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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
aay ie OF FURR O!s
SKE:
Name of Deceased,
i Si lahat COC LOT ECE TURE ee ios ae Charge to
Son-Daughter of . : : ose
Address Marl
i ‘Order Given by
“How Sectired .... cece accep eeeseedenccucetenbecenee
“Date of Funeral. Shay OY. MY, oY Ye
Residence .
Grave Vattlt .occcecccccecccse Gabe
(State kind) —.
Burial Robe ...c+-+ +++ saesegeegees
Burial Slippers and Hose. . Fe oe er
/ ‘ Engraving Plate ..:..-2.508: dE Lae o eaeistale
Cletyman eee ee Seeee Embalming Body (with, in Ts eS eec Sewers
) Certifying Physician he W/, Washing and Dressing. .... gee ee dese seceaees i
Lis Residence . Ada RW aa. Shaving
. . Keeping Body on Ice
Disinfecting Rooms ... PSeeb0s uudipeie eieiejeren ss
Use of Catafalque and Drapery bs
“ Folding Chairs .....++-00 he dsiece ous
“ Candelabrum and Candles rey
Occiipation of the Deceased. .
y Single or Married ¢, _. Carriages to Cemetery... «+ @ $.
Aged.. iff 0.0.. Years,o oc.. ee Months, . . Automobiles to Cemetery
a4 Date of Birth Wagon Deliveries
City Calls (Coaches)
Name of Father. Death Notices in
His Birthplace
Name of Mother...... 02sec cc cteceenceasteercencenes
Her Birthplace Outlay for Lot....-.e. eee ee eee '
Mother's Maiden Name ek. Grave or Vault
. . ining Grave
Body to be shipped to Vault Rental
Size and Style of Casket or Coffin Shipping Charges, prepaid
Removal Charges
Cremation Charges ....-.ssee+eceees iparedinged »
. . Watchers
Personal Services ......
Total Footing of Bill
Diagram of Lot or Vault.
Designate all Graves in Lot with Numbers (1, 2,8, 4, etc.), and
mark space Se gacodh Funeral with a cross (+).
Designs: lace for Monument with a small square (p).
a Use Epace et the right of Diagram for the names of e buried
it.
a2 tf
4444
2d. . To Funeral Charges
By Amount Paid in Advance...... i