Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Go to the Archive Home
Go to Thumbnail View of this Item
Go to Single Page View of this Item
Download the Page Image
Copy the Page Text to the Clipboard
Don't highlight the search terms on the Image
Show the Page Image
Show the Image Page Text
Reset View and Center Image
Zoom Out
Zoom In
Rotate Left
Rotate Right
Toggle Full Page View
Flip Image Horizontally
More Information About this Image
Get a Citation for Page or Image - Copy to the Clipboard
Go to the Previous Page (or Left Arrow key)
Go to the Next Page (or Right Arrow key)
Page: of 313
132
Tost Number to date, bel. Sn
of
Date of Deathy......000-.c in ‘ P aleasees 18.2.2.
www View Howe
“" sex, Lake. _Bingle Bo
FUNERAL DIRECTORS REGISTER.
Funeral No. this year, A&E , Se
D.
Color t Ye oe Age
0 ti a: Wife of. ‘ 7 :
ITEMS OF BILL. (Cross out items not furnished.)
Birth-place, ...... (Widow Of .....sseee-e
Name of Father, : His Birth-place, *....ssssocsssssseesteeesssseemnetnseesnennnnnerannnenene ec
Name of Mother, .. A Her Birth-place, * .
Cause of death, Primary,. sleciceccdel Durati si
Cause of death, Secondary,. Duration,
Certifying Physi hargrssetc. ee geceen
Place of burial, Cemetery,
Date of burial..... Section Now.. .sssssccccsssseeeseeeee Loot No.....--s-essseceeee —
Funeral held at House, or.... Lit Krav . ..Church.
Put in the Diagram one mark like
sxcnsonenecnnsstiStOSREED o wesw Burial Lot.
¢ State whether White or Black. * Insert Town and State. . rT seinen]
_ 26 \07
Delivering Box to Cemetery, Use of Pedestals or Pall,
Casket or Coffin No.. Style, Made by..
Length of Casket, 00.. Veet. cinissscssesseces Inches. Width of Casket, 0.0.. Inches
Box, Pine, Chestnut, Oak, Cedar or Mahogany,. Zz 70
Robe, Shroud, or Dress No Color, Made by. Ab. cy . Garant. L4\70
Lining No. Color, Handles No. Plate No.
Time of Dr B> Crape on OOr,..ccsovecseeereestennntnseneennernennsnsnerentnnnsses
Washing and laying out,. Savin gy.. cceessscsecssceeessesesenssssceeeeeseesessnnsnsnnnnnnenecesssssensneett
Embalming, Preserver and Ice, ....cscssssssesesssssceeseesesssssnnssesseeesesnsosnsnsnssseseceseses
Hearse ands L@een Loarriages, sy\ee
seonsecsussaituseasestvee Carriage to call for Time, ... asspavense
Carriage to call for. Time,
cenrennouneseiiisaeeeaas Carriage to call for. Time, Seamer
Flowers,
Of) arrears Folding Chairs, © Pair of Gloves, J\6?
Personal attendance,... Porters or Help,
Use of Candlestick
Badges for Bearers,
Inserting death Notices in Papers,_.
Bill to be charged to
Copyrighted by Go, W. DornTan, 1884.
Amount forward to next page,
Dave Bill was p ted. Date Bill was paid
sessasee Amount of Bill, J/ ID
Time of Servi Yap. ee eee ae.) Ceres Forward from last page, 2P43 Vl
ais
ee
i
Tot
Date
Nam
Place!
Resi
Oceuj
Birt!
Nam
Caus
Cau
Certi
Ti