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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
Motal (NOes w02 duace's Yearly No..7.4... Date. . ‘Gremmig.» viene hes nytied sons we 19.4]
Name of Deceased. . . Bontrenanae . Bula. a AD oe Ue ty or Past: ey a axniomenieee ety ‘
(What Race) (Where Born)
Husband--Wife---Widow Po
RE Te of Hie Hos tin aie Se oe do Pg vin me wie Poingleyee SP Se bs st nt HI 308+ ol 989 +88 . aE ee A ee es
Charge to.. ®. a Oe «wining, oeigs #0)8g ole 2 thes ease Casket or Coffins.. 0.0.. ccc ence vee cee cen $). . 5.0.2 0 ?.
Metallic Lining. ...-.. cece eee e eee e eee serene ecee. ees ROATCSE s ae fans dries 046 sowie weiele sae Sele ramets se see eens ce ae
Order Given by.....seceee esc e trees ene ener ces neee OutstdesBoxes ate cna s cok « erelos orien ol eew einen’ Nea
(State Kind)
How Secured ....,cecceerceccrteer cress ceteseceecers AVS Vietilea irre, ois utale ads oimehecdeinb+ abel sleralha te Ba oo lBiee
(State Kind)
Date of Funeral. . re wef eNs VD Dew in ners Burial Suit or Dress.....-.-0++5+ SCL . S ree wie
Residence ... ee REL ce oo aceraics Ute «ae elbc dys «dig ore ales Burial Slippers and Hose. ..-..+.0seen eee ee. fereseeees Aussie
Place of Death.. cnw..34 he L Q ay eee eee Engraving Plate. ..-.-++.ssr+s+ersererreees wa . fewa eowceie Pio
3 4: f Embalming Body (with......+++++++ PTI) Iesces aoe e's
Funeral Services at.. . 7% SADR Tle lgie af3,u» se eudireaa Faas Dressing Body, $...+++: Ghavitie, @:. 00.2. kik
Time of Funeral Service Hair Dressing.....0cseeee eset cece certo en fenesseeee Pre.
Clergyman .@. ed. as ak Ve Use of Folding Chairs. ...... 0. scence eee ifeseee ees ols
<)8 ae « ¢* Candelabrum, $.... PIANGICH: Boast aanetell. en codices diss
Certifying Physician. . . Door Badge, $.....CHGVER SR crass be ae aeeecesns
His Residence...és.. TIARA. icy Dials dare wabie crs. Giul satel Tie eens el guapafcs abetine
Number of Burial Certificate. ..0.. 2.0 s0eseeeer eee eens Auto Limousines to Cemetery. .@ $....s0seeierrreeee tees
c # Daath i Autos to R. R. Station..... Di Goi s As sce'eteee. . s Seas eee as:
AE OM DDOATI ciece area Davell coegels o, 0 eels srelpbele ee hw oblages . *
(marks tahocatinite) rap Service oe ig Utah leit ea 9g als Ra aveude int REM ie es
R ‘op eroplane Service.....++seeeeeeeeeeeees aleaelen wes
Date ot Meath Sere A Cine eel Riper Ue Rute om eka Death Notices in....-. Newspapers...... . see+ee++
Occupation of the Deceastd.. tar eteretere cece see . cece eset eee ence esses eens sees see eres erence ee eiiceer aes
A * Pom (Names of Newspapers)
Single or Married......Religion..:4. 04. os 0b tive sen Flowers, $....-Rental of Plants, #..... ..«.--Donte Of Bertie ook alaandle lk ovecn cd Uagetl aceherdaysipiccntenv. speisinhgidts Other Decorations.. nts oo Siccs. ceva n cpevie aly. <9 llth ns wees ae
ARO. Jd. ~ MOBTR. 4.8 sae soos Months: 3.228 .), 4s Days Outlay for Lot,..++--+.+++++ /: G vee Bat her. . «00.2 .
Opening Grave or Vault...-(fee.eeee eee eeeeleeseeses
Name Of PAtHer icc.) cis civ adele viele Scie! o vlinie 6 o ems opiate Supple elpuey = Lining Grave with Evergreen or Muslin..... ]....His Birthiplacesatr css oye deca 00m ake cased oF detec bees « Matting, $...-.-Tent ental ih. sc. sesse . , es eee. es
Namie of MOtherin..c.c.se/s' fers we cwseape « wipibie wie Oren s Sry shaun © Use of Lowering Device...-.-+++s+rereeersferreeees
(Maiden Name) PRENTALOR VAULTS. iceceiece+ 0s pareaceue ole es alee aeelwiars elle es oleeae
Hor Birthplace 554 csiisiccis se Uae sla yte ee Fine cise iota aot Outlay ge ei Charges. ... se eeee cere ee eccceeeef ones
. . Remova BEDOK (vies s Wiese tis swe ibis stele amie
Body to be Shipped to.. ....esse e eee cere e nee e nets tamnerction " ee eee aes Stee
gn ae a hd RTE TeaLa iad Cla asd Sain GERI ReorentiaeAligrs slaty al sare ‘ies SIN Alaenctel Personal Services.. 5 5 icc ces cee wesc assy eee cees ae”
Size and Style of Casket or Coffin. 4 , 4. Stu eh ess Sinscerd’ . aM y veietae omten ete camino na vewteees al, cde cet
S Church Charges, $..... Minister, Gi. co ssase sll nce. tees g. ame
IE RY, EM RO GANG ce la, eh Sh eae oe ale oto na rad nae ATS leaner bt onipistons
Telegrams and Telephone Charges....-.++++. [..-.0Manufactured by. ne pkes SAS Wiig pra Wiakane Wisse Sisleialb Sere © eters 9 gis pbre Pall Bearer Service ieee NGNE exe i Cecioue eth wacktetHl wane care et
Interment at .\J. Sse.. aioe en, oe Cammeterry,. i> = ce tien ae tans oh te cle mtertn sap erwiai aie « 8's siere wo pista s sdsiesiny
Ke NEG ac oc 0 le A Recs eR Ve Es ENG Ee # # Mier Cle ERIE Aan olen mnse Rinses ri Fit ee # SCS gon halen eS
Higarrn Wate te Wetec Total Footing of Bill......ssee erence eee $. . 3 4.0. 12 2.
teenie. . e eat is, oe By Amount Paid in Advance....-.-+++-++++ SiS ccs:
MBPGIAREC oe, ona, Pore erie lb weno 3 Bis wietaceas
recited ake Wak) ee phn 8 oe a
Entered into Ledger, page......-or below]. ..... parce