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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
GIB seas * serie
Number): §.
@ Naine of. Deceased.. Wa ‘ Qe
ee ey
(Year iy ‘Numbey ‘
“Senge ot
Order Giver vthey fi
low. Secured Piiy Gets
eee ieidy a a adil k: eos cep bi .
ite aria pj
Fina’ ‘of the Leased: sei, a beet sagas
Single or Married. ...:..:,.. Religions. .... 000004
B Aged. s2.0 1 BY APA wed 5 > Months,...:..Days.
Mame ‘at Father. ...50sssecsseeetisteseaceeenatenss
“His Birthplace SRL eahs Ld 9 dc) ACRES ob ASR eee
“Name of. Milde Sk scsi: die essa A HAS
‘Her Birthplace .. ; sh aee ee
‘Mother's: Maiden Name caiai cici selina iva com bent
; % Body to be shipped to..
e anid Style of Casket or Coffin.. 6.6 .0.sereenereseeeers
Vilcs Section Noses sek os diet Hit pt Crave Noli he
5
ae
~ Diagram of Lot or Vault.
34 “Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), and
k space for ue Funeral with a cross (+
Ce “* Designate place for Monument with a small square
o a © Use space to the right of Diagram for the Peds
in Lot.
; ; t Race)
re, ila eta koe tgnt hd a esc igane nke Chr ia OC.
ie Shaving : se bendeetieeansessteitesentingerctere
here Born)
Grave Vault PERE
ass * (Btane kind),
Enibalming. ae (with ss eu82: :
Washing and, Peeples iets se bays tds
Use-of Catafalque in ciety tiie ny Pie ere Hae
“Folding Chairs’) ..00.0 0.625 ees eweeece
“ “Candelabrum and,Candles: 2.322 0e2siuc8s5:
Gloves $i. 5. cccsdicaecs Crape $22. aches ees, «.
Fears i555 os ico Sobek aa pee a diere oie obicee bedieers Sais
Carriages to Cemetery.....@ $. 2.2.2 ee enee
Automobiles. to Spa Te 1 oh ae peek a
Wagon Deliveries .... Ake SASS ok oi cee eed neg
City Calls (Coaches) ..0.:. ieee cece eens ce ees sells
Death Notices in..:.:.-.:Newspapers:..... . )
sone Ca Seer meeeeeeeees 6 on bom RAE eee wee oO ha. . ] enernnpeesnenee!
(Hames of Newspapers) :
Flowers 25.. bebee eee ibs eee Pan esebe eee seen
Outlay for Lots tf ere
Maisie ie so Sak ey dia hel Bie ipo os cdanene sem eie Ul de gts
Chirch Charges 6 ois cepted SoS iene dse ed ub Secitiess
seecetenene ones
Opening Grave or Vaullt...2.cscsececeneepes diay A.
Lining Sabb eben one ah tram ety ‘
Vanite Rental. 555 oe oe aaa Sa a eae ted ee PE ea
Shipping Charges, sareaabd sf, Gies WN) Lakes ak ereend . sera),
Réttioval ‘Charges 35650508 G02 tee abies o's eedes . ] a
Cremation Charges <.-.enecsereereetecseese ees a Pascal
Porters . . 5 0cG Poa PE Cok ire od eR ee
Watchers SO ed
Personal Services .-..4seaeesseteesened set eesee i Neopia
ite
; ; :
Total Footing of Bill...c.c.esseeeeee. e+ $l]. @ BABE,
By Amount Paid in Advance. .. 2.0.04 0020046 . ] mien] nme
Balance: --.sseeereeeecseeensees aa aaadt
Entered into tadget; page. ......:.0r below. . ! . ;
To Funeral Charges.. ..Total, $ By Cash iy 5 cde dcvics ia ceD
eh
me
. he.
noone: os
peetneeree, eeeaes cones: omets menneeeewes . enereneeeee
. i
0 . exeeceenes . twee savececsees secse . ceeenseeeee
+
steseeeene seeancowee sweeenes coneneneees . eomenton ~
seccosvace ssees-. sesesons: [ccccenssees sdmeses . -ccsduees’
een eeeene seen secemnene wees