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Collection: Original Records > Death Records

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

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eeee NerS IT oe Se ii cae (Total Number) ly Number) Name of Dei. ecaat de De pis bons te His Birthplace WARN ods thee eae J Interment) at.'.3.. oe .Wite—Widow ree ee Lee eet ORNS GOW REN WEEE S Rie Cale oS Vie Che . ‘Bon-Danghter ot é 4 3 * s sg pay : : (What Race) Address. ; . . (Where Born) fares: Chae tO ie s+ ensginy sag cede sors pep enamiente ; cbabk Sabebiiles ARS tants 1 eR AT ee ale were How Secured .. Date of Funeral. Place of Death. ny Funeral Services atiz ves. 2.4 Time of Funeral Service, ; cL. 2G Clergyman treit Certifying Physteian: Ifis Residence . Number of Burial dieu eo Cause of Denis acess ah ribeccsecnsgucnoe Date of Death. . et este see Date, off Birth wectihea hs etter saSiistas eecens Occupation of the Deceased Single or Marpieds.'. oa ives sReligion. .., Deaeys Aged , 08's ivi, Vears)ccgeieees ens: Months,..4.+-4.-Days Date: of Birth sop ypc suis ok eeeas co 05 obs onde Sian: Name: of Bearer eco PEER eee ee eT pea eh eee cn gee eeeteges oe, eee PO eee eene Peete eps coh sen glakeleb ees reolatens Fonte t eet epee et en eee ea ane Mother issih eshesestiisceseesteveseasecnvan . Mother's Maiden Naineds coisas tusragetild cules 24h Size and Style of Casket or Covey by ovis Sytbsy covet Manufactured by. i PMS NED Sy diets eis Gwele wldaieeh iegiew ee obec ob We eecebesveeeeevecesetvaeyecrepstengs, Graves in with Numbers (1, 2, or this Funeral with a cross (+). , : exitnate: lace for Monument with a small square oie Use eee the right of hiepeiant for the names oft batiea PU chs aia ae, . Personal Services, , Price of Casket or Coffin, nuns el Seiba ae Metallic Lining yee sage eels (State kind) *. > ¢ bi “Outside Box iiss.. Pe rhe 204 { (State kindy erases Grave Vault se3jjccceseresht bosons ; (State kind) att Burial Rabe Ao 7H w« creas yin oe Burial Slippers and Hose. ..4 5262000 Engraving Plate ...3.2.; Embalming Body (with..:.: .Fhuid) Washing. and SOREN cf ssh neck yraatiaes Shaving Peeve ce eeecteeeceestgesterentaeetes Keeping Body’ on Lee ek ceviec vakivies cor ceae Disinfecting Rooms 2,45) .5..sc.0.00% seeeege Use of Cataalgue an Drapery 20000008 alee “ Folding Chairs Steen g dene eastern es eetenns “ Gloves. $....0.0.+++ Crape $.. 008: Door Gripe $<:5s.: Hearse. 3-0 6:5 sie ore's D oaladincne aiaees Carriages to Cemetery.... @ Sesh possi Automobiles to Cemetery.:..@: Bivens ein e's Wagon Deliveries .... Sa suredsia ted testes City Calls (Coaches).. Vcc es Pe eee Death Notices . thiacisce Newspapers ; ole vigters i Hioramaaticii Outlay. for. Lote.. 6.2.5.5 ie Opening Grave or. Vatlteseeeevevereerrse tans . ¢ * reecteecher erty Candelabrum and Candles. 32): 032.05 2e0el coo cee Cunggy Rees ; Vault Rental ’.... 00. ice eee + Shipping Charges, prepaid. : 20.000. ee8ie ect Removal Charges ttt h ence eee ene beeenegees Cremation Charges . frivies Porters iao3iiae rotldibe Sty Kee To Funeral Charges.. }.Total, $ + ated 32. od Poy resetnedy ennee: seeeeteeee: seeeeeenee, soon. annentnee: