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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

& 4.14% YY 2 Law wa cay were eee oe Total No..s.ee eee Yearly No. Za. .20+5: Date of Entry., RE, 3 ehh 1967 Name of Deceased. .)<1éa fk ee eM TE sh dla sh Heian ss ely ewan also. vpeniaais oa a ca) A ae SZ Married OO Sifle 1 Widowed Divorced r yo Race) ie ae isuvansC mie witon) J pele. heady. cccveee. Residence i i By er ery pee Pres Ofc vee of t Age of Husband or Wife (jfliving)..... Year: ni MEE. Complete Funeral (except outlays)... $ Addnecs ee a Oe, ee FEE. ec Order given byS4Burial Vault or Box . gi NP ae Bc ie AS CO. oe Embalmi Bod (State Kind) How Secured: j wae — OGy ss Se, os tee: tet cfllgrse ate benches: ace 74 If Veteran, Name of W: arber, $..+-++it PYESSING 19 .Jau os cellos ce aoe ce. / i wel Dressing Body, $... Underwear, $.. . .. .6. Occupatio be 25 Bice ih) . Suitor Dress... Giokitigabes Cpe Employer and A = De ecetcls palin SEE woke Cube cere oF Slippers, So ccceoriewl Wee THE toa WE Pes eer cts NR alc ee ete exe: » P Folding Chairs, $.. PaNPAUUN, Pwd. cs HS yw eee we Date of Death fois BL LOG. ARORA) Condelabrum, $.. Cedidae® oe foes Ae eA ws Date of Bi Kk. LLOL. Age-3~. 2. 4%. Door Spray,$... COVER IS See isle = obliterate. «. ste, oa Gg Yr.) (rs) “QMos.) ays) . Funeral Car, Sisun oe Ambulance, $: ois eeu. encu. e+ =a Services We ha" oo settee teen eee eens Limousines to Cemetery.. Oe MES Se ue Ve age PSE EZ-A Lo ‘poe 4 Extra Limousines ... COD 2g wens a See eos Ofer ee etfs ich aris a” a (Address) 7 "7" Autos to R. R. Station.. TS Seri vs Ais c= I es Religion o: 90 Cxzhehes see e eee e ee eeeee Getting Remains from .3. 2.0.0. .6c ck dee calls ols Lelaes Paleo PVGri alien tOre asco seyoo sreaie leaps sade als, colts Sees [wen ale “BGC. (iain PA eee ame meatier Trip to Coroner’s Inquest ...-.02-2-e. fec eee eefe ees Resided in the State FA. . Hi@Che eee eee ee eee Delivering Boxto. 2. 2.06. voces es ocleeous odenlle voeseefewes (or U. r “% or County) (Years) (Months) . Place of Deatt i eae i: eas ee Deliver Flowers t0.20 ss acs cines Coe Cl. wan ~ oom ' Removal Chargesy sf. ccc edd ed oe He ne os . lawoea oe Cause of ares Cea k-. “een paedeeger. Procuring Burial Permit yoy is seus Sle ce be. cle. leye oesen e's Her ivan: cate Date of Funeral: Mitide Mh ttt. KE. GF. AO. Kill M. (Date) (Day of Weék) sae} Remains to.. J ae ane TS” =) Sy A et Size of Casket ew ZL. care Ae 9 7a er Pop. ypaeermeeers Seema t een Yeerat. eke leas tee P Lot 0. “4 sad Se tata! Section No....-. — Block No... Sites stoter Diagram of Lot or Vault COE. 05 Viele Raw eens Sil Miscellaneous ee eee eee eee eee eee rere sees eeeeeeeeeeereseseee Se eens Te ew ee mer w eee eee eee eeeseeseseeeeeeeeeeeeesenees te Number and District) 2 _Certif.Copiesof Death CertificatesNo (State Physician’s or Coroner's) Pall Bearer Service, $. Use of Chapel,$.. see ee Gross Total for Sales Tax....200$ Outlay for Loh k. CMO Bio CPeNTA ON ied 5 Livin dleicls se tiosslernmice let eisrerdaioes Ss Flowers, $.. Palms, $.::::.Matting, $.. Rental of Tent, $.of Temporary Vault,$. Opening of Grave or Tomb..... Lining Grave, $.. Lowering Device, $ Outlay for Shipping Charges.9— Kea terete Clergyman : ‘Singers, — Or Organist, ve ae Railroad 'Tickets, $.. Aeros Service,$.. Telegr., Phone, Cable or Radio Charges.. Gash ACvaneed.s iss.s asic sim so arn fi9-catniere ols lobe Out of town Funeral Director’s Charges.. PELSONASRUIOR: (615, cite cals s cette sisine Sis cele . RF NGC. 2700. ee ee eee se eww wetee ee eee eee eee ttm me ewe eee meee eer eee eeesesreeetisne rea eeleve eee erees eee eee eee eee ee eee ee weer eee eee eee eee eweeaeelinn senate Ce ee ce . Ce mes . or ee ae re ime ee ce ey Balance....-. $ Entered into Ledger, page Miscellaneous

