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Collection: Original Records > Death Records

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

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RECORD OF FUNERAL ‘Total No..ccssseees Yearly No. Sé, a \ Date.. 2LWV». bf. veves. a 19.26 Name of Deceased.. Cathensa Me ef P th “ asd . Ns le PS oilolicts « aieecee eere oe aa. (What Race) (Where Born) Husband--Wife---Widow t Son---Daughter gf Jers sr reer sests aes Pages bia rede na aide ie ag See APS ta Sk ae Ne ee a Charge to abit. 7, ch Sy, RD > ee Casket on Comin: 2 iso err dad= oes sal s yee . area adress (1 JAGa.3 ud Sf Saud Metallic Lining......-Doers are Order Given by...-.-eseeceeecec reece ee teen eeeeeees Ar GE EGS eye A Ry on BPR a: (SDRC Ca ncn ies . AP one ; (State Kind) How Secured ..5.----+++ i cots ede cease estes ee reese EV wens VA TALE yates eesti «ta ves No cae one Bie, o tiote Ele nto eaon (State Kind) Date of Funeral. .//7/". a ’ L 42k wigierowercine soe +s Burial Suit or Dress.. 0% o.05 5 esis. ise ote ee vie e eiealere cenmen Residence —§ at@: Boats 7 SE ens Burial Slippers and Hose.......02-+000s. [ereereee: Engraving Plate.....c06.scescereeeeeoe ee foreseen Place of Death. . . md. Prttrheer. cece eee — ‘ ‘ / Embalming Body (with.......-.+.Fluid) . . .... Funeral Services at.. H ‘ is Wh pie aid oars a PE Dressing Body, $.....Shawne. B.5 £55 lbul. resss o'es Time of Funeral Service. . f NTE CREAT, oi oh acl ¢... Hair Dressing.... RE eer SIO SLE Pere: a . Eisocee oe Clergymin [fhes See. Use ee Folding Chairs......0. eect eee cece . feeeeeccee. eens a =a a «« « Candelabrum, $.... CBNCICH PW on 2 oe flo ose 8 see ms 768 Certifying Physicjan. .f «© : : Door Badge, $....-.Gloves, $2.22. sss [l oes 2\350 His Residence“ ki AM RRE. Pare seapsitia seem See sce FIGATSE. oly Bo Peles ele celeisisles eae ae msla.cs wowldlsye se 4 =. faue sy 4% . * Auto Limousines to Cemetery.@ $.....-+. [++++18.0. Number of Burial Sertificate..... p ree fg y Jlyé “ wh, x. } Y j; Autos to R. R. Station... SCOR GL tao ae . Poe B7100. Cause of Deat {aa (Primary — (Gecotdatys ; Ss aad Be Service. oe LANNE? ele eee 1100. a oy. 1G Acroplane Service.. 2.. been eect cece eer eees alJeeeeeeeee Tats OF Densli icy GRUNT: +228 +N ene Death Notices in..... Newspapers. ..... [--seeeee] e+ Occupation of the Deceased. .. I eg em, SE Nang Fe Ae ieee reer eee orate . oes Ki r i Ze ies (Names of Newspapers) Single or Married [7 ‘a. . -Religion....+++++++++++Flowers, $...-+Rental of Plants, $..... J-..-.0-.[ eee Date of Birth. AS . Ase a L¢ 8 & fei OE ! = Other Decorations. 5.0%. ce sive avingicts cc's» aise Fell Soceticwst Outlay for Lot.. <.0 2.05 dee eine selec cee eee ene Age.. 0.. Y, ny Ae RE tale. 1. ee nS ae 3 te £ wiv 7. onths, ./ _ Opening Grave or Vault......-.0.0eee eee olen. LO\08. Name of Father. Lining Grave with Evergreen or Muslin..... . ... 2.150. His Birthplace Matting, $u. issn. Tent Rental, $o\. cece coll enct Name of Mo UWse-of Lowering Device.. 22.55 cs See eee elles ccon on Rantal-olVaults.. cctuwhs aces vale scrote nt os aay Salama Her Birthplace . LAartee obi re eee OLEES ST Tay oot So sce . er 3 emova WLPOR ee am Pai ree nes Harare (ees Nae deel . Body to be Shipped to.. 00. 25.. ces ede eee reece ne es OE le Re AL ee ieee inane _ wt D5 b w'ateves Sra bearalis x aineielOEvre: ons, 67%: gueyx lave ebe drayS)Wee htwoy ng oma UR face Ale Personal Services. <2 save vwieie «8 ieee dense o west s .. da,. A0 Size and Style of Casket or Coffin. ......0.+ss sees 3 0140 aC . a ~ Church Charges, $....Minister. 6.3). 56.4 celled. obadlic iw Telegrams and Telephone Charges.....----. . ....-[---Pall ‘Pearer Service: ¢ 3.5. sie ode elects asia cele oe ells). ols Total Footing of Bill......0seeseeeeee0 4 AZ. 2.0. By Amount Paid in Advance......++++++tae Balance......-Se ei cee Entered into Ledger, page.....--.0r helow]. ...00. ; Bes cnteeetelaraoay By CARH Sills A ac we ee ale Mls sNews