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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 Date of Entry. iy Potal NOe ee. Yearly ,No... PS ie AF 19. Lal Name of eet Ze. CALA L. Zé. oe ViGD LMA Leb ee a Bey "h OO Married oO oy Widowed (CO Divorced ie avr (What Race) Residences? 22.04. Mia lactis MAT beg Dick ae ea a ee” ok cde. ni eat rae ae 2 he we ra age Funeral (except outlays).. 0.. . (eee as Addre hE Seises LZ a Ce ee ee eis of £29 Order given by LUZ Gc. gle Te. nie ee Dee ee ae Burial Vault or Box CALL.. . . mw B.IPIO. (or informant) How Secured.. If Veteran, Name of War. AB. ee 2 A oe eee Occupation. Laie beta bette EOE BBE: ee (Social Security Number) Emiployeriand Address: 5: eo oo ae eS ee Behe Date of meee a ce Vee 0. ay r.) our efx: ser =ee. Date of Funeral 06.23 FZ. L2ua Services at LES, s Use gt ec Niel ate yin ey eee Clergyman.. IS ey es Religion of the Deceased.....0..20.2202222--oe Sot ee Birthplace LZLZQLM AL eevee Resided in the State. GO GEE a Place of Deaths / RIAs a ss Joys eciyy pfeil in Cause of Death. LH ie CL.. ip i ae Contributory Sai LOL LLL ACA ey, Lee meee LAE De i ee Yes asTaz Ge £ Pn od VEE ee Catihy ying ae oo ea a His Address. CLBLSE. Lee: do ee as 7 Je. wee Motor R Ship mains. to. 3 ee te oe el eet Size of Casket.c2f2. > te be Pree ie aa re LIL ‘. Delivering Box to al Kind) . Limousines to Cemetery. OF G5 Se ee . Extra Limousines.. .-.-.0.. (OGG cite . Set ey Autos to R. R. Station.. hs BE, Ga TE ra te ee Getting Remains from.. Waline Memawentos. 8 al ee eles etl eenak . "Trip: tontCoroner sal naiiest: — eo ee a a hehe t Ce: BS ODLE Manufactured by.: Cemetery t Diagram of Lot or Vault Einbalmuing iode;mcws mle el acs se I ke . (Name of Embalmer) i Barber cis.c.c ee Hair Dressing, $.....0.... . ee ae Pee PP Dressing Body, $....... Waderwears Batt =. se). oe ile.. SUSE Rr Terese cre eee ae a, ne pe eee q (State Kind and Color) \ . Slippersoo i feos. ee PiasG. par nd ete Ae rently oe oa, ’ Folding Chairs, $........ Tarpaulin, $_. RIN Pew Sa ae Candelabrum, $......... Candles, a oN Bee eel Door Spray, $.......-.--.-Gloves, $. ou.. eee, sale et bea Funeral Cara$2 soa: et Ambulance, ‘Sis oS ol he DeliwerorminwersitOss. lee la Beye TE eee . Pe ee Removali@harges. 3) Js sae i Eo) oe oe aks Procuring -BurialPermite (eke ee ee his, (State Number and District) . . ~ anal Certif. Copies of Death Certificates No..) 0) : (State Physician's or Coroner’s) . Pall Bearer Service, $..... Use of Chapel, $.....! [Field tie Gross Total for Sales Tax. eeeeeeeeee . ate bolas itay SOT LOtat 2 mee i Bll ee ee IR 3 sd ame l Cremation Ae het eh A AEN . A Ia Flowers, §.....-. Palms, §....:.. Matting, $..... ft See. oa . Rental of Tent, $.... of Temporary Vault, $.. eit age PO Opening of Grave or Tomb. pe ae ct \. _ SZ pe. Lining Grave, $...... Lowering Davies. Saas . eee See BBL S Shipping Charges. eee eee ee ee Ee en, $..... Singers, $4 =“Organist, GN ge. 2a Railroad { Aer or Motor ( Tickets, $_..... plane Service, $...... . aes oe LL Telegr., Phone, Cable or Radio Charges........ . _...0.00..-].. Casnendveticeden can b-. ieen Wit Be SS eae Out of town Funeral Director’s Charges......... ).2.2-.---.---. ------Personal oenvicgy (hea ro ee i aeons ee ec ee ee ee ee Oe eee . oe see ee ea fe line Death Notices in....... Paperad oh eo (Nantes ol Newspaper. 2 Yl foe, a cin PL aah ee Soice an ie ed ASE PotalsPooting ofieil = oe eo ee $. . .727. 1 LYS an Age oles. a 5) . et POMiy alias <a See 0 $ Balance: 2.4 ee 8 . eels 1: Entered into Ledger, page or below