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Collection: Original Records > Death Records

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

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shelf ber). Name. of . Deceased. ce cea e eee eee rere nese area ne Wite—WidowBon-Daughter of <2 wet pial c hot See's deewb decceeeveee Charge tO cress eeeteeeceeees “Cwhat Race) ecceweeee eee eee ee Hee oe 5 6} beh 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 mary) -[Secondary) Date of Death.. ode add “Date of Birth...,<Gécer. eo Price’ of Casket or + Coffin. fans erervetesseen eee Metallic Lining « Slocaeeviguet demag eget (State kind) -“ Outside Box ..se-.0-scseaseeeeerest e * (State kind) ve ee Vault sicceceeescnesreyeetette (State kind) “ Burial Slippers and Hose.. -ee yess eee Engraving Plate ...++++e¢seeee* Embalming Body maggie mene Tea Washing and Dressing..+++se+essereererssstes Shaving ..eeeeeeeesereeses weeee ee 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 $. peeedh ea, vag or ese a ak ne Religion. AaCt ted pope) 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. Tee eee eee Pree 2 P oe eeweee Pe rr CE ahs coin tsidlotai cucie'G Ge OWES EES ote aneiee de Re N tye Re eth sees 26 #2 hi Manufactured by sv.. cseeseset teense cesses er erer eres » Interment at.. .'++: Lot or Grave Nosivs<.oees-es, Section Nos..) sss sees te all 1 Graves in Lot ¥ 2,3 face for Sir this Funeral with a cross Jeep aak ty Paha a lace for Monument with a small ; i os square “in Lot. race $, ete.),,and 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 .. were wee wer neee eee eee weno ee eew ell. i ad Sra ee ee ee . ta eere 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, $ seneeresem . seesne anertenens sewenes sngeine ayes . ccewepenens rH! iio oecties steteete Sis cabin. seessecens : steseenawee . meteeeees sapseies emaetien Cmenoee. senna $ Rien scasacens sncnasonsnirstonius meansanane spueeees nneaenanygnaeete goait . sunvynnene #aeete. napenens