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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 202 Number for the Current Year 24 Be careful to enter name of de. 03 97 ceased and number of page in index for future reference. ~ Items of Bill, (cross gut printed we items not furnished.) Name of Dec’d Peseta hve Malte a Late Residence.... Lrvadla 64 months x. days. Age PH years 4 Cause of Death _ bpsfoiisin Certifying Physician Ar Code Mlidhes i a2 Mt Le. Date of Death. Date of Burial Py Funeral at House or Church. Place of Burial al. CO. C Zz Cemetery. ltlinre ” ” : Gag laaad Section No Location of Gyave cS Draw lines . . . for Graves in the Plot, and} designate this one with a double Cross jf. Show position of monument by o. \ ir Inscription * Door Crape Candles. Draperies Candelabra and a Washing & Laying out Remains, Shaving Preservation of Remains. No.. Casket. Trimming. eg No. Handles No.20aaithe.Plate engraved KINI Outside Box, (Pine, Chestnut, Oak, Cedar) : BS i PI't’ H'dl's.--Corners on Box. A Delivering to Cemetery -— = No Robe Es Prs. Gloves Linen Scarfs. s = Use of.. Doz. Chairs : : = Flowers Hearse .¢ lear on Plate. 23.Carriages to-# fade! Ong. feet (Width at Shoulder Hage Dhar (beth gon Bunter. Li h to Heel Measurement. engin to ee Bill Rendered to in. When Rendered MEMORANDUM. Dhrrak Cheews Clog waar: . Advertising Cemetery charges —aLeL Transportation Expenses, &c.— Attendance. & Assistants. Amount of Bill Amount Brought Forward Amount Carried Forward PAYMENTS. ~ ITEMS OF EXPENSE.