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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

Deceased... Rana.
of me
Na
Husband-Wife---Widow
{
Son---Daughter pes
Pont
galieeellagd o>
Fosghhraseeseseeeten (Wher
e Born)
s KAA
MaddeLd otis g een(What
Race)
oats « 9
cleo
Date.. Atef.
‘
Yearly No.. 7h..
“Total NO.. ccccccans
.
nts ©
meena
sista ale owiehe 2
Charge to.. Ar rk adchnggaia
‘
‘
Rie 6 6.4, Bisse aeh i 9208
‘Address ...-VA heeaicdhethe. wh, Fa:
neceaccresss
Order Givent by.:...seecteserecceteresse
nn «sie Ft
Plow Gecnired (ic icc Ua cs ti siedlre ses onie aisles enpremi
ip + Gases
Date of Funeral.. Ques ». SMe. Ar]wes
‘.
s
eee
002
..
CART
.
.
Residence .. VW
.
ehe
ule setuoimatosis»
.... Pe ails agence WSN
Place of Death
re
:
i
sress
alethag }
Ey
ema
a
tn
rie
A) SN
eet
...5ce esnec eee ster teens $). .. . a 2.
Casket or Coffin..
es
o res
ec
rederet
e celleee
-cerese
.cee eee
Metallic Lining. ...
(State Kind)
8
ie Sepnatnis > sls sin dumicines [fen edine'sh ema
CHaESIAO BROKE cs lecdescrs ANU « a ieeslg(State
Kind)
wit esse essence thas
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ce
te
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Malt
Chaves
‘.
(State Kind)
eee
rees
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e refe
..
eee eee
cece
Burial Suit or Dress..
rre
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eeie
+see
+-++
Burial Slippers and Hose.....-.+
ece
cts
ecre
iertr
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ects
.ses
.+-.
..
Engraving
4 Plate..
++ Fluid). . ....
Embalming Body (with. ....+.-++-++
ke cea ncee
Beck.
Dressing Body, $..+++ns BhavEtig
Wale saie pad rues f+ ee eo
ee eee Hair Dressing...SM aa alaroie fa Heat
e
Time of Funeral Service. ..-~~ Opa QA
econes
eeseeead
e ce edfeser
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0s
00
&* Use of Folding Chairs. ..
lees
deed
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4
heh
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ge
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Vebpee
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m, $..:.Candles, $..
labru
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cw
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ve
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$.0.
s,
+Glove
RELIES «ogists Door Badge, $...+++
Certifying Physician. . Ser@rvor. Y"
e Benuettenee > ibssleiiere AACE obey draw «eed os Bua eiiog nen
vclate
oe
Se
eAP
Pl
Wiszels
sisete
westa
eebigte
Le
ate
His Residence.. ak Dorey way
ery. .@ $.-.++++++++ errr S00.
eee Auto Limousines to Cemet...
cree eens
@ F.ccececceces. ferreeree:
Number of Burial Certificate.3..,.---+++seee
to R. R. Station..
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ye
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Death..¢
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ause of
ry)
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reeee
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Death Notices in....-Newsp
ba Ao 4% Tyee eeeens
Date of Death..
Nterer..seeeeererrreecss
Funeral Services at.. .
oe 194 ee
cs PEs scans Hype ele pasta sangeet, $00: .0s0Sslcarpctbnd ie a8 Wockeheedl GMAT RMEAUIS SIN
[Jec-cseesPlants
of
l
.00020000% Flowers, $...+++ Renta
‘oul
.
(Names of Newspapers)
;
.
.
Single or Married. see. . Religion....
ree:
lleeeeeer
eeseee
ccctenets
orationS....ence
Pins 7.. 144](Oe Pn see Be Other Dec
Date of Birth.. saa
ase bal a i
2a te a aa baa
y SnSOOO
eers NOP..
eee
ere ieeee
reer
sak ohisss Months... 4 _ «ee Days Outla
bs Vearain-. W
ng Grave or Vault....+es
Openi
ABOe teu 2955
)
.
. ].-.---+:
-.--22
eee Lining Grave with Evergreen or Muslin..
cere
Name of [email protected]¥:. (TARA, 0.0.
60+ slle.0ets
ng, $....+.+. Tent Rental, #0. ¢-..
ees
.0
His Birthplace..... fod: ohh Se ta Tee Matti
ieeeee
erent
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eer
.
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ce
vi
Use of Lowering De
Name of Mother A)
—
uh Ai
: “eS
et.
Bantall Ce Maule ies «cnchese od ouinae vate teres teln
Fag
Outlay for Shipping Charges....
4
Her Birthplace ...
:
AL oeeatees
Tncineration cass. ccs cves ewes tasla tier ence cee
e
elec cece
cee
entree
reece eee
Personal Services. ...ece
lll care ge
els
ale
ger
s
cement
tees
ac
GINGETT capac selem
ss ce
[hdsew.
Ss
.
95
Bo
er,
Minist
.---$..
es,
Church Charg
ass Pocceceeed
Body to be Shipped to
a aro Cage iee ord MRS Ree e nwlv tater 9 sis
Size and Style of Casket or Coffin
“3
adel
cue
sss fase Sine votnnus Vomeau@enenhaieits» Sdeniesie eta
Peis OP, . vies: uy eso ene
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or
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tis
an
gh
Sls ces. eth ane eee ono ohio,
ser ee Re Mens met ae en oe eae
Oh eae eva feee = naelane ion en tet
apenas © = ae ea
i
ee eee He He tou.
al Total Footing of Bill......00ee cece
GiNe ROI. Li her
ee ee
E.
ee ee Biles eee
ce toe
NC
oe cee
By Amount Paid in NAVA
:
es
eeeeee.
00. .
Section No.
ckees tlien a
2 ees Go
ss oeie
Balance es Sais
ky
ea
Ae
:
.-++
Entered into Ledger, page...---+-+> or below. . ...
.
g aan eter
piregs UM
r Service..
sesso pegees ferret Pall: Beare
irc: ee eee Ghee eee
. Bh. Med &. L /) S,, MUel Carnahan
Manufactured by...--.
Interment at
ores
+. .++++0++-Weccseseeef
eee
cees
eeee
iecsce
sete
Removal Charges..-..--e+sccee
To Funeral Charges. ...Total,
$]....By Cash, io. fees soc bee hic B loser ae