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

. : RECORD OF FUNERAL. No. lif. /od.. wees (Tetal Num Name of Deceased. 42. cafe Wife---Widow Son---Daughter of No;.29 Ver oicistie sid aie EAS OS De CRS MOS SiG. als le 0 5 p08 s Bak Ewiaiite ug Charge to Address a TAA PIPE Pe eer eum Wiew aes ae eve 4/3 beim id sles Bias se Paan Mr AEN Six: oie iss MTrerouh, Sipser Date of Funeral. Rif A a./, a es #, Sit folie, Sie'etelecatereres Residence Ay, 4 QK BAL oo fT eccece Place of Death 64/7 Funeral Services at.$-/~/%. . Time of Funeral Service. . Jifes Clergyman . Sinise Certifying Physician . Ma C. His Residence . wee eee eet OE SR ERT RRM eS 6 00s 6 04s dea Oe Number of Burial Certificate Mp SHE TNA 928 og Caidiiy nats d os Se wuahibsie Date of Death. lthyrtd $ 4h, 7 Se saenis Occupation of the Deceased. Mie Single or Married Yel ey Religion /. Date of Birth. © a yas AY. his Sb. A i a ears Aged.7. 9. Nearer Ayden, onths,[email protected], Name of Father.OM1 +. chin ede ea ea ; ae His Birthplace ., fina, AEA Ae ae eis? Name of Mother.4LZ2,, lpg ade’. wee eeeceee @evore 7 jaan News) Her Birthplace . LA ates Wisin aS 6 wean eecs taints Body to be shipped to ; LTS SGs WER ewes Ose swe ele ee bee Size and Style of Casket or Coffin. Al ath Crgfete ¥ ee eg ar, ae ee ae SE Manufactured by. 0. os. os, te FEY sun Interment at Gy. Lee 3 Cemetery. Lot or Grave No..,.. Section No...., a 2, 3. 4. 5. . 6. i ° ae . ‘ Diagram of Lot or Vault ‘Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), and mark space for this Funeral with a cross (+). Designate place for Monument with a small square (i) Use space to the right of Diagram for the names of those buried in Lot. Py Ce. career (What Race) ere Bern) eiste sais Order Given ies ibe ec ee el is eet Price of Casket or Coffin....., Silo) 75) GO. “Metallic TREO dopessca tae eS aol aed wen ae Par a (State kind) 2“ Ota RIOR vnik ratings * «sw sendin tate caf (State kind) y, Gtave Veal. de ety cs) ae ae (State kind) ys Burial Robe “ Burial Slippers and Hose Eonbraving: Plate rr. oll secs i vkedvsskesa,. Embalming Body (with Washing and Dressing SUSVING dew Soul. Keeping Body on Ice Disinfecting Rooms ......., Use of Catafalque and Drapery “ Folding Chairs PAU, S008 6 oe eae ces aeere ME ONS 6/6816 60 © & bb Kon ory SECU RA SOP Where lie hs Qe orkenene's ok “ Candelabrtim and Candles foe ek oe OS ee Crape $ Door Crape $... Canopy $ TREATS 9s os cin as whee Ou oh ivan vcstee tia. Carriages to Cemetery.. @ $ Automobiles to Cemetery, i :@ $ Wagon Deliveries .. City Calls (Coaches) 6s 5. des nec due secee sc, Death Notices in Oe eer wns MR 808 8 ORS WN Uly's: 6 65k Wide wack © 8 HPO 0 06s 86.08 wee 0 0 Lining Grave Evergreen .... Tent or Awning Charges MAM REREAD ow FBSA se yces'a cass deine cucdorcal CS ee reg Shipping Changes, prepaid. ..6.000505,., shade der Removal Charges Cremation Charges Porters $ TOPS CC eniels eae PAPE oo REP le) 9 W619) 0 «) axe ae Wate lade My q Cc = =

. : RECORD OF FUNERAL. No. lif. /od... wees (Tetal Num Name of Deceased. 42. cafe Wife---Widow Son---Daughter of No;.29 Ver oicistie sid aie EAS OS De CRS MOS SiG. als le 0 5 p08 s Bak Ewiaiite ug Charge to Address a TAA PIPE Pe eer eum Wiew aes ae eve 4/3 beim id sles Bias se Paan Mr AEN Six: oie iss MTrerouh, Sipser Date of Funeral. Rif A a./, a es #, Sit folie, Sie'etelecatereres Residence Ay, 4 QK BAL oo fT eccece Place of Death 64/7 Funeral Services at.$-/~/%. . Time of Funeral Service. . Jifes Clergyman .. Sinise Certifying Physician . Ma C. His Residence . wee eee eet OE SR ERT RRM eS 6 00s 6 04s dea Oe Number of Burial Certificate Mp SHE TNA 928 og Caidiiy nats d os Se wuahibsie Date of Death.. lthyrtd $ 4h, 7 Se saenis Occupation of the Deceased. Mie Single or Married Yel ey Religion /. Date of Birth.. © a yas AY. his Sb. A i a ears Aged..7. 9. Nearer Ayden, onths,[email protected], Name of Father.OM1 +. chin ede ea ea ; ae His Birthplace .., fina, AEA Ae ae eis? Name of Mother.4LZ2,, lpg ade’. wee eeeceee @evore 7 jaan News) Her Birthplace .. LA ates Wisin aS 6 wean eecs taints Body to be shipped to ; LTS SGs WER ewes Ose swe ele ee bee Size and Style of Casket or Coffin. Al ath Crgfete ¥ ee eg ar, ae ee ae SE Manufactured by.. 0.. os.. os, te FEY sun Interment at Gy. Lee 3 Cemetery. Lot or Grave No....,... Section No......., a 2, 3. 4. 5. . 6. i ° ae . ‘ Diagram of Lot or Vault ‘Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete.), and mark space for this Funeral with a cross (+). Designate place for Monument with a small square (i) Use space to the right of Diagram for the names of those

buried in Lot. Py Ce. career (What Race) ere Bern) eiste sais Order Given ies ibe ec ee el is eet Price of Casket or Coffin.........., Silo) 75) GO. “Metallic TREO dopessca tae eS aol aed wen ae Par a (State kind) 2“ Ota RIOR vnik ratings * «sw sendin tate caf (State kind) y, Gtave Veal. de ety cs) ae ae (State kind) ys Burial Robe “ Burial Slippers and Hose Eonbraving: Plate rr. oll secs i vkedvsskesa,. Embalming Body (with Washing and Dressing SUSVING dew Soul. Keeping Body on Ice Disinfecting Rooms ............., Use of Catafalque and Drapery “ Folding Chairs PAU, S008 6 oe eae ces aeere ME ONS 6/6816 60 © & bb Kon ory SECU RA SOP Where lie hs Qe orkenene's ok “ Candelabrtim and Candles foe ek oe OS ee Crape $ Door Crape $...... Canopy $ TREATS 9s os cin as whee Ou oh ivan vcstee tia. Carriages to Cemetery... @ $ Automobiles to Cemetery, i :@ $ Wagon Deliveries .... City Calls (Coaches) 6s 5. des nec due secee sc, Death Notices in Oe eer wns MR 808 8 ORS WN Uly's: 6 65k Wide wack © 8 HPO 0 06s 86.08 wee 0 0 Lining Grave Evergreen ....... Tent or Awning Charges MAM REREAD ow FBSA se yces'a cass deine cucdorcal CS ee reg Shipping Changes, prepaid. ....6..000505,., shade der Removal Charges Cremation Charges Porters $ TOPS CC eniels eae PAPE oo REP le) 9 W619) 0 «) axe ae Wate lade My q Cc = =