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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..c2So <.. Date of Entry ZZ: eaZ prEes Name of Deceased. 24° LEMA. ae i ere Lite O Married D Single ‘W) Widowed JX Divorcea eeaedial cave rie (What Race) Residence Zs. W772 ee Lee lot, ae ee or. of Age of Husband or Wife (if living)......... Years Sharge to.. Lc lebr o3 LAS. EP Complete Funeral (except outlays) mer \ddress. 27. OX. Zs bak. oo vee lidig Casket SHE. 22. yrder given by. Fs. EE. Y 2 f.ha.S.Ciea.. Burial Vault or Box i Riss ba or informant) a *~ tow Secured. ~Z40.c7€ Mele Fe ee Embalming Body “A apg perverse f Veteran, Name of War.. “42>. Barber, Bannnnenecneenee Hair Dressing, $ A Dressing Body, $....... Underwear, $ i \ecupation.-kee.ce tale. Bancteah Suit or Dress Z\Fa. (Social Security Number) = (State Kind and Color) smployer and Address. Slippers, $..0. een Hose, $ AF olding Chairs, $........ Tarpaulin, $ date of Death yh oe La cae oa < =i Candelabrum, $......... Candles, $ date of Birti Sage? oe (Se.. Door Spray, $.....so10ocs0.--. Lt Ae eae . ER aCe ir f Fath og 6} oe i) = (Days)! Funeral Car, $......... Ambulance, $ lame of Father = 234 i A One es ne pe oe ak Limousines to Cemetery. @ $ fis Birthplace LG Wa Zz Ve Add. Extra Limousines @$ ; ‘ Autos to R. R. Station Sie eee . Sea MO (ela Taiden Name of eo ee Lede. Le. WZLZ ettihe Rettinine from ler Birthplace.. a a a Taking Remains to 5 : . date of Funeral. ors -f. ae Vilke Libs ish ‘eM. bs ine oa Eau fio 2s (Day of Week g Box to arvices at. Cals LAC. ae Oy ao a oa Deliver Flowers to Removal Charges lergyman./... Laas. re (aces Le Procuring Burial Permit free a tate Num! an strict, eligion of the Deceased wrosseeenenenaecseatecsnaenenscesnenaeensweneel Certif. Copies of Death ‘Certificates No. . wes oe. P (State Physician’s or Coroner’s) irthplace.. Ze. Mt. LAA Be. Pall Bearer Service, $..... Use of Chapel, $ r Seldnd ty te Gkata.” et gt Oe ra Gross Total for Sales Tax Sie or US: tee Se 7 sos Outlay for Lot ‘ace of th Cremation 22 eZ, pw. Flowers, $45,2P: abn; Su.. Matting, $...... . ___.. LS)2Q2. alate edneats Cz Lat2 te Gye veal of Rental of Tent, $.... of Temporary Vault, $ ontributory Causes Opening of Grave or Tomb Lining Grave, $...... Lowering Device, $ i: Outlay for Shipping Charges artifying Physician..7, SAE2R aA Sa Aborbis Clergymen, $2 ¢2Xingers 2 jSued Organist, $.... pe: Laat 7.. is Address.. Pe CME SS LteLlcar or Motor 4 Tickets, $...... eve Service, $ stor . p ne Telegr., Phone, Cable or Radio Charges ip emains to Ca$h Advanced.. Keres: Che-s: ze of Casket. LOL @, ae «lead. de “Le sa, t of town Funeral Director’s Charge a en LBL.. IK. and Nu P Servi anufactured by.. Pp at wi bene: Steer, rit a Oe i in = mactery BLE ee Aig (idee Se aes line Death Notices in Papers ematory ZA. Lot No. -. (Names of Newspapers) Grave No Section No Sales Tax LL) EF “FR Total Footing of Bill.. $. _ ZR CO Block No. Wr ge ee $ Owner Balaute. $ wie meee ne ee Entered into Ledger, page...... or below isc :