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
244
FUNERAL DIRECTORS REGISTER.
Total Number to date, O© areeedatlé
Date of Death,
Name of Deceased, .
Place of death, ..
Funeral No. this year, BE . sanpsepessssm
YY seseenesigeenese Gi.. Years
803. Color Mee tise Age . st Months.
79D Ly be Me _ ke ays.
Street. Ward NO ....cccccceeerrveee aavecennoee
Residence,..........-.:e:ee fhe
Occupation, .... Gaps ce
Wife of.
Birth-place, 2.0.0.. ceed
Widow of
Name of Father,
His Birth-place, *
Name of Mother,
Her Birth-place, *
rs] d
Cause of death, i
Cause of death,
Duration.
Certifying Physician, .........
Place of burial, .......
Date of burial,..........
Funeral held at House, or
cessssseessesueeneeetene Diagram of
Burial Lot. ear
{ State whether White or Black. * Insert Town and State. — 1
ITEMS OF BILL.
Casket or Coffin No. .cccccceessssesessseeeeeese Style, .
(Cross out items not furnished.)
Made by
Length of Casket, 2.000000.. Feet,..... ...... Inches.
Box, Pine, Chestnut, Oak, Cedar or Mahogany,.
Put in the Diagram one mark like
this I for every Grave in it. And mark
this Burial with double dagger thus : $.
Designate site of Monument thus: .
Width of Casket, 000. Inches.
Robe, Shroud, or Dress No. Color, Made by. fjcsviesscssesnsnnenssssanestecenonnananmensnnnrnnenansseten G PO
Lining No.. Color, Handles No. nn DOUG Pine Noe. ccccsccccsssssessssveeevseveesesense 7~O
Time of Dr g Crape on door, Meg Goace 4. \7O
Washing and laying out, Shaving, 4
Embalming, Preserver and Ice, 42
Hearse and. ete. 2.Onrsiages. 22. 00
21002
Pair of Gloves,
Personal attend Porters or Help,
Delivering Box to Cemetery Use of Pedestals or Pall,
Badges for Bearers, Use ot Candlesticks,.......
Inserting death Notices in Papers, ‘
Bill to be charged t0....y..ssssssssesscscsssssssemseseseceessssssneseccensssunessseecceeastaneaterccssnsseeeeeay qiscceesenss seen
Dave Bill was presented Date Bill was paid
eseneeese esses ceuttttteeeeeeeeeee Amount of Bill, SOOC\CC
Time of Services, A.M, DM, Forward from last page,
Copyrighted by Guo. W. Dorntar, 1884.
Amount forward to next page, /073 q b A)
Total
Date of
Name of
Place of
niet
Occupation
Birth-plac
Name of
Name of
Cause of
Cause of
Certifyin
Place of
.
i
.
Date of
Funeral
Casket ;
Length «
Box, Pir
Robe, SI
Lining .
Time of
Washing
Embalm
Hearse .
Flowers
Use of.
Person:
Deliver
Badges
Insert
Bill to
Date FE
Time «