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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

Yearly No. vl 4 aiaee
ween eeee
Ha Poe = Dee beh. 9 CatH...
Name of Deceased... VA Slee D ey ere 4
viustenale4 (What Race) (Where Bo n)
Wife---Widow { :
Son---Daughter LER oo ee eied epuek whe OE da OURS wipe = seaaipe a = ar + Mogae ene EVE 1 CGE Sy Se
Charge to. Chara. DA, BBS eee ese eees Casket or Coffin... Oy oe Se 5 Peace Pea
Metallic Taning... 0.. 000 cess erie se ne tee soe es tileresse nine Address ..Wak. Ss =< ee 8 futate Hine)
Ardler Given by..-.-.seeeereec ress te seee tener eres eee Outside Box. ..e. ees ec. e sees enee tele meso cee s cielerosgetes
(State Kind)
Flow Seemed cohesion so. gels Haibane rising ee coe 8° Girnve. VGRLGs oreo Heals ellgies a tensieet oaalions Fee
7 -,. (State Kind) _.
Date of Funeral. SF. €e. HT. VARA ene pee . Burial Suit or Dipess. Gide nigs nee = Ba . . Pee rs
Residence .. aeons. Gk. Be ERE Rt] ocean eee Burial Slippers and Hose...-.-++-++eeee rer e. irrsstes
Place of Death..S ee oe Wd alt Engraving Plate....-++++++seeeees Ushers! savei. [essiiee += . water
eis ; Embalming Body (with...---+++++++++ Fluid) . . ...-.-Ses
Funeral Services at... Sy cas wd Fe se og cin 8 ot Droming Body. @:.-.-«>> Stinving’@..¢.sske lve Meenes a.
Time of Funeral Service.. -Rix Fae NTS, sig da niesiaieoe * Hair Dressing....-+-Seaidine wisith a Sv Seejaioue tess ail ee San ess bs le
Chepgyman ...260+ Tar. &4 Le Beco Use of Folding Chairs....+-sse+seereacrere. fertsrres
i ai “© « Qandelabrum, $...-Candles, $.... . ----++++ eis ts
Certifying Physician. “1+. Ds >. even Gane See ee Door Badge, $...----+Gloves) 8 hess Ell cows . a2
Hig, Regidence... 440.. oat. SA. ee PANS ox hes One TESRERG ac «.Uiuc did «. tssalale Sree wien Siepraie + ala eee viet gible [nna 1.3 2.2.
Nuinber of Burial Certificate. . PY YA id. ee ee eee Auto Limousines to Cemetery.@ $..j---++++++. Jrrrt+ ha. ?e.
Autos to R. R. Station :
Cause of Death. Fa...44Runa. re eee : :
Geethesy} (Beoondier) tant bhi Service
1S at. ya ~ eroplane Service...+-+++ssseeeees “ee Bae aleveee vees
Date of Death...4°.<*. Geet rs sore Mad, 34. Wace cee stews Death Notices in. /...Newspapers. Me Wy cau .
Ocoupation of the Deceased. Arete MAtEr. . seed ee ee setes. vee eeeeecerseae sles es se ree ays ** say Taboo sas és
. : ss (Names of Newspapers)
Single or Merrted....--+: Religion. ...+-sse0++200 Flowers, $...-.++ Rental of Plants, $..... J.--.+++Date of Birth.. Cr fied Pe aie stl SUES « wcalbale' petit 2 Other Decorations.....+0eeseereeeseer seer elec erees
Pt. q. Pid 1 ok ©. Months #20.. Days Outlay for LOt..scevcccssoeccncceterseteeertisserecee: bs ve
Opening Grave or Vault....---+eseeeereess eters LO\2.0,
Name of seen Ci Arad, . dE CETTE oe 8+ Lining Grave with Evergreen or Mitelin' epic ce icaece 2 . 97O
His Birthplace...acta eho ee oe Matting, $...-+++++ Tent Rental, $...-.+++-. J.eeeee:
Name Of Mother? sc. vas cue eco bocie rapes vite e eyalenielp fiser eeielt s Use of Lowering Device..-.--: BOSE as ag Yaa . IE es
3 (Maiden Name) Rental of Vault.....cceee seen ere eee ete tes eeeeeees
Her Birthplace ....ss.eesesesceeeesneserecetarssencs Outlay for Shipping Charges. ...++--+s+s+eresiessseserforee
i Removal Charges...:+.ssseesececeeee reese elecseeees
Body to be Shipped to. 2. 4. «bie vwng tere seriericonen cr) Incineration ...--Pe ie se Berean cpl esl toe’ Wyeeeiltls Stag eet cats
SNR el igceke anit ole ib a NURg RTC ede m nigis ented esa mersie nes ota loiy winiy AasarE Personal ServiceS....+e:eeeee eee eeer ee eenes ABN?
Size and Style of Casket or Coffin...-.-++-+++ererreeres SEN gOS b: 20) vines sagerais at's tore Feige teeing see * Sieit MEST a sino vase
i Church Charges, $..----Minister, $..... aa eee
ne tha es oils nace abioudatt wir dynes ¢aemlane tain RUBS ates oe Telograms and Telephone Charges. <<. :.-.+:+-+e. [+asoneedn)iee es
Manufactured by Ba, og wiethve pie. Oa 'eg) @ 0G, 6 wbie oo) seo praiatele Ie bis ¥7¢ Pall Bearer OPVICEL.c cae ees Uereeb eh nrg ©0094 . ] sale perce’
Interment at oc.. c-.ccvcreeen nr ene enbiecceier ces Pamneteee . : +3 o6 atin hes pest aR SRR Sa ns PRT SE ESS ee aster
a $e Maal y kate ka) ere eeu pages! PORE Beers Heres ee aS te eee ciincad
q-+ v
i
Fe Pe A = ee Total Footing of Bill.....---+eeeeeeeeteere $ or oe faX o%
5 Section No By Amount Paid in Advance...-----+++++++: Sle vvsaecs. wales
4 Balance. ....seeeeeeeceeee Gs pena
Entered into Ledger, page...--+++++> or below