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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

~ RECORD OF F
ae
Dad
ar
Rs oT accept
mae
(Yearly
“Govat Number)
Wite— Widow
‘Bon-Daughter of
Pererrr rrr rere r rere
er eee
veedeee Charge to ..2e ees.
ee oe* bedeswees
Spent nebo
y
ee beens
CC
ar
eens
iy
(Where Born) .
(What Race)
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ss
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tates
essesegeeee .
Address .cccccsceccccccnccccencsecasessccsee
i
Fxice uf Casket or Colla sisi canntes eden
nie
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Lib d see deat eet ede cee eees Sie De CHF eee FN EP
a
!
Fin balServices2%,
Contak
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* Burial Slippers and Hose.
cca teste eee e ees: all
Body cau santas acres nila}
,. Embalming
Washingand Dressing. .,--+++s:+¢srasteercees*
iiti¢ of Funeral Service ii sem Cilla: Shigtatileg Pate oe
Cettitying Phyaiclan :
Shaving LE, MICELLES aa hans bh alee cage che kegs
His Residence: epee . ©
Keeping Body’ on Tobie seis tees eeeene nets en ees
ets
Disitifecting Rooms .1.+...0-¥ssreenracrs
ss
be
y
Use of Catafalque and Drapet
“Folding Chairs’. 62.50 ohee s
te
a
Nitmber of Burial ‘Sekoapea® te. die epeesenepenggeeetees
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rimary)
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* Candelabrum and’ Candles.. <--.>¢
cs
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Crape
etet
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Ciolan
Door Crape $.:...-04 Catiopy:$: s+ Astns e285 ;
ERO € yay hee
Flearse ' Sealy
Catt, Carriages to Cemetery..Single or Married. Gili. Religion.
: @$ thins fate
Aphis 8G. Q. Years,:[email protected],.. «4%. .Days. Automobiles to Cemetery
Wagon
Deliveries
...
45
ret
swe epewseed ees
epiboeiasnest
LEE as
Occupation of the Deceased..
‘Date of Birth eee a lak eee ee cc cert eee
‘Name:
of Father.
AA77244
City Calls (Coaches). fet peessssessrureetdeses
+++++++ . p
pers. «+.
1 Newspa4Death Notices in. ..
net eee aeeiee Faeienee
‘His Birthplace bce k
“Name of RSP
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UT eT ee .
Flowers ...
ected cent tees ee ee
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for
Outlay
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Opening Grave or Vault....-eseeeeeese
Me
Her Birthplace’.
‘Mother’s Maiden Name. Alggeasah
e . Co
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Vault Rental’ . Pr
..--..sse0eseeeres
prepaid.
Charges,
Size and Style of Casket or Coit, 5 ois Ss goa Sie npn tans Shipping
Body to be shipped to.... Seerrr rere ree Pee eee
Removal Charges
ee
Cremation Charges ee
4,
rd
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e eRe estaseeweee
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Church Charges
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seres®
Cec decor ermcer eres esecerebsscogesegecso
6.5 4.0.0.0, 6.9,0
a blab bc ow Op 4.06 Ries 410 6.9.6 0.0.8 609, 00h 0,4.0 00:0
kl . Sh
Total Footing of Bibs Fibs
By Amount Paid inl ‘Advances iaenestecesrne sts?
Diagram of Lot or Vault.
4, ete.), and
Designate all Graves in Lot with fale (1, 2, 8,
fordthis Funeral with a cross (+).
mark5 eorker
lace for Monument with a small square (
ahh the right of Diagram for the:names 0.
ips Bpace
Sl
repre
in Lot.
rf
Entered into Léilget; PAGE. si.. 5.6.6.6 5 OF below.
otf
*
i:
ie
. 22. ‘To Funeral Charges....Total, $ ped Yor . \?
By Cash, .++-seseeseserseo$ Bee ie Ai..
Pty
ne UNE Rey
ey eee TF.) es