& 4.14% YY 2 Law wa cay were eee oe Total No...s.ee eee Yearly No.. Za. .20+5: Date of Entry.., RE, 3 ehh 1967 Name of Deceased.. .)<1éa fk ee eM TE sh dla sh Heian ss ely ewan also. vpeniaais oa a ca) A ae SZ Married OO Sifle 1 Widowed Divorced r yo Race) ie ae isuvansC mie witon) J pele. heady.. cccveee. Residence i i By er ery pee Pres Ofc vee of t Age of Husband or Wife (jfliving).......... Year: ni MEE. Complete Funeral (except outlays)...... $ Addnecs ee a Oe, ee FEE. ec Order given byS4Burial Vault or Box . gi NP ae Bc ie AS CO. oe Embalmi Bod (State Kind) How Secured: j wae — OGy ss Se, os tee: tet cfllgrse ate benches: ace 74 If Veteran, Name of W: arber, $....+-++it PYESSING 19 .Jau os cellos ce aoe ce. / i wel Dressing Body, $..... Underwear, $.... . .... ..6. Occupatio be 25 Bice ih) . Suitor Dress..... Giokitigabes Cpe Employer and A = De ecetcls palin SEE woke Cube cere oF Slippers, So ccceoriewl Wee THE toa WE Pes eer cts NR alc ee ete exe: » P Folding Chairs, $.... PaNPAUUN, Pwd. cs HS yw eee we Date of Death fois BL LOG.. ARORA) Condelabrum, $.... Cedidae® oe foes Ae eA ws Date of Bi Kk. LLOL. Age-3~. 2.. 4%.. Door Spray,$..... COVER IS See isle = obliterate. «. ste, oa Gg Yr.) (rs) “QMos.) ays) . Funeral Car, Sisun oe Ambulance, $: ois eeu. encu. e+ =a Services We ha" oo settee teen eee eens Limousines to Cemetery... Oe MES Se ue Ve age PSE EZ-A Lo ‘poe 4 Extra Limousines ...... COD 2g wens a See eos Ofer ee etfs ich aris a” a (Address) 7 "7" Autos to R. R. Station.... TS Seri vs Ais c= I es Religion o: 90 Cxzhehes see e eee e ee eeeee Getting Remains from ..3. 2.0.0. .6c ck dee calls ols Lelaes Paleo PVGri alien tOre asco seyoo sreaie leaps sade als, colts Sees [wen ale “BGC. (iain PA eee ame meatier Trip to Coroner’s Inquest .....-.02-2-e. fec eee eefe ees Resided in the State FA. . Hi@Che eee eee ee eee Delivering Boxto. 2. 2.06. voces es ocleeous odenlle voeseefewes (or U. r “% or County) (Years) (Months) . Place of Deatt i eae i: eas ee Deliver Flowers t0.20 ss acs cines Coe Cl. wan ~ oom ' Removal Chargesy sf. ccc edd ed oe He ne os . lawoea oe Cause of ares Cea k-. “een paedeeger. Procuring Burial Permit yoy is seus Sle ce be. cle. leye oesen e's Her ivan: cate Date of Funeral: Mitide Mh ttt. KE. GF. AO. Kill M. (Date) (Day of Weék) sae} Remains to... J ae ane TS” =) Sy A et Size of Casket ew ZL. care Ae 9 7a er Pop. ypaeermeeers Seema t een Yeerat. eke leas tee P Lot 0. “4 sad Se tata! Section No.......-. — Block No..... Sites stoter Diagram of Lot or Vault COE.. 05 Viele Raw eens Sil Miscellaneous ee eee eee eee eee eee rere sees eeeeeeeeeeereseseee Se eens Te ew ee mer w eee eee eee eeeseeseseeeeeeeeeeeeesenees te Number and District) 2 _Certif.Copiesof Death CertificatesNo (State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel,$... see ee Gross Total for Sales Tax........200$ Outlay for Loh k. CMO Bio CPeNTA ON ied 5 Livin dleicls se tiosslernmice let eisrerdaioes Ss Flowers, $... Palms, $.::::.Matting, $... Rental of Tent, $..of Temporary Vault,$.. Opening of Grave or Tomb......... Lining Grave, $... Lowering Device, $ Outlay for Shipping Charges.9— Kea terete Clergyman : ‘Singers, — Or Organist, ve ae Railroad 'Tickets, $.... Aeros Service,$... Telegr., Phone, Cable or Radio Charges.... Gash ACvaneed.s iss.s asic sim so arn fi9-catniere ols lobe Out of town Funeral Director’s Charges.... PELSONASRUIOR: (615, cite cals s cette sisine Sis cele . RF NGC. 2700. ee ee eee se eww wetee ee eee eee eee ttm me ewe eee meee eer eee eeesesreeetisne rea eeleve eee erees eee eee eee eee ee eee ee weer eee eee eee eee eweeaeelinn senate Ce ee ce . Ce mes . or ee ae re ime ee ce ey Balance.......-. $ Entered into Ledger, page Miscellaneous

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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