JOHNSON COUNTY IAGenWeb Project

Peterseim Funeral Home Records

Book 1

Funeral Records
Date: May 17, 1921
Name of Deceased	Elijah Bailey	Certifying Physician	J.L. Fry	Price of Casket or Coffin	295
What Race	White	His Residence	Kalona, Ia	Size and Style of Casket or Coffin	6-3 Black Slate B.C. 1/2 couch
Where Born	Ohio	Number of Burial Certificate		Price of Outside Box (state kind)	15
		Cause of Death		Price of Burial Robe	25
Order Given by	Elijah Hasty	Date of Death	May-14-1921	Flowers	3.5
Charge to	Elijah Hasty	Occupation of the Deceased	Retired Farmer	Planks 2x4 on Box and under	4
Address	Kalona, Ia	Single or Married	Single	Interment at	Sharon Hill Cemetery
How Secured		Religion
Date of Funeral	May-17-1921	Date of Birth	Aug-28-1840
Residence		Aged at Death	80 yrs. 8 mos. 17 days
Place of Death	Home	Name of Father
Funeral Services at	M.E. Church	His Birthplace
Time of Funeral Service	2PM	Name of Mother
Clergyman	Rev. A Dill	Her Birthplace		PAID $349.00 cash on 6/13/1921

Date: June-20-1933
Name of Deceased	Mary Baker	Certifying Physician	Dr. Marsh	Price of Casket or Coffin	175
What Race	American	His Residence	Ia City	Size and Style of Casket or Coffin	6-3 Wheat plush 1/2 couch
Where Born	Ohio	Number of Burial Certificate		Manufactured by	D.M.C. Co.
Daughter of	John Crawford	Cause of Death	Strangulated Hernia	Price of Grave Vault (state kind)	100
Order Given by		Date of Death	June-20-1933	Price of Burial Robe	7.5
Charge to	Levella Baker	Occupation of the Deceased	Ret.	Price of Burial Slippers and Hose UND	0.5
Address	Kalona, Ia	Single or Married	Widow	Shaving Ambulance to Hosp 6-20-33	10
How Secured		Religion	M.E.	Interment at	Pleasant Hill Cemetery
Date of Funeral	June-22-1933	Date of Birth	July-1-1860
Residence	Kalona	Aged at Death	72 years 11 months 19 days
Place of Death	S. UI Hosp.	Name of Father	John Crawford
Funeral Services at	Joetown	His Birthplace	Ohio
Time of Funeral Service	10AM	Name of Mother
Clergyman	Fred Miller	Her Birthplace	Ohio	PAID $293

Date: July-8-1920
Name of Deceased	Jessie Franklin Barger	Certifying Physician	J.L. Fry	Price of Casket or Coffin Complete	85
What Race	White	His Residence	Kalona, Ia	Manufactured by	Globe Casket Mfu. Co.
Where Born	Iowa	Number of Burial Certificate		Price of Outside Box (state kind)	10
		Cause of Death		Price of Burial Robe	20
Order Given by	Charles Barger	Date of Death	July-8-1920	Interment at	Richmond Prot. Cemetery
Charge to	Estate	Occupation of the Deceased	Farmer
Address	Kalona, Ia	Single or Married	Married
How Secured	acquaintance	Religion	Prot.
Date of Funeral	July-10-1920	Date of Birth	1 - 30 - 1849
Residence	South of River of Town	Aged at Death	71 yrs. 5 mos. 8 days
Place of Death	at Home	Name of Father	John Barger
Funeral Services at	Richmond M.E. Church	His Birthplace	Indiana
Time of Funeral Service	2-PM July 10, 1920	Name of Mother
Clergyman		Her Birthplace	Tennessee	PAID $115.00 cash on 9-30-1920

