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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... adavee Yearly No. ex.
Name of Deceased. EY cchsceds:. ie ory odbc teres nrebe
Husband--Wife---Widow '
Son---Daughter of )+*++******* BL Ce 6 sin Fa ace lass tetaiatW a so Oa pia er TaLa b+ ee iTRa SS Cee Paleiagtie ee #99 ge 6 NE 9 SSS Se So * SP Er *
Charge to. Visit. VAT ov cate Slots Sisters nim tein eines
AGATeSS 6c ccsceccssscccs cnn gsoeceecteneees priv io auayatetererss eve
Order Given by. ;
How Secured . se A
Date of Funeral. oad.. fs
Residence ... da) were Cree Ae) Meat
Place of Death.. .C.@ Doe req. . occ eee eee wed i
‘ _ Embalming Body (with......5.-20+ Fluid). . ..... i,
Funeral Services at. vhs Dressing Body, $....sing REACT, Bos Lire Soke [lho atstbes ry aac
Time of Funeral Service. AL, ae Hair Dressing... Doig tale aneeitinice Mala «a Wixteflaweageecis Wee
Clereyman «2.4 FA tex. ‘a CMe Use of or pita pF se Beater dts 2 ; a ; i Faced albWiedasad oe ha, AB
ee ‘ andelabrum, $....BYP OR BG yn buns [etnreusisipie 8 aah”
Certifying Physician. . a Mh. cs Door Badge, $...---++Gloves, So la ivilyc voll. cmon eay Ae
His Residence....+O &. FUGA TROIS. ocho lo Bic 00.8 cco sw sree siniery o.blele Seip ose ho Well eniennetitle oe sh
Number of Burial Certificate......+.+0+++5 taladkd. 2 bers a Cemetery. ye : Bea eye oe vecelleneesdiens tees
utos to R. R. Station. ....-@ $B.. eevee ee alerscrres: aoe
Cause of Death Sewers Lom. he Ae. ‘ " ig
mes (excohtney’ read hi Service PON: Oa rea ore cra . Pa ba “ae
eroplane Service... ia Sear ienio fF caw chal pees 6 a «ll Reauppte stone eee
Dats of Mente se ate re Lee ye SeAa eds eal Death Notices in....-Newspapers....+-. [ssere0+ es
Oceupation of th® Deceased. . Wareneteni. cere reer ee] ce ceee eens eet neeees neces teres seece rs rseesses. eceseess
Single or Married 7. fuer. Religion. . Sathovta. t:..-] Flowers, $.. i: Rental of Pluntd Be ea cs Merete at
Date: Of Btls cic cio occ alee oe sin ce od Hida re sine ne somes eB © Other Decorations.. ...cceeee cece rece eee e eee lereeeeees thee
Age..46.. Years 2 Wo imat ts Monthis.3 ois sve Days Pty SEs Ps a tacks ov Stey dine sce AO eS ssc #0 es ee:
Opening Grave or Vault....5+02.see rete ee leeeeeees
Name of Father. . Wena. Sersaranrtner. sees eee reece: Lining Grave with Evergreen or Muslin. ...-. }.-..+++. I
His Birthplace.....000 Meee cee eens cere eee ee eee eee Matting, $....-.Ment; Rental; $i.) oso qn <i ccs eae is
Name of Mother.....-. Riss Ole a cl eed i focec a d Sate att Use of Lowering Device...-..+++++++ reer es ffereeres
(Maiden Name) Rartal Oh V Balinese ui a crelsine.+ 00. sispejore + cle v ony Ollitinen bee We
Her Birthplace .....As urea wah witha Outlay “e —s Charges...-..+-+-Tack . e eee Beet
Removal Charges....csssseeccersceeeeecees
Body to be Shipped to...4.-.. eee e reer e renee eeeees Tnéineratton ve Shoes Theis ch tht oc ties th, Oe ee
et en eS IO meme ne é fc cuaseccecceee. Personal Serviees..ccc cee c eee c ees e eee ne te ceeeeeveecees. este
Si nd Style of Casket or Coffin.. Z & Peete a sul see Singers Kaaba die laleinre 6/0. dtalb.o 2 eWaence der eueegee © a): 8 Sieieilhs ale bbe a
tu neh. Oa Fe ef. Church Charges, $....-Minister, $....+-\J.c...fee ee
Rae a ey earner Telegrams and Telephone HAP DOR 5 d's, oe wincten x [deans cie a] TRE
Manufacture mer Fe Me i eee og state's +2 Pall Bearer Service....0-eeeeeeeseeee ees
somber epg. cai a is So ar Ne a
Interment aj “Loser. [Sragde CLO, = Cemetery . kent ssh ae oats mts EAE ans a wis simian g Ns sisi eas oy
i Het es cn cee cance «och oh "swine hese «Soe Cage A Snags Sere Gy ek 6 nee IR 2 sped an:
(Sends Mee colin: ut dss Total Footing of Pe oh ae evans AS aca ee AmSANEE
Sibtie Hose. Got cas By Amount Paid in Advance....--++++++++ Piles. ine ves Marans
Balances . ko 6 « vier v3 Ay oslo os 1 . . Satan Se . one
er a Entered into Ledger, page.....---+ or below. . ... ates ats
ol grateete To Funeral Charges...Total, $]..... taal ts By Cash.....0 cece cece Bleeeeeeees