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Collection: Original Records > Death Records

Mortuary Records 1966-11 to 1967-08 - Chronological Only (247 pages)

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Page: of 247

200 RECORD OF FUNERAL Matalltgs: 0 cers eins isterteeteaars Name of Deceased. v.VA 0A ye, ae Line 0 Married 0 Sihgle Oo Wood 0 Divorced Residence APT. Ber. LDPE &. fae Yearly No... 1D4 me . Years Charge to..57% ¢ Ss b. aes Complete Funeral (except outlays) ...:::cc08 $ Address A729. LPEK LZ Loves Fi Metre eae “Ba ae IWi100. Order given by. QEQLG 6.2. of_. Heed etég/,. Basta Vault of Box. cemeWl Aacn. 6S Nb. Di ome ~_ How secured. YRALA WPI a oer eT NR Embalming Body.... FEE aa on aa ale Poses aU aappares ease £V N fw. Barber, §.... Wiss Dorecastrigg, Soo cccoc sss cccsscssoces fcc es sesw eth scen tess If Veteran, Name of War...00 ee Pere tems ae Peccding Wecly,. $5 Uerermenrs $i, sec deep deco nn Occupation. /7/ a! te sceainteel! SZ eT 3 fy) Stabe cot) LOPS cae ool si ie ce sccdowe sc BU Le ecuenpiTovfankRlonn onaeell ol dosnnbervacaleoewiazeti ‘Social Security Number) 7 (Seate Kind and Color) Employer and Address.. een ee otra een cay hee : iy a ae! 2 wetnsdts : ‘olding Chairs, $..Tarpaulin, §.. Date of Death 7 7.1 — or co soe &, [tel G@andélabrine $cc Candies, $... Date of Bice 1y 6. of. vn i. Age. £f4.2. ae mae Door Spray, $...0:000: Gloves, §.. Day) Se oor os, Funeral Car, §... Ambulance, §.. l., Name of Father. hak DK bb Eonveoshe ch Pe AML Mecrceescens Limousines to Cemetery.. CA i, AR His Birthplace... Ad (oie eo 3. Extra are weteeenes ste CN AEE Se oa Autos to R. R. Station. z, Maiden Name of ets ELS er). LAVIN eLID /é A) AY.) Weve ccaveweceeteveeeee rs eamebedeaseeien ss wetinenn gov el tae Services at.4-4. /o af tL. 2. APAIER eee . Clergyman.7— ean D Ad. willZ 4 >. il Religion of the Deceased. Birthplace... TR ha, nd AS _. Deliver Flowers to -. Procuring Burial Permit _. Pall Bearer Service, $ Getting Remains from. .. Taking Remains to... Trip to Coroner’s Inquest Delivering Box to.. Removal Charges... (Scare Number and District) .Certif. Copies of Death Certificates No. (State Physician's or Coroner’ 3) Ue of Chapel, $. Gross Total for Sales Tax $ J mete Resided in the State.. Mine ns wes “a ccc 4. : iio Guntay tot Lot vi) 7 fe a he LYS N00. Place of Death. aes ee GremtatiOrn gene nacre trae pdebetacnoenesoutaliialoee Flowers, $..Palms, $ Matting. $. oe Cause of Death.. 7]. Co mt ‘. . Rental of Tent, $..of Temporary Vaulk, $.. ee. Contributory Causes.. fey \. ea 1. il hirer of Grave or Tomb. ©. /O5/ AI. Gow. Ts edsliete. Lining Grave, $. . Lowering Device, §. EE eres Re Basco ee eee mons] Quday for Shipping Charges i. Certifying Physician. oe J. es He Cy, aa VAgh . . . 1¥) Clergymen, $.. Singers, SS "Doreaniae, we M4. NOM. Railroad { Tick $ se $ ee ee or Motor ¢ Lickets, $. — RSHces She ROM Mle hee esiascce GS PASS. Te aTley a Remains to.. Ship Size of Casket. 1 = XQ. v3 ly L 2. ASE. rth = +8 (State Color and Number) Manufactured by. =?.(4.S ee ee. Cemetery t Crematory [ v1ssssseescesseessesseecnereasenes ’ om Lot No... Grave No..2cc0c00ceee Section Now. occ Block No.. Telegr., Phone, Cable or Radio Charges Cash Advanced. eee. Out of town Faneral Director’s Charges; Fe aly, Personal Service .. line Death Notices in Papers. Séles Tax. r Total Footing of Bill sein $ LAST i ARI ae Fe . SORT UP OStaO mn) sapeenuer oes eres $ A O_

