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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

(Tetal Number)
Name of Deceased.
is Address ....
; Now decured a
. Date of Funeral..
_ Residence ..
Funeral . Services at.
Time. of Funeral
debe ymias: ew A
Diode etc cia s.c exsieaepeer pats “ Candelabrum and Candles.......00HA.
es : Aone a. . loves G28: wlese sacs CHADED Gs Sou ans tnaiess
Date of Deas Door Crape $......-Canopy ie senate + Sa Bie. l.
Occupation of the Hearse." aH).. FA a Pare aa ay PO Ee
Single or Married
is Date of Birth.,.
= 5,
‘Name of Father.:
Tis Birthplace ng k
= of Mother.
Birt ea 4
Sea TORS 5:Sieeseer
sparc 6 IR eee sa
se ie cael e Months,.....Days. City Calls (Coaches).....4.
; Ge i eeeeees; . Death Notices in.... Newspapers....
. RECORD OF FUNERAL.
Se GSo csc No. :./o, hee ake Hod , Date.
i Mdstrdearit.... oe aia Bigie Re eae
BWmess @ eseeeeeeeOrder Given he deseo
Su iavestha STaNeha hia cn apes _afstgue Palericis babetwe (pie 8 Caaketar ee bn:
Metallic Lining oo si6 5 sce coc s tices vince s
; Le (State kind)
<< OrteteBoss Sesh iale:, .jce siseate ania ene
lp (State kind).
fe nT OTAVEGVEUIE oid tcis ote claeeont ee
F (State kind)
se of DUPBIIRODE bas sie as:5 + co's kita vaitees Ses
on * _ Burial Slippers and Hose. ae eee
tvice. AZ
ee oe Shaving
. Keeping Body on Ice......
Disinfecting ROOMS 52.250 <0
Use of Catafalque and Drapery.
_“ Folding Chairs ......
“AReligion /J.6cH
Wagon Deliveries ......+.
hana (li : i (Names of Newspapers)
Lsieeck, . . Blowers 7234 iscisensses Seis as Seve
ie Likes Qutiay for Lott, :.0b.8 stualee.
ee eee eee eneeseses
Size and Style of Casket or Coffin. boat pte A Ses anu teh dated: . SAVOCTQPOON Sis ail ook caps. 2
<< ee e “its Tent or Awning Charges....
gr ewe ee aaatiieel oie wasaw a eie-s ie leis Ub stewsencesons . qr Rental sc cl.. sereesles
ety ebiaweesteageceRccsccsceevcs ". Shipping Charges, prepaid...
ey pe .Cemetery. . Removal Charges .
“Pad Section No remation, Charges .«
PEG weg chika SOOCHOM: NGs:< pc tibc.cs sthwiens ortets $5.5. .cse5 c1 etacroaueen Personal Services .......
erent MUuBIES. ot5cceunicweld mowers alte
Church Charges ....6.00i0 00
Total Footing of Bill.....
ig® Lot ‘with Numbers (1, 2, 3, 4, etc.), . By Amount Paid in Advance..
ineral with a cross (+).
‘Monument with a small square (i) Balavice Aas sei
ght of Diagram for the names of those
Ce
i
eee eee eeee eeeee
eo eee reese eeewe
Carriages to Cemetery...@ $.,... ait lente
Automobiles to Cemetery. 4.@ $x see slversiesd
Opening Grave or Vault......eeeeees
Body, to be shipped tose.. ic occ c etc c es ecceccvnecceees! . Lining Grave ..ccccccceseeees
Entered into Ledger, page...
4 we
ee Feet erences ces
oe is
ee ee
ka . soenerenensnnnne
i)
ed
i eas
Lo ait ‘4 3 aK! csernes sp leecves
/Q.::. To Funeral: Charges...Total, $]...4.3 wae p LY. By Cashtiiigiect ace soe) Peay . Rene? 22
ee i cea