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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

Bole ey
Ke
‘otal No.sscseoseet . Yearly No.. /.4... Bie. AEE i sad ae 19.2. 37
Name of Deven: Lacsat. Bathe. Rance: hehe: cle Wl 2d a aibecit le Mets Wnwcke..
(What Race)
(Where Born)
Husband--Wife---Widow t : aSon---Daughter of Jsrserscssstssstestrsreeeete
Serceee restos Sills GUGTGHE Gia rRehwe ons nsegkvealy Suman SUNS 20le Siplowela a/R «ce tye Dg mm eesim.« 6 CP Sg
Charge to. Edw.. MOY, leg Se peaks & olbre ee Casket or Coffin. .. SF OR aly & ony rau. “ a v3 40. aa
‘Address X14..) 6b. S. a, Pes re ae ee Metallic Sos ar SOO Meee? eta: 4a lad
ate nd)
Order Given by} a Cuenca ts ceeptc els Sorromotieee Giatnido BO. doo. Sols eee jlereraie aseie d Sr Ages ewes we gn 9s
(State Kind)
How Secured ... vg bisisuwoitioleeiets eine wpidis minieie Huwie-siaie'® 4 sic/* + enya Vatilice cee cs te cnletidin he Steins cits e's #2 . [aevespeee
= _GGtate Kind) v
Date of Funeral. . + Oe. «. 2 NITRA eee Burial Suitvor Dress. . 0.05.66 dei ee dele eee alleeesanca:
Residence ..*-. om A i lale d edobhe lea MOAR esters ae nrocr: aolade 2 Burial Slippers and Hose...:... cE Aces . erp ee a) ee
Engraving Plate... PeGARE) PLM baih a ako oa she + Hee ees ae
Pl £ Death. MN Sets. ccce ee eee erent rere eee e nen cn ess *
conta act a4 Embalming Body (with..,..+. wes eeeFluid). )....
Funeral Services at. einer as ite tees te ghepsiste. eats Dressing Body, $...+++. ‘Shavin 6 a tae raceTime of Funeral POLE B Ry eee eens OR eeons «ecm aah Ou Hair Dressing... WET 5 Se hae teah coe s Fea SEE ye Minlatn
Clergyman .. Atay. wvtdhh BCL) cae eee, mot Use of Rolding Chairs «. 6s. .igat ce view secs wees ffoasaceomalie «de
i ae ni = i «« © Candelabrum, $..,.. -Candles, Seles alts. alata
Certifying Physician. .<-. aa 4 Ey Tied eda on Door Badge, $...... Gloves, $... 50s Sernllnccessess. ones
His Residence....-VIE Ge led. Dic baile sensi eee ATRATSG see ot oes ities 6 6 a:0kd Lote Biv oud 8 ee eae eke:
Number of Burial Certificate.. ....0.0 se cee cece eens Auto Limousines to Cemetery.@ $...-.--+-+[J-rrsee++
Autos to R. R. Station.... HD Bisicnjsos coe celfeeteenees
Cause of Death Cortdartidee. ow Ste Aen eye A Poe es ve L
viarhecbed ari isesondary) aces Service. bonaneseernsevecseers tes afrereceees
Date of Death..V0.A:. eG.. 18. Ee Sen Seer es ae auag ee eae ee ee ae
Death Notices in..... Newspapers. ..... Jsssseeee] eee
Occupation of the Deceased.. CLIO NS ie ioe B . pen HR crenata eisai angle Re ck Salers roesa (prs rtd
: : i ae
(Names of Newspapers) . ~
Single or Married. Wid... Religion eek ose ote 1 Flowers, $....+. Rental of Plants, $. Pee.. Cae
Date of Birth. . as aa dels LT, EP Gat os Other Decorations: .:. 4.62.00. c0weees ss. St oe rere sta ie
ci Pa
ai c.f; ¥. at on low.. Mote ibe. 20 Days Outlay for Lt. cic yas fs OP Ca eR Mle wae eles ae eM cae ot
Fs Opening Grave or Vault.....6.s-eeee eee ee lecese ees
Name of F ather. 39 . Mote a As Lining Grave with Evergreen or Muslin..... . ....-.
His Birthplace... ee etmitlisens ew, gees 5 ee laee Matting, $. .. 066.0 Mont Rena Bele ods vel Norn ances
Name of Mother. . oe a reece Use of Lowering TB ViIGG. sori tie ckGgisle ses Sk OSE ewahiow ce
(Maiden Name) Rental Ol Vaults. « cicawtec sce wiles Coe ices WEN che paul ween
Her Birthplace . ee Outlay for Shipping Charges. ..-...+---6 ++ -Weecceeef eee
: Ramoval” Chepies ii hc. sts ass esetten's cota s = IIS, cues on
Body to be Shipped to......22 esse eee eee eects fi RR cat ete ME SELL. RSE
dhe Foie alussieiaiingliosela (pepldla cg 0.0-eim ale, ¥:41sne ie, ead ol gd. 0js/ie_miscel esa yelp eleyecenend PGR SHOT VICES on kos 415 3:0 Cle lo ltl 6 ee dia aa ear slaos «eH om ey neat
Size and Style of Casket or Coffin. © Ais was eee cies eee ls Singers po Siborw erence Sir tre dpeminss se bia eines yall <n ses 0
a i 6 pis Q ¢ f. Chureh Charges, $..-.. Minister, $....-[].....
£49. oir i Wega. ee Po. oP. =i ace laa ~eew***. Telegrams and Telephone Charges......-+-. [...00-[+++
Manufactured by. 4 neva Se TG Sas.. Pall BeareniService race sise cess vos a saute e a/ellbeiat ce
Interment at . Ra a a (XK sg g Pitre Cues Cemetery. 2+ 8+ +b eee ete eee eens rains tine ewes meee tse wien
fig Tsot NO cme weeig Sats dies. s estes ara [Poe tee wave + ete RS guste SSD win, Sip iene bine sem are Se ieee, tas
Noo»
7
a
oo” Cees Did soy eee Total Footing of Bill.......000.eeeeees $l. 2.598.102.
A id in AGVAane@Gs. got e ess sje oss otPilltws ves eco
Section: Noss.. c2. ve ele By Amount Feid in Advance $
BSI@nee oo. 00 gc ne oS eles ciee Boe BA, canedon'cl elo
iy take Reaten ae es Helge hh ee oem ees
me antered into Ledger, page.....+-+-or below. . ....5.] 0.
Ries cadets To Funeral Charges...Total, $]..... Fee eloe. 2 UN OMS ccs Pais ses wens
ae,
=
a
and