Enter a name, company, place or keywords to search across this item. Then click "Search" (or hit Enter).
Collection: Original Records > Death Records
Mortuary Records 1925 to 1928 - Book 23 & 24 (277 pages)

Copy the Page Text to the Clipboard

Show the Page Image

Show the Image Page Text


More Information About this Image

Get a Citation for Page or Image - Copy to the Clipboard

Go to the Previous Page (or Left Arrow key)

Go to the Next Page (or Right Arrow key)
Page: of 277

RECORD OF FUNERAL
/
Total NOs. oss. a : Yearly Nos weSAaevs: : Dat sa tA tase 19.2.5
Name of Deceased...¥eSers peach? Seer. fan Sean) ces Sela a A coeneee ge kin cad, +3
cer aha aoe
: (What Race) (Where Born)
on Decanter of t bg Naarews Aen Pay he Slee Aaa emt TT HMR. aT a ee Sy Oo ee ee eee
Charge to? SE haf aie eat i Casket or Coffin. 2S iuie.e ene es seh aty Ree ene eee
z On Weetattic Taine. ssiec os pig croe 5 oo oles 8 violh ute ete llelicasaees Bae
AAGTeCRS se Nos ocr take 0 Res Cm ee ere eee g isiate Rinad
Order Given by....scececceec eee e cette sree e tee eneees Outside Box... Sreaisalanla SL spitge oer este dihcd midjeaitnal ocr lls eh 08. oars fies
ie
(State Kind)
Flow. Secured. 6.. 0c cs cess ccc cca cete cece bets ceee weigwoncee Clie U atl ks he nhac SU site wok oatetloles +s oecilassdee des
(State Kind)
Date of Pumeral. <62rm Poot es a % S. Burial Suit or Dress. ....0.0e0ec cee ceee ene a. feeeeseees ah
ROSIAYIGG lad c's acieldlalcie 6 Sikls shard manne ais oSivie'o »0r4us Meiele’e ayer Burial Slippers and Hose......6.000 eee e. fereeeeees areas
NS Oe Pnoraving Plata; ss cies tie to ae fia Fed wie ore becifeondas nas Nees
Pl f Death. Geos. 3: Biola ea fe ea ee 4 @ LLAl€.. sees ee ee ee hn’
a a ’ Embalming Body (with.......-.+Fluid) . . ..2. 5, 2.0
Funeral Services at.....ccccecc ccc ccetesee csc ceneees Dressing Body, $....++Shaving, $....--Nee.ceeeee ages
Time of Funeral Service.....-eeeesereecreeeeeseenees Hair Dressing.... Seti Ee Siero alelbae pias’ pa. vielosaies’ Hil] anen eau GAs: exe
Wlerepmiath ali catae eet hecape ase pete hace Land vee meg 4 pe peony! ore wale elnie# 8 te : os si A siels itonelll bein rian es Bk
andelabrum, $.... ATIGLOS, Bare var <a lacnoctesn Rs
Certifying Physician.. . ee a oe ee Door Badge, $...... Gloves, $......]}.. Seb al bs he
His Residence... Pees Ges cs slciasa d wate bebe Wee mcanelscai pladae PORTAGE eas cols eee ncabre el Gaulal eg catele Berane yteigna cue ale ial Vee ae oleic hie
Number of Burial Certificate.......0. eee cece eee eee as ees, ss Cemetery. a : se AT RIOR A . Teel al oe
: Autos to R. R. Station. ...6-6@ $F.. eee weeea. feorerere: Sitieat
Cause of DeaWNed Na. 0 SRO cin in: eS ASSE ; ; al
i (Primary) Céoakalatys vic ges Service. a cdi leita score «alain ake? hoe S.jaVv
rs Date of Death.. Asad:. WA.) DM.. eee yo apron ta, ea Coe eager soy tye: ECs eh pare
is
: Death Notices in..... Newspapers...... Jsseee++: see
Occupation of the Deceased. . Cmca art becerinccece-. oo cecsceedecssecevendeecccaesscseseressreslooseess
el * eos
(Names of Newspapers) ’
Single or Married......PRGIPIONIT , Feacouseule tibsle ss Et Flowers, $..... Rental of Plants, $..... ]....
Date of rT 1, Ah, Bee aD pire eet Qeher IECOTALIONG ino. 0 sac cates 910 6 aipieh ents 6S R ay ofp wct tans ons
es Age. us on tg IS seein es Months...... Days Outlay for Lot...s.ssseesseeeersseeree sere elereeeee:
oP
Opening Grave or Vaults). 0.64. dee cease cee adsense:
Name of Father. . Meet denartert eee Lining Grave with Evergreen or Muslin..... . .....
His Birthplace...... MR nee s (other itn tn astat eo a Matting; $50. «0.i0c6: Tent Rental, $...... ).....
Nainemt Mother cies sas ciechok.s sae Mapiee vocerae UMaine 290 Use of Lowering Device.....--.++++++++-ffeeeeeeee.
(Maiden Name) MENCHUOL VEU > copied BSH ea cys dds gd wie vw'S eal [Liane way
Her Birthplace ..... Krai eligSieol Care aNd Gene etibe cael notes eee le Outlay for wh lg Charges. ..-.-+++++eeee ene ae see
3 IROMMOVAL COURT EOS s 6 cine pluie denne Sreggule ona PE oe alle rear tee . mat
Body: to Oe SIP Ped GOs cir B17s Aes teal sation s ste « gute dele ele t ieee os. i ae Oe ae
oa bemere eee Se ctee O<te Se ee iasle Te DIAN Ll Dat dee eoe « IEDOPAONAL MOLVICGNS:, Zonciv susie cacao des cau Cdlees cual Oiler. hee
Size and Style of Casket or Coffin.......000eeeeeeee Singers 6.0.. 66. eee cece eee eee eect eee e eee cee sees
Church Charges, $..... Minister, @ lis wea elicoeces,
BMA ast pte ONS RG at See Mee EAMG 6 Mame Ay ytetste kg Needy g-SIe pee et ge Melegrams and Telephone Charges. .......ll..cec---Manufactured by Ea ee RM Tk IS Cet i tle nara te: eer Pall Bearer Services cass gars hve acre dle ceed relied cae ale
i: AELOPIVGINEBE wirhiak eikia'a Acero ere Goals cents slats leks on Cemetery. --:s-eer etter erst treet tee erect e eee eet eli.
Lot Now. ccc b cc ccc bees cc] et ee he Se renee oes Sale eee c creer erwne gees oer tll teen.
rE glee deh A oe Total Footing of Bill.......++s+-00005, $].30.;aa
by be ines a By Amount Paid in Advance........+-Bll shee ed oo
= Baslanees,. oo oc cake ove cogedaks . eee tor exeg
ieeewtceml fs ethene aetna ,
Entered into Ledger, page....... or below]}. ...0+.] +++.
aa recees To Funeral Charges...Total, $. ..... Fa te, By iCable ss cig bey ic etlewe le Riles senna