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Collection: Original Records > Death Records

Mortuary Records 1895 to 1902 - Book 4 & 5 (307 pages)

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Number of Funeral _4 PAA Nuniber for the Current Year.. 7“ ak Be careful to enter name of deceased and number of page in index for future reference 159 " Items of Bill, (cross out printed i items ‘not a fined) . 4 _Name. of Dec’d hLibl Lager : ~ Late Residence Ooblad * Age. LF years .. days. ‘ Cause of Death: Corlee 4 F Certifying haa. months 4 Date “of Death. ‘s Date of Burial 2 Place of Burial, _ Location of Grave a ~_ Inscription on Plate. _ Door Crape Draperies Candelabra and. Washing & Laying out Remains, Shaving. Candles. Preservation of Remains e . Measurement. } Bill Rendered to g When Rendered MEMORANDUM. Leiels No. Trimming. ane No. Handles._. _Funeral at Houseer Mp. é Chaal— —Church, es Ay Ze _ . }.No. Plate engraved z Cemetery. . ! Outside Box, (Pina; Chestnut, Oak, Cedar); : PET EOR-NO, <M. Pee SECTION NO PI't’ H'dl’s _. Corners on Box. = Delivering to CemeteryNo. Robe oe . I, for Grav a sat ea = Prs. Gloves Linen Scarfs. J. Se Show. position of monument by 2 Soca , Use of..... Doz. Chairs St Flowers Hearse ¥ Gee Zo AL ye x. Gg A.. ani.. Carriages to Kordo “.2_. CO _ _ wah (Z nin GE Length to Heel feet in, LM 42.) 2A. Width at Shoulder CLAY tucpoy par iinet ler . L.\:L2 A “ican ake LAN OB Advertising -Cemetery charges Transportation Expenses, &c. Attendance & Assistants Amount of Bill a) JQ . . Amount Brought Forward LAA Fs Amount. Carried Forward SZ, V4 £ 5 PAYMENTS. 1 exams oe She 6 eee er A eae ee ae LS. oe oes