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Collection: Original Records > Death Records

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

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Name of Decessed. (Atta 4 Wile--Whew Sonu-Daughter-ef _ Charge to No..00-0 RECORD OF FUNERAL. J wort Given by. Vip dads Mm aicieo Wise ys’ 0 fie Vesa a oie nes of Casket or Coffin..... eee nese eee $. . _ 7 Metallic Lining ee eo) s ORTSIAOHE ON «5 e pacciccoe panies Gao 4.clee nett emcyare MP I GtaVe WRU Gy aed 34:0 Sass ass's Lindau nthe ae ee Residence .. AG ta Na sd Burial Robe ....... tie sinensis Sm We /” Place of Death.... ou tM. “Burial Slippers and Hose....... a i e Punsral Services at. FLU LAO. Engraving Plate .. teteeneeeeees Reehes teseees ime of Funeral Service.7 20, 7 OL 1c. Embalming Body (with Me « R ass « Fluid) ‘ ‘Kee He Washing and tilt Rebates alls a0: FOES sie Tee Clergyman ACG.. © 7 SHAVING Mee Je Cre suite Coe saiee cage Lend © oe eR _ «Certifying Physician . Keeping Body on pita: Saeet Sh a ay Bees ROM z : : Disinfecting Rooms \oa's so + sid «sed ajeoreine dares ode _ His Residence : & * “t j if. Use of Catafalque and Eeapees, i aires» ame oiegelerg bt es » Number of Burial Certificate PMB oldie Chairs bse a 5 a's 03.0 1s Seles s Base Of Dedth. vices cccssissces ccs gle by erica tues eekly wio-weeies ' “ Candelabrum and Caidten. CPR Sra Gloves Sa. Fais i403 tos CHAP Bibel nes cana oy ate J Date of Desh pr cl Door Crape $......-Canopy $..0.c0006 Occupation of theDeceased. /7 PICA.. 05.4 saps a eee Pras oe Single or Married .Religion/Carriages to Cemetery... @ $... aol ties a0 SPate et Hirde: : dt SAGAS. eae ere pean to Cemetery..@ Sed ee eka all am g ee agon Deliveries. Vriaritateuts paises \opuaenan Aged.. ae ears.. 6. eeecs 1 Af ooos Mays . City Calls (Coaches)...... esl a aah Name of Father. £90. aM VR. wm Hekercesess: . Death Notices in.... Newspapers.... His Birthplace oc asians aceite: soe Fe ae dia ee matic of; Mother. os.00 646 bec fAcesaessse es Rea sieatew ods «<i . LOWEEAE » ccey o cele tenet eiececsiei ved Meh ehee Leica e UH tare iden Name) Onttlay Tor Mot .«2 ties 88s vig pads c eee ees cet oa Her Birthplace 2.22.. 1.40001 %Gssseseeel leseeceeeneee: Opening Grave of Vault..... a enopiere, AER «0 Body tO be Hippedito: ook: sHUlee vies odes owes MeV gbetbaa cee Lining: Grave vas aae die vane uneaepacalcce ls sows Size and Style of Casket or Coffin.. wasn sectieccescceccecs: . BVEFQTCCM «0 .sesseeeseenees Weiss hive Cela gels “a Tent or Awning Charges......eeceeeeeee FisieecS fn Gla tamhion 3's ¢ aia aria Na ataie alae 5-doree a ow paielenattiaWalss ee Vault Rental coe Bor aa be i EN Fs castitaslnred b Shipping Charges, prepaid.........000Pinterienbat Se 2a RemovalCharges iv iste cogs ade ide baw eds cn bg , Cremation Charges: sou. 7 ets ccs wsauvdveotusite “Lot or Grave No... 20500005 “eg INOS eT Tee sto iareare Pretits Sicelh sole aciWititiess $06 nk . Personal Services . 2. ‘ Miasicn sy c0 5 ys5 settee’ 3. ' 4. 5. ; 3 . . Lotal Footing of Bills 5.. 0. ots OS $ © Diagram of Lot or Vaul i Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), . By Amount Paid in Advance......... and mark space for this Funeral with a cross (+). Designate place for Monument with a small square ((_)) SOROS Au eee tae 59 sabes : Use space to the right of Diagram for the names of those . tn tt tt Hf etterrentnnnens tntnnn E buried in Lot. Entered into Ledger, page....... or below]. nd esses i Ry ..T'o Funeral Charges... Total, $ many ‘ By Caan icc Ena eee N nase ah Sie. Cat leaae ace ee Names of Pall Bearerg...2..2.0000. e005. Lv a aeeea eaten ae Se cot eS oe a aes a, Pee Se Ra.