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Collection: Original Records > Death Records

Mortuary Records 1962-03 to 1963-06 - Index Included (331 pages)

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Page: of 331

RECORD OF FUNERAL 4 Wo) e-1 (O(c _ _, Yearly No..: Re os allele Date of Entry. \/u Je Ae 19. LL Name of Deceased. Villon Gy tac pldatitieslate! ee MARE. 4 Married [Single an C0 Divorced (What Race) ; } > OHusband [Wife [Widow uy ve yi es aii or of Age of Husband or Wife (if living)..... Years Charge to. Mex. Me L a / LEAS es ; * 0, plete Funeral (except outlays) $ SR EDMNaS Sgr SETI Ss luther. An VAR TEM BP lope Order given py Mes Miia. [ded oO Burial Vault or Box. Sel Vase 2 ED bri RAS. (or informant) 7 tate Kin How Secured. 2 ded Ed, SE EL AO aL Ieee i Let Embalming Body Tice Bela sese. . -eeeeeeeeeseee. neteeeee If Veteran, Name of War .27 Oooo. nce eeeeceeeccnceennccnnncececeneeeee Barber, eee Flair Dréesitig, $n es late be . Dressing Body, $.... Underwear? $s Se eer ie Occupation“ CLE a rceseerecvrnrin LABS AOL 2. Suit or Dress z. (ee Eee jal Sgcurity Number) ¥ (State Kind and Color) . . Employer and Address. 476° @@:5@-WIL ELLE? oe Slippers, $ Hose, $ ee Sens Eo je al em Me Date of DeathOUZe. : AOLFL MD A. tefEA. am Chairs, $.. Tarpaulin, $.. es fy 0) (Day) (vr) (Hour) andelabrum, $.... 2s i Saeeeete aes . Meade eu RE Date of BirthV4Z/% t.G. Laeiad. Myo SAA A = Door Spray) Si. 225 Gloves $e ag) te sale le oF Sethe 4 is PS ays) . Funeral Car, $..... Ambulance, $... pass ee . nae, Name of FatherZ hea Mate oa Limousines to Cemetery. ae te . tu eleva a His Birthplace.. OHNAL4é. eh: WO aay et ea Extra Limousines. Oy ieee <i. Flee eal : ¢ Autos to R. R. Station. OLS? > seek ve ae a em er Maiden Name of Mother Zt. bere. PUA ete Fa tend oes Lem Her Pirtillaces ed eee aA Taking Remains to. o.oo tee eceeeeeeeeceeeeeeee ene fee ie eS Date of Funeral: 4 AP [42-2 BeeM, Trip to Coroner’s Inquest.---eeeveceneneeeenren ee Tar ees, (se (Date) Day of Week) (Hour) PRON VELINg TOE: C0, peel aaa on ee aces . ee eee Pee Services at. La. tk Lhd bbe cele MIRE ICh carl Wye setal Deliver Flowers to ean ele le d Removal Charges. . ieee epee by Aiea Clergy maf alee. Eee. es acer Procuring Burial Permit. ait Seance ea ee x see ARC tate Number an istrict Religion.of the Deceased. nee ispnrertbeencrestegeteestnmeeel gh Certif. Copies of Death Certificates No eS. ee “ (State Physician’s or Coroner’s) . Bictuplecese ee ut it ies ain ream OF Sot, Mae EO Pall Bearer Service, $... Use of Chapel, $.. Pat ss . inch UE ail do ee Pe ee ee Gross Total for Sales Tax. ete Sil seg eee sy vag ube cast bs = (or AES Coynty) (Years) “ (Months) Outlay for Lot ZZ. OL AKZ ODP. A oat at . i. LQ S222. Place of aD Pn ae Magee a hl Cretiation= nil ee a ee ee ee. Cause of Death Mahe tty. diced diel yidetetle ‘lowers, $... Palms, $... Matting, $... oe Py; pre ‘ ental of Tent, $.. of Temporary Vault, $.. Been Contributory Causes Arusaare Mal CSAS.) Opening of Grave or Tomb? C44.v2¢.... . . AO eA Le A. CX CLiasell ests Lining Grave, $... Lowering Devite, $.2.2\. .o.sc0eo2. ese ae a est ite, Be te tae Outlay for Shipping Charges 4 om ees alee en Certifying Physiciansii@y._. lawl. reine reds Sata, Cle rgymen, &4.27Singers, &-2“Organist, $8 . . 7212.2. roner ; d ’ Aeroj His Adavess. 2120S A. Mey Spill p= oa on Mocnt t ieee Sec olan Service, $.0.2.22.H cc cecssee. feces -onee Motor i Telegr., Phone, Cable or Radio Charges. ..-.0-.-. )-2-0--------. eee Ship Remains to. PA hae ia gaa densa k= Cash Advanced ae ZL Se Bre . eR Searle we . Bees Size of Cake L424 6.9 Lar We ae A peed Out of town Funeral Director’s Charges...-.. . _.--.0-------. --sesoeSake Coler ghd N Personal Servicee: =. peg ve elie ae. atagg by. ee ai. lesthef Ce wovenenonenscasaees Mieke Sty ie Mei C8142. a ay t Mei Len re Y, Y] (A phe. ew ee alate. ee line Death Notices in-.... Paperg.e alanis ae Lot NO; ee ee (Names of Newspapers) Cy ego ia eae Sena ream PARR NER Section No. <7 alee Pag 22 ok. o2 Z. SB . Total Footing of Bille SLATS Block No le See Dipdavernsveesnenteiobaemes onten Less We ODE PE moh el mees Ne tite > Seine be S$ Owner. Balance. . ee, eee tlle: eagerly Se we Entered into Ledger, page. or below. VERE ee eels eee Mice

