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Funeral Register 1921-1925
Mirrotilmed ny North Carolina Bepartment of Archives and History | Hinision of Archives and Manuscripts Ralvinh, North Carolina a atl . : \ " : ) | : . : “ rte i Pl ; “ . = ees ——— oe - ; owe | : ee | p bf | | | : mn + y Pa : . | f -— ; ae - - at ‘ | ° a | r i | ~ - | | , Cd 7 | | + ~ IREDELL -— COUNT ¥- ; 4 an 3 ae ys . co = r ry : : i P ‘ 7 : Fa A | 7 pa J o oe t ‘ e. ae f i : ; any ‘ . \ H . ' : ’ ; " Ps é cf oe Ad a ‘ AY : 4 , . ‘“ -_ sg s : ~ \ O \ 7 a Nt ee rd , ' " “ 1 Funeral of “Ke glee thay Ghia Date of Funeral__ hha § [Gq 2s ie 2.20 i? M. NIN MID ociaiisin scans sxiendcaneunessvasduabaasdassaseedineeses U jocsscs. cc. Date of Deat Lig Ay 7 2 f ae Embalming .....0+ aii us sd 40k siadedddessa ibd paubadOlascdbaataasieiesc occ = | Pee of Death ... (tales 3 A 2 Jf 7 SK aS Ma NIE TE Coc shccsdc Godnneveiennscecedecisscssaccs.:; cumin po | Plae of Funeral od pe a J (Pou mn 4, ¢/ Casket. NosssssuyAARE.«| PE ite ABO secs see soos ae a lee Ch Aer may eabAsnAAaRSAELASS t99K000408 t43. NEE vciscesserasest «.., Yor. 2..| nate of Burial ( Khe 4 S/ Uys i C fetal Inner Casket...........00.05. Copper ON sea oe | Where Interred..c 4% ft. e a e A y F Tandles No....1.++000 ss bss can | Sees Grave or Lot No...4&s ’&. ein i” uiside Case, Pine, Chestnut, Oak, Mahogany................. | Location of Grave 9 bbehd) CONN PUTIN FANE BOs vents cinede cece cscesnnccgapesevisscnessss: iis | peubeeak | auSGuuyssbeseasis0ss)ci0sbasecasenviaeses t etal Lined Box.. Woe late kf. Kees. fat thon. ISO ‘pbsunts LENGE: sscncsenkces x six SEOs esis sccenerevecs PEGE cosvxitscse sis Een ee ACA Ve Dia ogc os 5s ia aba cdc ssthit cosicdcdsvaskccass | Vateveasaalvaass Soh Ab4K4S SUAMED AVAAGER DAL Ob ASEAILES AAG) o> vs vv Mattreas...... we 3 jraussncause sevaereeeessyepessecererers | saeeeees | preces . Age O74 Years Months... Daye rial RODE ....s.00+ scouts ted l Cit. @ a ETT seg eu Color... Ota Occupation POE. csccievssstessssieiasanss Pra. CRON iicilititiiecd sens oo | Single, ee Widow, Widower ' te WN CU ig acs esses ese. asics as jE irth place , a ALLE CO / C ee Adee lay S~ 19 f pOOnL ADOMEMNOD Ci AOPREAED oo. ocicicccesssctesensessivccsese | seaserncse]sosvoaces a place of POIGMION i scnciccucsestisecsie baci: fo TPCT eeeenenes ....Candelabra iiss ose d Gs cess co | How long resident of this State ONAN is scisiseniees tics cvdis ins OU ass eps cas | Hushand'a Name ... : ‘ail “ | | Father's Name f < Re Ae ry Ga CA easuajenuacs ee. | seeecs lc ‘ountry of Birth X Kc (6 pees ibias “a @ jeeaste , NP EN a cvascaies cau so 140454 45i0sdadEEsdisia Edi NSO; buds] eu AbIaSAS . Ceebaas | Mother's Name vs the «eof see eoabaisen eee oes eeeubeae NN sco sos ccacs cenueushedsisswisisiivssce Cees | ; -+.| Country of Birth. (ice her G a — TON a ae a ke re ee ee NN ee UG ee I ine ae Physician ,. ay Va fi cee bepcscceicins hepa Reoi as cae vhs busch di 000 0cab0Udk «cosisusssanevasicacnacassdsaseenanctesseGaekk | cs | : l« ‘ause of Death | peehbodentonenes PI MN so ccscscissteseicacresvens APOUEB, 5 6508 | oben by “ir ee Dav 9 tr, 7A; serve i ‘uneral Notioes...... basssisbesdetesiashessineisiasitbbieias i sesdstsctenenens Lo). ae | ‘harae to . : Leite snsniebeneebehiate beipeiehienetaebebibdinbhasaveniriviecinensetenisiveseiants | seaes cece | When rendered ‘ ee rere rane i teen RECEIVED ON ACCOUN'T. babaasssuteyss ses ggih'esicsrietr aber shssig Me <etensativessinussaceyireveveaien | siceiudsislevesaves . ‘ PN ihe era rasa andes 0 irc snisstaces iisnteccde ritsas Gasasstesssiuases | aicxeseaiclicce AA ey ‘ shessslicessens feist seckeegersaukeniisi i 625 seats ca pieaddn cibtbiiaateronsisnésecpeetnsijaraisaderiiseibnixsess 1 sanyeninis | md ee ee oat on. Es CONN 55. si cignisasasciakssncieess I ce ciiie isd shies | sce Se oe ki ; 7. { IS | SUNY MIE OU snccensecansiits pisdseusaessatinesaciesssqen cencdaeess 00s |-sosennies | | | eo Lining.......0+.. | hed ] | I edi ee ia tk ili ek tigi egands | fislaan Sad avpnmiaiet ie ce | ) learae... ey Ss sais 63 paris 3 ° lcaaad mee Se Tu Ee oUt erent cl vee ealigueec caus a ‘oachea.. / oul beiaice PEE | | ies | [ibd chteceiadaesiseevebenieteiuabinioes blidibleuirisiitiiemeenneie ‘cei | | ; ONE cis venrseerisicersnriecns antins Be sh secu be ioe, ; | es bis SUPRROPUCLONND TIMING soi bis vache san 006 005005kckcxkes dcedececaciciccces eee DN ie | | ii ! } } | cheseseeescevevereceesevessesesreereesceees pebacrobevwesesevbnabeesssessss RE Rn cc es soueavie Ea | T\ Meeeeee cvccecess eevececccoce eeeveccese CUARSHONELEORd Oe House eveuesNEsee E ccccceacs | seeks | ae in PeeNNEL i as eeeres 14 a | WODeeeaeeereceneeecesens sensescenenceeeenesesseressecseseeesosseessssssessecssees | ccccces en eee | sessvesenensananes 2 Funeral of Date of Funeral__ ae. Removing Remains.|.. LX. ke ptexesssdaus Oe iaisisis Embalming ........ ¥ va cvksaesbhaciea Dbbsud tise cdcisakiass badnasassiaess Pe UE DNS OE iii iio cencatecienacaskcctvas nice menacaes CE sav indccs cats scsdavccaseksuieanecs TOs 5 sss tadstasvcasitae ase Maal Thner Casket... Copper. sss... ee Be gn cis ca sans ons a en one on 0k 5 bcd scsndansasagan eachenieese Outside Case, Pine, Chestnut, Oak, Mahogany..............+++ EAMG WE PUI Bab NO. hc cicisnessivcacadasecesscessscehasecencisnesas Mee FA OR aoa issues Sera ee Mountings............ PE OMNGS. 64.5 ccs cess Piate:....: pee esac PR OEE TN. ins Ac ee Pe Ee occa iad ess hee re ceed kee kisehenaskidel ete ieeiine PN Oe 3 os ey er ele ecases gettretseceeeenees ‘“ BIG sobs ck cvs loysinsssnel Me Sites CONGR So 6ssei chs ES NOE NP oo nisnci Penn tientsssteeseasae Personal Attandance and Assistants ...........0..0cccccsceccecesseves Drapery CONMELADNG .6o5 6. <ccis scar COMER ced Pedestals oes . Rug PPP eee eee ee eee eee reer errr ree ree er er ers STOR O Peewee meee e meee ee seers e eee eeeeesesesease CROPOEES 1540819 006406685066 054050500 0086485 S0SS E0000 0405060550056 006 KOK eedeseceeere FOTCONE OG 6.55 a vsccs cen vise esc Ge iE see eeeeees seeeeeeee Funeral Notices CPO SOS oer eo OOOO ROR OOOO CODER OD OTD OSOED soeeress: COCteees TPCROSERSY COED SK CDECEETSHECCUNSO0UEFE COTO 06 bc 0 nSO0 SEE Ness obbes neue SCONCE OES COD ODOC CHEESES DED OOC CRS OS COD ROO EOSSSCCCCS COCOCORSCOOET SES 000000 00 050 000650000000080 0000600006 crecereeeee AsUTUIU .. ccccccccecccccces COMO eee ee eereseeerese re eeee eee eee OOOE ES eeeseceee THEO ROO O eee OOO ereeeeee eee E eee eeeeeseeseeeeee SHCHVODSNSS CCC C RCRD CELE COE SS RSeeCsEseeLeties eeereershobecssescescccce POR R ee meee eee eeeeeee FOES Ree eee eee neces ee eeeees HOO Peete wer eeeeeeees C7 *StSeeeeeceseoes ceseonseseeesconseoeenee OOOO Oe Cee eeneeereeeeseees NRTA eUCLPLELS CHETOS HOES SOTEKENESENNSS ST SSS RESCH ebeecee sce Hee e ee neee eens FOO e eet eeeeees . PCPS HLOe 6 9OOOELOs CODSEEELE SEEDS LOLE CORSO COO OS oDOCCCCS POCO CO eres eee eeeeers TOOT e tere nee eeneeoeeees THOR Ree eee eeereeeeeeees CPPCC COCO COOLED OCLO® Coececeese Oe eeeeee tee ee eeeewes FO Oee eee eeees POPC COCO Cer ececeeeeeseeeeees te eee eeees Location of Grave THREHR Te SOOT DOOMED EO eee EEO OEE E EEE EEE EEE EEE eeeeeeeeeeD HORROR R OOOOH ree eeeren sees reese eee eee eee eee eeeeEeeeEsenes Oe e eee me eee mes ens arse ewes eeeseeeseeseeeeeet eens eeeeeee How long resident of this State Husband’s Name y........ Father’s Name..™........< Grave or Lot No...cccscssccasics Sadshenseese. Section. POOP O ROE HOLE ESO EH OOOO EEE Eee EO EeEe Eee aeaeeeerneessunesees age ere Months...............Days Color.. ng pAUert cencrnti yt eusaks oe QOCUDGTION «0400 scscscssosccessseccl Single, Married, Widow, FE srk ssnnitasceninsnessasssnil Birthplace ..........0.+- febpen. @ sae ecccl SORE H eee eee ee OE OOO ee ere reser eeeneerees BEE EEse Er eEeeee seeeeeee bbb bbe h aaa a atria t | oS P POO POP OMe reesereeeeeeseneeeeseeerees seeeee POPC OOOC OOOO OHO OOOH SE eEEeeeeneees eeeeeee SOOO TOS HOO e OO eee eere ee eeEeese SSP OOOPCOOCOO OOO C ORC eee e eee eeEeeeeeeeeee: tee eeeeneeee Oeleeeeeeeeeeer eelesseeeeeeees oeeeneere 33 Funeral of Embalming Outside Case, Pine, Metal Lined Bozw...... Box Mattress..........- Funeral Notices...... Peewee eerenseeses eeeeeesee SPOR HOt eee eeseeee seeeeee eeeee Date of Funeral Mountings.........00065 «0 MAE 9 ile ease sad Rivas ae soe ett es a LQ tify heStE see Metal Inner boanh & ae am ar... Wee i Tee eee eee ere reer errr r eee rr creer) Chestnut, Oak, Mahogany.....-.......000+ Lining Re FE ee A oocdsiokkkcs hess tt eRe eee ee eee eee ee meee ee eEHOe eee eres eeeeeeesearenneee OOP e eee er OOO eee rere e eee Eee OES EE EEE eee Hee weserenenene POOR e ee eee ence ewes e een seeererers POOR OR ere mere Oe eee EEE EEE HE ee eEEe UL eeee seeecceesoe renee COC OO OOOO TEC E HEH EEE EEEEE EHH HEHEHE EO EEE HEE EE EEE EE eEES sete nereee seeeeeees ..| Date of Burial.t LA | Where Interred... ff7N....N& CORO eee meee renee ease eee e sees eeeaeeee eee ee rsseeesss eesseeere TORO R eee meee sree enenns came rere esse ease see ee sees eeseseese | tence eee ee ena re eees eee meee seeee see eeas esse nesses eens ee eeeee | o Vv c C ‘ . O°? DOUOP «00000: E tae eR Occupation <P feck Y yoeuacaes | Single, Married, Widow, SRO Food ona resegssnrapanins spller / A ef 2 HE Birthplace ......... 02850 LX * cui vagevadce menus coucediune TALE BUBISE GECOIIAONOD 5 ois) oc csiksiseseck. anidevixicse eins Deeks How long resident of this State...........00.. cecossesccessesscesecces sees 4 aes 79 ie veseessssggees Father’s Name... SZABS.. 7. aes pcccisaiid uc reat icstaaceteues Country of Birth Co eenessecececreseeesenees Pr rene efereeseeeenseererergeeeeeee Mother’s Nala... omer eeuacue. us tubivisses biariiversvenenn Country of Birth.,....feg. pte 1, Gr j iy. fs Physician ONS I i seis boss ins isin as WeTTe TEL TeTT Trier eee ee RECEIVED ON ACCOUNT, “FF ocagh sl . | Bak fle Gan | A. | tex | ener ican BS Ot sscgere ed ian inesdtiiet . | Chiat (40 by /keth, TeTTeTTeeeere TT TeeETOCTOrrererr Tiere ei re Peer rrrrrrrn (errr rT yy aera SOOO OO ESTEE OES HRT E EHO R EE EEE Ee SeHeeeeee 4 Funeral of . Mees en Date of Funeral Metal Inner Casket.................. COPDE? ...ccccavens PMB. ak: PAAR NO oiciada bcnsncs bu ciasctsncscesenscagesastonsoneseerasacenssatechasaes Outside Case, Pine, Chestnut, Oak, Mahogany...........csceee+ | seeeeeeees Lining and Pillow Set Noi: .....::ccessssseossexssoncssnssosnstannesences | sersgensane I FRO i pcos ds din pn cco rte os 4 504s 5ta es scan cs | oensesonees Mountings.......... ‘ PE OROIEE, Fo usstesivcxcaees Piate.....; seen snl retee ees MRE CREE, PRON cha: Sle uessenaseasdseeveasesbidierelcartelagessesoeal ee Te ooo ceca se sacs aici ean ae ees BEA) LODO us vaca sen sn skye cunasue peas van un cacannessit aay secketssecsaunaaeeia PROPS is sis sonst cacarasae Pe ek CME a ia rs at et E ss indies esa sese pense a Personal Attandance and Assistant) .........ccccc0secscsseccvceseneess Drapery Candelapre....5)...0cs CONGIES, ....c0ceccevess Pedestain....ccicciesks Sie CASH EXPENDITURES. PRGOY OMPUN EE oo vrsie ioc cs aca cesndasnbunsaril eG as FUROR ss ics sessvensevesesscouncatecseseneesisiee ck. Nr a od ties anganccundveeouns FOVTINE GRE 66 inh aicscreiiseeiesss SROs Ss CPO O eee error erro eerereereserrscerecreseereeeeececcocenees | StRPSSTSOLS SAT HP ENTE SD SOR SHS THES 1) «HRS OOT RTD SS 1 ORO RUS5le 60584000 0Ries bbe bE NSCOR SSSe GIMCPINIED, SOWKEE 50. s:ccciccesice:.:seucsuced YOM csiciisicsinefkcs Delivering Box to Opening Grave Vault Charges SESESESEDESOLESS SORES SSESSESSD FETE O TENDS EOEH OOF eU ESCO ND SCS SSOCSCeKOSeSe OOP e reer seers eoeeeeeeeseeseecese SOOO O THRO eee eee newer eeeeeeeeseeeerese POCO we eeeeeeeeees VOCPODO CLERC OOD OOOO SSE OO desc eseeeseees WUT TALES SELTHSH HST FOCROHORHOHO NH CONNEC SNES SNE DS OhSbOOtedncsed seeeeeees TOOT COMO OH OREO OHH EE EEE EE TES EEEE DESEO EES EEE SEE EEEEEEeS TORE OEP O He Heese ean eee eee eee OEE EEe EEO EEE EEOSEEEEeEeeee DROP R ROO OE EE HERO RO EOE EOE E EE EEEE EEE EE EE eee eeeeeeesuuunnny seeeeee PPP rere ery TT POOP OOo rere eeeeeeeeeeeeeeeeeeeresess sence SOO OCOTO HOOD OOo EEE ee eeeEeeeeeEer: POPES OOS RCo C ee eee eer eee see eeeeeees FO OOPO COR Oe eee eeereseseee Peereeeee . weeeeeeee eeeeeeee looaeeer*” Funeral of Date of Funeral__. 4a + 23 —/ il i ae PPC OOO COD ODE rE eee ee OEE OLEs SeeeOeeeesseceeeeeeeseeeees POCO OCOD oe orre rere rEOSOROO OES Oereesecesceeseeeeeeceeeeceneseocccoeee Shaving and I ib sicntensasnenenpenlbininianscniediiliceinisis it: Casket No.....%. ‘Anais | LHe = PPOOSOOOOOOOOOODOS POODOESEHOOOEDODELOEDO SEDO ODEO DOLE OO DC OOOO eeDOSceeeecooneccececs Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No..........00.0s00 Serene a eeecreaeeetts BE Fe Fei rcdivnsislisiaiissisctinnselanissancnliceeatoon ME OMBCAE vsininsciisecss 4s FROMMIOB Soc soncsncenvenans PIM 565s esas ESTE VAN Re potas ina isaessssissachorsissvennnstesenes ibepbesbaseee ses Re NN cass = tua secs ee nde sees situ salem esade OOOO eee EOP OSS rereenseeeseserese POOR e eee meee ree eee eee eee e eee eee EES EEE EE UHHH SEE ES EOE eEeeaeeues OO OCHRE OOO eee eee HEH eee EHO Ee) LHe ee nese eee ee ee EEO EEE EE eeE eee Eeeeees weeee COO CCE COREE OHH e ee eee e ee ener eee eee eee eset eee HEH eee HeeEEEEHEEEe suse eee aeeeeeeeeenase hagas Linuadeus 90 TIE Wo iiscisiiesis Bilis OR as Funeral Notices........... eassie paessbebiasessbintasersadad dl -seeke aeanbins SOOO ROa Oe ee R OEE EOE OEE O EE OEE EOE EH HEE EEE EEE EET HOSEL SEE EEEESOHEE EEE EE OEE EEE EES Peg ee eres eeeeeeereeeeenne sere sbor ers ase eeeeeeeeweeee rete eee reer renee sees eee eee ORR OOOOH OER OOH OHH Rete eee eee E EEE erate eee ent eH He H EEE EOHHEEOOR EES ARERR E RRO EEO OEE EE OOOO SETS EE EEE EET HELE EE EEEEEE EEE EE EEE EEE OER EOE HEEE EE eEEe seeeeerecnacereveresesesesceesess bh CHO PMUITUE. wc cccsseceersencrennee POO O OOOO Oe OOO OOS OOO OOO OOOOOE OOS EEEOTO SOOO OCOEEO ESSE EE SOSEOE EH EEO TEES SOE EES EOES: EHe8 SOOPER OHHH COO E Eee HEHE EEE OR OEE EEO EEE ee eEeereeeeneneees POOCOOO EE HOHE TEESE EEEEEEEE EEO EO EE EEE E HEE EH EE EEE, PORMOR EEE E EOE E SHOE REE EEESe eeeeeee ee se eeeeeeees SOOO H OOOO CRORE OOO E ere ee tenes HO EOEEEEE EE eeeeeecee ap pectaessonaee Date of Dit Lh Glin deh Nits S00. Place of Death..... Late» GEL & Pree ) d a . he séas-nas | Oe of Funeral. Sechdte. velit... Mbit. FeSO RO eee sew owesee | Hee erereeeeee reese eres eee SES EE SEE EEOErES Hseseeess Ooeeseese Per ewercccslccccuceas | TT PHPOOeeeeeeeseesecees seers seses essere eessseseseseveeseees idol abadice esac, Peeeeusuedtsses ect ‘i.e SN coc :2 i223, BROWN Da "i osstdiewad | sessees. | Color sic eS, lliaaihilliles E ccca | i Pies ae | Single, Married, Widow, IIE is enannseressonsaglvansasanvia | Hi: gos as | Birthplace Pehl, Moss. ee oeeni ACZ sciscesisataiie a | Ole tJ 2 +y svanennewe | suntaues atntsnenuensnnanesenantbie ARPT eww e meena n ene nena e eee n eee ee eee eee ee ese esses s eases en eeeees seme ce ree rere re nas Por eesrereseseesereses serene s tresses ss seeeeee 4 ¢ Cees Co KO~ eee oes FER eee eee eee eee eee eee Hee een eee eee /. Walt.'heo : | | FEM OF, 2 al | Ordered by <ALZ a -Aill mesed Cae 4 sineebaves ‘ssaqnaaes Change to digs gsccvecessssvees pl Siietns Kiusseen ree ee ' “A ..