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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 "gtal NGois tdcesddencn Yearly No..45....5 Date of Entry.. pb areas peal 19-7. Jame of Deceased....... 7 Pe pila: aeek etler eee oe Se Ee 0 Married Oo Single 4 idowed 0 Bivorced (What Race) residence: S a cp ee pr eae I [)Busband[]Witel_]widow t TORR eRe ue Mr tap eee pe ae eee ap a en OH A tees of } Age of Husband or Wife (if living).......... Years : pomplete Funeral (except outlays)...... $ ddress#E ‘a CBOs vac sah Uae gaia din clerigias ee oe) ene [esses \rder given by¥/4e Burial Vault or Box Catuseed. bear ete . e KEE tate im Tow Secure setae. Body .. pian Bt si Fl Pape Fars Hee ihe ation dla SE S aie OL Wane ee cae ooo bacc cs ate. Arber, So 55.08 cee sie alr OVeESSIRG $05 5 25 ila eels oe (vere Dressing Body,$..... Underwear,$.... . ..../... NOCD GPGION rao la lorie weterals oi gieene. bec ara-des wht oleate asa aa or a: os ses ee hl ia eae ia (Sot Secu’ Namaben’ . Suit or Dress (State Kind and Color) imployer and — meyeus Seah chsnabe: sk stety'as2)s aie veut cee iay ated ee Slippers, $....... EEOBGs Bev 0:0 Gieis 9 Shen wh oS Side Mie Folding Chairs, $.... Terpanlin, Sec.. cells ss. ccbhee fs be teal Dea Mo.) ay as eh eye (Hour) "* Candelabrum, $.... Candles, So): sis So ooe ie cane date of Bi od AOD. os « Age 4..2.42%.. Door Spray, $..... COVER, Bi fe Fos Se delle s oa bs Me Deine (Mo) Way) (Yr) (is) Mos) ays) . Funeral Car, $.... Pama Ss Ns acces ch ah ervices sr = 7 he iv iavstaialis waits Wie gieale los Limousines to Cemetery..:@$......l... feces : ‘aid Extra Limousines ...... CT SM HR? TRG . aces ur . Sr lergyman Lat aa (Address) Autos to R. R. Station. ... BB ice + -antacmalii'al eae Shoe aed éligion of the Deceased <2Q07. 2.16.. cece cece eee eeee Getting Remains from. /..6...0.¢ieesecde sta veclescses Palivig Reais to ye Ts oo lawned coma sE iw leldccles J EA ieee iio eine, Pipe inat ee Gem Ye emel 4 ae te ve on Trip to Coroner’s Inquest .......0.-ccllo cc cecclececes esided in the State. . ‘GtU.s. oe Gig. on Comin . ‘Cas . (aton ths) Delivering Box UO im rislt elmo wa et ein) elec. Selle ny nied Desthe oe, We rect el he cat Deliver Flowers t6 occ. ona. ec cldsc vows vac's Doth cove talewces PA Get. Sega nope pi ee cee Beemonmml ChAPGOG oe cis a alec eee oe oath the ace ees BEBO OS DORs vies wai cle2e ML 2 sine simvis Sealed Ghee g ves Procuring Burial Permit. Giate abet ‘aid babi’ coco —Certif.Copiesof Death Certilicateant 2 Yea aa cao . Fp Pe ontributory Sn ay a ae a AE ee Ne LT State Physician’s or Coroner's) Pall Bearer Service, $.. Use of Chapel, $... oon (SR te ke ee net aaa pea Ee Ee oe aaa ae Pe eae ertifying Physician...... came er eer. Oultay tar Dees AG es ke ee A Cremation..... Rate ecoPaele suerte ales, ails a; ye & Tne te lS rercs Ula ach reas dane ee A SAIETs) 4 DS eR sacivetarcia’abelgle nus clebcte eal lowers. $2 Palmis, $.;.;.Matting, $..0 000007" BUM OE PCN. wiles tict hs bias colds o'Wd alee wales hak Rental of Tent, $.:.of Temporary Vault,$... .... ... “De Opening of Grave or Tomb......... BINA.. ds Birthplace...... Breda Gos a emage ee ocaee, ooh ee arniel cigrate ene pene ue : mace Lining Grave, $... Lowering Device, $... . .... ... Taiden Name of Mother.......000ccceeeeeees eben Outlay for Shi ppioz CMAP. ec sis eek ge Nlerwa De a let ‘et BirtholaceClergyman, gf Singers,$..Organist, se Css Ee wa rate of a ral ae on . aaa Sas? ge diag 2 a "at 1) CaMond }Tickets, Pons aaee: Asroa i en ee (Date “Way of Week)" * " Hour) ". Telegr., Phone, Cable or Radio Charges..... . .... Co. ip tar} ReMais 6.6 ss oecvesen saan ceaveevesseanathe. CaSR AGVANGRI ss © 55.50.00 6s sane gues Me cls Mo oa ss odode ne Out of town atiarel Director’s Charges. wis eistiens tll.. 5 Seiw sented uel a eens cae en SRE AR ae RP Personal Service........2..00 Les? . e0., Be 2 i iene ee.. . line Death Notices in... Panera iat. Salty wee Pros Wels ee aoe Giinad uocedeae RT eat teh eens Pee ae ies Mae fiche i'n vs egw kes vctdlcde, Se, We ei aa Total Footing of Bill........... $148 Ve.. eS te oe, Penile Te Meee $ Balance....... Bl oaiseste: hi be wieeanete Entered into Ledger, page... or below. Misecellaneons