Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1914 to 1919 - Book 13 & 14 (310 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 310

anti. st teh
ieee Ne are a
v0. OPE.
(Total iitdisberi
Naime: of :;Deceased. Cua.
“Wite—Widow
Hon-Daughter of
Order Given 4 Aettardellen Leese dunben ee
How: Secured
Date of, Funeral, pv 3140. “A eat
esidence Waa
P ce of Death. : ae fesapea eé Perot Loe
‘Funeral. Setvices. at.¢.. eae ah Polis Sues a i
Dacre ewe sores reese seewe assesses sseeseaeeeese
ee ee ee
(Yearly se Moar
LS eee ee ce he ec ee eee ees eee er eee s teove
Engravirig Plate io.. .c.e0beesesseeeeeeeeeees sou
Embalming Body i li . LY
Washing and poe peat fou 255 Sha toa e ets ek Seared eneean
Shaving .....66. oe swakbes bee ebe bee ae oi . menial . aaa!
Keeping Body on : Tee. gb ae teiss beledsieg dies bois
Be Disinfecting Rooms ....++0++++4> pet eeeeees pga) . eerareeecr
‘ _Caitse, of Deaths ese. Fd 8 Pe be oy aadearedd .. . Use of Catafalque and Drapery.. 02.026. sees sees [a
i : ary) peeeanenry) “" Folding Chaits ...5..0.2 000055 Pyp ded 2 oth feria
Date of Dan Opp SLL pei «. ? Candelabritn and Candles. .2.2.:00000005. Jo ‘Date of Birth er “cai . Gloved $iscs.68 a, cp eiOrape $5) Mas asbads ee
Occtipation of the DeceMsed Vil i es Crape $....e0005 Canopy $..:..00000~~ hesge
CATSE occ ccceceeeees o ubed dive » teceitis Sbapeye 4.6 eee
Sele “a ee Oe ‘, Religion = SRL te Carriages to Cemetery.... AO eee eee . poe paler pam cttan
. Aged.. Veatays 7 a. . Months,. . bbe .Days. . Automobiles to Cemetery..:.@ $..-§ Eherkte ‘eke es
“Date of Ph ee Na apts neck. weties Gaus dees pes Wagon Deliveries ...scnssesseeeestereesseees whl eed . in
City Calls (Coaches) .s..cesieeeeeeeeneeeeeeret caine . ection
preg ob Father Death Notices in. ...4.sNewspaper$. oc eee cee [freer mnnnene [amunenee
/His: Birthplace 7.. Cater QOMATAEE. os esevecccoee . iisie ieatetes dhe beceus, ces oe eeeeeeeucseseseasaacevenees sinsbnosina soso naa
Name of Mother...,5.54 yQeccceecyeeesencvcccione Flowers Si ccs hain ee oe a Ea aed
‘Her Birthplace . WD grow vcnsncagccbdscenececvsees Outlay for Lot.. ccc ccec ce cseeete cesses eeneeee agers Be
Mother’s Maiden Namel// Sat. Cotahens seed’ Opening Grave or Vault.....+++ Perera he i,
id’ 4h be ahiipped Lining Grave ...ceeeeeeeee cece cece eee e cree caes af
3 ody to be shipped to.. 6.. eee ete cence ee ter eee e eee enens Vavite Pentel c. « ciaiie'ss acieinseoo goad Chania os'eees BL an
Size and Style of Casket or Coffin.....-. biedbwieiore ..+. . Shipping Charges, prepaid... ejere: Se arocbvn: 8 GIG 8 enttodh nde
sche 0 dved'h Sofie eu cloned BkG odie 0 MWe Ed MLwae eR emia nee eee ede Removal Charges ..+seesereeseese sere cecee ses Hrseenman . ateneeane
Cremation Charges ....0eeeeeeccseeeeeeeeees sessacnaee ssee. snseceeee
peamtetcarpe Dy w VOT gglly phsianey etews « mae Porters ... eaimited pended whe tead wand naikiws “owl iesceen aceen
Interment at.. LM Lo. cece cece eee Cemetery. . Watchers .....eeeeeeeeeeee sainsive bdo diate sansa Wocssaelte) cxcticl
“Lot or Grave No.....+040Section No. ...s.508seee Personal Services ...+s+esesseer seers Laiiaatinsta tices
Music ....cecee cece ce ceeceeee ee caes bis eee cast
1, : nial learns “y Church Charges 22.2.. be eeeseeeeeeees Ss . een ity
3. Peters uintandd tadeti sbi sihowsbeiecechicits Peden a saa
4. whine 1 uber Milled. Luasdbadnetoas bxihules web idol cad — = abouts ethane
6.
Diagram of Lot or Vault.
mark apace for this Funeral with a cross (+
esignate plage for Monument with a small square (f}).
Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and
Date..
* “(what Race) eo Cwhere Bo! rca
eevee Charge to deve ccute cece ceesd cen eeeceeeuecense teem etes ne
Address ...ccceeeeseeceeenore warbase aes.
Price of Casket or Coffin. a eee
“Metallic Lining . Deasieige ¢ oweigie Cera . e
& (State kind)
“~~ Outside Box. sees0.+ 0-204 02: ids pieites
> Grave Vatllt oiyee seen sees srenetncete*
hens coe (gtate kind) ~~"
sscegeesacegeBers
Pic Burial Robe si..04+5
«'Y Burial Slippers and Hose.. .4s+02++++
Total Footing of Bill.......sighs ones
By Amount Paid in Advance. ...ecceeeeeeeees
. Balance...0ss004 fiw 6 siete ceesesees
in tio Sie the right of Diagram for the sate thas ose buried . Fotered into Ledger, page....:....0r below. ee eae
IE rat a
Yor-\/‘To Funeral Charges..-.Total,$ . A.J @. 2 Goc LGL. By Cashe.sseeserseceeeees $ . aA..
= . seseoneneg . ooenee tavecnsense: seen sseneneneces
stereceeesceevenacs . ccsncceums incees renensopenaseererieasenstueensentes emavenssoomesveatacs . ] suse enersensces oy
ed