| When rend eae? Sette RECEIVED ON ACCOUNT. i FAO e ROR Oe HOHE OOH EEO OOOO EE ee ees sewer eenienl Ceeeeee POOR eee ele wee ee eee neem eee eens THER EEES pee e ee OOO EEE Eee EEO EOE OE EEE RETO HEHEHE Hee eee EH ees see eee eee Terr eee eseerr rr CC emmereree retiree et ee esee errr eC ee rrrerrrrrri rr ett Tit erect eee rie eee ee | peewee ewe es HERO eens HEE HOES EES SOS EEE e CHEE ETOTOTEET EOE EOEH Hee e eH POEEe uaneuanee ate Tagen IE Sn. an eeeme = ceemad — 7 Funeral of Ae, LU). fey Date of Fi wera __blee, 2 r§ e Mountings Metal Vault, Style Re TWIN ica vn os snes sd chan coe aan snsinsiconhaea shone seernsaceacnensscnen’ picid Ga. Ce ee Ce BOIS 65s ccscciions eee. ae eR re CE set POG: CORON 5 Gd ices cece eee Personal Attandance and Assistant ........0.cccc0.cecceeceeceenss iid shvassesasleavauskes EEE SUN OF POU ni os ASS es | Drapery ....Candelabra ...Candles....... cu ta cpaaeee ahs ude How long resident of this State...........0. ccccoccococcscocccoes Seebsdihsh Rope ok oe gan! eer a RE aed Hushand’s Name Y/, Do en ee a — WPT PEO A Sua cise) Acdseeeate CMRP 18 i 2 ters. otconsus sect tiscvins sii sy sskkaeresie esi) sthvtnstenssesennereaeeasukhnes siapues csasteeseaeaeaseane | aauels..y.1oseccibis | When SNR eeseverheneeitavhantibieaietiss tei vnansaonbenabonsnsonse TTI, TIONG. 5. os soicicéssscensonecssoced Organist Delivering Box to Opening Grave .. Vault ——— eas Ka of : a. Epekpbuubessiucunessencten PE srsnegfes tase ecesithtevcsssesatssuce eM akseisiesecaseeceuseiecssd: cciat No ssiteaisiicsscsssceens RIT OOE 5 cosvcvcessenssseessesvvinensss Telephone............... | Transportation Expenses | C0900 00 c 88 ensseeRbeE CEES coeeboseees we seeveccccerelscccceess SOOO COCO C Coe recroereecoreereeeeeerecee: veh tT een ao RE SAE SOSENSI CURES ST costsleant pe Ste eeeeeeees|eoeeeenes| sees ee eeeeeeeeeeeenereeeeeeeesseesoeees STEERER EOE E HOES AU EE OOOO SEE EEEESOEORO ESOS EEO SL bees COP eee en eee esos | mmeynenuneeene teenie Bo cic ct oe | TOOTH OH ee | eee eee eee eee eeeee eee eeeeeseseeee eeeeee eeeeeeee eeeeee serene TPH eee eee eee eee eeeee hid hhh | o* seeee /Los> Pewee eeeeee! eeeseeerl seeeeee eeeeeeres See eee eeeesoeooee 3 COCCeeee senseeee eeeeeeee SOOO O EERE OHHH COREE EEE HEHE HEHEHE EEE HEEE EE HEHEHE Seeeneee SCOP esos eeerees eeeeee eOeere weeeeeeee SOOMM Oe e OOH ee eeneeeeeeseteeseeee COPS O NCCE EE OOEOEE EES LED ODED ES ESET OOS O SEO OS OSES OEE EEEEOEEEOEEOD Seeeeees seeeeeres ‘a . eee eeneeeeeee SOOO O CHOOT OEE D eee ees HHO MMEO EEE Heese eeenee Funeral of. Wwe- Veavoak f, ies Wf Date of Funeral 9 * Ff os SOCCER O TO Deroresees.coerereersseeresensceseseseceeresess il Shaving and ing Out.. Casket No.....f.¥ Peg. Metal Inner Casket...........0...... Copper.........:.: Pee Aa hit tas Outside Case, Pine, Chestnut, Oak, Mahogany.....-.........-+ I RE PI TG iinet ccncstntnvessesiscrintictncnanesvene I I I vicki incisciaticesdiccs siecuseiieadiensicataccivcecons BNE oi. TR ssc. WI sss : Metal Vault, Stele. cisiicscsccciesissss sais aeauackdeoenies seusuessdaesssoese Box Mattress PP FOU 5 ee sass css talks cn tes tanes sinesieesicn PONE So ip Ss ceed ssenta ens PB ce aise eo since sxiieseadedesacsesscapissntonees es CR Sea roreat iian igs Personal Attandance and Assistants ..........00060.cceeseseeceeeeeees DV GROG socccccsces Re i re COMM Ms is Peer eee e re Oeere seseesecceeese ees AWM). scesnensevenrceets -seeeeseseriees Pereree er C rere eer ee reer ieee rrr ee ee reer eee ererer rrr er teeter eee ee eee ere) THOCOOES EEO SEEEOOOEOOTOEE OEE EHH OROOEOOSESOCOESOES. SHEEEEEESrOOOEeEeeeeeeeieesi sesee | laced. Location of Grave | Country of Birth .. i | Mother’s Name — OP PE incase cases. a -. cas Cause of Death ............ rere eL Teer eT TTT Tee rier ee eee eeeeeerrerirr iT errrererrrr rr Tt rit tii eee ee ee Jenne al... Sircfeeeees reper = Ce ae ie ae eatin tent ssenecks sibcnssasucs: sens | Date of Burial.. ow Seapeet 2 é ; Ree Ot / | Where Sciciues Ss Ga OP TRE Wii oes saccoesenecsscececcnesecd Section HOO Reema rarer en eeenenes sees sere eee eeesseseee sees esesesene - Months....f..... oc A POR ca cecasises pibetrethisgphceetbasnsecesxiericn Occupation..... | Single, Mar, rine, Wide W a ea Birthplace | Last place of residence ............c0e00.... sbuceuceaseakseu' duscisin tmuacs | | How long — thig State.....f....... ; | Husband’s Name’ .: | Father’s Name } 5 ype Sohn. LE Me ere nee PCr ‘ Sa AP 4 KO i . _ a 5 :- ne = - == he j j " ¢ | oy | j 79 5 eal j j y } EEE RTCOOIOCOOOO TOO MTT OTIC ee er ee Se ee ed - ee ccna x 4 oe oye tnt onip ation a ef ” “ Ne sm eens nee a I = Pn. - Funeral a Lm 74>, oer £ Aces. Defls - | eens —_—. How 2 _— " Date of Funeral : “Hick, : 24 Z/ z G2 2° M. ae ee. Removing Bewnaiss.......c0..0000cssecceseesesessescoccncesscscecesessesses eee Ss cieieune Nae Se 2 - . I L % MN icin scs ssicgs i cincacnntnentnsevnse sents <sncnesscbonseeacnonesses t cesuhageaes . - Shaving and Laying Qut......ccccrcceccsccocossscssescesescecseseceseesss . Casket No | , = Metal Inner Casket. CODEN 5c ca csenee Zine 4 \ is Wiis 5S alse Secandintianes meee aaa | -ssseseees | ettteee Grave or Lot No.......s00++s0e seeeeeeceeees SOCtHOMN.......0000.000ceesees i ie aia ase | Deeb on mM Rit | gs Outside Case, Pine, Chestnut, Oak, Mahogany........---0.-0-| aisehieass | Sa cineecs EDOM OF THUNB rei Outside Case, Pine, Chestnut, Oak, Mahogany. ....-.........00. | ssseeceees | ese iis BF CIE isc os eo sk ee es Lining and Pillow Set No........-.+00: terepcccneeseeceeeeaeeeesaeeaeeces | sreteeerees |. ssneenas | sondhansnnlaseegunetecsadsenseheessenbiiinatentsean-axeauiont iF mm NII I iss kiss seiscacedewttidlasinnsn Paietuaes | ae | pesebeshens esis ne beso nd ssa ss ; Mahal Ti es, ee ee IG) corse | <aeiauees | penbaseax | velssuce se bpaaeasasiaeesen aise icsassss eis diols arts eee et i ee laser as Fe Goce eee ee ag ee ee | H Mountings..........-0. « Hamdles........sse.s00 oc ces eee | ee Usceseeeaeeensaeeseesennesnnntsnennnnennnnnses i ie rae ees i ae ee a ee | hee | a se sail apsiliiee ceihie eaicnancied oriiepiaieieilcir meee eas. é Metal Vault, sate. Meet Re cen , | chase cos ssityrtesseessceeeesenseeeesseseeeearseecasenaee Re Walia 5 eee seisuns coudaabece ss cucce ees es | scipapaee AGB. 6.50: / bine Yours... cons Months....£. be Es cuss nse | Box Mattress......... apdetsseeecteeeeeesethenesencennereraphemensereesecees 4 - FONE. ..5: a Rens cceean Ht | et ee eee cssceasasin | ies C10 on A ooupation Be raish GAT Coens aias oe | Burial Robe .......d\<. chet. FEE sihevieG | Re pecs eee eu ete CORP DN Os ie oe ee i ORs ies Prs ..Gloves | | . | Single, Maryied, Widow, Widower... os.5.....50:. ae vecade | iiss Pe PR koi ees oe ‘Singlg, Married Widow, Widowee.......0.seiseressserertiareevens ei ii ie tS aes | Birthplace eR RRO KO ae ieinerecotal | westeasansccseneeesersensnesceed I I as irriinccasrinemclistsc snnghienes Ey ssrvesnins | vee Birthplace “@x..? essere ANS OS . sat 2 eee Ge KC | : | Attandance and Assistants ... ...<.<céccccocccccscecccostecs | sees | Stee Ti a ON as askaac ses Personal Attandance and Assistants ...........cccccccccceccecccececece | sceceecees pac ie | Last place of residence’ ......... TAG... Ee rere erry \ k Candelabra............... Candles. <2 025... .6c<:. Pat | statis PEON Cay WIRE AF AO aac ok ove ccc cs cu veann DVO 5 icc cessoseses Candelabra............... Sy EOE TO (ecteererehe: | Pasaaten | | How long resident Y) is Spte ies oas th cass o'y eeguacas cere eucue | j ° edesta , PUD vce versateiss<3sspseuigeestoscelOunesonpsas = Husbanc’s Name .,<. Husbands Name 2-4 4. Le See ae i | Father’ s ‘heal pena AP noe A Pcitc ee aenes 4 C grater Ee Feat i fA CS Aah SF Ss CaN PPAR cats ar oes ca Xs “ORIN INNO cch RO 0 rm ree saad Patenandis IMIR UNI esces ce cere net sneer en ~ Onder ie BOE AA oni ced oe Funeral Notices.. CAANGO OO 6c eee cela ke ue, - pupcseesinieuetete es ee ite PONG asercccycnmasncan baie} sean eA pEIT cen tee eI NeS ison snsin ens visicepacamretentiaignlabasbiecacial acute: ties ay thitnich outs gis suarpiorsinsnoon soltnausielldiipabdnaciaddudicisavececiason | | SabensseUubobebsebesusdesnessavisisncocvclocceecvescesleccccsecs TUL 7 COt ee trees trent eta Ten OT eMMNNTONON SES CHPONSTEDWoR SOUT MNSOVOESTSOSENSURVCSE SES | KraSFOREN Ss] sedeeeds | vaepeereeoes}+sere ee ee ee « Cuattetie. Gileia ; : : . Dae a a Cebeyes Coe, 14 . = Delivering Box to | | Opening Grave \ Vault Charges Percents ryvenvcnstastnblnnshbinensiis sabsiacisssasscebbbemie cles ick streseeeleeeeevers | seeeeeeees |+ 490008601», ssesbeensbeeseseeesencoeeseseesenstorsostsonsissesecs}seseeees 1f)\ Funeral of Date of Funeral Visse VO Removing Remains...........cssccccscccsccsccsccccccccsccscscscescscecsees | socscscceee| soceeones TABS IAI INS ons ce cces cacdcassncdsssnesnsdeasnchiccotnsbsnnnanasabbesentaseasen] stinnesancaleonvesses Shaving and oh b. 3 ncidibesbedbanenen foprerereenenennsnenaanees sites pe eveseneees|snanecens Casket No.....4 em Ke 0 re ee sasaeis TT The Zoloo.. Metal Inner Casket......... pee CONDE is cisvces IM kasissetl scant ea Wei isos ac ck as occ sci cn cancun n cada anne sn bap tases vaavas see | Seasecaseesloeteinees Outside Case, Pine, Chestnut, Oak, Mahogany...........c.cec0. | sereeeeeee |eceeeeees Lining and Pillow Set No.........csscccscconsssccsreerssccseecenscscccese | cosscevcees|ecccceees RUBIA TE TN ois ns sks vce nas sss gas ved Cin eeeba se soa cas yan es vas bined: | Lenanaeane) seasanete Mountings........... TE QHGIOB S. icckitcedsccee FGI ovine iovaevs | winsanincacdeneensnes Metal Vault, Style. eG y US Meets paces as aearsuask oRcueee pogusKeubiasankcnd weeeeveens Lacuneaes UE ERC ia cso ad in kiko RCRA cued CAO EE RTT AREER eee yeas Lk Slippers Asta DG iicvicies veel ROO ea cpiiel Gi texstyres Personal Attandance Gnd ABRiBtAIS ..o..5.oocicécicsccccocsacsucescccdas | veceoucese | eee Candelaire: ..o..ioci. ic COMMIIGy cocci pore Peas PATH RENDONTESIRRCL ETS HONS ETOECRD ENCES SEWERS S SONS SCHOLES SERS EENHSESEENYS | b6k4seveuiledseasins “I TV 4 UV NW Mag ths Sao Physician ....< Cause of Death Mesa tawaKasavins bens Giseyhyevenesie Geanene cagvieutboys douadeuovecdeucsuekseueieeinces Bg Ba oss Re irene nce Letieeacchdynnsdannneisalibaebienseeuuheukauiecdceie ae | ye ea ae RP iiktes pire tcapacsssaucennenciiessuesee tnd iesnssausicilisels wee | ss ¥enes | Hiecenieis SQMOPCRTE, SOOM. 66.6. siscsicesccescsescanadi: OPQUNIEE soos cicccciciivc. | i | Ee | I OM Bi seiinsicicinseitenen sonctttbanedeeencnnncec co | | | Opening Grave Vault Charges Hearse......,. [ - leveaita [OU riper ees enee nena eeeeeees CGY fy [Ce a, ve Coaches. J... f MB. € Ney vege COCO e Hee scence ee een senoonooeeeseeS THOSE OE EOE O ORO Oe OE eee EE Ee ee EEE EEE OOD HOHE neeeneeenes *heeeeeeeeoerooeeceeesccseceeces SURERESS (SORENY PENS ONRBED CONSE SECRTSDETO TEENESSS CNNdddmMOebesenetts OO eRe e rece eeeeeees CPO OC COL Or eee eerereereeereseees Hee ew eee | tee eereeeens seeetens [ TSSOP eter seed eseel severe sree eeereeeeeeeeeedeseeseeeeeeeees Date of Burial Where Inierred... Last place of residence How long resident of this State Father’s Name.-<44<+ RECEIVED ON ACCOUNT. be, ral Ri ctgnivexsovneviny s Relay Hy te ee _____Hour__/ Prv. ee eeeweeReeeeesereceee Funeral of Date of Funeral Handles No. Outside Case, Pine, Chestnut, Oak, Mahogany errr eer reer errr, Lining and Pillow Set No....c.c...csese000s Sia ceutep esd ssaeeciee ieee PORE Be) "SO I gongs sss sass cca ensiend chines calmness eravescrs Mountings.............. ... Handles Metal Vault, Style Grave OF Lot NoO...cciesescsescece Liseceess EATON OF GITIEN ai cc tisaa ase is ine es ks ea VORB 6.55550 Months..... i OO AAs iit ie NIE oss sess ees lca v nole eariee L gle ee h rOed. Oo Goan fo. = : BTTIIOD ivviscsnsiesesstsvstten Che ‘ = vi 4e. Wo decantee Country of Birth.....Z.%. a FRO e ee eee e ee eer eee meee renee ee eee eee eeeeearreeteeeseseenreee Ordered by A Ue : TOPO Ree e eee eee OEE EEE EEE EE OES HERES OEEO HEHEHE EEE SHER HEHEHE ETE HPO ewe e meee ee ewerereeneeeeeseeeesemssues susseneeeeee wee ' SNe eee eee meee e renee eer aeeeeeeseeeeeeees TOO m eee eee ee H OEE eee eee eeeeeees SHER eee eee eee eee eee OOO OEe ee eeeeeeess TORO O OOOO eee OEE OOOO eee ee eeu eeeeee TES e eee eee OOOO Oee een eeeeeeeerssuusesenees Steen new eeeeereeeee POCO COCO eee eee eenees STAR OOOO OOO eee eee ee Teer ees eeeeeeeeeeeeees SOO OP OOOH eee ee ee Ore ee eeeeTes Core ereeee sseeee SOOO OO eee ee eres eeeeeeeeeeeeeeeresees veeeeee SOOO CO eee e eee eee Eeees Ceeeeeeere see eeeeoees PO we eee Poe ee eeseesoeeeees ereee eeeeeee SOOCO OOOO OD eo Oe eO sere eee eee dees sees SPOOR OT COO eeeereees seeeeseeeeseeeels TI RN bd asa Ags sanacae's sk aneepacdens see eeeeeeseeesereseeesesres Deere ewer ee PHO Oa eee serene eee eeeee Heese seeEeEaees TP aDE 6 INCI ina Ao 5 svc cssdcckin sees eeeeceeess|sceeeeeee POO e ee ree eee eee eee OOOO EEE OES OU EEO EH SOSH EE EOE HET EOEEET ES EES OTE ESE SEH EEE EEE EE EHH | ne eeaennns sHeeeenee COC COO OHHH cee eee HEHE EERE EEE HH EE Een earn eeeeenenee SOeCCerereces Ceeeeeeees ee Oe eeeeeeeeoe SOO C Ooo rerereeeeeses POPC ROR eee ee een ene eeeeeseeeeees SOOO OO COCR ERO REEE EEE OE SE HESS BeHeeeeee Amount of Bill...........000. eeeeaees OOO e eee ee eH HEHEHE EE ee eeeereeee: |-teeeeeee | Cran Or Let NO ies cccsccevcsssssasesticule. seen TiOORON OF Cities 6 ee scakpencenceen | AO orcas WOE, iscsi, DTG ad cha “a Lolor or has sce ceieauuecs uae piase tes Occupation........ a. ca Lae area | .eseeee. |OUNgle, Married, Widow, Widower..... ..... <7 na irth, ie a ag Birtelye GPE Pg enn | Last place of residence | How long resident of (6 State. 6c Sa kee CHAI GO GO vcs ccvntisesnncneness . seers 4 ashe ..| When rendered. #4 eee ee OFS = | ~~ Se area een ag seta. SOS i tet RECEIVED ON ACCOUNT. ——— ee Saas el & Ny Funeral of - hy wale Bees Date of Funeral b i. MII ois sca va occassccocovanavencessesncascasonnchigepenee sanseanoeesss Metal Inner Casket...............++- CONDOM: oc ieecivs IMB e isiccieet Wc acags ieaedaa eis Ee os ya cc esses sinssjntncs cosuepeneasiateasseocnssnesss |aeseinsenes Outside Case, Pine, Lining and Pillow Set No..........0ccccccssorsssecrnscessenscscnescnseees ee Oe a ass os osc cae ee Mountings..........-- PA BAOG ech elsaseueees PUB ass zech cs Metal Vault, Style Box Mattress.........++. ee A os ee ae eek oe pee eats, FORE CE ay oa a aes aang rea baeeu anal Gi uebas ac Akha aR eHEAaAAOE Slippers I hr ons nes GUAR Geis wscies cs EN SEE so sovee ce cosese ecaecied oasis Pe j RTLAIGANCE CI ABMIRGUIED ooo voicc can nccecesceecoeses. Candelabra Clergyman Sexton CMT IIIE, NI 5a as sssieivicckcsccicece .. Organist Delivering Box to Opening Grave . Vault C 7 Hearse... PUveR Venn Ten eee e COCR eSSPRUH SE AECRGORNEEES)50008400600000 08 45 6100550008 Riri trandars Sansiixbeiniessnebcsic orccisc but HERERO O EERE EOE OEE OE SOOO OF OOD E DEE OH EEE eee eneeeeeeneesees CP tees eres ceesceseeecescoseee SHR S OOOO OH eee CEE EEE e Ee EE eE ES OEEHOOOS EEE eeetneeeusens OPPO OCereecrceesessccecees CPERESOS SHCNSES SES SES ODE SOOO DS OLOS SOOO EROSSSE LON STCOCEDSeeeess OOO e ee eer eeeeeeeres eeeeeeeeee GOPSoHee Dono OEESS CHLOE DOSS ERORONEOS CCCCD;CEpCCDLOOdEObooees TOPO R eee eee enna eeeeeeeeneees OPPO OOOO OO DOD LOD CORD CL EES CeCcees eeeee Amount of Billi... POO e eee eee eeeeerereensy te eeeee Alora qias aot aeeeenee Place of Death......,...4 tee eeweeeen | eeeetreee Date of Burial....... Where Interred.