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Collection: Original Records > Death Records

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

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(18) RECORD OF FUNERAL \ Total No. Yearly No.....Z2.. Date of Entry.S¢2Ltueakern.. @S..19bs Name of Deceased VE U eh OLz7744 WA rs Lae sas Mle ols ee Meat Da ee Mh, fz ee Tyee (Married Single Widowed — Divorced a (What Race) ee Z ney Se ee rg lees Residence Mé: TA Sea 7 Ce this A2_L. Sinz or. of Age of Husband or Wife (if living).. Years Charge to LS KUL IAA be bad, hiekbher hc lete F 1( Eeattats) § j omplete Funeral (except outlays).. a i eee “7 Casket : ee ae . . ¢A4F OS Order given by Mes. Fite JLB. Cr . Meh hee: Burial Vault or Box. C02bicele. hese nena aes 22. _2¢ (or informant) 7 tate Kind) How Secured Pe Ak Embalming Body Wane BREST If Veteran, Name of War ME Hos al fos La he a = Barber, Binal earclet nn Hair Dr pn se 2s . elie . eo Z = Dressing Body, $....... Underwear, $10.00. . . o Occupation Aet.Oun tan 7.. AQZ20 k kee {22+-__. Suit or Eo eve aie Tak © Mee lieete eam ie, Pe eel ; . Social Securit4 “Oy, ‘ (State Kind and Color) Employer and Address. lea the Gover YALA. 7 (o Vhe) 01 «i hy i SURG nee ae 3 USIancsr ly Dc ed ; fi / ae f Folding Chairs, $..... Tarpaulin, $ = Date of D cath W, B88 fae oe (vr) 4 ZL 2H, Candelabrum, $...00000... anes, Bins oe We ra Bao Date of Birth. & fed ) LI42 seed o— 3 — F__. Door Sprays: 9.5.. Asloves, Sn ei fat os) arm (ir), etre) Mos.) Days) . Funeral Gar € ae Ambulance, $.0.0.0.00000... . 00 . Name of Father. Ac¢ M.: € bhér, a ~. Limousines to Cemetery ee ete (CS Rea eiler eae . age ce 2 . e His Birthplace Ler ZN. aoe .. Extra Limousines.. STs ie ae el URE OL! (ea : = i =. , Autos to R. R. Station CS Seas. aia, Baer Maiden Name of Mother.. A V¥é 4/0 LEK. LU gue mis ehfine Rembine fiom.” OES 1. PE Ene Her Birthplace.. Wétdaitg. xo 77 ie MAI Beemeime ee ee ee ee a dee. 5 beh . . ) Ship to ‘Coroner's Inquest. 2 tL Date of Funer aloft tS LH2 Tyas iti 280.M. 4 Delivering Box to... soot A.M . ee eeeareel de OS i Services at Aléapte. IN G6 be I ee ede sab Oliver. Flowers to. a . Removal Charges moh . tae oat Clergyman AZ i072.6 label TE ee Procuring Burial Permit.. ah aero Pee . eee eee ie (State Number an istrict) Religion of the cig ae oy ohare Saauanpanmeamaeen ae cancel Certif. Copies of Death Certificates No... oe. ees £\O2. : F & (State sician’s or Coroner’s Birthplaek acs bad (22 Galtaca.a. = ot a Pall Bearer Service, $..... Use of Chapel, $ : : fe Gross Total for Sales Tax.. ah ite Sie et ae Resided in the State oy fee 8) a eaitie ie os ae Ad fed.. County) ears) (Months) Outlay for Lot.Zé Z LE LENE. Sed oe hacks 8 SHARED EE ia ane de cba ll oe ee LB . 2D. Place of Death__/~HEAL Aa.. LDL. GE ofl.. Cremation Be as oleae se le eee See Oe] . . , i . eae Cause of Death. Chae (7.4.10 (uries. ter i¢h_. Flowers, $...... Palms, $...... Matting, $../ . . C¥ Ten Sif bss Rental of Tent, $.... of Temporary Vault, $ is aa Contributory Causes. Opening of Grave or TombeLvsceg.._. . _ eT a0. Lining Grave, $...... Lowering Device,’$ at Blink he Py es ye Outlay for Shipping Charges ‘ : Certifying Physician. .ot2a2.g-¢-< AF ris: ad . Cer Clergymen, $..... Singers, $.... Organist, $C2=7—___. S. 26.. or oner, A Rail d . A ‘, His Addin Maw he fa teen jp Laake Laie? tn OF Motor { Tickets, $...... plane Service, $ Motor Punisins Telegr., Phone, Cable or Radio Charges 02 es Ship eye _ y ean Cash Advanced Size of Casket. 4422 Ay sda L pe Bee ay oe Out of town Funeral Director’s Charges a . 4, BtatpFetor pad Npmber) Personal Service $s : Manufactured by. — Cates C2) Mle Lo, ZZ = bade iin. i) Seed piemcs Kee. MOG ioe Bc em . A line Death Notices in.. Papers Lot No. .. (Names of Newspapers) TT recrrereneee fasccasnecnaeee . ocaenennae PATONG: er lat eee ee a ee ‘ Si othe ee Section Now NSS . Pee i eet ees Rye . ZO\ Gf Total Footing of Bill.. 3 Biter gee ate. ee Block No.. Less Moe. Hien 2a aed, $ ener ae Balance, 2. soos ceen sn cetec cs . e eee See en Oe eat Entered into Ledger, page.. or below. WR Ree hath she esate stein ais aay te. ie RBS septa eae we et ie tale . A a EU tec ALA ed os gen