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Collection: Original Records > Death Records

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

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igi ks OF a les ofl Goce. (Total-Number) Name of Deceased. . Wife--Widow Son---Daughter of f-++seeeeee CHaTBE LO. bs!. <iauinne se Gere ele also aiaemias ts + ae sinae alee wie si FRGGAEREBS 2.0%lo nc erewlormalow ticle sisizin Sieiels tieieteres § a tiainle <6 atnlwinie How Secured Date of Funeral “sy Residence V/ ‘ Place of Death... Soave seecnes Pie «die alee cisitip oaineret . bd Funeral Services at..d.$00fSecwcceccecscccccccsccseece: “%, Time of Funeral Service. $£../'.4.0c2-000 Soteiato steel Serocd Certifying Physician Mine SL His Residence . Number of Burial Certificate....eeeseeeeeeeseeeenes f Cause of Death.. .0..02.0+00% Noaisiee ee SA DS ir SON C5, ‘ Date of Daath.» le, BF lel $ ; \ Occupation of the Deceas You ‘ Single or Married yee -Religio ; Date of Birth. ..1A.crcceeess A OS. C Aged. Id, oe MOBTS yc soects an EST. otis ss Days. Name of Father (AGL His Birthplace .. : Name of tied ES Her Birthplace . . Body to be shipped to-+...++ aiaie winiaio sistelele'e's. sie:6' eis s]ais ele Size and Style of Casket or Coffin. ...seeesesseseereeeee te <9 0a ee eee e ew ee eee HF eee eee eEesESSEEEHEEHE EHH EEHE HHH HEHEHE HEE S Manufactured b Vip ehecKY, sth spk alee Cemetery. Dot or Grave NO. ser was 200 2 Section NOs 6,55 cot seine ene Interment at (What Race) AE Order Given by le: 5. oa : [ Total Footing of Bill.... annuities ais ele’ $ Diagram of Lot or Vault ee. Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), . By Amount Pid IMGAAVANCE. 6 eile. 0S.cu ds panied and mark space for this Funeral with a cross (+). Designate place for Monument with a small square (D Balance sav ct <inew sie suiageen wes Wse space to the right of Diagram for the names of those L buried in Lot. Entered into Ledger, page....... or below L z Zz. Ente of Casket or Coffin. ......00. ae $1. AAG). Metallic Liming c.5.ccisice ss0s ce seenes = tate kind) OGTSIDE DION, 6 oxen Cots Sie Melon bees oe cessaneeeeee Bee (State kind) wet. Grave Vaultoas dives use vce 000 spececee (State kind) 1» Burial RGbG.ciiaw oes ecdienes nae ea’ im En Burial Slippers and Hose....... Eempravitigol late oviccin.s de ot d sermetls «lois ses oie Embalming Body (with......++0+Fluid) Disiniecting: ROOMS 2%. <6 n¢s sess ecesees= coe) Use of Catafalque and Drapery......0+6++ SiFoldiig Chars « «crac netiarstya oaths sm si “ Candelabrum and Candles.......++Gloves $.... APG ee CONE Sis ecivsisivsies.s ole Door Crape See sec. ccee ive Canopy $,....06. Hearse. 00.. 00500 00 teeveceeresces eeecccrcese Carriages to Cemetery... @ Fr ngesgrevseees Automobiles to Cemetery. 2.@ $.2.%.. Pe . e Wagon Deliveries ... aieeneae eoccccereece . City Calls (Coaches)...ssseesseeees Labi Be Death Notices in.... Newspapers.... da ieee noses a parses oe ceaw ss sageitsvendint es s34 TOWELS: <a, pinata sisi okies ale clea 0-4 Cralslel ach clnseinys.0'4.8 Gitlay fon ot. (des cscs nesiisinc ese code sree siunine s = Opening. Grave or Vault., Dining, Grave, oa cies ose s tirwie een bse eevee e's EVVETRTCCH vole wot 56 or:0c 0's « cled oe civin Fs sisin.viecv nis a Tent or Awning Charges.....0.seeseeeese a Wale fRGRtAL NG (ave daisicnbd0os.0oesiss sine sivebes me Shipping Charges, prepaid Removal Charges ...cccssseccesvcioesseces cs om CHEMANOR GHEERES \ci.¢ «oes « sfsie « vinylic cnisin es. e/s'e Ft Porters ‘Sige sc «60 v's Personal Services <oiscs's ses wesc vceusicuwelse sss VEWNG Am rectets stosovere ac avace scale W 9/07 Civielcusleriee e'eidee'a a9. 514. vr Church Charges. .)..< sees ccaese Dares o's Sn iaacwlere ole 77 746 2G.. To Funeral Charges... Total, $ pb 2.. gr oat Washing and Dressing....ee+seeeececeeees SHAVING».. caecwe rc ccces eipimia'g sibie! saiaiisls/eim wes eee Keeping Body on Ice...ccsceciscesisosseceses ie Momec of Poll Bearers..