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Collection: Original Records > Death Records
Mortuary Records 1914 to 1919 - Book 13 & 14 (310 pages)

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Page: of 310

Body to be shipped to.. ..s+-+ sees epee enue rece riyes
Size and Style of Casket or Coffin. Glo KU.
ignate place for Monument with a small square (
Single or Married.. Bo .. Religion. Odette EXER sien s hernies 2 AS Ae. ’ @ $ gee : . in Lele ge
Vault Rental
Shipping Charges, prepaid. ...-+++-+e+eerereee
Church Charges .. Alita PEK. 0.. Ee
. “Cea tisece }s OME. Cadden. bd ecesdee conan’ Charge to
. Son-Daughter of
i , Address ...ccecceccceeeccesecenssorsessseseset eset onus
; Order Given by. J 9%. . STEELE fe Fone e eee ‘ i oe at st:
1 Ea) ds Betired 86 o<\c; Price of paste. or Coffin. ..seeeereeeeeeers $ ALAN OO.
Date of Funeral.. edema 3 “penned ~~ st a0
‘Residence i.. / Outside Box sashes nec essgeckee est ses . oA
Place of Death.. £ Cy Grave Vault .. st eilieboa TTT Saad Game
°) Funetal Services “t.. BLAS “et Burial Robe ..-i ciedde aecdsneceoees _ Le) e2
Time of Funeral Service. LO 2 eS ‘ ; Burial Slippers and Hose. .. 4 wigieracee 8 35 sen Sal
Chyge : Engraving Plate :..:-++++++++ YS PE Glnea & weiss , esssnaeecianevebbrpa
Clergyman ....0/484% Sie Ny ERs bch bdwes ones Embalming Body (with. ..sscsceeretees Fluid) . . .
“Certifying Physician . Abr. CT OTE JPET ATT etc eneeee Washing and Dressing..a cys hase seegeeers epee [
*Tis Residerice .... tT APOE. Kukblys. Exh cdl n dd Shaving ...++sessereerecrercrseeseerse eee Sine
of . : Keeping Body on Tee: -.-+++-+++** eae: ibalbe weve enemas seen Secor
‘Nitinber of Burial Certificate Vices sana ec ana bles oe alee se+++ . Disinfecting Rooms. ..-+-+++++ sent sR se Pe Bs . :
Cause “of Death.. 0.5.. cece cece ep cere mene ce ceceen cee tes Use of Catafalque and Disney: ASSES eed svcoels Ws esta Lane
[Secondary] “ Folding Chairs ....sseeeseeeeererereees fae ee ee
ss pate of Death “ Candelabrum and Candles. ....s-¢s5ee+++ _ -DNGB.O :
“Date of Birth. G4 ..-. ee ee eee ee eee ce pee ge cte scree Gloves $...-+++ ceeee Crape $...-eeeeeeee Se a r-.
“ Occupation of the Deceased. Door Crape $...-.-+++ Canopy $.-. --e es 228+ [lacs meena
4 Carriages to Cemetery.. eet Ser
Aged.. J. . Years,..cccsesss Months,....-+Days. . Automobiles to Cemetery. ..-@ $.--++-eeee2+>
Date of Birth...s.cccsececeesecctene dena es enseeetens Wagon Deliveries ...+.eeeeeeesereerereteeees es Pa"
"ots City Calls (Coaches)..-+sseseesereenerrterees sl cspsar tee Zane
Name of Father. ....0ece cee ee ence renee eee eeeesenes Death Notices het ia . Mewspapers..0.c0sea eee
His Birthplace ....eeseeceeee eee eee eereeeeeeeesteees sees vec ce eudvacensancecececs equa eaes [[senmensene. Name of Mother....c.esssscessedeeeeseseeeeesenenes hpleswars ileaner sisters ae i ee
Her Birthplace .... 2. -seeeee eee e eee e te eeee ence tececes Outlay for . ees or .
Mother’s Maiden Name...----+ssrrerereeeresesereseess Opening Gragg of Vault.. .+-2+eseerrerre cee —
Lining Graves Re ledeeiebaseewenesyes ‘oe eabtetgens &
cece debe awe eee Obes resseeeosece fee
Removal Charges ..--+se+ererseeeeersercesr ee seen aeeeesee
Cremation Charges’....0scceseeecreee ee ercees ensseneens os
Porters .ccccceecsbcectetenrsecdeceeseneccercee ibaa csiaseann
. . Watchers .. 2.. ccc e ee eee eee ten eens ee reeee® asian
Personal Services ..-.++++ —_——
Music ....-e eee perce esse en
ene hed OD
Total Footing of Bill.....+e+eseeeeeneeees $ 203 yy) @
Diagram of Lot or Vault. By Amount Paid in Advance....-acre bia Babb ofl a Bade . aaa
Designate all Graves in Lot with Numbers (1, 2, 8, 4, ete.), and} ~ i
mark apage for this Funeral with a cross (+). Balance...+-+ceveeecccesensese deicnsabotiles 4 eajeommsate
H Use 4 the right of Diagram for the namesof t! a sell E
“4 ntered into Ledger, page
"Pb : $16
Jue. Ld.\To Funeral Charges. .&..Total, $ 205 JO}. pss 12.
es es em (ACT eee ae
i ee ee Kbit ran