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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
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RECORD OF FUNERAL.
Date... DG cccoer Wel
ee ee ee eee eee ee ee eee ee er ee ee)
fost! Seeured wives gepewe casadlnen tie ce mange
te ef tebees
en Sat eos! oo eee
eee tenes st Peceetvesesesios
ct rae ws.. Months,.....Days.
» Date Ot: Birth. 6 sci es wea ss. sadinds
Name ‘of Father..... be do Siieseiigidi ss Meee eb e Gne ea
“His Birthplace Uke ehs Oh cohalese ds owe eee Meccbames cease
ame of Mothee: ectbcssto apenas yee es ee
* Her Bisteplace Wud dae ds Sagdenas vow dene ¢ aes oieeah uwhaee s
Mothier’s! Maiden Maines site! cick bi suageuilatatacad
Body to be shipped to.. Poets ky ha Sdtin ceteel
Size and Style of Casket or Collins eseebid EE awe cnees
<
jagram of Lot or Vault.
i ~ Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and
marke apes for this Funeral with a cross (+).
: signate place for Monument with a small square {().
24 Use space to the right of Diagram for the names oft
’
(What Race) (Where Born;
cage oe aS i Charge 0) Go eid Ss sis Asin ste adeeb oeabigace sedge seins peee
Address .....200000ainet bintdy ome beewe be diea wae See
ols iigtiving Plates 2 ae
+i. Embalming: Body (with?
Hi Use of Catafalque and Drapery: 2.3!
Price ¢ of Casket: or Coin sseeesseninseee mo
¥ Metallic Lining :« Oia 72070987"
ie Sa _Oatside Box, again sce We 4
ih #3 * kina “ a PENS eres ay Bias
~ Burial Slippers and. ‘Hose, .
me,
Satees
Po er
Washing and. papnig nde
Shaving’. oe 055 bo oge
Keeping Body’ of leaes
Disinfecting Rooms’. 32.0).. af.
MO) Folding Chairs ..0) 0.0.5 504
“~ Candelabrum and Candles..
Gloves $. 00.00.00 .3.000 Crape $25 2c. Sac aed.
Door Crape $.....5. Canopy $:..0.++445f
PRCATSe 6s :iihsie beds Ged eced sabedweds Paste Be<
Carriages to Cemetery.. .40.-@ $. eee cee ce ee ee [feces mtccene
Automobiles to Cemetery. ..6@ $. eu ee eee see oe ll ncnicasecpent
Wagon Deliveries io.. . bec ceee a beck oe od oe 6a o [lets on al
City Calls (Coaches) icc. cece cece cee ek ee [[eemecenensente
Death Notices in. .....Newspapers, 0.. 6.55 [fps aeneene
vee Oe eke tbeweeeesess eee ee eee eee EEE . tlie
(Usames of Rewspapers)Flowers . ough ba Tae aes o oko LL,
Outlay~for Lot. oé.53. 055 SUG Tee ee ee So Ck
Opening Grave or Vault: ..0..csee eee eee e eee fe
Lining Grave .isss.sssssseseesssibeessessensnts
Vault Rental. « occ fee soe Gbabide ovdedtsWabe Whe bs
Removal: Charges o5.00.305d cdo ssacdvdee coded cas fl
Cremation Charges <cisersastissilemtsiensases
POPES inca dninsddagededabe¥ste bes dgbestcuee ce
Wilehete cé?.:. yal ic Fd eo eka el
Personal. Setvices coo) ips wig i F4 iis cae oe tye ety
Mosic f oi.s tees bbe ae RRC GE Faere UNE SS
Church Charges (3 oscii2o58 Sosa iik ie aed wkd s
ee ee ee te ee ee ee ee
se eces veneeneseee
seuceeenewe seers:
ee eer ee eee ee ee ee ee <
aeeeemeeee: shone:
sn 6g essay Ce ee . re
£
Total Footing of Bill,.y.4.3.¢.0ebee esses SIZ AZ
By Amount Paid in Advance.. ..44+..0++0005
Entered into Lilet: page....2....0r below. . }...... ..
Shipping Charges, Prepaid. icc isd iaed Veceebeus x . 22.
Ly
To Funeral Charges. ...Total, $ Lae. ZZ.
y/
p sereynenen . oeenen
sneccsesian: . sereseeses,
t wre! —~ SS nese
oa » om —
ks * 4 ~ 4
Srepentons, steteweeee seeeenen ee ey
os seasessicge bhai “
cseunsn debbves-eoout jesse :
bea no sae seeereeeees sees: tee ceeeeee
BA.) By Cashes ssccvecisetessese$ . . COALM.