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Collection: Original Records > Death Records

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

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m: NBT Kerns ON BS es Date. ., AAA (Total Number) (Yearly Number) , < Name of Deceased. lf SOMONE scene pate » eweauls eo’ en LA 4 i: © FA ks WwW A7 fs (Where Sorn) Wite—Widow a fess . ; AE, ; VA Son-Danghter of C177 PTT TET TTS Stee eee ete eter ee eeeeaeeereteetes Charge to eZ PEN: SSAA PP res tases Fahy “BOGOR. i sacs «iw egal 0 0's winnie 0 caged ba pba ish apeds Naa $9 Order Given by. . : LA. ‘alan, ss s eahens 5 50 + ta -_ Price of Casket or Coffin.......0e0000e $ a lh Bh QQ _ How Secured .. AO PPR TIT.. eee e cece cece ees Metallic Lining .......0.ceee eee Date of Funeral’. .. D-Zax Gf e's shh a Fe wie a 5 Ow ellie Paning (state kind)» =~ See Residence .... APRA Sie go o.si0's « waieidle bese Outside Box . 7" Stateking) nen nl Place of Death.......ceesceeeeeeeeseees Leees Fasart byeve “Grave Vault ..... 0.0046 rrie » sree ef eneeatstioe aera (State kind) Funeral Services at.... Ye oo oe Se “Burial Robe ..5..+..6+ teege a caiiie Time of Funeral Service. . pA Mba S aye binge 8, hag = 2 Butta Slippers and Hote.54 -9-.9 0f Pt [mer : Ka Jl2rtD Engraving Plate ....02+00+ seeeeee seeereeres wr, Clergyman [email protected] CATAL oo cee ee ccc ceeeeees Embalming Body (with Fluid) . . . wee tweet ee teens Bis Residenee see a siseiscs + caress & cawsieg b ehataaans badilaa Soh Shaving -esneeeegerseerseteeeees tye ieaiy s geteeie' ase secteersnee , a, ; Keeping Body on Ice......ceceeeee eee eeees Number of Burial Certificate.....0.seeceeeeeeeeeees Disinfecting Rooms .....csececeseeeeeeees Cause of Death.......05000% F Use of Catafalque and Drapery: hen “ Folding Chairs ......0cceeceeeeeeees Date of Death “ Candelabrum and Candles w Gihcare ¢ 0's Date of Birth Gloves $..... cassie ¢ Occupation of the Deceased.......0005 5 2 agree ue Door Crape $...++.+4: stots seenetnee +: Slot: oe Mates UReligion ’ Alearse $8 5 LA BYEWE » wbidRE ody ayeooraan «2 ginceseceinn J ae . ee 2 Carriages to Cemetery..... Aged. sie TF: wT. Years,.../.. Months,...... Days. Automobiles to Cemetery S eween i Date of Birth......0.. eee ee Sipe. s gremmsigs « veeamn,e de Wagon Deliveries .... ras eee 1d Ss HOMES . Z Hewes fH [heen ; City Calls (Coaches)... 0.. ccc e cece eee ee Name of Father.......0..00008 26s Gd bw aie settee Death’ Notices in.. ... His Birthplace ~.0..0.seeeseeeceeeeeceneeeeeees eabeee ‘ssh etiebmnibiheaadhs auelan agionsAairaaek Nace Uma ete Name of Mother...... cc ccecceeececceveseceucuenens Flowers ... tones erenneennere? web cccrduee «= tntlena « et Her Birthplace ....... “ns eveialg" ors Sothweng asia et oruslees . Outlay for Lot.... sales waluniens 6 4 eagerness Dielqa ~itsoeebicepes. ' Mother’s Maiden Name......0cccececeeceeeeeceuuees Opening Grave or Vault.....0.seeeseee eens . TAAIDE '(GEAGE oe eciviee + « sive sd ersten va weiss ves Sab Body to be shipped to......... sttereeeeeseeeoess . Vault Rental occcccsccccccccccucecccccccceccce Size and Style of Casket or Coffin. ......ccceeeeeeees Shipping: Charges; prepaid z As po mpepNNEG A aapaenlS onaone y binmeiny oy rues © State G's MeN © Removal Charges .-..0.++-seeseeeceeee eee ees vie Cremation Charges .....cceecgess eee eeeues saeenesen Manufactured by et BPeee se ge ees AES pee Pes P99" DOr ete ccc Svcs pecesecees caper sipoeneeccwse sie satesion Interment at.. tLe Ee. 2.4.4.. Cemetery. Watchers 0.2.02 .6 0000 cele ce ee le clcde eevee eee fou age Lot or Grave No.... oe otis Section No......000Personal, Services. .. 1.. 0. 06eeseee eee ewes ceeee Hes Ai : Lx oom Misfits asco comics J5 5 aioe 5 Piccw ge gale This o civetudere PAR ON Total Footing of Bill............ bis Diagram of Lot or Vault. Designate all Graves in Lot with Numbers (1, 2, 8, 4, etc.), and mark space for this Funeral with a cross (+). Balance Derawete lace for Monument with a small square (. By Amount Paid in Advance . in been _ Cs Piatt of Diggraty far she canenot tte buried . tntered into Ledger, page........0r below. A . oa < : . . To Funeral Charges. .:..Total,$ . *_ Ad , : . . simenereones. Cocca ov ae ssn er