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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

Lf Edina
Name of Deceased..
» > Wite—Widow
‘Boii-Daughter of
ee re
Order Given by. bys thesnawe cess Liseoa Soret
How. Secured. .
Date of Funeral :
Résidence Meee Gseters
lace\of Death AN.
\ etal Services, ati?
“Oseuipation of the Deceased.. . eee ower
"Single or, ‘Married.... sites Gig Sted
Aged.. Se Fi
§ ate. OL Birth 5.2 i ee ieee eee epee
ay a 'N AiMevoF: Fathers. 6655 Shwe Paks ea dee ee i
‘His, Birthplace ..... EN cie cits a Saiea seg lar
a pName of Mother...+.+. paints eee ree
s Maiden Nate. 2.0.. eee cess ga thee Sts
to be shipped Pec dibie ke 6 TIT. ec isiee
ttee's DOCG ae ce ceclers cee hag eases
or
Religion. ...:
disaikieiyyiawind dies 8S vee deecevecee CRAPge tO ieee ccna ede ceeds cee ce eee eee
ee oe a
tenet eee
one ee eter
fe eee we see
eee wes eeee
eee eeeene
eeeees seer
Diagram of Lot or Vault.
Bi Designate all Graves in Lot with Numbers (1, 2, 3,
mark space for this Funeral with a cross (+
Use space ht of Diagram for the names o
© in Lot.
4, etc.), and
» Designate — ev peg cee with a small square (
f P. buried
Address
i
_ (Where Born)
er eeeesesseeeser
eee eee ee ee eee ee ee) ewer eeeeeseesseees
. Disinfecting Rooms": ..3.23: 3220404
{Death Notices in...+: «Newspapers. .
PPortets oio0dawe bo ino cawanereks 6 obec s ecle ses ade
. . Watchers .... ib cee bab tes titadiecclss 40004 Ps
Price of Casket or Coffin. ssveseaeossererisse$
>: Metallic Lining .
“> Outside Box .ses..0see+rere Reon Ts
fee “(Beate pesieke~
Grave Vault asec cs eee eteee ernst
purl § Robe:
ee ee
: ed ey are eee
Use of Catafalque and Diageig el
>“ Folding Chairs sii cc cca ee beets eee eae)
“~ Candelabrum and Candles. :..:
Gloves $..6.5 000 .cd0008
Hearse ..... wd asauek
Carriages to Cemetery....
Automobiles to Cemetery..»
Wagon Deliveries 1.0.0.. ces b eee ees ceeeeeeeees
City Calls (Coaches).. ...e ec sees cece eens a
eee ee eebesoge bade eesiece
* Uvames of Newspapers) «
Flowers: 0.36.0 .5 000 5.00500,836 REE saigets owen
Outlay for Loti oc.. ccs eee be we eee eek eee ee
Opening Grave or Vault.... baeesedeeeeaedes
Shipping Charges, prepaid.... Gh bs Lhe
Cremation Charges ..... Gouda Seace f ba ba dene
Personal Services ..... ‘
Miisic ....5 Seah s de pethes teens Rarer bee
Church Charges ... 0. .cc edie eee eee ee rary:
ee ee ee eee eeonas eee ee ee
Total Footing of Bill.
By Amount Paid in Advance...6.0.eeeeeeeee
Balance: . oid Seas Coxe sees datsied be dis
Entered into Ledger, page......
Vault "Rental icc ies bes cee Uses eo re
Removal Charges ... ages. Cedibewe ns de sees howell.
RBC 8 coe bo seceesee§ bs
..or below. . }..
To Funeral Charges.. .. Total, $ By Cash visi. odie ecetes re
eeneesee
PLATT