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Collection: Original Records > Death Records

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

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=" 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 eeeee . 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