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Collection: Original Records > Death Records

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

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a owe Z fy a on Wa > aA ae A (Total-Number) Name of Deceased Number) ear eeeseeseeMeccselesene * Wite--Widow Son---Daughter “OL Charge to +++++Order Given by. HOR PHRO PORES E EHO E HEE HEE EH EEE H HES seeeeee er rs Address . How Secured .. Time of Funeral Service.. Clergyman LRGs Number of Burial Certificate......eeeee: Cause of Death. als paveleiw aivie ee weidielyi iene mat. arepiet Date of Death. tac Ce Occupation of Bis alsiss hoi vimieie ie civiais aivia bles 6a wie ob at _ Single or Married. 7. a77,..Religion Fo et ae Date of Birth.. / thet AAD ay less Niles cvs fie Velicas vos aso h Le. Davi Name of Father. LIME.. His Birthplace ..... Name of Mother.. & Body to be shipped’ tos 0 ci. Jua'eweine peuuvie'eaees Sedieuinesie Size and Style of Casket or Coffin.....eseeee000% Fibs eee eee ee ee , Manufactured by.. Diagram of Lot or Vault Designate all Graves in Lot with Numbers (1, 2, 3, 4, etc.), 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 wr Lot. as Frist of Casket or Coffin.,....... Metallic Lining: 0.7) 7 ccanie's aay otteeens (State kind) “Outside Box SSGrave WAU ccs vbasecess och ba slevehoo?, “ Burial Robe ... karen Burial Slippers and Hose....... Engraving Plate Embalming Body (with. Washing and Dressing..
Shaving see eeeereee Co io Pewee reer eseseserssese Encl Eodviee Tos fed. cc pines styl rie: Disinfecting Rooms Use of Catafalque and Drapery.... “~ Folding Chairs ..... sahinck's “ Candelabrum and Candles......... GIVER Goi cots ac aeue ye OTRDE Ss sak swsecived+«s Door Crape $...... Canopy $....00005 TECAYSCS win s'o.4;0.5's basin Koss o'veles Cy'lede cue ek oe aale Carriages to Cemetery...@ $..cceveceess Automobiles to Cemetery..@ $..eseeeeeeeel. .. Wagon Deliveries .oscercccscvcctedecesevcsece City Callsi( Coaches) s.ssic'e sista sie’ seeesbeceies Death Notices in....Newspapers.... (Names of Newspapers) Blower en 235 tare ice aes sbuele ioe sleigis sie Sloane eehates Gutlee ior Lobia w cao! bseee ee Opening Grave or Vault....ccccccccccceces Lining Grave ....+0+. Evergreen .....05 Ries oe cig alent Tent or Awning Charges......seeeceeees Vault Rental <atiee Shipping Charges, PIOPRIA +. ergecqeetccenenss BEMOVEl CHASER: « ols\s aigtll's en v doe eaeaNtoe ales Cremation Charges ..... Porters $... MEFsONdl SETVICES® one's vies suv eodeenelaterwmaeen Church Charges iisin.sesevapeecec tans cdvencnh. CTP O PO eee wearer ereres eee ee ewes eee eee ee ee tee eee ee 2 a Total Footing of Bill By Amount Paid in Advance......e000 Balance aieiesse eerie nigtiodyey WMUONERS $. 56K eciee compu a ee . peneennes ee ee ret woe Sonn One nr erie iri: . anes 1974 rch seeeeeenengeneetes Entered into Ledger, page...../..or below Lhkx To Funeral Charges.. . Total, $ TA. on BZD.. By Cash dh MORE star'otp ea a t; AN i Re ae 8 Seer AD ee Ek i fy te 4 (ee ey + hooey ee Names of Pall Bearers