RECORD OF FUNERAL 4 Wo) e-1 (O(c _ _, Yearly No...: Re os allele Date of Entry.. \/u Je Ae 19. LL Name of Deceased.. Villon Gy tac pldatitieslate! ee MARE. 4 Married [Single an C0 Divorced (What Race) ; } > OHusband [Wife [Widow uy ve yi es aii or of Age of Husband or Wife (if living).......... Years Charge to. Mex. Me L a / LEAS es ; * 0, plete Funeral (except outlays) $ SR EDMNaS Sgr SETI Ss luther. An VAR TEM BP lope Order given py Mes Miia. [ded oO Burial Vault or Box. Sel Vase 2 ED bri RAS.. (or informant) 7 tate Kin How Secured.. 2 ded Ed, SE EL AO aL Ieee i Let Embalming Body Tice Bela sese. . -eeeeeeeeeseee. neteeeee If Veteran, Name of War .27 Oooo. nce eeeeceeeccnceennccnnncececeneeeee Barber, eee Flair Dréesitig, $n es late be . Dressing Body, $....... Underwear? $s Se eer ie Occupation“ CLE a rceseerecvrnrin LABS AOL 2. Suit or Dress z. (ee Eee jal Sgcurity Number) ¥ (State Kind and Color) . . Employer and Address. 476° @@:5@-WIL ELLE? oe Slippers, $ Hose, $ ee Sens Eo je al em Me Date of DeathOUZe. : AOLFL MD A. tefEA. am Chairs, $.... Tarpaulin, $.... es fy 0) (Day) (vr) (Hour) andelabrum, $....... 2s i Saeeeete aes . Meade eu RE Date of BirthV4Z/% t.G. Laeiad.. Myo SAA A = Door Spray) Si.. 225 Gloves $e ag) te sale le oF Sethe 4 is PS ays) . Funeral Car, $......... Ambulance, $..... pass ee . nae, Name of FatherZ hea Mate oa Limousines to Cemetery.. ae te . tu eleva a His Birthplace.... OHNAL4é. eh: WO aay et ea Extra Limousines.. Oy ieee <i. Flee eal : ¢ Autos to R. R. Station.. OLS? > seek ve ae a em er Maiden Name of Mother Zt. bere. PUA ete Fa tend oes Lem Her Pirtillaces ed eee aA Taking Remains to.. o.oo tee eceeeeeeeeceeeeeeee ene fee ie eS Date of Funeral: 4 AP [42-2 BeeM, Trip to Coroner’s Inquest..---eeeveceneneeeenren ee Tar ees, (se (Date) Day of Week) (Hour) PRON VELINg TOE: C0, peel aaa on ee aces . ee eee Pee Services at. La. tk Lhd bbe cele MIRE ICh carl Wye setal Deliver Flowers to ean ele le d Removal Charges.. . ieee epee by Aiea Clergy maf alee. Eee.. es acer Procuring Burial Permit.. ait Seance ea ee x see ARC tate Number an istrict Religion.of the Deceased. nee ispnrertbeencrestegeteestnmeeel gh