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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

RECORD OF FUNERAL Total NO. ses ee be Yearly No. .2727.. Date of Entry. Zereber. od Name of Deceased. bein: 7. bi. Cth Koreeooececoce White KI Marriea OD Single 0 Widowed 1 Divorced Residence: . . Cress Lallepy, Cater Ree ote Weth inte. PT aa tat jira egal cel ee tr Heya , ; OF rth eekdevenrbusseesndeecice ° e us! or e ving’ Charge to:. Yes. st Her. Mlle he eonietee alae 7 Address, . S$ T&L, Wheto Se Ce a as OE SS ee Order given by. “is: Lest beef Rene. Burial Vault or Box . Cle ead. Liner. Ti: . tate Ki: How Secured nie Ya. a a Embalming Body cates ay tke a) wees: as) teens If Veteran, Name of War. MO PROM Cn ok Piers ort eccaed Barber, Pua oan a Uesinis Hair Dressing, $. . a Dressing Body,$... Underwear, $ Iecupation . Lar et TEL. De oe ety iy ees PE 2 Suit or Dress..00..... MEU OF AITORS 66 do. Boss 0k ose ine so eo i (Social Security Numbgy) *., (State Kind and Color) imployer and Address ~S°¢./ f=: Crrif2/a Ptah. Slippers, $.%.. 2. Hose, $c. . 00.000. CH. S, (fie f. Folding Chairs, $.. Tarpaulin, $... Jate of Death. Be it ieee haf “a @. mee Asa Lo ‘*. Candelabrum, $.. Candles, $... Date of Birth eel. Ml, (168 bee. 0 F-2>49. . Door Spray,$.., Gloves, $... , hoy “Daf Wr.) (Yrs) (Mos) Ways) . Fyneral Car, $.. Ambulance, $... services at. Magen) ea HEL Sis ejaleilee ernie teleosts Limousines to Cemetery Ries @ $ ee Slergyman. Kise. & beste. Alig Ea er Extra Limousines ... @$... PB (Address) Autos to R. R. Station. .. Ee religion of the Deceased. . ./7 i Se Getting Remains from......].. [0007 3irthplace : Mec ite. laa Oe detett. pes Taking Remains to wa Bae Tes athe ie ote! giv ca si cle: eive) vb oledlies ale stale Sie « cletace Sz, Trip to Coroner’s Inquest .....11.. . . tesided in the State.. <2. + MEER sol, 6 ate tr, We Delivering Box to wie §on Yat. Cid'ex County, (reend”” Cabs Hee: Sti: Slat rain ae a eg ce ence lace of Death. YES ¢APEA.0. €2.000000 0 Bee OE MONE AD 6. ssa facing ev ee Sl penagall nec thrown. Removal Charges.....000.00400 000 P07! lause of Death. .0¢Zatn yidtier ee eeeccce Procuring Burial Permit. pe : : ; (State Number and District) iit Oapte =. cde ve bes. Culerlfbrd ——Certif.Copiesof Death CertificatesNo._— = Eg ee ee ~ Cen. Ss i -+. Use of Chapel, $.. oe Fad i ak SLEIEL 2 LL Plea Pall Bearer Service, $ Use of Chapel, $ ae > = sf, Gross Total for Sales Tax..... Fi. dk ss Mee cic ertifying Physician. ice a Ae ck CEH ooo. NOS OEM ore oa) Poco Uy". + sag ld! ooh Oc is Add ts. Atrmedt, CFG. Cath Cremation. 65s ons ves Coen con, lgtineluls tianlin aiae wet aig ate Ps a os he WZ Flowers, $.. Palms, $.::: -Matting, $..1)../.. ame of Father.\/o2 2S. Yrs ths. ajale ereMo o/b \sie. s.0i nip Rental of Tent, $.of Temporary Vault,$.//.. me is Birthplace.°S. C2. 7/G04...0. Opening of Grave or Tomb. Clee BT hin 2 RAE 1O€. Lining Grave, $.. Lowering Device,$..\. .. .. laiden Name of Mother. Zz.e2. FLAT os. Outlay for Shipping Charges. ....)) 000 [00077 er birthplace: .. Ss COV Mn. 4 fasty ce Clergyman, @, Singers, $¢ FOrganist, $< AAC. ‘ate of Funeral. Cot. oa ALE. Sec PY y. or Morr }Tickets, Wo steweigtimes plane Service,$..]).0./.0. es (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..]]../.. Sp} Remains to. 50. cceee sees iitrss hen Hh COP CC ROPE » it pees ctv os va-o) foc Be, os ze of Casket. “72 £ oC S¥ée2/ Aaa Out of town Funeral Director’s Meare as I eld a pete . (State Color and Numba 7 TTT Personal Service....... SOM ahs aie ‘anufactured nae ei aese chet Ce. oO eee aot ile #6 8 RS BER 9 ds wens wie ADs wo sae Ged is « Sek metery te ete btn A .line Death Noticesin.. Pape sel cm, OA casey} as Oa ee hy aaa (hieon Sl buat 2 2°20 nL Soe ee oo dae ba PRR SRT aia ha ied eae cia err eee) Crane eae Di waitin ele sae tied nc Ane it mini sa APY 5 Sahn Pid'eare dx yda'g. Wildes Hoc eu deo Midi fe ae Meee i ba ee Filey" OD ING i. 02 0 oi uivbae in he Total Footing of Bill...... 8] ALLS & Tae —— GO RIO es opin Tie stent MO ete ty ae biped calile Scop oe a $ Diagram of Lot or Vault ORI 95 e Ba Finn ah Balance.... Bh sty wh lt sig sls oles ies cieee Ret O Sect S18 el eee aE

