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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 Yearly No.. 2@f... Date of Entry.. Ag ag. AK. Name of Deceased.. Crastatete.. 266.. CZeadltifeccc HtdbeiZen,. C Married CO Single oe Widowed LD Divorced Residence 2 neces’, See Charge ee or ee ig ls ae ‘. Complete Funeral (except outlays) pice Khdtibecn. Casket “& Dean amie Burial Vault or Bo ae How Secured 2A i (Name of Embalmer) If Veteran, N: of War. : Hair Dressing, $ i : Dressing Body, $ Underwear, $ Occupation Yenacaacs Suit or Dress Employer and Address i Hose, $ Date of Death fin. AL REE. ang Cita, Ba.) Coding Chairs, $ Sh deeuigi a (ieee (State Kind and Color) (Day) o (Hour) Candelabrum, $ Candles, $ Date of Birth“. 22 LKEE. Age 2?..2..26 . Door Spray, $ (Mo.) = Wr.) (Yrs.) (Mos.) (Days) Funeral Car, $ Ambulance, $ Limousines to Cemetery Extra Limousines ...... @$ Autos to R. R. Station. ... @$ Getting Remains from Taking Remains to Trip to Coroner’s Inquest Resided in the State. 76, a A, Delivering Box to Place of Death Lene’ Services at State Number and District) hearse ciehd ent ZA ee ai. : < Certif.Copiesof pu a ms) 1 IE Pall Bearer Service, $.. Use of Chapel, $ se eee SOF OOOO HS 6 Fhe S Hee 6 Vie vif eeele ¥ Ale 0 «4's ola 0 & oie Slee te oe Gross Total for Sales Tax.......... a : Certifying Physicia a ge ines MAA. Outlay for Lot xn 462-4: 85S.. 1. Hale i Z Z PH ETO 8. cn Shee cers alin fe Sy a's gat Gee uh : His Address. (Aipecle-. L¢Be, GA.. eee. Flowers, $... Palms, $.:::.Matting,$... ... . . Name of Father. Cee Sitlecs bjereralaletahd Rental of Tent, $.. .of Temporary Vault,$...... . Opening of Grave or Tomb......... PPI His Birthplace ce MILT.. ere nee hae: time Gen en Lomtnigbuie ts ee fi Maiden Namé 4f Mother.. ¥eeZee. FReapan bie sie ih = Outlay for Ship ppieg Charges. 5 Gop sessile cease. ke Her Birthplace. ache Clergyman $4; Singers, * 0) -Organist, $1. . Asche le le Rie one eS tree : Date of Funer ESCEDL ep Iny. Mont } Tickets, Oe eae plane Service,$...1]....(Date ‘(Dao of Week” (Hour) Telegr., Phone, Cable or Radio Charges..... . .... . aster} pissed CO nnn Owain aie thee Wiha aces geabed So ahaa Cas Advanced. os iP doe al.. See, ue Size of Casket: Z Out of town Funeral Director’s Charges.... . .... . Mae. £ (State Color and Number) "7" Personal Service Bethe Rita a eo alee wag pickin gM an cog i. Manufactured ns © this ae: Ca 11 ate ee Pe cugand D an: hae ie Or6: 6'e 6) om (eel lane 6 oe ele Sy) RE A Caeser (A en ee Names of News rs 22 SE ae ns St nae id ae tl sinereaias jc nae Ag Sec hbo P ete cane soa NOR core Sari ine Bes Se rae eee tas . Total Footing of Bill........... $C327\2 ae ga aig Block No..... ape RB he PU eens. wars ames ikl gm als T= oi $ Diagram of Lot or Vault Owner eee eee eee eee eeeenee Balance aie ele cn ee ele $ =k a ae Miscellaneous