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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

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RECORD OF FUNERAL
Total No...+ 0080 Yearly N /®. eaie
Name of Deceased.. oF mscal Prey aay Aes
Husband--Wife---Widow {
AG ORO a hi sd ow un exten aoeus ee Ase yp 0) TUNE Cas eye's ag SACRE OAS eS
eee
Charge to. YA: Warned. fowd viens vice Gasleeh, Or omnes ac dice esis sees laters we oo $ AAO a
Address ye ee ow. Ge So . ee eee Metallic Lining. .....0eesce eee e eee ct fereeee ees a
“ib nee ee oe
(State Kind) a
Order Given by. «200 p05 osiele eee went eo ve sais ene sae? Outside Box. Pg eo ee Seem ee 4-H eo
(State Kind)
How Secured . 2.. cee esc c cect ctee ces esreecticr tes ess Gavel Vale Nt asc oasis de eles are arse are 5 Foils Allee atest es whi
(State Kind)
Date of Funeral. . “Was. Me NAA Gee Burial Suit or Dress.....-+eeeee renee eee Ad JAD
Residence ... PRA eo Megee. seb aaileate + vobeleleinel os a ai6 « Burial Slippers and Hose.....+2++eeeereeefeereseees
Pessls
SEE or Wes, i pe ae ee ee Bee Engraving Plate.....-.+sseee eee e reer eee terres: hes
ate
Embalming Body (with. ...-.-.-+-+++5 Fluid) . ]....-. bo
Funeral Services at.7™'s pe Oe Se
Dressing Body, $...---having Bi.. so «fleece d Cs:
Time of Funeral Service.. .%. OP FOE. Vidalia deans vanes Hair Dressing....-.0sseeeee
cere e eee ee ceteslorer eens at
Gavevoisil “oR Vg ng eee Sek ce Ree Use of Folding Chairs......+e0eeeseeeeeefferrreees
sah
fe ( g ‘¢ ¢* Gandelabrum, $.... Candles, $.... }.c-----. tae
Certifying Physician. . . 4 QYMET ATI.. eee ere eee Dabe tudes) 6h. bent Gleb) Shes aek keene: se ie
His Residence... HM eran deais sae oat healers ea igide elle nis © Plea rae seit cage eibic cueie'e wcities gviele stoves Sarele im pfadinn gies
Naisber of yet tl hy Alle an Ee a data tered Auto Limousines to Cemetery.@ $....-++++. [eeeeeee ua
Autos to R. R. Station..... (CO aS . Cee eae
Cause of Deat rach. tn Pe > cuabyras, gpl doe vet "ed Other Vehicle Service... 2 alee ere eestieed ome Beall ees esa
Date of Death Sw :.* / G A «& Aeroplane Service....+-+eeeereeeeeee
trees valfeceeeeees
me i ee oT a ee Death Notices in.....Newspapers...--.-]}ssss++
Occupation of the Deceased.. ; . Tae te ie EL Fi peat «nl ibe ellos 30 08 cots 3h lg. Do ieee eee
: °
é
(Names of Newspapers)
Single or Married AX ¢..Religion...++-+++++++++Flowewapmh..--Rental of Plants, $.....]]...-++ sie
Date of Birth. . i eke van! /4 4 3 2 a aE aay Other RL es reese Pas ae oar) cCacteibrarerete ave . . eateree' ee ow
rey ate ee oe ee ve, ae, A Dayi Outlay POTMIOL io wi vss sulbya ove + divinities Hee ceght + all acceee vet
Y= Z Opening Grave or Vault....-.+-.-0e eee e ee . leeeereee dois
Name of Father. .//. .77 BS TO a 6 9a CRE al aa ae Lining Grave with Evergreen or Muslin..... ].-.-+++: pet
His Birthplace. .
Matting) $20.. 6.00.. Tent Rental, $50.00.. 25 . . ceteeeeName of Mother. ./
Use of Lowering Device.....--seee seer ee s. fecseeeee
Fonitalok Vatilty on ccd os cee s tec ns asus eres eillensaues
Her Birthplace
Outlay for Shipping Charges....-++-e++eeesHeeeceeef
eee
:
Removal Charges.:...:-+.000eseeceeeescoelee
ees
Body to be Shipped to......-+e-e esse eee e eee eeees i Mawes ie ee ves cds SWa es ok Pes seat
ee cd EE gilts STs Weipa feaiety .<atr He Personal Services. ...-.0e csc eee ec cect ene estes eseewees
Size apd Styl
Singers ... cece cece e ere c nec swnesee reese el ecseees
Church Charges, $....-Minister, $.....]].....
mit oo a syle Telegrams and Telephone Charges.-..----++-+l]..s.e00 es
Manufactured by. .-j9-----f+-++-°:
Pall Bearer Service....--.cseeceeseeeeeeericsceeee
Interment ahedy
ig Ti Sere alele = eae bee Ble aBrt ole Ses. are a De TC TIE . baa lore
iemmmmmmamemns, fae TY fee amy Des eciniage sete shew cininlotiguren Sanie viel sia site ce ag emelh A Wersers see
pre. 4 14xk pt Pe . eee tee Total Footing of Bill.......20eeeeeeee $. /.7.0 Os.
eae WY ca clei let Ss + By Amount Paid in Advance....-.+++++++++ . Bpeee oe ceed
.
Balance. 2.0.6. . vee sissies es oaies Bi oce ers 05:7 ee
Sa MON laa kre 22 a ae ae
Entered into Ledger, page.....-+++ or below}. ..... state
fee] ie elen To Funeral Charges...Total, $]....-eee By) Cash.. 0.05 de fe cee oe 2B] eo eee!