JOHNSON COUNTY IAGenWeb Project  


Peterseim Funeral Home Records

Book 1

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Date: May 29, 1921
Name of DeceasedGeorge W. CarterCertifying PhysicianJ.L. FryPrice of Casket or Coffin305
What RaceWhiteHis ResidenceKalona, IaSize and Style of Casket or Coffin6-/3 Duflea B.C. Grey Int.
Where BornEnglandCause of DeathUrenia Arterial SclerosisManufactured byGlobe Casket Mfg. Co.
Order Given byWm. SippleDate of DeathMay-29-1921Price of Outside Box (state kind)15
Charge toWm. SippleOccupationRetired TinsmithBody to be shipped to Kenesaw, Nebraska
Address Single or MarriedWidowed Interment at Kenesaw Neb. Cemetery
How Secured  ReligionM.E.PAID $320.00 cash on 7/28/1921 
Date of FuneralMay-30-1921Date of BirthApril-23-1839  
Residence Aged at Death82 yrs. 1 month 6 days  
Place of DeathHomeName of FatherThomas Carter  
Funeral Services atHomeHis BirthplaceEngland  
Time of Funeral Service2:30PMName of MotherMcClause  
ClergymanRev. A DillHer BirthplacePennsylvania  
      
Date: July-12-1931     
Name of DeceasedMrs. Elsie M ChabalCertifying PhysicianJ.L. FryPrice of Casket or Coffin485
What RaceAmericanHis ResidenceKalonaSize and Style of Casket or Coffin6-3 Silk plush tan int.
Where BornIowaCause of DeathDiabeticManufactured byD.M.C. Co.
Wife ofEmil ChabalDate of DeathJuly-12-1931Price of Grave Vault (state kind)100
Charge toEmil ChabalOccupationHousewifePrice of Burial Robe14
AddressRiverside, IaSingle or MarriedMarriedStockings1
Date of FuneralJuly-15-1931ReligionProt.Flowers 12.5
ResidenceS.E. Kalona 9 mi.Date of BirthSept-17-1895Music10
Place of DeathHomeAged at Death35 years 9 months 25 daysInterment at Sharon Hill Cemetery
Funeral Services atBaptist ChurchName of FatherJames Patterson  
Time of Funeral Service2PMHis BirthplaceIowa  
ClergymanRev. AndersonName of MotherMary Kreles  
  Her BirthplaceIowaPAID $622.50 on 7-30-1931 
      
Date: Nov-4-1921     
Name of DeceasedFrank ChabalCertifying PhysicianJ.L. FryPrice of Casket or Coffin295
What RaceBohemianDate of DeathNov-3-1921Size and Style of Casket or Coffin6-3 Grey B.C. Duflex
Where BornBohemia OccupationFarmer RetiredManufactured byGlobe
Charge toAmel ChabalSingle or MarriedWidowPrice of Grave Vault (state kind)100
Date of Funeral ReligionCatholicFlowers 12
  Date of BirthMar-16-1852Interment at Richmond Cemetery
Place of DeathAmel ChabalAged at Death69 yrs. 7 mos. 17 days  
Funeral Services atRichmon C. ChurchName of FatherJoe Chabal  
Time of Funeral Service His BirthplaceBohemia  
Clergyman Name of Mother   
  Her BirthplaceBohemiaPAID $407 
      
Date: July-19-1923     
Name of DeceasedJoseph ChapekCertifying PhysicianDr. J.L. FryPrice of Casket or Coffin125
What RaceBohemianHis ResidenceKalona, IaSize and Style of Casket or Coffin6-3 Black
Where BornBohemia Cause of DeathUrinal PaisuningManufactured byBurl.
Charge toWm. ChapekDate of DeathJuly-19-1923Price of Outside Box (state kind)15
AddressRichmond, IaOccupationRetiredPrice of Burial Robe20
Date of FuneralJuly-21-1923Single or MarriedWidowInterment at Richmond Cemetery
ResidenceRichmond, IaReligionCatholic  
Place of DeathRichmond, IaDate of BirthApril-24-1836  
Funeral Services atRichmond, IaAged at Death87 yrs. 2 mos. 25 daysName of Pall Bearers: Wm. Kauring, Welter, Geo. Stumpf, A.A. Eglin 
Time of Funeral Service9AMName of Father   
  His BirthplaceBohemia  
  Name of Mother   
  Her BirthplaceBohemiaPAID $160.00 Cash by Wm. Chapek on July-28-1923 
      
Date: Oct-14-1921     
Name of DeceasedMary ChapekCertifying PhysicianJ.L. FryPrice of Casket or Coffin160
What RaceBohemianOccupationRetiredSize and Style of Casket or Coffin6-3 Black 1/2 couch
Where BornBohemia Single or MarriedMarriedManufactured byGlobe
Charge toWm. ChapekReligionCatholicPrice of Outside Box (state kind)15
AddressRichmondDate of Birth Interment at Rich H. Trinity Cemetery
Date of FuneralOct-15-1921Aged at Death   
Residence Name of Father   
Place of DeathRichmondHis BirthplaceBohemia  
Funeral Services atRichmondName of Mother   
Time of Funeral Service9AMHer BirthplaceBohemiaPAID by Cash $175 
      
