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Collection: Original Records > Death Records
Mortuary Records 1895 to 1902 - Book 4 & 5 (307 pages)

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Page: of 307

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.