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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

No. F.Z.¢.. pia te Se eee an Dee Ad. eer poet
« » (Rotel Number) ME Yearly Number) 7 € Sigg eta
Wane cof . Deceased Drm Bs Siiooeetaewes di. : indedas apie oo
(What Race (Where Born)
BD wites Widow, yo Je ide Ss PN ie Be ak) ods Charge ay re reer LeBc.,,. theehs
‘Bon-Daughter of
RE eMENC ceetee os OPE REE ston Port CB one
x
i
<< How Secured ..¢655 pitgigetivttessteteenteneeeeetees Price of Casket or oe eee er Bore yes,
we Metalli Se ee lg a 2
2: Date of Funeral.. ¢ EAE oe or Tining (aiavekiad) i
ie tee te: Athi citiiciicbbcwes ive # Outside . Box se sees eeeveseseees ais ges
Residence Yee , EG: sive F “(wtate kindy f
Place, of Death <j-schlsitida sei 09, 0. caj i kh oe De iets 2° Grave Vault! jseeeeeesen ee: ek.
a a *(eiste kind)
BS Funeral Services wi RB @.f. alle: «Burial Robe.. cece cere ceed cele
t ‘ Pe ee, ' Burial Slippers and Hose, pe Time of Funeral gt Bee peeetaeeteoes . p ive Walb o-c cco
WE ary Clergyman “ ALY. a CEM hie PITT Te on eer ineeasee Embalming Body’ beriths faves: set
Certifying Physician eg ) ALE GLA Too. 2864 . Washing and. Dressing. ..-++ ++ e+2+sereer eer [le
--. His Residence. 4 Cereb ts: EGE sess Shaving coorsssesszeyiatig erst sites toda
be a i Keeping Body on Ice. . Miereegn sel ter Le esenewiees
-.\ Number of Burial Certificate...0. 006 .seee ee itseese+. Disinfecting Rooms :.::).is.0.ldeeees Rak chee
: eS P Cause of Deas slsopsagpeiatg ne tlhe tee af Gerniclas ak eery si t Bae
(Primary: , {Becondary] =, . . “Folding Chairs ....csseeetseeeresteeees
Date of Death. Picts Pestereesesse . ) © Candelabrum and’ Candles.. 2.2.. 06.6.5 008.
Date of Birth.', Me Mp) Bade Gloves. $. eee eceweevee Crape Boe eee ee cee eee Uf.
Occupation of the Del ce sire en ae cies Mecca gg i Abs nk cn they
L Mf CATSE voces eee ee ee ereetee sees Ay evra! sian
Single of Married. Religion Carriages to Cemetery.....@ $. ee
Aged.t.4 7. Years,; 00.60. Monthaa.v 2 saiestiaep. Automobiles to Cemetery. .:5.@'$.e.eees ated es
Date: of: Birth disinasnistnugesccsiwaawigius Pele wees. da . Wagon Deliveries.. .:++.200:ereccce eens cee s [po
€
fe . . . City Calls (Coaches) .;++rvezevateroneszeret ss
Nemeat Father. 77 ae “tt**) Death Notices in... go Newopapers ase We gees . e
His* Birthplace, .. yaa : :
_ Name ‘of Mother /ace nea A.. ote Mle 3 wrwery RES ecco sire onc BEES de
Her Birthplace salad mee & ue he .+ . Outlay for Lote. cc. ccswecee ed eee ese ree cee e el on
---Mother’s Maiden Name Sly OF Vault, oi. ecbis dag steno eecgles te . . ieboa
is ining Grave 2. .eceecceserreeeeeree ane nee ere
a nao onsen ets veepetteeeeewetaeenie Vault Rental jf.. 2s vie ee ee ee nes eee e eins bel
-' Size and Style of Casket or Coffin. . Aiicsessesesseeuei. Shipping Charges, prepaid. sii.. e.6eee 50
Removal Charges . :
Cremation Charges *.
TAN eae oes Bele el eee ew ee
Manufactured
wee ¥ pie a
ed
Music ERR
Church Charges.. ss ga bee eda Ss
eee eee ee ee ee ee
Hiagress Hei or eee Bk rset @
“Designate all Graves in Lot with Numbers (1, whe 4, ete.), and
jiientalic 8 for pte Funeral with a cross. (+).
lace for Monument with a small squa’ ).
Aas ee toe space 44 the right of Ne AS for the names mes or t ose buried
UR adieu tra
ua 7a YY To Funeral make aS $.
it aren
Feepsean” sehepters: anaes,
seceseceee . cereecenee
atessensee . cocoaneenne eonenpeopen: reeeanersemenaceaen snneunty seeegnscnmmenacnmne vaeee
nN
teeseeenee Ceeteatedl
eeeenee nenengnne . oy seneene oa dteennesewe sone -anrenenen:
Names of Pall Bearers ee a Boece
a i me gas