Collection: Original Records > Death Records

About This Item:

Title: Mortuary Records 1914 to 1919 - Book 13 & 14 Collection Type: Original Records Collection Name: Death Records # of Pages: 310 Download PDF: User Login Required Download OCR Text: User Login Required

Date Scanned: 2018-09-17 11:11:06 Scanning Equipment: Professionally Scanned OCR Software Version #: tesseract 5.5.0 Item Sourced From: PDF First Created: 2025-03-17 03:36:27 Last Updated: 2025-03-17 03:36:27

Original Held At: Doris Foley Library Location: 211 North Pine Street, Nevada City, CA 95959

Page: of 310  

Powe Yeake pee nu ET TASER. a 198 RECORD OF FUNERAL. No. /O.0./. was te oii (Total Number) Name of Deceased. /.UZ¢K eae ee the.. bd. (What Race) . gt Charge to Med: heed, fee MA¥$PaL y.. here Born) Wife—Widow Mienriar ine COED Cee eee ES eee ¢ Gra’ sieges Order ‘Given by ss Hi ceaie sass ss awresg 6 asarsinie celewas becse's a How Secured ...cccccccaceccceceecceccecccecesceecces . Price of Casket or Coffin...ssseseerseeeers $. a2] ZY. “ ~ Metallic Lining .......eeeeeeeee Date of Funeral.. 0.0.. . cece cee cee ence eee eee eeeens raat “x: (Statekind) = estiséditd 252) PMEUONEE . rover enpeniide ead eesmsig vedi gphecuheedtht fy OR APO oS» aaa wn on rene arr a ae : “« —G VUE socin cies s cesees cneewe vedas er . Place of Death. Mute VM KALA cae e neces rave Va TELE Funeral Services ats.. 0.. cc cece cece ce eee cen cece cence eens “ Burial Robe .....e eee eceneeeees ens Time of Funeral Service. ... 0.0.0.. ccc cece cece eee eeees oi Burial Slippers and Hose....-.----+ i Engraving Plate ....-.s+seeee Tr ee escpaoane Clergyman .. 0. ccc cece gee ee cece gece cence eee ee eeneeee Embalming Body (with...... an ek esata Fluid) . . _—.42. LY Certifying Physician . Kas Reis v sibigutie ip veceeitie’e Washing and Dressing.....0.2eeeeeeeeeeees ists eeabban. chases Tis Residence . A lp kf. hae tt ee Shaving ...seeseeeeeeereee sec eeeneeee sees ss seseosei 8 pas . A Keeping Body on Ice....-.-eseeeeeeeeeeeee Number of Burial Certificate. ...... ccc eeeee ees +++ . Diginfecting Rooms ....ceeceeeeceeseeeeees as Ss Cause of Death........005. gi 8 bateiad & Chwiscas eaten aS Use of Catafalque and Drapery.. . detec ee eeeeees Ws cscattig i Primasy) Secondary] “Folding Chairs .....2ceeeeeeeee eee geee oa Date of Death.... Cav: fz. C4. ZL. 4. autepere 9 ea:bisie. «© 4, Bou es a 7 oe Y Candelabrum and Candles.-..: pees . eee betes Date of Birth.... YWAt i Go) are Gloves $....0s0000Crape $.....0 eee secamennees ee Occupation of the Deceased. . _., . Door Crape $.....+5 Canopy $.....+++been om fe ‘ ict Lt . > LA NG, VF FA Carse oo ccc cece eee cee cere nce ee ene eeeseneeaee en et PP Single or Married &/ x +» Religionfe2.4 Aeée4 Carti : G ‘arriages to Cemetery.....@ $..eeeeeeeee esee sevenseee . unseacene Aged. Of. PA FV CATE ois ca ceoass Months,.. 4. Days. . Automobiles to Cemetery... @ $s veesiais sic A) es . ee Date of Birth....ccc ccg epee ce ee . i i ee Wagon Deliveries ...sccceceeeeeeeeeeee cree ite notion asoneeeng Kahed i eeeneten nes cmeee Nelieat Pathes. 07 er fi: City Calls (Coaches)....s0.0+seereereereere: Death Notices in..... Newspapers....4+ ten snide, Pecans His Birthplace ..... PUM E cos scics vy sien pind sna ate hs ysecoy aces apleinaragy tome soda cae Aaa N f Mot! (Names of Newspapers) NE OS ONES Flowers ..ccceccecececceceecececcseeeeueeees re eae Her Birthplace ... Outlay fOF Lot. .0:05 seen sc cineeesccsetdeceoeees Pa ae! . ee Moéther’s “Maiden. Name. tee, “GOO Ga. Opening Grave or Vault.. 0.20.. cece ee cece ee eee Preece nena oe eee . Lining Grave ...ccecccce eee e eee e eee creases aon Body to be shipped to. Sette TMG C6 ETA. Vault Rental ..... ec cece eee c eee eee eeeeees wetften. le Size and Style of Casket or Coffin. .. 0.. cc cece cee e eee ees Shipping Charges, prepaid. .....eceeeeeeeeee eee . b sistas o siaidiarars s adieu b's wo als weaved vourase as steelers § asad obteye Removal Charges ...0+.0seeeeseeee erences tes [meamnin Manufactured by .... 0. cece cece cece cece eeeecereeeeees ene CHINE..» bn sytinnnig vnene «48/004 moon eee ara ‘ POR CTE ssieis « ewrsiwis ss spemis 4 6 wheels 6 eo eedins oe pease one sinssscaansagn'lanepsecess Interment at... fa Adjy. Pkauasaen Wiles 96 Cemietery: . Watthers s s0 iwisisas suinw a csnwiere's's Guia cess weve a Bore assesses icainan Lot or Grave No.....¢ Mpg Spetion No vdec es oweagle 2 Personal Services ..0. cece cee cee eee eens cence . ] ccssseenes . oonsecee ye Mirsale: eins «5 wlbsna « weiner» Bdiod< « wands 9 aviesld’s « i eae ee ‘. Chuireh, Charges’ sjcsis.cs scwad ae sacion a sesiees soigeie as re [IR Tm Paisnne se orsee seasons 9608 2850 TE smmsien dae nt 3. 4. 6. a. Total Footing of Bill......eseeeeeceeess $ Af 32 Diagram of Lot or wants, By Amount Paid in Advance. .....0eeeeeeee ertinerntsiinsse! sesstninckug Designate all Graves in Lot with Numbers (1, 2, 8, 4, ete.), and y mark apeee for this Funeral with a cross (+). Balance. ... ce ccceeceseeeeeceee ssSosnssttdddens I aseable esignate pace for Monument — a oot square (9). in tee Speer. the right of Ong or the eegmmne 9 thoes Wisi’ . retered into Ledger, page........0r below. . I........ wi (art — LWA . a To Funeral Charges... Total,$ . __. 97. f r a.. Names of Pall Bearers.. .: sisi cme ccc doce veces cvsee vee's