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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

oo
coon of Deceased,
(What Race)
.Wife—Widow
"Bon-Danughter of
AMAT OSS Fy OOS
Date of Funeral.
WAR
Zt. Gb
%
a
7.. Metecemacee
os
Funeral Services Bij ssebars Lesh gigedvudiy PRs WE siene'e
. Time of Funeral Service.. he Se
‘Clergyman ya
Certifying eare
Bes
“His Residence ... ttf.
“Number of Burial Certificate. . ra
“
Sachs ees
Plan,
ee
giuk MEM
(Stave kind)
Outside Box ..0.0.05:
PA ¢
ws Saseeovs
(Btate kiid) °
;
“Grave. Vault cesecesnereceagensee
neces
(State kind)
Barial Robe) iyi cess slece ce ceisetiol eddies
Burial Slippersand Hose...+.+++++++
Ragraving Plate: sosi<icscvss
sci davecaterter lt
Embalming Body (with. ....c00/.05.¢/ Fluid)
ead
re
ty
See see ove genase ve paces Sooke seetee ome
Price of Casket or Coffin..
¢
Metallic Lining ....01.0e0+-+s0 00+
"i
Mans of Death
( Where Born)
wise dWampatewes vocab adie of tiecsie aunlbie BN bie «SUT Hale bo oo 8 CHAT
LO tO vod seine oeieuls cack dpe s naive wwe we seni b eas
Washing and i
a
een k
Shaving i.. esececersseeceetereeteceseeceveaens
ee .
Keeping Body on Ice.. ..seeeccetece
ents eens
cat os Disinfecting Rooms . 22.0..
ieee ee see ee ees
Maen ou #1 Use.of Catafalane and Draperty, : orn fsetsneety)
Tce: of Denti «2 oidtes. dh oiivons emia
‘Folding Chatte8 ri.ssies-nccipwe
cuits seine ey Meise
ofroi ie
Candelabrum and Candles. ......se ee
Gloves $s ieee ncn ve aere, CLADO Do vedeces comes
Door Crape $.....+. Canopy $.e.egeeee ee ell.
BA CAPSE ade. aiccaies pepecashoUnlg-gss
eine Warne ey Hee
Occupation of the Deceased.
Single or Married
add, ci Religion
Carriages to Cemetery..o2-.@ $.6 Bot Bg
Aged..40.%.. Years,. 090.03. Months: +2. .Days, Automobiles to Cemetery...@ Sick eet tenes
te wueeees
% Date-of
: Bigthys. cs sip oie ke see Cote calnb es see ahs oe Senet eee’ Wagon Deliveries .....052ceseeeee
City Calls (Coaches)..
Name
of Father, Oi be fd
Gea :. Death Notices iMg os aisle
“Newspapers. ee+-+ +05
His Birthplace oper
ALY
ite
Sr
ee a
Name of Mother..
2
stipe
pee eeeeeeee
ses ebe eee
ee
eeeerr
ee ee er
f Names of Newspapers)
apt
SUN Flowers viv .... ob we eo 019-9 0:9 ge ee en tp Ne od ob ewe
Her Birthplace ....<9¢.
Outlay
for Lotincdciewioss's o ated os Vee
pementenss
g Mother's neg Name.. set heeee Stee fees cece Opening Grave or Vail yottsat star Saran * F
Lining Graveize s. jociciesscres
vo gdbesc ucts’ Peep eres
Vault Rentals. oo oes igs ea Ca we ole eh eke ee
~ Size and Style of Casket or Collin eG ccd oben Ge uiias ad ‘Shipping Charges; prepaid. cis.. Peace eet cies
Stet
Davie Pade
POE LSS
‘Manufactured id ESSA
gs
ELE calalye Leu oie b nile SMa
Pere: 1pm
vias
. werent ry Pr Rory Free
2 Intermentat. .; +»ChaeCemetery,
‘2;Section No.
ne
Stee
utedGears
Music .8033.5 Jes
Church Chatoee’
chia nr
in Lot wit ‘Numbers
with a cross (+).
esignate place for Monument with a small
oe right of Ras anfor the names of‘ie bared
ba
Pe
eres
ty
ire
into Ledger, pag
“Names of .Pall Bearers..
.. 000 cse sees eee ens
~~
Ps
neces
Eg et
gslaw ae