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Collection: Original Records > Death Records

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

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Cr RECORD OF FUNERAL Hu atand-<-Wife---Widow Son---Daughter of Loree aaa? (What “Race)Charge to. 3 ink Feat get capi atta RG, « simegeketniepy i008 > Casket or Coffin...,-> gt See ae! De eng. : 47: . Metallic Lining.. Poo Deed ei aaee . e S100 Address dsc ater on nie skora'e @ Ueaieieminnsini <2 pale ars at) g Gini Kind) 73 1O Order Given by. Maero.ee As. st oattn. Qistaide Thomas so bawsd ec nce tage neces oe nse eo taffen dream re eres : (State Kind) How Seeured <2 sc. 0c sees sc yececees ss sce sin ese ses Gravel Vales occcme co ee seis agape aes scene wt oferta ales : (State mata) Date of Funeral. . }. wee Dee NH RQ e eee eee ee Burial Suit or Dréss. 2.. 6.6 eee eee EO, ies Beall ew ioe ed Residence .:..FE Reh ea Sis Tenino ais endl = satpro epniaye #219 Burial Slippers and Hose.... Shits Mab te orlcee. [atandeme fle a Engraving Plate....eeeeeesseerererecsste sire Pl f Death....5.4Rep ee did wogv/h ope aaiel seaibalelajows Vests : eee Funbiining Body (with, . 6s: 0250) towd= Fluid) . . ....Funeral Services at.. Detswanty-.--eseeerreertee Dressing Body, $...+++Shaving, $.0.+--26-s. .4s---2Time of Funeral Service.. .#3.9.. .ee eee errr treet: Hair Dressing: ...s00cccececstect oes cscs cone ellerrerestiat soo Olergynia. cud. vers ey eee Use of Folding Chairs. ee Dy a di des has am fener oxo Se «« ¢ Qandelabrum, $....Candles, $.... . -------#:. e°°° Certifying Physician. ..As Teed BR ees site *antik Door Badge, $...+ at 3) oven, Boi .ctee o's alleceewsanr His Residence.....+iia s accnitee scope yeti omni’ s De ary ie a Re caper eI ince conker I SIO Sa CEM . ai et Number of Burial Certificate....--.+-++s0eeereeesee ees Auto Limousines to Cemetery. .@ $..---+-+++-. [rrrreree c eDeatk,e. i a Autos to R. R. Station....-DiBe ease «2's ssiieceeesees ause of Death.. ; . er anne all BO Goes: : ‘ (primary) Chaubutens? OS Service fogs = Heel. tp Oe ia eRe ih oe ME . OR nadlah a eroplane Service... Bl keeebariages. a nteste Oe lee sts con spose Date.gt Death. --~: Bar LNRM.. Death Notices in.....Newspapers..------][errerrre pon Occupation of the Rapeased. be. Ra erences] coeeeereeeeragnase eam ep Single or Married. \™ .+ vo Religion. ...-.--+++++++5+ Flowers, $.. cee etche? Plaats hen Nees Date of Birth.. Ee LAL ASS. a, eh eet Other Decorations. .....0e2eceee eee e ner ee se ifereseeee: ee.. Leth o Leathe: leo hes is eG ae Ae 2 ees Outlay for Lot. ....ee cess eee e eee eee r treet teers eres: * 1 i 4 geste 7 ad Opening Grave or Watilt.c-0cc hcibaustnt Perens ik gas. . secs Gee Name of Father.. PASAT. 1 ° * Lining Grave with Evergreen or Muslin. ...---. . .------His Birthplace.....Cie < eT: L pine Ne GEE Matting, $....+++ Tent Rental, $..-..+-. . ....Neme of Mother. STitt. i L ee 8 eae Use of Lowering Device....--+20+ seer ere eeferseeeee Perce “(Maiden Name) Rental of Vault. occ cce cece sc be cect eae ete cece e llwcesenes Her Birthplace ...tC sean teil ato a 0 Outlay for Shipping Charges. ...---+-++++++++J--s-ese5: Removal Charges.....---eeee eee e reece ett lice ceeees Body to be Shipped to....7---+seceer ere tetessrseeees She eas Eee ae ee eee me b ciate eu ghia itinncPeialbiniegesle ee ire < atace «leg aie drs yl ss rebionese eames a ">" Personal Services. ..---.22 eee e cert eset eects slecsee ceed nets Size and Style of Casket or Coffin. . 4 { . # a Ar 2 Gingers ...cee eee e cnn e cede ste e tense ee tree We ceee eee: ; Chureh Charges, $...--Minister, $5 =. «scl, tes onf eee Fue f. Riat. Su. « a SS le a eon Telegrams and Telephone Charges...----++++l]-.2--+++-] +++ Manufactured by.. @-ced:. ckacbed ot <a Pall Bearer Service....-+seeeee scenes tee Pieeeeees Interment at .. Fd pennpetes «0 Pattee. cess Cetnatery ys 25a vn nins hea 9 88 sainagor seek Sree ee ee ars s gpcm Sede, ca lle ibe AA egies 88 siege ot Sis > Sac EE Seip ed 0% ee ae es Grave No. pr re Re 0-1 Total Footing of Bill.....---e-ee+eeeeee ee $. .3.0¢0\/808 B t Paid in Advance....---++++++5 Ce Soe Section No.. . 6 J.4.see eee aie heh arenes $ Balances oc. s vc ced e'dias > 00 ae Blfeoas eens wie aie ya el mT ao et a ee ( Entered into Ledger, page...-.+-+--> or below. . ...++s-].Ese ees To Funeral Charges.. .-Total, $