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Collection: Original Records > Death Records

Mortuary Records 1917 to 1920 - Book 15 & 16 (308 pages)

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Ne d Ree OF FUNERAL. Ue a aGR chives hte NOs cs io cPeccecngteee Date.. er eethes oie Scweinemeon 19/.7(Total Number) ‘Yearly Boorse Plame of le easis, ied gcc FE EACH 0 besides no cceysone cas enneeenss ee Cee La cVrarenee Cates (WhetRace) . (Where Born) Wile -Widow UU ges Lobe cleewes 6 oedwe Gia orale ions 'e-alareceiae's vceeccceeeOrder Given by.----------ercccecerrr etree ssee errs Charge to .Gr5-. DE ec eebaee cieceentneceecsenitee Price of Cupket or Collie sh ss capahuxsen ds tas $\. _.72a 12.2. dress soe VES ee cee cect te eeet ee eeencceesces “ Metallic Lining ..----+-seeeree sere tf Erik Bid parents kind) pug pecured Res PAT ab cw ast wo cece cube viecihendensiss wre Outside BOX ss ilee> sees SSRs an BNEO... Date of Funeral. ‘ aeglaae . (4. !. 7 ee ee “ Grave Vault .. i5 om es heed [eben Be ‘ (State kind) ’ ; ay ty if p # t eh eee eset Litton beers WEY pusdst Pole cicilee « eeaimebe sess: lace’ of Death... ei Gages Se Sue bal abe seas teke SLs « Burial Slippers and Hose...++-+++++. ~ \g tihetal Services at. ‘Ponrbat aU ee Alaa tee aines at Engraving Plate :..:.+.sseseeereesererssees ’ Time of Funeral Service. . ey WAV ave toes 3 Embalming Body (with. <.++++++++++++* Fluid) Washing and Dressing..-..++++ssrerese rete in mmr ‘ lergyman .. Aa Bab. bIeTd aie eialote leis sieie es EMAL SeaGinar sia usd (Vi Nebatp tes canner tans ces + arb Bieta 3 _ Certifying Physician . “rae pe Sa Pare ced cic Keeping Body on Ice . “His Residence .. ID Coit vee tveesisnceveass ieee sae Disinfecting Rooms I. : ‘Use of Catafalque and Drapery i Number of Burial Gertificate..-+-s+essresereccerrrers Folding Chaite ...s.sssescceeessueneee Cause of Deat! cleerebrel.] bs sage £ Candelabrum atid Candles s:cgoibsess «eat fee Coctomiiaes? Gloves $ Crape $ eee Genes 1. ete a ee eli pe Date of Death co Pham SANG. Fares Door Crape $...+.++++Canopy $.: Occupation of tha Deceased.. -a a na Plenrael cn Coss hesad Sa baesas st one gee eee seme loy Single or Married Seer sv" .Religion . A Vrs Sik eee Carriages to Cemetery...@ $ * Date of Birth. . sah wee et Wiper eee Automobiles te Cemetery. og -@ $ Wagon Deliveries ..-++ils 5 Ait evwleertaviele ss . Aged. . 3.2.. Years,.++. &;:+ Months,. Avieees Days. . City Calls’ (Coaches).-+++++++ereerseceserstes Name of Father. .c.+ 9. be ketdcters. 4 Death Notices in....Newspapers...--His Birthplace ...-+++Low Reber tii vhs easels, ae S89 Mi Names REE ee SERN, Ma PR ell = Name of Mother. Leer Baatait. wee . Flowers .seseeeeees 4 dL esta wie berelaspiece SiC we EL Se Oe
: (Maiden Name) Outlay for Lot..+-+; ; Her Birthplace ..@-r@rhewsisecererceees seseeeeeeee® . Opening Grave or ee ST id lna ets, i Body to be shipped to-+.+-+srreereereres secccveccccees’ . Lining Grave ..+++-+es Size and Style of Casket or Coffin. .--+++++++++ Saline ces BVVETLOEH = v's a:itmin citieine aitioreice aesins seit eh } 13. Tent or Awning Charges \ Merete Cees os Lede gp eirndldeie ling tie daaeies sevice he Ach 00h aes ke altalicny Wha. hcaiaseeieses anatase ened Manufactured by...sesseeeecerccenescersceeesccesers Shipping Charges, prepaid Interment at .UArerrerm.-ATT eee Cemetery Saas vine Sa Seb rases eer ccccaeeesescerses f remation Charges ...-.-++eseeeeeeeeeeeeees Lot or Grave No...--2+eees aay ND. deat eataees Biihve Bohl. aca Watchers $ Personal Services ...--Cas eae ata seh = 2, Music <i OF 3. Church Charges : ar Br sealer eR ha Sine he FL preccete owe raeley 4958 tin tiga Pacerersyp site ees Peo? Fo x Be ie peeees, RE etiy a): oh . ona peAn WO Ce siies CRb awl y Bees otitis te a's ia ee Hall am 8. Total Footing of Bill.....eseeeeeee eee es Wile eoat calteaeece Diagram of Lot or Vaul hos P 7 ; Designate ach op in Lot with Numbers (1, 2, 3, 4, ete.), By Amount Paid in Advance, ...0 eee eee ee ee [ence er 0, (Poe and mark space for this Funeral with a cross (+). 10 i Bg Designate place for Monument with a small square (-) Balance 20. cece cc cc cee ooo os . ]ncetscesecenennss . soseenenen oa, , Use space to the right of Diagram for the names of those , buried in Lot. Entered into Ledger, page..---+++++: or below]}.J Jy . .22. Acne hoe [ei aoa To Funeral Charges... Toth S. ee Seo By Cash 1.02050 boy ceeds mee © Re see Et Pee Ces i oN en ee eee eae: Ca nian aaa mane s PEERS VEL Mea NP MINSN aE pclee a Ql no Ske sical denkaszanuncintlh sRvonseans of asngesoer streamer oimeaomeragnasfeatecerebeerettarnettnlseoersmisnrsss ACER SS LORS 57 q ' ‘has Hae Bs ee, ON Piel foros = ectciaaneaes aa: sual se Soe noi ie .