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

2 aah OF it eb Wife---Widow Son---Daughter Charge to .WY fu) Address ar How: Sernned 5. 5 aiceusiciss sahiess4\s'ce cae eisie\enletine nak baie ene 1 DatevoriPanetal sc. «xis sicic.s seis pais sie pteiowin eee ale cwlsinia-eld ost Residence ...speeeeeees . Place of Death. sku 3 be EY Ae Funeral Services at.. SatM LM athaaruatp Dalefeetes Time of Funeral Service...ceeeeeeeeeee on SEE ee ; eee eee ee ee CLEP VARI, 05. S5e's a Sivasinh «aap Bade 5 Moilanen His Residence .: Namber of Burial ‘Certificate. 2.2. <.5.3%.6 05000 sense ace i Cause of Death... nets eee e teen eee e eee ee eres eeeees ; Date of: Death. ESS hia met. 44 6 98 \ Occupation of the Deceased.. Mv rersitiasd aele-si sihoieiy eee Single or Married. tie ene go Splepeivie's wl ecesialare Date of Birth... AGLY Fetes BAIS Sraerecaheece Aged? «cess . Gears Pog diagslp RE OMENS yxale sin «Riedie Days. Name of Father. Sra AN EERE eer His Birthplace .4 MA MAF: A LCS) ee anon! Name of Mother.. Pikcsenwihs satu see hineee wiais atigwatenre (Maiden Name) Her Birthplace ... wosalb gids. «0S big oye pales ca sisiem ses Body to be shipped to. Soa: Size and Style of Casket or Coffin... Fobatambnss ator Diagram of Lot or Vault Designate all Graves in Lot with Numbers (1, 2, 3, 4, etce.), and mark space for this Funeral with a cross (+). ee Tree eee reese serene esnsee eee e Hole hehe seis warns’ vce wa OTUEN UGIVERIDY .\. « clossieicie noice sics ee esiawleme (Where _ of Casket or 'Coffitt cy seis becceside viens oes $ Ds: a Metallic Tottitig: is. 4 seuss cseasses vies + [fea et ce ae (State kind) ar “ Outside Box .. : a. ee ENE SI . vee a. a (State kind) “ ! Grave Vault vs. + scex os Slptisves Nemes’ Ny fee ee ees [et Gtate kind) stb) Robe Ripe RD 9/50 aie Wis oe ee nha “ _ Burial Slippers and Hose. oo. 060 0/o.0 «. p oncccocscseree. coneseeae BSTAV IOS PEIBLE 5 5c 8 ara nlshs:onn pets <'sis's oiclcls aisid + 3) . feese ced cee Embalming Body (with..... Fluid) . }. Washing and Dressing....-.ears or. c= SEB IE Fall oN atenie: cave 4'ol SARA A Six cr vie Bible Mille's o% Keeping Body ont Ices. ci.sise are eucle augieinws « vies air Disiniecting: ROOMS — cis s<c5ys ~cee te epee: <setts : Use of Catafalque and Drapery “ Folding Chairs “ ee a) Candelabrum and Candles..... Door Crape $... FIGATRG ¢ 5-8s, 2 o-se's, #55015. . Carriages to Cemetery.. Automobiles to Cemetery. WAGONS DeVries vis « siniec caw sie gla.e'se oon tiie oda oats? City (Calls (Coaches). . occ. cies vee vee cee snare Death Notices in.. (Names of Newspapere) Milpeets ois « d'sivs wgesiees eeica's ven vane’ AE Spyro Outlay for Lot. ay Opening Grave or Vault...0.eeeees Sry . . ee beehie st PoE OTAVE "sca sia'sle bie 0% sist o eieialwals saie% vees Eivergreett cs: j.<e «ctetee tues Tent or Awning Charges...-.0. Sart Vault Rental Shipping Charges, prepaid... lS ae wa Removal Charges .. sioralevie sual Cremation CHAtges < .'Sies's Muyeee's abus sale cans POPtets . $ vecs ence Some Watchers $ Personal Services . Total Footing of Bill.....200. $]]. By Amount Paid in Advance a rr GOVE8 Bin. vnie sored acini s Crane Sivcss ccsceeeces S. Designate place for Monument with a small square (i Balance -. oves dacs cette. « Use space to the right of Diagram for the names of those . 0 Sf icrrernennnnnnceni eennennnany buried in Lot. Entered into Ledger, page.... or below]} on} see Fa SE ee: 7 77 7 g ca 2]. To Funeral Charges.. Total, $ os Ae!) i om By Cah Mok dade weet $ me Tw : . Sree ven nena ce ratwaca) sacasntcnnsf nanessnesnenevssecaanscenes oeahosehepeares ase Satire onctose tonee TS rocns eal bapa Names of Pall Bearers... eledisle Pieemriaicltisee svete Name of I Charge to Address . How Secu Date of Ft Residence Place of Funeral $ Time of I Clergyma' Certifying His Resi Number Cause of Date of © Occupati Single or Date of . Aged./ Name of His Birt Name of Her Birt Body to Size and Manufac Interme Lot or ¢

