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Collection: Original Records > Death Records

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

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s ere OF sh (Total Number) “i y Name of oan Sage Paces oe CECE TY i ONCE eae Lage. A sbamat i we): p Charge to ..... : acy eae ; ; Price of Casket or Coffin.......eeeeeee $. . 2 Address ... Saie'e's 4/3 po4 fo othe ty Wie pane ele tynieince arenes per pM etallic Lining 0 csc clese bere ase caer ee How Secured .. “Outside Box ... “oie 1 Ar er See Date of Funeral. , “ Grave Vault ... ae mae ane anee ‘ be hiners Residence ... 407 Sh EBGrial ROVE: isi 51 sci gs cet sie wise alae <a Place of Death.. “Burial Slippers and ess. eb Sincartterd prade Funeral Services af.. Engraving Plate .. isteeeeeeens ra Time of Funeral Service.......seeeeees Socios eseteh) Embalming Body CWiths o0. 00. cae sates if i iol Washing and Dressing........ eee S. Wa sip Kol, onl 2 SPRY IA o's o's’ b'b'a wc's'e's 09's h 0:6 tie ole Soe este coessese eeeee Shaving elper Ried MPa ees Pe nee herbal Cettifying Physician . Mas. of 8 2 Uae A OR Keeping Body on Ice.. ....eseeeeseeceeees a i ee ‘Disinfecting Rooms ......cccceecceeeeues f Residence . AMIN AY, Sf oor ceccscesscesl g peuevene nce q : Use of Catafalque and Drapery....:.... hs umber of Burial Certificate... Coeveces evcceccces eee “ee Folding Chairs ..... Seat Hs Lee he tise of Death.. “ Candelabrum and Candles........4. vecseeen 2.." Dat ‘of Death Gloves Sein. i045 o8 baa CEAPES. cc deslhs Phiemaar eee i maar a Door Crape Prelate eae ie hae vale Wares Occupation of the ear Seis ccd slaies wie a gral ery Cee ; Single or Marrie Carriages to Cemetery. ae. @ $. Me velia tees a ¢ yt De ; : Automobiles to Cemetery..@ $......00% Date of Birth.. 244 Nad Wagon Deliveries ......ccceeeeees Aged.. 2. Ls Year#. «. LQ. pa ?..Days. City Calls (Coaches).. Name of Father. .4 wis EAS ++eeeeees; . Death Notices in....Newspapers.... ‘His Birthplace a ee slid eo cr ie becceccvces ee a . eee Glaanesal Newepabais) ‘Name of Mother. (/Z.AQ02% .ItZte A disie VOCS Coe Tal POWEEBe s sU5hT Sheare’ (ue iea os COAG, 6 dled teen senna A ae . Outlay for Lot.. .sicccscsevessessecsees ae od Ras ae Her. Birthplace ... a ee . t Openitie Grave-or Vatiltisss save oeeotare Praery robe . . Ree ie Ee Body, to be 'shipped tos eis. .5 iecesececccsccevenee eels vege! DANN Craver idee vs v4 chic oll vee tices Sais eeeeee ell. : paegnd Style of Casket or Coffin.. .00..10.eneserseees EVergreen ..csseseseescecsecscesssecsneseeel. Tent or Awning Charges Ue ict eicave sagaepnsiaivals (. a a tes yee te ae eee Me ee ae a ees ete oo “Stee, VEE ental ya cites et arte ce Ba esteem ell.. stiuibacdicud by, : j Shipping Charges, prepaid.......0c0000, Py tnterment at Ny =f . . Removal Charges .... sigtinierele acre'e seGF le hip Be Cremation Charges .......ceeccees Bi hisiave Lot or Grave No....... ** . Porters $.... vos te Watchers $i (GCs. woe eat Personal Services ...... aise ide nae sie fun Ee oe me 7 2, Music ... 4 Sianels ais baste aheliaidl ie bipure Lal alee 3. : Church baie oct ge PRA scareldie co sie Wake Whe ae chee jiaee pr ea a hg ete, . ee, Gey lle ee FSS wate Mabe be WUSRS O66 60s 6 ube was Og Tecan 5. Seeispisitaae ses CaCG eed bias disigls Me blaGle ee Keouae Hake fey Pe Total Footing of Bill........0..0005 $ Diagram of Lot or Vault Designate all Graves in Lot with Numbers (1, 2, 3, 4, etc.), . By Amount Paid in Advance and mark space for this Funeral with a cross (+). Designate place for Monument with a small square (__)) Balance Use space to the right of Diagram for the names of those f » buried TH b~ Entered into Ledger, pages .. 00.. ‘or below]}... ...]. . sr ,. 4.3.,To Funeral Charges...Total, $. 62./0. 52. . pees ie da a Bre