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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
14
Total INGs:é «sine Wiiewe
eee OF FUNERAL
Date. ‘Bae i Nicsal pels cemented Otek
oy. eee te
Name of Deceased..7¥t2s72?-". caste Oo AKG
“(what Race) (Where Born)
Husband--Wife---Widow '
Diatals @ alee © OTRAS Ee ahs Son---Daughter of J)++-+++* peccscecevecencose Aiea belbg cued tne es De vceiy tire wists L o'b.c sig ea oTelaleiee.8 o16' 66 oie Ripiateipes a 8 STSie 9 aiels © 6)'qh S6'¥) 8im 8
Charge TOs cccccccrercencesessces gia eisisleimie¢ os die aitibis 89 #2 Casket or Cofftih. fescscivtesseeeedlevere 37.0 BY e0
Metallic Lining......eee Moc! omen a cae SR AGHGHG Salki covsimnicic’scs Ue vie West ope os aiecerticie olpitraie w ereiid Site g (state Kina)
Order Given by....sscsessececrtenecee reese rtececcss Outside Box...cciecceecseeerecscesoeeeees “Hat f 1 2
\ (State Kind)
How Sectared 2 og. soa. cee cee come ceiece cele ta cns neitinesis tee Grave Vault. ..ccccccseces esc ce see es cece ee rellesecesees veh
(State Kind)
Date of Funeral.) @ern.78).-N Ate i srevegetsashy 2 ie Burial Suit or Dress.:... S515.4 Wie : ME eR yee teaial¥ 6 a Nee locates a eee
Residence ...3 whan hy tes) Eee OEeeEe Burial Slippers and Hose.:...--+++++ mE Py Srecceget see
. Engraving Plate....cecsecceeee cece eee ees fereeeress cake
Place of Death.. Nairn ch Safe. yee cect graving Plate....-++.+++prbeceeees
ia ae A pal at Embalming Body (with.....++.020+++ Fluid). . ..25. @0
Funeral Services at. VAR reece Dressing Body, $..:..+++ Shavirigs Boi. 8 soe cclesaesuins in ie
Time of Funeral Service.. . >. De merges a RE Me tice Tee ac Hair Dressing...cesccccccceccescrccsesscceeelecscesees
ChergyMan ....cceccce cscs seer ecennnne staeeeertuers Lo ¢ Aoi Chairs, sieieisitieie rs . a “4 ;: eS Rae fet ete . ae
‘ o gt 5 : andelabrum, $....AMAL! Bs Sry! ob. ] sae nes Priale
Certifying Physician.. Rive. we Ee CE Door Badge, $...-+++Gloves, Bil sdk es few tees w%/SG.
His Residence. .. Treg. . Sei wt eee eee eect e eer ee ees PRGATHO oicc « sels aise ieguslae oes ¢ sine egies Odd wie 6 Cee elle ener eens in ae
Number of Burial Certificate.....0+0-. ener cece teres Auto Limousines to Cemetery.@ $...+-+++++ [reece oe
Catise of Death.c. cf wena. recat Autos to R. R. Station. ....-@ $...eeeceeeflerrrsers: Ls et
ause ea) AA Fes ‘ i : —
° 2 lots rae sel pt caidas Service LBS acureh eas sya seas we 1 PD JOP.
Date of Death.\. ae ee ee Aeroplane Service..++++seeereeeererersret . gle iss Se
Death Notices in....Newspapers....+. Jesrreee
Occupation of the eceased. . OX, Qa nt Zo wielwo wil Sic 5 ah lesa wacedreblwigiite aeceuble se piereieye 6:6(6, 0 ied a! ploy: olmielll: te.» Gre ite
Ni tN
Single or Married. WT™<77. .Religion...-.-.+0++++++++ Flowers, $.. ‘ aes Beclce Marte: Gece ee
Date of: Birth. cover Sg 6 i. am . 4G Other Decorations....+ OA pepe renee ae . Semen ee
Age.., 9 You sieiny MOOTED) 005 te RAs Months.. 2..Days Outlay OR TIDE. soinisie + vest ae seinanienrg ees +t «Hime ares:
Sits A Opening Grave or Vault....5-0.+ee seer e eee leer eeee
Name of Father. Sw.. rR nA. Lining Grave with Evergreen or Muslin..... }..--.--.
His Birthplace..S. ethene 1 Sh aeie YR ie Matting, $...+.+-Mont Rental Peis 6 ye acc. fons wee are
Name of MotherS<v77~. . Xe ee ee Use of Lowering Device.... Prey Clr eben a . ahead
(Maiden Name) Frartel ol) WAU wicks osu eevs, F esiteess. Bye a nie < SH lew eta Mase mae eys
_ Her Birthplace ..-S. woh Lo A Re ee ne ‘oe Charges....-. essere ees iceeeseee] eee
emova BURCH UE cme t-ps ation sbi sca he we tas
Body to be Shipped to.....-.e se egeeee eee ret eeeeees S eibatialdin Ss te: is bts alled eens accel as
obey ded oeitlp Uggla res a Ls en a A), gO oS Ceres Boer Personal Services.....22seecee reece ete £8, j\O0.
Size and Style of Casket or’ Coffin. “. EIT hou. Wie, fo PM BIERGES . Sraieiata. = 3! divin Arsierescrale «9.5 Naphlass ae . rit t sinienai i onesies
: © es. led 2.. Shel ir ere hee ee Church Charges, $....MIGIStES Bina ews Sleds dake ley es
age fla Aa Os fare Telegrams and Telephone Charges....-+---+-\Jeceeeeeeef eee
Manufactured by.. SreaR®s. Seiwa lh. BO....--. Pall Bearer Servite res bar) oo .0scee ge sien esi » oe
Interment at .+t! oak. Meat G0 oabtrdenge, Oammetory. <fesss eres cece tence ec eseerree sae eessescseeessMvesenaee o 4 ei
. A ps RSet oeh ess dag Dore Ma” Ptr basen denicy err Figgas atepe HLS winitas Sie °A ein tS eee Shree
ee ~& eA a ee eli Total Footing of Bill......00ceeeeee eee $. .342%. so
=n et Aaa . , Ripa By Amount Paid in INAV RINGERS 5 occ. cisie ys ane ate es USOND wasps ene eS
PSIG 5. cael? wleaigaces sok (. eee oe,
aati tie ede 2 ee + ae
Entered into Ledger, page....-.-++or below. . ...+.«. Abe
vataad peal aoe To Funeral Charges.. ..Total, $]....By Cashi.c.s.j:.-.5 cece. 2B lete.ce8y
we