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Page: of 313
FUNERAL DIRECTORS REGISTER.
Funeral No. this year, > Total. Number to date, 62 sasinacediSoh
wae ¥ Cars,
..Months.
Wife of. Occupati
Birthplace, .. Lawe? Pakleg Widow of
0 LeltCe. Name: of Father, His Birth-place, *
Name of Mother, Her Birth-place, *
.Delivering Box to Cemetery, Use of Pedestals or Pall,
Badges for Be
Cause of death, Primary,.. Dirrationy.ccccccscccssssnvssesnvsesnssnrsesinsiesinetientneinnseetnsseeseee
Cause of death, } Secondary, Durat
Certifying Physician, AMr.G. a
Piso) of! buvlal wssisicscvscssinsjaasocooneaysens Cemetery, ....cccccccssccssescssscsrvessssneepsneessnnecnnneessnnesssnsersonsssnsanscsansnsanenunnaeanccesssyiscess
Date of burial, pe aa LEE Z. Section No Lot No.ncuronesneemnen
‘Funeral held at Housefr..... a Church.
Burial Lot. i ow this Burial with double dagger thus: %. *
¢ State whether White or Black. *Insert Zown and State. — . T an cneeeaiaanen oe
ITEMS OF BILL, (Cross out items not furnished.) 1
Casket or Coffin No. Style, Made by. 40 CO
Length of Casket.. nun ae Inches. Width of Casket..cccnnceo Inches. be
Box, Pine, Chestnut, Oak, Cedar or Mahogany é
Robe, Shroud, or Dress No, Color, Made by. AO) eet ae ae Va
Lining No. Color,. (Fanitles, Bo, Plate & A; hog /\5?
Time of Dressing,.... Crape on door,
Washing and laying out, Shaving,
Embalming, Preserver and Ice,
Hearse and. Carriag
Carriage to call for Time,
.. Carriage to call for. Time
ssaineelivsinaotonusoes Carriage to call for. Time,
Flowers,
Use of Folding Chairs, Pair of Gloves,
Personal attend Porters or Help,
Alastinl
Use of C
Inserting death Notices in Papers,
Bill to be charged to,
Dave Bill was presented Date Bill was paid,
Amount of Bill,
Time of Servi essed o Meg guccuss cowapcensareyts Forward from last page,
LG
Copyrighted by Gao. W. Doras, 1884.
Amount forward to next page, . y DO zs"
Total Nu
Date of Dea
Name of Dec
Place of deat
Occupation, .
Birth-place, .
Name of Fai
Name of Moi
Cause of dea
Cause of dea’
Certifying P!
Place of bu
Date of. buri
Funeral held
+ State whet
.
Casket or c
.
Length of C
.
Box, Pine, C
Robe, Shrou
Lining No..
Time of Dre
Washing an
Embalming,.
Hearse and.
Personal att
Delivering I
Badges for ]
Inserting de
Bill to be e
Date Bill w
Time of Ser