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Collection: Original Records > Death Records
Mortuary Records 1919 to 1926 - Book 17 & 18 (287 pages)

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Page: of 287

Sedcmene:s #8 sips) dupasi Mesa
ame of Mother.. or Wile 2 chad a's a ELOW ERD s oiiigien edieidleua cess > Arai ee Re eh . Ze,
akg, DE ia lame) Outlay fot Lot. s5.6 5.5 ce cinen siceesceswess cosets
es Birthplace.. trreeeeceeseeserss: . Opening Grave or Vault... in sa en eS:
Body to be shipped to--...++ Seve ceppstwevewecsworet ie LAMME GTAVE sig ae)ss le seic.s tees Vos os'ee is Me eoiels
snd Spl Catt of Cains eseeneneentntses Evergreen .ssseeseeeeeeeesees Ce Ck
Tent dr Awning Chaiges Fe . e E os.p Se aaalene sae {ae See
"a Keeacarninl: Vault Rental ... oS ee qi slaleces waieiee syabieea.s
ph fatgi
ee eeeeoeeeeeeroees. Death Notices in....
Shipping Charges, prepaid.......seeeeee
Removal Charges
Rieter th sreereeeeees . Price of Casket or Coffin......seeeeeeeee $ Sane..
Address. . SUR Se Ori ice Oe ee In ee oieeeeeeeee “Metallic Lining ...... Ia Ft . caeeecaet PMc
; yw Secured . RR ee (Aes «eNotes a 0 sles eee. +s ° SZ 5 sels barlich oe i],. “ Outside Box fe emepeayyee chads BOE onl A\UY. cia
MULES son anes $ GUNEMDMES coke heap pea Pease tesa
pe aes a PASE ee Rhea ewe esiet “ . Burial Robe .:.. ae hry ies at e ieuigh a Ye.
[of Death covets teechesn seen ee eeeneeeeeerat "Burial Slippers and Hose.. cc. cece . ] encccsssssssee. Sossseene
Services at.. y Piste Tigey ve) Rengraving Plates 2.. bert. CRT es ae wee
Embalming Body (with.... {isin RUMI) . ) coe
Washing and Dressing.... Sete aweseaw ees i
Ghavihe cae goths dees (hb blutins gaesktovite
Keeping Body on Ice.... ie ties tiene aware
Disinfecting Rooms.. 21.. 005 0650 seceees eee s fleemnete . ills
Use of Catafalque and Drapery..... eaehne
“ Folding Chairs ..... ryt ake eee eer . .
“ Candelabrum and Candles......+0+++4 ai
Gloves’ $. 3.6. .08 co's seve’ Crape $.6. 5.5.06 ete fa.
4 Door Crape $...... Canopy $...-.se005
Occupation of the Deceased. . . Hearse. osstisces aes Fey ah waadestecads
ingibor) Marri Md Religion ZG Carriages to Cemetery... @ $.%5.2. Sai hols
i ON 3 Automobiles to Cemetery..@ $..... oats
VE: fo Soe LK EF sate . .
Wagon Deliveries ... re ded ecole s-icteparee
~+» Mont s,.+++6Z..Days. City Calls (Coaches)....2.++00 ae ey
Cremation Charges Se areta aiell. etal ad
Sa IOs Portera $..5 5.4654 WW atehers Suc. 0s ates
Personal Services ...... ORR aglé hin Sages eo Toceb iss . Oe tom
= Music sc 35 shee ela eaten. Grete coder rake ks a tS See
CHUTE Charees iniccte ss pees tise vicina « bibt diemalatelies
ee Re et te yeahh Bey Ones Dec Mh atau coat chy Fee Reels k ee et ns
1 [ &. Total{Footing of “Bill. 0 os ioc. Aad che sees Sales $ LA3 52.
Diagram of Lot or Vault
vere
; Designate all Graves in Lot with Numbers (1, 2, 3, 4, ete), . By Amount Paid in Advance.... 0.022060 [fees cenn. siemens
Ey is and mark space for this Funeral with a cross (+).
“= Designate place for Monument with a small square (a) PRAT Bet re Load one Fale e Boia a due, tall toscortan lla apes
‘ ' Use space to the right of Diagram for the names of those
-buried in Lot. ; Entered into Ledger, page....... or below . ..)
LZ24 ees . ee
‘a i Fi —‘To Funeral Charges.. * Total, $ a he Z ay. AS. By Cage io seig cee dasiez eeeo wy fi 2.
No./.
: Name
Wike---W
Sea—-Da'
Charg
Addre
How .
Date
Resid
Place
Funer
Time
Clergy
Certif:
His F
Numt
Cause
Date
Occuy
Single
Date
Aged.
Name
His E
Name
Her .
Body
Size <
Manu
Inter
Lot o
and m
buried