2 aah OF it eb Wife---Widow Son---Daughter Charge to .WY fu) Address ar How: Sernned 5. 5 aiceusiciss sahiess4\s'ce cae eisie\enletine nak baie ene 1 DatevoriPanetal sc. «xis sicic.s seis pais sie pteiowin eee ale cwlsinia-eld ost Residence .....speeeeeees . Place of Death. sku 3 be EY Ae Funeral Services at.... SatM LM athaaruatp Dalefeetes Time of Funeral Service......ceeeeeeeeeee on SEE ee ; eee eee ee ee CLEP VARI, 05. S5e's a Sivasinh «aap Bade 5 Moilanen His Residence .: Namber of Burial ‘Certificate. 2.2. <.5.3%..6 05000 sense ace i Cause of Death..... nets eee e teen eee e eee ee eres eeeees ; Date of: Death.. ESS hia met. 44 6 98 \ Occupation of the Deceased... Mv rersitiasd aele-si sihoieiy eee Single or Married. tie ene go Splepeivie's wl ecesialare Date of Birth..... AGLY Fetes BAIS Sraerecaheece Aged? «cess . Gears Pog diagslp RE OMENS yxale sin «Riedie Days. Name of Father. Sra AN EERE eer His Birthplace .4 MA MAF: A LCS) ee anon! Name of Mother.... Pikcsenwihs satu see hineee wiais atigwatenre (Maiden Name) Her Birthplace ..... wosalb gids. «0S big oye pales ca sisiem ses Body to be shipped to. Soa: Size and Style of Casket or Coffin..... Fobatambnss ator Diagram of Lot or Vault Designate all Graves in Lot with Numbers (1, 2, 3, 4, etce.), and mark space for this Funeral with a cross (+). ee Tree eee reese serene esnsee eee e Hole hehe seis warns’ vce wa OTUEN UGIVERIDY .\. « clossieicie noice sics ee esiawleme (Where _ of Casket or 'Coffitt cy seis becceside viens oes $ Ds: a Metallic Tottitig: is. 4 seuss cseasses vies + [fea et ce ae (State kind) ar “ Outside Box .... : a. ee ENE SI . vee a. a (State kind) “ ! Grave Vault vs.. + scex os Slptisves Nemes’ Ny fee ee ees [et Gtate kind) stb) Robe Ripe RD 9/50 aie Wis oe ee nha “ _ Burial Slippers and Hose. oo.. 060 0/o.0 «. p oncccocscseree. coneseeae BSTAV IOS PEIBLE 5 5c 8 ara nlshs:onn pets <'sis's oiclcls aisid + 3) . feese ced cee Embalming Body (with......... Fluid) . }.. Washing and Dressing.......-.ears or. c= SEB IE Fall oN atenie: cave 4'ol SARA A Six cr vie Bible Mille's o% Keeping Body ont Ices.. ci.sise are eucle augieinws « vies air Disiniecting: ROOMS — cis s<c5ys ~cee te epee: <setts : Use of Catafalque and Drapery “ Folding Chairs “ ee a) Candelabrum and Candles......... Door Crape $...... FIGATRG ¢ 5-8s, 2 o-se's, #55015. . Carriages to Cemetery... Automobiles to Cemetery..

WAGONS DeVries vis « siniec caw sie gla.e'se oon tiie oda oats? City (Calls (Coaches). .. occ. cies vee vee cee snare Death Notices in.... (Names of Newspapere) Milpeets ois « d'sivs wgesiees eeica's ven vane’ AE Spyro Outlay for Lot.. ay Opening Grave or Vault......0.eeeees Sry . . ee beehie st PoE OTAVE "sca sia'sle bie 0% sist o eieialwals saie% vees Eivergreett cs: j.<e «ctetee tues Tent or Awning Charges.....-..0. Sart Vault Rental Shipping Charges, prepaid..... lS ae wa Removal Charges .... sioralevie sual Cremation CHAtges < ..'Sies's Muyeee's abus sale cans POPtets . $ vecs ence Some Watchers $ Personal Services . Total Footing of Bill..........200. $]].. By Amount Paid in Advance a rr GOVE8 Bin. vnie sored acini s Crane Sivcss ccsceeeces S. Designate place for Monument with a small square (i Balance -.. oves dacs cette. « Use space to the right of Diagram for the names of those . 0 Sf icrrernennnnnnceni eennennnany buried in Lot. Entered into Ledger, page....... or below]} on} see Fa SE ee: 7 77 7 g ca 2].. To Funeral Charges... Total, $ os Ae!) i om By Cah Mok dade weet $ me Tw : . Sree ven nena ce ratwaca) sacasntcnnsf nanessnesnenevssecaanscenes oeahosehepeares ase Satire onctose tonee TS rocns eal bapa Names of Pall Bearers..... eledisle Pieemriaicltisee svete Name of I Charge to Address . How Secu Date of Ft Residence Place of Funeral $ Time of I Clergyma' Certifying His Resi Number Cause of Date of © Occupati Single or Date of . Aged./ Name of His Birt Name of Her Birt Body to Size and Manufac Interme Lot or ¢