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RECORD OF FUNERAL

Page 71   DATE: 7/1 1930

NAME of DECEASED: Infant of Mr. & Mrs. Leslie Ballou   SEX: F   COLOR: W

CHARGE TO:    ORDER GIVEN BY:

How Secured: Phone   Date of Funeral: 7-2-30   Place of Death: Des Moines

Funeral Services at Residence   Time of Funeral Services: 11:00 A. M.

Clergyman: Griffin

Certifying Physician: C. M. Walker   His Residence: Kellerton, Iowa

Cause of Death: Monstrosties   Date of Death: July 1, 1930

Aged: 4 days   Birth Place: Kellerton, Ia.

ITEMIZED CHARGES
Price of Casket or Coffin. . . . $18.50
Funeral Services. . . . $10.00
Total Debt . . . .$28.50
CREDITS:   
5-29-31  $5.00
Nov. 30 '33  $5.00
Dec 21 '33  $5.00
Jan. 24 '34  $5.00
cost  $8.50
Pd.   

NAMES OF PALLBEARERS: Grace D. & M. F. K.

Note: Donella Joyce was the infant daughter of Leslie A. and Louise A. (Siple) Ballou. Interment was made at Maple Row Cemetery, Kellerton, Iowa.

Courtesy of Fore-Kin Trails, Montrose CO
Transcription by Sharon R. Becker, September of 2016

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