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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

By2 %y —! 32 RECORD OF FUNERAL Footed G6. 5 Fo aetnwcy vite ¢ Yearly No.. ~ 2 Ney Date of Entry.. Keb. Pl os Woes ix, Name of Deceased. “.7?77.4t¢2-, Oy. eA Mat berial Sree once ad fear ome 3 tee tibheLe, . ps Married C Single 1 Widowed 0 Divorced (What Race) Residence “Ch tigpocwed bes Lhe. esd Aa a ee Londen Lh b here. F ee si . of Age of Husband or Wife (if living). Charge to. <v. A. Lethe a) eit OE ee, Ay 07, 4. , L v/, Complete Funeral (except outlays)... $ . ai a at a Oe at Be cae is =, eee es Cee Aree ye, gee it on ESF Order given by. a Bhi bhireed 1 anya onee ea ee eg Burial Vault or Box .. Gnidia tee orinformant tate Kind PLOW Serr Bt hee Ve Fe 4 ieee bewles dehurwe ec Pus Embalming Body .. Gece de Bebaicey’ Cte If Veteran, Name of War. . 720. e-cceccecececee ce. Borber ze eta Hair Drosaing $. = ee URS ¥ : iy Ba ressing Body, $... Inderwear,$..H.. Occupation . Mac tcateciniiferr sie ARP ARAREARRE ‘. Suitor Dress.. dda Wedadeeng tte Employer and Address ...0.0ccccecceccuccucccee Slippers, $.... SOD, Seles, Pech Hees oo. : s JSI59 6/00 f/4\ Folding Chairs, $.. Tarpaulin, $...j.. Date of Deatii M0 2 Ol D4, 03 et ae intl (Hour) “" ". Candelabrum, $.. Candles, $03.04 00004 .0t eho un Date of Birth% Ae), fed LA, .Age YA Ml. . 49 ,. Door Spray, $... Gloves 6.000. LAL Ge, , Mo.) “Way) / (Yr) (ss.) (Mos) ays) . Funeral Car, $.. Ambulance, $.2. 04.1. 6. Services at. Macgpate< Heeger) 2 tle dag ae: Sete cee aes Limousines to Cemetery.. BS; Ute es Clergyman Weldon 7, (tr26 20. A, d. Me Extra Limousines ... Ce Seema Ca Met . aon ar 4. ee (Address) Autos to R. R. Station. .. Qo ye, rie tarWie odes Religion of the Deceased. 7+#4.4. IS Tisha aM «ele eieia/eiataac's Getting Remains from......]. .. Birthplace . Z¢4b eee cceceececeese, Taking Remains to. 0-5 nese se sees phpereces Trip to Coroner’s Inquest .....1. .. Resided in the State. 6. Gate oY bil era? oiesusis bree Delivering Box Redric a. 5. ce brme seattle i ia ’ (or U.S. or City or ) Years) (Months) D wlivab Fidwers A ile ne Re NE Piase 68 Death at ¢Zox' ys % ace CU ttlesly Deliver Flowers to. . 0. cece cece eee ee elec ee, ‘ 7 . Removal Charges.....ceeceeeedlle. 5. Cause of Death oS OPP Mearwrrchage hol . Procuring Burial Permit......].. Contributory Cattheast eteedtne, AO%4 Fn Dereoat b ° ° (State Number and District) Certif.Copiesof Death CertificatesNo.____. (State Physician's or Coroner's) a ee z Lt . , pall Bearer Service, $. Use of Chapel, $.. peas Satay” MT place Si ane Mi a f. Gross Total for Sales Tax..... a aaa Certifying Physician. biteds Mespatiedy; et us Outlay for Lot. ok ay Pe Agere Uh dary, os His Address J U “s ‘. Cremation. mies bt Zz ee feat) Bee we. "ee : 7 Fe 9 Peis Hat oe Bm Flowers, $.. Palms, $.. Malting, $3. «choo, Name of Father. “G42.% .& et, AL ge Pact Pad aye Rental of Tent, $.of Temporary Vault,$.. . .. . ee be eat ca eh tte: liad ing ime Opening of Grave or Tomb.....11.. His Birthplace. . . .¢.?.4 ar a 4 2 Lining Grave, $.. Lowering Device, $.. . .. Maiden Name of Mother.<@7202 veer. 7.44 462/,.. Outlay for Shipping Charges. tae te, ae a Rewee in 0! c : thes « 3 Bir Biriiplacs, 6/62. >: un tldsets ou Clereyman, {2 .Singers,$9--Organist,$.2.l). AZ. Date of Funeral. Zee, Yevow.2y. 1 PSF -.ioo, Pm} oF Motor} Tickets, $.. plane Service,§..].. (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio GRAF BCR. y <b TNS Se sb arate } Remains 06466 6s els oe oc yy Jqtheles text, Bette USSH) OVW ccc mrss hee en os che eae ; lg" Mh L ef Out of town Funeral Director’s Chatgee:. oS sibak. . Size of Casket 7.4: & te a at 2 BE coves. Personal Service...0.ccese00eet Manufactured b: , La befe, 5. ee oe ort ied, od. ose Re eee eee ee ee, ee eee Cemetery \. ware ety: tf ‘ ih alas sean Oo, RR .-line Death Notices in.. Papers wan tae cat. cee eae aac Mate, ee ey Re aa ange a dy be eee rota Weoting of Bile). ok .s ates oe $I. LAST. Block No... Pee EBS Br eR. Soe dine pio oe Diagram of Lotor Vault wner eee eee eee eee eww we Balance iF he IER, . $ fies siete PUMP ODOM 33h oon pine 6 vk ee od cls wal ec Entered into Ledger, page.. or below. DETOCOUBTOOIMS Wi. We) vues eek ee ce ee ee he

