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Collection: Original Records > Death Records

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

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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