Date: May-27-1926
Name of Deceased	William Barger	Certifying Physician		Price of Casket or Coffin	60
What Race	American	His Residence	Wash.	Size and Style of Casket or Coffin	6/3 Black Crepe Lift Cap
Where Born	Iowa	Number of Burial Certificate	92	Removal Charges	15
Order Given by		Cause of Death	Carcinoma Stomach	trip to Wash for Smith to Hospital	15
Charge to	County	Date of Death	May-25-1926	Interment at	Richmond Cemetery
Address		Occupation of the Deceased	Ret. Farmer
		Single or Married	Single
Date of Funeral	May-27-1926	Religion	M.E.
Residence	Co. Home	Date of Birth	June-18-1847
Place of Death	Co. Home	Aged at Death	78 years 11 months 7 days
Funeral Services at	M.E. Church Richmond	Name of Father
Time of Funeral Service	2PM	His Birthplace
Clergyman	L.N. Arnold	Name of Mother
		Her Birthplace		PAID $90 CASH on 7-13-1926

Date: Feb-28-1927
Name of Deceased	Beck Stillborn	Certifying Physician	C.G. Tilden	Price of Casket or Coffin	25
What Race	American	His Residence	Kalona	Size and Style of Casket or Coffin	2-/6- White
Where Born	Iowa	Number of Burial Certificate
		Cause of Death	Stillborn	Interment at	Sharon Hill Cemetery
Order Given by	Bobby Vernon Beck	Date of Death	Feb-28-1927
Charge to	H.V. Beck	Occupation of the Deceased
Address	H.V. Beck	Single or Married
How Secured		Religion
Date of Funeral	Mar-1-1927	Date of Birth
Residence	Kalona	Aged at Death
Place of Death	Home	Name of Father	H.V. Beck
Funeral Services at	Home	His Birthplace	Iowa
Time of Funeral Service	10AM	Name of Mother	Ethel Snair
Clergyman	Appel	Her Birthplace	Iowa

Date: Dec-1-1931
Name of Deceased	George W Beck	Certifying Physician	C.G. Tilden	Price of Casket or Coffin	175
What Race	American	His Residence	Kalona	Size and Style of Casket or Coffin	6-3 Wheat Prot. 1/2 couch
Where Born	Canada	Number of Burial Certificate		Manufactured by	D.M.C. Co.
Husband of	Minnie Beck	Cause of Death	Apoplexy	Price of Grave Vault (state kind)	100
Order Given by		Date of Death	Dec-1-1931	Flowers 1/2 doz. Mums	6
Charge to	Minnie Beck	Occupation of the Deceased	Storekeeper	Interment at	Sharon Hill Cemetery
Address	Kalona	Single or Married	Married
How Secured		Religion	M.E.
Date of Funeral	Dec-3-1931	Date of Birth	Feb-7-1857
Residence	Kalona	Aged at Death	74 years 9 months 24 days
Place of Death	Home	Name of Father	Geo Beck
Funeral Services at	M.E. Church	His Birthplace	England
Time of Funeral Service	2PM	Name of Mother
Clergyman	Rev. Cogshell	Her Birthplace	England	PAID $281.00 on 12-21-1931 by Mrs. Geo Beck

Date: July-22-1931
Name of Deceased	Wencil Belka	Certifying Physician	C.G. Tilden	Price of Casket or Coffin	475
What Race	American	His Residence	Kalona	Size and Style of Casket or Coffin	6.3 Walnut 1/2 couch tan
Where Born	Austria	Cause of Death	Similie Pneumonia	Manufactured by	D.M.C. Co.
Order Given by		Date of Death	July-22-1931	Price of Grave Vault (state kind)	100
Charge to	Joe Belka	Occupation of the Deceased	Retired Farmer	Price of Burial Robe	22
Address	Kalona	Single or Married	Widow	Flowers Pillows Spray Lillies	12.5
How Secured		Religion	Prot.	Opening Grave or Vault	10
Date of Funeral	July-24-1931	Date of Birth	July-2-1850	Music	9
Residence	S.W. Kalona	Aged at Death	81 years 20 days	Minister	10
Place of Death	Home	Name of Father		Interment at	Richmond Cemetery
Funeral Services at	Richmond M.E.	His Birthplace	Austria
Time of Funeral Service	2PM	Name of Mother
Clergyman	Rev.	Her Birthplace	Austria	PAID $638.5 on 7-28-1931

