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Collection: Original Records > Death Records

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

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— 000284 RECORD OF FUNERAL Yearly No.. EE.. Es ( Married JE Single ; oO Widowed _ esidence.< tor . —— 2 CthAttcA. a itn; a Date of Entry. ~S 34.20weeSue 19f2 0 Dj¥orced SI Cf. ce aod opera Se alltaate ge (What Race) SOB. a ie a Cee te aye CSW SUGL OMS LOCOTSSIS: @ O26 ele le © bm © Sit erareerele me ae eee of ee Age of Husband or Wife (if living)....000.0.000.. Years oar : ate) =“ "y mana 5. oie dillyaera aesec . asia. Pi sOlae lve Acaged 22a?ae alai. Z ae gs a ee ae an us F7Z. .2.2. Irder given re s% CARE. orinforman a er weet eee eeees Burial Vault or Box C277.4: he 2 ETN KSIO x low Secured . Fa ne e. << cee eee . S/F Coie © # gle » S$ ciets Rieke © 6) aie ‘ wa V2 Yecupation 77 4 .7AS A.bPEL. <2. _Y Ses z. & Kin . AI CY EE AR ee Barer Bos os ase via se Hair Dressing, $..... ]....J.seee eee te f Veteran, Name of War.. 42Prd, eet (State Embalming Body ERSTE #8 (Name of Embalmer) PEE TT Dressing Body, $..... Underwear, $...J)....). 0.00. da Sit Gr TET ian ot cane sing odes Hele cise tae ahy oh orsabenedas oy a (State Kind and Color) Imployer and Address bit A Sede DsaH.Does 02: Somers: agave. oleisielerellae Hose, $ Sal edhe Sualax babar nal fh a ol mel Meccan ite jute ot Death CLL G60 a! Le Fh Folding Chairs, $.... PESTO80 oie, 6 5:0ldolela loess nschlateraeters = (Mo) (Day) (¥r) (Hour) Candelabrum, $.... Candles en os We etal (ea eiee ss . fortes Yate of Birth 3 AE? Age om. “<a os oF_. DoorSpray, i peek ites Se das eS a ce AS, 77 _ Mo). > Cr, ts.) (Mos.) ays) . Fune APE Dieta lal. LATICO ND core ale alfe eee ote ss 9.5 ervices at Siteiva asswpe eee cece seen eens Limousines to Cemetery... De ee eran anths weaiade wu emecs Mergyman. .24. vodOk. Cou ae Extra Limousines ...... OS eo Pee ali oa Be Se La rowed _ (Address) Autos to R. R. Station. ... Ob ee ell ac leaniettletorsere teligion of the Deceased 2.22 ALC. eee cece cece cess Getting Remains from. .....:.cscceccecieccecscfece ces siréhplacé) Az AYA:Leen ee ae eens Ge Takitio Remains to. . ¢. d.c os 0c buvu «meds nnle cllalele eates. eoes 9 Trip to Coroner's THQUeS ed'sia ke tacos cpiew, call lg veils [Ree ote resided in the State. SPSS. LE..eee eee Delivering Bow to. .5.8. o6 iene cde cao Fo Heser vc chales ce em U.§ City or County) (Years) (Months) D li Fl ‘Me ar Dan ee pcx le. 1% eliver Flowers t0.....ceeeeceeeeceeeeeel cc cucufeceeee Mera vel Garces sche che wraa wie als cus sie soslarcltt o cl[ ities Baa ledhwe tere ‘ause of Death’2-H CACY. Pbates/a,..\ Procuring Burial Permit.......... Ho.. s. eeeees 7 ae if. Copiesof Yontributory Causes. EE. CAOS:LIMECETL ES. ACertif.Copieso Death CertificatesNo. o. a2.Q ay
gy tr sky a dense proach MMULEAN LE IEE cose Winans ee sence . ross Total for Sales Tax.........-$i1.0.../..00 etitying Physician ZT HE, Oe.ALE Z Gitte lob os, kde Pe Tis Address .: Ma, gh CA / Le Ae yAeo CO PEMALON y+ ee te Clie ccs ok settee eee ee lene ees . : YE. Flowers, $... Palms, $.::.Matting, $...]]....]. 000. Jame of Father’) ICL). COL ch. FA. cgaiaona: orale Rental of Tent, $..of Tempo Vaal, Bo. cclleares wale daa s lis Birthplace LL. Baca a Ma . __ . Opening of Grave or Tombe. ¢.44-£47.7.... . . PSTID Zz te > °° if : Lining Grave, $... Lowering Deviee, $.../]....)..6 Vlaiden Name of Mother. 7% cepeso Ged sy . Outlay for Shipping Charges. ,.......ig pile oe nae] oo 8 Jers Birth ylace ABM te eee OP 2 CAT. Syne gh Uroke apenas: aro « See ta Clergyman, $22 2 Singers,$< Organist, $59 <A. 72.1 ZA. Railron : ay ; ae LE Le, Lt, albens. , 0 Motor}Tickets, 8.0.. plane BEPVIOGS Ss. lle case clewcices Date of Funeral. oo ? (Dai (Day-4f Week) (Hour) Telegr., Phone, Cable or Radio Charges..... )...cJeeeeee a Revising tO), Fo Fences be ee veces ewer aes. Cam AOVATIOORS 25 onaks vers biwecee hs ceca s ches. obehves ows Size of Casket. 42? 4. hb bee ba Lear of town Funeral Director’s Charges.... /....[--.00 (State Color rs ersonal § VICE. Manufactured by LELEE“es Semete é Semaueet : .,, -line Edie cide Bil 0S oH Th Te Si Death Bit tA TOEONTO satis ere reull a Sees a ater af ane, Sec etn GIR res Ni i Balanced < bcelatel a SU, CTIGUS = pUicawie #oe grat fe —— Notices in... IPANVGIS hac. co clever seta shreds 3 MMMM I vic ods ese ba caeeni KENZA (Names of Newspapers) eee ME ne Se ae enc, de RUM TB Tel ole: Su © Where Jae © 6.0)ishf esas: shin ete 918) 5S 78 0 0) 6 +n steilhim Che! lal8 Wael] eels. © Sie Sales Ds ee eM Cee, era oa ag ee aah adage Mae Total Footing of Bill......-.+s0eeeee3 Zs 7.72. Block No...+2+ess.+, eee tog, Cana. ce bce $ I Diagram of Lot or Vault Miscellaneous a eee eee e eee e eee ee ees Mec eeeccfecsees bet eg. a !bat easPOMS 5 Py ta cans coe APSA. Owner eee ee Ce eee eee ee ee ee eee eee eee B alance ee Entered into Ledger, page 2 eed a or below $ reese eieesilesetelarals