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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

WotaleIaws detouted Mole le “MM, Weary ING Scher gta ppg ak ae al ba MOR sates oh
Deceas dary adel. .nomonnen ; relia’: ! hen pA.. WAKE cece Ge Rad.
Pagid = aaah (What Race) (Where Born
Wife---Widow {
. en SENT arOd Wiha 08'>) PTs ie seeps ares aetouslepest ene ere ese S «vane oid in cates atl 7 tbr cate ea ne ce uel ae) gd) ae es
Charge to. >a. . Arana. Seewaartebe, 0.. Casket or Coffin. .....cceeeceeeeeeeeeeees $ ASO) a6
Moetaliia Tanings . iy.. ai: 6. osleinicne otateg s 6 oy voir «is clean snew Wed rens « Sock oY Armee ces wie oisinye aioe © ais “sues eine
Order Given by.. 9.2.. cece cere e eee eee n eee eees Outside Bam ocd Be Soin o dleig sniele «Sie ad wibls Giole velo oll cas eenea isle e'>
(State Kind)
How Secured .... sees cere nec e eer ec eee trtceseeeeces Caine UU ROLE ee els eats a ee lew Miine Meters site bee > Ul Snorer et
(State Kind)
Date of Funeral. .Ucabes J 62 ID Jor. eee Burial Suit or Dress....-. 0.0. es cece ee tee ASE D
Rasidence .. Bs Stee eee cece eee eee eee eee eenes Burial Slippers and Hose......--eee eee e. freereeees
Plaiie Of DeaQi Rtgs. hock oaths tenes nd dapat Engraving Plate....+.1:+-+ssesssersnenernedersrerees
; We Embalming Body (with......-.-+++Pluid)ie.6.5.5.
Funeral Services at. . Av 4ea. ee ec eee eens Dressing Body, $.....Shaviiig, @ 25 cee SeW os esas
Time of Funeral Service..A724 PA sce eee Hinity Drasalrig sre g o accccis so 6 656 olka) v sleke Bueceds w Ifa vic howell © + 5
Clergyman .... @ Peet oT TEL OE PR. ya Use of Folding Chairs. .....000 0. ce cece ee feceeeeeee. eee
Certifyine Physici as ‘ Q «© Candelabrum, $.... Candles, Siisj. ce . . .se+ sea
. STEEP VAN ALY RLOLETE 36 ice ses es RN SME whines ein 2 oe Se tie Door Badge, $...... Gloves Ss oy it setlll onan dies
His Residence.. . rr. Seow ce ce ee te cee c eee e scene TRGAYEEN oroecss on och wate Sine nea s MUSA p Siean ore Ulla soaoee
Number of Burial Certificate.. ....+.eeeee eee eee eens Auto Limousines to Cemetery.@ $...+.++++. feerseeee:
) . Autos to R. R. Station..... @ $F$.. cece eeeeefereeeeees
Cause of Death witenn Rtn y oreo aoe pect Service a a ee ee Pane CMe eM . RI
eroplane Service. .:. 20.002. sess ees nce sins Ville ives: «ss
Date of Death. . rate.. 00.94 = ete ane Myer hath Nothes io.. c. ene W ie Ser
\ Occupation of the Deceased. FR peter okie de pee oc a pdg edb s hme nn oxeb dew bag sces tyes beoteces
. : ° ° Fors (Names of Newspapers)
; Single or Married. Se---4..Religion.......+.+++Flowers, $..... Rental of Plants, $..... . ...++Dato of Bicth.. esc PRR oss oun otneyes DyEHor DRCOTE MONG eac cs scce Peke Pore Heals obo Peek ne [lSeieawenn. iee se
Age..4@‘%.. Years.. Months...... Days Outlay el ER Neier i ide“. of ee ne . aa
Opening Grave or Vault....5.-.2sees e eee ticeeeees
Name of Father. . L+-. eae BARR APTCeY anereie + iais2 siest Mea ae Lining Grave with Evergreen or Muslin..... }....
His Birthplace.... M4. AA.. cere eee Matting, $....-.. Tent Rental, $..6 050+ caulllPeov.seos
Name of Mother.. a.. Usecot Lowering Device. 2).:. 6.50.04 «oo 060 vreis . . peg on ede
eabeimenoane) —< f h ss Rental’or Weutts 2 csc boo ak wt oie. See aesieee ev aellegscstres w
Her Birthplace ... MALE AOs Secs ee Tne sehen hs Outlay for Shipping Charges....-.++++++++-ffcweeee
: Removal Onanges.coccc cares ss + sia vee es vive [eos
. Body to be Shipped to.......: eee e erence eee eeees SS Tr IN ie Ie OT pia Se x
TP Wt, hoc: ME ete cst Sroka ee we aus" Gate sisi He ereeMtatelsLe mio sls ane Braayegretelcie Personal Services. .....-.eceee cence eees Fo . ae,
f Size and Style of Casket or Coffin. “13. 4ST.. Singers ...eee e eee eee eee e eee e teeter ee eens
Church Charges, $..... Minister, $...+.-llec.eeee
. ne SRG eth cc eR wns «nem oe Telngreme and Telepboue Clege. ith.. Add oa
_e Manufactured by. S-.b Dy oe whee wisi @ Aisi vise o.6 ©1066 Soniye alls O60 Pall Bearer Services, . 0c ccs oes + tinct eee oellics cones
(_ Interment at . ap Storans . 49..0:9. Ra . Cemetery. -::+strr scr errr restr etter tenet cere eee ics e ewes
. x at in Gaclcptelec ers Gieue bleceth dt Sigeleepeantaly Ora Diath GW Ole See Oe ON eats ;
i ae Tie MGs dae: « weve ciate bm bated) > Meee tig oetinwe mpi WIRE ge h Tg Rie nies seis nein ly wcciersis Hiab wte seine cs ee
* eh EMV . Ge wo.. ee eee ee, Dotal Footing of Bill.. 02. .2.eeeeee eres ees 445/08