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Collection: Original Records > Death Records
Mortuary Records 1917 to 1920 - Book 15 & 16 (308 pages)
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Page: of 308
Ga dunia Acie DERE S Mme Cee SSN Et ows o:9,6:6:67 #9'0:0 TS 2S
RECORD OF FUNERAL.
Pe: ea 8 Cesar 19.. &
slesdctacesessreane a Ebewasieeets *
ssees Order Givert by.--.------eeees enter nernennensmnne rene”
Date of Funeral.. (2:77. /. Kir. he
Residence ..Arc
Placétof Deathis.c.s2. 0b ibs ee eka ects e eens sates.
Funeral Services at: ». Larcaarctr +s Pcs en TeR RR pes ONE
eedeeeeerneeeee
Price of Casket or Coffin
“ Metallic Lining
ime of 9 Service. . JLT. #0. .++ as GO res wo ei
Keeping Body on Ice
Disinfecting Rooms
* Outside Box ..--.--+eeeeree eae hae <
“« — Grave Vault ... REG A 570 OE le acetate
(State kind) se
« — Burial Robe ...-.--++++s rad ee "het
“Burial Slippers and Hose... ;
Engraving Plate ...+.+sserstererserrsserss
Embalming Body (with..:.+++++++++> i
Washing and Dressing.-.-+++++--++++errt00"* fa
Shaving. io.. 153.--eseeseesee dence ccetters oes ae arehas
par Cn Ahem ceerceee:
= : /
Use of Catafalque and Drapery dowel “Number of Burial Cettificate....-sseeeseeeeecseeeces
# . Folding Chairs: .cs..s-isesseeroeesereee ‘
‘atise of Death. i Ue Eeeoeis ody “ Candelabrum and Candles...-++++++++++:
ll
(Primary)
Date of Death.. Rutefra.d: VAI. ee Gloves $..--++s a2.s 6g) OPRDE Py tage tikes «90%? Sei aot aa Door Crape $..++++++--Canopy $
. Occupation of the Deceased. OAK, pbnkeue PP vee Riedvabe te ni saree’ Mgiiem ,. coemaee ated ceo sie oe 7
Married. Vnirckn.Religion .. ei, Series Shia Carriages to Cemetery..-@ $.cseeceeecere ts en
Automobiles to Cemetery..@ Sitectees sedens
Seta Wagon Deliveries ...++++seeeeeterssetrecces
Days. . City Calls (Coaches). .+.ssseeeeeseereeeeerers na
Pere ho tne bbe eer tapes s ouns rr Death Notices in...-. Newspapers..---es iaaet eg Bulbs] Se cee erent ee Steere st, RO
ER ee Elowers cous debe in os thetic te amet eples o6r/8 tS [lemme iene
Outlay for Lot..-++++ Bay Saldana ss sawed 0 ©'s.0'6 00% es
ite Fee ee a seseeeeess . Opening Grave or Vault..-+-+eeesserrere testi
povceseceese’ . Ldning Grave.. cesscesneses stesdeceeces eons
itis Eee sad tet A MRUROROEN wings ek « Cale ce tite SAS Fm beeen tet ae een
"Tent or Awning ChargesS.---+-+++srerresetees ecnenspis iy ois re acer Ub ie ar rac Oh Vath Bemtal gociqe-qrssvonestnonson severed:
Mantifactured by....eeeeeeeeeceeterereeeseeceeseers
Shipping Charges, prepaid...-+s+eeseereeeees
Interment at & ey coe ees Cemetery. preaect pris: Peers 5 eee
f
:
remation Charges ..+-+seeeeeeereeeereseeee ~ Lot or Grave No..+--+eeeere Mee: INOS is saci ee s+ . Porters $c: tone Wea ces
Personal Services ..--eeeeeeceeeeescerercees
ry 2. FY Os fe He ar hy cintery . sah rees nae aoee ag ears . presser Wn
4 sav 4.
5.
;
sh
Total Footing of Bill.....+seeeeeeeeerees $ stb . 0.
Diagram of Lot or Vault
and mark space for this Funeral with a cross (+). =
7 Designate place for Monument with a small square ( S
Designate all Graves in Jot with Numbers (1, 2, 3, 4, etc.),
Use space to the right of Diagram for ‘the names of those
By Amount Paid in Advance...-+++++++++++Balance
“buried in Lot.
Entered into Ledger, page
To Funeral Charges... ‘Totals $iies ose
Names of Patt RBar ere tes SeShE te ae ed pte akon ws esilen sce snc lelnpe gm aihbie rig “hcg Bore cision Oe Sans oye POAg Te Se ee .