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Home My WebLink About2942 - i -1- _ - ~ + yr -~«sawci~+~•.~t~~~ = gam, ~ ixt~ ~a..r Jr RA<~ 'rir rl a' - y • - f .11~ i'= -i'{-• -_•e- L•'.t ~ -y,ti .fie- s'z . ~ ..yy}}~-i ~ „V> - -+1: y ,r •t 7 'C '1i-1.YJr+.~ i - ~ :d`a~' - -~1~' r. e`.w~~;ri.if. 0;71 ra>14~..+~~ ~ Z~ :s?~.i-S.~+M-F,} r..: ~ w -rr _'.i S`' :~a-e ~i3 - T:.~i -~.:~.r ,.~4: ~:,.~C`.r+..W.:~~...:.ii~~f..:~ - ~ +~.i5f~-: `'.+a+..-aa'~-r{z, ~.ry «1 .,~i2. - w -it-w-~o L ~ r=~ `_..+..w L. z ~._c ~ _ f, rw~i; . 't ~ 1. r; t j>,. 'i-2~ ` t #"si ~-'xT ~~L „f 't'4 -r~-u~~~fr~ 1 {3i y ...4 , '+•.r~~ ~ ; mac: ,`i'?aJ~ ~r ~.+:.a ti r ? :`~+7,e~i..-.r~ ~EG;F 1~ "c' ~ ~F #t S. r.1• Ty~""S E t. , _ - _ _ ~ ~ ? ,:~1 .at. t-a c[.. 'i a-:!t a1.ti ~V~t ki.(+•.~•~ata~ >`.r~1+~~•rc t f Yr _ _ "-l _ v :rut r • .+s.. . - - _ u. _ a . - F ~ ~ a.w - i ~~:r- TI'E.l?[1ZED ES'I1MAT~,~F CHAAGffi I,~Ei1~.eccb! appEiorr the charges fcr ebe isam~ _ , _ ' . _ _ _ aod.sa~rioa set o~uc _hetroo- fa the fue,K/Ea[ ar:~a+~ Pmfessiooal Services _ -males of~~;,~1•~t4e.~t....::~-...~1..?~~tt. ice. •,3eo ov• ~ Ana agree. joit?tly and ,n?e:T~llt. ~ ~ ~ ~ Use~of Fuaeccil Hone - _ r ` - Acmoral ......~G~a~-......-.-.. ,~.5 • - fWl tc cbe SianmoEES Fune:at E1oa?e, ~ricbia Embalming - - - . a...3~.-. j-...-dap fr+cm the dace 6ercof. "`'Ii 'is- hercb' fwther agreed that and addiciooal - . rare Gislcec items ordacd fa this service steal! beoorrcc a of - Vault ~!C.... j.~o .r- ` _ of this aaceemenc . _ - ~P.-i`ne Case - - ` S:U t+o: ~ - - JWt c '~~'S Est ~ 7+'Ja. Y.. - - - f Dress ~ ? r; 4r'~b~ - ..-c ' tJll.liCE~M Car - _ ~ - - Mai. Dresser . : ~ I.ECr~rn+.n ~ . Opening and Cbsing of Gr:~e . ~ Tetepxioe IWL. _ L?alousines .......-~r . t~. ~ ~S ~ ~ ~ Date 1N3 FIINEK.~• HC~>l+Ir - ....~'.•t. - Pallbearrts/.......:..-.. - : oviTN ~ ~ _ Signcd ~ s Desch Notices, Scu J~- l3" ~ O- - _ i - i': :FYI AN ~Y A ~ • • ~la~ - Death Nocioea, Post ~../.3- - • - Cremation - Rc4trooship - - . Transcripa - ACCEP'IED• ~ D. C. Sales Tiz - . - - SIMMONS FUNERAL HUMB - J _ - ' . ~ - ` ' . - r Bp -.TONAL ES'l7MATED CHARGES. ..~4/.! - T.-- Dace - \ - aASICCNAtOEA/1AOargnAlf3.oef.wi AMBULANCE SERVICE CHARGE a:oo r~I. ro •:oo w.r- wEECOArs ANO PLEASE PAY PROM THIS STATEMENT Au oAr s+lrueoAr, suNOAr- MaioArs. . !L - • ` . TIME DATE FROM: 0817 116-2 •14,~i1 Opp _ _ $p~I ri1'OAO ~OBp~ . _ _ - - _ ACCOUNT NO. ORDERED flY: - ~3 p0~ LO1M AMOUNT ~ - - • ertlal• ~+oi. ~~t. gut: a9.o0 . aAStc MKEAGE WAITING r~ME - ` - ~ CHARGE OXYGEN OXYGEN EMERGEHCr F SLOMO,MILE SS.00 . SG Npu~ RESIISCITATgN INHAIATgN _ - ~ ~~/Ow X2.00 CAiI ~7 00 ~ • _ - - ~ - 110.00 ` - _ X2.00 i - ~ ~ a - ; :'t ~ - I , f MtKC. CHARGES ~ , ~...-~a~y - ~ 0 . . - : - ~ - re~ae - , 6EACON AMBULANCE SERVICE, INC.