By2 %y —! 32 RECORD OF FUNERAL Footed G6. 5 Fo aetnwcy vite ¢ Yearly No... ~ 2 Ney Date of Entry... Keb. Pl os Woes ix, Name of Deceased. “.7?77.4t¢2-, Oy. eA Mat berial Sree once ad fear ome 3 tee tibheLe, . ps Married C Single 1 Widowed 0 Divorced (What Race) Residence “Ch tigpocwed bes Lhe. esd Aa a ee Londen Lh b here.. F ee si . of Age of Husband or Wife (if living).. Charge to. <v. A. Lethe a) eit OE ee, Ay 07, 4. , L v/, Complete Funeral (except outlays)...... $ . ai a at a Oe at Be cae is =, eee es Cee Aree ye, gee it on ESF Order given by. a Bhi bhireed 1 anya onee ea ee eg Burial Vault or Box ... Gnidia tee orinformant tate Kind PLOW Serr Bt hee Ve Fe 4 ieee bewles dehurwe ec Pus Embalming Body ... Gece de Bebaicey’ Cte If Veteran, Name of War.. . 720.. e-cceccecececee ce. Borber ze eta Hair Drosaing $. = ee URS ¥ : iy Ba ressing Body, $..... Inderwear,$...H.... Occupation . Mac tcateciniiferr sie ARP ARAREARRE ‘. Suitor Dress.... dda Wedadeeng tte Employer and Address .....0.0ccccecceccuccucccee Slippers, $....... SOD, Seles, Pech Hees oo. : s JSI59 6/00 f/4\ Folding Chairs, $.... Tarpaulin, $.....j.... Date of Deatii M0 2 Ol D4, 03 et ae intl (Hour) “" ". Candelabrum, $.... Candles, $03.04 00004 .0t eho un Date of Birth% Ae), fed LA, .Age YA Ml. . 49 ,. Door Spray, $..... Gloves 6.000. LAL Ge, , Mo.) “Way) / (Yr) (ss.) (Mos) ays) . Funeral Car, $.... Ambulance, $..2. 04.1.. 6.. Services at. Macgpate< Heeger) 2 tle dag ae: Sete cee aes Limousines to Cemetery... BS; Ute es Clergyman Weldon 7, (tr26 20. A, d. Me Extra Limousines ...... Ce Seema Ca Met . aon ar 4. ee (Address) Autos to R. R. Station. ... Qo ye, rie tarWie odes Religion of the Deceased.. 7+#4.4. IS Tisha aM «ele eieia/eiataac's Getting Remains from...........]. .... Birthplace .. Z¢4b eee cceceececeese, Taking Remains to.. 0-5 nese se sees phpereces Trip to Coroner’s Inquest ..........1. .... Resided in the State. 6. Gate oY bil era? oiesusis bree Delivering Box Redric a. 5. ce brme seattle i ia ’ (or U.S. or City or ) Years) (Months) D wlivab Fidwers A ile ne Re NE Piase 68 Death at ¢Zox' ys % ace CU ttlesly Deliver Flowers to.. .. 0.. cece cece eee ee elec ee, ‘ 7 . Removal Charges.........ceeceeeedlle. 