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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

— 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
$
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