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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

(Total Number)
(Yearly Number) f
A 19/43.
Name of Deceased.~< eeepegens <8 saeEsiees ¢ swage
(What Race Ve, (Where Born)
Wile— Widow La ahe cuca Gcccucuccccccccesscecscecsccesecees Charge to 7 GFK . : Mis Avespesestias ea dees aee %
Bon-Daughter of ‘ . va .
. : WA of. J? Address ...+ THOT A eee renee ; 7 ie 5a sitkemie sees :
Order Given by.. 7.0. Kf).. f-piddiaigns' son binwe wae ; : 7 Wx
How’ Secured. .....00 00 ee eecr cee aces eeee esse ew ens Price of precio aes sesendeacroccsereres $ 22 10.9 i
_ Date of Funeral.. he. PY fd wad ieas'eha wemese eee *" “Gatate kindy 77
“ "Outside Box .cceeereeeee eee eeeereee wtinentalldans. asaecce'd
ey A ees sen teepedbefasoccccscceccooces ooo este kind) .
Place of Death. Ow Ae. : “Grave Vault Splday oh ee ie an CE
Funeral Services ats AEG. . Burial Robe 2.2.2.. eceee tose tees
Time of Funeral Service. . er Burial Slippers and Hose. ey er i. ho
Beco We: Engraving Plate ::..: Jesecvoeeres i digisicin’s 0 eiaie feces _ a
Clergyman ...4 1004 A. “ . Embalming Body (with. ...seseeeeeees eElttid) . ] 3D
Be Fetishes Washing and Dressing. ....s+s2.e0s eee eet tt [em meen . nee
His Residence..0..: figwecbsisds brhableeideed head , . Shaving ..--. ea ORL EE as arial
e me A ; . Keeping Body’on Ice. ....0 +e eee es Ss dashes h
‘Ntinber of Burial Certificate. ......-sissceeseeees* . Disinifecting Rooms ...-.-eck Se Seer Pel Mo
Calis of Death i.. 0.. ce ee gee seees tence s ee see cence . . Use of Catafalque and Drapery....c0eseeee ee fle see . ee:
ya Ste (Primary) 7 {Secondary} “ Folding Chaits ....-.s.eeeseetebereess Pita ae MBSE
pute, Us Death: Yard A Af Bicursros reeheees & Cahdelabrum and’ Candles: :, sizte2ississs36f oh
Date: OF Birth eich acne cece een deee sessseesee . Gloves $... d wicha bes Crape $..:..eeeeeee poiisialteiin . wosacoaad
Occtipation of the Deceased. ..0.2..-+-eeeeeee esse en ceee Door Crape $..+---+-++++ Canopy $.-..--++-+++ jm wcgreesns . saeemeoee
; . Pearse ncn vvvediee « cnmitan seeuiada ss ewe ew een wenad ss _te2. LOE
Single or Matried...-..----Religion. ....0e.-0 Carriages to Cometety..<:ick@ Sise'vessenvte-ofl. peel ie
Aged.....05 Years,....5. Months,..... Days. . Automobiles to Cemetery...-@ $..-.-+--acest aid
age Ae BIB: 5 acai bs wncans cidivwns boners gipeasni zea’ Wagon Deliveries ... setae eeeeeeeeee aa ers Ro
City Calls (Coaches)...-.0.seseeeeeereeneees 3 sabapcases [uaa
Name of Father... 2.. cece ence eee e eee eeenes +2+4++* I Death Notices in...---Newspapers. .--<. +++ . } Ss senccoen [sonabuaie,
tig Pisin nin Licoons Cie carey nod etch oaths S8RY [outa avnionde hndlaedy. ait. ge dupes? eepteldponnnanithc aan ee
Name of Mother....-.-.-+e-e005A eipuhe siewiaidias asweed Flowers .<.eee ck aawind ware se
Her Birthplace 2.. 2.0220. 00 eee eee e eee ee eee e ee eeeeeee Outlay for Lot.... eee eee eee e ects cree eee es wcbesitin shanyfenits
Mother’s Maiden Name....220ss eeece eee eee ee eeeeees Opening Grave or Vaullt...0seeeeeeeeeee rere ste i. AQ.
. Lining Grave ...00seeceec cece eee e eee ee senses 4.\ 2
Body to be shipped to.. 2.. cee e cece ee etee een ee eee ees Pauile Bebe occ ciconcodsbianhe'ereae dass vie .
Size and Style of Casket or Coffin. ....0.eeseeeeeeeeeeee Shipping Charges, prepaid..,.-..---+-+eeee+> ics capeoasal
cece ceed eceadbauseccecnceseecesceeececeseneeecereueeaee Removal Charges ..-+-+-+eseeeee cece sree ses tee [rnemnmnunnn . onenmnnee
ion Charges ....eecceeee eens cn cere ners ee ee
Manufactured by 0.0.. 206 cece ee eee ee ee cece eee e eee eeeee nie anges
Interment at.. cc. cc cecc cr cee ete c ecw nwee cece Cemetery. . Watchers ....0---ee cece reece aisteee oa arerewie's peccessinnesecees . aeseneenene
Lot or Grave No.. . 2.. ee eee Section No....eeee eee Personal Services ..-.++++++++++ w . ] sneneerneseee . aeaeanee
ee
eee ed oe eres eeeeseseerssereereee
a So Wee ee wee ace coc ese Fs OU Se ees egeseeseecssesee
cece reser ccc eres ed ee sees evesesesesececsreyece
in Lot.
Total Footing of Bill....2.c.ss0se0deeeees $\. _. 2.2
Diagram of Lot orVanlt. By Amount Paid in Advance....++-+20e+eeea .
Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), and
mark space for this Funeral with a cross (+). Balance.. .ccccccccccccc cece ce 08 . . rommuennwee: . sesnsssesee
esignate ngs for Monument with a small square (J).
Use space to the right of Diagram for the names of those buried Entered into Ledger, page or below.
; is siginioles sdelardies et F