Date: July-10-1924
Name of Deceased	Ralph Oral Bell	Certifying Physician	D.H. Osborn	Price of Casket or Coffin	85
What Race	American	His Residence	Kalona, Ia	Price of Grave Vault (state kind)	65
Where Born	Iowa	Number of Burial Certificate
Order Given by	Oren Bell	Cause of Death
Charge to	Oren Bell	Date of Death	July-10-1924	Flowers	12
Address	Kalona, Iowa	Occupation of the Deceased	Boy at home	Interment at	Sharon Hill Cemetery
How Secured		Single or Married	Single	Lot or Grave No	1
Date of Funeral	July-12-1924	Religion	Prot.
Residence	Kalona, Iowa	Date of Birth	Nov-13-1919
Place of Death	Kalona, Iowa-Home	Aged at Death	4 yrs. 7 mos. 27 days
Funeral Services at	Christian Church	Name of Father	Oren Bell
Time of Funeral Service	2PM	His Birthplace	Iowa
Clergyman	Rev.	Name of Mother	Delpha Kelley Bell
		Her Birthplace	Iowa	PAID $162
Date: June-18-1922
Name of Deceased	Waneta (Juanita) Bell	Certifying Physician	Dr. Osborn	Price of Casket or Coffin	85
What Race	American	His Residence	Kalona	Size and Style of Casket or Coffin	4ft. Drop side Past car
Where Born	Iowa	Cause of Death	Peritontis Appendicitis	Manufactured by	Globe
Order Given by		Date of Death	June-16-1922	Price of Grave Vault (state kind)	55
Charge to	Orin Bell	Occupation of the Deceased	Child	Flowers	12
Address		Single or Married	Single	Interment at	Sharon Hill Cemetery
How Secured		Religion
Date of Funeral	June-18-1922	Date of Birth
Residence	Kalona, Ia	Aged at Death
Place of Death	Kalona, Ia	Name of Father	Orin Bell
Funeral Services at	Christian Church	His Birthplace
Time of Funeral Service	2PM	Name of Mother
Clergyman	Rev. Pike Keota	Her Birthplace		PAID $152.00 Cash on 6-24-1922

Date: Mar-9-1929
Name of Deceased	Daniel C Bender	Certifying Physician	E.S. Hunsinger
What Race	American	His Residence	Wellman, IA	Price of Casket or Coffin	125
Where Born	Iowa	Number of Burial Certificate	nirtrol insuficincy	Size and Style of Casket or Coffin	6-3 Wheat Pl. Lift Cap
Order Given by		Cause of Death	Cardiac Failure	Manufactured by	D.M.C.Co.
Charge to		Date of Death	Mar-9-1929	Price of Grave Vault (state kind)	100
Address	Kalona R.F.D.	Occupation of the Deceased	Farmer	Interment at	Timber Cemetery
How Secured		Single or Married	Married
Date of Funeral	Mar-12-1929	Religion	Mennonite
Residence	Simon Swartzendruber	Date of Birth	Jan-26-1901
Place of Death	Simon Swartzendruber	Aged at Death	28 years 1 month 13 days
Funeral Services at	Timber	Name of Father	Christian R. Bender
Time of Funeral Service	10AM	His Birthplace	Ont. Canada
Clergyman		Name of Mother	Elizabeth Guengerich
		Her Birthplace	Iowa	PAID $225.00 Cash on 4-8-1929

Date:
Name of Deceased	Willard Boller Infant	Name of Father	Willard Boller	Price of Casket or Coffin	12.5
Address	Kalona	His Birthplace	Iowa	Size and Style of Casket or Coffin	1-9 W Lanliekin
Place of Death	Home	Name of Mother	Mary Shetler	Manufactured by	Des Moines
Occupation of the Deceased	Infant	Her Birthplace	Michagin	PAID $12.50

