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Collection: Original Records > Death Records

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

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a eo t Total No..++eeeeee Yearly No./@.Jr---Date. . 20a AD ccecccnceenees 19.2.7 Name of Deceased..BR. ara, t Pelee Ub Soo aciite eee Pt ee. me skeacsie oar eae 5 ane (What Race) (Whgfe Born) Husband--; Wife---Widow \ = Ae Ope cpieetee net OPT ores Cera Sasa fo olen Wie NE r oat Charge to..-Q wren hy Release Semler sieTes Creigetiss Sse oo PlraY Casket or Coffin....2--ssesees errr rsteres $i.. 2.0.) 2. Metallic Tuinings <2.. 00+. 2+ sonst sete sse cre teleceetnte: ee Address ..--+ Wren Fete, eerie . . Tague 6 aia g istate Kina) Order Given by.A-.\a<+ UAAAT coc c scene ene ees Qubside BOX. ce sllvs on Sect cna dewey owes Ue peep genes ose \ (State Kind) Howl Sacdred tacks cee hee eve ee Bee Bets «. Grave Walt. cc svete s-s08e coe tn vies nigsne ese tine asters . Se (s Kind Date of Funeral..~™ *eel A.mY esha yerta eho s a te Burial Suit or Dress..--+-+-‘ mn YY if : fe ern MMacapena mal EEE Residence ..RAD OR suena see Pin Obie 0 Hoag Burial Slippers and Hose..----+++-+eeerrrre cpr ice PLA ak TORIES Cac aan Jee ncgea gs cho aoe Maan? Engraving Plate...---+++srresrereer 0s BU cceame eee ; : Embalming Body (with....-+++++++-++ Fluid) . . ...---pels Funeral Services at..RP Se TTiele wate shen ot wisie e's Dredeitig Body, #20. -2o0e0+ Sh AUHAE. #00 <a. s Perleeees dc ee Time of Funeral Service. ..DE 02h ©.) Se een Hair Dressing..Bean ca Teg toes a ston eg in wee nS ond Mee CUCCPHTAAI AG rays aes eae dines be dee tare ge nk bi ~ peo ae + wisieisiy oa & ; 3 : mn gets onl severe aes wpa a aa at, ‘ andelabrum, $...--andles, $..--+. . -ss-eeee*] 000° Certifying Physician. Aetens Adteswers. «Cre ot Door Badge, $..+--+++++ Gloves, $...+--00effeeceeeee[ore rin Reelin A oem ent ++ ties 2s ee ees iat cs eh hcl Wc ee als inca seep oie ee SEE ber Number of Burial Certificate....---+-esererrrsrgrc Pee Pe at lan Cemetery. , 4 Sin dee lers dle 0 tisi. ete obimn hve nites $ utos to R. R. Station. ...66-@ Be--ererere eye eas Cause of Death trecrtet. Aacoerertt 1 Bane.. : : emery) Gosenders} ae ogee Service De en LRA beeen omega . e aoe aoe ; cial. j eroplane Service...+-++eeeeeerse
errr Ales att. Loerie i Date of Death. . er re. AD A ee We eae ice ah Watines ieiae brane’ Miwon iss ~ Occupation of the Deceased. . ¥>+. LI hr i he git. ah te on ds soe Beater een Lene ree ee TS A . als (Names of Newspapers) Single or Married...------Religion..+++++++++e+er0: Flowers, $...+--Rental of Plants, $..-.+-. J----+5++ eee Toate OL TAUet ie crete vince» = he Patho ae Sian rem ee ee Other Decorations. ..+-++-eeeerse ttre (Pert rien, pater eas Age..G&.. Years...++-+Months. si. .s0r. axe Days Outlay BOT DIG tis olerel oaseas emisioneiese.s tosis © eh? Pn me Opening Grave or A 1h a . en Name of Father. . Wea .teearrmne creer Lining Grave with Evergreen or Muslire. bel. 5 vs cel wetaes oe Be, His Birthplace.....---SOF a Nee gg do Miche sigan Syete,” = Matting, $...--+--Tent Rental, $..-.-+++:]-.-ee2s: Foes Name of Mother...----Bae . aes hele aeaileaa sts competes ts * Use of Lowering Device...---+--+ sseeer re cyeererees re Se (Maiden Name) Pentallor Veulls vce ae ma desee a eens «els eitis . iperinetes me Fist Birthplace ccc. 2x5. oh fe kas CABS owing vee 7 Outlay for Shipping Charges,..-.-----+++r er eiercseree Sah E Removal Charges...00s---cceceec resets tects Wenees cess Body sh be Shipped to. BT Poke. cme ee sesesd in eis Flach 6 hehe 4 esi NE Alles REP ee Pe nie aebrels é 1 2 TNA OU Tres rereras cv slgncergteliy§ scar speogmnr fica Personal Services. -.0. 0.660 .c tte eevee sees cere eladeeeeerspee ee Style of Casket or Coffin. lo.. thal etare Binfeave We ibe ne< Geka crea as pent etn es ts tee a oalinden: Fy : Church Charges, $.-.----Minister, 6 s.03 cos siuoree, oa UM Pca a piaincs =. ers larga fo etagees seem TE Telegrams and Telephone Charges..---+++++++]Je-.s-2++ Manu cee i wc lady SUE MEtIR ey Ona: aat-ioliona (SAMS, @-at-sLe 8 eKe oR 2a epee Pall Bearer Service.. ccc cece eee e reer e teers tt feces eens a Interment at .V.eserts These. a sly afebgecs tae e CR Wammstony pore ee eta & ee Se ieee ee oats ra je On i eee eer Total Footing of Billy.. as. tenacweet ened be.@. . 2.8 + By A t Paid in Advance....--.+0 200502 Bee reee ie Section No...---++-++++0* y Ainount Enid sy Advance $ . Balance....--++e+eee sere Sie ois cases ete eee salen’ <a ae Ne ae ' Entered into Ledger, page.-----++--+: or below]. ..+-+-:. 2222 To Funeral Charges..-Total, $. ...--By Cash....----+-s+080+: Seekers