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f Jlntlfp fuglftlj Sitiitrial iiatrtrt (Enurt OF THE STATE OF NEVADA, IN AND FOR THE COUNTY OF CLARK IN THE M ATTER OF THE ESTATE OF No- Filed................................................. , 194. E v a l i n e S t e w a r t .. S t a y .......... .......Deceased By Clerk. Deputy. Creditor’s Claim Claim o L J G 3 lb ^ r .£ is e M A ^ '.r ^ A 4 ... C L lU L - fA - i....................... ............., for The within rlaim presented to................... ............................... of said deceased is allowed and approved for $. ., this............. i.....day of, 194. Administrat. Execut......... Allow ed and approved for $. ., this............................... day of. .........., 194....... District Judge. The undersigned creditor of the above-named deceased, presents this claim against the estate of said deceased for approval, as follows, to-wit: Mortuary ambulance, E m b a lm in g, Dressing and care of remains, Use of chapel and slumber room, care and transportation of flowers,Procuring death c e rtific a te , Procuring b u ria l permit., furnishing casket and, f uneral coach, p a llb e a re r’ s sedan, family car, supplying notices -in-pape r , furnishing memory book and acknowledgement cards, ste el gram marker^ ^CLg!ipJ_et9 pr.ofess Lonal _and $ s t a ff services, Couplate unit price fo r above services: Other charges re q u irin g cash outlay sealin g ste el grave vault: C l e r k s e l f : Outlay fo r grave lo t, grave and perpetual care: F l o w e r s STATE OF NEVADA COUNTY OF CLARK 8 1 6 1 5 0 Total B i l l Due----------------------- $1121.66 S S . The undersigned being duly sworn, says: That ....he is the................................................................ creditor named in and who makes the foregoing claim against the estate of....£.U .^.Lu X ^i................. .... 'SA-.'fc.-Vf........................ ........... deceased, that the amount of said claim, to-wit: the sum of. ^ I V l r . k a C!..............................................................-................................... ....... Dollars, is justly due to said claimant; that no payments have been made thereon which are not credited, and that there are no off-sets to the same to the knowldge of this affiant. Subscribed and sworn to before me t h i s . . . .... CLJU*.&..^a A ................................................................... day o f... . .......... ,................, j L .... _ _ .................... .............../......... .., Clerk B y ..................-............ - - ...... -...... - ........ Deputy S E R V I C E L . V . A G E
