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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
Same of Father.
ge A ey
pane of Deventer: E und Bus :
Bo: Daughter of
How? Secured)..
tA o/ secede lasveicwencscse £2ate of Funeral ry,
Residence” rnd
ee) wee hich de Seah e Gee 6 ole
* Aged rsdansisicse shee o0.80 +s
Mathcad) 2 9A aie lebnielbal
_{Becondary] %
2 i Pe tna
> His’ Birthplace ... 2: . Mea tink .
ame OF Motherae Nl. it KOT Aloka bac ep ogee soi
Mother’s Maiden. Name
Body to be shipped to Gee veee
Size and ae) OF Casket or CoMhts f55 iW las ccsiee ce sc cthyass
Sree M, f Wuato 2
es rite Cemetery.
{Section Nooii4 6 223508 es sos
e.
ee ee
‘Interment at.1.
2.
Sy.
4%
6.
6.
>) Diagram of Lot or Vault.
“Designate all Graves in Lot with Numbers (1, 2, 3, 4, etc.), and
mark space for this Funeral with a cross (+).
De signate place for Monument with a small square (
Use space to the right of Diagram for the names of
in Lot.
LOL 7
(what Race):
Address ser ee eee eeees
bay pe Paihia
ARN IRE ye Cowen Conan ae po eveegecece Charge! tO. i. cies tees cesses bees cee seeasemegccrscsenrans
>
Perr rr errr ree ee eee eee ee ee
Price of Casket or Collie tine seiaiinte adie vi$
2s (atate kind)
af _ Outside Box we tese tects te teee emnecte
tpt teceses scene gc atens
* Burial Slippers and Hire,
Engraving, Plate fi.. cei cies eae. ona Bi .
Embalming Body’ Ce ta5 383 a)
Ail ape and, ries: ;
Doce erseceewmene
sg pee fiir and tei Pare)
Wades cer Crape $.i2 Hea aes:
Heated 283 ioca oe oo od aed Se Res de aspen keene
‘Carriages to Cemetery.. .20..@$.0sse.eveee:
Automobiles to Cemetery; :..@ $..-se.se-s eof
. Wagbei Deliveries io. ce es pei sence eset ese ee seen ell
City Calls (Coaches). .2s.2.55. ee ee
Death Notices in.. :.4.2. Newspapers.. . +255 . }-—
snd ae ees weeee cece Tete s ee eens ones gues
* Utames ‘of. Newspapers)
PIOWErS: 5 is SWOPE TA ews aseege oud cand [Lt
Outlay for Lot.. cc. c ese e ke cee ee neeee ene eees
‘Opening Grave or Vault..2..,..0cssengesees
Liming Grave .siseccecssse ec ee cece eee e ne eecees
Vault Rental 055 ods. cebe sees eee Be ee ees Be
Shipping Charges, prepaid. .. 2.2.. ee eeeeeseee’s
Rethoval Charges: 02 (2: ibe coo si ces tbe cats
Cremation Charges ...... ;
Porters: eis 836 5335s Seg eet e epee bes eee een ere
Watchers, coro sS Ses Bigg Sree ae eevee ke Se deed
100 apm LE rer RS ire De Ns pa1 YPSN seks
ee ee) eee eee ee se eeeens
Terrier rte ee ee eee rece eT eee eee ed
Total Footing of BUNS yt: Bos Es
By Amount Paid in Advance. ....0.2e+eeee86
Ralainceisc5 ij aaa bk oo choo oa sae
Entered into Ledger, ‘page. wiede seid. ..0r below. . ..
ae
To Funeral Charges By: Cash, s.,cstesisdcnparac tad
aed A eT
46 $<
PEAT OES,
ht.£4.
5 ‘
LA EY /
wall
i
tb %
644%
a &
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