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Collection: Original Records > Death Records

Mortuary Records 1959-04 to 1960-10 - Book 30 (326 pages)

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i ee RECORD OF FUNE Total No.....0+eYearly No..9@. 00022. Date of Entry.. Peele. Wecvevecscceees 1947 Name of Deceased. . ORL. a ek A oe Di Saat Rae, TUR . Rd aag i oN Da jthile cae fs ns (0 Married ey BY Sriscmn 0 Divorced (What Race) : a Act! Ca thy [)Husband[JWite[JWidow) ccc cececeeces me? oe, af fe He ay uel OP ns, Ore Lge of Age of Husband or Wife (if living).....-.-..0+Yee Charge 3 gh Sea ae oir ae eee fete Complete Funeral (except outlays)...... $ rena) ally Lee pe be cata igte Caskut stn etweeuet sc. lr tial. 220 leo. Order ¢ven by . PMCIT o4-0 araie s viele 6 Siar sto Burial Vaultior Box so. atees allen ee ft at (or informant) (State Kind) How Secured YOMLML. ccc cccccccccccccuvcccceccuuues FeMibalmiine Ody fens soa. oe oes actly sees ota eee cle aang (Name of Embalmer) If Veteran, Name of War Ju. po ees ee tee Barber, Saas fits oss. Hair Dressing; $..... . ...wets Pee cies ! Dressing Body, $..... Underwear,$... seo oe Occupation (& ne feet e cee ees Pit anes Ap Sea Suitor Dress ..,.¢.. 4) 300. tela pate Miley oi Wp dlteatae ia ee (State Kind and Color) Be ein 9 EL ee eae oh ts, ae Sapper es Bo) alers SL wa ROE. -luax louse da vite swaa wend Folding Chairs, $.... Tarpoulin, '$)).4).\.4 ssi a eae dia ‘ AZ, 0 GAP. ey A We PE. Candelabrum, $.... Camdles 3. Po. a. 3. Galea Bundt CAL LAEO.. bge YS..0..2.. Door Spray, $..... GIOVOR AS bas sacle Salle Gece Sect ) Wr) Gre) (Mos) aye) . Funeral Car, $.... Ambulances $.i.0 5 ok sll ae cas plage A CMAP IMEP haa isn Saw dig Saw sh RRO Limousines to Cemetery... CHES! ieee ala lipstt . g elite Sk Ke Aiea . ee Extra Limousines ...... COS at, ats, ie abe wcan FS Sian Los ee (Address) Autos to R. R. Station. ... So tee ec dledioy ae aay ROD 5 «o> en mR 2h Sd hae gia Getting Remains from...........leeceeee ry Birthplace Caglaucd aE eed Bele, te Lae Taking Remains to...........40. Di ccke ee ora are Z. ) Trip to Coroner’s Inquest .......... ). 0000. . Resided in the State. Z2 Siete Beste eee e esse eee Delivering Box to.... 0.0.00. eeeeeeee eee.. (or U.S or City or County) ,(Years) (Months) sua ac aE Rat aa vac ai . mat Place of Death.cog Doliver Flowers 0.3.. Pose cd ba ocebvs balls coe oy ail el ot ae Removal Charges.. 0.000. c oie ecnneeeutaoscth scl. Cause of Death oe ae vig LOE? Procuring Burial Permit.. . 0 .csssnss «ot ee ee Cais ra Certif.C D h Cort Number and District) Contributory Causes, anal! Cedctcautie Cctcwcledrnid. <Certif.Copieso oP ea Facer Core Dia ci ia Pall Bearer Service, $.. Use of Chapel,$... sel acd o.'+:9 Fee halts, CHUM esa! wae Ike Bg let daiktecMe ee bin ee et Gar ne eA apes ial Certifying Physician. ¢/a-¢A4d ee Ses Slides, Ce: . Oatlay for Tt Fe sed. Ser peda ns ie : CP COCO ee i ee ee te eS ee OE Se PW Oe Ie O58) 6/0 OS lag ee anal o oe ie 6 Z Cremation Cee, iL, BAIA. Fits Address. La ok lp ana Poway Flowers,-$<7.— Palms, $... Matting, $... 1 AF I2, Name of Father. tance’. De GL age Gate. vv ceccvceces Rental of Tent, $..of Temporary Vault,$... . ....].. His Birthplace VY “PRR eM ae oan Opening of Grave or Tomb.........l. .... Lining Grave, $... Lowering Device, $... . .... Maiden Name of Wiothicesdecteadl PLLILACEE ove ence. Outlay for Shipping Charges. ......../. ....[. Clergyman,$... Singers Organist, $7 =~].. 3.92. Her Birthplace. CAg# decd.. oo cece eee eeeeeeee ess Batre ie me gers,$. . ob a : A oat Date of Funera : , FOLGE.. A2f7mM,. of Motor fTickets, $.... plane Service,$...//.... sae 8 x “(Datey // (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..../. ....].-Ree p Rea eT ee sc oe cee lhe ee Cash Advaneed oo oie his Bese eke lly ae clacton . Size of Casket fF Pe He SH Eé Z. Eile. Out of town Funeral Director’s Charges....]. .... aes (State Color and Number) Personal PO oe Pik oie GO GN ethialns «He: ee Sues Manufactured wp lon Lig Shi.. Le ae Cet ee Bll. s . ‘: nas Sa ee icky th So pes Mae ae Se toa a ..line Death Notices in... Papers alc 2 /oHt es ae Geeety . iretistee, Coated nba Be cvscle Oe ee ee eee en pees : ames of Newspapers ape eel. lt ee ee ee ee ee ee G N eo ie whee ere: Bite © bec Go ab tt SOIR OS ie eee wie 9 eS ela 6 6m, Sia-e CU le 8-00) eG 6a: o's 9c . fare lo sis : . y se e RODENT Mh SOR eis lsc yah a cetp ay allel lgidoes shy ee site Zee sora ia and a al Total Footing of Bill......0.0e0 005. 3 FFA ASE — — Block No...++0+teeeeee RR Pte Sicline caste aie) osette Gi ag EA oe ws gid $ Diagram of Lot or Vault Owner eee ee ee eee eeweeeeree Balance le EE EE aD $ Fegan = ait Miscellaneous FOS ©: 21S 66.6 PIC O10 e O06 ole 64 6 Bele SIO lb)e © 6-5. eee Dee Ss Entered into Ledger, page ahec tet or below. nee ”