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Collection: Original Records > Death Records

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

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_ . (Total Number) Name of . Deceased. Wite—Widow Fans Sra (rearly oa EA Le, ihe Bi sri one errr rrcrr errr ae) (Wher, (What Race) How Secured Set 5s Date of ail 805 ie Residence ., Katdd Place of are ROBE A cr _ Funeral Services atn.e: = #3 Time of Funeral, Service. «7 1 Certifying Physician --+ Mh . His-Residence icant yTalege; ‘Number of Burial Chitibcatev acs ccs este ce Cause of Death css coaeeics Gasdy qiaciate pars dee mba we -* Date of Death.. .: ; cape, Ute eum Date of Birth... re cele) Ss Seen Occupation of the Deceased. . Single or Married. VUttl@.. Religion Z Malai Aged.. Z.4.Year ai: Monting ino gage Pays. Date of aidan 0 aoe * sew eee weer sees eee See ee ee eee eee sew eee sew eeseescenes ree eeeene elegy ‘Her Birthplace’.. * Mother’s: mpiten Name. . -Designa cee all Gra raves in Lot wit — Ste this Funeral with a cross (+) ignate place for Monument with a acalt Gus Soria Use anid agri the right of Diagram for the names of ae baie’ . . “. Music.. seid: she . Church Charges Price of Casket or Coli: 35 <4 bean vidse cay “ Metallic Lining «. 1.. -s.peeerrterees ¥ . ,(8tate kind) . # Outside Box -< (ieseceeeceescccae ees coe , e (State kind) ¥ Grave Vault ....05-:eseeeeee estes F (State kind) eo)“ Burlal Robe iii avecssces2cestebae eevee “ Burial Slippers and Hose. . Sa istoigieie incre wis > Embalming: Body (with, ...s:/200e2e0¢¢Fluid) Washing and Dressing. .+.e:yssrreerpere reese Shaving ..eeseeseeeee ese cnee cece te tee acne tees Keeping Body'on Ice.. ...sesececeo es Disinfecting Rooms.) . 42.25.04 oes e ee een ee ene Use of Catafalque and Drapery....-+seeeeee+ “Folding Chairs .....0:eeeeeeeeereceees Candelabrum.and Candles.:..65.: Gloves $...0.eeeeeee+ Crap? Bice cece eeeeeeee Door Cripe Sars we gncts CORQRE Bro ery eye VETOarse once scence nsiicne dng ogesine oeeltes Carriages 'to Cemetery.. .6:5+@ $.eeceeeee eee Automobiles. to Cemetery...@ $..eeeeeveees Wagon Deliveries ..-.0sseeesereesecseeceees City Calls (Coaches) Death Notices in. ..% sc dibcepieeiy ee lee b hace enles el beh be ew shy bees Vet Five wlee goin od (Names of Newspapers Flowers vives eee eee Outlay for Lat eae See eS Opening Grave or Vault...ssesereetacesse1es> foram ". Lining Grave gaadbcess eadveaeeccetee sie sgneniee Vault Rental oi.. 0. sce eee ete eee ee eee eee cee Shipging: Sarees Prepaid.. oi. oie cee siesta wale “ rete ee ee ohoig « e'eie's CEUSO RRR ae RaT seneessnenee ones Engraving Plate . 0.. c.ceeeeee eee cereeen ere ll +» Newspapers. oo. 6s ee +s I seheay eaerewener To Funeral Charges.,-.Total,$ . o27 13. ce penenanes tT abseetee: TY seeeeenene . ! erecpensen: sahinres Ghéqenysosage mreneevenen werteyegeeenn sores . vesmpemenen enees, . werer sienganiewe seeeesevens eaene vepeesene. seenen: seenenensey seeenes caenmmenens Names of Pall Bearers...... siete