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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

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Name. of . Deceased.
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Address’..
How Secured we tin rreg tel chalga warns veaeee wees weeydes +s
Date of Funeral.. ade c
~ Residence.. oe a A Pere ee ed
Place of Deaths.. sseeeseg ass eccerteesensecetencerss
> Funeral . Services ats. a. Ly ySR
Time of Funeral ‘Service. ..s.eececesereeeeteegateeeers
Certifying Physician MC». SAVANE si vevivsete vein:
His Residence .. Ponies
; Nuimber of Burial Certificate. ..:+;-+r:+¢:+sepeurttarstee
“ Cause ‘of Death. «2.4 nig va sivee «Sapa trees Will rites es
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Date of Death.. ode add
“Date of Birth...,<Gécer.
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Price’ of Casket or + Coffin. fans erervetesseen eee
Metallic Lining « Slocaeeviguet demag eget
(State kind) -“ Outside Box ..se-.0-scseaseeeeerest
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ve ee Vault sicceceeescnesreyeetette
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Burial Slippers and Hose.. -ee yess eee
Engraving Plate ...++++e¢seeee*
Embalming Body maggie mene Tea
Washing and Dressing..+++se+essereererssstes
Shaving ..eeeeeeeesereeses
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Keeping Body on Ice,.seeeee
Disinfecting Rooms ..,++.-++sseteeesseresstt
Tee Conan tat eis bbuse'sip tata: ehioreerceie (fede’
“ Folding'Chairs ...-.+seeessheeeeereeees
“ Candelabrum and Caridles...2+-+++:
Gloves $..ceececeecees Craps Sreeerercice cece sll
. Door Crape $...-++.++++ Canopy $.
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Aged.. AZ.. Yearg,..0.foies Month.. Daye
Date of Birth huey ey. ei ise Heap enyyeced tye tree tee:
‘Name: of Father.
: His Birthplace ..4 ¢
Name, jof Mother.. «3
_. “Her Birthplace’..
Mother’s Maiden Name
Body to be shipped to... 4.
~ Size ‘and Style of Casket or Coffin. ...sse+eeseeertereeees
Occupation of the Deceased.
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» Interment at.. .'++:
Lot or Grave Nosivs<.oees-es, Section Nos..) sss sees
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face for Sir this Funeral with a cross Jeep aak
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the pe. of apa: for the names of t
ose buried . 5
LHearse
Carriages to Cemetery....-@ Sos cpeeet
Automobiles to Cemetepfrm3. .@ $.6,7--++
Wagon Deliveries .
City Calls (Coaches) Seats
Death Notices in..:.+.+ 2 Newspapers:
(ames ‘ot Tied cay
Peerere rere ree
Flowers \.30'
Outlay for Lot...00++++
Opening Grave or Vault...
Lining Grave ..
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Sra ee ee ee . ta
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Vault Rental .. cee ee eeeeee eens
Shipping. Charges, prepaid..:.%,
Removal Charges ...:++++:++++ 09.0 SaCMER sgesee Wists
Cremation Charges ...-+s+ereeee
Porters: <ifssil a ece pieeuseine spines
Wafchers: cateas cant asters #28
. Sas emeden e FM
eae ee ee eee Seneca teeta ese tees gets
Total Footing of Bill. an oe
To Funeral Charges.. “+. Total, $
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sewenes sngeine ayes . ccewepenens rH!
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Cmenoee. senna $ Rien
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