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Collection: Original Records > Death Records
Mortuary Records 1899 to 1911 - Book 7 (255 pages)

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Page: of 255

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94
1 D Gah . ” d*ddSSSCS*CWN ember of Pune. 5 sess setssssecsernees re, ;
Date,
Charges ate of ‘ Sey . Payraai ; Number of Funeral
5 DATE,
Or of. — J f62Payment . Page . i Nomber of funeral for current year..++.+++++++4 a OACLY
y
j I ate of Death, gi '
°
. t
j
u
Casket, _Name Plate, _ . 4 on . __. . ah Sue y Meg __ a _Casket, {£0 Name Pil
aa" nt ; “a nant
,
Coffin, = Sh CL a 1. AME. THfar 1$£ . a 00 “. : nls a! A Cofy
i
t ,
i}
i
Case,
oe ee fe on io pseourrl 110°). : a ae =
Handles for Case, j i { i Name of Husband, Handles for Case,
Name Plate for Case, ; . i i i
___ Name Plate for Case,
— a ai NE
Sey Tare taint’? 2 AArdtaried, . ae
.
Singl .
RobeNo
. 4 _— OO waa Qo
. . i
_ hae
bis
Crape for Bell, __ pe en eeeeeee Cint.2: . _ Years, JF Months, __ Days.. , Crape for Belly
.
Cause of Death,
\ Pairs Gloves for
. Primary, 2
_£ Pairs Gloves for
Singers, Publishing Notices,
j Secondary,
Publi
.
.
Laying out, Shaving,
.
Certified by
Shavin;
\ .
Residence,
«
¥
.
Place of Death,
Use and Cartage Doz. Chairs,
a eZ sale eeazih Lad
Doz. Ch
.
jace of arial, 7
"Hearse, Ehaaetes~ 40
CA rr0 Che rey alpay
Occupation, {
Cemetery Charges,
eo Place of Birth, to .
tb Gox
(a ea ee
. 3 }_
a ei SRS pe tatoo teen er:
Mother’s Maiden Name,
Aline gGres
Sa Birihplacey is vy Teck Cause
i ol
——— . ryt Mother's Birthplace,
H i
va on a ) My
— — — .-—_—_-—_——__-——
F6\00 . goloo . 5 nib
i Date of ey \ Number of Funeral..----0++++0++ { . ‘
upres Flap tH / 3VAs 2 ala Payment Page Farmeat® i Namber of funeral for current its . a DATE,
. _ . 22 _. 7 \ Date of Death, — 7 ij : pees
Casket, . i Hag spbe. _fo.ee tt Jifan et cam —7 foe {. Casket, Name P
if } . \ ame, .
\ i . .
Cotta, . eG S104 ASO i Lb 08, Asuna. vps On Wer. 1 . _ Coffin, 3 Aw SO
; 1 . n Name, t
‘Handles for Case, \ U . { Name of Husband, y Handles for Case,
Name Plate for Case, . i Ahn a 28. _ a _ Ss} 00 i E Name Plate for Case, ea peoned
. ] sex, XLorv o/e Color, on Masried,
Robe No. i a coe } \ Widowed, pt Robe No. 7
Crape for Bell, \ nell einen ih . . ¥eats, G 2 _ Monthy 2 pays, IF . Crape for Bell,
i . i H Cause of Death, 4
SG Pairs Gloves for 4 {SO . ; } i Primary, \ Pairs Gloves for
Singers, Publishing Notices, . . . . Secondary, i Singers, Publishin
ba j-sites “t + + <a
. .
Laying out, Shaving, i ' os 7. ee }oo cnt lle »S, ) tr) & r i Laying out, ___ Shavi
aaa a ; ~ i] H _ ~ . ' i . » sSau IS ¥ “ ‘
Embalming, a a ee J Se eee eee: ee ee Pee . Seeeeeeeneeneeeemeen = + __Embalming,__
j ' . . . . Place of Death,
Use and Cartage Dor. Chaissm it . 4 a } L. SLE’ vata Ce 17 is Use and Cartage __—De,
“4 f . . t mes of Burial,
nem, /F___ Hacks, P dae q a 6. Ooo . 4 tL. 1 _ Ptee o A iia C sales B-/ $= or s Hearse, . ___Hacks,_,
. . . . foenee
Cemetery Charges, ee een . 4 460 _ _} . en: _Klo« So cere ie , . Cemetery Charges, 0
j . . <os of Birth,
250 : i 1 _debasman dere Services, a
{ . i Father’s Name,
i
. .
———_— ~ “ ] if . Father’s Birthplace, 7
eS 1 T : . . 7 ~ Mother's Maiden Name, t 7
a j re! . ff eee . ence peeeemesia
. Mother's Birthplace, 7
. :
. 77708 on . :