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Collection: Original Records > Death Records

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

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re . ah Mid. fh de Order Given whheofe sen Cause’ of Dethesessoeincsecteay tavernas nana ee nity Go stoped ws vsnice ; Size and Style of Casket or Coffin. ...0essereeeerdeees eed Noe 3 ee eweee (Total Number)Name, of. Deceased. eee ae i nn Dale. ye jae (What Race) ”D bie ceuieveciees cece: CHarge tO ccc ceeee eres cee gee ese ceaceeene ee eles Address ..cec cece cee c eres cee ceteeesenesetans a ~ How Secured i fiscee cba tees gece Le ose Sa ee see nies vies naga of a * Place of Death.. Ce fic a oa Funeral Services at...0.sccccecceencccvsceceebeeeeeees Time of Funeral Service.. seseesreeseessetseeneeenseeees Certifying Physician BSA ba eles cee Bele Mp wallld Sage de eebees His Residence aa Number of Burial Certificate. ..seecesyseeetceserer ere: ndary) Date of Birth.3: is ig On Py alas Occupation of the Deceased. me Oba eyesees Single or Married. 0-Za«, . Religion &: A Aged.. 4. Years,...%.4 Sibling G-Tioys. Date of Bitthisisivapulaky 6. rriprguenembadntarteess Name of Father, 709 no eee ae His Birthplace .,.,-++.-<4 Aer vsrsesiierorivn _ acne SS aie Nasi Her Birthplace ..+ +: -Mother’s Maiden NameC@¢zeer,4 Ve orale bod grees ee ee ee yt an ees sagt ens detag ist ears eetisek br atgss yest eh “Manufactured by ,,.6¢.2 605 on an ieee “Interment, at. Law bps Price of Casket or Coffins sissies eee aes F “ Metallic Lining . jes cseisseeseedeces (State kiad) ? Outside Box «0.05.. sees ee vere een res (State Kind) © “Grave Vault ...,..+:: ‘(State kind) Burial Robe. 2.. eee eee ee ne sence eeees " Burial Slippers and Hose....---+++Engraving Plate ..... Embalming Body (with. . er rekentiuia) Washing and Peeing srerectesin eV TH . Shaving .sesescesrsreerpeesseerresm Disinfecting’ Rooms ....6.esteeee cree et eee: Use of Catstalque ald Drapery teats cvceeet «+ Candelabrum anid Candlei eis coe rege Slaps Gloves $....eeeeeeee Crape $iveeeseeeceners Door Crape $.....4+ Canopy $.i.see.eee eee Hearse .. cece eee e cee eres pence Carriages to Cemetery.. a2. @ g$h2% Automobiles to Cemetery. ...@ $.-0.0ss eres Wagon Deliveries .....:eeeeeeeeeeer er eeens City Calls (Coaches).. ..ssseeeeeceereeeeeees Death Notices in...4..Newspapers.+,--++Toe eee gs nee eee ee meee eeeneee sree cee eee ) (Names of New papers) . PUOWEPS 225 ollie os ele cce ce cea gee oe Sea bNR SI Nae Outlay ta ead Opening a Laka asec aD Lining Grave.. ssos4 + padesetesie-dnere'ye's tren yte Vault Retital:.csesevecedeadecscedgumceewennte Shipping. Charges, prepaid..../.5.Removal Charges ...++eeeeesesaes Cremation Charges ..+++sereereere Porters ebesneee sateen e leans anyones . . Watchers Sei sa et a te all ane in Lot with Numbers acs forthe Fanceet with a cross (+). soaps ft for Monument with a sm: square (. the rig! ht of Dineen Soy thd nemenes.* To Funeral Charges: pppoe meted Rare Names ‘of Pall Bearers..) diss o00 oc ooo ee ee be ols er a re eee ee ee ee a