Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)
Go to the Archive Home
Go to Thumbnail View of this Item
Go to Single Page View of this Item
Download the Page Image
Copy the Page Text to the Clipboard
Don't highlight the search terms on the Image
Show the Page Image
Show the Image Page Text
Reset View and Center Image
Zoom Out
Zoom In
Rotate Left
Rotate Right
Toggle Full Page View
Flip Image Horizontally
More Information About this Image
Get a Citation for Page or Image - Copy to the Clipboard
Go to the Previous Page (or Left Arrow key)
Go to the Next Page (or Right Arrow key)
Page: of 326
a RECORD OF FUNERAL
wotal Nosnctsdbelsc lad Yearly No. W727..... Date of Entry.. ey ra sae yl 1
Name of Deceased.. Lega hezt Le oe : gee: We alsjs atk ele gs ees ake eae 2 tition,
Dk Married SF OC) Widowed O Divorced (What wie:
Residence 44x xuev, Aeehep. ye CGrige oy 5 ae ae, Ml Coftusband2gwitel Widow Teer 1 Pe EAB
: = (Dm 208 dy of Age of Husband or Wife (if living)..
Charge sa en eo or ce
Adina 722. bok. PEP. / Chih Complete Funeral (except outlays)...... $ ———
ae Casket “ar earvgucr Deine lp AAR
Order given byl ica . nk ee. :ealsleneeees Burial Vault or BoxZéz. a ioe ; vrs 1. KEE
; orinforman (State Kind
How. Secured Agee sooo. occ.. ec Embalming Body ... Geen fe Beng ttt teed ee ee eed.
Name of Embalmer)
If Veteran, Name. of WarZZ...... 2.000.005.. Barber, $...... Hair Dressing, $....]....
6 a he ; Dressing Body, $..... Underwear,$.../. .... :
CCUPANONL YALE AGAC. 6. eons Gourieyiiocter Suit or Dress.... sees Bea ayn ena ete ea ee
Employer and Address 20.0.. eve ede ec Slippers, $....... Lt flr Oe . be en :
oe a Folding Chairs, $.... Tarpaulin, $...../).... Ee
KO a s ’
Date of sage ois a 7. PR *Fa Gee. ‘. Candelabrum, $.... Candles, $.. 00 .a we. le,
Date of Birth, ig Lb IEC . Age 2&_.e..5£.. Door Spray,$..... ASOWER) Se SS ou “
0.) (Day); Cr.) (Yrs) (Mos.) (Days) . Fyneral Car ee, Oe Ambulance, $..... . ....].
Services at TOPO hs LG OPER hase encens Limousines to Cemetery.. . NOP. o Faun TENE bac he i
Clergyman-2eeeee =. 2 Extra Limousines ...... LBP ies sake 05 Ales Se te
nee _ (Address) Autos to R. R. Station. ... Oe eee? seals =
Religion of the Deceased. Kathilea oogit a Meg eled acess Getting Remains from...........}).0000 0
Birthplactsamt AP eesutnhe 6-0).. cssiulevecl. Taking Remains to.............]..1., ae
Trip to Coroner’s Inquest ......... 11.. . .
Resided in the State AZ. Keated....0.... Delivering Box to.....0.0.0cceceeec es Le
(or UA. or City or County) (Years) ( Months) Teliver Ficwers PRE, Ra yeymny tes c . eee. tienes prea . imme
Place of Death Tascakhes ttcin SPL x a \ Che heya Batre oe ee
Cause of Death Oa Ltrecdaccecel: Mewrrtadage Procuting Burel Peraié, 0p ;
ee . ee ee en i Contabutory Gauss —_Certif.Copiesof Death CertificatesNo___. Sie wgeace
Pall Bearer Service,$.. Use of Chapel
ie eee ich ee ‘ Gross Total for Sales Tax..........91 00 .
Certifying Physician eT. ". Outlay for Lot 2. SZpeewored. 5-P-A.. A Z2E\F:
; : SAUER AOR Sages caso tie wea «con las BE ta
His Address , Maley CMe CNS es Flowers, $... Palms, $.::: matting: $00 He be
Name of F: ner eater bee! AE: faite.. 6.. Rental of Tent, $.. .of Temporary WAM Ss icles euds oo
His Birthplace, 222. _. Opening of Grave or Tomb......... . . . .221s
Kae gi tS a phe ae pes Lining Grave, $... Lowering Device,$...].... arr
Maiden Name of Mothes “ict : Cafe. -+++! Outlay for Shipping Charges. ....... stgl. -+ ++: dy
Hor: Birthplaen eet. . y3 os class beat eld oe Clergyman 4. 27, Singers,$, os Organist, $7.=-". ). AES
4 : eTo=:
Date of Funeral a a Kite BE PLB, 0. uy % Mont } Tickets, Re ales plane Service,$...//.... ae
(Date) Coy of Week) (Hour) Telegr., Phone, Cable or Radio Chere P51. IN, ee ees
ips . Rema haces nig eg oe oN eset Cash Advanced. ::......... Rea ee oi an
: ay Out of town Funeral Director’s Charges.. ie. oe hee
Size of Casket0A27 Le (SLic Be ie % et Personal Service.... AO. Teen.. Neetagen rt Ja) p
Manufactured by Cage. pe eel aid yrtrwts:. Peet ales A . KEIGE,
Cemetery \ CALLA = Oo ies cane i ¢..dine Death Notices in.. .,. PAD cosa, news
Grematory— er gee Pn Ae Ce ae reni dee Nowelepaat St Note fee sae anda oo
Oni ee utes hh oe, fee ee es steed am ho vin au! afe so ical, ae, eee ad oan
Grave No.&%...... Aude.. Rheenl, Caw 110 PA,
A RUM VAR oe lla ec coe oe Foye ck. LZ FE
ep eae Total Footing of Bill........... $. FSP . LE
. ka iene j Block No pag ls iy sack at 2e a aloe Less a EME Rue MERE OLY (94) Sea Sl otlbaw wig 'groicy) alfa ne Ponta tice tele ce $
Diagram of Lot or Vault OWNS cde se co tabee de wel
Miscellaneous........