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Collection: Original Records > Death Records

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

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NotT ME os (Total Number) Name of Deceased: :Wife—Widow. . . Son-Danghter of eae ibe _ How Secured ... goa s eet: uate See ee ii a 2 iad Date of Funeral.. HP Place of Ens Time of Funeral Service /is. 2 vcieceviiessececssceteesees Certifying Physician. 53.50%: ey Funeral Services at er SP Ae 2 His Residence 2g ULieTE Tv SPO os sce mie) Ae Number of Burial Seana AT Heh Cissy et seca fiaile 7 4 >. Cause of: en yy ae ne ae ae RisHie tie Gio bie Ueda aiginioese te rk 6 Occupation of the Dressage a otic bes aS: ed Oh Single or Married. ¢. Religion./ Lis Aged.,2 he isi, Years,.4,.. A Moanin Sop, Daye “ote Date. of Birds iu uth, alo stoned SPS us, Name ' of Father. <4 +0seseeeseiepncereepersersbeereanrens y His Birthplace: Siciiinssers Ses ou del es ee Re ee Nae of Maier cecprteerentni eens Ae Her Birthplace’ PENER SOR y ee eee t cede eeeuteennas “Mothet’s Maiden Name.’. TOPED Ys esrb ties obs Ae CT omiclye KES f body: 6 Giahinen UT ey dey es Size and Style of Casket or Coffin.. .+2.e..citvevenes t Fea gi oleae gaye tate \ Seie ys sig Feabape eM Pe wy ee ecale is ‘Diagram of Lat or wai 4 me : Designate ail Geaved ie Cot wiht Nambers a, 2, 4 4, ete.), neal ‘mark space for this Funeral with a cross (+); : : esignate place for rie gh with a small satis ta dea space to the right of degra for the names ase t buried Use of Catafalque and Drapery...ie..sisciess . ‘y » ris : EEC een SS OM eee ee eee ie ie ae (What Race) Price of Caske ae Coli. ce Ee OC “ Met lic Lining . 2.0.. ee eee ee neers eee " (tateking) . ° “Outside Box ... 0. cc cece eee ee gee eee Re: i (Btate kind) 6. Grave: Vault ’sis ccc oso c ee oceiies ouleigu (State kind) “\. Burial Robes ss ccsiccs cscs eutcuteeescees “é Burial Slippers and Hose.....-.. Engraving Bad nage see ps'esegige station: serree en aesee reese peer teeta sees sees Keeping Body on Tce.. 6 Disinfecting Rooms .. 000.020 il eee pace seeds “Folding Chairs stginnseegescgesdeiins is Candelabrum and Candles.. Gloves’ Giese sacs pisces, Crape Suvi seat popente Door Crape $. ...0 0:0 eee Canopy $. 2. ccc even en Hegre: 5 sry sisis ces atiangs sgan ep age cam tecderevdies Carriages to Cemetery.....@ CAAA Automobiles’ to Cemetery, ..:@ $eieecu.ec ee ee Wagon Deliveries tetlee ee eh ewes cae peepee sey eee: City Calls (Coaches).. bsrerintirep este: Death Notices Mk whee peeedeepee tbe det: sae Peete eee eee rete wee (Names of Senbietss Flowers! veh »T Outlay: for’ Loti steak cay pater y Opening Grave or Vat. e te eeseten tenes Music ei ehh 0 eis ehiah ab GE FREES eae hie . ig BEN ati d::! To Funeral-Charges: :i.;, Total; $ EDM pene oth webenaveeis vinesnances emowenmenengs erty nine baer sevotenes: arisewin soveenorets . sessendees . seeeeaponse pave: weanenenees . peesesens Py » i Ei tg Sasciban sopcece . Seostatnce REFS [igucpnobsl Lanter] Nedesoes’ Uh ghicctoddes Gonceod:t blasts! . “ilccboace't pa be ee : : ; at ; $ iu ’