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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 Petal es Ss el ca tac ek Yearly No. u BL. ean Date of Entry.. HEE. WOE ils ones Pan te Name of Deceased... AA Lea.. Fy omrams SRN” Soden ame taal hu 5 ina a aa O Married i CO Widowed Divorced (What Race) Reddcune pai: Wir ka Bethan agexse pte wi Lea cl! IM ea st) Oe es “i ee ered foe ees OF.. yb . of Age of Husband or Wife (if living).. Charge to. , : OTe PDS RO Caeletae eee aaiues : 4 omplete neral (except outlays)...... aS: Address. ae screr uy i ae Casket. <&. 1) ee Par aes Order gi¥en by. 4st. ~<7Li edebcicke Slee sine Burial Vault or Box ............11.; ee (or inforthant) (State Kind) How Secured /LLEPALe occ cece ceucceuccccee Embalming Body ... ay wane Utes ame of Em almer) . If Veteran, Name of War AZ.. 0. eco cece cece cece. Barber, $...... Hair Dressing; $....]].... : Dz Dressing Body, $..... Underwear,$...H.... Occupation BE. Snieie viv-a'e soso ot an Sete Suit or Dress.... aie Sit ei Shirase ee Employer and Addiess 2).. 60.2) ocisccsFasceces. ce. Slippers, $....... Frogs 8 ays ask eka en as. } Folding Chairs, $.... Tarpaulin, $...../).... Date of Death eta lg reo) <A a i Candelabrum, $.... Candles, $......]].... Date of pith Zag. W LIGASE.. AgeSAe/fote... Door Spray, $..... Gloves, $.......0.00. (ay) (Yr.) (Yrs) Mos.) (Days) . Funeral are Sean been Ambulance, $...../. .... SORViCRS BE. sts. J) Roda. ake See Limousines to Cemetery pers ne OFS ache een Extra Limousines ...... QS oo 2iioe DRAPE ows s NOUR VIOGI loki idl aee caveman at Jaks tL, cece ute bee Fs i (Address) Autos to R. R. Station. ... GP. Dikecyc sot ted ale Religion of the Deceased......... 000 cece ee eee Getting Remains from...........].... : Taking Remaing to.. . ce. ees aes codlleae ss.. BIC lReg ate es oss dad eG rawhinss onacton Sie ew ede ; . He Trip to Coroner’s Inquest ..........]].... Resided in the State. . ea ge eis “haar elon: ee hae “ wile kode ss 1 Ae Wee » wo oake-s's Vier ell als wlohe Place of Deat eZ Yhawer Ye my. Removal Charges..........00. 0000/00. Cause of Death Procuring Burial Permit. Sele etna gue tgt sss -'<+——Certif.Copiesof Death CartificatesNio 5 Ie . (State Physician's or Coroner's) Pall Bearer Service, $.. Use of Chapel, $... Gross Total for Sales Tax areas) sciatica ft, Ue . a Oudlay TOF Totes ied. hee bc ee es baekbcdbels, CUO tO elvis vs os ty cis Sug dente Mees es ae Flowers, $... Palms, $... Matting, $...l].... Rental of Tent, $..of Temporary Vault,$../. .... . Opening of Grave or Tomb.........].... Lining Grave, $... Lowering Device,$...]. .... ee WZ Ze Mleedbe aii” 8 -. Outlay for Shipping Charges.........]. Her Birthplace. .........ccsecescceeseeZeves. Rated back ie -Singers,$. . 2 Sa 5 Soe . eee Date of Puneraly i. 6). osiisies ce ehevaacedcnclaldcis. m. or Motorf *1¢kets, $.... plane Service,$.../.... (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges....]]....]. ane } FGSIOS BOS ls eyes cee ee, i PAD RONEMCO 6 iW ee eae cabs. SZ frre, J Out of town Funeral Director’s Charges....]].... Size of Casket . AA. (State Ave, and eae es i ey Personal tk Leg tee Ay Ue cet Aes . Mae Manufactured by Seek.. LAM A NER ee ig ha ats Bile, Milas eee ik MN ee oa eee Ceasi) [ecccnntriin. Aref awe,‘ line Death Notice in..--Papers 0.0.) 7 eit (Names of Newspapers FMI, i AT 5 Ao he oes kL, ee ee “Ty APA RSP PRAT, elle. tee g G N fe ZZ. O's oLelpelie ences. vile cies “tee A Atese) # Whe Sy, Sima-@ &) azel ele lelgha ins. ciao » erally elu ceaill Mae hols cles : g a RMR RR ay 25 ie oe cet teeta een whe: £ Reg ee Nees ea Total Footing of Bill........... $. . AZIZ pen rene Neer ic Tail ce ahaa nds eet, food $ Diagram of Lot or Vault GRPTIER ate. ed Nelalench Cee Balands:. oo gi.. .. MMCRIMRROUII oc, che Ieee. ec hake. Entered inta Tadear nara an Lala