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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
Total No.. an Yearly No.. f& wean Date of Entry.. Cn Ader “S. 19 22
Name of Deceased. LILA. eat a bear pasha, WZ a LL ECLT bee ee ele denen setae 8 i ee
0 Married & Single 0 Widowed 0 Divorced Are Basa (What Race)
Residence.42.0. atthe SL LLBEE tee: of ” Age of Husband or Wife (if living).. Years
Charge to hin a Ay. hos. Csfleg, A lies Complete Funeral (except outlays) $
Adages re. EL, A. 22. Meralece Le? oe op ee 4#4
Gasket. oii cot) lg eg ae ee LETT NA.
Order given by. es. Ah giles = ah Pee Burial Vault or Box.. Cath LEC coinage ASE . e.
(or informant) tate Kin
How Secured JMR En. wa eemawannubcansongacacticeesesdensednenantueesermnenner Embalming Body itr nmranrae ts Gimutnilenice . aa a I tard
ame of Embalmer)_ >
If Veteran, Name of Wat c.-7 2 occccccccsclic cceccsesesssercsececte Barber, $.......---. Hair Dressing, $.5..,5.-. -—Ze 2.
‘ Pe. fo oe WA Dressing Body, $....--.-Underwear, $42 . . ANE BIE
Occupation. L<A KA, er e. hos i Suit or Dress.. LA 202. qthe i ae ea! en eSQ-2L. EE
url um tate in n or,
Employer and Address. Or ee f. ee hl eit gee ccf Slippers, $.. be, Sia a Mie Been ebay Hose. et . oe
‘ 7 **Eolding Chairs, $.......-.Par pauline.. sus A iece: aeecoce. ale
Date of ee ey jo NE 7 : = ee Candelabrum, $........Candies, Sie 2 fled Dat
Date of Pa. hag ‘i rap 4 ZAge GSH. £82 Door Spray, $...--2--ceecee-----(GE) ZN eae amen . TRE. 2a .
2 ‘ Pe). 10F LMeK AL aly Pa cce-cscccccasee. PPOULATICE . toe teee so saceen Nha ea Gels
Name of Father [email protected]...£ 22 ae Leaded. ies Se Limousines to Cemetery...... ES alee MMO EROP oa . (ap. nS Oa
His ak geme Pe Pog aR a eee: Extra Limousines............ Shab ebe ie se..
: Autos to R. R. Station.. CL See ete eames . Ae ta. = Lane
Maiden Name of Mother. 8% plete Ete Getting Remains from.. osu Nol
Her Birthplace... pee A LE od, A OE. ce ee a GB i go Ratt aera toon pec eemaoNar, . eM baad
Date of Funeral.C2@ wf 3.. sh bc PORE = bt Weg 42 5e2M, ae bie ae ro la ipa a acme . e Var
ate)1” (Day of W (Hour) elvering DOx Nees Sep sesiebetatcn ten reaseteareraaues scree axa esnie, tetera
Services at.. AA ZILA E. ee rege 2 le DeliverP lowers to. 2 ed sas ee oe i Wee af ae
Clevo yakies che eee” Bre ae = Se ge ae ae a A aohae = ee mas ae ee ee ok
pep Ths -(Address) c teaec-balance ele gpg er ee cmon arg ae ar
Religion of the Deceased COLL. Gi seeesseseeecneennetesennnneenee. Certif. Copies of Death Certificates No vaca . neamemeee ieee
tate ‘siclan’s or roner’s
Birthplace LoL LA eb rssstsnnntennnein Pall Bearer Service, $.....Use of Chapel, $
Resided in dhe State aS EE Gross Total for Sales Tax $ me Fy
or US og y ify County) en: Years) / . (Moth L tlay for Lot Es Sead . Sn
Place of reget LL. SSP se ak ayy @) a OT on ROS eR oot pe ees . . ergs pm
Cc { Death iraecC hehe ¢utae2 1A. Lel pelt apowers, _ as Palms, $...... Matting, $... 4h ..22:.. belle
ce = Brag : sa oF é. letaeae ental of Tent, $.... of Temporary Vault, $....]]..... ae
Contributory Causes pe AM. Lk 0 Se eae of Grave or Tomb.¥. eitiins beseesrneeeel. ---9DL2. . 226
S Eales ee ee Co Lining Grave, $...... Lowering Device/....... . ...-..-. .-----Pi a i i NS ee a Say Outlay for Shipping, Charges).. 2. .cc. ec
JL prereymen: $70 28in gers, s Se Organist, $..... . _.. 2) Ze.
His cis mn S7 nae Mn ea OE Tee S. ping y t Tickets, $...... plane Service; pise e e da.
Motor R Telegr., Phone, Cable or Radio Charges.....--. ]_.-.--------. ------Ship soa: ae Sr eg ae CSET ECAC a gle binant csenergfticensbics ale cldene
Size of Casket.. 44/4ae G Ged fh tae me ge Out of town Funeral Director’s Charges et
CEL a
ly
Manufactured Big yaw mas ok: wee FL Personal Service E a FE
Crematory’ t Teas line Death Notices in....... Bapers) rk eee ol he
Lot No. dew (Names of Newspapers) . ie dence OO ch ee CEES
SERV IND ten Matel EL pi ey Ce ete Re ped cs
Section Nese Se Se ee nag Cle TO rer ase ae Ra O.
Total-PootingOf Bilbo sc! ters. sakes coals $. . KAI 236
BOGHINO.. 5 ou. fec eG et aoe hee ee ee BS) te $
Perec Link te Gard Owher. oe. Nee ee Balance. Ud sn
Misc biasaeee aie Entered into Ledger, page...... or below.