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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

Name of es
Married Ea 6 (What Race)
oe ee Ce oy Deusbene wie Witor)
tat ere eerie aes OP: en es of t Age of Husband or Wife (if living)..
Charge foe? apie: 5 Seta c > Jone al dusictnes taper? ae :
Za , ompilete neral (except outlays)...... —sae
Address 5, ha i ty Casket. . La 4 eit Oo wists ale ih’ LaF.
Order given by. ae ee pre tear Burial Vault or Box GZ; 0 ae ec ee IG.
oriniorman . (State ind)
How Secured velvhe: Bg Shana ah cites as sha Dobe hs 4-215 Coe Embalming Body ... Guid cr'ietatitcgy oot pees
If Veteran, Name of [email protected] Barber, $...... Hair Dressing, $..... ....
. Dressing Body,$..... Underwear, $.../)....
Occupation.S.erse7 Cette eee e tee tees eee eens Buiter Dress. oho ino leadln de bs k clos lb Mees dock.
(State Kind and Color)
Slippers, $....... SUA Bie as enc eh Geeetrs Pray! 2
Folding Chairs, $.... Tarpaulin, $c adil, «cc
‘. Candelabrum, $.... Candles, S$.. 2. .c. ds clcecs
Door Spray, $..... Gloves; $. ons. Tk
Funeral Car, $.... Ambulance, $...../....
Limousines to Cemetery... GES eae ee
Extra Limousines ...... CED rial a dunn ucecamtell elec a
Autos to R. R. Station. ... (Co. Peet, Th es
Getting Remains from...........11....
Taking Remains to.............H. 00..
Trip to Coroner’s Inquest ......0s.0csee..
Resided in the State 9. 52. Gtate/, re & EI wwe tices cane ier Me Meer vate Dok Ries eo ahs ns Ven es reel. fon
ag fey ‘ Deliver Flowers t0....00ccccceceecceecaell. 55..
Place of Death. ZZexnrAnKe. y eae. Removal Charges
Cause of Dea Procuring Burial Permit. fsiate tates ‘td bade’ oe .
: Z_Certif.Copiesof Death CortifieateaNa: Sata] = yal
Contributory uses 5 (State Physician’s or Coroner’s) .
Pall Bearer Service, $.. Use of Chapel, $...
wig es NG Saami, ht nie road Totter Sata Ge Meee
Certifying Physicign/ Leeder: ae Ltt, POM os Outlay for date) cde cctec sce. cal ee,
y ghee CERRO cA UN soc cgl ns sands Mi ucttee 28
Hie Atideass, eee 09 hg bara aaa Flowers, $...Palms,$.:;.Matting, $... 0077
Name of Father. a A etic. aise OS stores Belele oe Rental of Tent, $..of Temporary Vault,$... . ....
Opening of Grave or Tomb......... a7.
His Birthplace. . Lining Grave, $... Lowering Device,$...]]....
Maiden Name of Mothe MLE, Outlay for Shipping MANIC. ia «5 Ls ed sn ee,
Her Birthplace Lgl Ae ae ey oh, alee Balfoed (rp @ -Singers,§. . . Organist, oe]. 23.
Date of Funeral He<dey/. lg AFEZG.. Z/2M) of Motors tickets, $.... plane Service,$.../1....)
(Date) of Week) (Hour) Telegr., Phone, Cable or Radio Ciarves 2, 51M Jews. ls
aoter . De Ls ao aot a ea Cash Advanted es jbit. ess sdacawcs.oPibledlex.e ted.
Size of Casket 424.6 Sate se + em othe town Funeral Director's Charges....l]....
tate OF ani See peice nite sien . figee ceereeeeene ee CRIN Rurerel. culled sliea lnv lan eByre arene Wegil a Yau lre 4 <-olel. elnae. ete .
ae by sl eZ. iar ep fate Lhe. cts eae Shige Pagers 2s Zk
Coniatery \ SON Oe aa ee ..line Death Notices in... apers eH de. cinal
ez oz: of ALE a F a an ey A once Aa Giishcaed Revepegeay Tote tt te effee eee
UE SE ra (ery, Seam te ee IO ea aa Lint . . saree! 8
ce Ni bw OS e506 Snes cea bye R ee ee ete oy . WSL MAE OS RRM Sere! Sceciwre biel ie\ie!e Sele: 0 6: G20Liewis se oT eie mlene lense
4 is ANSE EAS lee oe mel ween ceca. vai
Pitino easels Sie Total Footing of Bill.........0-0. slaee2.l
aa ear Block No..... Piece ys PI Hr Ved ectaiate Stan Eh, oe usenet ihe $
Dineratnict Bat ae Vaate WOE cere os Shine Balance’); g...--/.
Miscellaneous ONS Net 81818 8) 0 BIO 6:6 Bin W Wile ieile ley Ie t6'6 See, vib Si elglwletcne dee, ote Entered into Tiedeer. nace ar halaw