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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 Total No _ Yearly No...42.Z Date of Entry.. Aachen éatec £06.. 9G Name of Deceased VLa C2 PI gE ia dan 5D ed IN ORTL, Oat Gl SG, We ah ad as Lhd te = fe% [¥ Married D Single O) Widowed =O Divorced $ : (What Race) ).f OHusband Wife [Widow Charge to. LL. i, DE. : : fe Complete Funeral (except outlays).. $ has Address. YQ Beanet. LS, 8 Paes ladles ges S57 \. Order given by Ce. Coa A ht Burial Vault or Boxee, MAA. RP * SElec (or informant) i (State Kind) How Secured Leoie Embalming Body. roles (ro oremecmaianeane age eae ce If Veteran, Name of War AD 7s, Barber, $ praetcesesetecsrssne Hair Dressing, $ Bevsessesseneenestys]. =<eiesessers~=. -~aadee : KE Dressing Body, $....... Underwear, $........ . ae tone Occupation Wane Cididede. 0. bee, shee Mal i 8c Vid ie ene eee aye . Sen HR : i (Social Security Number) " (State Kind and Color) Employer-andAddress oho ee Slippers, $.. ce. Fe ec Hose, $ mide nine nl gases op Date of Death Jay £ /& 7, 22 44 Folding Chairs, $........ Tarpaulin, $.eeee. oeeneeeeeefeenne Moye Day) (rr) (Hour) Candelabrum, $...0... aS AAR A eel oe ae Date of Birth W2ee.&. 1826 Mee Ghe£ 7-1 Door Spay, $.ncg cs a. Gloves Sse ee (Mo.) ye (Yr.) ; (Yrs.) Os.) (Days) Funeral Car, $ ee ae Ambulance, $ Ya Seneca OORT . [ery cereal . a . Name of Father. btw, : ~, Limousines to Cemetery Sool (2) sy SO . . LCS His Birthplace. ZZ ... Extra Limousines.. 1h Tae eda he. Ab ICME kate . Autos to R. R. Station CFS Nea emia ae . ine ema . = ea Maiden Name of Mother.Z/7A ‘. Getting Remains from.. Her Birthplace hak. Faking Remainsito. 860 oe Date of Funeral A244.. 2Y [86.2Ved Uv IM. ee sea es S INqUest nn neneeneenetnneene fee cen (Date) 77 Day of Week) Ao Shige lagi egy 2) tee Rane oe oe Ran ee. . . cen . EST Services at Ave wi Mogther ep toe A, ly L Deliver Flowers tej 2 enn ae OP ae oe pn f of . Removal Charges.. scape Seren NS Clergyman. QeK. SK Bes. oF es (ais Los . Procuring Burial Permit.. ibe Sieber sea piece oo eae (State Number an istrict) ROCHON OF CIE: ERC lata ett [email protected]. Copies of Death Certificates No.. Ae \ 2a . La eee . (State Physician's or Coroner’s) Birtholace-( ee yee Pall Bearer Service, $..... Use of Chapel, $ Resi in the States 2 es A a en One Gross Total for Sales Tax.. Ee AON er Se Ue tbe na Ketel ssidled a ie epate i ok? 1 ak. * (Yegrs) (Months) Outlay for Lt LER La a= 6K GO Place of Death.. dleey laaspe Ve Fk Cremation i ag a SO ee Cl a Cause of Death iH ! Flowers, $...... Palms, out soe Matting, $....}. . . } % ~ . Rental of Tent, $....of Temporary Vault, $....]. wie Contributory Causes A -. Opening of Grave or Tombe 24877.. LEE. Lining Grave, $...... Lowering Device, $ ; Outlay for Shipping Charges = Certifying Physician. . Clergymen, $42 “Singers, KX“ Organist, $31 529 loo f (or Coroner) Railroad ‘ Aero: His Address. or Motor { Tickets, $_...... plane Service, $ : Mew . emai t io ee ee Size,of Casket pe 22. F Mhste Coe Gs£/ Out of town Funeral Director’s Charges YO ELE 4 (Sta x lor apd Numbe: Servi &, 5 Manufactured by.. C22 mur CELE. Ce. oo 4 wo vie Liev TE, Lie p4 qe Cemetery Aza Win tie pert AT jae . hee . .sae ae at C LLtO Lf ti GE ees line Death Notices in.. Papers. Lot No. ree (Names of Newspapers) Et jaar eA. FE cig Fi Grave No.. ¥ Se Me OS Rite, Fate sacs Section No... Le. nee Sales Tax.. cosewssttntennrntstanrenrainsntseevinennnstnsitens LAL Total Footing of Bill.. Aw C: Block No Mase sauaciagwbece coemsen lee vauet Less SEES oY antes Bey < Cae mer et gine $ ads ik eae tente (omer. Ste ge . . oe ners Balance. . a rca ea Mi rey rer lie Entered into Ledger, page.. or below. VSO a aannc tacts tte neat Slercrp enc nennesnastisetonclante soltancpar batik.