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Collection: Original Records > Death Records

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

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FUNERAL Date of Entry. Fae tetas avers pesseaee 19 A, Name of Dessay eee. aaaretia Tipe Naar OC ieee eae Do . ae . le Bap [3 orced Widowed 0 Married Residence Hepa : LB; : 7 le Charge tp ee, Litt. Address. xt Herat oe ae a thet IB eal Order given by. Zee. Ltn. Ca on (or informant) Ssemally . eteeic. {Ptrrree, (alge ea Rll Bs EMRPADG oo os be See de lad Grave NO.5. <sdisibls oe icies Section No........ — rc— Block No..... VAseee ce Diagram of Lot or Vault GON nin. es aeda ls. DE SerOM MOONE, Ss res sla hs hac ine ae hy od Chetan Tel Tara ee oe Sas ae ORwlies, AS re of Age of Husband or Wife (if living).. Complete Funeral (except outlays),..... a Casket .€s. ao te Saar LT oP. ex Burial Vault or BoxGéseued”, ee Pees ae = és Tec (State Kind) How Secured (yvete...... AE aa. Vara eT Embalming Body ... Geng ce Ree Rennes b / ame of Embalmer) If Veteran, Name of War.. . o.oo ec eee eecec eee e ee. Barber, $...... Hair Dressing, $..... .... a a E oe Dressing Body,$..... Underwear, $...H.... = CCUPQUOWAE LILLE LG LE ccc cee cence ec eee . p vA Moin Reity ete, at or Dress.. 2.. gikeadeGas ee ale Employertand Address o.5.0. 3.0000.. ceeds cca dooe ll. Slippers, $....... SRO oe a Ue eae at =; Folding Chairs, $.... Tarpanlin, $. 6: . Date of Death. GHEY Sih 3 (vr) a Vt OM ‘. Candelabrum, $.... Candles, $......]).... fy Date of Birt a Ad ae AgeS.7..4.4£2.. Door Spray,$.... i AO V OS Be. sly ges oe othe ie ; (Day) (Yr) (Yrs) Qos.) (Days) . Funeral Car, Die sal ste Ambulance, $...../. .... a Services at77WA4. ALAA. eee cece es Limousines to Cemetery... QS 2 es. oe ee zy Cz i Aga Bie to ie ick oop eae Extra Limousines ...... GO cya ase, « ep oa oe (Address) Autos to R. R. Station. ... OF a a te ie 3 Religion of pe ney ee he ee Getting Remains from...........1]....]. : sf Taking Reraagine to 0. il veseces ce He he he Birthplace .C~ oy ad EL.. Ror nant av &' ale nina weed oceans ; e F sie , Trip to Coroner’s Inquest ........../].... . Resided in the State, 4 ee ce Gity de Colege : ‘(ear ** Obes a) beh SS. Ele Si seavaeietensiietens Wiles ibid o vedaatoenttul ace gti Apis Place of Death Heerata. WE, «1.2 Removal Charges.........00000.0..../. Cause of Dedth. Zezccend. t Cth Cot tdee... Procuring Burial Permit......... pieces sr, he tel de i . Certif.Copiesof Death CertifieatesNoe “. e Contributory Causes. Meta f2 ae < ; iatate guencatesNo——__. ..<7. Pall Bearer Service, $.. Use of Chapel,$... Tea aes HM hod eS poem see es Eh Gross Total for Sales Taz..........§ ee Certifying Physician Map. ME heeds. TiO hfee ap AVEO ROO ice ore ks ees 2, SW at ee : F Zz Z Sf. OE AOE ss Bois Lad ss ew Pali oi dlawiel, noe His Address. “7 yy oe 3 ‘ae S Rett Mere) wean Flowers, $... Palme, $3 Matting, $...]. ....].. Name of Father Z A tedtis: POOPIE voice vaevviccduescn. Rental of Tent, $..of Temporary Vault,$../. .... .. His Birthplace Cher ‘ Opening of Grave or Tomb.........]].. FEN Ek ea Sole Nie’ (AG's Smee Lining Grave, $... Lowering Device,$... . .... . * Maiden Name of M thantovatt 8 MEARE. ves. Outlay for Shi ye Chases. od 5 Sey, = Her Birthplace oo aay i ip ee he See ee Clergyman 4 ~~. Singers,$ . i -Organist, $7" . . . <2axé TO; * TO* Date of Funeral 22 ae Bs LBA. Fb reM,. OF Motor } Opin aoe plane Service,§...).... hg (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . .... aaa Moto en Ship ") Remains to..//... PCa sth SP rere neees Comb mdyanced Otic, <1 2s cee aurea Soke. he, ‘ £ Sc J, af Out of town Funeral Director’s Charges....]].... . Size of Casket tiie Pile (State Color and Number) "°°" * Personal Service.. 02.0.2 2.. eceseceaeeeceell oo), Manufactured by eee 3 Es . Co a eheisl Seay ezna . ye os teem eleie ease ee a ae REBER AA oe calle i St oraEa aa S-Sdsra te, einceal veal ee ei a lees ..line Death Notices in... Papeete ON vet FS Te ETS SO PO RSs W ecslia & 91 aro celal Abe lofi ite Loreena el ole SH icislerk Geeliste FE ON eet Re Fee 8 BS Bie he UWS Ss HGrid & Hn longlate SIS eT ote cane ated « Seng ay 1 ee Se OT SS: tS So Riese eS SIE ‘oote d, olyye eene oe oll & cee ee ta Total Footing of Bill........... SIFFS. . G Wo ae Pile aegis caine ie Oe Rae ae $ x Batance si. 6. coded. 25 31 (ee eft ee eee SASS IS nO IRge 8! BOR e: 95e 8 eh fiw ale S Klee ho) wien '6-8i'5 0. ele e lp wie Biele chain kee. amnannnie