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Collection: Original Records > Death Records

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

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ee ag No. FS ae he SiGe : + (Total Number) Name of Dees Mat -Wite—Widow Son-Daughter of Order: Given bys Sin Seeticcgiecc Selebelncey tebeebcetedaseuees eee eee eee ee ee ee ee How Secured sheet Date of Funeral. . Residence “44 f Place of Death....a6 Funeral Services at: ’ ‘Time of Funeral Service. . oF 4 F , . a Clergyman . MED. ‘ _ Certifying Physician: Mead. S f sg “His Residerice PS Maeduiablehe. 3 Number of Burial Certificates: “ Cause of Death, a Date of Death.. IMME. neat Date of Birth. LS. Occupation of the Dece# At es * Single or Married! DT pt ‘i Religion/f net P25 » Years); 05. .. 925° Months,.< 1G.. -Days. Date of Birth.. 204 <9 Name’of Father. , His Birthplace! Name ‘of Mother Teese Sees Seeee eas heegesits Bree PRT vats css. eo eee ‘Body to be’shipped’ tose. ~ Size and cick ahi Manse reer rane set aoe ‘afer by. Interment: at.. ‘Lot or Grave No wee eee ewer eee eee teres eeenne ay sane Celt Charge to = Gicteateere WP ‘Deietiis ile Address { paket . latin to paw eo $6 a. «. Wagon Deliveries 2.0.. 0:4 eee ene gee eset tees : s Death Notices i IMvee ee eens ae NONEp SRST: Se3 -. Outlay. for Lot. sess vrettes Opening Grave or Vault. 2h Shes LS Seay tote teen e eee te eee: ee . Personal . Services. Designate all Graves in Lot with space i coh Funeral with a cross (+): “Designs e for Monument with a onalite' equare ( Price of Cask t or Ee ae ‘8 Metallic Lining .....6.0see eee eee fn i (State ‘kindy beoeorael Qutside Box ..cce pers cee re erste sc cee [I sarees (State kind) " Grave Vault ..6 eee e eee nneees Beer ara . ee ee a a 2 (State kind) “ . Burial Robe . ese. e ese cece ee eee ; Burial Slippers and Hoge ov s0ic4 scone pero nai rere ee ee eee ee re Engraving Plate .. Embalming Body (with...20;.4,+¢+. Fluid) ae and ene 5 pe sibate eee ed sD be hb ose Mane Fe Disinfecting. Rooms . Hise eS Use of Catafalque and Drees Folding Chaits: so 4sies, .sGe'e caer tein so '“ -Candelabrum and Cigdig ee ae Gloves $. occ. vee de desis « Crape Bovis sitet seit ’ Door Crape $..2e.e00+% Cenapy. Sig hyreert 4 pena ee Hearse cs 634-0 0s gee enegioeses » ee a a Automobiles’ voimenggeed red $55 City Calls (Coaches) sassctreessnssteesietss ¥ wae Vault Rental . seegegedeseeane eben getege Shipping Charges: prepaid). 6 oe Se eeiiges Removal Charges ... Cremation Charges:....+ Porters i theiesia's giewieg o's betes! Watchers, ....'s ee ee ee ee . peed Church Charges . . poy, £5 Peet ed ey ote eae st PY? AbNS” ened " i Use ope space ate te the right of ck aa for the names of t rei buried es 2) To Funeral Charge rsa. Potal, $ ssoneneeee ey RTS al Lar sel atari: