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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

RECORD 0
4
F FUNERAL.
(Total Number)
QL, 8 umbef)
Name of Deceased. .
we ee eee eeee
Date..: it tide ‘ S.. oc ntWaing baguette 19 As a
Wite—W
oie. pe shire Oy ea
ae god cies eee Bye Charge to
Ks
: .
Address ....cecseeeeceseecers
dee eeebeeees eaedcceces ‘
Order Given. by.. 2.. cece sere cere cere eee eeeneene pedese
How: Sectirel i. scscgecetecnayeoescbegpiaetseeeeecsenees Price of Cael of apr astsitals torso 41Q)Q.0
‘. Date of Funeral. Ade &/ (GL s. ets tethews seas ee oe ‘(ted hiner agers
&d. “Outside Box ..00.00005 senecdesteqe amen QQ
Residence Cet0WPtAArre. KT vc cvcctareccccenescncece : poe State kind) a's he Wak
*-Place of Death. "Dahewin DH. Ad. ably.. “ Grave Vault ... esa hrc ace ee Ae
Funeral Services at. MOA eas
“Burial Robe ..-.+-+ese2 +++ eaeeeeeees
Time of Funeral Service. . . Ax GQ. thithar tes bit Scales 3 Burial Slippers and Hose. hie aheind wi ZO
Engraving Plate’ ::..:.-+-+0+ SUEDE reece owe ven whens . See
« Cletgyman .. hue. fl f se steeeeeeereeeeees . Embalming Body (with. ....00++eeee+-Fltid) . } A@. 22
Certifying Physician Ye Se A ee Washing and Dressing...++++s:eerererrerttt
ges sti, [iti
His Residen .
Pic gt ae ES cinat's Shaving sec e eee eeeeeenee eee eee eee ser eeeeeees seevesecensenmee . seeenmnscue
mci tates 3 .
Keeping Body on Ice...0s-eseeeeresererreres
en See
Number of Burial Certificate...-...+seeeeeeeeeeee+++
. Disinfecting Rooms ...---++0+++ wk Mags . . bra
Catise Of Death. ..... cece ence ey erence ee eeeceeee cee ste . Use of Catafalque and Drapery..:-++++++++++5+ eee eer,
7 =
“ “Folding Chairs: ...-.-++++: babalce's 58 eae! i nannies Ses [asa
Date of Death aie Pike
‘Candelabrum and Candles: ...++:+-5+++++ (ele aaie . Popper
ate of Birth. :.
Gloves $...cesevees Crape Qin. csc e es ceeeee nnn. ID
© Occupation of’ the Deceased. ie Crape $e. seeee weees Canopy $.-..00+ eee ef PE: sz
CATSE occ eee cece ce eee eee ge cette ness gt pAb thf . . hTS. Son
Single or oily Carriages to Cemetery.. de @ SOE.. 2. ~3 20.2.
Aged.. Ses.
Automobiles to Cemetery... @ Gui veressceces
Date of Birth.. ,
Wagon Deliveries .... wel selec aceuscccnesne 5 a oon
City Calls (Coaches)..2-ssesereeeeeeeseeerees
ea aoe
Name of Fathér...-.--+.+-eh Gebhinan ventpneiee Nxt Lieath Notices fais oo is05: Newspapers...-++++ Loses ween Spent
His Birthplace ....000sceeeeeseeeeeees Sieben asia er ee ra, are tadibehel shih vadeeesnetsahesel-mimennf nthe
Name of Mother.. .... cece ee cece ence ene ee se enneees Flowérs Pea cansncr eee a
Her Birthplace Ric's b aidaidind aeldedib Dajeceielbe.c greveieiene Sanibel #61 Outlay for Lot.. ..esee eee cece en eee de eee ee ee Wnt ine sea
Mother’s Maiden Name...--.-+ ee ee ee eeeeeee tens eeees Opening Grave or Vatllt..sessieccsenedeoreces wet . G
.
Lining Grave ..ccceeeesec econ eens eee ncnreaee? f.\ D2.Body to be shipped to.. ...0eeeeeeeseeeeesreeeeeeesere®
. Vault Rental ..ccceeeeeeeeeeeee oo cleadestes
Size and Style of Casket or Coffin. ...--+sseereeeeceeres Shipping Charges, prepaid. ..5.-.-.-+e+e+eeeee a
se daw ae FGdvewine wadinelé § 54,6FUe 5b oe Seep emewinE oe ea peisine RabiRl Removal Charges ..+-+seeeserser ees ee cscs tes [rsmanmeen [annemeene
Mamifactired DY ag oie cba bore Siaiddin sae binwe be bance es maladie» tneeiaal SAH ES isc aesnaie + evens vere iss —o
Interment at. WA BAMA HA. occ ec eens Cemetery. . Watchers ....0eeeceee cece eee eee esas eee eeeee be sasenabasiale smile
Lot or Grave No.. se.. eee eee Section No...-.0+-e00+ Personal Services ...++eeeer sees ese ee tee cress [meamnenees . aaneer,
Music ... cc cece cece cece eee ence ne etecee sores ot
1. Church Charges ....0Jeseeceenreesepere cece a Tae
2 TS See er Aff. $x Mltoeasee,...++)\.. “Z\Ido.
4. Sone ea ei pass dalldd godutis teawenyeacbe peter Local
6.
ae ft
= Total Footing of Bill....scsseeeeeeeseeee $. R22 VLA
4 é
_ . Diagram of Lot or Vault.
By Amount Paid in Advance....2--+++0+e++++ a esi casencdios
Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), and
mark-space for this Funeral with a cross (+).
Balance. .. Uva s wewedad anes s a wale Zeina Pressceosaten
esignate place for Monument with a small square (f).
in a “re ‘o the right of Diagram for the names of ose buried Entered into Ledger, page: -. _ oe below Core rae
7 74-79
FOF
Iadec..\.G.. {Po Funeral Charges.. Total, § Dade. ea Gf) BY Cath. ces seenittiersgnereds $ . . 22L\2Z.
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