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Collection: Original Records > Death Records

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

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“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 Fags be Sy enBoe ee fa 4 bistgiae be 2 ; = r. 3, 3 4: us eS: SR) 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¥ . N ow fOoTeW Doe