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Collection: Original Records > Death Records

Mortuary Records 1889 to 1895 - Book 2 & 3 (313 pages)

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ag 40 04 co . 00 IO i a ee . FUNERAL Total Number io date,......2 LO? DIRECTORS REGISTER. Funeral No. this year, Warel: tle Date of Death, ! eet LMeaaut 18 Ih Lhe. Name of D d Place of death, oe hekles A Street, Resid Sex, Single, Married, pati Wife of Birth-place, bug Los. Widow of Name of Father, 7 His Birth-place, * Name of Mother, Her Birth-place, * Canse of death, ) Primary,. » fla AV RMB. oe Cause of death, ' Ss heard Certifying Physician,alo/ ipa by. haut Lael 5 a ie &: L, "call. Merle kis Place of burial, (4 lide. _ hana Date of burial, Var atdZ ay fbn Section No. Loot Novenmsnsssusinneee Funeral held at House, or. LY; wilahien. Church. Diagram of Burial Lot. er { State whether White or Black. *Insert Town and State. — Put in the Diagram one mark like this § for every Grave in it. And mark this Burial with double dagger thus : ¢. Designate site of Monument thus: [~] ITEMS OF BILL. (Cross out items not furnished.) Cacket-or Coffin No. . Style, Made by 2S . 7? Length of Casket, Feet, Inches. Width of Casket.............Lnches. Box, Pine, Chestnut, Oak, Cedar or Mahogany, ae # 47 Robe, Shrood, ar Dress No. Color, Made by Aaa Giart) BZ \ar Lining No... Color, Handles Now.. .eessssccsesseseeeseeeeeese Pl abe: NO ais ississsnesteccssesssncassvenssccoe Time of Dressing, ms Crape on door, Washing and laying out, Shaving, Embalming, Preserver and Ice, Hearse and. \/24tt6. 7 J Oarringes,..4.A 99. 20\ 40 assssetbasl Carriage to call for Time, .. Carriage to call for. Time, ..Carriage to call for. Time, WUrree Guta Ja~ Dust. /\ SC VE ae Pair of Gloves, /\St P 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. = anise A + of Bill, S610 Time of Services, A.M. P.M, Forward from last page, W437 %. PS Amount forward to next page, . Y¢SO SS Copyrighted by Guo. W. Dornan, 1884.