£ PIE OF EE FB ioik ci cissckstascettagnmon tt eeeeeenee PRR R Reem eee eee eee | HHH HOE O OHS H EEE O TEE OE SEES O ESO E HA HEOEE HEHEHE SEES: OHSS EEsE® Pete amen |e eewe sees | ewer eee SCHOO OO EE EE eee Ee EE HESS EHH EEE EEE ERE SE EEE EEEeeeEeeee ie monn aX iy, sig ed eign Single, Married, ee | pea Birthplace .. Widow, Wy See te whee Last place of residence How long resident of this State rahe EM acabetnd @ NGG ec oc nsiciccicnniciePiveesecese Pong uee =e Father’s Name Country of Birth ., | slices Mother’s Name eee meee eee e meen eee Hees Hees EOE O EE OOOE SEES EEEESE SHeeer eH EHEseS® TT TP ORO eee tee O ee ee eee eee eee EHO OEE EEE EOE EeEEE ese eeeeesss|sueeuseeeees| FHP O eee eee HHO O Owen HH eee eee es. CHEESES CO OOOO Sees eeeseees: TPO OOOO OOOO EO DEED e OR erEeeereeeeeeeeers seeeeeenee POCOH OOOO OOOO OHO eH eee eeeeeeee: SOOO OMe rereeeeeeeeeeeeeeeeee Cereeeee TSOP OOPS O Or a eeeeeees | seerereseees|sseeseees|seseeeee SOOO OCC OOS E OOOH O eS OO eee Tere eeeEe HSeeworeersieeeeeoees | sessccececesioceseeees COCO O Oe oe OOO SEH TOSS COOTO OOOO TEES DEeee ee CELSO OEE ESE Fees eee eeeeeeee! ceeeeeeslioee SOOO OOT OOOO Cree eeeeeeeereeeeeeeese + Leweerreeweerbewweenees ween eeeeeeee aeeeenee aeee” Funeral of _ Date of Funeral Vine te a Jehit, - : ee POPOROOO DO OOOO OE sLOe. COseocresceseceeeersSeeessevessecees POCCOOOOS Coe reeees® + OOCCOR OES are eeeressenecereeeeneesreeresorercce Outside Case, Pine, Chestnut, Oak, Mahogany.....-.......006+. TN ARE FD OE I sis saiskc soc sonccvek sdkesdinedas sangsansiex: BN I sc cicnstiiineniiss kil sscdoaxplabeninbaneeks regmabducion Tee Mountings...... FAN see Peis cote Motal Vieilt; Stile. cc .0scscicsscacses seve ees eee Tri TE skis ea cin pre rr Burial a oe istiiniansens BAS AE Percent CHOU he ae: pastueacss Pishaabend suaseaieh TPOE. COMOWE occ cpecssessscsce sss sssciinsss Personal Attandance and Assistants ......... 000... .ceseeeeccesecees: DV QDOTE csanvvinvienses CONMBIADVE, « 6cisc0cc5sce: Candles. . PPOUOMIER so vcssasGdeenis ices senscenivioss We ee CER e eRe eH OR SEO LOE EEE ETH OEE OO OES OOT EEE SEEE OEE EHH HET EEH EEO EEH SES EEE EEE EEEEES SOO Ree ee eee eee eee OOOO EEE EO OE SEED OE HEH EEEEEEEET THEE E ESE SEE ESE OEHEEEEEOO OHHH EEE® TIE, CIO ENE a5; , as0inssecssnictnnssnesss Organist.........s.0000-00 Delivering Bow to........ccccccsceeees agleesedeeieaustuteine-aaviserseone CN TFG Gi baisinss sisi cimnivins DD civics Vauit Cha Hearse To OPER SEER OOOO ee ROTH HEE EEE EEN ENS OEEOEEEHE HEHEHE HH HeE eee OOO R eRe me mere eee e renee eeeeeeonees Transportation ee voweas & Dasesperese ghisrscnsia Pi ostuabtenses “ OOOO Cee eeeeereseeeesesseeeneees Ne YD ale eeeeeee r v, we h POeeeeesecees seeeee Pee eeenreeeceees foo Boe sir arth on : Wrestec i ; NN Tae Amount of Bill............ eveeeeees SOOO OOCOOO EHH eee EHO OEHOESE HE HHH tenes: AE... | Date q of Death 7 ¥.. T29 | | Place of Death } | Date of Burial.....f£A“a.. 6.3.4.3... PP Pe ee reoer|scenseces | seeesene enereereresereseseeeesceseces ss seceesseceseesesoeee Ceeeseccccslccscccses | *S#O8Seeseeeesercescsces soserescesenceceecccesseees ceeceeses FAR e meee ee eee nee sees ee meee een esses sia ereeesees seni eeeneee ye vaiielacteusaas TOE ERO GT POBRIOIIE og oec conkanecad. ocbuecsises eels ee | ee shies long resider icc ON i sit ok oe tahun eae eas asec | Husband’s Name Ag ere aA ER) een erase | Father’s DONE ici as QR fy Cory OM. i ee | ce | Country of oie. ei ee SL, Laie knee esecka sosstetteeee itis aas acta | Mother’ s Name, Rey Ee. Blois cae eae \ ieee aera Country of Birth............ pik ahkaind wpksaea ek Van aOR ole ie iscsi deen tc eeterel Physician tseeeeesseeenseenees | angele ie Me sisvhasei tere te af 5 a a icici i (4 e 6) es © A Shea | ' Ce a Sane oe Reeser ee - ee oe eee Pea eats o “Ua is coe | 14 Funeral of Date of Funeral Metal Inner Casket... Handles No....... ee ee a ea) weg diea ee ra sareaer | caer ene “4 . | Outside Case, Pine, Chestnut, Cal), Mpheoaiug--. ep evisakes 3 ; Li /j Lining and Pillow Set Noch By co Ye Bs .+ | coeses ‘ ill, | >p o / q | Metal Lined Bo: Mountings amigo Pee ee | Metal Vault, Style B COWIE igs cco cpnennnnusausoumedadsstadda cubes kabindsnneseanbawandecuanees Bu ry a a acd kaa Map Cem ae Slippers ei ss0lsss sem ONE oe rece, TOE OD ss vacasvecess acta ei keomaones Personal ince and Amimenis hk re ee, Candelabra Candies. . PEM os os dnceesscey ae CAStt EXPENDITURES. D ‘ De gepat seek erie hc tk et ee PME coy uncsceess seco nkseneews nue detecaeneeeeee i Piers swede hs oc dkn ii dices nth bsaeeneeubondhadebatcscsuseindos niacin ce pure we ne MMe GUND .y <ocoseeniacscsiisteckivaeas SOOO, va vcke cha POET YS OUR oiik ois dds ce COUN picirss scree is sete PEs sitirerssssteiifie aes vieics i ee GUMOTTEG, OU assassin diene sisssdeseccnc Organist EOE CIOME BD sv bivovsvcenssctvises cdocsececcesteccs., SORE CIV vcs scsnsirisiereiéteiscichackcssc Lining Vault Chargcs Hearse Amount of Bill. seeeeen sinc /nu ChE. bor a i ss cael ba ne” t | Peewee meme e eee eee eee eee ere Oe Eee EOE ER TEM EHH Eee: CEEeeseee OOHRS OOOH HE OEE EOE HE EEO EE EES EO EOE EEE EEH EH eee eEeee® Pe ee ee rere eee rer re errr ree) Ane R RAR Oe sere eewweb ewan eres sees esse ge Eh essereeser errs eeeeses Birthplace Country of Birth .. POrrrrerececseccenececcceeccccsccercessesceseeessesescsnns cee. ff we nebporecccccceveses wefesGecssrserhesevcesesesesesseesensuue Single, Ma LEE POE GF HII os ss haste id sekixcdas bigaccdviawss How long resident 7 ve pen eso ees te Husband’s Name ..™. LL, Poe Sess si52 peta ssaunbaiesvamausaisxonccesse Sta . - WORN” © OND sos a ae ed uc tu dy oa ckce - Mother’s Name...... Pest B.,..”.. SOOO Cee eeeeserereeseeeeeeeeeeres ses eeeeeees PORTO R CORO eee tere seeeeeeees SO PPCO CO Cee eee Cee ee Eee eeeEEeee SOOO EEEe Ke eeeeeereeeeeeeeeeeeee Ceeceeseels Funeral of... Date of Funeral Mountings...........2.. +. Metal Vault, Style ee I iis ae ec ah a FE soins sca a passa ned abused incawsaavesenasess couucsacess | ‘- Sie PG COMME ieee’ ween events Single, i | Fe ee ees ne gaara ee Oe esha sass eee aii ies ay, Birthplace 7 ¥< | ee . ‘ a / i i rat Personal Attandance and Assistant ............006..cccccce ceccecsee | ceeeeeeeee | aes Last place of residence WL le A Drapery.......... Candelabra............... ER oooh ce ssek casey ict How long resident of this State.. REI oo vac okciss votes beeees oe WN corse ee ne eet ee | SSS Husband’s Name ..............- irae csesssaeu senate Father’s Name....4.: CasH EXPENDITURES. Sesscers | sees. | Country of Birth TO TR ad a re ee St ee ce | sesveas Mother’s Nam€& 45-42 pddepaeeibsbacsoss ubaroKaes RIMINI Ss eons orice recsinncxlasksaasanesiteaceserities pete ene Country of Birth...... re easy cad aed aig Vi acd desaes Facies ee es Physician... ay ion pacsaphond nes apbanedcaveuuesscscnucstysssarersaneushsnis Gers sbacsbaseecinouds 2005 4a cavkiie. |. .eoeeee. | cause Of Death .....4.% | ee pote , sékevesssbageue as TMD OE ois vs cain iiksekcis ie MIO oo este ci Moccia LOO NS anceps tiices ie tase ec uentnctstaticiies acstese Pon NE I oo oeene.cc cones Gaseesucbackesousehies Hsu cusaks aussaa Secenshcesassves bi esvessesestssssusesivaieiesd 440s, <4 ee When rendered. } | Se eg ey egg coe) Deus e ie wes ec te eke ees eases ee beeeecsasel | balbueasdesbeseseuissidlbandsisgss) avavrauyesscuvavebiviveiie er iieeserisenreevaess Se ae weber G (i I iiiiacan consi ois txcesicucsncavecasienantepisisecssaiassverseganisers | sescsesess pe toe J WN icc soci coyseasiuies 0ss0scncsconeusese scdsce ce creineseesiinasssaselasren ss Pyeusveressitisesss | ACL. far WNIVOETE, GOIGUIE. isscnesscvcscccsdeuensseves CONE oe a ie | teva aes eee BS aucleict Pgs | | | I 0 oo iia cia in vadev es conpieeed cere vee ia naee S22 Ascky COTES SION cscs celta costes sce sicinstetevass FN sc cciikiseviewses Teleyrams Transportation Expenses ... | iS] <ecsasaasastaccsceeas | CAOMONNEGS Date of B RECEIVED ON ACCOUNT. seeereee| eeeeeeee seeweseeeleseewnree urial... Hour_// Zen se M; Pe tpreeeee ceeeeseeres sie weegereeeeessse Pyssescnes 2 Le) ; @ re Ze De Vakex anes capa eerteg e&- 7a) . A bh bk (Wha a seeeerrereeere See e ee ee eee eeoenene $000s00, 00 se eereeeeeeeeneneeeee stat a Bae ae he ae Ee eee eee ee es oat eee 1 am : : 2 16 Funeral of Date of Funeral_— _ far Y é noes s-eeneneeces | ee Removing Remains......cccccccceceee +O eeeeee” seneeoosers Bemba lantngd ...000ccs.cc0cesceesescscccvescsccoses Oo eneeeeesoorosooeeseoeeers | oe | Shaving and Laying Out. 42.......cecoceges Beas iererenenenee Y Aeuhtt jin Casket No. -fffnizsseghecrerrererecerory eee Oia fons se uecchensenses Metal Inner Casket.......0cecsccees CODE. scisacese PRO iciccconsecs oe celeeeeeeees | Grave or Lot Pike eae Section. Moceecccccccccs. PEG 1, xa0skcesdsanne toesencnenereneen® Outside Case, Pine, Chestnut, Oak, Mahogany....cccccccceeess |sesceseeeee Lining and Pillow Set No....cc.cccccccccccessrccsccssesscvcoscocccscores et Tait Dias oe a ea cae geet a Vis veskou ds lcisauacnde'| Rhopuane. 0oseuke €aseUnu@eseswksKeissucaspsindeuu lineins Mountings....... . EAL VEE TO ockcccccncosccucndaaceunsbepuscvensnsdecianouanensnancnt Box Mattress oe cccesececececcces seeeeoooooce Te IAL FOOM 22s. cicnces cocncusannnensandathbbonabtiakieks ccapaeacesscessas=s CNIDOTE s cincisscceensinandaabenns Personal Attandance and Assistants ......-.ccescccccccosseccscccceces: Drapery....ccccoee ..Candelabra....... CU i MRA ooce ce Cannd cv cussvivensccisuecd WOME: sc such deusscesaseee tte: CaAsH EXPENDITURES. asa ENO eg sek a aaa nas Sheree eee ee PME nccd cose esntess en OPE ore no essence CORR O HOH HRS Heme Eee e ene e nese ee OEE EES SHS SOO OOOO EF OSES OSE OCOSSs HOSES SOOO SeEeeeees se eeeeeeees SO POC CCO OOO CCECO0OCC00S 08 0OCCSOOS COS S0e Oe CEES OOO EHE COS: COLES OC OOOO COO CS CCC CCe rer ere re Totten ewer eeeeees POPCCOOCOD OOOO SLOSS -COEEEEee Seeeeerelss ceeeObeseeSeCeeS sees + es eenewerenceeeces PPP irre rrr er err rr rerrrir TT Terr rere Tete Hearse COLCOH OCHS ESOT OOSEDOSOOCOEOOS Ceres recone eerccoecneceeeoesooee @oeerereeees: Coaches ORR R ORO Ome e eee er HERE ee eee eee eneeesen TORR Reem Reem ese em eee eee eeeees, SHOR ER EEE Te OR SOOO EOE EET O OOS OES OES EEE Hem eee nennseernneace Cee eerererece Transportation Papenses........ ..cccccoes ‘ SOOO E HOO Oe HOC OHOEOETOROED OOO OS HR OOEOOEES Soeees SOeeeeee seeeceeee POOR ee eer ereeenereeeneeesesees FP OCOSEOCSSS Seeeses ° ee On Seeeece seeceeeee SO0C Cees Ces eeeeecee Pele eerewene | eee e eee ee wenn eee eee Cheese ee eee esas eee eee ses eeee: COeeeeees woeer-eee WU NOIR TMUIOUO wa sda co eacg risen ccassrsdaieyns soso tetas ases ies SERENE ROHL ar ROO Oe eee ere OOO EE EEO OEE EOE Ee eee Ee eresieny a ceeeieue | Location 0j Grave oe) MR i asa Ro sae Vacaeuaiwds a a ae a Subaneevsteoevendes | oe meer acy Last place of residence eeeeneeceelsseeseses | AA eee mere meee eee eee eee eee eee a nee ieee eeeeer ess seeeeee Secmmmmserrasi ~ | Ly 4 | Birthplace fy CA_L€ oe | COMORES TONE io ios cis ie eecc les eee ey tt inbcakacedeceese ¢ WAN i vessisattr Aer es 4 ‘detas ty ; Lob so actions ainsi ‘ Charge to _ Mee lGage. Mee esaeeses . ere. pecs tee i a canem RECEIVED ON ACCOUNT. Funeral of . Bet. Mea 001 Aura ~ Mthe- ~ — Date of Funeral_____ Hour /2.'e©0 4 — M, Outside Case, Pine, Chestnut, Oak, Mahogany...............+.. Lining and Pillow Set No. ..........c0.c000 gesiasiarecerseeicieeeis ER EE OD oo isa) csr esac ok nlarei monty ons pune leases ROUMIINOE. << 05. cxccess ax PI ORIOR oss. oncsces cass RED oo se 0sacsssace OL Tt Ei i at eer Box Mattress seer eee ee weer eeeeeeee COCR e eee oreo ee eee ee eee eee EEE Eee eeu HE ESSE OE EOSEESE SHEE EEE Sin te ees ee OOOeeeeseeees Poe eee eee eee e EEE CORREO HOE ERO H EOE HEHE EE EOE EEE EERE MEE EEE EEE HEM es Oeeeseeene Peer meee eee eee eee a OOOH REE HEHE eee HHH HOO HEHE Ee OEE een EOE EEE Eee OOOEESEEEnee errr Peer e err ere eer errere rere eee emer ere eCeeCeerer rer eer ects eter te eee e rer eres Quartette, Soloist Delivering Box to Opening Grave ........00.0006 Vault a. Sori RREUAd re PINE (sca dsdusue cab iseedndexuniseqeansvesvexses Hearse ; ; PRR R meee eee eee Hee EEE OEE EEN HOHE EEE EESE HES OSOE EEE EEE EHH HEHEHE OE EEEE EEE EHEOED ERO O Reem eee e ORO RETR EE EE EEO HEH EEE HES EEE O EERE EEE EEH ESE EE EHH EH HEHE HEHEHE HEE ED A WAOVOIEE, Sivisscecicthiasivebaatiiccsiese Transportation Expenses..... TNO OO eee eee OREO H OEE H HHH HEE EEE HEHE EEE EEE EEEEEEE HEHEHE EEE EEE EE EEE OHLEEES Oot ee eeeeeesene TOO ROR eee EEO E EES! HORE HEHE EOE EEEE EEEHEEEESEEEEESEEEEEEEEEEEEE HEHE EE EEO® A eee ec eeeesleceeeees eeeeneees Seeeeneees | IS cc vicu mak va suip sid bes enn ol i cee eae eee ae teas CRAIN TS iis ec eetixns aie When rendered... RECEIVED ON ACCOUNT. weeeeeeee Sioa soiesc ne ammeciipiassamazecmn teehee tes ieee os if 16 Funeral of Date of Funeral- J Kdte oak. Ke 4 - ¢ 2 <- 2... 7 Y oe. Hour ate : M. Removing RemMains........ccccccccceoee BN oa ikonak ccs sccdsosdsccbaatncannnsoens neeeeee” snaeeeosessveeseooenensere® | eeeeeeeee OOO eeeeeeeecoroseosersoeerrs vim a. Ul Shaving and Laying Out. .2.....0.sccccceges on cncsCpcameuieaasnacosnces Pe PI kiki eine 3 Kae At »y © Casket NO. .fbfeierseegtereercesereceeers Aayereee ee | seeeee Clergyman........+00 pedxtevnaeseeecs stress sereseeesesesncnenecessesess ences / Hf Gar A 7 Uf a i 3 : 2 27 UL Boku Adare hee Fhe. wi... ‘f 2 cciiaali VA | “getea al Ceccetcm, Metal Inner Casket.......0...ees000 Copper......e0s00e AME i siicsscktes | seeees Witt TRIPE os see Prrerrnns Handles No. ...cccsssessecsscsccccesscccscnccccssccccscccsccccscscoonscosenees | seeens POGUE OF TOE INO, ihn ccs toons caren ese Section...../.... Is penonee : Outside Case, Pine, Chestnut, Oak, Mahogany......-0ees+++++ | Location OF GIGOR eo tepe sits a ee Lining and Pillow Set No. ......ccccccccccccssesssescscsscccoccsooscseees sessesseeesleceeeeees ee aesteucerinauec so tottieese cai ece eae eee Me tal Line d Bo UD .cccccccccccccccsscseecccoosecs WUE sa ovnscosissee: osx LEANER: consassoncsenesns DE Vera echo dean gwaaniie tanduencaRteT aie as UIA Yh EG: ccccasseceessdat oenineiso’ cue Pa or pL lly vie catsedeccuce | MOedade hada) i pss cesah ied keadershs lac eckeenseanesees } ss Bose Mattress. .......cccccsssssscsssccvecccovecsenssoecsosesssossessescevescosess MOO os icsesce Yas... 0... MOM... AG... Days Burial Robe ..cocccscscsveckcsesscdcoscccsctoteseecessecssessseees SL TNGT Eas: capuusseesnacauuacses TO ae Gloves ee ccrcceerereceess BE Em ccsrssdsivanseacesenservisuseess PES CHAE: cscntsisivsitinn mens ms Personal Attandance and Assistants ......-cecccc-ssccccsceccsccesceess BPE ROTY cscs wih 5 cs CELE o's vans cx OOMPORs wesinexssenisis PUB ce api steaks ssidesnaneiatae POs Syiaisbonekssiesttaceene: Cash EXPENDITURES. PICT SO VOIRUNO,, cosicnncensiundspisesibisuuianiabsainss ceubinadsaiaaeowcpenens CES eASEEE GT AROMA nas casbdddoAbunn BibNias Ladue lowers * } r{ Deh = weuhantaherens-e OV TRTE MEIG «., caseeansxensdaventrasnsers OM ccasiexes Funeral Notices. [ srertsereseeeecessectsucecesssnenareseneneneneeneassnnessearsneosnenssenesesseeesees | Clergyman | RON sas sixecescathenastessivinveageiieniscbeus aati ace Quartetle, Soloists... ..siccocccccceccscccsocees OPOGNEEE 5. sic icks PONS TION BO is asccascsiniin chs addecdlasihecics ieee es ; SUNG SIOQOS vcs intidiveksscseescendidcssiiicne IE | Sctabiiviic nes vea We ME 5 So Laswencn ed sevava teens dossiers ee | INI, csv eveseun’ race rausneenessinics «sand 1soindeuscdekespeuebasane penveeresine HY Coaches SHNSEPHO DOR SRES OED SOROS SONS ESSSSSRESeEThES OTs SeGRseseneeneneCseNenseseeseebenseedss FIT EINE i scaascensseeenensesonerstonsees Transportation Eapenves...........ccecesscseccssscceseceee Seeeeeses COO ee ee Seseeeeeee ORR R HOHE O OOOOH ee eee Hee een eeseeseeeeee COCO OOOO OHO ee ees 8008 ree Lee ee 0608 es 1058 00s 200+ cesees. seeeee SOP eee eeeeeeenee seer eeereesee Amount of Bill..........0e00 Pcenncenonscetosneccescess POO O Re eee eeeeenereeeeeees So oroene roesocosoooocoooesoosseNeeeseS eeceecose secees, eee POCO CeCe eer ecesccee Single, Married, Widow, Widoweg, 0... —— Cir ~ 2 | Birthplace Re dims: Ke aes . errr. - « ee care | EAIRE DUMOE OF FUN ee a heen cco os tevkicaceu san sc-scassoence. How long resident of this State.........0.cc.cocecesececccsccoscscesees Country of Birth Mother’s Name CORR ere meee meee ne eee eee eee ei eee reese ee Guaseseeseseessseusrsssene ene PV AON VON os is ee RECEIVED ON ACCOUNT. CPO Renee CERRO meee ERE H EEO HE OEE Eee eee EO OOOO Sees eeee. ~<Hileseareseeeeslseeeeee seeeeeeee THERE eee De eee eee | eee ee eee HHO eee eee EE Ee eee ee eeeeeesslonsessseeeesl rene soeeeeere FEET E ROO eee eee eee) eee eee POOP OO Hees see eee ee eee ee eeeeeeeeess se eeeessseees|e eee PEEPS H OOOO eel HHO eee sce r ee eee ee ee eee SSeS SE Oe ESE ES ESE SESESES | seseeeesseslsoeeereee cece eee Oe eeleccecere® POORER HOHE eH) Hee ee eee! FREE EEE EOE OOR OOo rere eter eeeeeeeeHeeeet® CORO Hee eeeeleresreserelesereeeeeeeeeeeeeeeeee tee eeseeesernsessessls Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings..........00.. 