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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

1a
RECORD OF FUNERAL
Tota No... Yearly No.3...-prenene ae 19.4. &
Name of Deceased.}. rarest.. ath.. Waa cchaocen. . SA Bet Bcc eeeeeees S.J eeea:..
Wishundiee ’ (what Race) (Where ee?
Wite--Widow
RR IARI gOS sss is cain k Sot acer ngind o's gov a owin tages Soren ate “eae tt shee Se A
Charge. 10. sien. oa ions coceeieeeesc ewer cert eres tnegewess . Casket or Coffin....--.0s-2+++-% 7A Se OS LAS. Oo
Metallic Lining.....--eesee reer eee eee eeifereee ees SNAPERS . Ue bas cale nike 4 aos weoreye Sleiplslecasoraininle aiee wit eer Sing tai g (state Kina)
Obder Given by. ..060c sees ees cece reese es eccewe ces Outside Box... Sty ree OPN Ger re er a od
\ ; { (State Kind)
How Secured ...----++ bee Saeed wigs os Seles gees 4 sie Chatlbiys Waal cick bos dr < nie o's tlpidin wee als Aina 6 SEH Ign ong ed
(State Kind)
Date of Funeral} erayvea;74 of a Barial Suitor rte. Pas 8 ste el ees RAT O®
Residence ...>. rater &, S4.Mu Sc Burial Slippers and Hosevees ote wees Natit gts . e eee.
Pisce of Death. @xe.s Be eS Engraving PIBtC Ves sa 2a Tn ges a Peregetlele eke ar al . Ta oon ae
: Embalming Body (with.....-.--+--++Fluid) . }../..;QA°
Funeral Services at. . .J¥. Reales Viton iia s,naneie meteie sciauche ieee Dressing Body, $.:...5. Shaving! Bo.. econ Poeeeeenes ;
Time of Funeral Service.. 2 LO Neeeaic tos cance adalosies Hair Dressing. ...,-++-6s oC iy Sears Meee eeries (esos scsi
Clergyman . Reo QyHkk....ecccserdceceredieeens . Use of Folding Chairs, gue geigvene hse s sq gests a2 [orrerereel ders
«« “ Candelabrum, $ ptcteis agte ¢ * Candies, fie Wecwas ees ipo
Certifying Physician... doe 1c LO.. &; eit: ten Door Badge; @.<.c0<%2>2 » loved $f ovvecs os «seats 2.50.
His Residence. St+ncterthress . Cilly. eee e eee ViGAGRG os dao vcbei galt cape tanneeeas ee el esas AA,.( QR
Number of Burial Certificate.. ...-.: esse eeee ee eeneee Auto Limousines to Cemetery.@ $.-.-.-++++-}[errrrrre
C ? Death Autos to R. R. Station....@ $.. ccc eee eller etree
Ue EPR etn ae ene ee PRC Td Other Vehicle Service.... cS apres Peers cone
Aeroplane Service...+seseeeyeeeerrss ete . somes a (ber
Dee ut Sas t C AGO NUAG..Death Notices in....-Newspapers es Hie adimcen!. (veers
Occupation of tht Deceased. “.7*Beret cee Sr ae ea Se he tne
: : bi “Tae 2a of Newspapers)
Single or Married. \~. nA. + Religion...-.-0+02+0+0+ Flowers; $:.::..:4 Rental of Plants, $./...])..S189
Date of Birth.. W... 7. tae Ss OLS gt Other Decorations.....Leeder. d Peacas socal comes Fgh
Age.. A.. Se ae Months.. %.©..Days Outlay POP WOtsS «aie od visa Biewew + vce eee o sine a0 Si cgaasy ses Be
R Opening Grave or Vault....+++-+-seeee eee .. 6.8.) 26,
Name of Father \ eters. .OV. Wn c.lewearen.--Lining Grave with Evergreen or Muslin..... ]..-2.. $0.
His Birthplacé\) . Wag. ce. cee eee peee eee eee ee eee . Matting, $...-... Tent Be arate lr ties. soa oil Reale saa
Name of Mother. .> ere i oseh, Use of Lowering Device...-.-+-251+ -ee eee efeeeeeeee
a den Name) Rental of Vault.ocie ings [ee . eens
Her Birthplace .. Teer O5.-. Fee cece eee eine ee Outlay for Shipping Charges. ... oo . een cee
Removal Chargessejcs ceca 0 tien 05 Fe vente soe I. cas ce
Body to be Shipped to....--.eee eee ee eter er eee es Wieteet Pte. ON cel clats en seal woheton 22a Dae Bebe
Spee etee lez! a lMleh vee» Rue-> dle:wa)s a4 Sikpe Mdim, Staite heh meste « Fn. 5.5 Personal Services. oeiec wc ccc see cme ene 8868 [owe neon se
a RE ache NN re 2 “Ts 44.3. eer GIngeTS 2.. ceeer cere nese bere e eee er eter eeees et icccese steers
£ Q. . Church Charges, $..... Minister, $...4.-l]... 3.049.
18 a a a ie an He aa Fa Telegrams and Telephone Charges. : nen opts tallest. 3.;00
Manufactured oaks fnucbels v5 = ask. AS hase Pall Bearer RS AER eC aeM GTA ris a. « alone ace ® Gre Weare mH
Interment at 777ss.i, eee Cemetery meer em Lae. cece cence tec e sees scribes sill ba. ane £.\ 0.0.
Mise Ges eee eres eh eee all Es Ep cael co gp rete SSR Bye omrenee Sian oth ONG) Site ee AGS Sa ae
eouee Ee ae ne Total Footing of Billl.....ce-e:eeee02-+HP BO 100
¢
B id i Bei Sal hace lGceretes®) Baza le WN gee Sins! s a) =r
Section NOiccen a0 «oe 3 cis +8 y Amount Paid in Advance: $
PSHM ATIOO bis orks ccc lbloyy S oeenh ms te Glloc crevices . e stele
SE Meh eee. gt getts ero 8 Seer ee ote Te
Entered into Ledger, page..-...-++ or below]. ...-.-. .+++
Spc To Funeral Charges...Total, $]....Msckoecicdliac het ype Class elas wine oak lzied ee oh oko
ae
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