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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

tal NOwicccccccccccscesesserespeseetereenene Yearly Na... peli Sn ee Date of Entry... 4A Y WY my Pi ie Wee took 19. CG..
me of Deceased. Theddade t.. fe ae RD ici pee Sete UC, Bye Dee i eee
Married CJ Single Oo ~_r (J Divorced Og Oo (What Race)
usband Wife Widow Pereeeerererrrrerrrrrirrr rrr ttrriti iii rr rrr er eer eee r errr
idence 73 May, Halt, jth Wet ee ee eee aT, of Age of Husband or Wife (if living)........ Years
ai oid wo LM, Laie ff if e (nee aids Sea. Complete Funeral (except outlays)......:cce $
Idress.. Ad. Sha Meg NC Cf. om C Core et ca testa recs crt eMC reece ea Ee erg ivcorenapens OAC .
der given by... pe Burial Vault of Box.. MCL. h litle. veo AB...
hecuted Ms. 28 Embalming Body......... ce er aman gee ei
Veteran, Name of tl Se Ne EN os sais RP OES Cae I sei Oa a ida ge Ta a . Cae i
suage oo RET as bas CAE Suit or Dress.......... Seg asa oe Lied
(Social Security Number) (State Kind and Color)
iployer and ee We ee eee ae a Ree LT EE, ee ars PEE Oe
Foldin Ty. ak ee ee 1a, eee neh EM AAA Pend.
ite of Id Sas is re i ih Af lr. a LSA me richer glee Candles, ; IORI cle ln EM ages LDN er
ste of Birth: 27 O Gol sce. Boot! bd. Aide Lee is oe ‘ on AN Hee as : See a sere Meter! ic Weer
ts os. ys uneral Car, §...... tabulance, $i5.. cok Siecceliel[eoss or eenedecnannse
ume of Father.s 7a, MLS AM tana a Limousines to Cemetery.... CED ree A a, Bec sy talltins sdaemenag . Rei
fo EL AE Bio. Extra Limoteainiea? 1.. :..-.. GQ) Dens sceteve pocistivernsveall ospsoonsucatendrorscterters
s Birthplace........:00€4.20a. FCS eee etl re a 3
TGS COTTE IN. DURCIOD oe 2 hPa clea benbcen sn wyenecll . egidtnach papel bad enaee 5
aiden Name of sate ic a) seendanatanvies Pucsca chais hee Sheets ’ 5 RO Bs EL ie, SR . . SR Re
ar Birthplace.........0.0++: = i er ee ee Bi Pa ee a ren ce acy ea ea, oe . AR ROneee . non
. Trip to Coroner’s In (oe cal Rem ath coe me . Se ioeme at eae eae core
tte iis oi lyp) ues 08 Sareea fd
seins ee . . JF F od. neg C8 en ea? Av WA . ae TCE EE ERTS CO.. tessa igBEsopracts oanpensv uaserectioeal laWievakneapeds feebod eles
Perma val me arses.. esc ct tee theten Seas sons icanesvessictrelll rsvvacnenteteaseelecue
ergyman. WL. a ee cans a 1ue see a beecereesereeceeees Proctring Burial Peranit.). 40.505. ccs detesecsegescesdeceseenee. fonnesgndacz ons dafeneeeeaasss
_ (State Number and District
SUagsteseN CE UVES LCE ASI cc. co essssharipticvauyonsatscere ee aerosol Rea Certif. Copies of aes Certificates } No.. FG . cc . ars
rthplace....... OKA el re Jel HI cir a zat eel cae ole Pall Bearer Service, §....Use of Chapel, “eal Pr.
iM aael mater = ze Gross Total for Sales Tax.....ccccccccccseeseseeeeseees M1 taal Eis 7 (ESR
ey EE Ga lihe caxcuccasist. C¥edes) » Pukenubd) — PROCIAM HOE LA re rec cue spoce geen egtatsear esr togreo lov adubs afl iys aetnsoude teh ncnntbenre>
ace of Death OG ay re AWS. VE IEC cbcd aA lees Cremation SES b 2.4 Camaiee welch Chef EeNe eo SHON A AHORS Dae LAGS SETA MBN Sn ohne Kaa COUMeUM nm abohaWeak g2nxapsanwss'\sioenin
pint oe ay: 2 Tele Tm ere, He! Flowers, $.... Palms, $.... WATE CIES ot. eee cee dh deer apuee
ie of Tent, $.... of Temporary Vault, $....J).0000.. Ch ees
ontributory CausdQ IAL OAC et, Cf MSAUTY 1/2é pening of Grave or Tomb.V..¢ LOS/0 EN. 5. O\bd...
Lining Grave, §...... Lowering Device, $...0.00.0] ccc epee
ty: LEM LA La eee. Ae J a a Se ee @urlay for Shipping Charges, 0.5.54.. <-ccsscsesrieste. . arsentncs-rcete. eoseaees
ertifying ae Sy Shale: 4 CG Ca we tes DY a Rafeon! ee Singers, : Wh ene Organist, ...... ee ee) . eee eee
Cc allroa . erois Address. CG-AVESSL. 9 of ae Matar (Rick, $0.. Bt tele A eames eee a tres Mapmeree
Se gin adie of ee Telegr., Phone, Cable or Radio Charges.......]]eccccecefen eee
ber LAC} ge Shi CTS ton, at Sy GEER, ae eee Mel aa atoee S. Cran Ad vateed ces ee Wee ok ret tern ss Neca csolatbe ices Aa
ze ofiCaskee Voila ae /# A oi iy (Re VW Hake Ge (by Ja out of town Funeral Director’s Charges. ......+.. Jeoesc fence
(State Color, ne a SE BOTIA SOL VICE:. Agi Ace eo gcsooe ccvegesnseyeovacsadeberemrdeseg. foce.Seeanyesd forfglese coped
(anufactured Ba cZe om OAS, i a . ee Ne kes pele Tee eters So: be. dal oe Gol TD..
aed & yy soo @.. ka SA¢ re alee i Ce line Death Notices in...... Papers-. acoiinnl ee ee ee
ba o Ga Uae ee ren ea ae ee oe ete
ts. 8 Shei TORI cg unin noe i RA ior) omens orusanor ade ZO . L—
kati madi gummed ci, anes ay Be 4 Total Footing of Bille.. ects $F. GLA.Vr..
Block INF oc cos Seecat esse cel ed Se . OT a ol RET TURD Tete ey Ree et oe $
\ O° Balance.. cceecccecesseeneeeees >: . ha eloc cee bakseerers
; Disyrem of Lor or Vaute fl oS BT tas eas oT Entered into Ledger, page...... or below
Dee I Bcc ceons tC er rT ea carer caet e cicol el al