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Collection: Original Records > Death Records

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

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34 RECORD OF FUNERAL Total No... Jere Yearly No..4.9... Husba Wife---Widow ' Son---Daughter of as Date. . eee. t Name of Deceased.. Anacvartoe. earatia. alae BL ana ncc bancudn bn cotele ae aby ms (Where Bown) er 2) ae peck Sdsaubaiele eyes werelelonete aint.e o°Nia eimigrs snidele © fe winioleale He Gmissie pales winigiele ° eT t tee EEE Seer Charge to. rR. Twn crandiane: sete Cinakeod oF Ritts. as vsuaces’ cote. oa. Og eee Metallic Lining. .......e sc ee cece creer ee elesseceees KRAATCAS ole Pees okies oibitars Sine veiwid sain Hains erp igiane at sie.# 4% etallie Lining (state. Hina) Order Given by....seseeeeecce sre teeeeeeetenecereees Quteide Box. ace sel os Adena oman eee eee al. n ee 19.. 0. 6. (State Kind) How Secured ...2-6sceccs scee cess torte ness creaces ces Grave: Vaile cco eccrine 60s ncg Meera Sd oie gall es coanbaden’ + (State Kind) Date of Funeral. smd 4. le. .-.+ Burial Suit or Dress.. ...0.cenecceeeee cence ho.) aa Residence ...Re es 2s tl cals SEAR E ED oar wD aaa sae Burial Slippers and Hose.....0-+eeeee ere eifeeesetess Engraving Plate.... Soh ele she's Faas ls ave weep Beeler hare © 8 Pl RP Det liis WN eles Haws «oes se wiewe gs tm cle tigcing sete t Embalming Body (with.....-.+-+-+Fluid) . }../.47] 60 Funeral Services at. ST. & rarr.ce. Le mR. Dressing Body, $....--Shaving, $...... [-..-.5-ae Time of Funeral Service.. .).@. een ose eee eee eee Hair Dressing....cecceeeereeceeer cre s ects . [ere eters: tks Chaeoveacack! oe ¢,.° ef ee Bee Use of Folding Chairs.....-..0-e se ce eee ee. ferereers es ae ae S . “© © Qandelabrum, $....Candles, $.... . ..+-2} 0. Certifying Physician. .$M.8°.S. ie en, . Door Badge, $....5++Gloves, $... eleiein o. lo encom . .0 iin SIROTA CTC ei ou.'s DRS le 5 Ee node cies o aiene on le a Miclonins TRBRERe acs cde bial ca hceahcce ols BetnenE ore cin dhe o dale ali rer a DA ee Number of Burial Certificate.. ....0.06e cece eee ee ees pees eens 7 Cemetery. 4 beset eats safer O68 Q { utos to R. R. Station.....@ $...-.---eelferrree es Cause of DeathNotunaRaw. cha cere! : . (Primary) (Secondary) ras ean Service. RNere sare Harolsaciclh Gintas Fe's praise Aeeaee ; Aeroplane Service..sse.eeeeeeereeeeereeees ellne seers er ofese & Dateat Dest ie fey Ar RBRM.-2-.(3 aay Death Notices in....Newspapers....+. /e-ereese-] ee? Occupation ge thhWeetened yA en Dre MN cdi oomodecneneacpea ee ere Une noe Ts ody vey ee fehe sored Singl M ied “oR: ‘Religs (Names of Newspapers) Ingle Or MEBENEC ak eligion. .-.++ ss eeeeeeeees Flowers, $.@a«4e. Rental of Plants, $..... ]-----L.\0.0 ‘Date of Birth. . eX.. Ww’) -. ho. ¢ Sie Eee Other Decorations. .....0s.seseer reece eee eteeeeereee eee Age... 3:7.. Years... ’s,.. Months.. oe Days Outlay FOP GO Wars crete stecbie Masee wie ave se bleie 6 Corb seidrielll mace eeoe iz “4 fin Opening Grave or Vault......-+++-eee eee eles 1.0.)}06 Name of Father. .\. a.. Ssnan+ mee + Gearon Lining Grave with Evergreen or Muslin..... . ... 2.. are His Birthplace.. \). aha Bt ate hitteplsa herete « aden Matting, $...-+++. Tayt Wental, Bee oe osc Mewrcomeee Name of Mother.. A Seer eo eae ae Use of Lowering Device.. 02.2. i.ue 8 8s ete lst ‘(Maiden Name) Rental OV aril cn. o.0 tcp aa Wititocemn. oo aor Tarte SNE © ale © [ries tenes Her Birthplace ... hake OF eee Mes reen g'7 ie 7 e Outlay for Shipping Charges. .....-+-+++++-J..ee. Body to be Shipped t x Removgll CheESCRs cdsatcne dg O08 «wie came ate = + e499 {low oeduins , dames Be vineldnh k aeAiat ds aly o4° 2 PROMMENAMON 5.0 clelsieg sien s od 9.80 Barer aie ON Tota lace SR Ae Ae Or rr Sens Urge er eaert Date sr PavEH Al MODMICCR ici cateh wlgeels Tasenle eet s wee gre 3b UrRas reel Size and Style of Casket or Coffin. . Si.. & ith nF Sirens: Sipe l abe seed + Hales we iartacs ogre else tal oAes Fee £ in eee ws & d. ; eet Church Charges, $. Act Minister, $....-] 000000: 1,. a.e Ao , Telegrams and Telephone Charges.....----. ).....].-+Manufactured by. a “de TY SC Ae eer ee res Balll BoavensMervices « oun bieb Vaie<Rie su way oils all ewes Interment at ... 8. &befr9be. Go.. Cemetery. +++ sess cere e tl tte cette sete ree B et ee eee scree cere. & Tes ITN ae Dench ee eae Beech © epee nate Anke Be are ears os miiegca on Seance oae ems § a enaae) et Mal id ce ae eat ew esd Homie nbs a. Total Footing of Bill.......00ee eee eee ob Rete 4 Q . By Amount Paid in Advance.....-+++++: gl 7.4.0.0. Section No......--+++. . TRRAITOO 65. estas ssn! w ateatboiecetorwne Siisces cues Saami eae hm POD eee led be Entered into Ledger, page.....--or below]. ..... wan ween iene To Funeral Charges...Total, $]..... Pilceees tess By Cael ic Ceo ene ce ete de ales ~*