Date: Aug-27-1923
Name of Deceased	Joseph Bourgeois	Certifying Physician	C. Awe	Price of Casket or Coffin	390
What Race	French	His Residence	Iowa City	Size and Style of Casket or Coffin	6/3 T. couch Grey B.C.
Where Born	Alsace Lorraine	Cause of Death	Apoplexy	Manufactured by	Burl. Co.
Order Given by	Fred	Date of Death	Aug-27-1923	Price of Outside Box 2" Cypress	50
Charge to	Fred Bourgeois	Occupation of the Deceased	Retired Laborer	Interment at	Sharon Hill Cemetery
Address	Kalona	Single or Married	Widow	Lot or Grave No	1
How Secured		Religion	Prot.	Flowers	7
Date of Funeral	Aug-29-1923	Date of Birth	Aug-7-1864
Residence		Aged at Death	59 yrs. 20 days
Place of Death	University Hospital	Name of Father
Funeral Services at	M. E. Church	His Birthplace	Alsace Lorraine
Time of Funeral Service	1PM	Name of Mother
Clergyman		Her Birthplace	Alsace Lorraine	PAID $447.00 cash on Sept-6-1923

Date: Feb-1-1923
Name of Deceased	Julia A. Bourgeois	Certifying Physician	J.L. Fry	Price of Casket or Coffin	300
What Race	Am.	His Residence	Kalona	Price of Outside Box (state kind)	45
Where Born	Germany	Number of Burial Certificate		Flowers	7
Order Given by		Cause of Death
Charge to	Joe Bourgeois	Date of Death	Feb-1-1923
Address		Occupation of the Deceased	Housewife
How Secured		Single or Married	Married
Date of Funeral		Religion
Residence		Date of Birth	Feb-16-1855
Place of Death	Home Kalona	Aged at Death	67 yrs. 11 mos. 15 days
Funeral Services at		Name of Father	Fredrick Kessler
Time of Funeral Service		His Birthplace	Germany
Clergyman		Name of Mother	Catherine Shield
		Her Birthplace	Germany
Name of Pall Bearers: Ernest Felzpe, Lou Feldman, Geo Yoder, Emery Thorp, Chas Shaffer, Jon Swarzentruber				PAID $352.00 cash on Feb-5-1923

Date: May-8-1932
Name of Deceased	Alta Viola Brenneman	Certifying Physician	C.G. Tilden	Price of Casket or Coffin	150
What Race	American	His Residence	Kalona	Price of Grave Vault (state kind)	100
Where Born	Iowa	Cause of Death		Interment at	E. Union Cemetery
Wife of	Jay Brenneman	Date of Death	May-8-1932
Order Given by		Occupation of the Deceased	Housewife
Charge to	Jay Brenneman	Single or Married	Married
Address	Kalona, Ia	Religion	Mennonite
Date of Funeral	May-10-1932	Date of Birth	Oct-3-1899
Residence		Aged at Death	32 years 7 months 5 days
Place of Death	Home	Name of Father	M.D. Miller
Funeral Services at	E. Union	His Birthplace
Time of Funeral Service	1:30PM	Name of Mother	Lavina Shetler	PAID $200.00 on Aug-17-1932
Clergyman	S.C. Yoder	Her Birthplace		PAID $53.00 on Aug-28-1932

Date: May-31-1927
Name of Deceased	Barbara Brenneman	Certifying Physician	J.L. Fry	Embalming Body (with fluid)	25
What Race	American	His Residence	Kalona	Telegram	0.6
Where Born	Pennsylvania	Cause of Death
	Emanul Brenneman	Date of Death	May-31-1927	Interment at	Miller Cemetery
Order Given by	Jonas Otto	Occupation of the Deceased	Retired Farmer
Charge to		Single or Married	Widow
Address		Religion	Amish
How Secured		Date of Birth	Jan.
Date of Funeral	June-2-1927	Aged at Death	75 years 4 months 11 days
Residence	E. Frytown	Name of Father
Place of Death	Jonas Otto	His Birthplace	Pennsylvania
Funeral Services at	House	Name of Mother
Time of Funeral Service	1PM 6-2-1927	Her Birthplace	Pennsylvania	PAID $25.60 Cash on 6-8-1927

