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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 Total No.....ie gue Yearly Nou.. re oat Date of Entry. Gacare, a ee MN, Name of Deceased. ! hat. Te, ZS bre Roh aith cs ciemtonsis < Dneraeie Lona toe Sel ante ota sahil ope bette OO Married CO Single Widowed Divorced (What Race) Residence. Ha 7 KOA, GER.. Beb-dead, tibia. ¢ S106 ea Tek ome) Wt pane eto rane Brahe. a els) ele ale sole) ol elole eee eens a ee ee of } Age of Husband or Wife (if living)........ Charge to: in aatute ns Bab ete I” ee addres. LA. 6. BLL cesses Genie Ebest, RE Order given by. eee gain, Cer. Ciiametyp: saehn ee eee vale Burial Vault or Box ..¢@722242, 7 . Le ; (orinformant) : (State Kind) How Secured eee eeer ese eee ees eres seseeeeeereeeeseeeeeeeenns Embalming Body Pa ni ed (Name of Embalmer) 28 Oe CFO 6 SS 2 2 Peep» If Veteran, Name of War.-20..... 0. ccceeeceeeees Barber, $. ee. sees eee Hair Dressing, $..... ].... Occupation Lee tidenr... Sb 05212066 . iver Bene 82" 2*++ Underwear, §.-+.f.--.-. . iPochaesenaigy, Somber) (State Kind and Color) Employer and Address Ac. 4eLtth, Turks.. Slippers, $....... AT Sik 5 Se i Ae ast Date of Death FOE cis ell.) TNE ay Sarna on sana Ie ake (Mo.) (Day) © @r) (Hour) andeiaprum, ).... BO 200 a lisesi cestins ww ellithe ieisior ale Date of Birth «29, /&73 Age. £5.:.4/:.€... Door Spray, $..... CA TI APRA rared . Wei ela ; (Mo) Day) . Cr.) (Yrs) Qfos.) (Days) . Funeral Car, $.... Ambulance, $...../).... Services at 6 sO 2 tileaee!, + e eter eee eeee Limousines to Cemetery... ees Sain ch eit fa) Clergyman. Po, to Lex: Le Pe «py a ara Extra Limousines ...... RO ce is Git oid ars ws wraracs ig A 7 Z (Address) Autos to R. R. Station. ... (BD ie sede sure ese Religion of the Deceased.. 242i..0.0.c0cecceeees Getting Remains from...........llee. cee. Binthiplace Ce 5. oo liveo le eee. Taking Remains 0.5.. 2 i sac eel. 0 eee acclle Camere: a EL docile Lp De to Camere BOGUS A bel ee de wie ecelle a Sot esl In the Oo et ‘Side eto OB a ere BOR CO ys Gist Ee Sanden neces dotteleee oc. Pines of Denth, vA Se ey Dad ”, /, : ie ™ . Deliver Flowers to....0.s0e0scceee eee Pe ee wl Removal Gharges oe Goo oan he odea oon, Si.. Procuring Burial Permit.. 7 0.620. ss. eh (State Number and District) . —Certif.Copiesof Death CertificatesNo ee eke . , ; i ysician’s or Coroner's) . Recaad, Uarehiel, Uaetislers Gttedink J curh rcs) * oll Bearer Service, §.. Use of Chapel, $... oe Gross Total for Sales Tax..........$1... Certifying Physician Yor ie Bikdbes Mee eeeeseeee Outlay for Digby, ists ache adips oes beak coos e : wes . i Zee CPPMRION ir see ase us Mh Gea beididis Cae His Ad eee Us eras Flowers, $/¢.°. Palms, $.:::.Matting,$... . .. LE. Name of Father. 2 Atreings ee ene Rental of Tent, $..of Temporary Vault,$... . .... His Birthplace, .o2¢¢L-a _ . Opening of Grave or Tomb......... 32] i i a ee ee . Lining Grave, $...Lowering Device,$... . .... Maiden Name of Mother Atk, OMT Bg abl, -. Outlay for Shipping Charges. ......../].... Her Birthplace. At1+2% \*# (2 Ot tate een Clergyman, (a7 Singers,$2.. Organist, $3.2°. ).. AL. de ob. Wee figig 00/7 Mont } Tickets, hg ee! plane Service,$...]].... Date of Funeral7¢¢426 neta £4 AFF E ee A Sco tea M, (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . .... aigter } Bieta Bae, oso aidg AE ein oo 4 OEE aE Hoel eee ste Cash Advanced is. oe. eli ae ba cccesst eaulloe ee Size of Caskets” ¢/% Lick fbtrak vs Ss tie ethacsrie hati Director’s Charges....].... . tate or an REE . hl PR RRR ROREIN Stas 6a i6): 9 e000. «lao 2 . Biale lela is) seks (ee Osis eters tay eedus ea ae a ak TG Foca Saab 7 Ow Pigeon OE ogre Reeser a ae ee eR: ‘ cdatonechersteecesvel liste om Cemetery to, Bau ..line Death Notices in.. .. 1s . ra —Cromatery } OLA,» L ere Tete Sete Neel nal ee eee Ne ee A Tg (Names of Newspapers) PO Oa a cca sdaee fst cng kus Payal nods Tee epee allt: Lee amen tae G TNC recta Se esd eer ce eam =: fel alake tess <rece atte acti Sure rote ra/rdl al'ehal Saha enalele Ul oce mes ei llaccie senate g ; nant 3 Balen ame leer orpielcs sch 5 dnlbteer Suen ce ge ee a rareay eRe PS et Total Footing of Bill... plesk ia in $22.2. Pata arse Block No Fee =e mee oe sar Less.... G44, checearene & oheSuae $ g Diagram of Lot or Vault Owner ec Balance Se. . a ea $ SEF Mincellanegun, «wal ss oe 4 ose fixe ns dots'y be Een Clente? Entered into Ledger, page or below.