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

fi i PEP PTPE Trey 4 phidd PPP RPP di . RECORD OF FUNERAL. Wee (Total Number) Name of Deceased. Wite—Widow Son-Daughter of ee ed Order Given by How Secured .., 00. scccccececcecceceecegpeceneeeeers Date of Funeral. Whitiechec. A ee Residence lide. Mik y apacle'Dasitte Place of Death../4 ‘s 4 Funeral Services at ee ee ee ee ee ee . Time of Funeral ener. isla a6istesgphe's sag Fiaahs ameiginieid 6 0 siete 6 Clergyman . Mek. Le 4 f. Fess « mamas s maadis Certifying Physician Ki as cz His Residence . Number of Burial Certificate. ...ccceceeeeeceeeees Cause of Death... 0. cece cc ey cece cece ee eeeecteeeene (Primary) Pot waar Date of Death. AZ Gath. y, TEES ccvvvcces Date of Birth....065. Occupation of the Deceased. . Single or Married.... GG. Years,.A74.. Date of Birth ee ee Hig Birthplace: coisas . « ciicics os cabin gs vanes o Heidietiod bole ee Name of Mother Her Bhethiplace: oss ss «gee edt fi oaweaes Lee Pans sawes Mother’s Maiden Name Body to be shipped to... ccc cece cee cee eee eeeeeeees Size and Style of Casket or Coffin.... cc ec eeeeeaee Manufactured by Internient at. vesssecseseded sasegess saptots qe Cemetery. Lot or Grave No.... Section No../.. 1, 2 3. 4. 6. 6 Diagram of Lot or Vault. Designate all Graves in Lot with Numbers (1, 2, 3, 4, etc.), and mark space for rs Funeral with a cross (#). esignate place for Monument with a small square (f}). en space to the right of Diagram for the names of tl nose buried Date. Z 2Ce er (Where Bor Automobiles to Cemetery.. @ $s wave. ss sisiews Wagon Deliveries 1.2.0.0. sce cere eee eee eeee City Calls (Coaches) Death Notices in... ee ee ee ee ee ee ee ee ir res FIQWES eile serie sv eliwds sos awelew cod ieee bo 6 0% Opening Grave or Vault Taming Grave: of. . ssess s} cosieisre oo aersiais 0 crosses Hon Lace jpiicatse aigajete de eidiges cache ne eccwnesenmenee sees scampsserseel AOA Carriages to Cemetery...@ $.. i e's sisiert ay Outlay for Lot. . ccc cece cece eee e rete eee us — Vault Rental ... ccc cee cece eee eee eees Remoyal Charges Cremation Charges ee ee i ee ey Total Footing of Bill.... Passer ee $ *. By Amount Paid in Advance Porters .2.cccececeeeees vacpittone « spewed desieee ; Shipping Charges, prepaid. .... 000005 ener Ralance...0. ‘s srmieiion « sitelarg cog Daosconese (What Race) veeeee Charge ta aie. paige s'Fewaees enhereee J's cease oFesle ce pattie Address 1.0. 0c cece cence cece nee e ee eee eeeseeeeeeees eke : ‘ Price of Casket or Coffin....eeeeeee $}} i Metallic Lining ...0.20eee eee _ (State kind) ad Qutside Box ...,2005 £66 satitens [esweuas (Btate kind) “ Grave Varllt os cece se redaaes evorgeess sss (State kind) s Burial Robe ..5.:. ce ceeeeeeeeee “Burial Slippers and Hose... weeee Engraving Plate .s. 5.00 .sss00%ses'sececesceers Embalming Body (with Washing and Dressing..5.06.0eeeeeeeaee Shaving ...-6. ied 9 HRIRGIES + <mIKIS siete saw inisyaie «6 ae Keeping Body on Ice. ...eeeeeeeeeeeeees Disinfecting Rooms ...ceeeeee eed eeeeees ceeeeeaee Use of Catafalque and Drapery...0+0005 a “Folding Chairs ...ccceee eee eens eee “ Candelabrum and Candles....+-9h soetianbags actsats Gloves $..eee0008 Crape $.0% 5s ssiece%s sae i Door Crape $.. diay cae Canopy $.. 65 eee Wi cones. Names of Pall

