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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

RECORD OF FUNERAL
Date of Entry. ge iEP 197.
Yearly No..2%....
5 4'6s6
Potal NO. .<8
of Deceased.. I ieee. els Pac pccen «
(0 Married
nae
ee bie eater Rat
i
(What Race)
.
gee
et
he
ia
ae
eee,
DiausbandLJwitelJWidow)
lactlige p. Ca
pudned
Residence: . ;
oe
0 Ae
fF
Oo con
l
os
it Ghz “et
55.
—.
Orion,
ey Bap ae tc
Age of Husband or Wife (if living)..........Years
ACT tee of
Complete Funeral (oe outlays) 25. 05.
Je. $
‘. Casket
.4
ine Oy Anes
Seio. \@QA-.
Burial Vault or Box
nsetef n See eee <a tate
Kin
Eimbaunme Botly x). ea Stok sesye ne’ 5s ss 699) poem eee ote
(Name of Embalmer)
aa hls \eote Hair’ Dressing; Sic.
Name . OP Weise is suc vil baie aos it cite Beds Barber, SRS
If Veteran, NTapihad
Dressing Body, $..... Underwear, $c.
nc
Employer and A ay
Date of Dean;
Date of Bi
Services at:
Ae
Si bE ENCE oa PF cas ux win alg Be aloes ts we dd eb oD) oa iaho sae
EG APE REE.
ad
(State Kind and Color)
Zt
fattet.
Occupation Aer.
<.: 2 allie cess fe ssnte te
2c We aslentetie
(Social Security i
aoe
“9
acl a Sete ene ales Melee
Not sccole ten ees dicMralee Slippers, Fae ls. sa howe ve PIGSO5; Foss
oe
Folding Chairs, $.... PAPO AEII, Oo adn ois We ot wale
he
CEs ie Petia a amy . Ean ied Fone
ei AG fel Candelabrum, $.... SERN
2
(MS Ey ane 2tia
$..... COVES By.
ut.26,7466€..hg¢ F3.0..08.. Door Spray,
ls Wis siete alls oss gael eos
@ay)
Wr)
(Yrs) (Mos) “ ays) . Funeral Car, $.... Ambulance, $\. J joa 6s dlsee em [are ele
cece e fee e eee
ee Limousines to Cemetery .:.:@$.....0-]]e.
2.
tlds
Py
EEO
Mato.
“a? a
0
ne man.
nageat
Bicone Extra Limousines ...... (OS
Autos to R. R. Station. ... Oe
eth clas haa s
ee Edis
et ears, olay
sees eee sees
Oe oan Oe Getting Remains from. ......0ceececeeciee
See ghee
+
Religion of the Decker. Se i
WACO
ae a
ee oe Mera
ai
clos sins ono es a x See ee
a
Pace of Deatn Zhen
ep
{¥ears)” " (Months)
or County)
ope
as City
Mpeuded nt the State:
eis way seen ae oH wien sce fe ene
ee ‘Taking Tiemraiie ta 0.
ee elles eee e fore ees
Trip to Coroner’s Inquest .......eee
ie
. e
cnn eens cence
Cause of Death “LACLA~ . FEEL
1
é COPA. 4:
Contributory Causes. Zz
Ly,
os
CARE 0 sine
Se
ae:
eer WR mab Men tt Bedi
ala
St Te Te
eee
een
nS
ite: eke
effec eee alee eee:
Procuring Burial Permit.........000
L. NEP.
Z_Certif. Copiesof Deathae
boi.) to!
en Pyitaea Cathe
P
Pall Bearer Service, $.. Use of Chapel,$...
Gross Total for Sales Tax.....c00cceee: SY
‘. Outlay for Lot.
ie ers erates
SEA: 228.. a
Al
on
KS POT ALTOES Mi chest Ste ce ws, phcllesaiel ene! ateie ra) bac cea “egu lle Mackie oholol ie oiler
Flowers, $... Palins, 9 «3 < vo Neattin eS a. ie olleeas
calle w 9 as
Rental of Tent, $..of Temporary Vault,$... . ....]...
Opening of Grave or Tomb......... Ae IAO
Lining Grave, $... Lowering Device, $... . ....].----/ Outlay for Shippipg Charges. o.. 60s <5 en agyllss eee) sore
Date of Foneit 4
LO LPL?
". Clereymanae-=Si
rc : Singers
7 Organist, Sr
led A
ailroa
0thos sos
te SEP Serviee:Ss s. deeds
hood . Tickets, eet ee
LOGON
Telegr., Phone, Cable or Radio Charges....]]..../--+0(Hour)
Day of Week)
(Date)
Moto
OAS WAAV ANCOR foo ecco aie alles Cvecteosolols nw MUR Sees sp naitllias Soot Cole nee
abereivey
0
slo
ole
garptlouatate.
sels
bso
o
no:
-T MR GIIAITIS CO) ee gl ataicih tails
Out of town Funeral Director’s Charges.... . ....].---Kc.
LP
nh
Aes oh Caan PEATE
Gaggia Ngan ts Feary BPO nh oe et ghn desis Fh vid AN Ya a hace wade ee
Manufactured byewSaart Canora. 2 re ae
Gemetery . . iS
ht
ee en
oS
MIP
had has
oe ang
eNO?
eee . e snes
. line Death Noticesin... Papers, ose
eet eae tuseue sé tiene ene sealbewe
cabs tee?
eb epi 5a. il See ene ata ine TANI Fee eats.
ARC alan a
Grave No.. = EEN
les .
eee
yas
ection
No. .....
SERGI oSDee Re Lt oe Seana ee ey © neat OR
Pe
aii
Patera of Lick er Vault
aa, aes
dade AUCH
pe
Paes (hata l] Sg Beal
p
LO . OF
eee. MEET. 22.
Total Footing of Bill.......0eeee
Balance....... Eo
ep ae Ue
Saeed
Miscellaneous so BOW View 6 6.6 0100 4 6 © Hie 6 O46 06 6H 0 6 6 O16 © 0 Os 6 Bs 6 Bie
Rae
Entered into Ledger, page Roget aes or below
Micnallananne
eee, Rae