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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL Gial Novack 2. katie Yearly No et vit 1. ie Date of Entry.. Rep embed aS. 19. 62 Jame of Deceased. G DP Or. as Ta nl.4 Ss. G one ie ppl woes eae Se Yih te 0 Married M& Singl Oo Widowed o sh koa 5 i (What Race) Husband [Wife DWidow ene AYe we Me ae 2 hagt Mie na) le or BY [Age of Hinsband oe Wile Of living) 3-4 Seat to (Yan @is.c... G »Coc\ in :, fe harge to x Ca; [ Complete Funeral (except outlays) $ ce ,ddress. _No. PG Y. . Duan.,. Co. oneal QVIN\ esa noneahn ae eee sok Casket St QA.Q )rder given by. KK ANENS. 3. Geo.din Soe es Ase Burial Vault or Box..2a. Bare Creates. < hint. SBlem. or informant tate Kin Jow Secured..) 2.x Bes sancti Embalming Body Fa are f Veteran, Name of War... No Barber, Gesncnnnneennneeennen Hair Dressing, $ j Dressing Body, $....... Underwear, $ Yecupation..{ AOC. WAYS £81-3870 83. suit or Dress : \ ial Security Number) : (StateKindandColor) ~~*({. si] ‘mployer and ¢ i Gi 10 OKC. Meus. ‘ie PANS . Slippers, $02. Hose, $ 4b \* Folding Chairs, $........ADabpatiint, p.2e 22 4), eee date of Death S% Segt pee aa \A om 4. SM Candelabrum, §......-.--.-Candles; $2 ae ate of se a et ee ; Age. Behn = g. aes! Door Spray;o5 Gloves, $ = ik Ways) Funeral Car, $i 2 Ambulance (9s. =e Name of Father. ml. can OS Cela. Coad -_e . Limousines to Cemetery GS ew eb Tis Birthplace.. ints nea Extra Limousines (SS oe Maiden Name of Mother. Nace ant £ (rere shy . Autos to R. R. Station I eer ae Getting Remains from_ is sae. Jer Birthplace.. Wane. ole eee Fa ae ests Brg ae Loree tp 00 ee ON Se llc Oe ALE OREROERR . Asia ere. [nies ate of Funeral Acp®. 2S, WATT yes ‘ee Lge M. aes coma epee eamecegar cmp es acreage es Da ( Weel (Hour) elivering Box to services at. le 0.. San. i Crs a ee ok ae ea Deliver Flowers to. 12st tld A) Ae ‘e Removal (Charges. edi so eel es eRe alee <n ase Aes eae Ae. &. a a ae spat ae h tide ed ape Procuring Burial Permit nanan tate Number and Distric religion of the Deceased.. thol oy Re a a 8 a Certif. Copies of Death Certificates No. tate Physician’s or Concer’ s Sirthplace. PA 6 ovine: " OSNN Ge Pall Bearer Service, $. Use of Chapel, $ ‘ qeghiid in the Geate Gross Total for Sales Tax Bae) eve aeatins ci a ate ser ( J Au b« va = bene pee ua ey “. Outlay for Lot lace of Death. 7 4.Wiles. > rs ae . Cremation Palisa of Deak pes ht yiee to Lr Flowers, $.....-Palms, $...... Matting, $...... . -.------------. ---------bs ee ve. ig rr 3 b. Rental of Tent, $.... of Temporary Vault, $..... . _..-.--..-. --.-.--.-contributory Causes.. ee coeeceseeeceeeeeeeeeeee Opening of Grave or Tombs. Last 9 Seay . EIA. aes Lining Grave, $......Lowering Device, $ (Di sethad be vs “Cer 2 « A Outlay for Shipping Charges ~ertifying Physician..¢.cn ay: if Recek ar ae Clergymen, : ele Singers, $.... Organist, Spices ee es Ais Mabe boars. Yabo te nk a Werte tte ar Mex t Tickets, $...... cea Service, $ Motor Telegr., Phone, Cable or Radio Charges........ . ---.----.-.-. -ship Remains ts & Cash Advanced Size of Casket AA-4. ray Binet Los Pees Arlinglea i Out of town Funeral Director’s Charges. Manuf; S Kat Ce Eo i i pig oe ae fm ai en ee by.s==. re SL let ; teeta Winer. eS ee. jeennteny i We 2A) vite S) ee line Death Notices in Papers Lot No. (Names of Newspapers) Grave No Epc rm be dk Se SM ial ga tga ig aka ae Section No. . Sales Tax La. it Total Pootirig of Rilo $\. 72.7 AE Block No. Less Se eer $ et ee Owner : Bakincestre 3.40 ee Dll eee Sia ori A ee care Entered into Ledger, page...... or below. Dann Snavnenecastnesaseesn=--s