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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL. (What Rend) X 1211945 4b Gea e's seed one er Order Given ite at ee cae df How, Secured reise CN eae eee eres eee l medi Zu Ags Gyeaaandeel eorecegeocest “tae ‘Funeral Services a7) “uae Time of Funeral Service. lp Clergyman_ne Physica Mu me ingle or Marrie Date of of te? «fh We eele bess Mos samieinusin “Her Birthplace eget Name of ane > His Birthplace .. : “Name of Mother / . Carriages to Cemetery...@ $. Automobiles to Cemetery.. 2 . A at Wagon Deliveries City Calls (Coaches) ....+s+seeseeeeveeees Death Notices in....Newspapers.. .j40.* wee, Terre rrr eee ee ee (Names of Newspapére) PIGWESS Lic otc cteccesanewaseess aainaie Reie ee leTe a Outlay for Lot...ceeecssececceceeeeresereces Opening Grave or Vault..... ee ee . bee Price of Casket or Coffin....seeeeseeeeees ph . CA ae eee! . “Metallic Lining ..... Ne erence a . (decks aie na ee (State kind) “ * Outside. Box *....+-+. See sanaews “Grave Vault OGD Some (State kind) “Burial Robe ... euianret Geen aaginss “ Burial Slippers and Hose......-. ].. Engraving Plate ......+++ FEA adi ten Embalming Body (with...... eae tap aid) Washing and Dressing.....+.eeseeeeerees Shaving ...0+. a ie sore oie Sar ctape arenyseomeee'ets Keeping Body on Ice.....+++++++Pee esr lle Disinfecting Rooms ...+-++.+++ FS be gen <1) . ere Use of Catafalque and Drapery.....gpa AV 4 . Des anercs. “Folding Chairs ...0.-0s0ses0 Seapece eset Mateos “ Candelabrum and Candles.......-.abet . Gloves $..... be Res CLADE Poles oss cree ae Sopa . aed me] Door Crape $......Canopy $....+.-: K Body :to be shipped to--.. bese com bsimclecel PUPMING KOTAVE la tianees gcanesssenicccie « hPa " Size and Style of Casket or Coffin.... cececccctecccccee: . HAVETQTEEN wes cececcecesceesceccecccseseseees z me Tent or Awning Charges....sesseeeseeeeers SRAM a DOI eb cS ere giana Vault Rental Kes ies aera hc aad Wave seeeeee Manufactured by..,..-f.--+++++ Dee oar saccsevesees: . Shipping Charges, prepaid. ....00ssscee ce 2 Titetinent at . esc Weal liana AM ..Cemetery. . Removal ree, Scusls cg Seine eeeceeetseesces . i: Cremation, Charges in << 0s cee sssvcconescw sense ‘ Lot = Grave NOs. cccceescess s ection No..... att Doitehe 8 Ld, Metab eaene eee belt . Personal Services j¥.(20000...0..00056 . ]. 2. IMUSIC: 3 vison 0.8 ote se eceeceeeesees 3. Church Charges ......0. CSS oe pele Rt mR es MO oP Tamar ty (ome are se bt Sialds.o Gen gbleied bw clt Gels 0 wae ” 5. Sob Wels wider scoiie seteeclb es siaie's ele A nr &. Total Footing of Bill........e.eeeeee Diagram of Lot or Vault eas Designate all Graves in Lot with Numbers (1, 2, 3, 4, etc.), By Amount Paid in AdvanCeses oo. . oe foie . . cerns ttle “and mark space for this Funeral with a cross (+). se Designate -place for Monument with a small square (i Balayced sie sass nic. coaree kee Sole eee sta os H Use space to the right of Diagram for the names of those buried in ty Entered into Ledger, PARE. 60550545 OF DEIOW . ns _ ei 4\To Funeral Charges... Total, $]. .: I be aD Cef. /0. By “Cash sveoicswicpices o'See dae cate $}.5¥. SU. Names of Pall Bearers.....ccesececees Fens CORO Cale hae sixic CREO De eens OE 555 aS ey Pe IPD hear EN Rl relayed tier . end) ‘burl bs wens ee eee: