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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
oc jeer
18
Order Given by.
ei ee ee View Sy, ae
©, Lotor Grave Ni
mn ra PTo Funeral Charges. ,, .. Total, $
SF LIIN FY A
ONE es ~No. AY,
(Total Number) (Yearly,
Name of Deceased.. . aaa Cita Hla.
Wireerrow
@an-Daughter of } FE
How Secured ic 5: Qi cel sina sen 'ekg od 8b vie bec nicwedens ck
Date of Funeral.. rsa ap
Place of Death yy
Funeral Services at..4
Time of Fune Dene V/A (Lg
Clergyman adap Li LY, .
Certifying Physician: La +. EG. wesc eens
Number of Burial Certificate.....esccccceccdopoccves
. rs
eee ereeore
His Residence .
’ Cause of Dish ay Si ae pining wc eerie
iSsocndarsl
Date of Death. Ore
Date of ining 44 BE AMEL overs
Occupation of the Deceased...oc0vseeeccccneecececeues
Single or Married..77777... Religion, .777....45
Aged...... Years,.. wae Months,. . MAE, . -Days.
Her Birthplace . .<27 441 c
Mother’s Maiden Name: panne.
Body to be shipped to. ......00.
" Size and Style of Casket or dott dane Whe. Load
bb Bedh ditas Windia Sedat Si al ch Mah Did hah AR Had A Yoh he Ca ak Ra De
‘ Manufactured b Pa aTsle Adie t te eka a clegiiele atc ce embin beet
: Interment hie oa e's e Cemetery.
A ace 24. Section No meee
Ln
2
3
: Diagram of Lot or ‘Vault.
« Designate all Graves in A with Numbers (, g 8, 4, ey and
: ace for me Funeral with a cross (+),
esignate e for Monument with a small square (OQ)
joa Ube space og the iia of ania for the names of those buried
" : '
Date. LO se
laahtag(Where Born)
Price of Casket or Coffin.. esse reeer eee eee $F
Metallic Lining ».....seseere rere
(Stave kind) ‘
ij Outside Box ...... 6 weiole arateleents
(State kind)
ai Grave Vault .......-000 Sa oye" Sarete Me
(Stave kind)
“Burial Robe .....++ ee
Burial Slippers and Hose.....++.Engraving Plate .....c.ecceeeeceeeeseeees
Embalming Body (with..........Fluid)
Washing and Dressing. :.....seeeneeeeeees
Shaving 9.0 o.04ibs p09 see tise 104i.
Keeping Body on TO, eee e eee ee ee ttre aren eens
ee
sevewsesaneesenee: . eseceseesion
sneen stneeeeees . ceseessoner
arcnseecanenenee . exesensenes
Disinfecting Rooms .....seeeeeeeceneeneees
Use of Catafalque and Drapery......2000++f.
“ Folding Chairs ...
Gloves $......005pp ee ae
Door Crape $... ++eeees Canopy $. seme ee eee
THEAEBE: 5 24:09 Velivis o Saaealeice Sede 6 wees bumupieaies ee . 5
Carriages to Ganeteey 3: 2. .@ $. 4B.. di Fie
Automobiles to Cemetery...@ $..ssseeeeees
Wagon Deliveries .... ve, tiase's preston sreimst's a StEeee floss
City Calls (Coaches) t.2. oseteieseepiesieiisie dais 's'g
Death Notices in..... Newspapers. ... 2.04 . }
( Names ‘of Newspapers)
PIOWORE OE) TE Beis 0o's 5 cee scees ae gh caeebls oateh ooh
Outlay for 9 ee Ree. 2 .
Opening Grave or Vault...s+evssse0ssceeesees fh
Lining Grave .....
Vault Rental .....eeeeeeee Kie.giaigeeebra ba wip Mle
Shipping Charges, prepaid..... ecebsaleebege
ee sebene
Removal Charges .....0seeeeeeuee vy.atbiey Sigal
Cremation Charges s:. 001+ véis cede cetectibge diverge
Porters’ se eeeegereneececeus eases eceat ges cava gal
Watchers sdaee teehee dines nag egal ete
Fersonal seaites a peje SA Sha 8S peeapelt
Music. te tagenee ede e ete e ee geee eg
ee ee ee .
“ Candelabrum and Candles....... aie te
‘Names of Pall Bearers..... edcore opera & wane = 9 ate “ medion were