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Collection: Original Records > Death Records

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

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KECUOKD OF FUNERAL tal No......00. Yearly No. 4I37... Date of Entry.. iia ere igeeae me of Deceased...b.4Z¢02.. Fad : SALE cEk alse Ile Ws > #10 0.» aie ileus a vie UPlbis dias eieide o au C Single oO Widowed C) Divorced bib Race) sidence PG ; Petes Dis SUI le gable ona oe eee LEH, et LAA? a ae ee A ee of Age of Husband or Wife (if living).. eee Years airge t co ay Cas cle sites. C ia ws t outlays) 5 omplete Funeral (except outlays)...... tress, 2 2. CX. ACEC). y ¢ Malley. Ci. , Za, pecaeey : ; Casket .°& ~leepeese/ 0..) GE FEA OP. . ler given b StZ-A Pd = : A a Se Burial Vault or Bo: Scaange Kens. ... ). xo 02.. orinforman (State Kin Embal TOOT age Bev ol se’ won c's Hea aeha theres W Se Sy os: al Seosererere Hee Re «6 ornbicoeR tetcvas'on! oe i ody jpn En r _N f W. 4 Bice eat cox « SER arber, $...... air Dressing; $....]/..../..08 serene ot Wan Dressing Body,$..... renis By eie sche Heeal ates stollbh care es upation . FZCIRRAECEA oo (Social Security Namen’ . SUit or-Dress 3 HAAG Fe 7 agrees ea Be Wap AAAs: ployer and Address ....000 0.. cece cc ceeeeeeen. Slippers, $....... FROGS 5 a gee hes va cc clececce Folding Chairs, $.... Tarraaite NER go ees . re ae ot Death Mlle. FLIP E. A sie 72. fe gh ‘. Candelabrum, $.... Candles, $......]1..../... e of Birthy“n. ZK LIAS eR °F3. .»%..<47.. Door Spray, $..... i es . ain hr am (Mlo.) (Day) ~) (¥s.) (Yrs) Mos.) (Days) Funeral Car, $.... Ambulance, $. 2. ec. . sakes seo rices at eh, ABATE cece Limousines to Cemetery.. . DS. 5. cise aleccacccle cocee ttt. Extra Limousines ...... COD oid tus snalle ae ad aleews we ee arg ia _—_ (Address ©" """*"** Autos to R. R. Station. ... WB Soi CO iy calles beace gion gf she Deceased Za ee s/s gree «= + «Mbvis d+ courses ous Getting Remains from............ . .... ... . hpla Valo ACHMEL ove cvecccceecee cece. Taking Remains to.............]....1... uses hg. Trip to Coroner’s Inquest ..........]....]... ded in the State, 77. Zettel.. Delivering Box to...........0..1... . .. (or YS. or City or County) — ears) (Months) f Dea. Deliver Flowers to.......0.ccceeeeeeall.. Le. “in : yo a **""". Removal Charges.......00.c000000010 0 Lo se of Death Z ‘Aedgddca... Procuring Burial Permit.... De Eled bape <tecas lM s sio ss te ee’ . s Certif.Copiesof Death CertificateaNo. tributo auses Lttelee: Mel: Biwe? Nekeroeek cuban a ; Gite Pagidas'ece Gare eee Pall Bearer Service, $.. Use of Chapel, $... <0 40 Sus lye Meas a alnlegrs dips 9.4% ee Wits « 00a x cols cice Os Gross Total for Sales Tax...., ss , a a ifying Physic n Alp bcek. Ll. fa Outlay for Lot Z. kttwaaatrcd by LAE NZALIA?. i tye PERO so i Ben Vote veka ck vo vig on be eg culls oe, . hohe g Hed ae 4 Cex. Flowers, $... Palms, $... Matting; $...]..../... 1e of F; Rental of Tent, $..of Temporary Vault,$../. .... priate Opening of Grave or Tomb......... r 251GA. f Birthplac Leathe: . Lining Grave, $... Lowering Device, $... . .... ... ‘ sens Matis aoe : Lines) Outlay for Shipping Charges........,.] . . . . ees Birthplace. poe ne Ratios Vet : A Singers,$. . : os mnaeagee ee iy een l ; Z, hx. Cs Zs LM. or Motor f +iCKeUS, d.... plane PETVICE, Dp.. lee eee niciere (Date) ( Ate. (our) Telegr., Phone, Cable or Radio Charges..../1....J... . ‘} Remains to.. 0.. . eee epee cece cecececcccee. Cash Advanced.........c.cccceeeeall od.. z of Casket ZZ, 2. , 0 hes a ee Out of town Funeral Director’s Charges....]]..../... ‘ Number) Personal Service.........0.c00cce0cf . . sae by. as Mips OF dh oa gah ne ih pepe p ee L e Dea ovlces In...Papers.... . ,...]... Baas lok at aler reas res Maes Pea thie ee (Names of News: rs LES NGiecie ss Pe . ee a ae = hae i misid SASS) ane 4 easieienall anoles ehae ae ee en eee Seles Tar bebe SeCeceeseewseece . al otras Total Footing of Bill....2....... Sia KONO = a Block No..... ial UO Ott = ee eae ee a a Ple $ Diagram of Lot or Vault Owner. .....ee cess, ' Balance....... Gilg isismcearls. xs s-ais in ee Cs ae ae She into Ledger, page... or below SUBS *17S F 0:9. 4] 0. 36ho: tehetererensts: Obie sais © aupialoue ele io cater. Miscellaneous.