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Collection: Original Records > Death Records

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

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Vestn No. G4. 7 ob nave eS Now.. Gifewccccees i (Total Number) 8; umber, a Name of Deceased...//.-< We las aipinisinn « suds Phe 1 oy : Wite—Widow Peer ag pect ctauenrtgeee ds ceeeinne cesends pabneeMerreng eens Order Given by FAS, enn gifs 8 9 : «How: Sectired Price of Casket or Coffin. . IOD. : Date of Funeral. .LUC1Y:.2. YL. aaigaise 04 gene's ode’ ig Lanes Lae *"Gateee kindy 77 f “Outside Box ....+--e0005 Bie begeee id. 2.2 Residence ..:... oy Wont esabead 2D ead eabie Sele bieieds ime. ; “ —G Vault .cccc eee c cece cece ceeeees sides as lon snsoma Place of Death. (Me da-. AOE cs vrticnesivives rave _ be eae socusees tre : Funeral Services at. ~ 4 “ Burial R sence cece eee neeeeeseeeees "Time of Funeral Service. . Lh: Aa. 2 Laie axiwediots . . Burial Slippers and Hose.. «+++ +++ +++ [fmm bmn ‘ ris Pe Engraving Plate’ ...s.seceseeeetetieeeeeeees ccwontga ese acca Clergyman A: Salita tae ins ia + . Embalming Body (with. ....0++++e++++Elutid) . ] ———— Besa Certifying Physician «+: Moe. Lethe bag thsitecese® Washing and Dressing. ....aire sages sibsecors Bligas Camas fascias a his Residence ;. Mii LUMA. cowviviasvire oc, [Shaving . fie. ceeee eee e eee eee renee steeee reese es ieseanai ce . pei ”” . Keeping Body on Ice: ... ee ee te eree eee ee cece Lin esos I eneensbos ~ Niithber of Burial Certificate. ...Y7..-+.0eesseeeeeeees Disinfecting Rooms ...scssecsssseees ewes . a # Calise Of Death, 2.2522.. ees ee ce cey ce cee cee peecsccecesece Use of Catafalque and Drapery....-+---sese0+ Lo eeeeeee . coceeeee {Secondary} “" Folding Chairs .....+b NESE LG Bache ne _ Date of Death.... OER. BAGL fl. © ee “ Candelabrum and Candles. :.-.eee ee TTT eee aneé Date bf Birth. boo. ose ccs se 7 G228... 155 Mecadad Gloves $.... ie hades’ Crape $....eceeeeee a Pe Occupation of the Deceased. . sf f bas ydesbess Door Crape $..+-++++++ Canopy $. SS . eens eee YElearse ...eeeeeeee coc ee ened BO : : * os Aa t-:\¢)\ on © Single or Married. .O%ecld Teed pou eee Carriages -to Cemetery.. me @ $.! we ccsive "Le. ee Aged.. 9. 4. Years,...... Months,.....Days. . Automobiles to Cemetery...-@ $..++,+++++++ cancnsancesscne . snsenennee ; Date-6f Births.. ccc c ccc ccc cet eeeeseceees ot Bese so Wagon Deliveries .... pe ee cece eee weeneeeeces sosee sntncteee . sanannnnne f 3) [City Calls (Coaches)....sseeeeeecseeeeeeres snsrseaesenee . nesneme Name of Father.. .-+-0sseeersees sseiew eemasere a2 eisteoadre & Death Notices in.....Newspapers:..0.5+. [b= . His Birthplace ....0. cece e cece eee e cent een en eenees veaceses vee wou cegacesecgecacaca seed seee seas . ftoecoonseee . ctsoore % <°\Name of Mother.....-..065 ‘ohalees 2% sich a araiestie eo me Flowers a ee oo ve eure s olbeceit 3 Her Birthplace .....002.eececee cence ee teeeeeeeeeeees Outlay for Lot.. ..cccceeeeeeeeeeeeeee een eeee eeenen cong senennee , / Mothier’s Maiden Name. ...-..cse cece eee recone ws.. . Opening Grave or Vault.. .eseseeeeeeee ene e es Lom wi. 22 . Lining Grave ....+eeeeeeee is bebe Aine Rwibaerert « _.. BO Body to be shipped to. .. 26.. ee cere eee eee eee eees ‘seeee Vault Rental ’ Size and Style of Casket or Coffin. .....seeeeeeeeeeeee Shipping Charges, prepaid...-..-0+.eeeeeeee —_ _. she 5 EG a 6 o seuidle « ceieisie sa cewnme waeediie s denen wediendics sbeciss Removal Charges seenennee ie Cremation Charges eesestenee ° "3 vee dee greeggdie Dp et eee ee estan ee ees . Portets eee. saoed b etdeiliegih wants th baie Fiiggilien ~ Interment at.... 1. . G. = Balhuke's egamaig Cemetery. . Watchers ....0-¢eeleeeneeeeees becees . Lcaseevensi Lot or Grave No.....--055 Section No...6.00-00% Personal Services ....+++++++++5 ecaonee MUSE co seidiss c owibidios es '. Church Charges ....2. 5 . Berea PERE TAS 9 Hany, . thle . 4. neatly concen ax nuctsy Metsu] wipagn belaibe« Shu 6. ‘ . = Total Footing of Bill.:. Diagram of Lotor Vault, ~** By Amount Paid in Advance Designate all Graves in Lot with Numbers (1, 2, 8, 4, ete.), and we : mark eee ate for this Funeral with a cross (+). . *” Balance. .... Cs . SHREW. STeeETS BS a te place rd Bonnet wits a then sears, (: a in bee se = O Figs of Diagram Soe ene s ce baried Entered into Ledger, page...<.....0r below. . ) nw.. sees ae. . { To Funeral Charges... Total, $ _£h While d 2.) By Cash 5 .$ Jo\W AR i chev . a5 seers cen teepnmnenenmnnon etic #6 . Z? Oy