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Collection: Original Records > Death Records
Mortuary Records 1889 to 1895 - Book 2 & 3 (313 pages)

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Page: of 313

FUNERAL DIRECTORS REGISTER.
a Total Number to date,....“$f... Funeral No. this yeat, coco Llu:
nths. Date of Death, Prarol, L. ge 1895. g. Color + A hclehee
™ Name of nnn: os (Zoeze Ze.. wich lati, £2. Met Chhccn.
— Hines of death, aaa Dele Str
senna Resid f sex,. LeetaLi Singis,
_— Occupation, ....: Wife of
Birth-place, oe oli de. Thc. Waa ‘ hha Widow of
seus Name of Father His Birth-place, *
a Name of Mother, Her Birth-place, *
—_ Gane: of! death, primary, .. Mleseaceetadikidtic:.... Duration
_— Cause of death, ' d Durati
i Certifying Physician, .. tk Petts LEMME
onsngedy Place of burial,.... © Qasariete: Cemetery :
_— Date of burial, A (6 Lf a (fal.. Section No. Lot Now. ecnnninninnnne
Funeral held at House, or....e C144 fax Church. 1
i ; tis forevry Greve ini Ad tar
ust $ ees i GS this Burial with double dagger thus : 3.
‘ t State whether White or Black. *Insert Town and State. iT Soles tinst Semmens
ITEMS OF BILL. (Cross out items not furnished.)
VA Casket or Coffin NO. cccccmnmnenn Style, Made by GS. 44
Length of Casket, Feet, Inches. Width of Casket, oo.. Inches.
9 Box, Pine, Chestnut, Oak, Cedar or Mahogany, wf 00
a0 Robe, Shroud, or Dress No. Color, Made by Aid Gpaasct #\ oF
Lining No. Color, Handles No. Crrgrinse Ke J/. O
pf Time of Dressing, Crape on door,
Washing and laying out, Shaving,
Embalming,
Preserver and Ice,
00 Hearse and. 2Att~ 4. Carriages, JA) OO
: Carriage to call for Time,
Lessonsssipesensaaveass Carriage to call for ; Time,
oa Carriage to call for. Time,
70 Flowers, fra Lag er esate ler J so
U J
GO Use of Folding Chairs, Pair of Gloves, i /. £2
CO P 1 attend Porters or Help,
Delivering Box to Cemetery, Use of Pedestals or Pall,
Badges for B Use of Candlestick
Inserting. death Notices in Papers,
Bill to be charged to.
Date Bill was p ted Date Bill was paid.
77 _. a Amount of Bill, JO JO
ion Time of Services, A. M. cds Moyes Morward from last page, VY) §/6 la
SST Amount forward to next page, }f #7. q $s
Copyrighted by Gao. W. Doswran, 1884.