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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

=" Name -of Deceased. (/A47%
“}oWite—Widow 7 .
Son-Daughter of
se Pee } he Ramey. eg
Order Given ‘Wys he hIneog eae
*
“. geval How Secured. 0eseseiddederesdir es eere een eerrenetre ees
fa Se Date of Funeral. Decale
“©. Residence ye
«Place of Death, . jsp sss 4. 4+.
SIR eee eee eee
Heong eee eset eeease
?
Heed chew eee awe e een eras
».. Funeral. Services Bnet tet ee eee emer ere eeneeer sone
: Time of Funeral Service yi. vsisevieseeseetececedecetanes
Certifying ‘Physician ya Ba
. His Residence . 46x CZ
. " Number of Burial Certificate..4...
~ Cause of Death is ocuvwsstetion eee
Date’ of Death).. K72itece PE: Y, LG.
i My _ Date af Birthietsuss lS.
Pe ee re oe
ey
eee ee eee were rae
sere eae terres sios
+98 oe ee oe ese sisienwe
. [Secondary]
Pe eee ewer nnn ene
a naa Single or Married LAMAL&£., Religion. .',<ssiyy ese %
te 3 Aged..j.4a.2. Years.0.H.:. Moaghey amniterss) DAP
’ b+ Date of Bi
' Name of Father ffs meh
His Birthplace ,. cae
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.
eae wile Web Io ein SIN pb We wisi aly a eid ode calm Mt
P %
Tee ewe ee ee ewe
Her Birthplace Seal oge EA rfid vik lea
Mother’s Maiden Name: ..:e. cee cscde dee cece een cceenete
Hddy: to be ‘shipped tous. clyde ieee ss lek vee coe bees canes
gatenat Site of Che of fbn) seer lpn cine
eienstacated by a RE Aa SER eC
Interment ie SIS
Lot or Grave No a en ai
OAL ets pk oN
; KCNC TESF Pi Pep
Lecce eeece eset eweeeeeese nee eib ene eeeesCueeebeeese Ricans to
‘Date. vee
ee.
nove
‘. Washing. and Die, se ens
»> “Name of Mother, <.1ssssecieeeviebeeeeideledeedeetetas
Lot a Se ae a, Bs $4 esignate ce Groved es in wid ile a prt
for
celgnate lace ar Monument with a small square ():
in) tots Use space the right of Diagram for the names of those
Price of Casket or Camden uaa as
‘ Metallic Lining «+40.. .ceceyesrree ery
(State kiad) “:”
id Outside Box 2.0). 0+. ee eee eeine renee
f (State kind) Rg cr
“ Grave Vault ..ce. essen sete nent edie
: (State kind) ey
“
Burial Robe: ci. cece ec ceeceealtee eet ened
“ Burial Slippers and Hose.’,...-++++)
‘. Engraving Plate vapeigs segs sine 4 deine y sicied cdvgs
*;Finid)
Shaving os ecsesseeeeeceeuedesrepeseees sete
Keeping Body on Toteaseyeeeecesvysresereesteet
“
Folding Chaits ...0e00+++ ‘
. Candelabrum and Candles.ii 00.0060. 600.008
Gloves $..05 0 cieie ee Crape Give ainely sie ve yee
Door Crape $....++00+. Canopy $.0.teeeees eee
Hearse .,. Boe He SUES Sees eFipLs gis ¥ oe Uae Rae's 0's. b'iyie
Carriages to Cemetery.. 4A @ $B
Automobiles to Cansterts?.:.(@ Some iueipaniey ate
Wagon Deliveries .....eececeseeee et eeegees
City Calls, (Coaches). ..0ssses seers
Death Notices in, .++++.+)Newspapers.+ «+ +++
eh one 8 418i
seks pe covlien seed peweae na, aslace eaiee 6 4 opie eile
( Names fot Newspapers) .
PIAWE Ci oes ccs eter ca ceed
Outlay. for Lot, icons cieisieieins Vewdy aqua e eine ee
. Opening Grave or Vault.. 2.0.. .02cee eden
Lining Grave '.¢hae ono 05s0 ewsilvinlecle vgee ete
see
’ :
seer eens
Vault Rental (aii 0 scaics sinincdie's sclare yo ecereersittedi yids
Shipping Charges, peenidiasin
Removal Charges 3 ..s.escseeenenstee neues
Cremation Charges . sees Veneeanepeeeneces sere tens
Porters os geescccneecensvereregen seat etanesects
Watcher's beleatadvederederay ees sets ee
Personal servicen
Music sv:ee4'spee's
2p To Funeral Charges: sa): Total, $ 8 ee: 32 AZ J) By Cashi:4