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Collection: Original Records > Death Records

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

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“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. . “