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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

Name of Reece <ouae io MMM LET. «PLE ALOHA ccc n ene tele Teel Sorc 3
( Married Single At Widowed an (What Race)
aed se inna thetle, < ckahieaign’ CRO ee ee ee
Residence 42h oD Che G Gy Masi ce eT of Age of Husband or Wife (if living).......... Yer
Charge to: Ope0KeGpe 0 LMAO LA. ccc ewes
a 3 Complete Funeral (except outlays)...... $ ,
sonia . 4 tS) Neat 1! ce: “. Casket. 4g. ot PPS a eee .&0\e2.
Order given by 2% . Gig ae Burial Vault or Box ... PU eae . ee ae
orinforman’
State pa
. Emibalsing Body. 645 + « Jieses 5 Stveenws a!s eavally be codleess How Secured hack ec aie, OW ch LR ae mbalming Body dat esses
If Veteran, Name of War Ce ev Gly) eee Barber, Bek orev sincere Hair Dressing, $..... . ....]..
; ae: LESLE CEA Dressing Body, $..... Underwear, $.-. 5M. fies
(@) mays Biel 6s, other, »\ 8 \APAMBTCTAEAA. stor Tie. A ete ter ge he ccup (Social Security’ Numtesy . Suit or Dress ae Wetloleg Tp
Employer and Address ...... cece cess cece e eee eees Slippers, $....... FIORE ED Sati Mies elite ciety
: Folding Chairs, $.... Harpanlineip its leone ees: nm ?
Date of Death Jreche Ak <a.. Ate aero adatoms ¢ oe) Candles, $...... ....[-.-Date of Bi CLSEOE,... Age 2a.. 8.1) Door Sprays: $ nis.. GIOVES, Geis oa soon des
‘Qo Day > (rn) (is) Qos.) . ay) . Funeral Car,.$.... Ambulance, $.....//....
Services at (dacccer7rH . oer oS cece ce sete eeeces Limousines to Cemetery... OV a ee Die . or ee re. MR a
g pr 4 Extra Limousines ...... CEB ls via: Leta e odie +14, date] ets
Cigrayme ca 7 if Sin (Address) °° "7" Autos to R. R. Station. ... AT SAE seer . Coe oy jg
Religion of seas ae Dene teen e tenet e eee e eens Getting Remains from.. 2.2.0.. dees uedelles eee cs
F A Taking emains tO.. 5 Wie. dns dvs bcos Sk eh eecdalede
Lec ai cr ok 22 ey GEN Pare ea DE fg he rE el .
dian Trip to Coroner’s Inquest .........-]...0.
Resided i in the State. Mt ae a : ‘Gavcaxs z ‘laws “2 (Mon ths) : eee Box 2 SR a ee ee ee ee, . 4 ee
Place of Death AZZ. YW 5 l ftawed Metileg... eliver Flowers to......02cceeeeccececlle cc eeee
Removal Charges........000 pacts Staate Pilar apeless
Cause of Tes ioe (sbeanigablels PA Cates. Procuring Burial Permit... Oe UO ye, Bene eae
Contributory CausesLZ, “= Gide: RFTES eee ete ale ose Rea nes a Sytna eedtn a a
: all Bearer Service, se o apel,$...
PE gh. IE Dodane Re
‘ emt Z Gross Total for Sales Tax........005 . eee
Certifying Physici Os ane oe Fee.. RAY IOR LOG Cdr dd wk os yc Penh ceva sw baton Hees weectes:
: St 4 ) iS sa ASIAN 9 oS SBOE Sh ia e EE ig Geared o's sla geal ttt:
His Address Le 4 ee Dai one” Me or seas Flowers, $... Palms, $: :::: Matting, $...l]....]..
Name of BAather. 2ZGZZK. oo ec ccc ccc cece cee ceecs Rental of Tent, $..of Temporary Vault,$../. ....]..
His Birthplace.. Zeer.. eed eS Opening of Grave or Tomb........./...-/e05
eEirbi plane. Lining Grave, $... Lowering Device, $... . ....]..
Maiden Name of Gea fied #4; aara nealinale stare sfese'e Sy Outlay for Shipping Charges.........1....
Her Birthplace: .. G46.. oc cece ccc cececuccccuceces Sey mane «2 eee Singers,$. he -Organist,$...//....)..
‘0 erTo= °
Date of Funera/p f LE 4 wets a2 : LO. M. or Mont, } Tickets, $ ee plane Service,$ ee walle eee ee eleoe
4 el (Daf of Week) (Hour) Telegr., Phone, Cable or Radio Charges..../. ....]..
Shi ert PeCMAINE TO Fano elle enw ae eee claae o's ns valeetbale, Cage Bdvatioes 250. 4s. va ie cee eewn oa va'ec lheeoon. . ioes
ei of Casket 20.2: Out of town Funeral Director’s Charges.... . .... ..
Rohe ha (State Color and Number)" """"*""” ". Personal Service.......ceeceeceecceecll. occ. lee
eae by leek EY: Feet Le dg as ae weet eee ie st oe eR oe ee
SE . feacerne rt aan.) ae, a eee, none ee Fk ea ean . e
Grave No scare Sia Tarte cle) olblla ccocotet ul! Se% 207% SiMe ene) Sip! © ©: o/iesiayie Wis © S61. 8-0 u/s 0 0 Bie 0 e:0\ 10 wished fee le: acersillcc aie
Section N. RIG EAE Vga gipte wo cbe ore'sie Lae wg iluled des cd
PCHIONINO:e.sccerisslasu sine
yale Total Footing of Bill......0e0ee. 0. s. ..IZ. ae
—— Block No..... yaaiee ale :
Diagram of Lot or Vault OWI on sive ties ow Balance....... $. er
MEER MOONOOIR. 662.0. Basin a hues on cn dee psecan de tet, Entered into Ledger, page... én Blow:
SSRs aot ic: al Se Fels Sie es ORS WBF Ee bere, ST eLMue in whale Bibay
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