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

No 0esSt Ge (Total ee ‘ i * Number) Noses. ‘Name of : Deceased: ; he te be Seeee (Yea: umber) a : erin (Ww Wite—Widow of S77 Tete ‘Bon-Daughter eee eee eee eee geececesevuudeveesseed Charge to ‘ud. (Where Born) “Sash ‘Address whe x,WAa. Price of Casket or Calas gossr taba $ i Metallic Lining ...00.seeeeee How Secured ..9.. Date of Funeral (State kind) Residence . br Outside Box . weer eens Place of Death..00 0.546. .0.6¢ “ Grave Vault ante ere Funeral Services at: } ce ‘weer oe Burial Robe . see Burial Slippers and Hose.arate Siadivese fi gpetd ae eeeees (Statekind) * e ene ween ences (State kind) “Tine of Funeral ae ~%. Civ ain Vices’ y Engraving Plate ... oe Clergyman . eb estamee ts Embalming Body (with....6. Fluid) Certifying gene PEoighds Ged see Mes MEET ce ei Washing and Dressing.:. . Pf Rive bgeie S Ee Ringeesshe His. Residence sijgie sis is vane ok SHWE So sicicitie a rsivien cee tee Pee eereeeeee Keeping Body on Ice.. teee ce cee sete eee ees ones ob bss ee Number of Burial Certificate. . 0.0.0.0. cc ceceesdeveeves Canse of: Deathns 5 0:sis sini os ac tegcy bd celcoe y e (Primary) . id Use of Catafalque and Drapery....0% [Secondary] Date of Deaths: 222555, 0.6: fae aale SS Date of: Birth. ..0.0.00e Disinfecting Rooms .. ee eak “ Folding Chairs ., “~~ eee eneeenne o* oe Candelabrum and Candles....005 Z eee Door Crape $ Canopy $2.2. 0%000 avec FIC r80 su)out, 04 eevediv a ves Sines Carriages to Cemetery. .@$. sage Occupation of the Deceased... * + apy Single or Married.... Religion..00.005 Aged... Years,... Months,.;..Days. . Automobiles to Cemetery. rae @ SPs es ee ‘ Date of Birth 3 oo4,.66 5 eae yee saa vale ee Eee ae Wagon Deliveries .. City Calls (Coaches).... be oo misters = Namie: of Pithet stat itatade~* Death Notices Sth asics 0 His Birthplace. .Leneen beste eter e teens ene te eee pe wenn ge! Terr eer rere rrr Name of Mois ( Names‘ot. Newspapers) ep Flowers .. a A ‘ Outlay for Lot... weeewww wnee ee eeee Opening Grave or Vault. SP eee ewe twee eat esee Her Birthplace 2.0. . cece ce secseceeeseecs Mother’s Maiden Name...cccceecevceeseececeues Body to be shipped to. 6.0. . cee Lining Grave .. ceceeccecsesceeceeweens Vault Rental ... Shipping: Charges, prepaid Remoyal Charges .. Cremation Charges .. Size and Style of Casket or Coffin...+.++40+4;fedaees SNEEE ME Sd ap Feed ee ee eee detente cee els ee elelbt getty woes ee \Manufactured by.) 60.065% “Interment. at yiss ; ein Cemetery, + » Lot or Grave Now. 00 0.44803 sy Section Nas eee wed eae POrters: cy siois’s « cere secs ete . eee ee hae Watchers: osc e eis 535% 2s eeeies ieee pals Personal aangshy tae’ Fee ew eer were Music. v5.6: Shecete rey ened ye 2» Church Charges ..4.%. whey bey ‘ . Het eee ee ee eee ea ee ee ees Total ‘Footing of Billy,BRE te eee ueveve seg ‘. By Amount Paidin Advaser eee Designate all peel a th Nanibers’2, “mark space Sar weFuneral with a cross (+). esignate place for Monument with a mall Use space to the right of Diagram for the names of t bes tunica » Palances.ee + males ' To Funeral Charges.. "Total, $ one By Cash F eiSlacaleeV ove gee Sais Me $ Enea