Date: Feb-18-1926     
Name of DeceasedElizabeth Shebeck ChezCause of DeathApoplexy CerebralPrice of Casket or Coffin145
What RaceAmerican Date of DeathFeb-18-1926Size and Style of Casket or Coffin6/3 lift cap grey octoyan
Where BornIowaOccupationHousewife on FarmPrice of Outside Box (state kind)15
Charge toFrank ChezSingle or MarriedMarriedFlowers 15
Date of FuneralFeb-22-1926ReligionProt.Evergreen - Anthony Chez flrs4
ResidenceE. RichmondDate of BirthOct-23-1864  
Place of DeathHomeAged at Death61 years 3 months 25 days  
Funeral Services atHomeName of FatherWencel Shebeck  
Time of Funeral Service1PMHis BirthplaceBohemia  
Certifying PhysicianC.G. TildenName of MotherElizabeth Diehl  
His ResidenceKalonaHer BirthplaceIowaPAID IN FULL ON 8-1-1927 $179 
      
Date: Oct-17-1932     
Name of DeceasedJoseph Frank ChodyCause of DeathAnjina PictorisPrice of Casket or Coffin485
What RaceAmericanDate of DeathOct-17-1932Manufactured byD.M.C. Co.
Charge toEstateOccupationRetired FarmerPrice of Grave Vault (state kind)100.0/585.0
AddressKalona, IaSingle or MarriedWidowPrice of Burial Robe 5% bal555.45
Date of FuneralOct-20-1932Religion Flowers 6.5
ResidenceKalona, IaDate of BirthMay-27-1860Outlay for Lot6
Place of DeathF.L. StricklerAged at Death72 years 4 months 20 days Interment at Sharon Grant Cemetery
Funeral Services atSharon M.E. Name of FatherJohn Chody  
Time of Funeral Service His BirthplaceGermany  
ClergymanRev. WardName of MotherCarolina Lowe  
Certifying PhysicianC.G. TildenHer BirthplaceGermany  
His ResidenceKalona   PAID $575.00 on 10-4-1932 
      
Date: July-6-1930     
Name of DeceasedMary J "Jennie" ConklinDate of DeathJuly-6-1930Price of Casket or Coffin250
What RaceAmericanOccupationRetiredSize and Style of Casket or Coffin6/3 1/2 couch grey burma Plush
Where BornIowaSingle or MarriedMarriedManufactured byD.M.C. Co.
Wife ofWm. ConklinReligionBaptistPrice of Grave Vault (state kind)100
Charge toWm. ConklinDate of BirthMar-3-1873  
AddressIowa CityAged at Death57 years 4 months 3 days  
Date of FuneralJuly-8-1930Name of Father   
Residence722 E. Market St. His Birthplace By Cash 7-11-1930200
Place of DeathMercy HospitalName of Mother PAID $62.50 Cash on 8-1-1930 
Funeral Services atBab. Church Ia. CityHer Birthplace   
Time of Funeral Service2PM    
      
Date: Feb-17-1925     
Name of DeceasedJosephine CoxDate of DeathFeb-17-1925Price of Casket or Coffin350
What RaceAmerican GermanCertifying PhysicianJ.L. FryPrice of Outside Box (state kind)15
Where BornIowaHis ResidenceKalona, Ia  
Charge toEstateOccupationRetired  
AddressKalonaSingle or MarriedWidow  
Date of FuneralFeb-19-1925ReligionM.E.   
ResidenceKalonaDate of BirthDec-21-1850  
Place of DeathKalonaAged at Death74 yrs. 1 month 26 days  
Funeral Services atM.E. ChurchName of FatherGeo. Derris  
Time of Funeral Service1-PMHis BirthplaceGermany  
ClergymanRev. MooreName of Mother   
  Her BirthplaceGermanyPAID $365.00 Cash on Mar-6-1925 by Clint Cox 
      
Date: January-4-1929      
Name of DeceasedElla L CuppCertifying PhysicianC.G. TildenPrice of Casket or Coffin465
What RaceAmerican His ResidenceKalona Size and Style of Casket or Coffin6-3 1/2 couch grey BC Metal cover slate
Where BornIowaCause of DeathPneumona/FluManufactured byDes Moines Casket Co.
Daughter ofSam CuppDate of DeathJan-4-1929Price of Grave Vault (state kind)100
Charge toSam CuppOccupation Girl At HomeFlowers 10.5
AddressKalona N. BayertownSingle or MarriedSingleInterment at Grout Cemetery
Date of FuneralJan-6-1929ReligionEvangelical  
Residence1 mi N. BayertownDate of Birth   
Place of Death1 mi N. BayertownName of FatherSam Cupp  
Funeral Services atGrout ChurchHis BirthplaceVirginia  
Time of Funeral Service130PMName of Mother   
  Her BirthplaceSwitzerlandPAID $575.50 Cash on 1-10-1929

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