0: Metal Vault, Style Box Mattress aeeeeenere Amount of Bill eee eee eee ee reer rrr rer errr rere rer irre rere err ey See eee reer ree eee Drapery. .......:- oe CONEMOUTE... Soc CONG as PMMA oisick. sease tea cccacts aseietes WO oo se ce I TI sia oc on os 65 adh bei iss panecre de voeentts ics sauestsieserivecn+exquseeuuncd PRED upc ssisigese sane eniatibsai ven ci OUR cca cisvanistivecsnas pas tisacasneereartad oot aes Henne el TOTIIEE GAGs on tacrscatissscasiess sO cs AN On as tsb sess isa ce ASTI Fo sao cea vigiianss axis tas cicanaalcivsa hie Seta Sexton Pee eee eee eT rere rie eter eer ee eee rere reer eT ee eee eee Quartette, Soloist Delivering Box to...WZ71.1.y Ovening Grave FeO eee ee ere ereeehendesnscoreceseses Vault C — issat Hearse OOO e eee OOOO OOOO OE SOC OOOO EE OOO OLE OET ODE COOE OOO EDE OOO EE COC er ee ee EeeEeOeeeSeseceeS FORO eee wee weet sere eesseeeees OOOO OOOO Oe HHH OOOO OTE O DOU OOOO OTERO OOS OOH SO eee eee neeeeeeeeeeiecee COOOCes covereccce secce OOO COCO COCO COCO HOOD OLOLO OOOO DEORE EOE LOO ESOL OOD ES OST eeeeeeeeeeS VUPTONUHSS UUOC SSDS DOONETES oe esedebensenedenesacnceet os TOPO O OR ene a nae HOH OOOO Oe ROO OEO OEE eS Hee E eee Ee eS S ES EEE Se eeeeeese ROO m eee meee eee eee eee eee eee Eee eee eee ee eeee SEES EE EE EEE EEEEEEEE® Je Rem eee eee eee sere Heese eeeeesseseseeseesesessees Sem ee ee em ene rene nee e ee eee eee ee eeees Oeee eee esesesseseeeeseees eee eee emer nee e ere OOOOH OOO SOO OEE OS SEES EHEEEEEES ED SORE EE EE EEE® POUUeEETOO OTe TIO err er rere rrr rrr eee eee ere ee ee ree) see weeeens err rrrrry seeeeeeee Last place of residence -?. oa eT eM eee eee ee Mercere eee ee eee eet eM eenee How long resident of the State........ .. S458 Nee area ae a _—_——_——— Husband’s Name Father’s Name... #xX Country of Birth Mother’: Name! Country of Birth Cause of Death When rendered..... RECEIVED ON ACCOUNT. 18 Funeral of Date of Funeral— R EB Si C ; M H L M M M LIOOT LIVCRIUNG, :sonsaiavecndersnacevasersaee s satecale ghee enna PR is ccs stbaaven ere ree ee eee rer Tre re rerr errr TT errr rere rrr rrr rer rerr rT Tir eT T TTT Te TT ee ee) POUMOVEL: INOVIOOB) sis cvecbnkcs sacs oceeecbdadiausdciesesiaine Clergyman TPH SOOO eee OO eee eee ee eee SCO EHE EHO OES ES EES EOE OES SEEEEOES SEE OeEEeee Sexton iP Pee ee IIe re rreer TT Tri rrir iT Tier rT TTT rT rr erry CIPOMEE, SOOM, cs... ccesisrscwessenevnascess Organist .......2his...... PE NN EE Dip cases sseaciics sskisconeosnke oc APO CPOE siveceeviverssececssessceexeseseies IIT scsvcinnia us cessive —— Be IIE ss isis re ides eiedcherecesanieh kh ices SIE e555 seann4iisbapa0chedaideuveds ssc sciss lois sasaciasa ant . 1 Coaches SOPHO OOOO DOO OOL ODODE OSE e ere EH 5585880000555 88s SOO tele e OOS bee eeeeess SEO e eee eee eee DOE DEE EE ene OE EO OEE Oe Eee HODeeenesesesncensrcseseneesees -- Telephone........ seecnienesianie TB is isc cassiivenncees Seen eens eee reneeeeeee POP OSS COO O OOOO OOOO eH ee ee eee seesees STOO OOO OeCoeeeeneeeeeees eceee CORR TOe Been eeeeeeeeeeeeeeteee FTO POOO OOO Oe ene eeeeeeneseesneeseces se eeeweere weeeeeeees Where Interred..............00++- see cae cc cecsasy So seeee made FSV GP TOE Os oes obese sin can cucsieuanes Section... Ni ek Ai a te rt cairn Spa an ween es inc neg koe ae eae ened \A ee cay eee POU icc POMEAB. vasiscrasde PI oss sees Re eect eri eeeseaeet ee OUD 5 sis oi ieee se eeeeeeee le How long resident of this State Husband’s Name | Country of Birth Mother’s Name Physician Cause of Death Ordered by Charge to | When rendered............ ar Ooo eee ee eeeecess PiyMlei 8 y-a_2 £ / ae RECEIVED ON ACCOUNT. Pm mn se eper cress egtpeecccecrecsesegesferessaseseraseneseet SORE OR EOE HENS EE EH EE EEE EOE EO TEES ESET EEE EEE H EEE Oe eae eer si nnnnny MERI A NS 2 hg, noi esa bere TL rater ree SIA IN sissies Geel Re eter al ea aaee iy ARERR eee eee ene ee ee eee ee. BOE e Hee EO eeeH ese eee eseneuseenees weneee lS YVR Ge. TREE ween HOON R eee meee eee eee ee eeeene TET RHEE THEE EH eee meee r ee eee eee HOO Ee EOE Eee seeeeseses HOON eee Reet eee eee eee eee ereeeeees FORO eee eee eee eee een eeeeeeeeeeenee PRO e meee EERO eee Hee eee eee eee eee eee ee UOOO Mee eeeeeeeees COR ee ee ee Hee ee ee Li eee eee eee eee ene eee eee eeeeeeeeeeseeeeses Hee eee ee weee ree ee ones! sere eee eO OOOO Sees ree eeenseseseeeeeeeseess TORO O HOE HHH HOH eee ee eee e OOOO eee eee seereseseseeeeeeeeeees Oe e ere meee eweeeeees THERMO OOOO eee eee ere ee eeeeseeeereseeers THOR e Oe rene eee eee ee eeeeeeeeeeeeeeeeeceels erleeeeeeeeeeerlecseeeees seeeceeeoees|seeesenes Funeral of... Vy y Date of Funeral____ Lining and Pillow Set No.........0cceceeeee Bre is aati as Metal Lined Box Bose MGGrO00 cicsccccccecsescesessce Burial Robe ...c.cccccceeeseses L BODIE visio vxsacceinnosseesecse PUG csc Assessors OM se vicccnssvcse ss uatear leans OS ON io vs ose arkinie cb ssekohakais i Personal Attandance and Assistants ...........0. 0... .cccc0ce cecee ees DPQ cscs vie as Candelabra............... CONMINR. 0. ccss ovens OE IE ooo cok eeaBeeoueyo G¥Sis kaa aise ne as CASH EXPENDITURES DOF TIPE ansccciacsss . .acsadebessacag soeeksstossensdaaniacessarel eases aasisusianeeceubsieihuacaabens ONO is vcs ssc cons aienenund ce tos caceusecscsas oa a ee eee atid PIITS: GAG oni vevisdavskecissirsstay 3 RO es Fil Quartette, Soloist........... i isaseeee : ceesced Delivering Box to Opening Grave WE I addi raasiceavesssiaaiatunsessussigstuetiei seis nen i ee a OM 5) hag Oia Voeueh sy, sar ce tect peer ty wae ahe tee aaa eh afeereeesssesseeesfossssessseeeseseeeieses 0+ eoveveeccece OOo ere oneccece evece . oe theese FORO OOO eee meee eee eee eeeeseee ste eee ces soeeeesse > PARR Meee ee eee ree eeeeseseeesseeeseses . | Age.. 4%, | Color ....5. ( Single, Ma Birtnplace . Ordered by ee: Grave or Lot No POPP M ORO O Ree Oe e een anes Ee eeeeeeeeeseees SOOO OOe Oe CORSO OOOO ere eeeeeneeerseserreeesesesseeseeeeees PPP eee err rr rr ererrrrr eT Terre rere rer TT Trees obs beware When rendered.......... eee eeeeneee) seeereesl eeeeeee SOO eP OOOO ee ee ee ereeeeeeeeeewerere Date of Burial...... ; Where Interred. ..05<9.42™.G, hay A teks i 20 { Date of Funeral_______“© Date of Funeral Shaving and Casket Noi. 570M reteeegesssecncnss eee mee eee ee eee seeeeeiseeeeesheeeerees ’ HI Le '® 4 SORTER OO OHHH OOO HEH ETERS OSES EOE EE EEE SEHEO EOE ESOEEEE EES ESE eee ensseeeseeere Flandles No......cccccssscessccsccccccccccscccscscocccoses . cdnnaonnes |eseseensses seemeness i : Seana Ries 6 cin iat 8 hk cian ie aa Outside Case, Pine, Chestnut, Oak, Mahogany. ccccccrscossseess | seecssecers|seseeeees Lbektion OF CRROE cuit SEIS : Outside Case, Pine, Chestnut, Oak, Mahogamny............0++++ Lining and Pillow Set No:........0+ ie eal acaie e ia Metal Lined Box Lining and Pillow Set No...cccccceccercocscessscsssserrecccvcccceoesseees Bimal TAROd BOK. v.0i0ccccsscaracceccsncgnessctonesesssesse Mowntings.......cecce-0- +» HANMER, .ecooeceee Gin A ence ie ata lesiesense ; Mountings...........225 ++ estar VY GALE, BELG, ;..-cosconncsesessv000e a hcaacesethacc) sa sbicesibeedess Wes WO cccsciscecsdass ae RSS aaa Se ie cP a teens Box MI GEINEES cocccscscns<s ial R BP Wa tioceGwas i PNG ody dncnas sO thers ed arcahsabasastiesacs aa tessacisssbneee ore Burial POON scsi chucees caceasieanasmenenebioaaetesbanseress Coeccccccccccccs. heen eecccece Burial R | | RU OANE 6.20. cis cisavcacucsuevessie TS Cuan saazinnaen ON gchar bu ceeien:| a ucudcieeel can Single, Married, ie bab riges sss tanecee eck OES speak ee Doz. Chaire...... eat Birthplace Pe- CORR eee meee eee eee HHH EOE OEE HOO E EE eee eeeees BEEEeEOEOREHEHS = se Hee ee ee eee enereseererenensens see e eee eserersetenreeeasseeeees . Personal Attandance and Assistants ........cccccosscccssssscccsccesces | aseceesces ata TAD RAGS OF TERROR 6. is crc:oriseass eae ais Personal Attandance and Assistants .............0.0.cccccce.vecceceee PORE. civics ctavsenn Lcpadey tanaeeees TOE eds custsiaueeadsseeeiece al A ee eet Father’s Name. poesecuuet te ehaatae Country of Birth TIGOH TLIO | circ cintndenucs sacs (abuneduhedhiadescbickessbusemscunseainesesne 1 re ere tan oye eee uate as Palms ‘ nisee bey bef Flowers...... ' j td tT yf 4 Re er PPIIN TG oes vanchnss iv icccseoneasnaise Gloves EP EE oy OOM iss ids dave scussiuas rhuevuneocabeeecnas ee eee Pl in ee na ee er RECEIVED ON ACCOUNT. TPE RRO ee OOOO eee OE EE SESE EEOOS ESCO EESOES ES EOE EE SESS EEEES SOE SOSEESS ; 14 Clergyman ! Sexton bbb eee eee hee tee Petr TIT I TTI TTI PITT TIT TTT TT TT TiiTirirri TTT TTT Tre rery TORS Re OOP Osan ew seeeeeeeeseeees TORO MOOR O CEO R EEE S OOH O ERO HES E SEH HH es Hee O OEE OESEEES Kees sinned issih ssa suakas Mega sa ake iste la ak ele ye a ee I I orth concanesnteninnentminmniaia cunts, ccatess aces I 4g QDENING GAVE .......s0cecesseeesessverssseeee Lining Stee eeeeecereeeeeee POO eee ee rele sereeses | seereeeeesarlesesesens | EE CNG oiisecssetierbuliin delish | | Vault Charges PPP Peer eee ere ere cere rie iri reer eter eee eee COSSCOSDED ode DETSD | 454044 0055001509055080] 050066006600 0b0nkeeehheeens eet eehe bob besslackcdncacccctaseseeese 0 0 ERIS WAP ees eer tthee cresnnsseeecess TEPER Oe ee ee TOO OHO se! enw eee e eee OOOO OOOESES ESE ESEEHEEHEE* | sees sseseee|seeeesee® Hearse SOOOCOOOL OOH H OOOO REO OOEE OEE HEH eee EEE OOEE ESSE Os* 000000 OOsO OSs FOeeeeeeess THEO Eee Peer eee eeee eee reer eee eee eet Hees ee EEHEHEHE EOL H CORSO ROOE ES TOTO Re elem enema ee | eee e eee ee ee HEHE Eee | HEH Hee OEE HEHE ESOS OSES ES EES ESSE EEE EEesleeeeessesees|seeeeeeee | Tree | Sengpeheedbensdeeees | o6nausuendaylisssedd 461iscuneprewseedesaarsueddacseskciikusiiescetss aes 6 (ié«‘“N 8” * 4 ONSEN SOND ERE ENE SIERO EES Seed sEds bUSkOS VAN ReaEEdOSS ds 50enkeeeeneeenebassennee PO OCCR COCO rereseees | sear ereseees tees HOFee | see eeeee sO OOOOH res seressereseseesessccsessleseeeeeceers seeeeeeee® 8 TOO eee eee OOOO OOOO OOO EEOC OOO TOO OOOO OOO EOS O OOO OOO ODE EEE OE OSes ee Ee eeeeeeeEeeeeresee POPC Ce eee ee eweeee | cee ee teases seeseeees TTT O EOE HHE HEHEHE REESE EEE EE EEEE EH nee eee eee teri see eeeeee sesaeeccesereeoescesereccsseseees 4 CLOTHE... ee eT TTT eet T Seabee ehPaeeeeeN Ty uahubc ih s0NbeSeNSA Te SE cccuU a Teieeeekkeb tek i i EEO RN Rhee Adikeinbeuacedacns ¢ikaucaoes Ree ames eel eeweeeees | cane eeeeenee TARR e OOOO Hee er eee eae ee ee eee seeeeeeee SPOSHSOOH STC OSHSSS SS | CHHOHH DEC SSE] 66456454) ss 0056650058050 000 504550500000 5600b 6 CSS Cee leseebessdeeeteeeeEetes Ceeeeeeeeresee BT TNS ROS CORE OSTSCERS UEUSAN ES COURSES IEE COLE USELESS EC EUN EUS CEEUESéTSOhéeeDCNSKeeN CPASSSPSAESSSSO TOSS | SOCTESUSSSTELECOUST SSC sere eeSOUOObeecedesecsedeeeewseeseeeeeesesleceseeeesessneeseeseo.©6=©€€6UF OCOOROH SOS COO SCOeES | seneeeseseeel ene OSES HEH OER OOOO SOE ES OEE e CESSES EEE eee eee eeees -lueeeestOSOSSlseereseese SSCP OOS HOS SLC OOO OOOES | cececreeEeel eee EeEETIS ODOC EECOS OOS LOCeODEEE ROSE OOOO OEE EEESOEOeelecerereeresicee® 9008 See reee crores esos! A of PPC enecccces ° ° e ° ° . > . a eeeee . . . oo SOOO OTOH O EERE EEE S CEOS EEEEESe BEEEELESS OHEEs Amount of Bill sees TORO SOOO e eel ene eee ere e eee ee eee eee eee eereeee tee eee eeeseeseeeeees + soneweeee Lewes Cee Ceoorererorereeeereeecoeesecocers, Coereesense COO R ETH O eee] Bee een eel Cee eee eee eee OOOO e reese eee neeeeeeeeeeeees® Fa Pe peltomeniibiipnabiaas ec Funeral of ste | Date of Funeral oe Removing Remains.....crecereeeeseseerseenes-canncconsssoneransesnncnans | sesesessacsisesereres Date of Death .. Embalming ...cccceccsccccccceseeeoncvseeeesseunensionncasesoosooensens eeesers | MLO. Place of Death....... - AISA: ; Shaving and Laying Out....c.ccccccerseyorereooveess 4 Ree issavaoagsd 2. OL 2 | Opie Das pee — Metal Inner Casket.......00ccgessees COpper.....ccccees Ge ik, | Handles No....cccccscsscsecvecvccccccccevencscceseccnccsesencssosoossecors Outside Case, Pine, Chestnut, Oak, Mahogany.......+++- Lining and Pillow Set No.....ccrcceserese Metal Lined Bot. ...cccccccccccccrcccceccccccvscccescceovececcccsccesessesores ROUTING a oasis ckstenx oes Metal Vault, Style....-...ccccccccsesccecsescccccccccscessssscoccscocceseesss Box Mattress coescee Burial Robe .. POOR aco cis cn<kavicnsasincenen PD as casbaravie Gloves Bele E AR iuapssesaacs Aa 0 IME Wig ncedacddceaeasnetsipei-sceess.o Personal Attandance and Assistants ......-ccccccscscscccceccsscecesees Draperiy...ccccceee gh VB ioc ca nsca ones OME nnn se0 sso cscs. FOUR a oy caked an vibadivcate cao Ruq - CAsH EXPENDITURES. TIC DIPORBOND., :isdadoncsscusdissbncsdacvesdsesensasssccstantekabanssaestiares) eee eee canes Palms Fl COWEOTS . .cccccccrevccccccecuseseceeeessecesseeeeeeens secesessecescceseeceseseoces PAPER GUNG 5 is ciseesscirrsiatieisviess CLOUEE, vin dcesis PUTO FI GOOR. 8 5 isis ee av iaemn ede sss hs dav enc ENR. «hss ca canvcrssseentnevsiss cals eesti tsa I a airs ceca sed esata ekg sath bunk agaTAIR A ae vids seeeehdasiain iene CIMPTOCER, IOC Gs vncicaccccecccuntecbinssnased OPGGRIGE ....ccssersesseves NI TEI BN ka saci cc ctcevendssaccioal paskeneesits ei INE CHOIOS sv ssasaseccsexsinisescesticsssaseer Lining... Vault Charges... Hearse.. ie ) f ‘ CE, cis cdi Chae, ee Oe Cees eeusereees PPP) Ste ee nee ee eereeeeee eeeeeeeeereeees Seeeeeereesesore Peer eeeeeees POOCORO Cee eee seeeeeeres eeeeeee eeeeenes eeeceeseces SOOCOR EE SEO H ESE EER EE EEE SOREEEE eeeeerereee eeeeseceee eeceeee e © Ceecccces Amount of Bill......... sues saeeesonsednonesseeoeins SPSS O OOOO OOOO ee eee eeeseeee Ledte ereqeoeeecocscarcesser ta senereeese ss Pree rrererrs sees ees | Place of Funeral..V/2 GNA isicssasvsnsenis Pe cisions eas is Cg | tees | s cck)| ots saved sanenn ute osdonebseccatia dea deialessi senses bahei cee ‘ | " Seats es pong MR in seecass ete 70/00 COLOR i ss:03 L Laie: £ Syetiantid Occupati nos ne Single Ma i. WU, TOI ois ccssveniecs ares paceusaeas pinnae Maher? @ he Bre ete ‘Last ghee PP RRIINNG 5c cniseiant:namanes. Hecoaiet Sa | severees Ho long resident of this State bathers ae | Husband's Ns Pts Ree | Father’ 8 Name,f 2K, Pee a | Country of Bibth . ies poe Mather’ Name. A4-9 PAC thy LLL ete | cecsee. | Country of Birth... See | atten. 