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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
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aMotal) Nea. «<1 cete ce? Yearly No.-] 4 ate Dake?’ Re a ie «gg nts G8 toe 19.2237
Name of Deceased.. Oba. adeliebe. ha gepeteer eC steghta gis « Mee c-af-d.iushenaese ‘(what Race) (Where Born)
Wife---Widow ' .
Free dk Wears sy Rsea olan are 010 9 igs sipieyaeniels Hr Mab giana meinr etme ne « weer Sea © #2 a ey
Charge to. Wyma. ttle. i, Baling. sete eeeee Casket. oF Comin. S662 5 5 bce sa Hie els ares ole idiie Ble. eres be
Metallic Lining...... 2.22 eee e eee e eects erero ress a: Address .... aie ERE Latch evans fscae etallie Linin Piece oa
Order Given by... TAR URS, eres er Says . eee emo oe Gita ORS ok <5 aie Shery tasty eed eerie oh ties 90s alee cae g aba
(State Kind)
How Secured .... L sisies sine someentnctcctap esse eneggine's Gvave Vault co cx 65 nate nin saepty Os Uns o slew 6 oieim alles s eameengen sit ©
K
Date of Funeral. WA rete 2, WD Preven eee ees Burial Suit.or Dress....aN. : Wad Fea rrr . mae Res
Residence .9.4. Coreen 0c eee eee ee eens Burial Slippers and Hose.......-0++e+ +0: . [eereeeees RSs
Place of Death.. p EDL. 3 2S eS ee ee. Engraving Plate. ...-.++se++s+rrrseoesss > ih Alen eted wichae wii
: Embalming Body (with......--+++ Fluid) . }..... wale
Funeral Services at. . . paneer \ BEF Sor siaisie Dressing Body, $....-Shaving, -@. oi. ges celles Se oases
Time of Funeral Service. .. 2. Wi ¥en.. 2. + peices 2 Hair Dressing.....:-.ceseece eee e et ee cree fecereeeer. tees
Chnegytuam Thain. Jongh ogoace ees idole ae en Use of Folding Chairs.......:0eeeee cece e. [ecereeees iat
a. 7 paaching enh t “« «€ Candelabrum, $.... Candles, $27.05. 4:.liete-«s sie os
Certifying Physician. .Wa. >.) mm cee ceee Vdebsiatlea is ccs 5. 228 istia'é, . . 20 ae
Pia Rosideuce. Sareea Nee oP. thas atte ce vlan FIGSLSE 4.o., cu pate Foc clvie slaleies o win 8s alsin. e cuvinls in; eslerlese vee
Numbowe Duirial Certifies: «aia o ks.. veie sade een opel eee am Peet ee i Cemetery. : : oe saigta ely + eee ee erie rs Bis
utos to BEHOT es os, Boras «.05cs cie> «fle ates Sas aaa
Cause of Death. ssregeat =< Sineut, cad fr Secon! oi “+++! Other Vehicle Service Et Ree eis” oie eae 32 122
Date of Death.. ac.st:.8. NAD lig: Hoek. See Se Aeroplane Service ese lair ies hs te Sac ae es if i,
Death Notices in..... Newspapers....-. )-+eee+> sees
Oceupation of the Deceased. a SED . ian aes, nen ie Weber eee, perce
Single or Married. ~~. *~-. . . Religion. pate ee ce Flowers, $.. re wis Rental of Plants, Dee ees (el ee
Date of [email protected].. 8.0.2.. 1s Eee eas Other Decorations. 2.. 0.2.2.0. cneecees «seis Hoa goss Serie
Age..8.©.. Years..>. A.. Months. %.3... Days =. open emule. Sia tab Ta sagen alga . te
pening Grave or Vault....... +s. se eeeee. leeee nee
Name of Father Maastin. Reharn gd.. -. Lining Grave with Evergreen or Muslin..... ]....
His Birthplace. . <4. aes bia ea eee Matting, $....---Tent: Rental) Gs cs cu sa . ]Seo50 055
Name of Mother.¢ 2 aA tc. Re mer Mh me oc. deal Use of Lowering Device....-.++-e++eeeeeeeleeseeees
Bi Name) Rental VAlt. o.oo) con's «pareve nine p oss e Rinevre alee geass aie
Her Birthplace Base a ee se Sere ae, Outlay for Shipping Charges.... pesseecter el geeeeees woes
Removal. Charepsadcivc: > . praitem css FF egie'oreis + ciel [Pe dgeaiy ee
Body to be Shipped to.....-. 22sec reece cece cette SSL YOR CaM Aire. en Poe eee
pL Dg ate ed cee vlhcgiote Simcoe ol. oe a bMonardlihy Sie lp.esls 4 ataye 9 ere snsvataie dy Personal Services. ccs .0 . hc.e vc cs eee salen saesel]..
Size and Style of Casket or Coffin....-.-+-++ee++00eSingers ...+++++++Etre eres sees eee eeeenes
Chureh Charges, $....oe 6.0 6 © clea O10. 0 Seed 6 CWE 0-46.00 6 6 Oe © FOF 0 62H ONO OO Die 0 OLBIs © 010 © 0 Oe Telegrams and Telephone harges,
Manufactured by Pall Bearer Service..
Intermentat .QALRAAAa Assets. scenes.. Cemetery] --+2s* oor osc t ers terete ccereen cess ages esas
oe we UE, erm ana Total Footing of Bill.....-.-+0+eeeeeee es $).6.%. . a0
ete Helttalt *) tent he By Amount Paid in Advance......++.+--. . aera wae
PSAIMHCE ssc « co vrsicie sae \¥ vale wlete ; . . eee es
beeen, 0 igbteeey TE Cure meat eee ;
“cent . uals Entered into Ledger, page....... or below]. ..... Fis.
le a ae To Funeral Charges...Total, $. ..... Sheers wae Byun 0s. fash hues, ox coer @loes aonses