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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
RECORD OF FUNERAL
Total No..sccescews Yearly No.74.... og ao ee A Se ee eer 19.2.9 7
Name of Deceased. mlz Tl thes anna thc. . Carne ste ehes nigh ent ANGE tials la Dior Ihab. ie
(What Race) (Where Bo
Husband--Wife---Widow t
Son---Daughter of )++-***"**° rg Re. Oe Cones abi ie. UM rNad slid ON Taal 2, CaMeEed eaeiern: M
Charge to. eke. Af. Sooo 2: Binieiers+ «)niplarsiely Ciisleet On OMAR ois, o cuales epubee oj Sbe Pion ool B Gee aah ihe $\. .. £5.) 9.0
Witallic slamines.. u.codiruvieba aoe cies cote sms porten. Sa a IAGATORS ba ne cis sins Ss'e/¥a now 6 omreldieles coger fih: fare g iooet ars
Order Given by. .-. Dee Fe OIP RMR so oo dns hicdodls Oritinde BOX Acar s «cpl OG c aieiptern Tighe 'aiple oes to AB.) A0
(State Kind)
How Secured 22.20.00 sce ect e neces sec e eee ete es cer deers Grae Vals tat sc reels doles ety viecieceipie.s w/e, sls ial [es sWiedne sflB ip »
(State Kind)
Date of Funeral. .-er.s. Mb oA 5 Hyeial uit Or TECAE,,, erases sled cree he cio bereits aff vene > =z
Residence ... amen S. PuabiRS i nbel tassios akent Burial Slippers and Hose......-+ sees eee effersereee tones
1 Engraving Plate...s.ccecscseeveeterecseeesdorrsreere. sete
Place of Death... 4S Potie’s sini PRs. Uae epee Mb eues aa
0 Embalming Body (with..,....+++5 .Fluid). . ..44.)a 0
Funeral Services at. . at hnabe. Chee QW.. Dressing Body, $...+++++ DAVIN! Boe mids ca llbveed cn?
Time of Funeral Service. . >. 3.9. IOP Sas. Soatde. a5 Hair Dressing... A Be ieee isa lenpinin corel ciet . . Seeeoanaee
Clereyman .Miewvs. @: Rio Fr) Pein 3 Use of Folding Chairs....0.ecseceeeceeecee. iereeeetse. eens
4 F ion ey + se. «« « Qandelabrum, $.... Candles, $2.5.0%). leeenes g. 22
Certifying Physician.. <r..* MARR. oe eee e ees Door Badge, $.....Gloves) Fi. 20 bal] Me 2) 2.9
His Residence..... See Rem Tikva a heel alee» eatebees TRBBYSO) he croie cplveseapis, « tucaclbe eth Som) -jenptaume secgietats gated A. OF.
Number of eo) aE Ba Rid ate cra eibeligs se Foiarersenepatbons po ae gs wo Cemetery : : He en SA glad Bol esis-es:e re
utos to R. ation. ....6@ $i cceee cece e. fereereee
Cause of Death. > on ile Oe Uy nO ee ee ee : A
ae pbb dai @ Ge ams ie faa Service Paebara ate Meaad Ue ca Lie spallemnaseres
Date of Death. Pr -eranis. VNB eee eens ie her cue eer ecens? <° Beege see er ei tak vig
Death Notices in..... Newspapers. ..... [sreeeee+:
Occupation of the Deceased. . .ock CS sok M ie eli SPRITE su) yc very» maul Dy Dbe amidase Guten += 0 a biia a By os BARDEN Bg
x ; xe x (Names of Newspapers)
Single or Married Mac.. .Religion. . alfirtac. Flowers, $....+ Rental of Plants, $.... . ]...6Date of Birth. A SAN fF SeEW MOP RBEL Ts 5 slkCR PRIN TN 6 ep eeat ele [Mater Other Decorationas oss cxscav des soso sic chu nea [le vaaiewees
Age. SY goes MOSER aici <6 oe on Months...... Days Outlay DO TIAN 0 08 + «90 Cah g vim oiemns ohn ee oss t «Lewwale es ae
Opening Grave or Vault.....eceeeeeeee eee . feee. 1.9.) e¢@,
Name of Father.. .beereeteertrereer eee ee Lining Grave with Evergreen or Muslin.....]]... ‘lama
His Birthplace.... Main BBs ris aallie, ee ney on ora Matting, $5.0..» Tent Rental, $. 2.202255 eel esenpeees
Mame at Mothers. y ONG Rae es i ed Use of Lowering Device......+-se-eeeeceellccsceee:
(Maiden Name) Rental of alti.. tice d clea ictpe ss pa.9% 6 0 He gam lfm geared «4 V6
Her Birthplace .... West Sh RT PRG ee P Outlay for Shipping Charges....-.--++++++ +)..
7 Reindval’ Chargesi. csi. 2s coe ctie shane ss Mh Bans
Body to be Shipped to......e eee e eee eee e cette tees time SS LONRE ae aeeennr as il eae
ME a Sin bs Chie elk Brel oad SUS SuhIN's S'S. wk To 0 6 (aL RES AME) wre SNES © ogee arerelle 6.9 0 Parkonal Serves ae oe elk wip ellen recain ens Woe Thy wie Fall snus
Size and Style of Casket or Coffin. Sif a ke. 5 Singers ... 0. cece e eect e eee ete e seers eee Meee iy
h Charges, $..... Minister, $.....
ee el ane ae . Oneness Cee cee ee Chats ¢ igen $ itniater, $ sere 9.0
a ; (sae Telegrams and Telephone Charges....-..++)J...02-[--5Manufactured by.. Rak.. Ca red. Sree esses: Pall Bearer Service.. ccc. es lend oot wee ee sl cesses
Ynterment At.. Co Ae o kan. .2 Sn eeeeeesvesd Cemetery. ----+eee scr eee sere ccrr tenet ese ee sete nereees Wiceeeeeeap aces
a BENTO i oie eae) < Shicte. onsite town vipa nie Oise s'o'4 yo siessrei FF alelaes seri Hare sat aisyn ipieee
v a : iT ae a Ne o° ieee ce Total Footing of Bill......0seseeeeeeees HLtA . 2s
oa
3 ‘Paid in Advance... 2.06 cece eee e Bile ce eee ees
Sedtion NO: 0.. «aaa se yi niaaaan oe = a nee $
. PSRIBRUG 6 ovate Sy0-4'523 56 tueeeon 3 Cees
‘os oP Pe os ge eee eg
es ; Entered into Ledger, page....-.++: or below}. ...s00af + 8%
ee Seed ema essere creme setsoeeeewssre D 1
\ Pistes eee To Funeral Charges...Total, $]..... Re oie (eee RI Saal 9, 7) Matas fae renee essen so 8 Gani ie