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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
: Nes Visa Re ye one
* Lot or Grave No. wifes. 0.6.8.. Section Noite Cia, aaiats iets ;
(Total Number)
‘Name, of Deceased. Ss be
(Where Born)
oreee
.Wite—Widow . wistobety! fee a eee id'd'o'e 0's! Bie obo el aleietete’s dine yibe sledees
Son-Daughter of
‘Order. Given by. ie onilli Fels Fae es ayes s
How: Seorired 0:0 nye ode epiies Svslbsided dviaee sede’ gedeces
Residence .
Place of Death...
Funeral Services at::.
Time of Funeral Se
Clergyman .. i
Certifying Physician
His Residence \...
Number of Burial Gg isch aubiter
Cause of Death.. Cay ive ton tht
Date of Death.. ep.
Date: of Birth.. / tipee:
Occupation of the Deceased.
Single or Married. . <
Price of Casket or Coffin....cceeee ese e ce B
Burial Slippers and Hose,.....-.Engraving PAGE isis 5 ve Bas oo erasers 0 slenesers. Maite
Embalming Body (with... ‘speedos ELE Enid)
+ Washing and Dressing.....:.s0isseeeeeeeee
Shaving ....0+7 peasaueilg Spccered pp geld vovceidie ele
Keeping Body on Ice... lar ttevelate-« tw aieritte Baictolael
Metallic Lining ..... 06. eeeeaseee Ped
(Statekind) =~
“ Outside Box ....+.--0005 R siele's gales's
(State kind)
“ Grave Vault.. 4.. scence wd Bibaginid ops
(State kind) 4
“Burial Robe oi.. sci cee ee eeepe tee eee! a
Carriages to Cemetery.. vs
‘. Automobiles to Cemetéry. ‘ f 81D, BOT Seies dawitigrs
Date of Birth, ...., 0.5. aR ss Wagon Deliveries .... scene ees sg bicoraraievaiged Ree . a
; City Calls (Coaches). pgiaeetisiers gases adie ped visigisied
od = ecg Death Notices i IN eeecaneste%s Newspapers. Rt Sea re Bees.
1s birthplace ». ++ fA ALMG CL TAD Ro eee i i iececeee saenes ao le aN dehapeiives ese dine oe Uisigcal
Name of Mother Towers’. ‘nobad et actabberii f .
$3 POWER SRY. a chia s Leieyea's Sptenaiaben lend vee :
Her Birthplace . Outlay for Lot.... Sasarsthldos allpcale UBlee eaten Sade
Mother’s Maiden Name. a, Grave or Vault toni wise ecesaiaee le doge 0 2 wpie-0:9 [lacie
: ‘. Liming Grave.. (.6 0s cere sense eee ee cess eae eees
Body to be shipped to.. os Vaile Rastal co ssi cena viaels sews reseeare ee
Size and Style of Caskets or ‘Coffin, PE wo atecia ep atens sip olga s Shipping Charges, prepaid..... ae Xt Mico Shah
oe i Removal Charges. 2).. 5 sirieie0 td sicisowtpaee Say eseecgen E
Seb e ep eee een e teeter sent teeeecseteeeetaeereeeteneegos CrematitnCharge icone eatin
Manufactured by Soe resVitererterttersiggertttee eters Ms . PORPER: a:iisinns wo-esctin's vie tite Seine aieVqlegh-e an Gail ark
Interment at. . gene ‘Cemetery Watchers 30036205 cebigsd abt gies pS eS RA ROR
Personal, Services. ..46-44eeesseeege cng
Music 0.05 seeds ees
"at 8
Desi gran overs Lot with Sanabere Ay
‘space Stor this Funeral with a cross (+). »
oy sured other Mon ae sienna re ( was ¥ =f g
®0 Use space e right 0 pear ‘or the names o
in Lot. a eal satheds x Bac page. .
Disinfecting Rooms ... 9-3 $bits Aad asolatecaiaciatol’s ee
Use of Catafalque and: Drapery... diate bbale Sau Ss
“ Folding Chaits ......ceceeeeeeeees Sieve
“~ Candelabrum and Candles, 2.0.0.. 0000 0s eee fom
Gloves $....6..006 CRape BR aliieale'cadies talbte
Door .Crape $.....0085 Canopy $... dete, eaaidse
PSG. ST iby § cheer 5 x88 m duchies oeiblque duper # o'db.0% ,
7 ©
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