RECORD OF FUNERAL Total NO. ses ee be Yearly No.. .2727.... Date of Entry. Zereber. od Name of Deceased.. bein: 7. bi. Cth Koreeooececoce White KI Marriea OD Single 0 Widowed 1 Divorced Residence: . . Cress Lallepy, Cater Ree ote Weth inte. PT aa tat jira egal cel ee tr Heya , ; OF rth eekdevenrbusseesndeecice ° e us! or e ving’ Charge to:. Yes. st Her. Mlle he eonietee alae 7 Address, . S$ T&L, Wheto Se Ce a as OE SS ee Order given by. “is: Lest beef Rene. Burial Vault or Box . Cle ead. Liner.. Ti: . tate Ki: How Secured nie Ya. a a Embalming Body cates ay tke a) wees: as) teens If Veteran, Name of War.. MO PROM Cn ok Piers ort eccaed Barber, Pua oan a Uesinis Hair Dressing, $.. .. a Dressing Body,$..... Underwear, $ Iecupation . Lar et TEL. De oe ety iy ees PE 2 Suit or Dress....00......... MEU OF AITORS 66 do. Boss 0k ose ine so eo i (Social Security Numbgy) *., (State Kind and Color) imployer and Address ~S°¢./ f=: Crrif2/a Ptah.. Slippers, $.%... 2.. Hose, $c.. . 00.000. CH. S, (fie f. Folding Chairs, $.... Tarpaulin, $..... Jate of Death. Be it ieee haf “a @. mee Asa Lo ‘*. Candelabrum, $.... Candles, $...... Date of Birth eel. Ml, (168 bee.. 0 F-2>49. . Door Spray,$...., Gloves, $...... , hoy “Daf Wr.) (Yrs) (Mos) Ways) . Fyneral Car, $.... Ambulance, $..... services at. Magen) ea HEL Sis ejaleilee ernie teleosts Limousines to Cemetery Ries @ $ ee Slergyman. Kise. & beste. Alig Ea er Extra Limousines ...... @$...... PB (Address) Autos to R. R. Station. ... Ee religion of the Deceased. . ./7 i Se Getting Remains from...........]... [0007 3irthplace : Mec ite. laa Oe detett. pes Taking Remains to wa Bae Tes athe ie ote! giv ca si cle: eive) vb oledlies ale stale Sie « cletace Sz, Trip to Coroner’s Inquest ..........11... . .. tesided in the State... <2. + MEER sol, 6 ate tr, We Delivering Box to wie §on Yat. Cid'ex County, (reend”” Cabs Hee: Sti: Slat rain ae a eg ce ence lace of Death. YES ¢APEA.0. €2..000000 0 Bee OE MONE AD 6. ssa facing ev ee Sl penagall nec thrown. Removal Charges.........000..00400 000 P07! lause of Death. .0¢Zatn yidtier ee eeeccce Procuring Burial Permit.. pe : : ; (State Number and District) iit Oapte =. cde ve bes. Culerlfbrd ——Certif.Copiesof Death CertificatesNo._— = Eg ee ee ~ Cen. Ss i -+. Use of Chapel, $... oe Fad i ak SLEIEL 2 LL Plea Pall Bearer Service, $ Use of Chapel, $ ae > = sf, Gross Total for Sales Tax.......... Fi. dk ss Mee cic ertifying Physician. ice a Ae ck CEH ooo. NOS OEM ore oa) Poco Uy". + sag ld! ooh Oc is Add ts. Atrmedt, CFG. Cath Cremation.. 65s ons ves Coen con, lgtineluls tianlin aiae wet aig ate Ps a os he WZ Flowers, $... Palms, $.::: -Matting, $...1)..../... ame of Father.\/o2 2S. Yrs ths. ajale ereMo o/b \sie. s.0i nip Rental of Tent, $..of Temporary Vault,$..//.... me is Birthplace..°S. C2. 7/G04.....0. Opening of Grave or Tomb. Clee BT hin 2 RAE 1O€. Lining Grave, $... Lowering Device,$...\. .... ... laiden Name of Mother. Zz.e2. FLAT os. Outlay for Shipping Charges. ........)) 000 [00077 er birthplace: .... Ss COV Mn. 4 fasty ce Clergyman, @, Singers, $¢ FOrganist, $< AAC. ‘ate of Funeral. Cot. oa ALE.. Sec PY y. or Morr }Tickets, Wo steweigtimes plane Service,$...])..0./.0.. es (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges....]]..../... Sp} Remains to.. 50.. cceee sees iitrss hen Hh COP CC ROPE » it pees ctv os va-o) foc Be, os ze of Casket. “72 £ oC S¥ée2/ Aaa Out of town Funeral Director’s Meare as I eld a pete . (State Color and Numba 7 TTT Personal Service.............. SOM ahs aie ‘anufactured nae ei aese chet Ce. oO eee aot ile #6 8 RS BER 9 ds wens wie ADs wo sae Ged is « Sek metery te ete btn A ..line Death Noticesin... Pape sel cm, OA casey} as Oa ee hy aaa (hieon Sl buat 2 2°20 nL Soe ee oo dae ba PRR SRT aia ha ied eae cia err eee) Crane eae Di waitin ele sae tied nc Ane it mini sa APY 5 Sahn Pid'eare dx yda'g. Wildes Hoc eu deo Midi fe ae Meee i ba ee Filey" OD ING i. 02 0 oi uivbae in he Total Footing of Bill........... 8] ALLS & Tae —— GO RIO es opin Tie stent MO ete ty ae biped calile Scop oe a $ Diagram of Lot or Vault ORI 95 e Ba Finn ah Balance....... Bh sty wh lt sig sls oles ies cieee Ret O Sect S18 el eee aE

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

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

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