Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1914 to 1919 - Book 13 & 14 (310 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 310

Ree Mle L.
(Total Number)
Naine of, Deceased; Stee ene
Wife—Widow
n-Daughter of
S Orer Given by. wr 51 ;
How 'Secuted f
, Date eiFuseral, ae
reese ee ee eenee
biaede ec gpere
Biase! of the Dectasell;.5s31 oT i Ary saeere wee heey
“Single or “Married.. EY Six oe eee
ds. eked Si Vearsy cee vaac. sais Months,...,..Days.
F Date of Birth. EaUBas 11d seks setae cies kok Bad's
Natne. of Father..0.065 Pei sacpitioaipis, Rhea cas ‘iodsd buiwisis
~ His Birthplace pies CR ei wisgecacys
“Name of Mother. ...4.. bod Ca ee deis gee Mekege mee eocie os
Her Birthplace ......+-5+4. barked iad}
“Mother's Maiden Name.. .:.2.5.0: :
seme meee eaeeeeee
a ‘Manufactured by
; . Interment at... 2 Lith. Fe
Diagram of Lot or Vault.
Designate all Graves in Lot with Numbers (1, 2, 8, 4, ete.), and
meek space for this Funeral with a cross (+).
Desi esignate place for opr y oe with a small square Bi
Use space to the right of Diagram for the names of 08e buried
in Lot.
+». . Embalming Body Rhee
-. Washing and. Dressing: :
. . Watchers ... Weel Eas
ee es
(What Re e
cesses Charge to ey Ag Ale
Address bakes 3
eee eee
sence Pewee wee ee ee ete eee eee eeeae
(Where Born)
be eeerraee cere
Price of Casket or Coffin.
(State kind).
Outside Box . Jeo. ae
o. Grave Vault ..6.+.-.+--+as gad ss egh os
BE. tk (Btate kind) :
“so Burial Robe’.. 2422.4. Sx sae Mba eee
«" Burial Slippers and Hose. .sss.0.+s08+5
Engraving Plate ... se heed. bosses sess te osies es
Shaving.. cee e eee emg ed ta
Keeping Body on Ice..5..-2:%
Disinfecting Rooms ..200 2.000005
Use of Catafalque and. Drapery..
‘“Folditig Chaits .. 2.. .6044
' Candelabrum .and Candles.. :
hind. beh as Peed oes bo Crape $A dieees FES
Door Crape $.....4. Canopy $. . BONNY bed ad
Hearse oi cii.esece bo the dte,e a0 Sle oe 8 000 GER asia Sate
Carriages to Cemetery.... .@$. aren ee Faaehe et
Automobiles to Cemetery...@ $.
Death Notices in...
Bee Oe eee w eee ee ee eases Bee Fe Seesene nese Rn eee eee Dee ee wees
(Names ‘of Newspapers)
Flowers .... PSS 3 pe tor yr ne
Outlay for Lot.....005 § SCE Ee eek
Opening Grave or “Vault.. aa keds
Lining Grave ....5.0.060 iseets
ee ed
Shipping Charges, prepaid..isi.se cee ee ee eee
Removal Charges ... setae eae hcaitic, ake Gemeinde
Cremation Charges baeeats EP ee oss ces cuted best s
Porters .... bas Bode edie e Sates cee ashe eeye ees
Maisie 52.00.28 eet Ss eaeis aes > Wee oad Gethin
Church Charges Ries Edlsipecncnba anes beduw
By Amount Paid in Advance...
Balance. . ey .
Entered into Ledger, page........
Tee CAR RN: .
“Metallic Lining .}.....-. Giceseed dh
..Newspapers.... cee
Vault Rental ...5..0..088 eeree ete are ey ry
odes senscebonsWagon Deliveries .... Rc shake: Si RR
City Calls (Coaches) ..6i.sesseee seus Pee ah tite ae Ne
sseeecnsneee,
seetvenenes es senesoeennes
evecvonecerseses . .secnccescos
seeres sencenenaes . seesesencoe
i 4 E #3, To Funeral Charges. .. -Totht, $
seeee
5 ee mais
steceeeece seeeeeees ovens seneenoeee, has
n
oo aessience stoemvees . ssoscssccer os
U