2 hn (Aes ee ¥a era R oh ae cee seg cele santo sasse Meee seisa vate: y Sere essen | Cause OF PE eae eanic te geesics pets kee tess a ae ae Sarees | enaass agin whee Tas siento ae? harge te 2 oc Hoes eeeeaee o WROM TORAEVO 05sec wien teisoacitsivimrsenyia cesevatsdessenese: Cavenses com ee ad meee ON ACCOUNT. oo ys Bee eS field flu USM (Hck Chow | Fee. seeneeeees THO EHR E ee eT E OHO EHS OHO eH ERE O EEOC OT OEE OOO OES eee EeEeetlseseceseeeerisoees® "| TREO tween e eee enreeeeeeereeneseseseeeesslscusseeeaeeriseeeee® SOOO O OOO | cere ee eee eeel ees Soser| tH OEEEOEO OE EEO ES EEse COE ereseeeeese esses [ees ssseeeeeeiscsserre® seeeeeeee Leweee Funeral of... Date of Funeral Removing Remains..... V. Cisfhe.cnsg So ald ale siee «aa cacdacsiebad Casket No. SHH OOM e EHO E HOES ETO EOS EE OOE OOD OO OSES EEE SOOO EE EES EOEE EEE SS EEE Dees eeseseeseeers Metal Inner Casket.................. COMO: 00ii8e PANG 5i2eccss PEMD os Gok cies ca) ah bes Shey vas ta odsea coo etsnnddesinatcn cause) Cutside Case, Pine, Chestnut, Oak, Mahogany.............00++ Lining and Pillav Set No......2...c00+eee0e paseubeaeey asibs sec AMER FAO TIO i) es ey cs 55s poss av ka counteives suas dey ohces svassdan aes Mowntings.........c000. ++ Rist VA NE aa iiiiickis (ricer in ees Box Mattress POO e terme Ree Hee Re OOH HOE EEE OE EOE SE EHTS EEE EEEEEEH ES SEES EERE EEe DLA Pery ..occscor0-0i0cG Poot cht tees ee se Rug TOP Ts ee gas vy ckpancudbcsivesis ob xk heute asia elrerikee Seetreice PR eee OO cig ter eces id ewadie ts intr een nae te es ee ee naisaereee” POPIINE GE ous sirinnsss i i Oa hs FAIRE FOB ci oss isecevssnvesevavecoesuseeeacsieone Clergyman Sexton Vault Charyes C Hearse RIN ei ere otra ewtae nt SUNME99 EAR THEESEDESETSUS SUNOS ANEDEOSSLEDEOSSESUEINNaHERSS CIE xoeed0bNaGbaRbevi0asRNA OFF51 165 690 AEDES INSUSRESENS ULSLENA GRTaNUMRENE ELUNE AGRE NG >E04E0S4) 6049 Soa RRA E186 Seu e re ceereeeoesenee POP Omer Oe OOOO eee ee eee EEOC EOD O OES H OEE e ene seeeeseneeeieeee + POO Oe OOOO DO OOO CO OOOO OOOO ODE ODE SDOCE OO TORE ELE E SSeS er ececeeroees Amount of Bill | Date of Death ....:%2. le Ay LZ f.. NTE L390 fan Place of Death. &Aerm.. A AI ELPA AB ooo ccccseeees sa ePerreenenererneeeeeeeseseuses Date of Burial... . sayoneeeeneeenensgereeesqemmmmnnss i f Where Interred’ -<—¥. a. hinet “Cath, Ap 4 b TREE E ROR e ee eee Oe EHO e ne ee eee eee eee eEeE Hee eee eeeeenn® Days. OSA Single, Marri Wider, scai er ea nti as beansucts "reLe idow, Co yee Birthplace .. Semen ene eee OOOO Oren ere ee ree eee eeeee seers reeeeeteee How tong westdent of thie States. ay ea ea, Husband’s Name Father’s Name. 6... $ Country of Birth Mother’s Name Country of Birth. Physician SMO 0) OTE) 560k cele in ee eel ee Ordered by ¢ Charge to When rendered... or |i Funeral of j Mal): / | ~~ Date of Funeral. Li— OL2en Meee oe a _ Oat eeee” Heer eeeses soeeceeeenranern® | Removing RemainB.....cccccorccevere EXMbalming ....ccccccsccseceessscscvecscccccoreececcnsosececococavooccs coceees Shaving and Layiny Out.........07geccrccccccscecse goes fesessccereeeees | Casket No....¢4 soeeeeseensefie Mpa — | Metal Inner Casket.......0+ssc2s00ss CODE? 0. 20000000 LANG. 4. .00000ees ee cudstbavacaksssinelannsceanneh eersereoreee Handles Outside Case, Pine, Chestnut, Oak, Mahogany......seeeees+ Lining and Pillow Set No....c.c-cccccsccrececsccssesessocscs giawedveseaae Mountings... eee Metal Vault, Style..... up apyecsunevosdecasessons onscenataceanseuauseseserssts: 4.) : Bose Mattress. ....cccccocsssoreccecccccccccecocoocseesesesscscsscsesscce | Burial Robe occcecccsccveccsocspecevcccsvesencscscetensessenseseeces Slippers PRE Gum Gloves Fete eee eae ee ee Doz. Chairs........ . Personal Attandance and Assistants ......-cccccccccccsresessccescosess : DPPODETY -scscceces CONE ALAOV I cscs ssccocanst Ae anceess Pedestal pA Rhla sicesinedsaunnisy Gidesicnneenne® CASH EXPENDITURES. POOF TOVHRIOIE cs ccetevescieteessvatentsccavesine ighgesteersvcsaantecunele bees PEG es oss s ken cess i sis vabsesnens | | I lower | | ' saiesteniners Porters and...... Sea dses CHOU, «ccs ciexi Funeral Notices RMP MINONIEE, 555 snvntvconecessasccssstisbcnbnicccossenbickcepdiolivambenaks TN i sissy aes iss issih ois ibm mh CITIES, FON OGM a sos icnceensoncxieresdaccccess Orqantat .....cccccossss ; Delivering Box to CORO HOE REO EEEOE ETE EOS ESEEH EEE EOSOOS ESOS ESSE HO OOrs Hee eee see se eeeeeeesooeceeeeees Oe oeseoere Peeeeeees POOP COT eee ce neseeseoees Ceeeeees coeeeee eeereree eeerecceee ° POeeeeeeeeeeseseeeeee ee ees eeeeeeces SOOC Cee tere cece see ee eeereenee eee eee renee weeetreee seeeeeseere A eeeeeerees eeeereeee ae Tad Fae esi <ses ups ao sdn sn pao adnan nhbianees [entero at lecinunege-l sila case Hesseestaleccesaniaceeanstasssikiasesabesseinicntes eorerecees| ee eeeeness eee eeeeeee seen eeeeees | Date of Death ......0....00000 acuaseuunausiba ances etsiosai Cunt issiis sc. II OE Ms 55 ss 0 Sos 5 has os ka rena cs caine PERO eRe NO Eee OOOO EEE O EH HEH tee eee Hise ee OB OwEresns cs OOHees aces | Single, Married, Widow, Widower Sbesionte | Birthplace | Country of Birth Lips Country of Birth..... Cause of Death ts eins cae COU TIIININN 5 soo cck ce cckscaccinas | Last place of residence ............sseee0.0e ieuseeeceres vice unssviavaakes Flow long resident OF Cite SOd0hs oo ssicccessscsecsscoceosoesessnssenecesss | PETA I ooo, hag acsansoartceecied ee | pe rs eae a OIE A INNO i505 cio scagsericrceervere A ee | Physician ........... jetted reese ee ee | ' When rendered | RECEIVED ON ACCOUNT. THEO ORO eee meee t sees er eeeeeeeeeeeeers | Ordered by hooe Netto h__ teleeeeeee eee eeenenee see eeeeeeeee se eeeee enone stats Charge to csensnsvesvvogh as Ebdon erevFFTTonsoenesssecnasnensnessgmnseee veces ss | Liles vila. NC R& voerntn Ki, Chaeg — | aoe. sereeeeee Funeral of... Date of F ima Outside Case, Pine, Chestnut, Oak, Mahogany...........0++++++ Lining and Pillow Set No..........000.eee0 eae Se eee oo ee TE ose cste ssi lisse eee DIOMMMAGE. vse seccccsecenis FI GMMIAR 555i cississe- PEE Wt SRN cc unae sp ciccosay cos AeKcuaaiahasis sua thu suaaescecsuaia oe Bee EN oi inn cs chuss cb ocak exasovrinesbaecehinsiauses eee Burial Robe Slippers Drapery Pedestals PHO RO Ree eee eee Oe eae EEO EEE EEE EH Oe! HHEOOHEEHEEROO EEE EH EE EEE EEEEEE SEEDED Sees Clergyman POOR M OCC ee eee assess eee eee ESO OE SEO E EEE EEE eeeseeuseesss seeeeress Sexton TOPE OO OOO OOOO OE EE SEES EES EEE OOO HOE ESO OH OOOO OSE OE SEES EHH SESE eOSSeseess Delivering Box to CHOCO re eee re eee COC eEOes HOE ee ees ss vende seeseeeees seen I CN ne LD cs sitaisartcctce Vault Cha Hearse..... Coaches ‘4 S* PO owereeerceccoonseess OOOOH eee meee eee EOE O HEE HH OEE eer Hees senses. ores POPC COCO OOo ere ee OOOO OLEH EEE ES OOOO EEE OE DOSE OEE esereeeeeeeeere "tee eee cerereees sees FO COMER e ee OOOO ROO HEHE SESE CHOOSER EEO EOE ROEE EE EEHebeens se sesecees seeeeeeees see eereeees eee eeweeerleceeerees seeeecoees Date of Burial.......... WG: TDN cs sins orks sec sees eee eee eee errr er errr er err. POOP OR PORE O rE oe Ee eeerere se ree eee eee Eeee + seeeee: eeeseneee s]eeeeenees eleccccccce | SPP eerccvesccceccccecccscscccesesece eee | SPPPOeeereeeeeeccocecesscccccessseesceceseecesccceeeeseceeee al seweecnae | SPPPPOP OOO eererereseeressesseeeeesecesesseeeeeessessieeeees Last place of residence eee e ene ee see eeeeeresenees CORR O Me Hee eee tee eennee pie resess ————— i pati aD Wz 4 | de Seb Ordered by .%...., 1 oe en — co cosaciee Charge to se eeenees When rendered..... me | RECEIVED ON ACCOUNT. OOOO eee | MHOC E OOO eH: | He OOOOH + see eee EHO E HEE OE DHE EE DOE EE SOOO OOO ESHOOES: sueeeeeees Amount of Bill sen s E ra Ren ne nn meter ee 25 Funeral of Removing Remains........+++ embalming ..0cccccesceccosesscsccecccecce sonccccooocooooooooooooosooscoococes | Metal pa Casket Handles No......00.0sccccosessecevecccccsscesscccesscccccosscococooosecose Outside Case, Pine, Chestnut, Oak, Mahogany....00-seesee+++ Sere reece rere ser eeesesreeeerveres Lining and Pillow Set No....cc.eceeeeee Metal Lined Bow..........scrrcorcsccsccsceccccccescocscessccsccncsocsscosess: REOUMANGE cavnnsicivessnsns Handles...... <saenees ROGET VGA, SUNS. hi vcccessccccesticessns Fae TEP ORD: cass ccaneneseesssreses Bee TIO scsi siccccessessovaodans SE DOIG...viascccassexenessenseces Personal Attandance and Assistants ......-ccccccccccccssssccsccecsess: Draper ij.....cccoes .. Candelabra : RARE oe oe hae rence, CasH EXPENDITURES. PAE 1 WINE, sacs casicakasesdesaansavagaudsdabicenveesscaiuebiassduagmaeans Sater are oes dea ecae ees Palms BA” LOTWET S 2. oon cce 0000000 ce cs hee ee eeeree ee 00 eleOOOens coneceeseeccceeecooccooosees patiaasatiisuoiis TPCRT ER I ois vvcnkcestavensuaecdevness A OMB vavtinices eee eee errr reer rr errrrr rT TTT rere rrr reer reer eer errr Tere OOM OL EOE ROOT ERE EHH SHEE Hee EHH eee Oe: HEHEHE, OOS S HOHE O EES HOO OE HOH DES SEES ee eeneeeeenese THOR OOOO OOo eRe e ee eee eee eee ess SHOEEEOE EEE SES SOS EE ESE OSE SOO SESeeSS SPCC OCO OE OO DOSES SOD ES EE EEE SOE OOO EEL HEE s sO OOS CECE SSE eEe ESSE OeESeEeece Quartette, Soloist... ...ccccccccccccocccacccess Organist oe ee necccccesesoes Delivering Pox to Opening Grave .....006 SOOO THEN ORE OHH ROTO ES TEES EH ee HEHE EERE HESS EHH SESE EE EEEO ESS BOOS OOSOES: EOE eee eee ee RO OOO ROE EEE EEE AOE EEO OES Ee Hueeeeesesenes nesesneenee Seerreeeereesosres Ceeceeseeceoeccsore AOR e ee eereeseseoecoeeoree® eeeeeeeeeeees eesece eoeee Amount of Bill....... CO OPPOOOSOSEOOSES Oooeseees seesceses OOO R Oe ereeeeeeseeeneeseseeocosnege’ rrerrrirerr ttt - POE Ree EE eee ROE eee ODEO EEO OEE E EOE S SESE SHEE enne Ordered by R Charge to ...&. Con. Hand fA WY IE FI eos sas ac hn cute ev cs ce tenencua unser eae sersts Funeral of Date of Funeral Outside Lining and Pillow Set No. ........ccceseeees posse ciegk bac sauce sdestwcaeowe RE Te ee ae see Mountings..........202+ os. EE a oc as fs peace adn ds ean escoinase Box Mattress EPPGIIIE ois ioixenia POM ce ee Rug ROOT TIN MEMUNG sons sis ck sustasesnncnvecsiceissieiais pserctesiissaceiasciasisee Lo susvcsssatessshanssecenseuses POM ee a a a ee PU OPM Spay sock tes scscsusecesn been sssarsscteaterins costs -ssavinsi cee sak | ie eee POORER EOE EEE EEE EEE EEE EEE HEHEHE EOE EEE EHO EEE EE Shiuee ace OPO GN vse ceties ce csccasncids PUN sets “a joo. Funeral Notices | Clergyman Sexton... Delivering Box to Opening Vault Char Hearse Coaches. OOOO POO OE OOOOH OSES OOOO OEE O HE CE DESC OOO DEES He reeeeeeeeseoreseseeoeeS COPS POO OO OSES OOOO OO DORE LECSESESESSOODO OOS OO SOE DELCO SOO COC EO EON Oe OL OOCCe see eeweeeeeleweeeeses Case, Pine, Chestnut, Oak, Mahogany................+- Pewee weweneleeeeceees | Ore eeeeeeeeleeseeeees POR eee ewan nee eee HOO OE EEO EOE SOS OOO OS SHSEEEESEO EEE HE CHEE eesesess | wencseeesriseeeeeses eee eere eel seeeeenes SOSRECOEDOORODSHS ES DORDOSCS S+seretenasetESedsoscreseevercoveDEgereneCeCs | seccccececlosoeesese Toei ce PD) Place of Funeral..." 2A. Otis rife) egg. aes SOOM H RTO D REE HD ere ee eee ee eee eeHeeEEEEEesHneeeee: eeeeeeees SO OCCOOS 00 COCR Cer re rere cererseceeseceseoedeseesescoeessove SOMO O CHOC ORES EHO reererHreseeeereesessesesneeseseseseseseooes Age... . Years. biisassccas Months.../... = Serre <a ae a Mar Birthplace 0 oS deve eS Oe ccccccccsssoccccessecesesccese seneesesfosccssssseoees Country of veo on sft eh. = bs pee ke oe Mother’s Name ' PRON oo occc is esti phisiensacusgee ECs aa ovcema rie anieey has = x eonnes Cause of Deal ker dial, LNHOu-.-2 etal oe ate = ————— SS = S CH os Charge to When rendered.. RECEIVED ON ACCOUNT. CP CCOCHO OOOO OO OO OOOO EEE EOE EOOOOOOCOEO OEE OOE EH EES OSE EE ECO bess CO CbeEESe HPO OC Oe COC COOO OEE HCO O Eee eLOe OOO ES OO OSTEO COE E EEE OE EEE OES eeOeeeeseess Grave POM O roe rereresesseereeesreseees *eFO" 0066006080086 0800s06006 OOOO Poem ewer eee e eee eese sees eeesese esses seeeeeusees WIOPHESESOG0 999590844 SONNE SCOR DCO OD OS COCR CEES ETS ESS 6eCeeeeeses Se eeereees CPP e reese coceesees soues Oe 000080000 OOOO OOOS LOO0CCCLe CODE DES OO DOCOOOOOO OCS C COSC eEe eens CP CLeeesccseres OOO R Mee eee eee eee eee EE Seeereeeeeeeeese Se Xi —- Por. ————— o, & ‘ed er Be ee) i} ng 7 7 f i YH § t bs | i te ‘Be tii ee on ee whe t+ tomer ere { ae ae | OR Penta’ of Date of Funeral Ae eeeeeenes|seeeeeee Removing Remains........+.- asnsedeeee sicemes mba sie celeiaiiebeniainin’ MII oi oori secs <nciaasasuncenssoncn nd Ciltel 7 OS CNEL... 5. csassnconsabamubsencs soasbeacerucessaseo l aesnaceencslecenarsa RE OA sac cccarksh OeiSeasiswsntinnses Pe ee os ee Metal Inner Casket H les Ne WML ING. coi cncccccancdnaccocccnacecenveckanssounsceneunuanenesabesesesnans) | ¢avetsxssat Outside Case, Pine, Chestnut, Oak, Mahogany....cc.cccceseeess Lining and Pillow Set No.........0cs0-seee Per ereeseeereesereeesesereseers ETRE LANG F100). ccc cyccasssencancckestesscane=s Monti) ccacoscvesers-svs FLANGES. sossenentenesanan FAG crcdessevcexes | Rated ViGslh, Sie. ss cccocseccssavissnscisnaves aeeasavsdinescensabnancoces ex B TED TL ODM os si ickcukekee usbiaesaneoneee ne Mattress. .....cccce aos sseubipaashebakabenheneebensicaese® iereecieavee tigi c, yes Ae on Slippe TS. ccccrccccccevcccevcccccess ‘ hic ) Personal Attandance and Assistants ......-cccccersmerererrerrerses | coe Mevrdereeseres Draperi).....cecsee URI Oe) On a Peeeseees [seeeeenes [Jee Pewee rene eee nn eee renee se eeeeee ees seesnessnsessesasesuessanase | | eeeceeceeslsecseeees CoeESESSECHOESOSEREOH LEWITEM #996600 90RSCGSSS SeOR Og OSC CRESS SSCSROSCESS CCCs | Lg. ccceccleconcccee SSAHERORGOLERESESSS £98 EROREDOSESSS SE Oh PONE SEE HONTESREOEUARNRDEDeREOCeRnORONNReneNeE Po Ko Funeral Not BE es i caca cis pera ee teee eases Oem er creel seeeeeees Clergyman Sexton. CPO POCOL OHS 00800 SCCCOS OC O00 0046500 000005000060508 0560S SOS C C006 ROMOOMT TINT TIO LO rns cies shes os tss nine sascchaicnsbcccc ca let +x 5 a bow ; ‘ : Wp Opening Grave .....cc04 Dib cirirmctianscomeas, Lining....c48 Poh eb eascees oe ee HOO Fe eee ee rene seen eeeeeesesreresere COSCO 0ED 000600000 0l sb 00500066000 een 0400's 00se bee CObCCObCC ss SETELNN ES SONERE SESS SEN ORR ETO DOL SEES HONNENOSds 2550+ cveneneRNeseebeeneneeeEbnbetebess COC e Cee Sees eOSODOEsoeseeeoeDeCeseCooeeeeerceseecoetooesecceoeee fee eeeeer sli eeewenes Pe eee errr re Seeseccoccece Transportation FP ONID 00.1.0 e0csesseseesesnseosounssssenoosonenesne | eee ewe eeelewesesees | Seeeeee teres seeenee Seeereeereesece POOR SREe HOC eeeeseoes eeeecees SOOO Os eo ceeeses eeeccee tee reeeeelseeeeeees SOR ROTO Reel mew eneee eeecces Amount of Bill... seceeeeee DGI8 OF TAP. 6s hiss eee ee ee eee error errr ere rrr rer rer rr errr Terr TTT er | seem eee re weer cere seer caesar reese sees ss seen Seeees sins eeseses OERSS040 Kh 60 evecsce Where Interred RAL{LUAG LK iets, Peewee rees Ordered by Charae to | When rendered RECEIVED ON ACCOUNT. i TRI OE TIE ss iea re sss sts 5s sash te esa scasbabacasbessisieuiacsssccct ; 0 LE Ca ssnnicsivnsscensiscccsesnsstincbneseseassarebabisbatebicsésicsstel \E POP e ere eee eeens er ea reese reseees eee seers esse eeeesees seeeersteessees POR ee meen eS OOO eee ee eeeseeseeesees Herne eteeeteeee FRE R eee CERO eee e eee eee ee eee eee eee eee eee OOO ESeneseeeeeees eee ee eee eee eer eee reer errr errr Terre ere eee ree THOT O eee HHH Hee ee sere reese eee ee ese eeseeeeeeesereeseeeeeees | Soe eeseeesenlseereererl coer eeseeerreeeeeereeeeeereeceeeeceeceoes C#OCCCC OC OSE! SESSEEEH ev ccreecereSereeeeeeeoecrcoecooeseeeeeees COR COOr see erecrecereeeeeese Seeeeseereereseeeeee OOOO eee eel eee eens HHO eee eee sees reese esses seseseseeeseseseees PORE C OSes] See eeeer!. Sees ee ee eee OO EOSreeeseseseseseseesesece: ee OCC O Pee eeeeeeeevenececescecoocsese’ seeeeel Se eeoererceee COCO SOP e reel emerererelsrereeesrceeeseeser ese seeeeesesseceseseces seeeeeseeees see eeeweeree se eeeeeeeene seeeeeeee saeeweeee 29° \Outside Case, Pine, Chestnut, Oak, Mahogany.....-..c.....++-. RE A Soci sv nksdokc pin sssiaindn cite fetal Lined Box SI OMIDEIIR oes ou scnase sos FAONUNER ssiucssenerseoves ‘Metal VORUE, ONG Soci ee ots Box GEMINI sos icceseles ceaseeGrre ise sesc eee ws ee BOO. sscccicsessaaiareenns eee ee Gloves ee eee Doz. Chairs Dramerdd :.ccsccueses eros GOlQOPG.