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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

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58 — RECORD OF FUNE
SLOTALONO. copii sere) ante Yearly No. 2&..... Date of Entry
Name of Deceased.. Crate. th. elleaae?. UGE Sirs cn « tee x alvrsinls, ce aiaedasly itlbide. ioe ais Oi Saale
Ag Married C1 Single OD Widowed_ C) Divorced
Residence? ‘gd. Ley. Muang, Cale ey pee! siiaaiea sui pee ape
Charge to Pac! ala nti ars ow Sisgeioro ade tee ly calacar ele ae oeilele U
Add 2. Ce
Cat Funeral (except outlays)...... $ ess. i: S175 eeCasket Uti ded! 2.05.58. oe F ILLES.. Order given by. lees tied C. Prage ft en Burial Vault or Box loriiat Lea. LS gecpe.
Or inio:
i
tate ini
How Secured thie Sa i atemanicle pttae CoE eee Embalming Body ... Gincs creates’ ttf feces
_N fe Wate te ol ee Barber, $...... Hair Dressing, $..... ]....]...
jae, cinaleeal re
Dressing tay! alt bin 0: 8d Underwear, $.... /....J..0. CIO SAON HLS cals baal vin olan sotane d tlle Kee ke te ts oe P (Social Sécuiity Numbey’ . SviterDress one Tinh yok ae AE.
Eniployer-and AdWvege i.. o. 566.0000) Sees de okies bocce: Slippers, $....... PROB a Sih o's wl ciee a We, meee a
lobaaree Folding Chairs, $.... Tarpauliy, $ oe ecclcecs so cles ous Date of Death Heck dt, RAF.. 2-5. Mae ee Candelabrum, $.... Candles, $......11... 1..
Date of Bi IB, AEAF...h¢e FH.AA..E€.. Door Spray, $.:.... MSIOW EB, Bika reve ah 60 Micitva wile cas
" Day) (Ws) Cm)" “Ghton) "axed! Funeral Car, $1.. Ambulance, $......... ...
Services at “Hromace Ge Soplcanng Siecle pala. d od Wik Limousines to Cemetery.. . CS Se) cae Ryton
2 om,
Extra Limousines ...... RO a nce su Stina Pe RS Ser Bg Cleegymay 7/60 PECs, Ze 6 dp (Address) "7" °°" " Autos to R. R. Station. ... ee SE cece ee SLY OS Cae ae
Religion of peat igs WE ety Rened wks beige oes Getting Remains from........... 000.. . e ceux
Taking Remains to.< 06. 6. cose camels sean ellies ts eklens cs
ihe eee , CY De ge ey = ae Trip to Coroner’s Inquest .....5.00.cessecll. oc.. lecees Resided in the ey, Rs ew tae Gubies wakes “fae MAORI THO CO. Bis lies. a die Thc ene hoa i ed lie .
Lhe, Yeo“ — 5 Cit Deliver Flowers toc pie.. .cnscccsvsestoecdll... lences
Place of Death Le Cady ila Gly EES ae allah Removal Ciarsen pltaa ye i. ae BNF.
Catt ol Dea iice sy cs ecg ks be be wade vb oes elo Procuring Burial Permitii) -0020).o0.w cocks. Woke.
C £.C fD h (State Number and District)
Contributory Causety 0 ooo. cic ieucled ou cbck onc eccmesb ok. Werte AERO Me Porat Coes ee eae
Pall Bearer Service, $.. Use of Chapel, $... th alglavale a eleboaplla Aunts Delve n aller Fae SORT hen 4 Sang ace ee tel. Chelios teat es. es aa
Certifying Physician...... baad as +4 Rig wieh Mase Dating For We ila eB n sGa estes cE Uy Ae eee
ee MEME OM atts a3 Haigh se es dc cece eat ele aE ae
SAI SCUNORR hibad ace Coa eames ae a Te eamiet Po Flonées, 3370p lak Be sy: Mating: $200 CNS "Selee
RMON PRUE iho ans, pr ee MeN econ eee. Pe ale aes Rental of Tent, $..of Werneaeay Vinult, Bos. ttc. dec ae ;
Opening of Grave or Tomb......... «NER. 6
AER MPCAOG To UU G ie.s w ctlai oie ash etllic, Chet tine ines Lowering Deticn 62
Maiden Name of Mother........cccccececcccen.
Outlay for Shipping Charges. . ARE oh aes # . leet. ota annie iis os Her Birthplace
fare es, Bee Singers 1%. Organist, $422 lle. KLGLAGA..
SAME aed NMI Ne dlnos Sa veatacecaners aa hat & Wk a «! oad \rickets. $0.. neat PSR a ean Mba
Date of Fu C4A 2p ae LEA. 77M, of Motor x plane mer Fae en au are (Date) (a GS m (Hour) Telegr., Phone, wahie or Radio Charges..... 1.... .0.ees
att er} . 6 Se ee inl ka ete el OBE AUMANOED. SF yas « SUNG voles bs ak. . Ae c cade law, Size of Casket AV2Ze Le CipecéiLin.... Out of town Wnnerat Director’s Charges.... .ACIOL.
State Colefnd Number) Persgnal Service.. AR WHOS sp eneh SE bs Tutinice Mi iy) te gees
Manufactured byt eh. rage ak (lensed Jd “5g: OPE Mies Po LAF..
Jom
: e Death Noticesin... EMPOO nc lidhs neta dle c «oes Seamasery <A. 4 at ae el oes ee ie ena a eer wate '
(Names of Newspapers)
BPE vs kein Wyland ns bp PAN Hor no AU He dds Rey Meret ie ing te te ee
ete a en Eisler
. pa eee ee ee Total Booting of Bill: 2:06.00. ec wc $ GAS. %e..
ane Hi Noe tga ge eae e a
Diagram of Letor Vauit OWNER Es bathe rel lcor ten. Balas. tie = pata ea
Miscellaneous PESOS) FICS Si CRow (wa mise b: 0 6 6.64 le ee w Bele Ble ble etlbis . Entered into Ledger, page Se, = or below.
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