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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

291.
Number -of Funeral Hake G Be careful to enter name of deeat
. Items of Bill, (cross out printed iterfs not furnished.)
ceased and number of
Number for the Current Year__‘ in index for future reference
a
Name of Dec’d toe Mert rtnAc Door Crape
—f< 7
Late Rasen L Ceti ODL : Draperies Candelabra and Candles.
wa) jlonk Ff _enontivn OT a days. Washing & Laying out Remains, Shaving ,
vo / Pre ti f R i
cont of Death Vo) te, ADuhiaar eareeson © ern ; a2 ,
ha L, oe oo. ag
Certifying y eee 7 On. fae a °Gn 9 Gaht No. Casket. Chee _ Teienatng. a
Date of Death
Date of Burial nt 7. LA
i 77 L 2 No. Handles ;
Funeral at House or L2 Church. J7Z\~V0Q. °° . !
ae Loew C No._____ Plate engraved
: 21 40o4 J z
Place of Burial rs Cemetery. Outside Box, (Pine, Chestnut, Oak, Cedar) 4 oO.
orl NG MALL Section No, Prt! H'dI’s Cornerson Box.
*
Delivering to Cemetery z \
Location of Grave [a> No Robe !
{" a eae bd oe oer tenable oii rs Prs. Gloves. Linen Scarfs. a!
Show position of monument by Oo. . ay
. Use of Doz. Chairs.. a
qd Flowers 7 “y
ov lear
:
Inscription Hearse ay ra Lf) oO 4
on Plate. Z_Cariages, to< on a! Pracestk /O\ 92 P_
2 Gv Eas Méniatix. . 4\ of 6
S Length to Heel feet in, a (”
Measurement.
Width at Shoulder
Bill Rendered to
Advertising
}
When Rendered Cemetery charges a
MEMORANDUM Transportation Expenses, &e.
Attendance & Assistants
1af. 69
OO¢%0\ 4.0 i
SO 728) KO j
PAYMENTS.
Amount of Bill
Amount Brought Forward
Amount Carried Forward..
!
ITEMS OF EXPENSE. .