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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

“NorS24.
Coury epeae
ctr
Gis at's
_
ieee Not.
of:
(Total Number)
Be
‘
Name of Deceased.
‘.
P.
Bae.
ve eeecdicncedss
ates
;
Wite—Wid
Hon"bengnter
a ie
“Dates
Number!
4
(What Race)
a0 i
ieepost
BORE
ire
_._. Address Es tea ogde vise Denaeews Ra tor
\
get ‘Onke Given by.ed
23Ferlandhates Pe pediedte
How Sactived i030 5W0
. gay aos
peg
tues¢
+ Charge ‘to: .
ors pisos Rae ce divededs
See's ea Price of pre omnes
Sees as eee d gesie eet ee
Date of Funeral..
ale 5 FE ie a8 i
2
,
ss
ae
ee
Outside Box ,...
re
rata
(Btate kind)
aa:
sf
Grave Vault ...0.. scene cee oe Leite ot RSS Lee
(State kind)
:
“Burial
Robe icc. .c. eee
eseb Vere dektee's
Burial Slippers and Hose.....+++Frteinlce . acts
“
#
ofits
cere eecees
Engraving Plate ......seeueeee
4
Clergyman tesa
:
23 ..s. . Washing and Dressing: ...2666seseiseeeeeee “ss Tf ates . caf
ee ees iced
Certifying Physician 2.3.06. c.seccessee
re
“a
.
oho Shaving .-++++-+:ssssereees Capngetaeetirase ees Satae
diegieys Bae Pho ses ticles cate dh feeds
go wehce
His Resid
t
Keeping Body on Ice gidiwis's cies biel age Zang eueeread apes
.
on :
é
Number of Burial Certificate.. 12.. Sisl's.6 setgeeeeeseess . Disinfecting Rooms ...éseeeceeeeeeeeeeesees
.
)
Sereeeeeereees
Drapery...
Use of Catafalque and
i
Embalming Body (with.... Gadsees ees es Fiuid) [eat] Soong
© CHa lo rea
“ Folding Chairs .....+.. Palate Ge.'te
s
“ Candelabrum and Candles.....+5.025+
—
e ole os see
Gloves $....-.0008 s Crap) $id,
we
Door Crape $.3 0.065.400 Canopy $..-..4.085
AT OALSE oak ack ne gals hanced genssaan eotge'e ot gtte If
:
.
e
Single
or Married........
Religion
Maat) Carriages id. Catheters.rs @ $. )
Aged. oh Ls Vears,.... .. Months,,..... Days. . Automobiles to Cemetery... @ Sorcecccnceees
Dito: OF MI 0 cdiis diac scene sone cornndnwplnGtp
ed beveey
eet Wagon Deliveries
Name of Fathers: ..,..s.eeeeseeeees teeteegeeneeess
His Birthplace 0.260
Shed
an
ae
ce eeeeeee creer
City Calls (Coaches)......e
(oe
Death Notices for cock
te" Nawilapetiers seed ie
sccesee eevee ceecceseegesterereeeet
. us adenssceaeesenees bee na geecasscceenenneneneusegers
Name of Mother...... ga pith Peievenindinm
c'eic Ata’ stk scopes
Flowers. iad Apres!th Re Ppa
Her Birthplace:
sscivessee ses odes eevee cece ewan daging
viel dS «. Outlay for Lot. cere eee ieee eee cee ene eeiel
Mother’s Maiden Name.......000eseeeeceseeeeeees Opening Grave or Vault..-.,.-.++++++ ried at) bea
:
Lining Grave aiewredare ¢ aotele sees genpneena’e’s seeeeeet
eb bos aint eles weds gialtive conte tt coees . Vault Rental ...cecccces Cel emiceecieme
arts)
:
Body to be stipory CONE Ga ee sie
Size and Style of Casket or Coffin.. 2.000..
cee e eee eees Shipping ‘Charges, prepaid.. 2.....00. 000005
re ret 480
bs ai aip eGingis Semey SURE Pb elem ease ue yas Seen ae Removal Charges .... ‘epee egenebes coe
_ Interment at..
Ltbaraa Cemetery Watchers: hack
tii
thasSs
“Let or Grave No?:
—
‘i
yan
loci
Cremation Charges 32.. 00skeeneskes oo urs oseeell grape
"#1
hees
lig dio: Wain die gee oie bed Porters ..seeeseceeeeeeeeees tay
yaa
Misiitacesrb by
asic}
4
MeiNov.--+ evivyie. . Personal Services. .. +.
BST EE
Ae
aoe eee
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fa
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bistgiae
be
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us
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ste
ance
ehHala
ith
Cae
nae
se
LEE
weseey
7
SY
eee
; Diagram of Tovor Vani
aware
a
.
eee
ace
0
re
8
eo,
alee
ee er
Y.
Lad
ee
2 lates
:
.
Designate all Graves
Gr
in Lot with Hointere (1, 2, 8, 4, ieae, and
" mark space for = Funeral with a cross (+).
esignate ot for Monument with a small square
(fJ)..;
Agr space to the right of Diagramfor the names of those buried
*
ee
.
. Total Footing:
of Bill:
Vs
Rae
tet
Music .....65% ieee
Cah Say = ats
is
2
[dustin
Ae
2.2054
By Amount Paid in Advance, . aaa
tie
Ra
:
Peery,
he
aod
Balance:..3.
;
i
7
2¢ To Funeral Charges::.:-.Total, $
3¥
.
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ow
fOoTeW
Doe