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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
Total No. .cccsscae
Name of Deceased
Husband--Wife---Widow t
De raid his wry aie» Snir 4 nae Ce a ge mtrapi em Be x 0 OE Te eee
cle
Charge to. M44 Fan © on ae an Casket or Coffin. .....5:e2e seers ners eeeee $). . £5.06
Metallic Lining.. .i.1. 2.0.00 oscar nee tet ete ffeceesbets
Address . Mace 3. ++ Neen ch. Cais
g felutd sions
Order Given “ 33. WDLiacat SM, ; m V Sra hese Outside Boxes Uei5 oscis Peon! yas sada atr ees 1.0.12.9.
tate Kind)
$i GRRE: vo dace esi conn s andes ene s stra ellat aba <2» Grave Vatilt....cccesnecccsees tenes te rseeesfeneeredes
(State Kind)
Date of Funeral. . mite Med ante prereset ate Burial Suit or Dress....0. ce eseeee eee e eee elfers 17,1 0.9.
Residence he ers. RoR. rsrk oc letaa so aiels Burial Slippers and Hose..... 00-0205 eeeeferees oe
Place of Death Pe Ach Sp Oe Engraving Pate ..sewssie esis eseseerisestons: seeereree[ eens
:
Embalming Body (with.....-.:+++++ Fluid). . ..A/4. . 6.6
Funeral Services at. .denatro. M.ertaany. os ee esses Dressing Body, $...-+++ Shaving, a eee . . cman 5
Time of Funeral Service oO. Hair Dressing....++ re Sm kee eee 4 . Perere ra
Clergyman . See
Use of Folding Chairs. Mires SURE OT acer aw eevee ool ees oak
. N
«© Gandelabrum, $....‘Candles, $ i. jen [eeewn eats a
Certifying Physician. Avon: xyae oor Badge, $...++-++ Gloves ih. «use vice collosws 2..\9O
His Residence.. >.7 St
FECATSE! Fisk fisinscxeldatalers's Ue pteiorw 20% oioseig) Sune St etate’e sess Mle 45..) 0.2.
Number of Burial Certificate Peet ies, ae a. ev unclal‘ ~. Auto Limousines to Cemetery.@ $....-2 eee . feereeeee
‘ Autos to R. R. Station..... @ Bocce eccesevalfersessers
C f Deat deh ats. ce
Buse ObMEe eHitinaey " ‘aaechautes a hone Service Gh cee tioterdgeh's 2's Sill. ob bial er spieigie.
Gan
Acroplane Service....+.eeeeereeeee teers aller Oc) (oor
Date stRonte a = NAMM. ee Death Notices in..... Newspapers. ....+. [Jecrrrereeforee
Occupation of the Deceae es er) ee eee cen be neers erage
: r
ae
(Names of Newspapers)
Single or Married. Wyre. .Religion....+-++++++++-+
Flowers, $....+% Rental of Plants, $.,... . ]..
Date of Birth. 2 .2n.0.0.N 61.4. rh Pad Other Decorations: c.cch wees 0 ngs «o's ccc e559 + . [aoleneinn es es
Age.. :. de] Sears.. . Months J 4 ,. Outlay TOR Lite celta kaueiarale ciaiwiiee . brace Gr aie Mle naw ee: A100.
et ie RS eh Ses *! Opening Gee: OF VON cus Cae eaves necks ore a ern 10\20.
Name of ba Pi «earl Sti es x Slemte Lining Grave with Evergreen or Muslin..... . ..-2.. 370.
His Birthplace. . =~. Fae Ti Gates SR rae Matting, $....++Tent: Rental, $.05 <6 644 onc. coe.
Name of Motifs As 4&0 t. (0% Oa, ae Use of Lowering Device.....0:eeeeee cere . ecesecee:
nec (Maiden Name) Rental ol Vatilbiec «ors sie pcee estes mores veo V+ PE Soe elmteee
Her Birthplace .. V4. A-ta. Re a Sta Me Miao te Outlay for Shipping Charges...--+---+++++++sWiecseeeeefe
ees
é
Removal Charges...-.+.ccscssseseceeeereee
te casters
Body to be Shipped to......e-e eres sees e reece teres Fee SI Boss Be aatetcorwul tees its 28 Mp dee ce
be ry le dtr leis uecaretaa! shave stareas glans amhatn ws dislolay mamas.” Syene aie Personal ServiceS...-. cece eect eee cere eee steeeceer ees
Size and a of pee or Coffin. . « PAR) Saha sella ee 24 IQ OLS 2 ose Seine + wie wie « Misisis 454 ot site ow Rite + HA oe a selene
Chureh Charges, $....Minister; @)055.c<-sallsc.oucees
Bee msec iar stessersrrreseereessss*) Molegrams and Telephone Charges...--.+++++llecseree [eres
Maxafintia by + Coase h&.CO-...-. Pals Boner SELVaCWs lee Wale ee oly « eels. bob onuee eb aI. he eho
Interment at ...-.2e cece cece rte eeeeeeeneere OFT PA Cd Ne a ea ASC eto Sah AMR OD Na ae . bea .
i J aee RimetsMen. sve Habe 4. Total Footing of Bill......---+s sees renee $. . ./ 72 . . Ao
3 id i VAG co 56 cis 6 Uo. s eho Foca Blows ve Ens
Section NO ses aes vces oa by Amount Faid bt Advaiye $
PA ANCES cove otis ods « Lal te all sere aes] owes
ee oe ee
Entered into Ledger, page....-+++++: or below. . ....-]-F
.
Pe PFs To Funeral Charges. ...Total, $. ....-Feeds. ons tcf MUP RORGN pgs ole ws ounier+ ateareny OM Senlges> 0