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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
CT fe ee oe
* Wite—Wiaow
jE Ge 4. fo. “y (Yearly Number!
Name of Deceased. onl. di.
hee See e wee ewe wee eee een tees ee ee ee
(What Race) (Where Born)
ou Daughter of es ACT soesetensstcteyeteeneannestens Charge. to ..5.5. stb eeeeeeser stew ee ee ewe ene nena’
Jr lef Given BF aha vai essicstane vei tp j Sa ganaie
ee ee ee a . ee) ich picks totic toa Net Bh
ae a fe ve "*tiaeonaaey), Sai
Payee SRY ay 64 ate of Birth.
C % “ apation ‘of the dtl ES BTS Ses aT speed sal g gaat teeteeee wre)
le PEE EP a ETE! PERT ee. CRE OS ei J
Single © me Married of Religion fod Ail to Céenetiry ae --@ $6.4 oa esinwiee tt os @
A ged.. sestee Vears,..s..4, Months,.....Days.
Date of. ‘Birth. Boas sabe gs Bee tak eho cs bs fad bab obit Sooke case
ame. ‘of Father...:.
His: ‘Birthplace Wetrendeed se eeseccseeetevenesagpanene ones
Name Of Mother oss cs sss eee ;
“Her Birthplace bat einwe eke i's
Mote’ Maiden Name.. 2.02.6. ccc ee leee
+ Body to be shipped TOL cece eee been ee ce seee eens Seeeses
‘Size and Style bE Casket or Coffin. .0:: ci 868056. oed othe
Seb ieee SES Sete 0 ge Ce eee AERA ANS
ae Manufactured bY seeinswadacshaaeees teers
Address .... ef6 a Shieh so bi baie ag i0: eid Jardin aucera seine hes
wi highly Plate i..
. Embalming Body's wii eee a
; Washing ghd Dressings. ssereesesteseeser od a See
. Cremation Charges .... bh ciate Ligvdais obedeee
Price ‘nf Casket “or Collinge cactus sire FQ
_. Metallic. Lining ‘ SRERORET d :
ne ae Outside Box . 0 epee ‘3
Shaving 3.002.004
Keeping Body on Tee,
Disinfecting Rooms.. 200.25
Use of Catafalque and Drapesy
a: Folding Chairs.. 2.00.
“Candelabrum and Candles’:
Door Crape'$..... Gk
Automobiles to Cemetery. BERI®@ Sess sida iica
Wagon Deliveries oo 6 cidcs ise isbeiads dodiees fc al
City Calls (Coaches ie ol. ines sd, eee bes os Aled
Death Notices in. ..... .Newspapers. 0.66466 5 [fos neuenee
POE RRO MORO eee Oe ewes s Cees ee wee meee ee en ees e Hae HOOF Ow ee . ] MHannenemensen
(Names ef Newspapers)
‘Flowers ..... Sas CESSES bea hak wag since sina
Outlay, for” Loti sco. Pec ae
Opening Grave or Vault.. 0.05.. c cece e cece eet iata):
Lining Grave ......054. STE sha wb Weabed dee 4.
Vault Rental .... jevesBam bee bs eawa Shae tae
Shipping Charges, prepaid. ....05.0ccecee 00d
Removal Charges ...0..6.005 ébatih ess Tighe wht
3 ay AP abdicate Porters. ... Spal bages Swhc swage eee pains ios aad es ascect,
"Interment ateviis pedeee a Gaces due “9.Q.U. See Cemetery. Watchers .... Uuesied 1 eieeedbbadeeluare laws sci
Lot or Grave NO. 2.. 5.5.2.14. Section Noss iia s.cc, via . Persottal Services: 2. isis seen gWssneeed tietedlesose . cucsd
Anas ais *. Music ... woke ear fees
me Diagram of Lot or Vault.
Designate all Graves in Lot with Numbers (1, 2, 8, 4, ete.), and
space for yao Funeral with a cross (+).
es te place for riper a with a small square s
uae amass the righ it of Diagram for the names of {P. buried
AL +
ee ar a ie eed
Church Charges
Total Footing of eee
By Amount Paid in Advance......
38. To Funeral Charges.. . Total, $. 2SF. Lay 2. By Cashios.iicdiced: iAgvig 59
. a aed teres omy 4 bie tod