5.. Cause of Death oS OPP Mearwrrchage hol . Procuring Burial Permit...........].... Contributory Cattheast eteedtne, AO%4 Fn Dereoat b ° ° (State Number and District) Certif.Copiesof Death CertificatesNo.____. (State Physician's or Coroner's) a ee z Lt . , pall Bearer Service, $.. Use of Chapel, $... peas Satay” MT place Si ane Mi a f. Gross Total for Sales Tax.......... a aaa Certifying Physician. biteds Mespatiedy; et us Outlay for Lot.. ok ay Pe Agere Uh dary, os His Address J U “s ‘. Cremation. mies bt Zz ee feat) Bee we. "ee : 7 Fe 9 Peis Hat oe Bm Flowers, $... Palms, $... Malting, $3. «choo, Name of Father. “G42.% .& et, AL ge Pact Pad aye Rental of Tent, $..of Temporary Vault,$... . .... . ee be eat ca eh tte: liad ing ime Opening of Grave or Tomb.........11.... His Birthplace. . . .¢.?.4 ar a 4 2 Lining Grave, $... Lowering Device, $... . .... Maiden Name of Mother.<@7202 veer. 7.44 462/,... Outlay for Shipping Charges. tae te, ae a Rewee in 0! c : thes « 3 Bir Biriiplacs, 6/62.. >: un tldsets ou Clereyman, {2 .Singers,$9--Organist,$.2.l).. AZ. Date of Funeral. Zee, Yevow.2y. 1 PSF -.ioo, Pm} oF Motor} Tickets, $.... plane Service,§...].... (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio GRAF BCR. y <b TNS Se sb arate } Remains 06466 6s els oe oc yy Jqtheles text, Bette USSH) OVW ccc mrss hee en os che eae ; lg" Mh L ef Out of town Funeral Director’s Chatgee:.. oS sibak. . Size of Casket 7.4: & te a at 2 BE coves. Personal Service......0.ccese00eet Manufactured b: , La befe, 5. ee oe ort ied, od. ose Re eee eee ee ee, ee eee Cemetery \. ware ety: tf ‘ ih alas sean Oo, RR ..-line Death Notices in... Papers wan tae cat. cee eae aac Mate, ee ey Re aa ange a dy be eee rota Weoting of Bile). ok .s ates oe $I. LAST. Block No..... Pee EBS Br eR. Soe dine pio oe Diagram of Lotor Vault wner eee eee eee eee eww we Balance iF he IER, . $ fies siete PUMP ODOM 33h oon pine 6 vk ee od cls wal ec Entered into Ledger, page... or below. DETOCOUBTOOIMS Wi. We) vues eek ee ce ee ee he

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

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

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