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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
Name of Deceased... Deed ann $reg bin af COT A gan a mee a lucolle eueseslels oss ented..
(What Race) (Where Bory)
Husband--=
Wife---Widow {
Hee UST OH GUE sn talk Sank Ee’ takgaiegt cv 0,3 ss0)gighesSin ooaigrere ae are aim SSW, S wis 37 sahie ss ierinstis gape’ Mpegs. Rane So eee fe aS a
Charge to..*7>.+COTA ree Se one ee Gasket “or: Comin’ oj. oy 5ctlt ss Ped els wa ets ai teary, 20Q( 2.0
ened onanriee Matallie Letninig’ fide oe fer vinccts apols eee e's elf sewite cael aleol Address .. SR) .@aeere retarted. e eens (State Kina)
Order Given by....eeseeeeenercc centres etererescees OUtside BOK soins cies + tie oie clejorns capes oo s Sie [wees wes} ip oer
(State Kind)
How Secured ...-. cee cce ccc cee sceceeeceeteceeenes Crave AE occa csivase sabe coca SL wees all ee ra as
(State Kind
Date of Funeral. . Aedes: OC, ee Burial Suit or Dress...... oa a b : : cS bap Prager fe
Residence ..Sele gah oldie 5 sie glse aie gis wlattedioe oaSraieid fee sitters Burial Slippers and Hose. .....-.+-2 0+ eeeelfereteeeee. eee
Winds ak Da Se ee eT: ces ho eee Engraving Plate..--ssesseeersererseescens eg . OE een ng RS
i ta. Embalming Body (with........-Fluid) . }.....
Funeral Services at... NEE BS cakhe obs ata t gieie ees 4 Dressing Body, $..... Shaving, @..<Jcfs.ll cesses
Time of Funeral Service.....62::eeeee eee e cece eens Hair Dressing. ois. sc oobcs ote sila eve ee ste one ei. [eon eng
Clergyman ...-.eeeee rere eee ners gene cree res eees ee bissis vise beau mpremitaa ares er 2
, andelabrum, $.... aNGes 2B): ars ell ate ss
Certifying Physician rt antl, Wh heehee. ccc: ieeneeian of i ae
His Residence.. .. “MMS .S. 1 eee etme ee eens 11a ee One See esckine Ke rmaremborre Doc) . teers se:
Number of Burial Certificate... segecian sist BERR ges Auto Limousines to Cemetery. AD Bvnins oie von [eorentous
C # Death Autos to R. R. Station..... (ORL eo ee Aepra . Pooenne
Aten OF DGREN . o).c < ccc sule sis > ayeiaps Amielsions [wisi ble Hime ent Dine . :
(erimary) (icednaary) eae Service Sax oh Zab Deon et eelae ee alps vpesowienee
D ra et Se ye ee Aeroplane Service. «2.055. occ secs oe snc eee ss oiferesteees
ate of Beath:-.-¥ a a ae: Death Notices in..... Newspapers....--. J-sseer++
Occupation of the Deceased.. . 2.. see c cere eee eee e ett . cece cece cect e seen crest nenceetserenen eee ceceslieenees
: * es i (Names of Newspapers)
Single or Married..+.... Religions. S.Sattnly tsie.es oi Flowers, $..... Rental of Plants, $..... . ....Date of Birth.. .cerbe.n MD GL eee Oblierilecorationssdieta hee: Sissos aye slo see 64> omen
Age... ic. ft WORERs 5 5% rae Months. . Gales. o. Days Outlay SOE LOR. Siriniiaied wns Wh Nie en's tr ait Sew AD aieier .
P . Opening Grave or Vault......0.ee serene sec eeeens
Name of Father... soe Re ee Beeene ieee. Lining Grave with Evergreen or Muslin.....1. ....
His Birthplace.... Sep ce UF us derecho anhae Matting, $.....Pant: Mental Ss Jesse elles se anes
Néms oF Mother. 70 kis si he a Sept delle asl Use: of Loweritig: Device, 22.5. 6.0. ike oa Pee ce owe ellie aoe
(stata Name) Peerital: Of Vault coo geen oe crnia ok F rele o's ooo. © ae desl ote
Her Birthplace .... arin ae Bete, sori Sak ae! aoe Charges....,.+++-+ oieiese ll sterece seine . eels
emova AL QOS, 0, . aes tenes . moe mue.+ Hake Ose
Body to be Shipped to...... 0 eee ee eee eee e eee eens Tneinaratian i OS ieee . e eee ee
Bw wy napus Row lien, o/s Gralelees lea sre 1ClAEN 9] Oasegwiolansie'w 6 Sceivieinpels «319.2 Personal Services. .). 0.6060 ccc ese nee cose eee llavevesee
Size and Style of Casket or Coffin. . . 7 ea Bg rs Bay amare SINGCTS ©.. cece eee eee eee eee rete teeta
c Church Charges, $.... j. Minister, "$..+++ ssllasanceees
ate ay Seen 5 Re Beis a 5 oecve 2 bcajele e4ave a nie sforath wlerseiehs« Telegrams and Telephone Charges
Manufactured by. a ee ee ee ee ee ee > ee a Pall Bearer Service 5p ein Ree ae a ee ee
Interment at . . S are * Pe RS ere ne Cemetery ocd aye ele © 0 Wik © ie Biaol6 ¥ie.e wi wieine « Hiravie Cisne © O10 8 Sinus eiele s
es Tit RO es seco Se wa ole cise ws PRT ike ee eke ae ih oa A i we
w
=
x Lv he awe tn Gn mace Total Footing of Bill!.0. 5 0.00 .dad wees ales teens $]..Aa. lao.
Sediment lesiecs By Amount Paid in Advance......-+.++-. . eee
Diagram of Lot or Vault
BRIANGE. i: Sel ciawion yes tewtea ye alee $
Entered into Ledger, page.....---