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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
) 80 — NOWVUANY VI FCUINLNAL
Total No.. «sce vaeesiee Yearly No.7 ..... Date of Entry. er Sein a» Ro ns a seni oy 12
Name of Deceased. . het or OA Lb) thine pdms OL ee OC. ee ET Re ns eae AheetE ey ie =
CO Married AY Widowed 1 Divorced (What Race)
F [)Husband[}witel]Widow) cece ee ceeeee
Residence. i fmed. cathy Sama (Al oa ae a Ce ee eee of Age of Husband or Wife (if living).......... y
Charge SL: ees ean LOD STOTT
omplete Funeral (except outlays
Address. ees a ee ee : _
Casket. “%. letprecte%,,.... f9. ted be FF.
Order given a x a A edicke. Cobawee shes b\eli-s als feseus ele as Burial Vault or Box ~. leteciel Att hdd. Sl.. Fe.
or iniorman tate Kind
How Secured LA CMEC cee H EB. a Da cewe ase ese eeeeeeneessce’®s Embalming Body seis (Name gf Ercan) CoC ee eee . eC cee
_N of W. Te aaa ee Geet ys Barber, $...... Hair Dressing; $...... [/.0. 6. soe
Ht i ap ‘ af. Dressing Body, $..... Underwear,$....... F
Occupation (DOME G7.. sees are inlay Suitor Dress.... eed ae a ae yea
Employer and Address ...... 0c cc eee c cee eeeceueee Slippers, $5.. 05 ca ees OBE Ge oe tm, cts 2 laa es via
Be Folding Chairs, $.... Tarpaulin <i. acne. a8 Seed oe
Date of Deat Oa KLEE. cee Ai 65 ltt. Candelabrum, $.... Gandles, oo i oi afc aon ye
Date of Birth 7 Y AGEB.. Age HE.. fa. . Door Spray, $..... co 7 eS ee area . Be eed A
eA (Mo.) ae Wr.) (Yrs) (Mos) (Days) . Funeral Car, $.... Ambulance, $...../. .... oe
Services at 7 ws) =a ween teen cece er eens Limousines to Cemetery... Gig kf dina cledtee x
stay Extra Limousines ...... CGE ore igh, all shears a
Clergyman 65, of scien adap 7A id a pe Autos to R. R. Station. ... 7 Fee Sr aaah Sarge get fe
Religion of the Deceased. Jal ead sw Hele sels gislewibes « Getting Remains from...........e{leceeeeedee
Taking Remains to.........0.00005 ceases ae
i yea ta ni Be Be a er eee beer oh Trip to Coroner’s Inquest .........Heec cece be
Resided in the State,* for U.S. or Gity or County) "(¥ears) = ( Months) : ren wate ere Fedo leset Canis) FRAC Ee, Bloke be toae ate eee tay
Place of Death Wera&ee-. Hg Nae $s iver Flowers to.. ....es ec ceceeeeeeesll cee ces =
Fs RMB AT ares oii dU ale secs nae oa 4 oO adds i eakea
Cause of Death Pind. Bee eu aAesiitetatae es « veel Procuring Burial Permit... sé Hunted ‘ahd bined CY ea
0 Z_Certif.Copiesof Death CortiduatesNo Py eee
MAK, 4 yc sees (State Physician’s or Coroner's)
Pall Bearer Service, $.. Use of Chapel,$...
ed toa 5 tsi ae apie d fre eee see wad cavcian ea RoeS one Gross Total for Sales Tak.. eee cesceecee$ ah
Certifying Physician. Matte, UZ , eek MAM.. Outlay for Lot A408. YFEZ.. .. ZINCL
i Z, ae oe IG ey cnet LR tee ae . . $e
His Ad fea ; , ? Beh a, ie Flowers, $... Palms, $... Matting, $...]. .... .
Name of Father.. aiFeze. (LL p>Livw cc cence cee ec eees Rental of Tent, $..of Temporary WaultrSee Cis eo L: he fi : Opening of Grave or Tomb 7@%...... .. SSE His Birthplace / JC AGG, oe pecccccccccccceees
Lining Grave, $... Lowering Device, $... . .... .Maiden Name’of es OF ok Outlay for Shippips Charges. , scree tiv je tk
Her Birthplace. Gipliet Clergyman,2#* Singers $-<Organist, gee MA NG OR SERS et On ee mee
Date of Ponce) a ; ee 2.m. or Mont } Tickets, Pte ws plane Service,$...]]/.... 7
(Date) (Day of Week) (Hour) Telegr., Phone, Cable or Radio Charges..... . .... “5
sie} Potente Bi en RS, oialn xe adie 9 hw egy dom ts Cash Advanced. .....-.ecceeeceeceeceall. coe e cel:
Size of Casket92277.Z40 lew. Kiera fi ook Out of town Funeral Director’s Charges....]. .... ans
tate Color and Number). 5 Pergonal pervie’ Hoceae oe se
Manufactured by. 2S Rn aS al eet ea a > i . fe A af f .
Catncte 2 Se .4.line De otices in...Papers ....]]...l.
ee ERE BOTT, hi BN RS 4° > adel Tape get
bot Noosa ben.. Re eta S Siordl ely: scesure 2 oat es Ss;
fs Mb ae Tas er ee ee a
et or en Total Footing of Bill.....0.eseeee cues 3. . LZZ. 4
naar aca eo Block No..... ating . Ce gett te USM HS decile 2 UES eam ve ABE tor bigeye $
Diner of Lotce Vaule (OWE ws ding 5 se os Bee sy el es aaa my
Miscellaneous Wis Saversiais anke! sien sh Clee alevarcie ‘al ew se SiGmie a) Subieiere Reams Entered into Ledger, page... or below.
FiGhe! a WSs lseeore ieee nigh esaieny srwi ele SLgtnim Mabcctekece te ile S rdmipedee Pemee! Scent Nisseallanaaiisise. Luin Soe si a ud Ae