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Collection: Original Records > Death Records

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

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43 ae BYeuwrwartaey wea Bh We Yewe es aes ace 43 ble MR oe soa Yearly No..73..... Date of Entry... pee i MO aly Oh 19:24 Name of Deceased. 2 Oe ok MO SEY Sd ED I a eRe cotati, ee ee ied OO Singie 0 Widowed 00 Divorced Pia pe adelan r 26 é é f ( “G -& 2) Eaten ny hay. CR beacon ee lee: Residence: «. é. y SP I Ae Age of Husband or Wife (if living)..0.0...2..-. Years Charge to: 72. Korey. palit be af aie plus ee eitallal bathe G lete Funeral ( ae $ ge Ly, omplete eral (except outlays)...... co ei G. . SPt at. . ef OT Ca ay Ee gee oe oc Oi Ste ies ASA) o. Order given by.7 0.. Pisses Ctedeactied aid sin date > Burial Vault or Box .¢é2020.t. Leor!... . .. Tee. ‘ormant) E b A B d (State Kind) How Secured . © 0 m6 we © 0 8 6 Wie © 8 00 0 6 o 0 06u bole 86 0 6 6 68 w oles « mba. $4 0 Y ao Ss. s (Name of Exbaimer) ee . ee i If Veteran, Name of War. Me Sees ea PY adel Barber. $.40s64.05 4s Hair Dressing, $..../. ....]... eit eee SSR eens Dressing Body, $..... Underwear, $...!]....[... tion S87. AK CESS Hain ae ST COC Beak ‘ i Occupa all Slccin: Wane Suitor Dress.... Pe hdres haa! kl cen Employer and Address diccrme TK. Ahi onvey, . a ae Slippers, $.... eh Fons, Se oe eh ee Folding Chairs, $.... Lerman, Se: . ia. le ois Ges oak Date of Death Pere erty Ks fs « igpamion Qn" as bei: sea olf Candelabrum, $.... Same Fasc. ng ella Pee des ows Date of Birth J 9, 1880.. Age .¢8&-.72.-.20,.. Door Spray, $.:.... ASUS WMG Bae oon. 5 oe ae ieee «Ue elo ram Q "ee Wr) (Yrs) (Mos) (Days) . Funeral Car, $.... Ambulance, $200 .0.5. Wovsdcis weed Services at. : Use He CO Mele os leaded Cae Limousines to Cemetery..:@$......{). cc. ufeceee Ce Li, ait ‘o).-.4-.v).. . Extra Limousines ...... BOP oe 1!) an sce eet ned ance ae Clergyman.€ . fe Riv. 2 an (Address) Autos to R. R. Station. ... oe SRE CMAN Fees, gm) Posie a Religion of the Deceased.. 2-42.20.. cece eee eee eee Getting Remains fiom ops. c0 0S. 3 A a Birthplace . phi teh ee, po i eee Waking Tremiains G0. oars aces cis’ sales. os Paltomie c he oko oalnns ivy Trip to Coroner’s Inquest .......... Ho.. ccfeeeee Resided in the State. . Z ol we cans Gan Hea ‘Avaltin <aenain Bards we wield w bala eres uc aero Dee RS: ad ua ae mara mei ima eevee: a Removal Chaves 6 oo eo en Mk ee Cuust.of Death: (lan soc ae? oe cal ch ete ay Procuring Burial Permit... 06.0. .ccccacscsle scccssloeses State Number and District) Contributory Causes, .€ ics Dtypehec les! —Certif.Copiesof fore =m, ata, ee ee ee Mee ee 8 owe 8 ew A tafe tM ole Ss 2 es ysician’: 8 or oroner’s : Pall Bearer Service, $.. Use of Chapel, $... bladder Geces Total for Sales Tax at eee. Smelly $ pea ihe peering P hynicinn. Le Sehet. cs Kt dh p92 77 Out y fOr Lb ois vies edace 0's Wes cv a He al «HL ooo ee tas CROMIRMON 5 oo! n pcaserde seine yn Cowles toalccet E hie His Address: Zheatanda. EGA .y. ht be a Flowers, $...Palms,$.:::.Matting $..) . ), Name of Father. .Zheworee. eal eh BAe gs oe Rental of Tent, $..of Temporary Vault,$... . .... ... His Bi oo aie fe pe a Fy, FP Opening of Grave or Tomb.........].. eee.. nee Kash ae Lining Grave, $... Lowering Device, $...]]....]... Maiden Name of Mother: 2?/as4«. Klatt.. Outlay for Shipping Charges.........1).... ..0. Her Birthplace; FLO ad, Clergyman, $4? Singers $2 Organist, $725].. /£.\52. RS TG OLE Cd hecreat SA Lae ase, wren ne si eraleliegiale wall eas sata 6 of Funeral "2x. AALIEG 3 c¢.afem. o Motor Tickets, $.... plane PErvice, es.. os. ah ose ‘: (Date) (Day of Week) (Hour) k Telegr., Phone, Cable or Radio Charges....]. ....J..ae ceed WROCIORINSND., Foss «buh GR Ligeia eie vv baeolcwidees. Gash Advaneed coo. «ccs viilgeceesidericeceall. ccs, ew ck Size of Casket seo, 24 “ol J, } tes rr Out of town Funeral Director’s Charges....]. ....]... Naat eel Se (State Colorand Number). SS*tS:*S*ds@Per'so PDR on Be ahs Lisl lie toes Wn sos hd ee mee Manufactured Werte eee ses hte. Crakk, Sto. weld seekle, 22a herd od BO /e7. Cemetery MER. St Lp af .line Death Notices in... Papersre octet eet ates Cromatars } Eee Seok yg Wee Oe ee cha aoc eee . Ponca Bee Grave No.3/7Se thea iae + ih sins rue h asnib4y « o-oo ad « ded Meal ene tobe ee . i ee Gitbe Dag ee Ae howe Cane seo ike, . LL \ZL. Onassis Malev i Total Footing of Bil. 60.5. sd voce'stcn es $ SCIXANZE. et . ioe er ock No..... aes Weal ois a steles o's 4 Ayes ce Soe ee ES, $ : Diagram of Lot or Vault Owner ee Balance Bs ae Ur Tanke ale $ el, Beetle ace ROEM sore islvareres' SS 0 wisieleg ht) aidntera f E-c elavale-aiats wkels Loe. Entered into Ledger, page Soe ee or below Ere Ces a Wigley s nis 6 ole Gls ei se ngs biel 6b0\8 84 ciwid ty gle a a's WAGE oo aos Se sales sda a eee cogs goa awl: