Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1925 to 1928 - Book 23 & 24 (277 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 277

Te)
>.9
g.
> 7.
» 2
9. 2.
IF
RECORD OF FUNERAL
See ee mw creer errr erases ereceocen [rseesesesl owe
ee oe Oe
Total No...cese0s fei a “Yearly No.J.&...; Date.. Penge rN Qee cece eee es 19. Ad >
Name of Déceased... Cannan.. SY. Oras ie ee ati eee
(What Race) (Where Born)
Husband--Wife---Widow {
HORE Dalighternct . Vie tcrin sais « */nlels oe v oidre sreeine seg dieromage’e rmighs eee + tities ce Fi pS BERS IS ¢ suse, Sole namate! eric teekely: s/e'¥/2)2 Bir Boer Aes capes >
j +
;Charge to.. enka. settee eee e eens nee sees en eens Gasket or Coffinitc, .j..8e rade ph. clictea oop #. ..7.5/.O2
; Metallic Liming. .. 4A.. 2.. ee eee eee .-FA)/AQ
AQTORS Ss trnic cars « Wins te eens SR ara tae warts “ion gels s we c PET
OnderiGiven by....cee cece seen cere ween rere eee ner ene Outside Box.... 5 fee RPL, tree Rae Sue g me . e rarest io
(State Kind)
How Secured ....eee cere cere tere eet e nent eee eens Graves Valli </c.00 oon. Peale aOR omens mis o. lteeeverel ees
ids (State Kind
Date of Funeral. . Ft t-se>.N Vs. MAB. Burial Suit or Dressz.../.%. le ar . a SEH . Hee
Residence ... NSS SEA, 5 cibeetnw 5 pes avis + ciatena se timia slg :.. Burial Slippers and Hose. wut.. . acces Penne ete eelereeneeee. ones
Place of Death.. Dr See. oe tine ene eet ee se et eeye Engraving Plate. ...s.esepgeeeeeeeenge sees caie . . P Se ich) Baa
Lae y+ Embalming Body (with.....-.-++++. Plaid) }\-.:2...
Funeral Services at.. 0¥he PA kits SIS e I5Me wlavn owe ne Dtesing Badgs8o 265.205 oo Bhdving 851.5 Js Aarons
Time of Funeral Service. ... MEMS Loose Gi Hain, Dressings scans kis ssiise ox hale wys ois o00 ¢ [farmers
Clergyman . Veena. DAR A sete. yates Ge Use of Folding Chairs.......2+.-esee y+ [[erereeee
«© Candelabrum, $.... Candles, Bcc oe-< Tihoscoeuels
Certifying Physician. . > Door Badge, $...... GHOVGR, Bisa n ddan Bb aos aes
His Residence.. Sas.3. GS.. ---5-CRE Led Wien UE Gaccs cishle RGM anvies a stare viens «> to ael. seemeney
Number of Burial Certificate.......-.-20;05es ore en 5 pore f Cemetery. ; Si ae ae . aes
f utos to R. R. Station. ....@ $... cece eleeeeeeees
Cause of Death. oe dtl, AA. * :
T Rich de hiearys ag apse Sere acs 654 caine soe SUI + hers ore Na eeseeees
Date of Death, “Sar.en Sea NTs a a Aeroplane Service......0+ss0e0+: et eeeee 5 . Soon
Death Notices in..... Newspapers...... ]----+++
Occupation of the Deceased. . RS a ein ec dE OR eet cee eR nde ome safe;
Single or Married. . Ws Q. a Religion. .& « peels cease Flowers, $.. ect Rental of Plants, ee: ea PeURe . . Ee ee
Date of Birth. \ q@eam.:. RM. LE . BEES aieia's ek Other Decorations. .....-.++05+. pee eee
rs Grutlay far Lots s ss oe.) Byeds. ceseiee ¢ ele widtignecig’s ss
0A.. Vears..0: 0.. ths..9.9.. D Breet CGE ct 2 Ses Pie to = snag 9 Ase eramiry * ise casks:
od A “ia Lae a ce: a sie Opening Gravevor Vaultix. 6. ces (a vines Se pecs «es . ]. copes
Name of Father..... SURSh Soer. tewrtred ose e sees Lining Grave with Evergreen or Muslin..... ]....His Birthplace..... nite Onan ie ee aeien ice Gate Matting, $...... Tent Rental, B..5-.\.54 . ] code.
Name of Mother.. =~: td ee Use of Lowerlnge Device.) sie. Fac.c Pie side oo) oiehveced
, (Maiden Name) Weare l Wate a eae relly ag nosh sigs > Sit ausatin © scecee. Heiss eclelage
Her Birthplace ...$ (a ee ots ae. ee “raged aad: sci Charges...---seeeeeeeeefceeeeee
: mova OT See een ee . ene
Body to be Shipped 105.055. << 2-0 sie ca ve thee niet e see on ets See i Ee ee Se San ee
US aioe « Ae Sem whe Cece lbuetovedd o GALS CNIS 4 wrkrtpn Bid Gialerk Slab olel= o.elie ow Six PGYSORAl BETVIGOS « ., é-c.6 devo dix Sale.aje 6 8 wis dee 90:9 see OMe bee cnle
Size and ce of Casket or Coffin. . x » sti Singers ¢ G55 30: + <0 “sistslvsgisio is ie Opraia skewers 0s athe ccs ce
4 Church Charges, $....Minister) (80S v5.0 cs [eacecomedfor ce
a! Ey ae MT pe gene Se Le . ae OS Telegrams and Telephone Charges.......-. )...00. 05-5
Manufac viagra MOTPC Aes «Ses Pall Bearer Service.......ceeeceeeeeeeeellicc cece
‘Interment at i es ge lena a alle cae Cemetery. ----+ssr errr rere r erst terres tere r rere tree ceece eel ees
é ee Lot No.. ccc ee ccc ccc e cece . Cotte tet teeta teeter een eee se cereeeeesersel scseees mete,
sige. SEY We on tee bg HE GLE, Total Footing of Bill......scessseeeeees Joa . o90
Seetiow No. tt gaa) By ‘Amount Paid in Advance.......--++Os Staelin
RIAHEG 6.5 Sos, ocd 8 gam 6 os Bileces seems farges
a me Entered into Ledger, page....... or below]. ....sc te: fice niece aralope cisicieieane nro oi eiia oie esate 5g prrtettteepeeeeees
pes een To Funeral Charges...Total, $. ..... 1, anes ales Pigeon ats ho ce lots gata oO . e vines otek