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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

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Yearly No.2.%%..Name of oe am Ada.. (lx
Husband--Wife---Widow
t
Son---Daughter
of Jo<ressrerssese”
qeeee
Charge Fine 2° a Oe oe ee este. gnats
RAG roRa so cictdaw es See eng reesne ee + momar aie Seipenée Se
Qeder Given bys. sn. 0. 02s. cree cere cee sete Hos seme gtns
Wow Secured -u ss cease -omeecee erie gape eset me aet es
Date of Funeral.. \ \ , ai 4 Oe oe i eae eee
Residence ...---+ i os ee Be re ore
Place of Death. Waneaee. Sees c eee r eer reer nesses ces
Funeral Services at. . °¥3. &-. ee her. Seer.
Time of Funeral Service... reClergyman . Raw.. ©. Ruane. Manse Speen +
Certifying Physician. .S-.9-. Ce peared. Sez MY oer?His Residence.. 0.0 e Mise. cence ene cee e tees Mew cree ene
Number of Burial Certificate...--++++-++-are dank
eu. :
(Primary)
(Secondary)
Date of Daath. ante % Bee ee i ie a nee
Occupation of the’Deceased. acter ma ad= Yaw “
Cause of Death we thenaadd: . Sidaett.-.
a Ree ag cio iia Vici ovniesd cin a irpiamm > Moaaoies wieitya a lcte pre Ree Cape Sig bdr) Talc” et
(Names of Newspapers)
Casket or Coffin....----eeee sere eeeeceees $ Yaa 4.0
Metallic Lining) .¢ 2.200 6s ee ones aaelcee seems eee
(State Kind)
OEAG ROR coisa fa tle wen shares wee ones onan Hie p oe Be Hei S *
(State Kind) 4
Grave Waillts bce «ce basins Feo. eRe he £80..
(State Kind)
Burial Suit or Dress....------2 eee e eee e ree etferrrre
Burial Slippers and Hose...--.+++++++seerreffrrrree yn
Engraving Plate.....+-++sseeeertereseene sree
Embalming Body (with.....-.++-++++ Fluid) . . ...----] ++
Dressing Body, $...----Shaving, $..-.--++-. J----++++:
Hair Dressing.. .000 cee ccee ero men nga rscenatiecrencres
Use of Folding Chairs....--.---sseeceeerce. fersscrey cst
“© ¢ Gandelabrum, $....Candles, $.... . .-----++:
Door Badge, $....-++Gloves, $2. 56)02 5.. s. [ee ase: F
FU Gade sy ad big viele wore Pieters ag aie ec 9ts Dincdl ahi = ergata
. Auto Limousines to Cemetery.@ $..----++++-. [rrrrtt
Autos to R. R. Station....-@. $20. Sg ee
Other Vehicle Service...2+---eeeeere eters ee fr
Aeroplane Service...-.-+++-seeerreeere seen ef
Death Notices in...--Newspapers. ..-+-+-. [-eeerts>
Flowers, $...--+ Rental of Plants, $...-.-. . -----++:
Other Decorations. .....0.+eseeer cere r tees . eeeeees
Outlay for Lot....66s eee center eee tees rel ceeneees
Opening Grave or Vault...--.++++seeeeerretierereess
-. Lining Grave with Evergreen or Muslin..... }.--+++His Birthplace...ahd Bee cn tastes es eid tee er eeans Matting, $...-----Tent Rental, $..--.---++. ]..-+--Nasmnrol Muthen doc ae = Siete . Use of Lowering Device.....0s sees reer e crs ifereeeee
; Gtataegiame) Rental of Vault...-.ccesece reece reste eens Yeseeeees
der Birthplace .. Coke. US Wes OR oe rer eyed eee Outlay for Shipping Charges...+--+++++++ees. Jeeeeeree [ores
: Removal Charges...--+-+esess rere eer rents ieeeeees
Body to be Shipped to....-+-seeeeeerreesterseretsee Papin aa «cae settee Saal yiier token
het Seal 4 dupes ome ie old ticte eeald biatew s alscaieleleiw ofhc¢ ,.--. Personal Services...--.+eeeer reer errr ers ttesleeeee ees
Size and Style of Casket or Coffin. “); ‘ #. Ui Rok y. ro ae Gingers ..peceseeeeceecsereeeeeteeseeeresesesecees
eh 4 # Gu 4. _ . Church Charges, $..-----Minister, $...-.-. [...06.
z RE eg LNT oS alsin vcaiein eciale © tyehe optne Cmve Sis <eea Telegrams and Telephone eee ce ee
Manufactur y:Lak. : & re ne, Pee ee eee Pall Bearer Service...-.-.eseceeec reese ttt eleerecees “iret
Interment\at Jeetr. . EEPATIS TE eee es Cemetery : S29.
ToOtiINGL xe er ce Be thes
any Re a Total Footing of Bill....-++--+500ee0reree $555. 109.
phd hl eae. By Amount Paid in Advance...--+--+++++++ . Panos
Balances.5 ccs. nce eee oes st ear ell Lc dee
Son er ele ok
Entered into Ledger, page...--+---+or below]. ..... .
Pate eee To Funeral Charges...Total, $. ...---. -.0+Peeeeseees[ere> By CaN. cass cw cas wets SMe nese