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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL. ” (rotal Number) Name of Deceased. We.. Wite—Witew tt eur Daugtrteret Order Given by. piste, Plated eS How’ Seesvedl oh. sccieicc sade cis} fo Sedbas Rewowis fe meas es siebes Date of Funeral. ! Residence . 4% “O. . Place of Death. GZ:L. ‘Funeral Services at.. / OV “Time of Funeral Seryice... Clergyman ... Pian ee! Certifying Physician Av. L. ‘His Residence .. “Number of Burial Certificate.....ccccceceeeceeeeeeeee ; Catise of Death.......0ee eee f Sadia Rbewagiss « sesset hss 3 [Secondary] _Date of Death... \e. d hb, Vlei Exeese ne “Date of Birth.. 80) & een ee Occupation of the Deceased. x40 Single or Marrie( 44a Y. eG.. Date of Buthhes 5 oiscice s pp qees jitie Lope Rhiewiee cones eeenuparep Name of Father.. OU Pork iiSpiowidle-s Hgibe His Birthplace ... Rulihenns Name of Mother... Covtartin YY whl, dueidlecere Her Birthplace ..... om WVIAEAE cc iclecseeseas Mother’s Maiden Name... 2.2.0.0.. Qeccceeee ee eceeees Body to be. shipped to...... cece feressceene Be wie oes OH Size and et. Cagket or os ai b D. No.. 4.7 y Sores ee ~ Religion Disidiese # Midieveisre © &s Aged.. VCR oi eiec's owt Months,..... Days. er ee) oeee Cree eee ee eee Cr ee Manufactured by . Interment at... Grn . us jo emt Lot or Grave No......005 Section No......-51. 2. 3. 4. 6. 6. Diagram of Lot or Vault. Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and mark space for this Funeral with a cross (+). esignate peas for Monument with a small square ( Pedy ). the right of Diagram for the names of P. buried Date. lu Removal Charges .....2.eceeeen cece eeese ees Cremation Charges ....0. 0c eee eee seen eeeees
Porters Tee ee eee eee eee ee Personal Services .... cc eeececee ence dete ee Serre rere eee ere ee, Corer Watchers ... cece eee e cece eee eee pier, g 0 ete Lease CIE. Satins anes 1946, ie 54 Race) liathattie s Bork) Charge to . ‘ante flag ica 5:5. wsignds Address . ~A9GQual SAL Cui bet > io Price of Casket or Coffin....seeeeeeeeenes $ hod S. eo. bad Metallic Lining . Hasan gobi tv nas ees! eee © Qpthalde BO. ois ssccee ass sadens oecade one 22. : (State kind’ ~ Grave Vault .. ae aa desasroie gg aie: — Burlal Robe 2.0.0. cccneeseceeaeeeses Amd) 22. « Burial Slippers and Hose....++++++ aaemansopsssce f wicesses Engraving Plate ..... S ahve orerb-ere iw wieieieieis ae oi essere eeinags paste’ Embatraing Body (with:...6.« ee ten Fluid) . . _._2. 22’ Washing and Dressing.....se+eeee0+ gnelgas I scaninisbiltes . wanes Shaving ...ceccceee eee e et eee eee e een en oneness secsvotsschoiae . daa Keeping Body on Ice.....0seceeeeeeeeceees Disinfecting Rooms ....-seeeeepeeeceserees ee eens, Use of Catafalque and Drapery....aid 3 6 cimverane ar PAC eee “ Folding Chairs ....seceeceeeeeeeeeeees couclitess via scancrens “ “Candelabrum and Candles.......erie] . ae ee (eres Gloves $..... so bee Crape $.. 00.0 cee ewes muy A974 Door Crape $....0665 Canopy $....-206 sta esedhcbiced coe PeRre ore aes jis vacbaon cone wie qesios gpg 9 ote A Phe. OO. Carriages to Cemetery. an .@ $ = ge . J.tee. OO Automobiles to Cemetery... @ $. 0.. cece eee =o p Wagon Deliveries .... dards & srwmseare dpeceng obo — City Calls (Coaches) ....c cee ee ee ee eee e ene Death Notices in..... Newspapers....-. seg betteneneee estas aoe oa susescsscestee rent cnentess PIQWETS <. v:d.s:000.0j0ie oo cisien tole eaeine song cies seen Outlay for Lot... cece cece eee center eee wees Opening Grave or Vault aitins Pewimaias 0 Saws « essere Lining Grave ...c.5ecceee cece eee e nee n a teeeeet Vault Rental 2.0.0.0. cccccetcerceeeeteeeeeecs sccsasseel omc Shipping Charges, prepaid......2+-eeeeeee sew eneesanen ‘Total Footing of Bill By Amount Paid in Advance... bowie baasiew 8 ae in cal a Entered into Ledger, page 2000 DeLOW. . f eesccsosee see] cee 4 Li v4 xX 77 : Guay..\.dz\To Funeral Charges. ...Total,$ . _2/4. 52 By Cash. ..cesceeeeseeees $32.. ee cevsencana: . ossseatennes spensenenes senseseoens seserannenes aememeenamnasnensenese. games ee ae 2 Mf 312.. SET eT Doct, A (a wait sasosscsane . ovesvcnsse Wf LAL Goose . Losereen. coven hh whe ae . a ie ama! Se bho Ei #. . ) 2 dam ei