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Collection: Original Records > Death Records

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

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223 +. N umber of F uneral 05 es Be careful to énter name of de5 A 2 ceased and number of page } . oo . . Number for the Current Year_.— : in index for future reference tems of Bill, (cross out printed items not furnished.) Name of Dec'd. Want he Lv y Toten 4 . . Door Crape ~ Late pesidencs tae Mle Creer: Sune. Draperies Candelabra and Candles. Washing & Laying out Remains, Shaving _ Age years Conve MONE S nner GAYS, ' Cause of Death.. te finn. Preservation of Remains 7 Certifying Physician AOL: OW. £Lhacwn Trimming. Date of Death Ane fH ALLA . “4. 7 Mtbug Morar: PAUL r Date of Burial Li” is Li J Uf Handles . Funeral at House or. Hori» — Church. 5 az A . S , . 4 No.____Plate engraved ¥ Place bf Burial. av 0 a t Cemetery. Outside Box, (Pine, Chestnut, Oak, Cedar) Grave or Lot No. Section No,__. PI’ H’dl’s Comerson Box. Delivering to Cemetery Location of G , cation rave (> No Robe Draw lines for Graves in the Plot, and ‘ oon Ld, one with a double Cross f. Prs. Gloves Linen Scarfs. Show position of monument by CI 4 Use of Doz. Chairs . UI Flowers Inscription : Hearse on Plate. 4. Carriages poe Lind laden t... 0S. 2 Meauremen. . Length to Heel feet 7 Width at Shoulder Bill Rendered to ; Advertising When Rendered Cemetery charges ; MEMORANDUM. Transportation Expenses, &c. Attendance & Assistants — . Amount of Bill Z Z ODA ba Amount Brought Forward 3 GL SO ZO — Amount Carried Forward eG GS: iA <2 3 PAYMENTS.