Date: Feb-21-1924
Name of Deceased	Ben P Brenneman (Benedict)	Cause of Death	Chronic Intestinal Nephritis	Certifying Physician	C.G. Tilden
What Race	German	Date of Death	Feb-21-1924	His Residence	Kalona, Iowa
Where Born	Iowa	Occupation of the Deceased	Farmer Retired	Burial Certificate Number	38
Charge to	Estate	Single or Married	Married	Embalming Body (with fluid)	25
Date of Funeral	Feb-23-1924	Religion	East Union
Residence		Date of Birth	Jan-17-1855	Interment at	East Union Cemetery
Place of Death	Home	Aged at Death	69 yrs. 1 month 4 days
Funeral Services at	East Union	Name of Father	Peter Brenneman
Time of Funeral Service	10PM	His Birthplace	Germany
Clergyman	S.C. Yoder	Name of Mother	Barbara Hershberger	PAID $25.00 Cash April 3-1924

Date: Nov-9-1926
Name of Deceased	Benjamin E (Ben) Brenneman	Certifying Physician	J.L. Fry	Price of Casket or Coffin	160
What Race	American	His Residence	Kalona, Ia	Size and Style of Casket or Coffin	6/3 Oak Plain
Where Born	Iowa	Date of Death	Nov-9-1926	Manufactured by	Des Moines Casket Co.
Charge to	Barbara Brenneman	Occupation of the Deceased	Farmer	Price of Outside Box 2" cypress	50
Address	Kalona, Ia	Single or Married	Married	Interment at	Gingerich Cemetery
Date of Funeral	Nov-12-1926	Religion	Upper Deer Creek
Residence		Date of Birth	Jan-2-1870
Place of Death	Home	Aged at Death	56 years 10 months 7 days
Funeral Services at	East Union	Name of Father	Emanuel Brenneman
Time of Funeral Service	1PM	His Birthplace	Ohio
		Name of Mother	Barbara Schrock	PAID $135.00 Cash 12/22/1926
		Her Birthplace	Pennsylvania	PAID $75.00 Cash on 3/4/1926

Date: April-24-1922
Name of Deceased	Joseph Glenn Brenneman	Certifying Physician	J.L. Fry	Price of Casket or Coffin	175
What Race	American	His Residence	Kalona	Size and Style of Casket or Coffin	6.3 White 1/2 couch White Handles
Where Born	Iowa	Date of Death	April-24-1922	Manufactured by	Globe
Son of	Mr. & Mrs. W.C. Brenneman	Occupation of the Deceased	Farmer	Price of Grave Vault (state kind)	100
Charge to	W.C. Brenneman	Single or Married	Single	Interment at	East Union Cemetery
Address		Religion	Mennonite
Date of Funeral	April-24-1922	Date of Birth	Aug-21-1904
Residence		Aged at Death	17 yrs. 8 mos. 3 days
Place of Death	Home	Name of Father	W.C. Brenneman
Funeral Services at	Christian Church	His Birthplace	Iowa
Time of Funeral Service	2PM	Name of Mother	Nancy Miller
Clergyman	S.C. Yoder	Her Birthplace	Iowa	PAID $275.00 cash on 5-1-1922

Date: June-8-1925
Name of Deceased	Oren Eugene (Gean) Brenneman	Certifying Physician	J.H. Wolfe	Price of Casket or Coffin & Box	12
What Race	American	His Residence	Iowa City	Embalming Body (with fluid)	6
Where Born	Iowa	Cause of Death	Fetirus Neonatorium	Size and Style of Casket or Coffin	1-9.
Charge to	Simon Brenneman	Date of Death	June-9-1925
Address	Kalona, Ia	Occupation of the Deceased	Infant
How Secured		Single or Married	Single
Date of Funeral	June-10-1925	Date of Birth	June-5-1925
Residence		Aged at Death	4 days
Place of Death	E. Sharon	Name of Father	Simon Brenneman
Funeral Services at	Home	His Birthplace	Iowa
Time of Funeral Service	9AM	Name of Mother	Cora Hershberger
Clergyman	D.J. Fisher	Her Birthplace	Iowa	PAID CASH $18

