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Page: of 313
FUNERAL DIRECTORS REGISTER.
Total Number to daie...... LO4 ascesnee
Funeral No. this year,
Date of Death,
c . AML LEE AbD fants,
Name of Deca. Jelgd. fateanctle: WMT
_ Place of death,........<1“& Abe lead Street.
a ss Single,
Wife of.
‘Widow of
Name of Father,.;
His Birth-place, *
Name: of Mother,
Cause: of death, Primary, AO Atarasdtee.. Oe Z
Cause of death, ‘
Oertifying Physician,
Her Birth-place, *
x Duration,
At thddbecn
Place of burial,
Secondary,.......... lL sedehchelacde aafleseD ti
BT LG
Date of burial,
G
Funeral held at House, or. MUI Church.
Diagram of
Burial Lot. baw
¢ State whether White or Black.
Designate site of M
*Insert Town and State. .
Santi Loot Rois sissccarssescscesoere —
Put in the Diagram one mark like
this € for every Grave in it. And mark
this Burial with double dagger thus ; t.
thus: [7]
ITEMS OF BILL.
Casket or Goffe No. Style,
(Cross out items not furnished.)
Made by.
Length of Casket,
Box, Pine, Chestnut, Oak, Cedar or Mahogany,
Width of Casket,
Robe, Shroud, or Dress No. Color, Made by
Lining No. Color,
Time of Dressing,
Handles No. .......essssssssssseeee LG
Washing and laying out,
Embalming,
Crape on a 8
Shaving, a7
bud. Preserver and Ice,
78.
Time,
Time
Time, HALE. huge VA
b
Pair of Gloves,
Delivering Box to C
Porters or Help,
Use of Pedestals or Pall,
Alaatict:
Use of C:
Badges for B
Inserting death Notices in Papers,
Bill to be charged to,
Dave Bill was presented
Date Bill was paid
Amount of Bill,
Forward from last page, y
Amount forward to next page,