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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL Date of Entry.. pee Ss as Ze / Complete Fun (except outlays)...... $ rt mn hf ° (Lp.. cntet I cesonagy aemKe ee FCF OO jer given ie PARTICLE cee Burial Vault or Box 5 PIER hte LFRO.. (or informant) (State Kind) OEE ee i ee a a Embalming Body ....--.ssececceeeeeechec cece. see eee (Name of Embalmer) ress HE of War AZ.. occ eccceceecce eee e ee. Barber, $...... Hair Dressing, $....]]....)... ve a a ‘ Dressing Body, $..... Underwear,$...]}..../... supation 4% ee Peete ene ee aaa tenet sense es NGO TI oe. oars aly scene vptniee Cele ds v.salle care diesels cloters —— (Social Secuiy’ Namen” ". Suit or Dress (State Kind and Color) ployer and Address ...... 0.00 cece ce eeeeee Bie Slippers, $....... 1 eo eee ee eee RO 2 = Folding Chairs, $.... Darpaulin, $. o.oo. dalle. ocecslecendc a ? te of D cath Lat. 4a Pooh aa an) Aa: ; A Candelabrum, $.... Candles, $......1..../... te of ey CAE. JES ‘Age. rng a. 23. Door eo 3 Dae vail + Pi abie cn ote HORE AR eo Fa (ay) (Wr) m) ¢ a Funeral Car, $.... MDUIANCE, Sc Fs or Hr. cee Nee kw vices ire . Chesed. ‘. Limousines to Cemetery..::@$...... . ....]... A aw Extra Limousines ...... CS ted Sn Fe oN gs derex:doe foreakaee-s syman Me. fp yp (Bddzess) Autos to R. R. Station. ... Se eee! ee igion of the Deceased. Ch orLer. oo. cece eee Getting Remains from...........l]..../... : Taking Remains to........ cece cee ccllecceccclececes <i oe oy 2, ee ” Gaee: n omg Trip to Coroner’s Inquest ..........l1. 0.. lec ee ee ided in the Co 3. arly ar es . “(Years) . i (nton ths) * ak esi Sey WEE STE whe eb Bika 6 Zl bu e wudlene © MM ods isla k eale ole ce oO f Death. , “ae. y Pe: Se oe Stee Tecan: CAG ce SLO RIES wie le Siviglia 60 se Srers fle w Sie aie eiie.8 Wee: © Cees ese esr eeeerersccereiivescecssiereces tate Number and District) E ——Certif.Copiesof Death CertificatesNT 0. itributory Causes ee (State Physician’s or Coroner’s) Pall Bearer Service, $.. Use of Chapel, $ Removal Charges....... Mapesietreeleestein Jiao dee . taeleke> ise of Dea scum s? EB Se ital Procuring Burial Permit ee ee) POMC SHO REC SHORE MMC HAMPER ECC O Doe RO OOS EMC Cee OSS ee Gross Total for Sales Tax 5c ea fs . ee. Pils viet tte tifying Bcc Le aes Ah: Outlay for Lot.....0 pe BGM «658 Wat kc Sela cs cde Sok Deb oll. od acte Address. Flowers, $... Palms, $.::.Matting, $.../. ....]... ne of Father Rental of Tent, $. . .of Temporary Vault,$../.... Ac Foe Birthplace Opening of Grave or Tomb......... . AP 2.. eget lm Men en Pn ee ena Lining Grave, $... Lowering Device, $...]].... ... den Name of Mo her 0M oe COLdbe ss 00s Outlay for Shipping Charges. ....... splice cfectee : Cle Or elere Singers, .O ist, $SI1... PITA.. Birthplace: , “df Z Me es Kali! cto _o $. iro a c =] f Z, 57 1, Aim. oF Motor BD silat can plane SAS Dee ee . ere en Soe iat hia (Date) (Dey of Wee Ke as Telegr., Phone, Cable or Radio Charges....]]....[-.00. af: RONG Git. coals cel ich le tek AU. CAAT ROTRROG ccc fica oe Teds in, 2M Rw a . Out of town Funeral Director’s Charges.... . .... ... of Casket AS2Zkt0_4e ¢ hee a Personal Service.......cccceececcevccll... Lececee 1ufactured ote 4 of Lig ear wighe « sile(ate = ao Sim citele sees cee CMe sce woetate Blelenee 4 ’ .. line Dea oticesin... apers®.-,. 5 Seifert el es sity Joel Lite. (erHalec CLaudAige..,. °"» Wine Death Notices in. Tak, Salat We Ga ra > (Names of Newspapers) ee gs Mees Ua bili en i iin ct ee So a es UI Reh oe WARES ae ec 7 saint ph aa Total Footing of Bill......0..00 005. S. aa ee = — Block No..... i gee ER os reh ha en i Tee Co lees. et $ Diagram of Lot or Vault Owner. ee he Cae eee Balance oC ee $ ee . 2ellaneous a8) 606/86) ©) 0116),6.0)0,6 6 8:0 < as prelaie, Setaiee © oe 664k ms Soiree Entered into Ledger, page eer . or below