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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 FUNERAL.
ty
No: 2G.
“(Total Number)
ae of:remy
3
»
* Date.’Me
(What Race)
Easee-obe .. Charge
to ... PbS
” (Where Born?
ished Svekotaie
wh Goin: en ETSY ere PC ye
Address io vegi che ccesecteesecbeece Mewes
6.0 00S pene ceo +8
Price of. Casket oror es Were Pree ee $ Led)\
« ~ "“Metalli ining Be sts eins-s oaeeeseebias
mean
(Stave kind)
eee
Wy,
Hs 4 Otitale,
Bost: 1 ost). as5. etary pre 44.0 Lom
“a ie Grave Vault ne
a iccas
ak
ne ge . . semen nate . atesnentng .
“4; Burial Robe i227.. 00.54 Bedstead Beth
“Burial Slippers and Hose. -See! peal bee a
Time of Funeral Service..:..mien ceieneteneen ;
“. Engraving Plate..
csc
0c ccce
pn BAR
ctecceeseeeeeeees poms
Embalming Body fide Mabe ey aeiemnaal pubd. LY, z
.
ots} Washing ihn’ teat SAK ANI Weaai
Jans oud bes Dane
Shaving iy ea a5 eee an a car Sa pcace . Lee
+ :.
aie‘of Death..SU SeU oe hae
Disinfecting Rooms *...0.
Bey
fic
002. .ese. ee eere pica
: Use of Catafalque and Drapery: o-00.she
de tees Nt pet
Folding Chaits"...2. LST
boas hed i o5.8
Opa,G te
“~ Candelabrum and Candles.. 0.005.005 tie oes
;
:
BEthi JIMA
E ice. : Gloves $.
eeeteee
*Occtipation of the Deceased. .feabtricas
Crape
ee
$.0esseebgs
é
aya Daiileiatior Tricticag
hth= Caer ee oop
ingle of Married
Carriages to Cemetery....
D. Sie Aia
ates Months,
Automobiles to Cemetery...
Wagon Deliveries .. bere eee emewreeseseesssseee .
wo eee senses eeee eoeree
City Calls (Coaches)..
Death Notices in eseeonee Newopapers.Se reneres .
rn as ee (Names of Newspapers) paar
eadel
DESTEC
Flowers .3..0 200050505 Eb ces noite seee’s pean eit
ly Mcene
Outlay for Lot.)...5 Rb cok F divs emus wha dee Sieg Pada anc}
Opening Grave or Vault...... wees eeanedes
} Lining Grave ii. ccc ccc ieee ecco ewes wees seks
"
Tault Rental .... cece eee e ees ee ween eeeceee Se arbeget Caaece
Shipping Charges, prepaid......s0eeb
seen ete
eS
Removal Charges ...: ihe SalElials
beale ages’ Pe
Cremation Charges .....ccecsccecseeeeeeees kupess oo eS
Porters “iste see
ccs op PERRO
Lc es obateeciods Font
laches
~ . Watchers .:... EP UEN Peed ge LECT erE eres ery
.
Misie 's.33 o saces
eee
ied oe re Waste pieces
Church Charges ..4..
rr
ee Ory See
Total Footing of Bill....6.0.62Sve eaners sé $ Usd. JO
. Diagram
of Lot or Vault.
By Amount Paid in tiple
Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and
ks i ew
Sorthis Funeral with a cross (+).
a pce ine Mower vit a ge apes (9).
wee aC
spa
Z
the right
af: Diagram forthe
aH coe Pores,
‘
vit
Balance.
..i.35 SSpoer Seah
RS dae
namesof those buried Entered into notes: page..
sipiuniectoys [ics
;
or below jana
aici
4f-. To Funeral Charges.. Total, § ANG. tity we) By Cashiicinicitesceegeccc@ Wee cede,
ee
ERS ba
bal
cicaul
ae
aise
ant
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