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Collection: Original Records > Death Records

Mortuary Records 1914 to 1919 - Book 13 & 14 (310 pages)

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RECORD’ O F FUNERAL No. $94 fechas De Rr, a (Total Number) — Ygarly Mumber) Name of Deceased. Wh. Mate. Yl aee Wife—Widow S8on-Daughter of Keats whigewigts's peeieie Pee ceesesioccegecccoetcrccecces Charge to Date. . aa went nest oe Sey ‘aid ee ae Wheto. vcs, GO ., (Where Born) Address a4 How ‘Gecurled “vic: pues ssieeinie SyieiatinGe seceded eo deeg cdbe leis hee of Cane . UAAED tn BRIE eH ESSE $ Date of Funeral oes ce jr.. aa 7 190 te ee eemphanars ie R “ Ourtaide BO: 6:0.0 6 sidiedines.5 5 Spins « tases esidence ... ggeee a0 esis asp asy <a ages °°" “(tate kind) . “ —§G VR: co is eicie an os wisieregey atiaininre de flemanidhions Place of Death. me Ls tr ¥ Grave Vau ‘ei Uaas Funeral Services at 42> Rte, toes «'s'sivsde “ — Burial Robe .... 0.0. ec ee eee ences Time of Funeral Service. 24 Chet.. Ss akdined» wxmcelen Burial Stippers arid Hose. ..+...+++ ——T o A 7 Engraving: Plate io.. cccseedecs beesceaecessss saan its Clergyman A 1X. 4.4 Embalming Body (with. ....:6.4. ‘voce. Fluid) Certifying Physicjan CA. Ok. Washing and Dressing......sseeceeeeeeees iss His SenitnnceLoethetes Shaving oe eee eecens Keeping Body on Ice, ..... ee eseee eee veces Number of Burial Csrtifi Disinfecting Rooms ......ceeeceeeeeeeeees ae Cause of Death. Ae feet eee a, Use of Catafalque and Drapery.......00005 . (Brim “Folding Chairs . 00.0.. ccc cece ee ee eee eee [Pceseeenen oot Date of Death. Pau her ay, “ Candelabrum and Candles: :.:.....6.4. a Date of Birth. fs.. ON. A. x43 Sy 68% gaceleleig secweieeie s GoWes $oisas csieie d's s sere Crane Succes saeees oon Occupation of the Deceased. . Afdntics ; al Crape $25 avs ose ica. Canopy $....5. Sai Mess . : ct oS 0 Single or Married. QrAqiae®. Religin : Carriages to Cemetery,....@ $.....000Aged.. aes Faves XCATI si s's10 0 xX. Months,. . f.. -Days. . Automobiles to Cemetery... @ Sovivinc cer cees Date OF Birth. . ois ois ons pigeon sed ine pe acess vauden serve vce . Wagon Deliveries ,.....+++++. seeteeee eens eo A a Mans City Calls (Coaches). soddbre Seeeuaie pa ereawrs «sedate . Name of rane Apa si wee Lol i tiene Death Notices in..... «Newspapers 5 wee says oe His Birthplace, AMOR viisys svesghi tlesestisddow Tec, ssavettectag Pie sgpstecaihstennteceincce Name Of Mote icine seed prey opine os adlebiny gp eidlereie.e-s Seales ate Her Birthplace . Manne Outlay. for Lot Flowers vatitic ee ee ercs cancitmibalv en: cesimain Sea UP wane ania Qh pies g 68 a,e'a7e . Mother’s Maiden eg Gan. W/PP74 nln Opening Graye-or Vault.. .cessvercecsesnees a . ees 2 Lining Grave’ visa sewesis « coed iaws sanwaind s saoancss Body to be shipped to. ....ccsesecseecvesescvcscescecie Vault Rental '.... a eee nL i Size and Style of Casket or Coffin. 42¢0: (Ske.. 2 acetal Shipping. Charges, prepaid a 84 snes vale besiege sa Vite s iveeseneeat . evinces pullsinegials veiled ceesre ss secede dVasacna s valaheetaea% Removal Charges .... a aad Et reso , tion Charges ..... ccc e cee ese eee e ec eene Manufactured by Serarerse 5 State eee e eee eeeteten ones ae herpes ca . Interment at. . egy ‘as hide. isha eth . Cemetery, Watchers .6..ccceecceececdd decades ee RET Seles phew Lot or Grave No.s....00000. Section No....s0eeeses Personal Services.. ++.+++s+v eres si PEGS apetene : : . : Music .....ceceereeees Pree in ee oegeieie He 1. n ~ ay entree 9 Ee Fea Sp Nee CHAE OR, 5 owen ies chee 4. 6. 8. ; Disarem at totorvaaie <>. i By Amount Paid in Advatice......¢.0000005 Designate all Graves in Lot with Nowbers a, 2, 8, 4, ete.), and : 4 mark space for be Funeral with a cross (4). Balances gis osfe hed wits Sede sod esignate piece for Monument with a cel fosere (3). in Yh e: npace ty, Ws Sent ot Dingram for the games of thoes buried . yo tared ito Ledger, page or below, . ! 1: 1GL . ! uss L@.\Vo Funeral Charges... Total, $ Lob.5 4B. Lofl: 21.) ByCash.... ce. ec d eee $ sanennerens Bh secknseees seneses . ceveeneien . ceceee ceteeee