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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

/BECORD OF FUNERAL. .
r Wiis wiiew
poe babakvet ot
Occupation of ihe Pebeesta:
Single. or Married..474%.¢. 5 Religion A D4
6. a7. Years,. a be Months,. ...
Date of. Bleth ses bbad Cease
Name. of Father. Se erga bs Li pelvasatac eign clas
I is. Birthplace: . ‘ ish te mahal eelebites
Nasne-of ee ee
Her Birthplace. ‘Sad See ae Hrbtsttteesceesctaenes ened
+. -Days.
Mother's: Maiden Name..22...-: Tee ee cele
“Body to be shipped trdseiel.igsa Tat seicc. wed ale s.galaip's
Size and Style of Casket or Coffin.....5.055 Pa
ves * 4 ‘
Taterment at.. Berecs-, J Oe
Lot or Grave No..... 005 + Section No..6) 2.452.053
fp Pisgram of Lotor Vault.
. , Desiems te all Graves in Lot with Numbers Qa, 2, 8, 4, ete. ), and
ee hece scr, fay this Funeral with a cross (+).
ae pee for Monument with a small square (f}).
the at of Diagram for the names of oe space @ buried
' ipravtvg Plate’. .< f.
. Embalining Body’ corti
:x.. Washing and Dressing i
“. Shaving 2.00,
A Disinfecting Rooms .i.)5:..% a
t. Use of Catafalque and Drapery. . 2: :
© Folding Chairs 222.200 .4.
“ Candelabrum and‘ Candles-: :
Gloves $22 dea tice chad Crape $2.5 Ga Senn esis
Door Crape $.....4. Canopy $. .
Hearse ... se dpbare sade dne ecg mags obibe ody
Carriages to Cemetery. violas -@ $. 62
Automobiles to Cemetery. ...@.$..ceceeeeees
Wagon Deliveries ......00008
City Calls (Coaches) ....0..050% See Soaba
‘. Death. Notices ana ccgimataar ora ere ™
te Oe ewe eee eh es eees cae Fe obeeeeeesenees
“(ames of Newspapers)
nae eee e ee eee eee ees Tewbe
Outlay ‘for Lote.. 2 cis ssiedgedeecemegabecuts
Opening Cravé teVesit:. eeieus EV? . Cerne”
Vault Rental . ee toe
Shipping Chaiges; orepald; ris Laat cb Ecethds of ‘
Removal Charges ......04 eee cies aicieae Sa
Cremation Charges ....... oepnitek
Porters
Perera
eee tee
ee ee ee ee . oe Raw woe eee
. Watchers.... ere eee Cee ee
Personal Services Serer reree eee rere
Music . ‘
Church Charges .
Total Footing of BM rcerntimeen nes
osee By Amount Paid in Advance. Feaacutatogcdss
Entered into Ledger, page. bis sees t.cor below.
Pesce osces.
7
me € 5 we
44 ce
d 3 Wf To Funeral Charges. . . zs Total, $ Xb 2, da.
fbf
By Cash is igigiey idee coach tight
ie
= seeeeweeae. penser eoeeees, :
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meee ee ee. wenenenans . -weeee: otene
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seneeeeees ‘enerane mecesesnes . cocnseees-seetemmese weenes. cxcnmsen seeeenene b
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soeeam coences anne . ranecnaganarsenee . owcseenss Ul snavens seneerscee: