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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 24 2 Number for the Current Year AF: Be careful to enter name of de-ceased and number of page in index for future reference 295, Items of Bill, (cross out printed items not furnished.) Rs Eee.ta Name of Dec’d Wiemrnee ogee ee Late Residence tr ‘os eat SRAM AAR A ge. 7 Cause of Death GF yours. Zs months days. boahube— : Certifying Physician Or! / () Y. Yard Le of 7 44 2 Date of Death GT Door Crape Candelabra and Candles. Washing & Laying out Remains, Shaving Draperies. Preservation of Remains No. Casket. Trimming. Qteat ee Zawe aft A Ge NS No. “7 Date of Burial LO. = pe [2a a Handles . . Funeral at House or Wy a Church. No. Plate enpiend.. I Pia Loree ster . . rece of Pints Ss Cemetery. . ! Outside Box, (Pine, Chestnut, Oak, Cedar) Section No Pi’t’ H'dl's Corners on Box. ee Delivering to Cemetery a Location of Grave = No.. Robe _ (Draw li for Gra the Plot, and Show position of monument by . P , Use of. Doz. Chairs . tl -Flowers * Inscripti Hearse ¥(e2eeu af Ve iain ened: LZ. OD nscription wo as ; Yon Plate fives to af Heres LE 4. me he Yhceg per Ldiasstheca. Z\of O; : ra . . Length to Heel feet in. dA. LL tL a Z Measurement. Af? > OP “BD Width at Shoulder LG Gute Fa < a2 Bill Rendered to JI J When Rendered MEMORANDUM. i NOY « % Advertising Cemetery charges Transportation Expenses, &c. Attendance & Assistants Amount of Bill Amount Brought Forward Amount Carried Forward PAYMENTS. . = ITEMS OF EXPENSE.