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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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Total No... seat
Aid, Febbeevvee WA
Name of Deceased...
jeep I LEe ee eee b
(Where Born)
Husband--Wife---Widow t
Se eg Fi ban ann + toa 4 8 in A ee eee et on eee
ee
Charge toW«~4:. odd.. Mankiw sevens eees Casket or Coffin. .,..---:s-pe8eeeeeeeeceee
$i].. Z.
ee : _. Metallic Lining. he Serene tne . Ge: AO 40D
Address ..7 bes A Reapstita: aun ole a 3 ols olvoncetele's & wv (State Kind)
Order Givert by.. .5-.2.20+ cc ewes ee ess cheer cceeee QuisideBoxes ogc ovis Soto cee oe ce ees ince g Hite lle oe eins ove
(State Kind)
How Secured) ...0.--eee cece er teen sceeeererenecccrces Grave Vault..cccccesccccscssesesenea
cess eeelleneeesces
s Kind
Date of Funeral. } Pee eo a .14.24. Burial Suit or Dress....-: ah. a] ‘ ! ; eA Webie dem
Residence ...N..&
Burial Slippers and Hose....-.+--+seseeeeeferreeeess
eae
Pisce Gf Neath.. 2).
Engraving Plate.. sets whiz 9 pH Lao * reer . eee
;
Embalming Body (with.....-+++-+++ Fluid) . ]...-.:
Funeral Services at
Dressing Body, $...--.Shaving, $.5< ode osfhs eee
Time of Funeral Service..#. Go Se. «oe ae Hair Dressing..... eS: ee Oe eer . . ee eee ey! (maT
Clergyman ..0Q cam heather etic cceseneeeees ee nen ees Use of Folding Chairs....0.0cecceeeeeeee
foresee . eres
yee ey ' «« Candelabrum, $...-. Candles, $. ... <2 . }.--+--++
Certifying Physician. .4+ a.. eos 2 @ Pel abe sistas’ © Door Badge, $...--+0: Clove, io ih ase Nockeesese ~
His Residence. .. SINE bs bend cs SE Flee NT eae Heabae sic sissies Mitwaigbin ole deed ocee e eisltyeet pose alli enc epuate
Number of Burial Certificate.....+00+se cesses seer eee hae BS. to Cemetery 2 ; pees tatad eee ata IPR ae ;
utos to R. R. Station....BR Bids disses cies oes . . > “2 tatee cer
Cause of Death. .Ceew-. De net,
P : :
Geran Cdiciadatys aan bart Service siocle og cis OEE oe a ret . EE 4.19.2
Dete. of Death. Mowe FC Bahn tise ‘ings. comms annie tata eS Ade -D5 . anae N yan es
Death Notices in....-Newspapers...-aellleses eee
Occupation of the’Deceased. . ES LS de Re ae Con eer et ero ob omemeens Cutter
(Names of Newspapers)
Single or Married.. gach wr RReMION, ole as Jak oc ane cot Flowers, $....++ Rental of Plants, ‘. ees, ipeeaneee 46
Date of Birth..] 8 444. ee nee ne oe Other Decorations. ...0cssecesceees cece cee te . lecces sees
Age.. Rix Yeates.. Months....-++ Days Cuitlay fog Tsk. oe. Wiss Fassia bev sig yess sie es ee ve Paget ne :
‘ Opening Grave or CATED Ec oteee katcall: Mol dao e cra toate ¥
Name of Father..%7@-\.. <r ee Lining Grave with Evergreen or Muslin...-.. . ..-.---His Birthplace......4 Fill, SUE 5, ee Ses eer NAT: Matting, $.....Tent Rental, $). 2.0.. 6. <].s.c000.
Name of Mother.....-+ WIS Pee AT oe oes ct Ste ara tele ni eee es Use of Lowering Device. «0<+0-01-1400 reef oseenene: i;
(Maiden Name) Pentel of: Vat Gwlabs< picletac ee oie ie de bee elaine ll ce obo'eisinalh Meets
Her Birthplace ..... hyo ee eee 6 oS sk oe Outlay for BR Charges...-.--.-0ee sees elles eee
,
Removal Charges...-..---eeeeeeeeeeeeeces
Body to be Shipped to....---. 0s eee e sere reese serene Tnetnevetion . ee ek oe Se, Lian
Setiiais © pia.aunisteretaeims slaves sais r@rnw sissies i be cceececcenesceeesees. Personal ServiceS....ccecee cree eect eer ete el ccee cess
Size and Style of Casket or Coffin. ©!:>. . #4. A on Simgers ..---eeee reece ress rege es SRM Ele + 6 +FiS oN coset
Rhced.. Gres. & SS
Church Charges, $...-.-Minister. @; «5 6ege8 ai .un. sec] o> =
Telegrams and Telephone Charges....-++-+-++. )...+++Manufactured by.. rm. ~ .C-.c-ors. Gro eee Pall Bearer. Service: . 55-0 p eee crete ete ees sees
Interment at .Qyossws%-. i a ee Cemetery [inne eos pemies (tat Ben sarin Sich ice 8 int 8 Bata Senne F
an Nor > Senne . gba Hen Gees Ce ets ot Leena i cata ata 2geers 3) Sila
ol Wine Bcc. ket). Total Footing of Bill.....-.20-ee+ee e+e 8 LAxt==.0
. By Amount Paid in Advance....----++++++$23.0..) 00.
Section No.....-06-s0
Baliinees. iia peeve dees: eee Ned eata pe otolete
¢ pegkmeke eran ata
—
Entered into Ledger, page......-or below. . ....Joes
Pes er Le To Funeral Charges...Total, $. ....pees Sue 0 lass OH Cashin. tate ss GR hae han + eB br cnsnmeme