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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

NN286
RECORD OF FUNERAL
Date of Entry. Keg a Oe 1 a Total Nos.. sca sxskes Yearly No...9.%...
Name of ee Clin E. oe De Litre Me creas La gies Peer aer) Nar WV en ees ees
ied oO ty, 0 Widowed OO Divorced (What Race)
Residence. . 77. pe bi Z. LL 2 shag i 2 rinse 9 CaS aa! oie gigs sine wis ana we
Ch sas on Si tern. Mig Uf op eyo 2) po re ee of Age of Husband or Wife (if living).. Yea
arge AED PAABS oo v vine e tieies hein evi «
pari Za Yt ¥g ae ZZ. Lip ey ae Funeral (except Re Se ee ee $ PE
Order given by NP. . Ld 4a GOO Se arise Burial Vault or Ba ae ag Chect . £8) 2:
or iniorman'
tate nm
How Secured. . AZO/7 6. eee ccccccccccccuuucceces Embalming Body ... PRR nae en pia Ce
If Veteran, Name of War. MMPY Pelle ale. stainiie steaeaesiehexe A ber, ee a § eae Hair a rita a baile Seat eya © ade aise
ressing Body, $..... nderwear,$...H....leeee
Occupation tale Oe HA BPaS! Wd oo valle, Wu oelay Pound eoma § Foe Md Suit or Dress.. Rae abdidieny A hae uitor Dress.... tik Wicd cag 2 ena es oleae’
Employer and Address SE? bom Cite > an Slippers, $....... PASSES so opty. esr les uate eek
De, . Folding Chairs, $.... Manpaukns Oy ec. =. rule nen se
: AP. Candelabrum, $.... Candles, $.066. . Neosat einliece.
SOS AF Door Spray, $§..... Gloves, $...... ale ee ates
Dé) ld (Mos.)" (Days) . Funeral Car, $.... Ambulance'S . e, silane es
Pe TEES occ cee cees Limousines to Cemetery... Oe Sos Fas oh 0 Mcta deel es
Nt em leains weeds Nem Extra Limousines «...246.@$.0000 0 feo,
(Address) Autos to R. R. Station. ... tier aH does oe hase
Religion of the Deceased........000sesscsnunees. Getting Remains from...........Hee ccc efeees
Hirikiase:, Pe ig I Ve ie Taking Temes te.. 5.. Yew. des i hs cede dk
Trip to Coroner’s Inquest ..........l]....[.0.
Resided in the State. . SE. Piste he Fear asala: alle Kio 2 encreelersr Kees Delivering OREO re eee, cS ee ne Kec tat eS th ,
(or U.S. Sie or ene (Years) (Months) Deli Fl Reg, MICRA Shy a Wate I ae Place of Death. px Gt Be ey LIVER TE AQ WETS COM ciomtes) «motes biel ieee eles SG ea
Peemowal Charges): soo ccs. obs ws s Lecive cle nealfeccn bc.
Cause of Death. Cored: ° Lead bes aen ny aletagnre Procuring Burial Permit. . (State Bs ah “aa District) €>) 4 Bhesg eo aise lag a
Goutintory Cannes WA F.Certif. Copiesof eg Te aa a Beara laches ene cena ee weds nee ant aA coker arian Concent
Pall Bearer Service, $.. Use of Chapel, $... X . e
olsiainsdioheteiaie\arace Metso lal slWhe <Fciaie aiwiguedba hues iiss teacl cberetec owe Ocular Chagtart terkalatin ie 5 ioe &
Certifying Physician... ACs coal (2 Pees Outing dor Lot 2 os io ie ot Ties Sle Fouad Dene ; iG. [versie
La SPONSOR eo 5 4 choise sce Son Daiddone cae sods I
His Address. . tae he eo en a Flowers, $... Palms, $... Matting, $...]]....[..
Name of Father.. .¢. .% FP oe ee “I Rental of Tent, $..of Temporary Vault,$... . ....]..
pplndek. "1 ee vic. RE Pa eat ee. Opening of Grave or Tomb.........l. ....].0His Birthplace ot. Lining Grave, $... Lowering Device, $... }....
Maiden Name of Mother ad CGA Ca KM QA. Outlay for Shipping Charges. ........]]....]..
Her Birthplace. .. OO Fe ie ldoks Thee. Clergyman, $ pis ale ip aN -Organist,$...]).... “tes
{i =—— AeroDate of Funeral. <5: [fin “h. APB 60: Peas M or Motor } Tickets, $26 plane Service,§.../). 7, ae (Date fay of Wee (Hour) Telegr., Phone, Gable or-Radie-Charges.... 1K RE
rithal Remains to. aw ee Al sta Cer Mavanited oo. iia ck seh Be, oooh k poole coe eae
Sink Codkot ole By op s eo. cere 4a TZ. ie! Out of town Funeral Director’s Charges.... . ....
(State Color and Personal Service.......2sccecceececcell...,
Manufactured by OOAA OSE. & oe G Le pie [uareimisetepeipla's\ siioxe acenbee! «41:0 sl pl alwhalaiioye/ersis ces leporess «, 6s wtelclaieite ole Mi liene. 1s
Cemetery
line Death Notices in... Papers....]]....
Pn” i a i Sia ag Ne aE Sb SAILS cu ae. ig Gopal 20a CR, ane ee GMA MUNN Rig MEL Ui 20
= Lot No
(Names of Newspapers)
G e N Nie Ue 6 obo 6 do wie keh TAO OOS © Ow ete. © Fi 8 06.9 86 i Hw SS mo wie BD alala See dele e pw Blais Love « .
. i ‘: SAN VBR. x ciegecu ss atv v0 les Ap ooh dla eve hos LS" \2.$
a re eae Total Footing of Bill.......0.20 005. 3. 2LK . 5%
1 naa Block No..... tt amore APE ee ye ee eee OY ey ae oe $
Dicgrarn Of Letes Vaut TO VOTIOE Sas: Tacs abies Soe ee oe. Giliteos ee ae
WL CANONOOUER: fof 5d)5 N's dnad Low onc cidb bet ea tawad es wl Entered into Ledger, page... or below
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