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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 FUINLENA
Yearly No.. 2. Date of Entry
Jame of Deceased..,
0 Married oO Single
esidence A. ae ae Sh find of, z Rly. eld Se aac 6 Sip Srepslions. 4) 4:.e1otele wleeis.s v0 See Sele, weletel sles
; Cale comet ee of Age of Husband or Wife (if living),....00-.s--Years
harge to:(sa@ZE wielaveunal pak! Schiele © eteininrete aren. peierele oles a ot e apcintl 1( Lctliovs’ $
5 a omplete Funeral (except outlays)......
ddress. 5%, ‘ph dbus €rvaLiees. A ka Osa Sea pe L og PTS, i
WA Casicet Fe Prete sos cients wid inne idle a = .. NAG..
wen: by.. COR EAes 521-1 eh hepa le se ewes ttt} Burial Vault or Box 20.506. feces cs dive cosellecss ecsle een e rder gi hf : RGM. rho Cs a Burial Vault or Box . inte eis
low Secured LAE. oe ec ec ccecc ence eee ee neees Embalming Body ... Gene crates Cece
¢ Veteran, Name of War ZA We navn cian voteassa thats tes Barber, $.....-Hain Dredsing Se. 2s «6 2c «ted slo ees ae
ti ee 23 LIL EOI. Dressing Body, $..... Underwear, $% 05. lle pe adees oes
ecupatlo wet COTA EAE. POP LOSS oo, thw yo aisles. GTeae rib boatea Mate: or Gilby wa! cleia. lnsats fs calf onesies
(Social Security Number) pUIrOr apes (State Kind and Color)
amployer and, ANGress: i.3%5./ ssivic o's w'e sige eines ova ee ea, ares Slippers, Sete! Seki 2. .Hose, $ vette ences ceeds cee ee e[ee sees
oO 2a Folding Chairs, $.... PRALPAUUINGD 5 We facticeelloonln eet siaes
aa Deatle : “airy a A. Oe: Candelabrum, $.... RTCA SS wes sae edad atest ee a
date of Bi be A Sb 7¢@. Age .I7. 4.. 2s. Door Spray, $..... NM ch ea IAG. alan yea t gods acts aces §
i (Day) (Yr) (Yrs.) (Mos) (Days) . Funeral Car, $.... Ambulance, $.....]]....J.-006%
ervices at. Y 4. De oe Limousines to Cemetery.:::@$...... . ].. ee [eee eee
Mancina: . aad, 3) ude a a he el oe Extra Limousines ...... ss : CP ees Meno . e Pa we ae coeur
i . (Address) FAULOS;CO. Piekvs SUATIONN: o/c e's CDNA sclera die oll uous geese es ccane
teligion of Oe WMeceasedi cel) cutecok « eis cesar one & widen cle Getting Remains rE 4, ects £ / Z A 2" Fe ig tral eters eles Been
irthplace . dae por, Paes een pineal 2 MES Bi Taking Remains to. An beA<adirghn ©.. ..: . Fale..
aah in th Trip to Coroner’s Triquest . os.. 6. Swe cl GN. Lee eet weinn
vesi in the State Wein AI SIC Reng ey ek hed Rees eee Box Ee sche e daa ala eae rae cil oieol NPSe ees ced eke tl eoeene? ac
‘isce of aN Se: Meta, Affew: ge vs lee UTMORME LOW GUO ioe siaie a Urteueraticl ae die cg cbt ater at ley artvaye chee Stat etanatre
PREMIO Vel GNANCES cae ol cle cers oe clal sys siete kvlecs Seale esl ee lees tntabailisvausta sls
‘ause of Deathé/Z Cycteraal? mee Procuring Burial Permit... 2.. 060s ee ses sjeffea te s[eeeees
(State Number and District)
oa Cauee z terdte:. it” as ___Certif.Copiesof Death CertificatesNo.—_ an ce cies ts.
i Be Aine ed . ee ae ees ea
Sertifying feed er ee ef tt ih cane or La OP ales LOE cds ssiiteu ee tube este Sei meets s adele
re for Lots.. 2. Fix: aoe sae oe Dyer athe Ml Su ae
tie Address Cremation ZEz Pi lite «a's oka paty 7E\. EG?..
ARG Ae i UT te ince Flowers, $... Palms: $172.3: Matting; $c. oo acne df tieats ele
Jame of F: nia ee oa On ee eg Rental of Tent, $..of Temporary Vault,$... }....]...fis Ritholine Gertie.. ole cme, eRe Opening of Grave or Tomb....... cece cece eefeceees
eget tk, ee ee . a ae gr oT eb Lining Grave, $... Lowering Device, $...]. .... .--00:
Maiden Name of Mother, idk 22 Gea oo siee ofan Outlay for Shipping Charges. 2. 2.0.0.6 jcc, cea loete’eg
ler Birthplace: Cd a ee ee alge . vee Singers,§. . Organist,$...[)...-. .+++.
Date of Funera 7 vr t,o x] or Motor ickets, $.... plane SETvice,$...]....]-+200idtne (Date) (Bay of Week (Hour) Telegr., Phone, Cable or Radio Charges..... )....Je-+005
ship } FRORIRE EG Asics olds oe on seek Kaccemaiehe Rew EeS CamhrAnvaneend « dicmictac chive ooo cieal ste slaibew cele e's HG ba bs de Saace
Size of Casket. £22. Out of town Funeral Director’s Charges.... . .... --++++
ae y aesie > a PaRsORO CCTV ICO. aah ont hie Es on ccoe al o's ve sds Bees chp ou be
Manufactured b Ct, RE re MIE oe Hh Ao Alaeerea Ti cc erie EOIN iy RB os ala a, wedhte, iain ent wie «
ore ll 9 AZ a ws ” ..line Death Notices in... Papers bi sul ee deen ats
i
eC Ce . i ec i ee)
or eR RUD Ue GS Sea ie as a Cried ae Mala adele ire es Wa
G N Ry cis elwasiclciay alc wl MESES aS eine eaeie Sat MF enone Hiniinhs, Won AUe eS 9l ANS wath Je S)eile e < 9)1) 47 Sie o>! she . . cia sene hs
iat 2 Sect a gd ates Gai iabbe eae es cle. Z1G2
. : OCTION INO.. yo sie ce eee es
as Total Footing of Bill......eeseeeeee. “2 7. 72..
Block No..... Bese ee es eR NA EI ym MA Ect a gh $
Diagram of Lot or Vault OMREP SE oho Ae seittanlad Balanne $