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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

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= . Disinfecting Rooms’ 3. +.
sai Use, of Catafalque and Drapery.
$a pect rial at gia Rath a
Price of Casket or Coffin..+++«
ey ‘ Candelabrtiti and: Candles. ; .
. Gloves $...ssseeiees Crape $.02.
Door Crape $... 200405 RanopyiSixe tie vig sds Q
ceupation, ‘of the 4 cesite, loti
Married: tie oe
; Years. .06Ts-+ Monte rene DN
Date of Bitth. .
Name’ Sof rather ,
i Name ar ‘Mother,
ag
Ter ‘Birthplace "
“Mother's Maiden Name lopecect tee.
p Body to be shipped HOSS oes oS CE ae ahtcele psa sib debt oie sks
: Size and. Style of Casket or Ciltiond chs dso hiss
Ay
—
oe ee ee ed
re ee ee ee ae Geetscs~ Maniifactured By ee eee oe wae SERS Ae oe OSE
. Anterment ein il, OO AFR Cémetery:
“Lot or Grave No.
rrr er ea toe ee ee
ie Pe 6a eal Seabhots Noissseteecsauss
AY; / pingram of Lot or Vaiilt. cate
so a
oe ,_ Designate all Graves in Lot with Numbers (1, 2, 8, 4, ete.), and
ace con this Funeral with a cross (+).
Pear osigne lace for Monument with a small square ('
oe right of Diagram for the namesof
_».
Use "space s0 buried
Carriages to Cemetery. 6.1 fis: @ $irteeeee eee
Automobiles to Clameasty uid 1G Sashnces
aeons cee oe wetenee
} or, of gee
bases ele a bee te tee ese
ere ee ee ed
Wagon Deliveries . os. . cece ese te eee sen tce ces be
“. City Calls (Coatheahaeiecsael kG hietiaiest
Death Notices in..+.2.:. Newspapers. .'.+.+-++ .
Shipping Charges, appellee SER =F
Removal Charges 12.. sis sds ee sees tence eee eee
Porters .cciseces ces te cece eee reeset cand cree ine
Watchers 2.0.. ces tkeetipe eke het ente ee be eewe
Personal Services ry rrr et te
Sewer enere
ee ee ee
%
Pere reror reer Tree! Cee eer te eee
7
Total Footing pi BM fassccsct cca skhin dina nt 8
By Amount Fonid) inhGvateescrave netics rh at
Entered into Thadger, paged: sal Di octbeldw:
2 Balances. ,ebseeeisesiapennsseee sg
= 7 r Eee ts
To Funeral Charges. -..-Total,$ . _. teat By Cash cis) Gees cdccesant oS