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Collection: Original Records > Death Records

Mortuary Records 1919 to 1926 - Book 17 & 18 (287 pages)

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sEee? OF FUNERA (Total-Number) ei Name of Deceased.. Wife---Widow Soa--Deughter off << n.cielee.y 55 0:6 a gahe'b a aeg's.oe a nv.cictee’s boeg unil/ae oece Charge = he Di ee CLC ENE emi See sa veh aiece.s i PNGGLOSG) ce arieronlaeielo Suvitins © trsit's tha fs ig. ous om cision Rie ome ore How Secured ..4.. Date of Funera]. 2A Residence "?, Re oia.s Place of Die, Y eb: wre Balad wa eas Si0'st Funeral Services at. Sth. Time of Funeral TVICE. « , Clergyman .. Wx. ae pets emslaaieleprere lala @'6 apie Certifying Physician . OF aod His Residence ... “U2 hedtl, A Ee bie iba \ Number of Burial Certificate. ’.. Sc lninie'w wisle ie wiS's sleiein § Siete ® i Gasse) of Death, casirasie'aic pivicw-aiweinee eae c's ss siuumeie ota ire tire Date of Death. eae: Occupation of thé/Deceas€d Single or Married( Date of Birth.... Aged.. LY » VGArS 2. yes och Months.. ips «(t's seri Name of Father. hag fe DOSES © sieresce'ec His Birthplace . y sfolaees Name of Mother/fé Her Birthplace . Body to be Shipaetl TO ee Sinis cbse ewiale Size and Style of Casket or Coffin. .....cc cece eee eees Manufactured by..... Interment at .¢¢ Lot or Grave No....... 1 . Diagram of Lot or Vault Designate all Graves in Lot with Sumbers (1, 2, 3, 4, ete.), and mark space for this Funeral with a cross (+). Designate place for Monument with a small square (im) Use space to the right of Diagram for the names of those buried in Lot. 3 Date. Price of Casket or Coffin. is..ccisccbscesesse $}. _. 6 Metallic Lining Ty Ontside (BOK as. «<a sae arsine eae vs oe Grave Vault ... Oe Util RODE . e acsearle Saas Coes te “Burial Slippers and Hose....... Bngraving Plate shy; ss0usee tess sccaeroctee ee Embalming Body (with Washing and Dressing.......sseeeeeeees SAVING TE cob visig dean nels 4 0 vag aa-ciu semanas Keeping Body on [6.5000 asic oodineessteses Disinfecting Rooms ...... iw lube grenatecs oleia Use of Catafalque and Drapery........ © oldie Chairs 0.52.05. coos ac<dsaeuawss'e ne “ Candelabrum and Candles Carriages to Cemetery... @ $. Automobiles to Cemetery, %. @ $. 2 aes sees ee Wagon Deliveries ......Weide a) eiahe'g le assree City Calls (Coaches).... esac e Sieaiaiisieerls Death Notices in.... Newspapers.... Flowers CORTIAV TOPOL «ais o.0i0-0 vere set ealind west cauots eae Opening Grave or Vault... welelein’s vik (slaleles\eiesne A VAMIN GP GEAVES < os sisted vers gives Gas tae ewes t wetes ERCERTOGHD Sabir, Se tri MU Nes oc eeely geet eee Tent or Awning Charges.... : VAMP ECGnPAL! a 's.2¢ cS stecaore «erly isty Soak od = states are Shipping Charges, prepaid Removal Charges Cremation Charges POFECTS Qiives os cisholeneiens Personal Services Total Footing of Bill..... is 6 elwielsie Siaip-a'sie’s $]. ..4 By Amount Paid in Advance.... Safco erie «ys _ Balance Entered into Ledger, page sseeeeepenee sseneesenneeesees . cecceseopens To Funeral Charges... Total, $