Date: Dec-29-1928
Name of Deceased	Ephram E. Briels	Certifying Physician	Dv. Braden	Price of Casket or Coffin	85
What Race	American	His Residence	Wellman
Where Born	Illinios	Number of Burial Certificate		Price of Outside Box (state kind)	15
Brother of	Alberta Simpson	Cause of Death		Flowers	3
Order Given by	Mrs. Simpson	Date of Death	Dec-29-1928
Charge to	Alberta Simpson	Occupation of the Deceased	Retired Farmer	Music	2
Address	Kalona, Ia	Single or Married	Widow	Church Charges Call to Burlington	0.45
How Secured	Telephone	Religion	Prot.	Tie	0.5
Date of Funeral	Dec-31-1928	Date of Birth	Oct-31-1848	Minister	5
Residence	West of River Ridge	Aged at Death	80 years 1 month 28 days	Interment at	Snider Cemetery N.P. Lemley
Place of Death	Home	Name of Father	Wm Briels
Funeral Services at	Home	His Birthplace	Indiana
Time of Funeral Service		Name of Mother	Jane Mingles
Clergyman		Her Birthplace	Indiana	PAID $110.95 Cash on 3-21-1929

Date: Sept-27-1924
Name of Deceased	Vernon Douglas Britton	Certifying Physician	Dr. J.L. Fry	Price of Casket or Coffin	485
What Race	American	His Residence	Kalona, Ia	Size and Style of Casket or Coffin	6/3 Walmut
Where Born	Iowa	Cause of Death	Pneumonia	Manufactured by	J.J. Meany Casket Co.
Charge to	Estate	Date of Death	Sept-27-1924	Price of Grave Vault (state kind)	100
Address	Kalona, Ia	Occupation of the Deceased	Farmer	Price of Burial Robe	25
How Secured		Single or Married	Married	Flowers Pillow	12
Date of Funeral	Sept-29-1924	Religion	Prot.	Interment at	Sharon Hill Cemetery
Residence		Date of Birth	Oct-29-1858	Lot or Grave No	35
Place of Death	Home	Aged at Death	65 yrs. 10 mos. 28 days	Section No	3
Funeral Services at	M.E. Church	Name of Father	William S. Britton
Time of Funeral Service	2PM	His Birthplace	Ohio
Clergyman	Rev. Fletcher	Name of Mother	Robinson
		Her Birthplace	Indiana	PAID $622.00 cash on 1/28/1925

Date: Feb. 20, 1920
Name of Deceased	Loring W. Brooke	Certifying Physician	Dr. Dean H. Asborn	Price of Casket or Coffin	285
What Race	White	His Residence	Kalona, Ia	Size and Style of Casket or Coffin	1/2 couch Dark, B.C. #810 #40 handle
Where Born	Iowa	Number of Burial Certificate		Manufactured by	Globe
Husband of	Anna Brooke	Cause of Death	Lobar Pneumonia/Influenza	Price of Outside Box (state kind) Slim Pine	10
Order Given by	John Suhring	Date of Death	Feb. 19-1920	Interment at	Sharon Hill Cemetery
Charge to	Anna Brooke	Occupation of the Deceased	Grain Dealer	Lot or Grave No	Buried with Suhring Family Lot
Address	Kalona, Iowa	Single or Married	Married	Name of Pall Bearers: F. E. Skola, John A. Yoder, Wm. Aloughlin, Whit Kauffman, Wm. Welter from Wellman
How Secured	acquaintaince	Religion	M. E.	Name of Near Relatives: Anna Brooke, Mrs. John Suhring
Date of Funeral	Feb. 20-1920	Date of Birth	April-29-1880
Residence	Kalona, Ia	Aged at Death	39 yrs. 9 mos. 20 days
Place of Death	at Home	Name of Father	Wm. J. Brooke
Funeral Services at	M E. Church	His Birthplace	Pennsylvania
Time of Funeral Service		Name of Mother	Carry Osborn
Clergyman	Rev. McBride	Her Birthplace	Pennsylvania	PAID $295.00 on 3/26/1920 by H. J. Brooke

