro la a $ eee . ae ol SMBUS. coe Bi rinchar sale « o.4 ac oghes's We in lee BTS en) oe a Order given by. Mall? dé. ON. aie Wiel «a Burial Vault or Box .. A Vael?.. PSS. . OP or igforman: State Kind Cee ena 2 aie Saline Pa, WS) Embalming Body ... Sen vegeoe-esseesfeseees hi If Veteran, Name of War.. eet ie ae ch ie a r =o) Ta Hair cs tt i 2 ae fe. Wa : : 7 ressing Body, $.... nderwear,$.a..H... ar Occupation AML F404 Had . RK = Fo8 BE. fe a. Suit or Dress.. wat Wase-(Ke/ee » eee cA es ate Kind an or Biployer and Address. ovis ices cede. ee ages ogee Slippers, $0.) ime a nee Dh Hose, $.....0008. Pile waibehso : $f (£60 Folding Chairs, $.... MD ATs UT, Serene sin depo alles ate ed Pati Date of Daattien: > Bay) Gan Candelabrum, $.... Camis; So i5. oes wads oes eis Date of Birth. Hz, 7. x Ms ZaAge LOT _. Door ear RAR pss Gloves, $.....0:f.neeeeat ; i y z _ os.) ays) . Funeral Car, $.... AMD UlANCER Ss oko fas lela bores CA Services at Ces LA A LE. 3 ye see beeeee Limousines to Cemetery.. . WE oe So ras Sow hae oan ree Clergyman.¢.2%. i bande ACI ie on Extra Limousines ...... GD ary pesiiiteres’ ee re f = (Address) Autos to R. R. Station. ... OBA es SOS vine re Religion of the Deceased. ....+-+++ sseeeeeeeeer eres Getting Remains from.........0--s. [eceeeee as , hy vA ( Taking Remains to Birthplace 6.24 7QUMC A. icc ce cece ene e eee on jai rae ame es * rip to Coroner’s Inquest .......-.-]]..ee ee oad Resided in the State. . he 4 ter Rec homrtror to Fare Rate, roE Delivering Box to i prac cat TRIER ge eke acre Pi CeCe rh eA ait Me arin aie ra, Ve Place of Death. ML LCE AOLERL rode at Deliver Flowers t0....cccececeeeeeeeeeee. eceeues Crk j MeMOVAL CELLOS. ois) .low ol bc nn sewers oa clclencece. lUmeee ones : Cause of Death. Lovaaarg. Beer ase hr-o-nerocuring Burial Permit. 3.. ss eocisefeeccess as Contributory Causesie 6. (ces oie.b sis wie Seietelele aie'areferers's 564 —LCertit.Copiesof say pe So an el a 1 En) 2.8 eeoee rere eer ee eee esseeseeeeereeseeeseeeeseeeeeeeeeesrev eres Pall aga Servite; $ a oa ue ag Chapel, + oe ae i me os : Gross Total for Sales Tax......seeeeeee . Pe Certifying Physician.S./. Mekal teeeeee eee e eens Outlay for Lot. ME eee het i. alee Meee, SANs , Sin Raddiae noe eee een, Cae = lle cide Cremation. .. ,, eecwmetosesreveeeses ptleason $98, sab mates a ed oe of 7 YA 4 Flowers, SASS “Palms, $... Matting, $... ASAE Name of Father. LK é fe. ne ee Ake ES A Rental of Tent, $..of an, Vist Bo ate. colt odes His Birthplace... £2. LOM oo eeceveveeeeeeseee is ia Noha egg cal AL i AS. PF : rl : ning Grave, $... wering Device,\$ ... . ....J.5. Maiden Name of Mother. lea Accaeite Ad -.-. Outlay for Shipping Charges, ,,.....+: perlless ese: see Her Birthplace.. XWAS C02 HE veccseceseeeees Clergyman,$.. . Singers, «Organist, $5.—-}).?. . 5 Date of Funeral wSGyeO.2. Fike.. AL COM] Motor} Tickets, $...--. aaa pai . ele i cas (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... }...iste age" } Remains G6 pais eee seen spate ee sare odio ee deo 6s] REM AOVENCER, caiee cei ee een deen eee se ecole alae nope os Size of Casket 37.7.2. ee wn Ze CK. Lowerle Vengo ia Director’s Charges.... . .... ss / tate Color and Number) fo. ELSOMAL DETVICE. «1s eee eee reece eee cree eee eine eg dees Manufactured i a seal oer Ma rks re tee eee denwrevens ec eiic oss ZS os ..-line Death Notices in... Papers ion. ce calls oeie «os ies co UR OP) gare nen Rai ars lama ne pain pi. ate t ise tae el ae ee ae serene gilt be tat? aad aac! a Grave No. == ~. ce ew cecal LESTEESE ESET Ee Cee e cent ee neee sense teenes + gorpaly” ae 2 MICRON a. io nn vias cae dain wels\s slew iers.s Hae shy Pasar fon INO. Aes cen : Total Footing of Bill......0.e.ee ee: WIA CAW A ey "ar ear Block No....-: ioe Pal LCCAS , Se ov) etic ao oMtlsie o bak wes oll oa! eid weuly «ee s. Diagram of Lot or Vault OWNER «bic cscs s Reem as ok Balance.. .c sce patu $ Le ee ois. WEBGOISNCOUS: OOF frieie a vita y sigehce te occa OR oteuekarel whee baMere abo Entered into Ledger, page... or below. Ni inAanlannanne