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Collection: Original Records > Death Records

Mortuary Records 1925 to 1928 - Book 23 & 24 (277 pages)

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RECORD OF FUNERAL Wife---Widow Son---Daughter of Totat No... seeees Yearly No. 84 Sie emis Name of Deceased. . Midd to. Ber 00°50 ues Husband--BPahpesce po ge weak BL. oer a 9 Ciel cn Dis ae be eke SOLS Fin WE SUR US DAD ee © LHR F440 S HNS SHS Mme OR TSE.© Klee SON Blen * O'R eN SRI B8'e © St Charge to! Gaaketror Comite ciicccsin tx cnt 2 ene ovine s Hee 8 Bile sade cn. ele os Motsaliic “Tite scat wea oo eaicdc tnisie 4 siecete hein dle ceaa en . lo obi Address ...VN. ae ‘state and) Order Given by...:.+e-sce cess tee e erste eee es eters wu . Outside Box..ccccccccccccccccc ences cece esceellecseesees. sees A (State Kind) How: Sectired (2.65 vino 85 oe + te oe2e o oysies voice sive s Hes clesincitions Grave! ViaUltscs boas 1 coe lere een erie cieraie ha wiene Aibinigrn sine [eras (State Kind) . Date of Funeral,-S ad AA 7] sae tage © + Ree Burial Suit or Dress. .... 0.00 eee e eee ce eee elfece eee e es Residence . md fs ee eee cee eect eee eee Burial Slippers and Hose.....2-.+eeeeeeeeierseeeree. ores SES FUEL. Re eee a ae ee ee eee mre Engraving PUAB A vn ea tesa en es sass cr togves “rallies acemees tele ae a Embalming Body (with.......+-++Fluid) . c.d.05.) sas Funeral Services at. . aN rete.. eee eee et Se Dressing Body, $....++ Shaving, $..7...]]..0+-Time of Funeral Service. a? .Qe Str. foe eee eee eee Hair Dressing..... Ae RT Mss 5 oes Miata Lae win Clergyman . Qind:. Katte 0°. Rathy 0.0.0.. Use of Folding Chairs. .......0eee eee eee . lereeer seep oe ee bea git fs WN.MmER “« © Candelabrum, $....Candles, $.... ]:...006[ +++ Certifying Physician. .. +. //1.7. 02, evonetivs..--Door Badge, $....-.Gloves, $..a7... ]..2.\ XE His Residence. . 9. #&.¢+ 1 rage OA PS rel Hlonvacat Rieiuh 2c cea awiand ame nents put cos [aes Number of Burial Certificate......6.0ee cree ee gen ees Ms oF er to Cemetery. .@ $ utos to R. R. Station.. Cause of Dea patted Darcadd ate. a : ‘ Death Swe ee i ad ppesaon. wee Service. Bs . 2. Pe ee eroplane Service... Ris cconalen «a Os Wyle icels afpeeesobees] cass Date ot Death, ,od-egte4-. . 7. 142 5 a aes Death Notices in... ..-Newspapers.....]Jeseeeeee Pores Oceupation of the Deceased Woawec.r. ie Eat RN Be See (Names of Newspapers) Single or Marrieq /7. ancd. -Religion. ly ’.-] Flowers, $....Rental of Plants, $..... . ...-.-. Date of Birth.. Dither (Decor atwriss cccwawes + o's 'e-sseies «sid oie yen [Peo cu bowe Pere » ‘Apes: ew Outlay FOLIIOL, Cue Ae Saal va eves ele Miele etgae 884 o . . hae wena ap fi Opening Grave or Vault.......-.-e0ee-e elle.. Ja\OAL Name of Father. Lining Grave with Evergreen or Muslin..... ]../.2+. -870 His Birthplace. . _B Plait Bei aT e Ft Washice oro Matting, $...... Tent Rental, $....6. . i.. .+0s: Name of Mother, h, de y A the. Gs Sebel feat Use of Lowering Device. onc. ce isshe coe eee eal secee (Maiden Name) PRarita OT OV Helle cto s Chace o-aisc oe vinseie Gere. be terres aN gels cee esis Aare Her Birthplace J&B : ast . 55..Soee pe bses tli cides Outlay i Oe ig Charges..-.--.++eeee ee feces] ones . . f Removal OnePass ce Sages eh ees se ceees oot.. Body Shipped e. . at ¥ A ei e ee ene Treetrier a Oni oo vos crslore nie Sis oie ae cies eee vee obo ee ie ee coe oF Mrs ntla had A riavaTSEGSS 0.6 Hes A'S am MRIS, aies.c ='%.616 SiC mIRGLo SRW Ree euy + stg re Personal Services. ....0ee cece eee cece ee ccees es Wig 08 Size and Style of Casket or Coffin....-..6--+-+ee0eSINQers . 2.. eee e sees cee eee eee eee eee ett eee eee es Church Charges, $..... Minister, $2. ..0-<5N 02. .c.0i) «. os ae AW AE AG puto MelawleaS cad evh Es yy ebinhe mdr Sah 8 nt Welegukine ail Telephone Charges. §.v..06. fodscovsa]eees Manufactured by ace lg Sia: Saw aee Ries Fa ueNE Ae ale gin BEM RNenel basi te 4,0 Pall Bearer Service... 02.0.. cece cece eee eel ccce eee Interment at PU Adare. Ker S52 ange alsiaverainie,s aore Cemetery} -: 2+ cers terre set tc nes ct ster ete weeesececsee erat cesieee. . ar Tt INA ocak ie eek cies ous wa) nragwibse lye Halivigea is v/t]n nite Ricinit Aes tities toni bis gels/e rc eA Wty ses none . , satay 6 ke Gears Norig dgen icin uae: Total Footing of Bill.. 2.2.22. .2.ee eee eee $ G4. 20. : : By Amount Paid in Advance......-++++++ : . apes Seetion NOisisiaess 0% 5 00:5 Balances! h5.0cds se feteics taiee Bil. vosecees Ptr . ei JRO er ge Ture ao Entered into Ledger, page......-. or below}. ... < eae Sales .,. To Funeral Charges...Total, $. ..... Meceek, Sebel > RYGDARINS. «5 choad wasp Fave. 014 SAL SUaIbo soccer eras . Rie tere) ee eherhice fet ae Mae T Ac ae Ve git we Eran