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Collection: Original Records > Death Records

Mortuary Records 1925 to 1928 - Book 23 & 24 (277 pages)

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Total NO. 26. s0. asta Name of Deceased.. EQ caah. : i, ee Ee : ee : RECORD OF FUNERAL Yearly No. i A & sete es Husband--Wife---Widow Son---Daughter of Charge toWhwr+.Srene a+: cats Silas soe s Careieae cheba o:.5:h0)\. . © 9/960 ain [e Hie eye es ple o:0'€ Sales aisim 9 Cues ets S's Pies? ** sdipeacaeubte 6 ais Ilerese ene aie 401416 Bie 0 ae 8 oleic dai aFiGe oS ibe s osinies.¥ ls ce bis'e Sn l om Vie . e Flew) S © 6.0008 O16 6 O06 616 9'4 #0 'S 8 aH SD He © ele eee ere eeseerececeeeseeseseseere Casket or Coffin.....--+-+++-+deters alesse $. . .474°. 0.0. Metallic Lining......-.-eeeeeee cece gee etfeceeee eee] cree Address es jee = ae Me oA ye OSE g (State KindyOrder Given by....0ceessee eee sens nee eescseeecens Glatelle Box. cicsccecethaee + oy hee cies wclae e350 alee newness [rod 8m (State Kind) How Secured .....seeeeeceerereececcceeeresceeccees Crave: Vatlt cs oi:cs oom cc: cxien > omy eoiale denn 5.08 gales te doeee : (State Kind) Date of Funeral. SPrmpanat. eee ease, MH NAY Burial Suit or Dress.... 02. e cece eee eee eee elfeneeeeees Residence 2.. WR Gar ccc ccc cere te ener ee ect recneccoees Burial Slippers and Hose.....-+-22e eee ee elfrreretee forte Piast ah RE oh Mo tah cons ae peti « ee Engraving Plate....+.++++++-+5> ween eee leer tree Embalming Body (with.......+++-Fluid) . . ....-. Funeral Servi ae 4 neral Services at. .Jesterte~ +00 -sercer ess seresceccrss Dressing Body, $....+.Shavitig) $-. 5. <+ose. [ee<+.0-> Time of Funeral Service. . .1: =.. Dee. reece eee Hair Dressing.... eae g SEN Poy pha Sones eos waneee Clergyman Be at 5 V7" SU Re ees ee Use of Folding Chairs.....2.20-:-eeee crete . ferese peel eees dunt a ‘¢ © Candelabrum, $.... Candles, $... is . WER ee Certifying Physician.S coupes, t: cals evoke] tires ape ee Door Badge, $.....+Gloves i$ 2. fom calf. ch wces His Residence.. Nora.See ieee eee cece reer ee ees WU CAT Gee a ac ee S a. doles Sie cWeNlge » wis opie acats Pral. ae wea es Number of Burial Certificate......0.020eeee erences Auto Limousines to Cemetery.@ $.--.+++ ++ -[[rrrere c é Death Autos to R. R. Station..... (On Ses . ee Ee rar ot hte Te oalait ili Other Vehicle Service....+2+eseeeereeeeeeeafferserees ae Aeroplane Service....-eeee cere ec eeeeeeee f . eee be . ~~ Dato.e Death. . SrA VI VERY eee Death Notices in..... Newspapers.....-. . /ss-2008+] > Occupation of the Deceased.. AL. PRA ccts ETM aac, aad bale skeenitaseatbin cotecp «Sk nace phn Bean oy : . : —— (Names of Newspapers) Single or Married. Sane .-Religion...---22052055 -+. Flowers, $....Rental of Plants, $..... JS. 1 0.0. Date of Birth... We oe ; aS, ECD GES oes gcd See afess RR Cier Detorntionse slices eesti o-aqled ne tials Cais fpaRiglt pl Age... AO.. Years..@... Months. . a4 eae Days Outlay PR PING In = PURE GREY oinis 5 spe es F cams aie lee eran a. : Opening Grave or Vault...0.2.0-ese eee e eee leeeeeee Name of Father..\4.° aN PRE: 2 EE ee epee Lining Grave with Evergreen or Muslin..... ]....-. His Birthplace... Tat we epee ae celnsets Sita creas sty 3 Matting, $.....-Tent Rental, $2.02. 0.--0+. )rs.-ee0e0 Name of Mother: S ney __&. pagers Sane Use of Lowering Device..... 0+. .0-see eens ffeceee eee: (Maiden Name) Pech te lk AVN cicada kh, acdans title die ante aps ote Ses bloom peodf en eum Her Birthplace ...6e@Rw4in sce cece eee ee eens Outlay for Shipping Charges. ....---+-+++++-{lcssseees we Body to be Shipped to. 2.. 2.. se. .ee ee se enw soe name eels sane eee ET eS aieoy eit ee bola ati fa. 54 TRrCUMe ALTON vod A Srcia ie: 5 We eer eo mvdiw <a ale sence eine OE Hoos aa g wiavave lp € deesatatnve: STAIN ales eens Func PORNO Sain 6 Spout Gls aNe eS se Sia Sales Si ce Porsonal Services. cc. sins sec ssc sac ee ete cele cones IL, caains oe Size and Style of Casket or Coffin a. 4). Sab ge, Singers ... ese e cree secre neces terest eee eee eee: n Chureh Charges, $....-Minister, $../4.. . ...40. 0.0. _G@ eS hh ch, : Telegrams and Telephone Charges...-.-.---. }... ve “2. Manufactured by Sana. Smee. terete.. Seed.. Pall Fenrer Senvid®. goce 8 Sethe oLem te owe 8 Masala ae Enterment Atos. siesc sins cee dee osc cee vy ne osm ie Sermmetbney, sie ooo 505 raxe's aicteape ties Ferm Bias + nines BS BFE s SRE Sa cs emeicc PeoccolMoas ig . ec Pees bes Total Footing of dere eet &. Section No By Amount Paid in Advance....++++-+++++8 Biawiwt @CHON NOP fiee.d 4m trec0ieidue 0 . BalaBGlec isd Saccsl Ditin Be wate Pl newness slays sie da se a nas ber Nagar ee aco te Re wa oP ~~ aa “ Entered into Ledger, page.....---or below. . ....0+. .2++ rire. To Funeral Charges...Total, $]..... SW ceeds whe Re COCRST Se Secr.cc.cts were «thy Be Bp rate miad ster eiorey