<..:..<.scses Candles F COGMIGIR ss cag thnaent dass inisskis cis PO es es OP eee errr rrr err rier rrr rrr errr Tre Tree ree tke eee nme m ewe eeeeeeeresenee SHOR ROO eres eee ee nre sae ee eee eee e ne Hee EH EO eeensas ue eeeareeeeseeeeseees COO CCDC ROO EE OOOO E rere eee OEEC OO EEE ESOS seeereees cerereeeeseesaseeseeseeeeeeeees eeee HOO e eee ene eeeneeeeenereseeees TORR RESO Ree Oe eee OEEOESE OE SES ESOS OEE SE HOO OOEEST SOE HEE SEES ESSE EEE ES esEsereeseces | TTT RRL O ee eH eee Eee E OEE HEHE EEE EES EE EEE EESEHEE HEHEHE HEE H EEE EEE SEO EEE ES OEES TTR Ne OO eee eee OOO Ee HE OOEE HEED EEO EES ON SOOO EE EEEE EEE EE SHEE Hee OEE EEEOO EME SEE eteee POOR ee men ere eeeeeeeeeeeeeseeenee Peeeeeeees Oe C OCLC oeneeroroeercrs Te oeeeseerereOeoLeLeceghoscer eeeeeerroeescoeee: seves . Oe eeeeeeeeeeseeens POORER OO ROO OOOO EERE TEES EESEREOE HODES HEHEHE EEeueeeeee: cope te ee ~~ i Bie ¢ | Seeenneneeslnenen cess | 0860050 08 6055804 5:0.6006s 660 6000000 600606006 000065086 ebsb0ecre i | | | a at iwiavaveent ‘i SPO eeeees | ceeceese eocncccccsceccreceeseseresceseecesocecececeseesosos a Nn Ae ren seetr aan ee TARP m ee eee mene wea anes eee erene eee ees ee Esse Seeessseeseses Fe van ste aaa a danas Yea ES neere ares emer | Color eee sess B-LE, Occupation ; i tape. em Married, Widow, Widower .............cceccccsececccsececseee ¥ “A ccadevevus De Ae iewelegceedies at aa Husband’s Name ....< | Father’s Name POCO OO eee eine ete OOOE Eee ee eeeeceeee seeeeereteeseeneeess Leese. eneeee mY 30 ; Funeral of 7 : Date of Funeral. S ° ME TOG ais eiccndincckndackacssncsscacenasanbuceusinssnasnces ee is 2s cucuinpiekas tas ceaencds tet seda cena aa Shaving a a Out Casket No.. 44.05 eee eee Oren reese HOC O OOO Ee ee eee eee eee Seeeeeseseees Cee eeeeseseseseeeerereessoeees . Metal Inner Casket.................. CORIO... cc issies OOO I vais condos 0a v40 sen venases cigs cneviecsserbecebaeertienaeeeeses Outside Case, Pine, Chestnut, Oak, Mahogany...............0 Epes ay a, POW TOE ING: «cari dade sdihk ears ese WOME LAO TRO. canoes ga cov sna cede xhbsis os ens a de Mountings............ TOME se cccc vores Pee nies EL Vik nad 0 eee eee ere eae eet Bar MANOR ce eee ea PET UL FOODE cas bvacadivs usta sapeasees buemspuxtateen teases cious cress esas eenlie Slippers nea CE at - EO cs Pe littandance and. Aeeistanee <2 6.c6sc008sceeéiveneeecnekacs 'D Cundelabra ....Candles lg ee ee ASH EXPENDITURES. os RIOT GI PARR o ssicsiviasxiiiiviniye eee PURINE eis cx sacctrvstesyestielin i | | BR CQES Ry fersicss fr ers ineches tetas aes ee i ieardunevabencsebahesisksssiessisdanseesti aise reer eee cea la Clergyman... Sexton / REEEAUSIE SINS Lous 0kskeeesvccer: TANING...0000000 Opening Grave Vault Charges Be 2 Hearse.. Coaches PCOS eee reeeeBeCCeCNNeS Seceeeee PP er ne OOP COO CCeroeeeeesseeseeeeees THO O OES COE EE HEHE TORO OOO ER EEE ESOES OES H Eee scenes FOO ee seeeeeeeeeeess oer ese neerencs SHOE ER OEE EEE eK HEE EEEY MEOH O ESTO OOOO OOOO EEE eEeeeney POCO eee eee esees THOR OOOO eee EEE EEE OEE ERS EEE HE OREO OE HOOEOE EES ESeeenees Amount of Bill. ....0i, | ceeceeeeees Oe Ceereesiceccccess | secevscceees|seereees SHOP e ORE slo eeseeess | sesceeeseeeslseecoeess Mother’s Namé Physician How long resident of this State Husband’s Nam Father’s Name, Country of Birth Cause of Death TORO O REO O Meee OOO eee Eee HEE OE SESE OOOH EE SH EEE eeee: Seeeeeses Peer rere eee eee rere rrr rrr rere rrr ere rr rere eT ee ee es SOPRA Oe OOOO eran anaes Sees sere eee ees eeeeseseeeeseeeeeres COCR OCCT OOO SOOO OOOO OECD OOOO S Eee eres ceeeecees cessseees Fore ee eeeeesl see eeeeeelseeeseeeeeseeee Heeeeeeererslsveeeeees | sevecsecceeslsccceeees | “TPPPOCeerlccecccoss | secsvecesress|ereeceses|seeeeseceeeececccececeeceeeeee welecese SOP eeerereee POC eR eee reese Pe eeeeeee * eeeeee j "POP CC SUES sels sbb bees 0) cveeeyeenneshe600 ene ebebes66000600860500s COOP O ORO O eee Hee eee ereeene OOOO ROR eames eee eeeeeeereee TSOP OCO Ree Oe eee eeeneeess seneseseeeeees: POCO COTO OOOO eee eeeeseeee seeeeeee POOP eeereeeeeeseeeeseseeeees seeeee SOPCCOR OOH COLO Oe Ee ee eeeEe eeeeeee ee ereesees SOOO OR Cee e eee ee Oeeeeeee eee -eeeeeeeee SOOO OCOD CeO e eee eee eee seen eEes Poe eeleeeereweeees terleeeeseweneee seeeee Funeral of Date of F ary CORPO ee eee a eee e HHO EEE EE EE HOHE EOE EERE eEE ES Ee SESE EE EEE HES EEEeeee sessonaeena| sessesss Dike Pe isn ee ED cic i Metal Inner Casket.................. COMBE coi cssiasss Fi sect av assasias | sah cess | Where Interred... / Patna ¥ On KP 2 i F cic ecaeusey caeaiesse sins vaneuves Vesieossne:| dsaneuian as | caer ‘Grave i a a a ii ee i ? Outside Case, Pine, Chestnut, Oak, Mahogany... | sere bvernsoil | Recatlet Of Grete siscissiinciisneisnaink connie ae ate Edeing and Pillow Set No.....00..2.00.00s0e0sssseseserserscossenessesnees | i A GlAE TANG BO 6 istic EAT ee ; | Mountings. esas FIRB. cocoxiccsaxatcxcs PEE. ceo ressiatacee . 4 te wins chp ep ice nsan co ack ty vs vinceaceneen cays i | i Box Mattress...... cenncaciiunnatucmmonen i Burial Robe Dye ee See | ‘| | BDOOVE. ~ coasexessssantasesaaesss PR Sc peecacss PE oo aa vices resi acst<snees iedassees | Single, Married, Widow, W: re ae a wie i | : avi taks caste apscaus knsstae tie OR Oia ia ocean ca cnshicadc resis see | cecaascass | tresasi , | Birthplace I aetgesticteee Me cease i | Personal Attandance and Assistants ...............cccesceccessseneeece | ceeeeeeeee | sues a DUDA OS PONIONOR sors. arenas areal wir A a ie Draper y.....cccceee .. Candelabra.........0...+- NE ed eo cee sree | er | | How long resident of this Rat rye eae weer rae i POR esc c tc ceabeeecssh ede ceraeesnats TOMS cescieh css ca chs ccicieeaee cat resins is esaie Husband’s Name . : POO ec ee re rces reese reese esse sees ese e SSeS OEE ESS es Se SESE Sesesesess | sessseesesisseeeee COs ere eee eee see ees seers Oe eee eee eeeees HHeeesees a eee eee Es See eeeH eee SEES SEES HEFEH | Lee een gy PEED, BONEN oo ov vccsevescasensesrsccns Raw to BIOL Wu resececccccccescccce sceneeeeeresssssessrcnes Seeseeeees suse Opening Grave Delivering OPPO Pere meena renner eeeeeeeeneeee Hearse,. 7 CHEER HEH OOOOH ET EH EH OE EEREEE OOOO EONOSEE OEE EE HEH HOES HEHE HEHE REESE EOEEEEE EES CHEESE seeccscscsesccsescesesescsscenees Bb CUCPIUITLE. 1... csccccecerecssesees | iceeuee esl TTT TTT Nee ee Tae nen ee Cees CSE SCCSESRSOES SESSS UNOS HS VERNON eNeRaeenENdeEnS epNES1 66046 FT Liocecess 1 COMP OSLS OS OSLOLOTOEOSEOSE LEED se0CCCEoeDeLEEEESOONeeCOEHORESoCereHESEeTeES I \scecceeees POOP OO ROCCE THe Seeeeoee Beeeeeees OOOO CORO OE e reese eee HE OOEe EEE Ee eetseseer: ee | FIAT BD AVI ccc reece es eee eee e eee HHE REESE SCHHTHHHEEHHSE HEHE SES EEE EEESEEOE i .. | Country of "*/O S 2 oes pathestesesvensestene esa i" ¢ SL ‘an , Pravion ANS es g- seeececceggvcceccoe | seeeeeecer|scecee® © | cesecccccessPesesees Cause of Death ¢ | Aa : A DCRIYE _ | —— / / FETE eee eee eee OHH OOOH HEHE OEE HEEEEEES! cee ee EHEe eet Hee ee ee® Tere ree ewer rrr rrr rieerrr rT rreeee erie r litter iii ees, PPUrPPRCREPeTTTOETOCCOeTrerrrri rrr ie er see e eee] Cee ee meee eee eee eee eaters ee eee ee eee eee ne: OZ Funeral of Mra Date of Funeral_— ee OE TOR on 5 5 Lacancchsssicesdcccnaccacssanmens einev nas Taos cecosscaeescdsehsscisbaavnaceabeseusonessosnse PO RE FE CME oo oo 5s ccccsnncakecncuncceusnvavanssetensnescciets Casket No Beg 22, DET Bisxxes end Sates if cece cnn Ade OTe reece were eae s eee UOC a Tee a sere sree s HHH Heese eee esse eee er esse eeere Metal Inner Casket................4. CRIs occc esse Zinc Wr OS i rosin a dhce dase sss caucscchonrax}learssacnccs Uasecgaciaeaesineness Outside Case, Pine, Chestnut, Oak, Mahogany.............++++- Lining and Pillow Set No....... Pelee re eae tec oe e tears cusses Ee Re ee 0 ai zg cae se en canes oa ce Mounting: PI ONGIER: [ssa PUI es sasease ss TR te csr epic ceed id oa eye ae pias cece duaee cs ese sa eee Pee EO iiss 5 os een coe bose se conc ce eed ngVeta ub asuncenesesaseoais Burtal Robe ...c0si000+ Sa liaks iu seusuusinde ba kebsenees ees susuraacve tan iesahaees Slippers ee ea ee Ge, ASIA, Aa soe ees ike Personal Attandance and ASssistants ..........00cccccecscecccecocceess Candelabra Clergyman Sexton GQuaertetts, Soltst.... ....ccsccccesercceccecsces Organist Delivering Box to Opening Grave Lining Hour Mother’s Name Country of Birth Date of Burial.......5 sees | Where Interred.. Grave or Lot No See e eee rereeeererereeees CORO Ree OOOO TEE HOE EE EEO H EES COSA OOOH ORE HEE EH ees OESEseeEe SOPOT Come e eens reer ee EES SEDO EEEE EEE SESE EEE ESOSESeserS aos id ee ee eR cere e Ve ee ree eee ee eee ene eee eee eee eesensssenen. PPO M OOOH OEE EOE OEE EEO Oe OE eee eEreeeaeeaseeeeeuensssunceny “[ [eee eerees | Peer eeeesees seer eeeer| es eeeee: FHOCOO HOES OOO EHO SOE OO ECOL EES EEEs|seeeenesoessiseesrrr® 000s | 290000000 60s) 060500065] s 00900000864 05565000090008000 0580s 0 bees TOTO RRO eee eee wees eee reser eeeseeeseers SOOO eee ewe eee rene OO Oi eeeeeeeeees: TH HOO OR COCO reer eOee eee eeeeseeeseeees: TRO e CO e ee eeeereeEeeeees Peer reeeeees “FPPC OCPOO OC eee ereoreeeseeeeeeeeeesesesees eeeeeee eeeee seeeeeeee ; Po ee. 7 GeKoofe_ / Loyn Hour DE ARIIUM oi csc case ceanss vasiucsesenccicess UArtells, SOlOtdl..... «.secesevsvsecesisceccesss Organist Delivering Bow to....ccccccccssssssees ae ea eee IO RO 4 COINS SIVION Giisi todeciicliciicticcadsendnavs ME sities ss cceens WOUES MIN cs osehoay Lunn eii eras vsisese isa veasvevecinnie =< teessaneeses PRB isaiiigst cm iain dares Felsen RAMU NOE 5 cphctrs st Scaae ese tess specter eeeevis inves rev aa iae Eben TTR OE EEE OEE H TOTES SEDER EOS ESEEEESESES USERS EEEE HEHEHE ERED EEROEE EEE EEES SOOT OOOOH Hee EHO OSE H ESOS HOES HE EEE ESS EN OSES ESTEE EEE E EHH HEHE tee EEE EES OEEEH EES HEEEE OPO e Reema ree eeeeereneneeeeees POPSOSSS OSHS SOSH SSS ESS OHOHES OOO COESOSOTENESESESOD SUES NESS ESEs 6OEbObe CSO CO CR Ees PO OOREOOOMs CHOSE DOE O OOOO OHEEE Seeseeetee POCOOO EOS C EEE e HEHE Ereeeeee: POOR COTO eee eee ene eeeeeeeeeeesesees Pee eeeseeees seeeee POCO CHEE e Semen ee eee enene Amount of Bill............ . POOR Ce ee eee HO OOO eee eer eeeseees Outside Case, Pine, Chestnit, Oak, Mahogany.....-.......+.0++| Lining and Pillow Set No............00.++00 i iver cnt EY: ete) TARO Od veces toes ese IID asics sade he eves PROM os oxnsaventescoxs PA iesccstes ts Dae iaE a OR ooo osc ccc ccaanas seen isa Gaa tated naan vo onenss Te RRR codoc cae psscsccnsbasiesccaiwabieecabsay cysie see ieevaceescees Burial Robe .......++ icuuuedivs th Gus dis Lennndaakes eadesceeussheseiiesiurs sheen BAIR cscivctacstrasissss sess PM Sec eces) COUOE: boc csesesiscen ss eco guieus is bnivies tunetes state DOR. CHORES ities Personal Attandance and Assistants ...........0..c:seseecceeeeenerees DP QOOTE oc cccceccisever Candelabra............++- COMMIOR. «os cascisccsaee pines | se eeeenees|seeeeweee ewe eeeess | Seeeeeeee u } bsteeese lake nes cn a ie WIN ccc cscaco LMR scssnesees Ki sanedeaaeslinteseos Color OT a, sank ike bokiasee i peel ol ater tance Single, Marrie idow, Widower... snaseeceneensensneggonsoasenee eeeetNVaS | Birthplace 1A 2) oe, ae ‘i eas =e ERE TER OF VORUINGE ne ii i fe a | cdnanene | PROMO OUD FURIOUS OF TATE SUREE oases sie acest as i eet anne | faba a i S Father’s Name... 4 C Country of Birth ; Beis Mother’s Name Zt Wer cee pr 1 PR he , & Bing... Me Loge ne ¥ Country of Physician Cases af DOGEN «5.5 occcceseskl OU OF oor se acco ace cs ciddece sue snansascsacsviesianehiieeecisisn atu ; 1 CI Oak icc hires eee eee a PO 5g 5s dG che eR | ; RECEIVED ON ACCOUNT. / a POCO COC ee ce ceneee | Hee Ee HOR He HEEOHHEHS Lure Heer e HOO OOO OOOO EEO EE erent ese eee etlngnuerneey ceteve CPSCOSTO Ce PETSSSS | THCHREHOS SSL! 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MMS Cas... je ee 4 Funeral 5 Fs he Date of Funeral Metal Inner Casket............00064: PTS ENG © RISERS ES IEG OS FEE A TO OO Ea tp ee oe SS CEPA Outside Case, Pine, Chestnut, Oak, Mahogany.....-......+-++++ Lining and Pillow Set No. ..........0--sccccsscsccsseresscesscosecesses a DE Ta FO aacag cc ckvnns vi saa hrc sadn eesacsessnneed in scnveiecntassenssr MOURNE. caiciccssnse~ 000 FAONONEB ssc ccnscoeicecsss PUN arias ck cannes EEE DATE Nx oasis Ah as os cand staes cose apes eeenaaae Wie NEMIINOUR occa casncescencotisessvaeesscrenddacacossipeceecensocaasertes=-tee BANE case ose cScpeo an Vc sa eka eaoNSdSIS aos cinoma se ato aS OOO eee Hee eee eee ee ee He EOE EEE OEE EEE He Hee eaH a eEe EEE EEO E HEE EE EET EE EEHEEEEe SHEE COO e eee eee ee EEO OOOH OE PERE OESOOOOE ESOS OE OEE HEHEHE SEER HHSHESEO EST EEE EEE HE RHEE EES Perrrrerrrirerrrrrrrmmrrrrrre rr rrr errr rr rrr rrr rere rir errr ieee rs) seem cece come eesee serene eee eases reese sees sess eeeesesesesess 3Y ei a de ie MOM cs TMA ccctcathont 7 MAL... caunan ee ei X / a Steves caeenans | Single, Mc "AL, to Widower... f..+-.--rsgerrnsonsenesseenes } / 2 Z So 7 e O . | Birthplace C4 nex acc l/~ wee ee ccewwwe ns | SI UT IU FIACE onc te cece Pee cece cece eee eee teeter een sae eee eee esse ees Sees sess EE EEOO® Last place of resideie ..........: | onic. aii | bol ape | ..e2-... | How long So State p Athar.— | | Husband’s Name Father’s Name...{%-09. At ti micne teenies Country of Birth } | Mother’s Name.................0+ cceuaekee~ | ee wncisepee =% Oe assis POOR meee ee eee eee ESOS OOOOH TEETH HOE EH HEH EEEEEEEE! HEEHEEEEEEE SEES SHS SEESEEEEH OEE ES POeeECORETOP TOOT O COPE Teeeererrr rT Teer rr rrr rr re Sins tariae : _— =< SS SS Ss eer | Se cabana ty AOR NA AALS LL rsrenreenntn | ye Siete =a Charge to OF Morres ss cae | jin chueceiece Lr WOE sas bs co is oc es pe wee ene ee | a z nn SS eens and RECEIVED ON ACCOUNT. £4 INN o/s i sc lnidaremneeaierpsereopuareicmgersai biesevrrets ara | coseaebayliveneanes 1 <opeEPRTT ans tos anne aeveasen el ERAN © takiesaometibsaasary ees testis | 7 ; or, ERS rR oienr ee PERE ea ane r eer ey Peep ODE Eee De Bp PP yp Er Pern) Oates ens eS Worn. eh phan Te cae ae | ‘ Qs MPTNEER. BIOLOE NES 5. 5d a cvestceeccesdsvessesd ” oe tf tt An €/o0 Delivering Box we sovseeperd ‘ade by Opening Grave .....41.. coulis Vault Charges... 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Handles No. ; See ee ee reeuer te ico sh pesuaeeeseusssauees avancasnane Outside Case, Pine, Chestnut, Cak, Mahogany.............++++ | Lining and Pillow Set No. ........:scessesees Se auay sev iwantas Cock atae ees Metal Lined Bor : sacs atbigeet ech Mountings Handles Mee. | Elgar | Metal Vault, Style Sy ea ae ae | / EWE arcs orcas coi suli vb ued sek cawuuaavaslaedeuunni eke chassg saeuuciosdee / Rot 4< <2 Wag <BR on/ > ev A-€ Py Gloves......... PE, CRN oe as ces ss sacdatcca ce LA tant thra Candles PCM) ie ada Pat CASH EXPENDITURES. P’alms oe Nag’ YAWAY.. ras ainaet Clergyman.. OPIOR cscs ssvess Quartette, Solotat,..........coccccccceseccocces Moy Ca’ f Q Delivering Box td...:..... 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Die iscsi: BI ised co ccaedcsceetnse ude cpnsnadacancueaisdossuneonsanscnsnaneecen jasperssooeel Outside Case, Pine, Chestnut, Oak, Mahogany.............+-++ Lining and Pillow Set No. ....00..0s00+sosscessssssesccsenccecsvoccoescess DEOL TABI BOO oan scses cnt skicissecsencascesmmisnecs dauvauedewiekesesssas [eanenesasss WI OUBUTNOE. oa cicncvecs-<0o EXON. acennescnxaseoss: PANO. iisissnsasis | ees Dial Vie, FN vi viii cacke css cocsavesee bina insenten ebstcaneneee e i Ti sis thecinscknatagitectrinnnins C, se Sh Asn Burial Robe ......