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Collection: Original Records > Death Records
Mortuary Records 1925 to 1928 - Book 23 & 24 (277 pages)

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Page: of 277

Total No..----+--Name of Deceased...it eee 7 aa. ~ we Ad Ate
a (What Race) .
Wife---Widow {
; Son---Daughter OE EE cn ais Ponce cite tae Mn ee sles Aer aN aS iat Sa ed
Charge to. MW} jo. Seer LO fuinig« «0 siareinintitin Fe tina) erS™ « Gasket or Coffin.....0.-2-eee cree et erenes peer tie Hie,
: 5 Metallic Lining. <<.. sa. 602 vie ee tenes mee cellen denen: Seas
Address ...++NheoA eG 8 (staic Kina)
Order Given, by: /gesaine acest seme > ieee elbcimtinn 87 tars oF Outside Box. .04 c0% « lar. «ncleggiee teceies e's bs} aaliensesees ns
: (State Kind)
Plow Mecired. os eit. nw smiais 2 tems rey tine oo «ae aes SAV AMIE S, meaty! Mog acc = st tigltee ost e's eeialal ines oar: Hs
(State Kind)
Date of Funeral.S\.@eer. Irs. 34 al] ONT ata TRinwial Quit OF Dresies,..crenss ber cece eerie oon alfeees ogee
Residence ....-DAs, Meet cen a oll dyesianies se eeia fee Burial Slippers and Hose....--.+-+++eeeeeee. frrrttey ee
Place of Death...On g Anat Pe nee ie ee Engraving Plate...-.+0s-ses-sstereeeesecee deer igs
. , ; Embalming Body (with...--.-++++++: Bivia) . te-..a sp
. Funeral Services at.. De ttre.. cece eee ee erte ret Dieeine beds 4.. 0/454 Stavhield. . 2 lic nun: ae
Time of Funeral Service...% A er Hair Dressing. (<< duticceneee ses = nines veep need alitesern cs PS)
. Clergyman . 9.09.0. «.¥*.Q: Pe. Sara a Use of Folding Chairs.....seeeereeeer rere tfersrrer es sie
. aed mt 4 ~~ B ‘¢ ¢ Gandelabrum, $.-.--Candles, $.... . -----+++ewe 6
r Certifying Physician. + 7% :. WR eAe@arsemy steer eo Door Badge, $....-+-Gloves Bo dis. age «Mire res 2L. \5C
Hir Residence.. 0. hm ote ORR tow 17) aera FIGAUSE, co alee cate Maids hele = wale cs 18 6/0 gree . AIO.
. Number of Burial Certificate....-++--ee seg uecceeereees Auto Limousines to Cemetery. .@ $..-+++++-++]-rr7 ,. oa.
. é postal . 0a b “. S Lf, 5 Autos to R. R. Station....-Ly eee Sais cee wee Ae . 2,
\ ause of Dest SCprinary) eT diacowdare’ Other Vehicle Service ia ey sais anes Sine renga Pica
Date of Death. wwe a.. 3.0. ID LL mT Je Agroplane BOEVICE . weniger menshen iret the T 7) (igus
«. AY Death Notices in....-Newspapers..--++--. [sr00¢97
Occupation of the Deceased.. NNR erect] eens neers eens ree assets ees terest pe
P Py ae (Names of Newspapers)
Single or Marrie Wrk.. Religion. . Rue Per. eA Flowers, $...-+Rental of Plants, $....-. [.+---Date of Birth. . Njswrare& .-. ee: 1&8 & 8 ah ede Other Decorations. .....-seee cree sre t eee fereeeees teat,
Réeie KS. < Se be Monte, Daye Outlay SO ae isis oes ds bare ence ots emlorass wll egigaie's onl Fa.
; ‘ Opening Grave or Vault....++2++srnetee retire JQ\06
Name of Father. Edw.. Sip ch A Cleat Sc Lining Grave'with Evergreen or Muslin...----. }--.---+oat
His Birthplace.... Ene Matting, $...-.-++Tent Rental, $....---l]...6-+Jig
Name of Mother. .*% Use of Lowering Device....--.+ errr teres ieee ees
ag Rental of Vault....-.0ee cere etree tenets eeceeees aie,
. Her Birthplace ....-.0+%¢-sseer+ Outlay for Shipping Charges..--.+--++++0++esleceeeeee 4 WE
. . Removal Charges. s.----:e esses eee crete e eee ccencees[ ened
. ? Body to be Shipped to...-.--+++eeeserereecrereseres foes eee ae kL sy ete 2 Es
i + 5 PPh apie od n= Hea amie elas teens Sey os Pe Personal ServiceS..--.-sereeereereerrreesctes os Sm 2aJd
Size and Style of Casket or Coffin...--++--++-++rererees Sin gers icy aise tines R as © Gh gt tse LS eel a Bitlis reps <9 eee
Church Charges, $..----Minister, $....-. [..6..ise
Bee oer arals aintrme adie erecpis om > omar eerste © Arm + pieledea te Telegrams and Telephone LRT og Ronee Caen 2 ile)
Manufactured Sed gweld ee okies 6 60) oeialk WE'g is Asi eed FES Hie Pall Bearer Service Hm, 5 dsteraau > witthag wcoteatie Wipe sill Pataslaccais
) Interment at ore. , Dore ae AT. lahat jars soo te ele peels ones Bsigicaieg. eevee erie PANS ce Erect
>
Ee 5 oo klone ¥ uethre oe Sone Ed wiles wag:)a) © So SNe, CPEs ASPENS MSh ee beets ee ee
Lot No a ues Ia URC I MARUI eerstggs Bias Ble: there eRe Seat ee a ate . be tastes
. aaey Wee awh, es Total Footing of Bill.....++++ese essere $l]. nS. . 30
. ENN Nye lo ad oR OEE By Amount Paid in IRAVATICE. .24 sone co ns clere Bile seeks Pade
l T 4 Balance cyecc «5 oh ot otiee' gs ES . ae ings od
nae tae 8, Paes ern re ie ; cae
8 Entered into Ledger, page...-.----+or below]. ..... we Be
i hy a pat adie ny (hee one ess Veber egedcl tors sae temas eet ss
i
been ee sees To Funeral Charges..-. Patale Gia. cesses) sni's Poaene cies By Cash....--0-seeeeees Bi etislg ce
BE oct ot pC me altigie ob wari teers an coed arden sly Aine ss mae es ar corso eer ag Ta eg
1ST re ger a teagan SCOR Bs eNO OOM lei te
w