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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 UF FUNENAL *
Total No...ccccecees Yearly No. mes oF ee sels Date of Entry. poe MEgees paektutnaste 199%
ame of ee lt #C. Gp apgoted a Gcicadi 5 Cabiy A Clit siete a teed: Sie ls o's <le'ens
» De Married On Single o a at fivor (What aN
eee iat MLE LGAGFERSP, oc ae ‘ ed eae corte fee eT ee es ° etree ee ge
Charge to: aba.. SI Fe eal Ate ore
a. GG Complete Funeral (except Gutlerss 4{cGe Serene $ .
Address, £2: pe en Fa py Casket ti edaccogy: ee eee GFF. CP,
Order given by LG . ay Le ae Burial Vault or Box § tee Low eae LF?
orintorman' tate i
How Secured Es Bese i ei te ees lamer ge lt Embalming Body ... Ay SERRE i ee Cenieas Ura
, Name of War. fet ate ast cies". . ) Plabd ant Barber, $.0.66 05-5 00% Hair Dressing, $..... . ....]. yi
If ate os Tse Dressing Body, $..... Underwear, $. :47. . ....]. CF
Occupation ‘oll ee igoae ae Fe bata g e Suit or Dress Re ie eae at vid nt aes Sri oot Amie, . bt oa Reel als
FEY Or BINT ALOR ods ca secs ais wals-n ale © oe vi atnbet gee «g's Slippers, $......0. OSCE o1) ete Cate aa ge bn ae
: Folding Chairs, $.... Marpaulin, $0. sos ~ealtucwc © elise
Date of Death 0, CAGE "Cee le ea Candelabrum, $.... Candles, $..2....l]....
Date of B 1. Abs.. Age ZF..2..3@7.. Door Spray, $..... 2) oe aay isi ae . Sad eee
are ee Wr.) (irs) Glos.) ays) . Funeral Car, $.... Ambulance, $..... }....
Services al Ah GADR Reem. EEF APA eee eee es Limousines to Cemetery... oe Sees bib) . ona SVE A
Extra Limousines ...... CO) ete eed Ae . Be oe
Clergyma: Leal oa (Address) "7" 7" Autos to R. R. Station. ... LOS <x Sp teats atk Dy
Religion of the ape” Dente eee eee ence teen eens Getty Remains fromrs. o. <. sive ees eos sefleowee ales es
Binrelacd Dg OE oe SN A A aba Tolihg Remains to.. fe bee cee cee belle cee cette e e's
cee eT Tip to Coromier’s Inquest: . cco. ee el cne Gecaleee s
i in t CAGE. We clone 5s dcawpiens erat « Slain» abettesue MRO NS lesen iveri esi in ae Pe Oe GL SE neta eo ae SED ieee ic ig
Place of Death (ellie. RR tet ee he be Rates! Charsenusonin i ae geke.
Care OF GE Es ie we cu Sadr g Wain s Seana Mee eles Procorng Burial’ Perit. 26 cao oie eves vis cise + oifeev cea s]es
Copiesof Death eee
Contributory Causes sewer eee eee eee reser eee eseseseseeeee —Certif. opieso (State Physician's or Coroners) .
Pall Bearer Service, $.. Use of Chapel, $...
oa i s pasate Latlda hg el ale ong a len aU aie ed eae ea pee petee Medes! hc ee P ee es
Certifying Physician BO: eace) Baie) \eus n= ep le Ona ese ee Outlay FEF BIG a a iRise whe ee Bop Sigtinlns p Bflce oep es we
Hi Fe pitti, 2 Be Ey, Meee el Ps ARE i eh asnle Sahl alsacniah ar'ee Uhl vow eas sack poem«
B Address: Flowers, 970 = Palms, $:::::Matting, $...1].. 7O\CQ.
Name of Fathers stir. tists seek cle Sch bigie lay eal Rental of Tent, $..of Temporary Vault,$... ].... ese
SO ee rts aes pe eae Opening of Grave or Tomb......... 11 IAD,
tf wri Lining Grave, $... Lowering Device, $... . ....]..
Maiden Name of Mother.. .....00.eceeeeceeeeeees Outlay for Shipping Charges. ........}]...c. e0: Cle an,$... Singers, -Organist,$. . fics ss odes Her Tirtliplices «sui ois! «.av)an dinleie s vealed. omapetine™ s Raliroad ry inasbibe ¥ esp ny
Date of Funeral cide phe ct, LGR.. £0, 0.m. Motor {Tic pte, Bits e sss Ptane: OOTVICE Sood. ceeds as
He (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..../].... .-.
Ship } PRAIRIE GO cece ss 0's Sails valor BUWUNER apes Sw whe vate s Cee AUIVOEMOOM Sk « 125 < vio Six vd a be 0 sled «aN cere Soe Piss
Size of Casket 4/2220 GL. Ses Out of town Funeral Director’s Charges.... . .. §2\ 2
5 rae Galas a oe Bersonal Services i. sales ware cielo hela se erccretenhs eile L, loastak,
Manufactured bye. Conti MeL ON. So ka a eral Stale Ae RS SoS Go Aone obinocion 2 ermeird age ges a
line Death Noticesin... Papers ..../. ....]..
Gramnatcly } -Darecode. Sa ll oe ee Oey Cee laksa aR ete ods at Pa ya a OES Catan
(Names of Newspapers)
MIE Erie ate, aieth sll Y Gc wied ei berveat eid o Uk elk Pot UTED ATRKE © 20 Galo lacacatin a ls. cS ha ale Ma
Grave No. ee ec i ec ei . ace a ed
ae BAU TR ino ka adic otal sy CRW waa ers oe LE
ection No.....2+00:Total Footing of Bill.........000. $. . . AZ. \Ke
Block No..... ht eae PRO ic cela vice nde cu cds wha lacie $
se Diagram of Lot or Vault OWNEE. essere eevee eves Balance..... fete Ee le
MPOUR OIG, 5. 5's u's sacieiy ¢evikied nes ene onweg dale UNts ay 66 Entered into Ledger, page... or below.
TPR teense eee eee eee ee eeeeserseeeenseeccceenecnns MICO ANRC. ole oohis.0' deel. ak cu cant ky oes wae seb »