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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL Total NO... cccceccaes Husband--Wife--Widow Son---Daughter of Charge to. \Al: S oN Address Order Given BY. vive ccc ease ete How Secured ...-----+ Date of Funeral.. Residence .. Place of Death. Viren d. Funeral Services at. . .\-\Clergyman ...-. Certifying Physician. . His Residence. . A caidas re Ae.. Number of Burial Certificate Cause of Death. Date of Death... i<) 2 — Oceupation of the vers Single or Marrieq AA \ Date of Birth...\.Arr.:.-e Bol "L K s Age... i Be cig: Name of Father... His Birthplace... wie. s Name of Mother... Her Birthplace .....9seBody to be Shipped to Size and Style of ae or comm Tout Satu. Manufacture Interment Date ls wil eee ie Nel Wh Pee occas a “Race) (Where Casket or Coffin Metallic Lining.....----+--Outside Box.......----+ee++ Grave Vault........--2++-+> Burial Suit or Dress Burial Slippers and Hose Engraving Plate Embalming Body (with.......-++-+++++++ Dressing Body, $ Shaving, $ Hair Dressing......--OTE cay MEU Fias. aie ieivisiers ee<iscor ay Use of Folding Chairs «© Candelabrum, $ Door Badge, $ Hearse Auto Limousines to Cemetery..@ $...-+-++++Autos to R. R. Station Other Vehicle Service Acroplane Service.....+-++eeeeerreererrres es ; Death Notices in Newspapers Flowers, $ Other Decorations 4 Outlay for Lot Opening Grave or Vault Lining Grave with Evergreen or Muslin Matting, $ Tent Rental, $ Use of Lowering Device Incineration Personal Services Gingers ....0.2 cess gee tae censtec sess setee res Church Charges, $ . Minister, $ Telegrams and Telephone Charges Pall Bearer Service By Amount Paid in Advance Balance Entered into Ledger, page