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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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4 : ial ad 5 : ’
. Name of Deceased. Wa of Seto Se
; ‘Wife—Widow . : ° S.
‘ ‘con-batanens cr alls sa rvovedy ctv lies si%405Charge tors os.
pecan veep ed ee cee seeaseaeeeel's
How Secured bi BP cc didiag gee Price of Casket OF Coffin.. s,s sees eee ee ee $
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Date of Pine. Qi2e tJ Sf. “UY.. PS oS oe nals cay eaane . ’, Metallic Lining 4 +, c.uceesrns esos:
‘ Ontside Box ocr siece socing bpp ocho areas Residence °, oss VeeqeaeG. vceadeengelpcedcavecdagereccsiess (Sterekindy
I “ Grave Vault ....... Rive fhe wre Place of Death? isis sp 3989 38 ENE eG bc ecbeds (piave kind)”
{ Funeral Services at.. oh Sigs weet “Burial Robes.. o5 06 0c sel eee cdee cess
Time of Funeral Service, : , Burial Slippers sate Hose...-e-0eeee
Clergyman. ../ ies
Engraving Plate aid ehiligia swine areca Pereinzs sarnetciiaw «
Certifying Physiciag =
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Number of Burial Certilichte; y'sinaiSvahs Rev asei de ttudees Disinfestlig’ Roca Ee
Cause of Death j2/suivaiprict apis apie bess dae eek ae Use of Catafalque and Drapery. :..i..2.60+ 05+ fli:
(Pri a3 [Secondary] “ Folding Chairs paints) Kips» Sib-w'v.e-einsie-s es ye eleiy
Date of Bien Pa POLL cvevevecses “ " Candelabrum and Candles u's tics pe cwa:sivive « pee,
Date of Birth 7/4 2 Sacre cathe piles we sid Deot Oty et Cee Sr nae
Dee, Sane S Pematne tat Canopy $. So been See Fl,
ze Carriages to Cemetery. , ~@ $. eee
Aged., J 7. Fone Au Me Fo Automobiles to Cemetety...@ Serene
Date of Birth. :. Wagon Deliveries Sh pepe teense terete wees er eee s
_ Name’ of: ‘Father: ‘City Calls. (Coaches)
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. Lining Grave o.sicees eieg yee ee wean
Vault Rental ies oiecs6is cece Soe geees
Seed She Cho lisse Shipping Charges, prepaid «<i¢4 a
b : + . Removal Charges »... gigince Ai win eeelgly Hoge a ee
‘Cremation Charges ... ! 3
gnate.all Graves in Lot with Numbers 1 i
vk eestor a for beso Funeral with @ cross +). Rete ee
e for Monument with a small square (
eat tm space shade the right of Diagram for the names of t