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Collection: Original Records > Death Records

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

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<a ‘No Lak. 2: Sbesies i a a ae mahi ape ie emer aoe peepee —> 4 pcinenaveemengroe Ore i, or ee a ee ary lt fb,* (Tetal-Number) Name of Deceased. baal a bas 2 Maier @klife Slaricco alate vig sib igre « a’ waiclp ace «dens <iaeioe thet eeeeeeees Li, dy VLE —— — cee se ie Mea a Oak WHtys OV Brice of Cusleet or Colm, ic.. ....-ceess, $4221. PRON OS We \is wi sivinibrn eis.t stlieelsja ti cine Zixie ora MUR Mg atts Alas Metallic Lining’ . ccc sco. a0 eee ose ace _ , Gtate kind) How Secured .. Lie Bepabiesisith 19) Bevin e caastier™s @'s's ¢ Bigs +S] Ousted Bix Sl tete werns kee au Sele oot . _ . . . Gaate kind) Date of Funeral.. Si p (GER Ve: Vatilt raven de loci Seneeale ke abe : (State kind) Residence ME $ Burial Robe ...... sseseees Sbeeds Place of Death..& cs : “Burial Slippers and Hose....... / . Funeral Services at. YF Wovpvavinigr. Plate: 2 yccculis s aae elastase © ersten os bis Meee am Embalming Body (with... eats. ne Fluid) Time of Funeral Service.. . . Washing and Dressing... Ge be DEO: aio ohaas ian Cleegyman ..,...4 Shaving ....... Nog Merete Ae oi tale i: Certifying Physician . Keeping Body on Ice..... Sarem iret HaeG ieee BS : : Disiniceting ROOMS vie. jc osc cvtwaet sean. s oa His Residence ... 1g : . Spat ? iE , Use of Catafalque and Drapery. sis siadslvae seein cle , Number of Burial Certificate...... Va erie alm ers ‘. “ Folding Chairs .....00.eccecececees CAUSE OF TISGTH. 05 « Vicveiare wun o Fede vielelaietts sen elsts ks cele. s tee ¢ i “ Candelabrnm and Candles......... . vn (Segpndary) Gloves $.... aol Catone Crapei$.c wes sins ocoees een ae Date of Death.. Seer Filet: . abet Door Crape §..<0..+:Canopy Soe Vanier ee Pea a Occupation of the Did % TS CAISC.:. c-00 ous Sei a0 0le wisimieteieiaie aisle, «6 sie aise sievars ets Single or Married. Cnibx Bld Carriages to Cemetery... QoS. obras oeeell 2 Date of Birth. De te hd Pee tural le Automobiles to Cemetery. Sa eBaince 0:6 ots Carnes 4 D. Wagon Deliveries ... Sielbe cell seie's oie eunisibin aie Aged. Gf ‘Years deg Mopths,.. ays. . City Calls (Coaches).. .csssesssesesevccveees Name of Father. “Leos. 14 hides a pic ea frie Death Notices in.... Newspapers.... His Birthplace .. . ed Magee k. GA etgresseseoyes rs i utr e, Commbaee ge Name of Mother.. hears sp arate oe BS IGWEPS™. atare/aloceinh stukiotetacc visrs vie. earbieis raid Wake sie iden Na: atlastor Lobe .5. Sesion va lasictels vipaites Heese Her Birthplace ... thea Lie ° Ser gis Silene sicieis Si Opening Grave or Vault... Pt ses yh ee aete Body to: be shipped: t0< + s0:0.<'c0. sees sees cb etjse secession TMIN GP GLAVOM «ins daisies cases ses dae e comekeass Dee Size and Style of Casket or Coffin.......ceeeseeees Evergreen . IE ESC I SD SE I soossssnanenennee Tent or Awning Charges. ..s..cessecetceces RS Tag oats 27s WUT EUR TER sr tste casi Ge. b alery) euacciett iota s Uvesntieere’s shell x Man “factured fi ; Shipping Charges, prepaid.... OC Deon Witermentat yee Removal Charges .. 2.45 cesceerevesedecenoees L Gr N Cremation. Charges ies sicasde sss éccieesedee vevena ail OF OF reyes Porters $2.. Ue) oes Watchers $.. <5. 4<s0 55 is Personal’ Services. «6.56.01 v's out ia se nicl v'sieod 2. 3. 4. 5. 1 I &. Total Footing of Bill.... cies woes cas Site Diagram of Lot or Vaul: : siat : Designate all pho in Lot with Numbers (1, 2, 3, 4, ete.), . By Amount Paid in Advance... aisle sigMilc eipaiainse and mark space for this Funeral with a cross (+). Designate place for Monument with a small square ( Balaiee We yfis Picks cote ace castes Use space to the right of Diagram for the names of those : F buried in Lot. Entered into Ledger, PARGu cine ivicclecear™ or below RECORD OF FUNERAL, Lit ; a Ors .. To Funeral Charges... Total, $12.57 w. td. Pike Lt, puatl a ere By Cash Znaliteer,. $. .. aC