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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

Husband--Wife---Widow {
Son---Daughter of Jesse rere reece eee eee eee ee ee eee eee eee eee eee eee ee eee eee Hee eee eee eee eee eee eee
Charge to. Dd ann seer hk co CR ee Gasket. "or-Womine. ..s .veckane del sso ees ees $ 19] 0.0
WRGUANEG WEIN Gas crake. « haickeg pt avs a aiuto MOE nre Fellas ccoesaclee ues Address .... VM . Cor Sa oy ee ae ees
Onder Given® by, cise « oes carts os eee « «ama al ay ear Outside BO oe. ans vrs sc sisee nega alelewions tes gw sella estes
(State Kind)
How Secured ... 6 sees e cece eee ete e ee eee cece eee e eens Crave Vault. 2. oy code «3 s!ews, cs ie vies hove ow Seales paoee ct ogee
(State Kind)
Date of Funeral. . Nene me On. VARY eee ees Burial Suit or Dress........0000 Paes oR
Résidence =.. .¢ ris rerenmmemeh ed, Blac wit Lc ele Burial Slippers and Hose.......00.00eccllecceeeees] tee
PIR Acre: Deaths aw eee se es rae a ta ee Engraving ADEE citnty ole sa ME es ore Sie webct on «fore verge gis s-s
: =~ rat Embalming Body (with......... Fluid) . }.....
Funeral Services at..38Segre TNT salutes oh a eimialg rete otraleee Dressing Body, $..... Shaving, $...00. ct escccees
Time of Funeral Service.. . 24. Pause ot.. cece eee eee Hair Dressing....... Sata olpeOdings. 4 ee 9 3s x gated wall cv Wirealas a edS
Clergyman .... Coe ig rae oe a le Use of Poldmng Chairs. oon oi ces nce canes sells cesta
— aid . ; « “ Candelabrum, $.... Candles, $....]}.....
Certifying Physician. . . me sa ad ee SE “+++! Door Badge, $...... GLOVER AIS: 5 sro cieate eile coelas tee
His Residence.... eee Aer e 6 Spl Voodoo 9:4) thecilince baasdle Sees TRG I RE a dees s Tora aks lidl Sele Ss ache: Gagan 34 aid eto ll ofa wees
Number of Burial Certificate.. .4.......00.005Auto Limousines to Cemetery. .@ $.....++. Jeeeeeeees
; [ Antas.to Be Re Stations oes oe @ Bie Foe Secs alse ee each
Cause of Death ee yl aheaetes a abnh.opis, har : pate Se hi ee. @%
(Primary) -. (Sevaihary) er Vehicle Service.. . 0. 60. Sites ce ccs es eeielfeo essere
Date of Death.. i exe Aeroplane Service Sop letae eave 4a e1h.Atcc1ey Sale 9 [PSO TES Oae
Death Notices in..... Newspapers...... . -----++Occupation of the Deceased. -S 5 Ne POPS mrardealeleseg oil itr ae a Bes seaN Seale Oics aise Sete. s Ges See Coe . Satie s ces iewdeten
a: * ie! (Names of Newspapers)
Single or Married. S-—~4 ..Religion.......... Flowers, $..... Rental of Plants, $..... . ....
Date of Birth.. \\. ferns «oO Vee VAs Pr Ns nalic cue Otlion «Decarations..\hcncsec och soe kdet ete Th. et
Age... Co.. Webrs... x. .-Months.. wT.. Days Outlay for Lot.. ++.. +2 seeee eect eee e ene e eee oaeeeeee:
t Opening Grave or Vatllt.<. 3. 0605s s.0n') ices oes lls
Name of Father. .>*. iia Sere Neer erm ho.. Lining Grave with Evergreen or Muslin..... ]....
His Birthplace...... Fretsd -.. Sateen 15 Reel Matting, $2.5 -asacss Tet Rentals ves ss sae lleate ede.
Naiié of Mother: J a SS ! m4 Use of Lowering Device.......ceecceeecsllecccceee
yal Maiden Name) ete 2s: % PROTA ORI ATE Gah oan aac acceler cit. sMereeae One Stee « atolle Hin cee
Her Birthplace ..... <x aks. “a ll Ree ig > “a ode Outlay for Shipping Charges.......--.00-W poe.
Body to be Shipped t TOTO URE EMBER OS Sa oe Ole ot, 5.0 Lian atonni penigael sux ate buen ee
Pe ee mae tare hae meno OV a Be rs pe eet Tneiheration. sy ssc ads nee aw Shes ook See padpes eee
= 6s PieLarets ventuiate oka > Sicleletolivre 4m Ae, heat ise Sieg ewe @albne Wie beaLnG Pre aieia sis PBESONDIESBIV ICES os way SEI es o. seard aise ee edu te lh, hs oe bs
Size and Style of Casket or lik he ee, eee. SINgers 66s see eee eee eset ewes ee Peccseses
Chureh Charges, $..... Minister, $.....]].....
in eR Gasol REINS a: Ts Mh Sale EA bo a Sho SMR Chia tun h cleo feeat Welnwrucn aud Palepbeits ihuiges. . ses. oh cs lee
Manufactured by.S.en an-.. rerrt.. eee eee. Pall Bearer Service...... 3 see a . Ma
Interment at ... ae ee ee Cemetery. ----+ certs t tree c tec treet eee eee eee ee pees
TSG HIN Ok. 02s 5 cee cee ee es tothe a Tee ae Se PP Be Be pele, f casks
Naar : ; =.
v4 Te ee ae Total Wooting GF BU iy tansy Hd sve .ow's Baas $/.J.I37 laa
Qin e a Ee lel By Amount Paid in Advance......... C1 Pe erat ae
BRIANCO rece sins Payele ee ewe Bi oc. cures