Date: Sept-20-1920
Name of Deceased	Morgan Davis Brown	Certifying Physician	Dr. Dean H. Osborn	Price of Casket or Coffin	385
What Race	White	His Residence	Kalona, Ia	Size and Style of Casket or Coffin	6/3 -
Where Born	Ohio	Cause of Death	Carcinoma of Bladder	Manufactured by	Globe
Order Given by	Mrs. M.D. Brown	Date of Death	Sept-18-1920	Price of Outside Box (state kind)	20
Charge to	Mrs. M.D. Brown	Occupation of the Deceased	Retired School Teacher	Flowers - Pillows	15
Address	Kalona, Ia	Single or Married	Married	Telegrams	7.5
How Secured	acq.	Religion	Christian	Interment at	Riverside Cemetery
Date of Funeral	Sept-20-1920	Date of Birth	July-21-1836
Residence	Kalona, Ia	Aged at Death	84 yrs. 1 month 27 days
Place of Death	Kalona, Ia	Name of Father	James Brown
Funeral Services at	Christian Church	His Birthplace	Virginia	Name of Pall Bearers: D.P. Yoder, Geo. Yoder, Char Carpenter, Bert Britton
Time of Funeral Service	2-PM	Name of Mother	Catherine Fox	PAID $427.00 cash on 9-21-1920

Date: June-30-1927
Name of Deceased	Burkett, Margarette Coleen	Cause of Death	Tuberculosis	Price of Casket or Coffin	45
What Race	American	Date of Death	June-29-1927	Size and Style of Casket or Coffin	2-6.
Where Born	Iowa	Date of Birth	Jan-22-1927	Manufactured by	Des Moines Casket Co.
Charge to	County	Aged at Death	5 months 7 days	Embalming Body (with fluid)	15
Date of Funeral	June-30-1927	Name of Father	Richard Burkett	Keeping Body on Ice	Trip to Ia City
Place of Death	Perkins Hosp Ia City	His Birthplace	Iowa		Wibur Cem 57 mi.
Funeral Services at	Watch Cheer	Name of Mother		Carriages to Cemetery @$	15
Time of Funeral Service	2PM	Her Birthplace	Iowa	PAID $75.00 Cash on 8/8/1927

Date: May-5-1930
Name of Deceased	Richard James Burkett	Certifying Physician	J.L. Fry	Price of Casket or Coffin	175
What Race	American	His Residence	Kalona	Price of Outside Box (state kind)	15
Where Born	Kansas	Cause of Death	Tuberculosis	Interment at	Pleasant Hill Joetown Cemtery
Son of	Cora B. Miller Barger	Date of Death	May-5-1930
Charge to	Mrs. Barger	Occupation of the Deceased	Carpenter
Address	Kalona, Ia	Single or Married	Widow
How Secured		Date of Birth	Mar-27-1902
Date of Funeral	May-6-1930	Aged at Death	28 years 1 month 8 days	PAID $10.00 on 10-9-1930
Residence	John Bargers	Name of Father	James F. Burkett	PAID $15.00 on 11-7-1930
Place of Death	Home	His Birthplace	Ohio	PAID $17.00 on 12-17-1930
Funeral Services at	Joetown	Name of Mother	Cora B. Barger	PAID $10.00 on 2-18-1931
Time of Funeral Service	2PM	Her Birthplace	Kansas	OWE $138.00

Date: Dec-31-1928
Name of Deceased	Levi Butterbaugh	Certifying Physician	C.G. Tilden	Price of Casket or Coffin	175
What Race	American	His Residence	Kalona	Size and Style of Casket or Coffin	6-3 1/2 couch wheat pat.
Where Born	Ohio	Cause of Death	Apoplexy	Manufactured by	Des Moines, Ia
Charge to	Estate Adm.Wellman Bank - guardian	Date of Death	Dec-31-1928	Price of Outside Box (state kind)	15
Address	Kalona RFD	Occupation of the Deceased	Retired Farmer	Price of Burial Robe	20
How Secured		Single or Married	Widow	Interment at	Pleasant Hill Cemetery
Date of Funeral	Jan-1-1929	Religion	Prot.
Residence	S. Frytown	Date of Birth	July-10-1839
Place of Death	Chas Liebe	Aged at Death	89 years 5 months 21 days
Funeral Services at	Joetown	Name of Father	Joseph Butterbaugh
Time of Funeral Service	2PM	His Birthplace
Clergyman	Rev. Pennington	Name of Mother	Sarah Tucker	PAID $210.00 Cash on 5-21-1929

Return to Home Page