No 0esSt Ge (Total ee ‘ i * Number) Noses. ‘Name of : Deceased: ; he te be Seeee (Yea: umber) a : erin (Ww Wite—Widow of S77 Tete ‘Bon-Daughter eee eee eee eee geececesevuudeveesseed Charge to ‘ud. (Where Born) “Sash ‘Address whe x,WAa. Price of Casket or Calas gossr taba $ i Metallic Lining ......00.seeeeee How Secured ...9... Date of Funeral (State kind) Residence . br Outside Box .. weer eens Place of Death...00 0.546. .0.6¢ “ Grave Vault ante ere Funeral Services at: } ce ‘weer oe Burial Robe .. see Burial Slippers and Hose.arate Siadivese fi gpetd ae eeeees (Statekind) * e ene ween ences (State kind) “Tine of Funeral ae ~%. Civ ain Vices’ y Engraving Plate ..... oe Clergyman . eb estamee ts Embalming Body (with.......6.. Fluid) Certifying gene PEoighds Ged see Mes MEET ce ei Washing and Dressing..:. . Pf Rive bgeie S Ee Ringeesshe His. Residence sijgie sis is vane ok SHWE So sicicitie a rsivien cee tee Pee eereeeeee Keeping Body on Ice.... teee ce cee sete eee ees ones ob bss ee Number of Burial Certificate.. . 0.0.0.0.. cc ceceesdeveeves Canse of: Deathns 5 0:sis sini os ac tegcy bd celcoe y e (Primary) . id Use of Catafalque and Drapery........0% [Secondary] Date of Deaths: 222555, 0.6: fae aale SS Date of: Birth. ....0.0..00e Disinfecting Rooms ... ee eak “ Folding Chairs .., “~~

eee eneeenne o* oe Candelabrum and Candles.......005 Z eee Door Crape $ Canopy $2.2. 0%000 avec FIC r80 su)out, 04 eevediv a ves Sines Carriages to Cemetery.. .@$. sage Occupation of the Deceased..... * + apy Single or Married........ Religion....00.005 Aged...... Years,...... Months,.;....Days. . Automobiles to Cemetery. rae @ SPs es ee ‘ Date of Birth 3 oo4,.66 5 eae yee saa vale ee Eee ae Wagon Deliveries .... City Calls (Coaches)....... be oo misters = Namie: of Pithet stat itatade~* Death Notices Sth asics 0 His Birthplace. .Leneen beste eter e teens ene te eee pe wenn ge! Terr eer rere rrr Name of Mois ( Names‘ot. Newspapers) ep Flowers ... a A ‘ Outlay for Lot...... weeewww wnee ee eeee Opening Grave or Vault.. SP eee ewe twee eat esee Her Birthplace 2.0.. .. cece ce secseceeeseecs Mother’s Maiden Name......cccceecevceeseececeues Body to be shipped to.. 6.0.. . cee Lining Grave .... ceceeccecsesceeceeweens Vault Rental ...... Shipping: Charges, prepaid Remoyal Charges .... Cremation Charges .... Size and Style of Casket or Coffin.....+.++40+4;fedaees SNEEE ME Sd ap Feed ee ee eee detente cee els ee elelbt getty woes ee \Manufactured by..) 60..065% “Interment. at yiss ; ein Cemetery, + » Lot or Grave Now. 00 0.44803 sy Section Nas eee wed eae POrters: cy siois’s « cere secs ete . eee ee hae Watchers: osc e eis 535% 2s eeeies ieee pals Personal aangshy tae’ Fee ew eer were Music.. v5.6: Shecete rey ened ye 2» Church Charges ...4.%. whey bey ‘ . Het eee ee ee eee ea ee ee ees Total ‘Footing of Billy,BRE te eee ueveve seg ‘. By Amount Paidin Advaser eee Designate all peel a th Nanibers’2, “mark space Sar weFuneral with a cross (+). esignate place for Monument with a mall Use space to the right of Diagram for the names of t bes tunica » Palances.ee + males ' To Funeral Charges... "Total, $ one By Cash F eiSlacaleeV ove gee Sais Me $ Enea