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RECORD OF FUNERAL

Page 98   DATE: Sept. 19, 1931

NAME of DECEASED: Margaret Saha (sic, should be Shaha)   

SEX: F   COLOR: W

CHARGE TO: estate, guardian   ORDER GIVEN BY: guardian

Date of Funeral:    Place of Death: State Hospital, Clarinda

Funeral Services at    Time of Funeral Services:

Clergyman:

Certifying Physician:    His Residence:

Cause of Death: Cerebal Hemmorage (sic)   Date of Death: Sept. 19 - 1931

Occupation of the Deceased: Homemaker

Single, Married, Divorced: Single   Religion: Protestant

Aged: 83 years, 1 months, 21 days   Birth Place: Ohio

Father: Jacob Saha (sic)   Birth Place: Germany

Maiden Name of Mother:    Birth Place: New York

Name of Husband:    

Informant: Supt., Hospital   Address: .

Size and Style of Casket or Coffin:   

Interment at [Maple Row] Cemetery

ITEMIZED CHARGES
Price of Casket or Coffin & Services. . . . $135.00
Price of Grave Vault. . . . $100.00
Burial Robe. . . .   $15.00
Underwear & Slippers. . . .     $1.50
Ambulance to Hospital. . . .   $12.00
Flowers Pd.. . . .     $5.00
Opening Grave. . . .     $8.00
Total Debt . . . .$271.50
   
CREDITS:   
Oct. 24  $271.50

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

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