++ss0s00 Ath, hfe POves | FU ONIE iss os cescsnssseetsenns 40 POR Sas icctes CONE tis evsssecs mcusiaeksiaboihesscestdaasssvave DR, RE iva cavers pisvaciertomeaee Personal Attandance and Assistants .........cccccccceereneceecsecenees Draper y....cccoccceoess Candelabra aenatanumss COMGIME fits nci0us PU MUIIIE is cnctievts heisttsees re TON oasclakiys cdosia cckassauas sane [Date of Burial...... nthe . ee Pode i ccupeeates amie Where ania Me ler csrytiorcepwercetee Mies igi eee en | Grave et Ee Oo cua asecapincases EO soe occas caeeeisiaes Leese hit OF GAGS 6555s sce kc ene A RRR eee eee teen eee meee eee eee eee eee eee eee SOE SESEEEeeess Color { Ae =e ATG ". 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VassQe | Sai ia ra MR irr crer et sip 8 Me Oe, 1 vcs stacencch envvca dss tviasneasacaeemeaiouanbabadowiades oa. cre ase Hearse.....¥..2..: BRR eecins, : =e? ited Pee Ba ss sass esse re ork ee eaten es fuel ec ae. eet Bio | CN i a eels : ORD hd guekn kk kk dean © 1 obecesGdus bite a txaneaplenkeccubn cebesbpessce eek a ebilhe sist etc cesins | 5 Ok aR Ka e/ | atin | ie aus en a ae | FMOGTOMG, 00 .0csceccsscevscesecensccesenes RII, <i <cadbnninsineterer d: sulvces schceuebuens | vsnarbocheon tin avuaticeat a uae enced aoe Fcibcessesdatiasieaae MIEN MIND isi cin setiss esse siesicessdaicisnssvavessiens WRG sii la ee ae iia nei | weenie SOP PE HOTS OO OH ECO OOOH EOE TOE HESS OHOUE EERE OSOOEESEE EES HESEOEE SHOE EEE EEE EEEEEHS: EEOEES CORO eee HERE! eee OHO Oe eee eee EEE EOE OHO HE EE EOHEEE® Hee eee eEteee mar ss Nr Let ee ere Pees Soaks weir = oo. iD fond Peel of Date of Funeral— € Vv — Oo J ae Removing Remains...........-.++++ okdaeanss cos bacsussenesebussinrsancents NI oi, oo ainacsnctsecnssncseniececeascenacnssnanmsausauansessocas pee Shaving and Layjpg Out......ccseeseeeees satesceporeeeee lsés cavvahsius Sel On fe. 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PF ORBBUUE 5 oo scccsesseres ee sees BORG ores us arventerssise CasH EXPENDITURES. ee ere eee Reem eee tense meena eee mere ee ees eee OOO Sa aeeeresaeeseussseesee Sueeee POOR eee meee ee eee eer e Here eee eee sense eses HOE EOE Oeeee ESOS Hee eHeseeeeassseusess Seeee COOL ROR Oem ee meee OR Eee E EEE Eee eet E EHO EOE EHO OE EEE HEH EEE Hse ere Eee EE OEseseees TOP eePeCeeeeCereeeree rere eee ee ee emer ee reer eer eerr rrr errr reer reir er Tre eee eer TT ee Te ee ey POCONO LEAN Oise, cinseebiisycsscesysaluasadnpeavccasesonsess isos ssay okt PORN LIIIIIG cists die v5 ccodoredecdwesstavnses Vault — Hearse . TREO MERE EER OE HEHE OEE EE OEE HERE EEE EEO H SEER OEE OEEE HEH HEHEHE OEE E TOE EE EH EE EEES FREER eee EOE EET O REE EO EEO EOEEEE TEESE DERE ESOS ESHEH SESH HEELERS E EEE EE EOE EEL OE EES CE OIOUAN «ooo, i covisaicasicns siversaniac Transportation Expenses .. CO Ore rere ecesenees cecees OOOO PCO eee OOO C ees HOC eL see a OOEOEOOE ESOS EEESSOOEROODO TOO OEOOOCOO SESS seeeees Cr CPUC O Oe ee Here eee eee eee eee e eee ee eee ees SE OE SEES SEeeneeeeS CRIB 5 isos cicidcksviecbeadcicdiieknkces seeedecens| senesess MMO Of PEN, eS aio os acta seule seth sas inc sarsavesecnns cies sacsseaee | Sibare: Jibarveil Sencenseee “ex Cre OP DOG NOs soccer iiias ccs ccc SO ROO eee He wee eens eee e ee eee resereee estes eeeeeeeeeeeeesese SOOO R eee ee eee ee ene ee seer esse esse esses eee eeeeeeeeeeeeeeueeses weleweeeceee SAR R Oe mee eee eee eee EEE EEE Eee Ee eeeeese ess eeeeerssssi ee eeeee cel L\9.2...| Single, Married, Widow, Widower..... aia vavuecrasse ae Se = € _ ma L10.2...,| Birthplace €£4/, CL AC Rg. ZL cscs Levausnas l........| Last place of residence eaten TERME BING sia ci sists ees 0 5oas pa vies sae | ZO. a Father’s Name | prneere How long resident of this State | pero: TI IU ooo oc eect cies i eee aliases IOLNO BNO nooo osccdsecss ube e Gd Ae wefeeseecece | UAIEUT YF UP SPUTUM se. cee esceee seeeeree reese eee esse eres eee eeerenensesnssesensnee IE I coco iv es eadiccecesvieet Meera te vaceserertiselc eee When rendered..... tele eeeeeees RECEIVED ON ACCOUNT. ee See cee Funeral of Date of Funeral. __ Ramon POM AGAR....<cocsccsesecsvecesencasccesnnnce idaetcepasecnenanaeuee DIONE vii ose cieckssdcaenscresenas Shaving and Laying FP sacar tuseaiis Poreere “fhe ys RNID PU Oy serch cckansssaeesuccsbecesspacenaenes Paci ctcocssaseretse nas + Omen e a roeweeeeresoorsowoseenes Metal Inner Casket.......:0ccccccsses CODBEP. ca siccotess A ee Handles No......0ccccecsesseoeeseese ckaecoansescconenechevenadnsaaeanssanseasace | bassckesies Outside Case, Pine, Chestnut, Oak, Mahogany..........00+-+++ Lining and Pillow Set No. ..cccesccoscscondscccssccsecssceessncss owe Metal L Oeeweeoeeea|seeeeeeee | ee eeeeeeeeeleeeet ines [90 0 | ‘ Mountings........00000- 0» ELANCE. 000. cssescerseees POR siic stesso lervenseree. hashes b PRC CeO eee ETH ee a Se eee aise tr B Rob EA Linnideatiedikuaedshetsssees OEE | docstoc Pics discasccnsens PONE Fas asnizisiccees siacenesss iat PME CGR facsssccduacsscasesascsstnce<c i 1L Attandance and Assistants ......-ccsccescccscovcesesececessss Porters and.....ceoe e ee oe Voli EB. vcrcvscencesccccccocce Clergyman Sexton +OPOSEDS S00ESHO9S9COF S90 e O0NE NEES ESE EES 0000 08000000 C See ebeEEe ee eeRets sees POPS OOS COC OOO OSSSODSS -COeDEseDSecccceecee cee EeeCeeEeOS sice Opening Grave .....8 ise ascee Lining Vault Charges...... 5.00.02 Rsssaveatanssycvesincseiranniunasseceicese Hearse... 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OPO 0 io sssvid vic a Sdepcsetae eaten eaaucaesnes Whe Ce 8 ee soit iyervisiieoees THERE Hee e een eee eee el ee eee eee eee eee OEE OS OO E Eee eee sees ersssslenesesessers|seeere® Fe Pee eee eee rere ee eerl se eee eee OOOO OEE EEOC S OS OOES ESSE EEE OEEH Hse eseseeeres|seeer® SOOO OPO O SEE ETH E OSES H+ 05005000000 05000 0050006 0Os COE See OES COES Hleceeceeeeseeieceer® SCOP COC TOROS) FO COOCOS) so 5 08000550 5505S5 F000 S CCDS CE SECO SEES Seo seeseeeee*|eeooee® Funeral of a Date of Funeral Pa tLe Ce OCLr —//~ Lf ad . = Handles No Outside Case, Pine, Chestnut, Oak, Mahogany..............+++ Lining and Pillow Set No.........00.c00000 py calpeskessaueeth cases <ainass Dt PO eo iiss Wn reuse MOUntings...0.0.2-s0008 oss PRIS TN eo as cise kin cs Ridase docs pests DR AOI on goood ds ox as natece ap aeons ad os DPABOTY cise EOP Candles a hiss POM ois vkctee ss, ey aisacsees epee ep eeee Ue rer ee OOOO ee eee meee eee ee EEE OOO SEES OHHH) HHOOOE EEE SOEH EEE EEE EEE ESSE EEE EEE eEEEEEs SHOES Cee eee eee eee rere ere ere ee eee reer rrr er ee rere ree ee eee eee re eee eT eee eee eee eee COO e eee eee er esses es eer rH HOSE OOOOH HHE EHH EOE EOE EEO HEE H Hee Eee EOE Eeeeeesseseees: A IR rors ak dared ties casos ss iaee sb ioieayoneat nl BU ace as gece tas ern haart ae as ea Quartette, Soloist Delivering Box to NEON TIONS ogres cxsiiekcsesscenksnecossiaiiis NN hE eee stilts ee Hearse... 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How long resident of this State Husband’s Name 7444 ont Cs enn ds eed 2 Father’s Name....... a7 ee 2, {ee COUMIPY OF DAVEE oo. iossccBcavekcccecs Mother's Naiwne. 20 rr ss Se COUMDPY OF BATU, 5. .5.:c0sk0 sciees se tissciaNtieli sete Ld ba J. , aa Fa ay pa = nh 446 fufout dan Funectel a ; we Date of Funeral’ ___— WU coe Oe eeeccoseseceeosoesosorerees Embal ming .....c.0s.scccscecscccccesccscces Lf ie 17 - 10 ethel ONE E Poca, Oh, cece ee Ree ee eee ee eee Fetes Cee eeeee TEESE eCewee er eWEFSereesesoses .* Metal Inner Casket.......0ceccsseees CODE... ccicinece DE acicien Handles Nou. ..ccccsssssevecscccccvccccvccececcccccccocecocsonccooecocssess Outside Case, Pine, Chestnut, Oak, Mahogany.......scccereeess . . * ~v e Lining and Pillow Set No........ceccecsese Metal Lined Bo Mountings....... Ma tal Vault, St jle.... een ecerecences ceceeeoecceesoosocesses ak AIT OME... cscnscsusensicsasen Burial ODE . .ccscsesnssecensontecteoions PDOETE | i cscsccpasatantacesseanes Personal A ttandance and Assistants aeoccecceceseccccescccecocccoccecss CORAM ADNG, «<x seicnccs OUND ascisssccersess a eee eeenwwwn eres eeeseseseeusess Pee e eee OOOO eee eee ™ = ° =~ : ~ : = : w THRO eRe eee eee eee eer eee eee esa tee eres eee eeeessese eee ee eee Cee Pee Eee eee rrr rir irri irri rrr ert retry TTT errr TTT ere eT Tere Clergyman Sexton POP OOCCO OOO DOOD ODOC COSTES LOSE OR OOO OEs SO sees seSesoseeeseseeeeeSeOoObeCCeCe Carr batts, SO. as. 5. dscccacscascccecccocccos Organist Delivering Box to......scccccossceses | OAT VOUS sssccetasiceissicedeciviens NES TI ios ieoacs ass cccbintdeein hisses es te { Pas scaskvenaddessesseusasiensvivisdigics devised Wedecerersoe Coaches STEERER eee TT TOE EOE eee HH MEOH Ee EET O OES EOE SEES EEs er eer ee en SHORE OEE R eee SEO EOO REE EEESEOSOE SESH OLEREE Sn aeneeenneeeesesnroe tee eee eerensesesereuee -ee COP OP OC OCC See recesses soncceneoesesoceccs ° eeeeeee seeeeeeeee Cee eeerorscceesesesee eeeeee Fee eeeenroee eereve { Removing Remains........cccorececsereerscersenssencccscssoescccecanansess | soseseees CPO PP ren eeererereoveoerecesocoseees’ ' Oeeereceees eee eeeeres seeeeenee OO merrier lt eeweeees | seeeweeees seeeeeeees al teeeeeeee Shaving and Laying Out....cccccccccececcccecccceccscccsscseseccerereess og ap peress Casket No. pote tebe Mess, Wt App Size. FO sesossen Af ee | DL . cannc0cbs0ebdndnceddbedscnesesendedeseencces endesesenendnonces | HSCS e Cs ee sis enneneee | seEnees SSeeeesesesoResassoeH es OnesaERgeeseesOsseeeennneene veeeeeecee . ee 1¥/7/. a Place of Death. 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Ahcvebes|ssereseee Beene ee | ween ern e wae ema wees ween eee edaw sees sees eee eee ese saeesseeseesess eee emsees TEETH THOT He eee ee ee sare memes eee ee OSS OOOEEEOOOOOE EEE EOETESESH su eeuesseeeslrernnee® cececeesener|coecesees TERRE CHF HOE TOTES) LHe Ones TOES HOESO REO OE SEES ESOS EEESE EES Hl oe ereseseeerseerne® THROM w eee | Ree ee mew eee HHeH eee ee HEE EEE EE OES EHO EE ESOS EM HOOOE ESE eeesseessinnsesaeseees| reererene TOOH OOO e | Howe ee ee mere Hee ee eee | Hee eee OE Ee EEE OE EEO EOE O SOE OSES Eee Eseess|sesseseseess|seeeer® COCCCODSS | 5000 0c 000s os] 55600006] +6000 06s eOO8006F6s 0006066000 00000s0 58 ese 0leesebeese see] e9eeeoes® FEE EERE EE EHO H eee eee eee EO OOOO Eee ree ee eee esse eases seeees |e eeseeesseeeleeeee . 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Lining and Pillow Set No......0..0se0-eeeee ndbis bouaseehaabe loca cet eede A CAME I a5 oc Soe onc ckue duc cueatue cs edad ep bens eases ws Mountings.........02005 ++ Ben Ae fc sae. nsdecs cdanuweacacdans bachscersivedessae Box Mattress ....4.... i senate reece eeeenerneenses EPGDONY vis cecsecs MRO OIE 2555 55500 ssesdincdte Gh Rug OCECTETELOOTICTITISE STITT Tee ee TT eee rere reer rere Tree rere rT rer errr rer i Ty Tre reer Oe CeCeerrrrrrrrererr rrr ey Pere ere eer ee ree rr ererr erie Tier r errr errr re Terre rire TTT Te Tees Pore eerer errr ere rreerrereeer rrr Tiere r iter eer e ee eee ee eee reer er eT Tere Annee eee eee eRe eee eee H HEHEHE OE EEE EE EOE EE HOES OEE EHL OEE EEE EH EEEeee RCN: OAM os cise kes es savacnnseses CEE ico ecccsnsis TOI TO hess decree sata seus tices amos Seeesvee vee PUNE NI olds ois vskssn yen ds saved taie ov nsasvissensvaseciersiacs cess Hearse p Behe CA. uae er Reis OTE T TE gi EB rc aPae Mesa: Dor ee Gc ia tsistiar Utes GNP ERRNO re seeeesene ° eve ° e stew ewes . +. FORO Re Ree e eee ROO ER EO OE EEE E SEES EEE EEEES EOE OEOEEEEOE EE eeeeees se eeeeeeeee Oe ewewceeaelseeennces seeeecese eee eeeeeee|soseccces seeeeeeee seececene we eeeee re leeeeeeees ORT cree ene eeeeeen wes eseeesseeeees esse esse ees eeseessseesees rn tf sk —=".. ee Pe RETIN ae CTEM Haliake, Place of Funeral..°%.%...00.10: egaenhance Core ctereeee REeeane Date of Burial... Where bihiered. fro oestrone ate es Q : = RRR eRe eee eee eee EOE EHH meee eee Eee eee eeeeeeseeeeeeees® ; POO OOO ROOFS Heese eee e eee meee eee eee seeeens: Seeeesees SOCORRO e Oe HOH wee meen re ene een seeeeeeeeeeeeeeseeereeseseses SB Birthplace ....... fchene Feu o. 7.8... i EEG CHOON OF FONE Bios cE RRR RO | i How long resident of this State........ 2... co.cc cccccccesescsesesesesees | hi Husband’s Name . TTT. cy Country of Birth Pa SEER e OOOO eee meee mentee eee eee ee eees sew eee esnee | HHHeeEee® 48 Funeral Date of Ha nd 8 No Lin ing and Mountings.. Clergyman Coaches.... Cee eoreeeeeree Removing Remains.......ccorccccsereersecese-sserssonessosecesecncnanens E’mbalm ing ....cccccccccscccerscscrcccscesceceveeencveccs Shaving and Cab INE NA. arc csacacnsesecnseens aaness sscasnan 1 Metal Inner Outside Cas Pi) TARR DIOR yc avccccccsncicnscesnbesasncansenmensés Metal Vault, Stryle....ccccccccccoccscccsccccccoccccscccscsceseccecvocsecscees } Bow Mattress. .....ccocesssscccccsccccvcccecce Bi, 606 yack iscssescscosceseees Sexton... Delivering Box ee Sita woe We Opening Grave ....= LO © seneeebelaiwsnees Liking ME CI incviacespicavees caerkiksnsnaviesni edb ca tk BR radio cos Beats 6has beenthsescaceckess sic cnteee i ieakas COR ee ee eeeeeseeeereesesese SOCCCOOO EEO SOES Seeesenee of / My yo au Funeral___— aS iad eeeeeeeee YING OUt..fYs.ccccgrecccorccceres Va ec | CORE ici siccecacvds one cneccccccee Secececeeseneceseses cocoon cooosooeoooesesonoosooeosoess | eosesesesos se, Pine, Chestnut, Oak, Mahogany Pile BEE P10. incnscsasasavvaden crclokcuccce ase ERNE eI oh aakasbabagneee Plate POCO OR OOOO SES Tees eerrgsereoeeeerss BOPDDONE. isikcsainstevcciexexented PRs cxevseasinvee Gloves Pu ccicers tistaniasteisinee Ne CGE. cc sacovaveacanescscenvassncconstss Personal Attandance and Assistants .......cccccccccccccsceresecccseess ‘ ‘ Draperi......c0 pA io caiaconc ces ORIN Oi vs sh cess casein | eases cll ccieehs HOR RHR SCOR Ceeeee sees eee ree es eee ees eeeee ere seseseeseseeesseseeseres OP OOO OOOOH EOE Hee EOE Dee OOE Eres eee eee eee eSO SCORE SOS OTOOOS FESe +O Re OOM eee eee eee eeenen see ny 0000000000000 0000005000050 0 505058 58085855 e eH beeen el 8e8h eee 66e+eeeeess POSS LOCOCO ODEO LO COEDS OSE> OO0ErsrEREs cs HeEeenereeeOnOeoCEeeeeooseooeee eeeceee SHORE ROHR OOOH ORO E eee eeeeres feecees s Vee Reser eeeroees POC OOROREOSOOLCS Seesececs cenescees Date of Death...... / Place etki. a ROPE eechatena te ps rclek et teti ee oc sak vivecvace, reer eee eee re rere reir ii eer eee rrr rere rrr rr Terre eer errr Grae ees ; Mehicteche fitcou” aera: tannins Funeral o&§$4““<“~ Date of Funeral TOPO M ERE HH EEO E HOO E EOE OEE EEL EE EE EEE EeeEreeeesenens POOR PO eee ee Oe HERES E EES EO EOE EEE OES OEE ES EEE E SEED HESS EE US Eee ee eee eeeeeesieeese Metat Inner Casket................+ De FO ica ee snaps os ste resco hss sae ne Outside Case, Pine, Chestnut, Oak, Mahogany TA a PAD SE NO: ois s vn cninci sacaa vacesseec> Giavsnvesepanctins TEER MO ai see ovat ots a DUOUMEER GE. . cicss cacines <5 IAIN os cca cassis. toes Plate Metal Vault, Style......... iblavcedsasbesssiaes ene TE I oss sas ccna banseanncancensse dekoseseeeksensbetsceisss ace SHOUOES ccc BOR co cikcsivets WOON sk Ceasers cece is Se eee PGES CRGME., 2... .cichssisiacsacasibesiessers Personal Attandance and Assistants ..........0...60.cccecce cee ee ces Drapery........... ....Candelabra..... Candles. ...... DORAN Riess ccracshonta cere ss tioo es OM paca acs ceae ney tne ioteeneses Pere reereeerereereererrrerrrry a) 7 /(.