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

“RECORD.OFF
no./.10./ “a ; eines
No
BY
Ay a:rose a
(Total Number)
(Yearly/N
Name: of Deceased:. .%
cate
,
;
Wife—Widow
“Son-Daughter of
er
ee
ee
ee ee eC
ee
ee ere ey eeeeee
Pee were meee ede reresenerees
Order: Given by
Tee
ee ee
ee
Price of Casket or Coffin. .
ee ee
Metallic Lining. BES oie e aces 03 SRG
ite
rimeof FuneralSerie..ges OYal Mtnepri ga
Ceittyng Physician hia.g
bee sgeease, Ris)
Engraving Plate SEO
eiwks
Enibalming Body (with.
22.02 st.ceceeees Fluid)
Washing Sc Diiicg A icite eos ase
Shaving ....2..5 seeedees adders B0:8 8 8.ae eeieeeeee
winberof Patil. Certificate. eevee
se ween eee
Disinfecting Rooms’ .:.2.2 2%
Use of Catafalque and Deibaiyes
“-« Folding Chairs ...¢..0.. %
Date
of Death..
Date
of Birth...4
eee
eee eee ee
ee ee
Carriages to Cemetery.....
eaeeee
waz. Years, ee. T77Months,.....
Automobiles to Cemetery.i..@ $
Wagon Deliveries .....05
City Calls (Coaches). icici ccscc cece een eeettees
Death Notices in sees . +++» Newspapers Ce
His. Birthplace
“4..
Boece e
oe .
oe wee e ewer sd seee sear eessaees
(Names ef Newspapers)
“Name of Mother....
Her Birthplace ee. St
~Mother’s Maiden Name.
Bee
FIGWOES iss's cibieeid Pew Pee E Recied b ba dieey o otal Shes Pest Peso
os
Otitlay for Loti
A
oe Body to be shipped to......Qo cece ccseteeweeeeeees
< sisecisssasiecdeejesitecnadios
s seis saline soit
Opening Grave or Vault... iad ak pbs seapeaie 8-58 mee f
Lining Grave ... Death
bles swihver't bdidwren sihtediene 4
Vatilt: Rental isc8 bosses cstides sisted ewden abd fee
Shipping Charges, prepaid......
cc ces eeees nk Ome
Removal Charges: ..iccpecesshaneg
gs et eaiger ens conse
ee
ee ee
eee ee
ee
ee ee ee ee
ey
}Cremation Charges .....scbccceceecenccccees Zesetaien
Manufactured by
eS
ny aan Porters. o.06 Soa gis Fase Ca adie 6 basis oars aise seeioes faces
Interment at (Arey). £4Lh cach A GEPPETT TE Cemetery. . Watchers .... aialbieuree Secdascsascce
ea estas,
* > Size and Style of Casket or Coffin ee
ey
Lot or Grave No.......05 Section No.....5.005
Personal Services .. 000s ls eee segeceeeeneee
seers fl
Miliste: sc « ssesidss saieseiws ie
«donde £2 warden wo those
og aS
Church Charges Cee meee eee eee aeerereseesesees
Total Footing of Bill. ee eeersene
“
af
piagram of Lot or Vault.
By Amount Paid in Advance. ....ccecec
enone
Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and
mark space for this Funeral with a cross (+
Desi
signate place for Lagperg coed with a small square (2).
Use space the right of Diagram for the names of ose buried
To Funeral Charges
AB. (Ad..
Balance.. .4.4«
Entered into Ledger, page. .
“