Page 79 DATE: 9-10-1930
NAME of DECEASED: Ramona Dingman SEX: F COLOR: W
CHARGE TO: W. Dingman ORDER GIVEN BY:
Date of Funeral: Place of Death:
Funeral Services at Time of Funeral Services:
Clergyman:
Certifying Physician: His Residence:
Cause of Death: Date of Death:
Occupation of the Deceased:
Single, Married, Divorced: Religion:
Aged: years, months, days Birth Place:
Father: Birth Place:
Maiden Name of Mother: Birth Place:
Name of Wife:
Informant: Address:
Size and Style of Casket or Coffin:
Manufactured by Abernathy
Interment at