fi i PEP PTPE Trey 4 phidd PPP RPP di . RECORD OF FUNERAL. Wee (Total Number) Name of Deceased. Wite—Widow Son-Daughter of ee ed Order Given by How Secured ..., 00. scccccececcecceceecegpeceneeeeers Date of Funeral. Whitiechec. A ee Residence lide. Mik y apacle'Dasitte Place of Death..../4 ‘s 4 Funeral Services at ee ee ee ee ee ee . Time of Funeral ener. isla a6istesgphe's sag Fiaahs ameiginieid 6 0 siete 6 Clergyman . Mek. Le 4 f. Fess « mamas s maadis Certifying Physician Ki as cz His Residence .. Number of Burial Certificate. ......ccceceeeeeceeeees Cause of Death..... 0. cece cc ey cece cece ee eeeecteeeene (Primary) Pot waar Date of Death.. AZ Gath. y, TEES ccvvvcces Date of Birth........065. Occupation of the Deceased. . Single or Married........ GG.. Years,.A74... Date of Birth ee ee Hig Birthplace: coisas . « ciicics os cabin gs vanes o Heidietiod bole ee Name of Mother Her Bhethiplace: oss ss «gee edt fi oaweaes Lee Pans sawes Mother’s Maiden Name Body to be shipped to..... ccc cece cee cee eee eeeeeeees Size and Style of Casket or Coffin....... cc ec eeeeeaee Manufactured by Internient at. vesssecseseded sasegess saptots qe Cemetery. Lot or Grave No........ Section No..../... 1, 2 3. 4. 6. 6 Diagram of Lot or Vault. Designate all Graves in Lot with Numbers (1, 2, 3, 4, etc.), and

mark space for rs Funeral with a cross (#). esignate place for Monument with a small square (f}). en space to the right of Diagram for the names of tl nose buried Date. Z 2Ce er (Where Bor Automobiles to Cemetery... @ $s wave. ss sisiews Wagon Deliveries 1.2.0.0.. sce cere eee eee eeee City Calls (Coaches) Death Notices in..... ee ee ee ee ee ee ee ee ir res FIQWES eile serie sv eliwds sos awelew cod ieee bo 6 0% Opening Grave or Vault Taming Grave: of. . ssess s} cosieisre oo aersiais 0 crosses Hon Lace jpiicatse aigajete de eidiges cache ne eccwnesenmenee sees scampsserseel AOA Carriages to Cemetery.....@ $... i e's sisiert ay Outlay for Lot.. .. ccc cece cece eee e rete eee us — Vault Rental ..... ccc cee cece eee eee eees Remoyal Charges Cremation Charges ee ee i ee ey Total Footing of Bill....... Passer ee $ *. By Amount Paid in Advance Porters ..2..cccececeeeees vacpittone « spewed desieee ; Shipping Charges, prepaid. ........ 000005 ener Ralance......0. ‘s srmieiion « sitelarg cog Daosconese (What Race) veeeee Charge ta aie. paige s'Fewaees enhereee J's cease oFesle ce pattie Address 1.0.. 0c cece cence cece nee e ee eee eeeseeeeeeees eke : ‘ Price of Casket or Coffin.......eeeeeee $}} i Metallic Lining ......0.20eee eee _ (State kind) ad Qutside Box ......,2005 £66 satitens [esweuas (Btate kind) “ Grave Varllt os cece se redaaes evorgeess sss (State kind) s Burial Robe ....5.:. ce ceeeeeeeeee “Burial Slippers and Hose..... weeee Engraving Plate .s. 5.00 .sss00%ses'sececesceers Embalming Body (with Washing and Dressing...5..06.0eeeeeeeaee Shaving .....-6. ied 9 HRIRGIES + <mIKIS siete saw inisyaie «6 ae Keeping Body on Ice. ......eeeeeeeeeeeeees Disinfecting Rooms .....ceeeeee eed eeeeees ceeeeeaee Use of Catafalque and Drapery......0+0005 a “Folding Chairs ......ccceee eee eens eee “ Candelabrum and Candles........+-9h soetianbags actsats Gloves $....eee0008 Crape $.0% 5s ssiece%s sae i Door Crape $... diay cae Canopy $.... 65 eee Wi cones. Names of Pall