Certif. Copies of Death Certificates No eS. ee “ (State Physician’s or Coroner’s) . Bictuplecese ee ut it ies ain ream OF Sot, Mae EO Pall Bearer Service, $..... Use of Chapel, $.... Pat ss . inch UE ail do ee Pe ee ee Gross Total for Sales Tax.. ete Sil seg eee sy vag ube cast bs = (or AES Coynty) (Years) “ (Months) Outlay for Lot ZZ. OL AKZ ODP. A oat at . i. LQ S222.. Place of aD Pn ae Magee a hl Cretiation= nil ee a ee ee ee. Cause of Death Mahe tty. diced diel yidetetle ‘lowers, $...... Palms, $...... Matting, $..... oe Py; pre ‘ ental of Tent, $.... of Temporary Vault, $.... Been Contributory Causes Arusaare Mal CSAS..) Opening of Grave or Tomb? C44.v2¢....... . .. AO eA Le A. CX CLiasell ests Lining Grave, $...... Lowering Devite, $..2..2\. .o..sc0eo2. ese ae a est ite, Be te tae Outlay for Shipping Charges 4 om ees alee en Certifying Physiciansii@y._. lawl. reine reds Sata, Cle rgymen, &4.27Singers, &-2“Organist, $8 . .. 7212.2.. roner ; d ’ Aeroj His Adavess. 2120S A. Mey Spill p= oa on Mocnt t ieee Sec olan Service, $..0.2..22.H cc cecssee. feces -onee Motor i Telegr., Phone, Cable or Radio Charges. ...-.0-.-. )-2-0--------. eee Ship Remains to. PA hae ia gaa densa k= Cash Advanced ae ZL Se Bre . eR Searle we . Bees Size of Cake L424 6.9 Lar We ae A peed Out of town Funeral Director’s Charges.....-... . _.--.0-------. --sesoeSake Coler ghd N Personal Servicee: =. peg ve elie ae. atagg by. ee ai.. lesthef Ce wovenenonenscasaees Mieke Sty ie Mei C8142.. a ay t Mei Len re Y, Y] (A phe. ew ee alate. ee line Death Notices in-....... Paperg.e alanis ae Lot NO; ee ee (Names of Newspapers) Cy ego ia eae Sena ream PARR NER Section No.. <7 alee Pag 22 ok. o2 Z. SB . Total Footing of Bille SLATS Block No le See Dipdavernsveesnenteiobaemes onten Less We ODE PE moh el mees Ne tite > Seine be S$ Owner.. Balance. . ee, eee tlle: eagerly Se we Entered into Ledger, page.. or below. VERE ee eels eee Mice

Mortuary Records 1962-03 to 1963-06 - Index Included (331 pages)

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Mortuary Records 1962-03 to 1963-06 - Index Included (331 pages)

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