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Collection: Original Records > Death Records

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

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Bon-Daughter of “How Secured .... Date of Funeral. ‘Single, or Married. Name ‘of Pithae Li His ‘Birthplace ... mn a coe No. Seee pe eh in 4 N r ee ga. Z z Of asa OK az. Fa Le mecsiviene es re fai aes a ” Gotal Number) as @ Name of Deceased.. 7 hedeot b Order Given DY ese ee ee eee netstat resets teeta eeteseeneees (Primary) Z's Binh ty Ze as Rely ae Tere ik eee (cetipation of the Deceased. Aged.. 2M. Years,.....4. Months,,....+.Days. ee dte-of Birth. :.. dts Name of Mother.....4 ‘Body to be shipped to...... 000 eee Size and Style of Casket or Coffin..... Fee eee OT ee eee ee ey Manufactured by,..,...0.0045 oad atbake qalevcigec Interment t Mepis Censetery, Lot or Grave No......25 «Section No. .ec.s ccs eeeeee we ceeee (What Race) Wile“ WIdOW Yc ase cenbecesceesececcuwstececsececsececcceee CHAPge £0. si ses. ss seudn cones cesses Cees e ee seen ete bes se sees . [Secondary]. Diagram or Lot or Vault. ; “Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and * mark space for this Funeral with a cross (+). Designate lace for Monument with a small square (9). “ Use space to the right of Diagram for the names of buried Price of Casket or "Callin ists sanekectia sins bl waning fel Dg , Shaving. 0. oi i ke tee te eee esate ew es a oa i “. Keeping Bids taped ebanene seeded: Disinfecting Rooms’. .2.5.5025. PG ison ees Catafalque and Drapery. 74 aha te a . ! Gloves $..cicssesceeseCrape $i eee Mec ce ccs uyesgs ee, . Door Crape $...5.00. Canopy $.--.ssse0e6]. a Religion. “Wipe E fo COTE cdg Wage Siaad woe cde de cdot ners 2 fel. s Carriages to Cemetery.. 5.1.. @ $cc cece ee eees Automobiles. to Cemetery. .1.6@ $i.. ec seen ee Wagon Deliveries.. cc. cess keene epee e nes ees EY . City Calls (Coaches) ..s.s ssc sees seen peee ees Boyden Death Notices in. /.41.4/-Newspapers..1.++++ ; Flowets Fee Pica a ead Outlay for fat. Eee Sc aaah bs Opening Grave or Vault... 0.00.00 sec eecqee ees Vault Rental .....c. ebb seeeebeaew ees bees ee NI WRT e . ts (State kind) ee Outtside Box. . * a Grave Naat br deh eet r eae y eee aeons es pa we Catidelabritil atid Candles. ?. 2. Beecg bea SORE SEOEA CUS omc: chs Oh eceeaee ese Stpeadeus eeceanes : (Names ot Newspapers) Shipping Charges, Prepaid ena lepaga sects Removal Charges . A¢/Sere, 4 Pay ae Crissdthesd Charpea 25 oss ssasstuatcdal ts sos Porters ...eec eee BRED Taw ERE Rees eso a ebbeus Watchers 6.. cee eee be ere ede tesicss wea hene fb Personal Services )e'i5.0 0.55. sip cs sdbsiieslsgaascenses Music . esos og See eee tere eee een eerew sede neal, Pee e eee eee eee eee eee ee eee) oT r terre eee eee eee ee ee ee ee ee ee oa) f : eS Total. Footing of Bill...c.i.secesdeec ech By. Amount Paid in Advance.. .+-+.+.-++0++45 Entered into Lbdeet ‘gh ATR sok helovw. i EZ. +O LG. To ituncbed Charges...Total, $ LGNL. Pia : By Cash One bakiceler. $ i PORE ee ce eee ee ee eee ee eee ee ee