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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..ecceeeewe Yearly No..-7.0..-Date. verrdag hee ate wgintee 19.0]
Name of Deceased. . Bh ovlkerenacto 8 MR laeeerts ha Yothe, eee Vp eo © per ean Eo
(What Race) (Where Born
Husband--Wife---Widow
{
Son---Daughter
AY
ben aces
ad Coeegs absense
ee ee
ae i
pea
aed
Charge to.A-. Ee ere taco mths ev ER I Hh Casket ob: COM 220 ee me cepa rin Pet ee
. Metallic Lining..-------i ne eer ee Wy ath Ou oe
‘Address .---becca ARS Hg han actrees Ae een ee Pear g (State sind)
ene Gleb Dy.» -nwad ener nce? Soreness seer Cyuuketilig: BOK Sl. ood ace So Raabe Ses eect gE ene
(State Kind)
Pe euedwse > eee ieee Sy Giild Welt. ited nb ass eaten efeee eter Te
; (State Kind)
Date of Funeral. Aw ty sae Nes WM Mich wel onences ss Burial Suit or Dress..---++-een etgee 4.2 erent ll. ee sine eeu Nae
Residence .-RI eA Ease ce Sn ae Ege RY TS Burial Slippers and Hose...----+++srrceerr ere
Place of Death. . sts. A ae «yeman nee eber et Engraving Plate...--reserrerr77 "ys saithan eta
. Embalming Body (with..+++--++++0+5"* Fluid)
Funeral Services ODE. oa Ey OP een Chae anes rs Dressifi Body, @..-++-Siasing Tec: <actircdneiatt. a2
Time of Funeral Service..h7-3.8.Ram eee Hair Dressing...-+ © SE fy cnt Wier 2 ake lash
Clergyman . &he, G2.Gs. + aw.@ ae Dee af Folding Chairs..-seserersrsrreeren yr
— cee 4 ts Candelabrum, $ ie sieutsiale Candles, $..--+<. Jecerrr fot
Certifying Physician. «tees RAATOA!.!.+--->+*. Door Badge, $.-.-+++++++ Gloves, $..6++++e-[eeoreseee. te?
His Residence. .-1 PORES EI laa en Wee Ian co ea a Bic Gaea th oc mane ned Goa ele h ean warn gene tne TSUNA TON
Number of Burial Certifieate...-----+ssrserrrye =. en Bi " Cemetery. > i eee EO) fe a . eu oe
. tos $6 FoR MPAtOMe. eaten + MD Be ows nypeite er a eee
Cause of Dieath, Sra. eas Sper araRsrr0.'-5 aa :
reeiinary) (Secondary) ricci punts Service MRR teeta unin ak olay 40k Pos Ri ia"hialeth Oa: . ett >
Aeroplane Service..-serereeereresernety et P. meres (2 Hire
Date of path. Avot CM NAY cers Moreh Notices in.. s1++-Newspapers..-0++See
Occupation of theDeceaset. . Se PSN is SY he crigeate Rens wage ie ene . DO rer ites
: 7 er —— (Names of Newspapers)
Single or Married. SrA? Religion. ..-.+ersererr ett” Flowers, $..+++++° Rental of Plants, $...++ eerrrrn fort
Sinton: MUGEN os scat bs mimehy Pee SPAR AT EMS Gy hs Other Decorations...-.seeercesersssesre es pry
Age..++ WY4. Years....-+++ Months...---+> Days Outlay Big THWhs ain <icte a vite WORSE RE Heanaot eed + ihe
A . r Opening Grave or Watal te socaataanverr eines eens tent ates =e
Name of Father. .AS len Lining Grave with Evergreen or Muslin. ...---. J---eee+
His Birthplace. ...-+++++++ Pee lt arena ae Matting, $..+--++++ Tent Rental, $...-+-+++. [eccrrer . eres
Name of Mother..--++++++> Seo oe eed Pilg athe + Oa Me Use of Lowering TQ VECG <5 9.1N5's.2, it cage es TS”
(Maiden Name) Rotital Of WeMtt od sa oh <a pre 8} Meyer tit crete 7 Pees peree Pe od
Her Birthplace ...--+++++> Rae Se nrardeuths, des nieeicronal Sinan tance © reac yc oy CHAT BER: 2: cen «Heise Sr 2 Sakae sa
i emova arges. a i Perea ie sens:
Body to be Bb Wiscd tag ccc oy ace Ge ny tees Ma eno Ree Fetnehatietich. ocean ete C ee ce eee
fed, alt, Wepb at attizomenihl clean thar +s we tame EMA RE! RS Personal Services. d. cess ver rere smet ss ees Riles: vt. bho Mean
Size and Style of Casket or Coffin. «. BG hati eticnees HP Singers . ; Scio eGRu. Poste 2 mipeee etre te Seat ETRE a
Church Charges, $.------: Minister, $..----->
ian Orediacd.. tee OTL f segel gia: At) eager: andl etemhiome Cb angetny son 3e +> bent e
Manufactured by. ..5.-sssecutonsemer eee pece A Sorksor Pall Bearer Service...-+--++++7" isp iete. # ee
Interment at ..-(ee pts Yen a en Cemetery Bn ee ee
CROAT ea NY es cme te a argc ae
Grave No..----e-essct
. By Amount Paid in Advance..--++-s+sr0ttts 5
Section No..---+:200000*
Balance: ..s--+eseesseree ee OS creane . = sie