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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

nEeOEeP OF FUNERAL.
. . (Tetal Number)
SR a ae
me of Sm OC sassesseens LEE
ewer eee . een ereeene , arge a Fee eee
D te of Funeral
2 lace. oP ‘Death..3:4.
4 yneral Services ats
Date of Birth.. . at:
.: Years,. Aged.. % =
eee Name of a ca
His ‘Birthplace”...
Nal (/
eee reereee
. .Cemetery.
en eee ewe eene
(Where
GOT Ee so aletienieaie satis os-s.seaike «oid Celsidece gees ses eosrder Given » dead hte: A La tarmaregy ise
Price of Casket or Coffin......05sense -$
“
Metallic Lining ......ee ce
(State kind)
(Saate kind)
“
F _ Grate kind) ©
: Burial Robe .
“Burial Shippers: and Hose...++++++ :
Engraving Plate ..:..:.: Pomloes Acie pe eels eee
eS HOUtSIEE (Odie vse sis Oe 0 66 nat stsie eiale Pe en
Grave Veit sess cw ccs ab eu ch apbodaes fom
Embalming Body (with.......+: ‘ \Fluid) a Lae:
Keeping Body on Ice..
Disinfecting Rooms .....-. ages Ot Gone lil
Use of Catafalque and Drapery...... Ate
“ Folding Chairs ...... Siemres tacks sienieit
“ Candelabrum and Candles.........
Door Crape $..+.++++++
FIGARGO Ss Cee ecto S's a Seiler b.viaje CR erAa.S HIN >
Carriages to Scinelbry celtics «@) Sak
Automobiles to Cemetery..@ $... PS Spe psd
Wagon Deliveries ..... srSipreietese aisle trmic’e viaib'e
City Calls (Coaches)....... Alvear) sem sarah
Death Notices in....Newspapers.../..
Dewees eee eee seers eer eases eeeeeenee ooeneees ees
Flowers ... Pee hot Seebre cco a's altaieaishe stare ‘
Outlay for Lot. ..scsscessccreecseees
Opening Grave or Vault.......-Lining Grave ..sceceeeeoes Rie see)
Evergreen ..0ccc.cicsccncccees y
Tent or Awning Charges....
Shipping Charges, prepaid.......e.20008
Removal Charges icicict sso etcn ct sss cu tewccas
Cremation Charges. $i occ edie duals gee ees deine
Porters $.... Seseoe Watchers '$! ii. cis eliewes
Personal MOPVICES 5 iitdaladie nis pore Rose ieee a seecohee
Washing and Dressing.....+-seeeeeeeseee . ]
Shaving ... y Weativus STAY ER Re Pee eave We ee . Pe
Gloves $... beatacewsre Crape Sito. casas Beye al. t keen
Vault Rental ...... rey Pe eReseneer a errs . Me CETL era if ef
eases . tee Total Footing of Biss 6. ced seceecs cdot dy See WAM.
Diagram of Lot Vault atts
~"* . Designate all Graves in Lot with Numbers (1, 2, 8,°4, ete), . By Amount Paid in Advance. .. 0.. ccc cee ee . focesctecessese:. pnsnem ?
d thark space for this Funeral with a cross (+). . ¥ ; a
‘Designate place for Monument with a small square (a Balance. vavices cicess ees See ol . bee ieee OS on
'“ Use space to the right of Diagram for the names of those
buried i Lot. — Entered into Ledger, page....... or below]. [ccna
4 ZL ESS a
ee To Funeral Charges..: : Total, $ 229. i. Vana.24 By Cash soe. G20 AS AEOE $ 22ND.
Be a he bes Mae h ge cae Gn ehiahas . die de mS f ©. ia
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