200 RECORD OF FUNERAL Matalltgs: 0 cers eins isterteeteaars Name of Deceased.. v.VA 0A ye, ae Line 0 Married 0 Sihgle Oo Wood 0 Divorced Residence APT.. Ber. LDPE &. fae Yearly No..... 1D4 me .. Years Charge to...57% ¢ Ss b. aes Complete Funeral (except outlays) .....:::cc08 $ Address A729. LPEK LZ Loves Fi Metre eae “Ba ae IWi100. Order given by. QEQLG 6.2. of_. Heed etég/,. Basta Vault of Box. cemeWl Aacn. 6S Nb.. Di ome ~_ How secured.. YRALA WPI a oer eT NR Embalming Body....... FEE aa on aa ale Poses aU aappares ease £V N fw. Barber, §....... Wiss Dorecastrigg, Soo cccoc sss cccsscssoces fcc es sesw eth scen tess If Veteran, Name of War.....00 ee Pere tems ae Peccding Wecly,. $5 Uerermenrs $i, sec deep deco nn Occupation.. /7/ a! te sceainteel! SZ eT 3 fy) Stabe cot) LOPS cae ool si ie ce sccdowe sc BU Le ecuenpiTovfankRlonn onaeell ol dosnnbervacaleoewiazeti ‘Social Security Number) 7 (Seate Kind and Color) Employer and Address.... een ee otra een cay hee : iy a ae! 2 wetnsdts : ‘olding Chairs, $....Tarpaulin, §.... Date of Death 7 7.1 — or co soe &, [tel G@andélabrine $cc Candies, $..... Date of Bice 1y 6. of. vn i. Age. £f4.2.. ae mae Door Spray, $.....0:000: Gloves, §.... Day) Se oor os, Funeral Car, §...... Ambulance, §... l., Name of Father.. hak DK bb Eonveoshe ch Pe AML Mecrceescens Limousines to Cemetery.... CA i, AR His Birthplace...... Ad (oie eo 3. Extra are weteeenes ste CN AEE Se oa Autos to R. R. Station. z, Maiden Name of ets ELS er). LAVIN eLID /é A) AY..) Weve ccaveweceeteveeeee rs eamebedeaseeien ss wetinenn gov el tae Services at..4-4. /o af tL. 2. APAIER eee . Clergyman..7— ean D Ad.. willZ 4 >. il Religion of the Deceased. Birthplace..... TR ha, nd AS _. Deliver Flowers to -. Procuring Burial Permit _. Pall Bearer Service, $ Getting Remains from. ... Taking Remains to...... Trip to Coroner’s Inquest Delivering Box to... Removal Charges..... (Scare Number and District) .Certif. Copies of Death Certificates No.. (State Physician's or Coroner’ 3) Ue of Chapel, $. Gross Total for Sales Tax $ J mete Resided in the State... Mine ns wes “a ccc 4.. : iio Guntay tot Lot vi) 7 fe a he LYS N00.. Place of Death.. aes ee GremtatiOrn gene nacre trae pdebetacnoenesoutaliialoee Flowers, $....Palms, $ Matting. $. oe Cause of Death.... 7]. Co mt ‘. . Rental of Tent, $....of Temporary Vaulk, $.... ee. Contributory Causes.... fey \. ea 1.. il hirer of Grave or Tomb. ©. /O5/ AI. Gow.. Ts edsliete. Lining Grave, $. . Lowering Device, §.. EE eres Re Basco ee eee mons] Quday for Shipping Charges i. Certifying Physician. oe J. es He Cy, aa VAgh . . . 1¥) Clergymen, $... Singers, SS "Doreaniae, we M4. NOM.. Railroad { Tick $ se $ ee ee or Motor ¢ Lickets, $.. — RSHces She ROM Mle hee esiascce GS PASS.. Te aTley a Remains to... Ship Size of Casket. 1 = XQ.. v3 ly L 2. ASE. rth = +8 (State Color and Number) Manufactured by.. =?.(4.S ee ee. Cemetery t Crematory [ v1ssssseescesseessesseecnereasenes ’ om Lot No..... Grave No....2cc0c00ceee Section Now.. occ Block No... Telegr., Phone, Cable or Radio Charges Cash Advanced.. eee. Out of town Faneral Director’s Charges; Fe aly, Personal Service ... line Death Notices in Papers.. Séles Tax. r Total Footing of Bill sein $ LAST i ARI ae Fe . SORT UP OStaO mn) sapeenuer oes eres $ A O_

Mortuary Records 1966-11 to 1967-08 - Chronological Only (247 pages)

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Mortuary Records 1966-11 to 1967-08 - Chronological Only (247 pages)

Have questions or comments? Give us Feedback!

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