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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
oes
Yearly No.. et Oe
RECORD OF FUNEKAL
Date of Entry.
(0 Widowed (C1 Divorced
Me ae an din A 19%
Chgesadeed Lihs, téllewer Sr Re gee a! Ghee ig oS ie ey Pie
“4
Residence=* si oe eae te» ofp Chote. litle oi eeeveees rer tes . Yara Pil. LOOT «x=
bee Bre ees e of Hus eZ (if Lileerere Was Reesaaearecreate Years
Charge top eee. Gated Po co emittance:
cis flee Complete Funeral (except outlays)...... $
Address Zitenty(yaetAt ater. . Se = ean ae Pale Casket .<%. MAME dos oa sae cede 258. . LO.
Order given by. Loca eLlcenin! sce eeececenenee Burial Vault or Box ..... Pee eee eee
or iniormani Ss and’
How Serra LOFT 6 bisic soe cein be a ko ss dis tape wmaetnns Embalming Body .... 2 Fi Bitlis aes Nop Soll cs
(Name of Embalmer)
If Veteran, Name_of War HA. et cs tae Tegel rein on Ee ahr Hair eno rs ee . eee Cone
. ressing Body,$..... nderwear,$.... . ...-. --e0.
a oe a tepch (deg Givi. Fb Oe POUR RUOR PPCM, oc 2s oak Soicaies! da cad cone Oh see's fe ded
(State Kind and Color)
Femplover and Addrede) oon. .o).0ce eae bse cease taeed Slippers, $....... BEDS hed storks gvetlval ls ae tenalaas s
-. : Folding Chairs, $.... SPAT PAUL yj be the ol ere ea tee calle eee
Date of Death 0B Ros oe FE 4, eo We \endctalionm, § 2. : ls: Candies $c: WG es
Date of BirthZ¥x CB SH. Age 22..4%.... Door Spray, $..... ee he ee aes . NL aan, eae
(Mo) ““(Day) “(r.) (¥rs.) (Mos) ays) . Funeral Car, $.... AmbolanCes os os vice sollte ca etalon ats
Services at 77a pe< =. ss uihorseon Tea eR Oy ie Limousines to Cemetery... Gee NA See pmb . . Eee AG Busters
Clergyman. yy MMe raat ie ioe, pig Tae SP te Ble Extra Limousines ...... CBSO ede The tee ote The ee siate oy tate ete
ona (Address) Autos to R. R. Station. ... (CARR ST SE Pee Serge . pentane On. Mira ay
Religion of the Deceased Los AED cee ccc n eee neneeeeneees Getting Remains from.......-.eecccilec cee cc[ee sor
Birthplace LG pA Cie Ud ee dl TPeaberyi ge eri aie ioe cel eevs sole alese cus ototevae!swieretite e Pils eo tlouee es
h a Trip to Coroner’s Inquest .....2.sceecclecccecclecees
Resided i in the State pi Gity fay Coustyy . “(Years os (Mon ths) 4 . Deliver F Box CO aces eee ee, eee talNTaea. Ect lgk an, . alien oe Ah
Binsaiof Deathatee . ce nee ieee we Ley. GHVET ELOWETS TO ois ono eins ox oldimegie mtn Sy Hee yates fos oe
estat ; REMOVE IMG NAPOOR ye seals suet si sbc 5 cuvahents.S) Medfns oun silt are is
Cause of Death is Ae ee CACHE. ae; Procuring Burial Permit. Pt lpere ot Re Cae Ae
Coitletbateer Cartnae ae oe Se ne Z_Certif.Copiesof py canny ORES s
Pall Bearer Service, $.. Use of Chapel, $...
id ds gos Gg ack eget CELTA etisr it ee ncskeeh aS pene Last cen atoustes w Bhs RS SH Sn a ta al
Certifying Physician. (Arete. Exit sr BEM) Ola ft Brn seein pone ie ee
Cremation+eedte. Cabins «FF 2°. His A cathy yp Ci Eee a iaithes aincl natin Bas <a ee :
Fe ot rl fa Py, Flowers, $... Palms, Sa Jes begs etn (plleadinetiens . . See
Name of Father, WEA (cl leadvice pres Soran Rental of Tent, $..of Temporary Vault,$... . ....]...
His Birthplaee. ae ey, T= aes ae Opening of Grave or Tomb.........]. ...c)e eee
yi Lining Grave, $... Lowering Device, $...]. ....]...
Maiden Name of of her Ylatcilov. weiblicnaile, Outlay for Shipp DEE. Charges. 7.. +++. +00 -saylleeeee, sjeve
Her Birthplace. , ee Sah OY, clo EARS code cath Coa ieee Singers,$? A Organist, gr F. . 7S19Z.
Date of Funeral 2 Lee. Lo. LOE 00 Abe. CM, Motor} TICS, Sayre s+ + plane ne Service,$.../1....]e+0++
ieee (Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..../}..../..Ship r} RET SINS CO ya otete's, & ale Sor an elesese © ayy atle eve Weaudie Wiel Cash Adivarited <5 de day vee Seine wee’ ace caw oly wed Dabs owas
Out of town Funeral Director’s Charges.
SHAE wl" A Cartiuasa Ehime ME UV EE A MARE AE AECUUME DWMALE UD e ees ce rilscecccec. see
Size of Casket 2-2, maar Siem Numi ‘ eile PPOVSOMBIESCP VICES. sic a cis ea ei oie ooo. p eeoa tell eect alto tes
Manufactured by :s Ceetit e. po Tb oibre wa a-aie otatal © OU Reh So oe as 'ele welded aa) S' Sisle © oS se heile w.aimele ela Ue saleee-ol ee si es
Gometory \ e . Z ot line Death Notices in... PApGrs 5 es eats sa chee vas
rematory Si paiemarie ee aang Ate pay mates el alee Pad Dee ce tees eee inal oe OS er cra Daal = OF ales ae Jor lh talliga elgle cue he
Lot No (Names of Newspapers)
de eg
. aS b-:
arn need arth, dS ee eat also 21E2
MUENOe. cats cig So ls vise
we Total Footing of Bill......e-eece cues 22 <2
a epee REN coat taatithe siege ane ;
Diagram of Lot or Vault Owner. ..0eeeeeseeeee ess Balance. .:, 16.4066 eae,
Miscellaneous. en PM EAS aRSRaS & Sistas: ar etn Sere -<) we bowie ela ace eral eunierere tes Entered into Ledger, page ey se or below.
Stee eee ence teeter etree eter eee e ee en ewes ee eeees NEIASCUATIOOUS «Sec aly 70h wi cwic'g ates ora ao ee ees ye aloes