- Pee ee seer rere rere reer reer ee eee eeerr rr eT ee eer ee Ore PEC EeePC rer Cerer re erre ree rerrrerreri rr it errr rer reer eee reer ee eee ees OOVeeeTeCePrOererrrerrrer err rr eT rier rr eee rrr rrr reer rT Tee ee eter eee eee eee eee eee ee eee eee POOR eee eee eee eee eee meee ee sesame eee sunt sees eH OOOH EEE EH eee eee ees see EE eeeseeeeee TILE COPeererererererrrer ere eee Te eee reer eri rerrr rr rr rire eerie reer rT Teerr errr Ty Tye rT ees RSP RINE: «5, kbc sh coey coke Vk ebs seteun se; eevesés Caines GAs useeccsececies OO eee cso ac ee a a coset nesses tens ction SMAI TIEE, THOU 45; si chs asecescébvsssansoueee Organist PP PERO MN acces fis stn nek ckes cs cseieuess Opening Grave Vault ~~ , Hearse soir iii iin acsasencsice OO sana Soper f WE lL . Telegrams. .....5...4 hoy A 4 an e Oe) fstenssuveessivebssciat Transportation Expenses .. OP eereeeeeeesees TOTO R COE e ees Bette eee ee OEE HOO Ee HOES EEEEOORESEE EES EOEEEEEEE SESE teeters OOo r ere eneceseees TORO E OOOO eee eee eee EDS REE ES EEE ESEESOSEEESES BOOSEEDHS BEEEEees see eeeeees eeeeseeee aleeeweweee Oem eSe serene ene eee e eee es ee eee sere eee ee SES EEE EEE EE Eset eeeeee Seem eee were ears tessa reese eeesepheases feted eee ear e reese kee eee ent ee eae ese ee eee essere esse eeeee Single, Marri Widow, Widower. ..........cccccccess Pa tite Ais How long resident of this State. Husband’s Name Father’s Name...) .c.....c60 Country of Birth KA Mother’s Name., When rendered..... RECEIVED ON ACCOUNT. iit hi | Aa Gf 50 ae a See OQ Funeral of Cec /Are ters. a fbiyll (Meru kewilef x a Funeral of... ~€. 0@L/ HF 2p Date of Funeral____— OCL _ ernment Hour ML. _ Date of Funeral L/ - ADM Removing Remairé.. sesseansaney ean eee sau anciakennnaaabnia Caton Embalming e eee eeeeneeete L LDN AA GS, ecccssseesesn Shaving and Spina Oat pv Gre a : Saibeieats | x Casket Nowhere rl ar eee sean: whiilGx / - one Cd eS cu pegeasnencaen tase bandseeckeuenabeauaquneese Lice MO xan saenssens (EES Or bet 4 @e Pe a aE Sere Date of Burial.. TEE THEI oi vinasnistensciss conckadssdeeesceaaasas nena Metal Inner Casket.......0sesesceee CODREP 0c vsenesecs FN ec sasies Vakiascs ve chahaueen 5 HIS OF B08 NO ooo ois vicdetcnces hedantas PE ARALOR P00, c nnancavadedendanesaddesennes Lining and Pillow Sct No........s0cccrsccccessscsceeesccccccooooees see eeeee | wee e nee Bere ee reese ee eee ee eee sees sees ee sesens see ss seesssees | ; Outside Case, Pine, Chestnut, Oak, Mahogany....ccescreseees | serssecoees |-seeeseee | Location Of Grave .........0000.sessssesssecerensccessssareceessssseesscsssees Metal Lined Bo2.........cccccccccrccscccccccccccccscccccscscccccccccscccccosces | teeeeercess Mountings........0000.0-0++ LONAIER. ssrccoccccceseree PURER csressinessess. | easseoses Nee | casseentestenensteacsaesien dd necaceeeeeesaneteadsastheaseuess | Mountings..........00.. ... Handles......ccece00cees Pita IO A ee a a ST Nectal V Gilt, BUG vccaccscenaseenssvenevassocens ace ceases sapanb uenntaavers eect ae bia tis | seaseanbanutssesseufeneceserccssesnesasessebeenate<csceseses ee rete NN ooo casinos | BiG MGUiy ORS. «« c.scnccsue<coss00secasvnsnseconesbeeneenesansasssesencegnces3*2* | iesassaseas | Gaiseee . ‘Age... 7: an. ts. te Ja EMER, .....00080 Box Mattress .........-. Loom Se MOR mess coisas Hs Meee seen ae es ; ; Z x aon P—-_ Burial Robe ........ssscesessocccccecsecvenccssevoessossssssessencsescsooonerse: | sesssesceee| snsoense | Color... Jf. MTN. Me ortees so. _ A Burial Robe ......00...srcrsccssssscccesesesssonsessessccsssncasnsnseconssosess { } | | GU P08S........cscsseserescscassrcal WRisessesousenenes Ditiiiiccniiey ane ie Single, Married, Widow, a Seerisaaccincae | Slippers ...... ia Ps id WE a seni Personal Atliandance and Assistants .......cecccccccescsesesescesceecss — sescececes faccésenes Drapery.....ccovee IRIE O PIE os cicccsrcce IMME Steere vizesees | dacdascved oeseidk How long resident of this State ip cates a i Wstaenetsee Re s,s ccasgusiaenclaveusaeassesesist (Sessasese ete eS fj ; Husband’s Name Lo hi Father’s Name... we : iia a 3 5 ‘ gee ores “ts tS | Country of Birth COUNDFY OF BION cicero lisekicess cc I ca wee we wen ere weer en ewww enews ed (LETTS «esac cecveseeesseeeseeeeceeeeeseeeeeeseeseres | | eeeeeeeee | seeeeeees j DIDO” VIUGRMEN EE oscil, oe inkckcsdncscoda sald cpbouidern sei oh een aaa [rsteseees Mother’s Name....... Mother’s Name../.AA-F -G...... 7. ee 2. | | Doce cecreesesseeesseseseeeseSOSreseesseeesesens cevecoosenonccoogsossooosoes | og cscs ccelcccccccce | & LUMO UNS ccccccccccereccceeccccceccececececeesceseceseresccccevcesccoeeees B Ordered ae ne pas gbvevenss <ork OF URTR SUE cay cekenerissixtaxeprensecsie OUDIcisieesdscs te w.esse.. | Ordered by I \ j Funeral POOLS Gee iad cea a ea | paves ies Charge Back te ree orn, eet ee enmne set ee etd ie ae : . | Charge Mase eWRETRSY SES ERNEDESA 34 va VE DOTS ENDER ROUSE 8k ‘ibenaneed reais When rendered eccccccccccccccccccccccencesececeesectsscessessenecenseveccescees | UUPEMESeeraeceeaaaaaaeecceeaaeeeaacrceseeccesanentsiengeccrsracesaeceaaaaartcaeees | aeeeeneres [seteeeees When rendered..................csesecseccseeeecsatenseeaeereneees POOR eee rere reer eee ee DeOT eee eee EE ee Hess OOS ee eEOeEHEESEeEreeereseeOOHOEeresees® | seocccccesi|seeroseces +t | Neseseuess | seeceeeve RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. sseesensesenecesesssosssaccssaugnssaneensensescanennenessennessnansssssosnsaneorsess | seseesecealsensucaes ond a Aaja pencmecmemcccmgemecsgmrmmmcmme eens sees eevesevcseczasenssnszee: -sssencensrasenssnessnecnssaressscnserescaseansens | sassenscesleseseeees| —— Ff melas “a manny Clergyman I! Ay | TAU MN D ¢ Ky Gf ‘ Clergyman | Mi “Vy 21... FZ. K2Ol > Lae Ni Ce eS OS Coe Oe eeerensecorccceresoecoooceceseceocecooesooooesoeeecccoooceccs | UlUlUlUlwUwlUCUCdLTtt~t~*~*é~d A OO OG ME OP OPN Ne OO fF NV OF crm BLOT TTI cccccccccccccccccc cscs cscceeceeecececesecccessecescceccecsss cosousece ie scene ben yedaneniuectuxseerstettvrssstsesasiibuseiatinderiniasewianeiiece | Jil lie | RO 5c aay ian AUT ad Save k es U5 O44 N Ny LUA ERRA CANONS WHE SEOs vO MUAN ESN UNL Mo aussie Chia ase SRE Caesarea eee hee oe Quartette, Solotat, ...o.cccececsevessscosesceons Organist ............00000. Sern eer : eonnerewesiccceces « | sevcccevesectesseves ooloocecenceccuckacenkenedumemcccecvecccceccclucceeewcesestesccceetO Ch SSRN Er ES: eh Hoes erenenseennenes ce one ey puerwee Shh SeberesseOeED | eueREseserjreccees + | seceneseses+|1s2etso0s]+ ccsenesesseseeD: s89S0C0b0REEReESEORS+15s]eesee800ss+]eresueERe Oo eee ee eee e meee ee eee eres esses ee assesses |seeeesseeaesiesunesee PACU ie BG nities Fe en ee ane Te eee SUPE CYILOEEDIR NERD 1d La ana UAE, cusmabes vues ve esgealseae was cy bun Li au iay edu Lane ee ee ort HORA E ONES LESNER SEY SEARS ORS TUES HEC ERS ITEC ETESTENSITG A698 1 sensguegss| PRADAAREE Shs cusineoes E 5400s-~ebseucleseewas elon La cuacaud duudue lec ee nak ate ea cca hcapekee EE ee ee ne OR Os CESRESSSY © SEUVSUDS SESONSEDE DS EUGE SHS OEE OSERG AOE F555 09U8 4991) SURESEEE 1 #dERLTERESHS|* *40 ERTS 41 040556600 C00DES555 5555552 KEES ETAARSESAD ES Nah p0-50$y 6 <ecds one eeens FRE e meee meee eee eee eee ee eee eeetlesareeuraeenle® Vault Charges.......-9 keiitem cular ae uaeetiver eet Poaprrseeess Ke _ .* h 6ir OCC eRe eu eeass 77 44 ; ‘4 , Hearee......6.%...20% ssveseneeees |ssseeeees | sdabownleeereneeend Meauiensenpennianeetbeieiponanayseiest Vault “ae oe Res pes ei oar Saene 5 OAR Risks cinvasesnssnscvcstevenie THERE Re ee eH e eee leew eee eee eee ETOH HOE EEE THES EEE Ee eeeserleeaseeeeenerleeeeee® ; alg . ; SII GIGI eveccntaecsvssccssscseisacisveiicc IN. ccictbiaseses os he es cette es | i desk oe 1A ou cn A ee che mht goa aed aa 4 Onening Grave Leseceneoneuesnaubecesssvenasonvabeeersetiysecseeeeus [veers gahs cede ree we ca A ecg ccc h ck aN ws BeBe Ml ORONSE OHS ORE ROSE NN ESRNREDUUEESKEESHEERSESUNESESENEKI SEDER SONS rsNECeeDEHESCSOveNsenS . THOS H OOH | renee eee eeel see ee eee] ears een OOO OOO EEe eer ee eeeeses eee eessees ls eeeeeeseers| seeeere® Prrerrrrrrrre rn Sesdcaectilawaekallia Nix eoee Bea gee alba ree ee Uk etc cn) ee PRON cee ae. | A ORUPANNESCUTSESRURSES RbSGceneaned es eaenteneha soda tvebus CoN seLNenehedeneces URcevens POCO CO Oe | wemnereeeeerl Heer ee eeel ere e eee se OOO OEE eerereeersesereseseseesiceccocces sesieeoeerer® OPEC ICeI reer i irri Titty b - eeeeee peravaviieieesncie Lice ee FORO R Oe eee eee eee eee ereeenneeeense THREE O MEOH O eee eee eee eeHe ee eeeee eee ineeeseseseerieeeee® ———e ? Ceoeeeeerelecesecess | seseee sees Ooo eecereeevcreceeeeeeeeee ° aes eseocoes-[eoeere - eee eeneeeeerues eee Se eeeeeeeeee eeeeeee ee eeeeeesesoos POC eeeeeweeeses Seeececses ibe dart tii tit ttt ttt . TOPO OOOH E OOOO e eee HH OEE Oe OOH eee EERE EESEDE EHH HEE E EEE SOE ee eEEeei ees Seeenees seeeeeee eeeecereees Seeeeeereseeeeee eeeecee veer CERO RR ROO eH Oe OER ERE EE EOS ESSE ES EUSOOOOSSOES OSS SS OS OEEEEESEeeeees SOCCSCe ee Beeesees . Amount of Bill. .......sssi saehibbcisicin r 1 CC ee eee eeeeseeneee ite a 652 Funeral of f Date of Funeral ogee —yEe trees es f cosesncaseece Removing RemMains.........ccccccccceerencecees acsecesersoee Embalming ...... t ‘ Shaving and Lyi Out...ceeseyeeeeeseereees a MMacp iF C22 aie grec ca ncecc iets isn haeréeseesean eon ceseeeseescooe i! Bethe, MOTT. saree | i ’ 7. Metal Inner Casltet, .......000s0000 COLDER sos cossexecs DAG ivixitacte | f ; Handl: 8 Filth Guu acuocinconeaseasanan en 4 i Outside Case, Pine, Chestnut, Oak, Mahogany.....0sseeeee+++ i oe Middl Tine TOD: sic ccccccecncaperaeadoatsaniusdiacansabesasanaarinecensens> di } Mountings...c.cccoscsss eee PANGIOR is caicsicscessies Pe asec svensk: i Rirotal Vatill, Stii6..cccrcunsaccenocerctasnonvaness pS linen spucmaselewecs tee it i Bou Mattr CBS. .cccccccceccsccccccseescocceececeseees eeeeeessocccees eg debdoonceees i Bin ial Robe.. se eeccece . RUETIGHE | cc cccusassviaviataness Pee sloves bs ; ee Big etaetee «ca oseveasa BORE, CE os xcsnsciscscnentabidacsiatierines i Personal Attandance and Assistants .......cecccccccccccccsccscessesss: fi Draver oe a os CONGIGE. <i ccisseccaness OOOO OER O ROHR ROR EOe HOS OO SEES HH EE HESS HO DER eenanseanennenns | OPP PPETTeCIeCTrTrer rT TTT Tee rrr rer iT rir TTT Tieer rr rir rT Tir rir trite) ME SUR 555 sg sees Senne see eewesoee I aye ral Ne COPS O OOOH SEEOO EOE E LOSE HOE ESO EEC OOO SOD SOO E Ee HO tO SEeE eee See SeeeeeSeSersoccs +O. OOOO eee eee eeeewereeeees SOP OCC ROC O CODED OE LES CODE EEEE Seer ee EeEss HenbOOSOEEOSOSS ss08 seeeeeeeeesersseceresonsesessevees shJLILLIUG ... cocccecesceceees Ee NONE iiies i div ices Sess vases Wi en PIII sascvsccdecareieitccsct cei TT isa ccicdkocucvnasesesteene Coaches.....&... COTC eer eeeeererereresereeer esse serene 60805 50se 055608 Ceeeess COOL CL EE TOLLE TSH E EEE OSEOLOOSO OOO SOOEH HONS Ess H8O0s seeecereceee cee eeecoooeoeseeeoee COSCO COCO O OER OO LODE OO OEE DE SOOO LOLOL OCOD Ore eeeecereses en eeeeeeeeonreeeeetooteceee DAPI isc enssissceeneseesesss Transportation Bapenses..........ccccccccsccees See eee eee reeereeeeeoee eeeeerseee PC CORe ee eeeseoe OOP eeeecees eeeeeeeccces eeeeceesees COPS RR eRe rere eenenereeee eoeeeee eeeecee eee eee reeereeeesesesereeeeesecesegee’ . eee | Location oj Grave Oe eeeeeeeee | | jtseeceees | Rene meter e ee eee reese a eee eee eee erase seesaw srrraeees ascaeweas es apasaciak:| <nenaden Aencevanets aineeans¥saecdseseisiancoserecasataamess eoccccccccelecccccece | “FOF 8OFOl 00S ees s000eesse eer ceees se ceeecs ses ees cesses ceoeeooce ae ee cece | Birthplace... QQ BE ary, oy | Last place of residence a sl sssese.. | How long resident of this State................./.. ieieiasses ae Husband’s Name Country of Birth Pins Ds a eee eee ee eee ere rrr rr rrr errr Tree errr OUI 0 RS ois ois ee a ns fee Ordered by Charge to £14 Te FOI ois bio oses icine cae toisaeseeiasiss RECEIVED ON ACCOUNT. TEPER eee Ree eee eee Tee eE eee ere eeeeeees fo - | ci eineeiacenie is OPEC POCO E OOPS eCe eT OSE Peeeeer rere Te rererr rrr i erie ee IP Salts OOR WE ee A 1 iS ea Rages mk RTT chp 2 aN Ree son TA. Funeral of Date of Funeral 53 aos re... eae ., 2:20 Or M: i Hour Pe 0 Ok ns Oe a Casket No HERR Ree OHH O Ee HOT E EOE S EEE OSSESEHESE EEE HSE EE SEES EEEEEHEEE EES Ee Eeeeeeneeeteeres PAOUMIINOE. 0 cccccosnes's xis Metal Vault, Style Pree eel Oe eerie ee Box Mattress DTGDONY, «000000 -+8 ce PEE 555 sseatbueasass.ts beau Peewee cere es see eee eee sees vere esses ssusussr ere eeseeeeseeesseeese D PLO OOOO Hee EOE RHEE EEE EEE E EEE EE EES SHOU EEOO EOE ESE EE EE EE EEE EEE aseEeEeeeeess Sees COOP OPO ee ORR EES EEE HEHEHE EEE EEE HEHE RETO EEE SEES EEE EHE HOES H HE EEE EHO E EEE EtEEe® werereeweeneeee eh OTUCTS CMW cosescssenccsnrscceeevesees © ATUIUEE sc ccseeeees CP cess siliccottiesis iste aaa ewes peepee riers estes Ico rataskei ahd ese Delivering Box to! Ovening Grave ... SOO ieiicinsrisicis Wess: Transportation Expenyes on TOPCO ODO eee ae see eee Oe eee eeEHOEOH OSS EOESEES OOO SEES EEOOS ESESOOL OSES FOO e OOO ee OOO Oe OOOO Oe OOO Cede e EEO OOO E ELE OE TOOL EES OES ODEO OSES eEseceeceeeete OOO eee eneeeseees TERRE O OOH HOH eee eee eeH EE EEE E EEO EE SOEe os 4-7 ? averse 3 ... | Place of Funerat/ xe athe 2, ola. Charge to covvcccceciooocooove | LTE IO OF cccccctesccccccccsteeeerecssessscecasescressesesescesesetes When rendered.............0.00s0000.- ; RECEIVED ON ACCOUNT. Semen eee ewe e eres | ee eee eee eens HOO OEE neers eee eee OE OEE HEH OEE SHEETS EET IEEE HHH HEH HEHEHE EHH EEE EEE SOR ORO Hele w meee ee | Came eee eee eH) HEHE EE eee eee eee OE OHH E EEE HEHEHE EHH EEEHEHH OHHH VEOH HEHHH EE HEHE HHEES eee eeneelewwweeees | wereeeeeeeeeleeeeeeeerl, PTTTITITIL ELITE PTET TT TTC Ce eeeeeeeccees] soeeseer|. seeeeeeeeere Pee eeaeereeeereserereee Amount of Bill ee eeeeeele cere eee etree ee eeeeerey, seveecececcsoesescoocesesl ” soap pe ne saan we Bs a BB | fon a i, Funeral of 7 fo Date of Funeral. Ven. Y Fd : actin Date of Funeral____ 4 ao wf /2r/ a 4 “ Zz ‘ 2 esate i ; Oe eT) ee 1 thay © beth lain, Hessageae Se Oe TTT Removing Remains........cccccccocceee--soeses recnovenesssensosennenenees | eee FF 2.2. Pace of Death... Kf44 Bh te1 04 fo frase¢. x 4 C7 -- J * » v7 Blea Naat menhemey’ x ov 27 . 10€" Ae =a Exmbalming ......000.0..ssecccssccveveccccscossccccccocscocscoocooorsoscoesess Shaving ay wee OME, .cceavecesceccnnneccegapoess asa elo te 6/4 | Casket No.4...0007f-+-- ie eNRT nas saseckin 36800000. awakes aetass | crncecacses|seseseeee Bek 44? Ace... (M2 Sew eweweeerers | dewenerernel eeeeeene Ry Si Shaving and Jaying Out... eeveress.cccsseccseecccugecs ee a | Metal Inner Casket.......00sss0000e COE os scccsicas PUNO ssc cscciess Usacensnes cs vuiecaces Handles No....cccscccevececccscsccscceccscccccceseccveccescocsccosoccccccesers: | seceseseees |.eeeeeeee | | ; Outside Case, Pine, Chestnut, Oak, Mahogany....occceseeseees | ssreeceeses |sseeeeees PORN TONE 8 So cei hse aise Outside Case, Pine, Chestnut, Oak, Mahogany.................- Be 5 =< } fFrrere roan arvensis 4 ji Lining and Pillow Set PO. gests ‘Mee seeeeserereneee — eeucnleves lessens | 06s snnesaeeteecee sancadnesenne seeeensees ss00: eoseceees Lining eee ee NE gi ere Be / aurgitane | | i Dita! Teil P68. iss scccicssichcssavas - et seve icceianenee Ol cicauvadesslaseegeede | adswebd od 0dndueanbee abd OhGNaicrealansedadiessencceanseaes RO iS eee ae lie i i i: — Ax 4 hs } 4 i} i } Mountings....o...ocec0s- +++ FLANGIEB, sebececesecccscee abe sasos.-f/ Bo Vk A) iV Neu aagusaeuaenaisoas <a cid esac Mountings...........0.. ... Handles...cccccccccccces- i ee fk ( i ; . a.” > (oe |. afk ef i: Mital Vath, Biles icccicincscsccecsaccossiseesenneses coe an Rape ely, sa | tteeecceeseseeyheceseenscecsscssecesserseseesenerersrseeeens ‘ Pe I Tose c ional. He Bow Mat trees.......ccccecsssssssesvvcccccccccccssccceeeeeesscccccssesseeeeeessrs | cesesneees seseees .| Age ° (...0, MAONUNB. . Mine... . ++ AFIAYB. .....2- ‘ ee a es ee rail cates a | Age....-4, rae Senay ie. 2 ae. Ii a rag Lasacehanhen ci cesenAbaAaeceissis | vicewaeni asian eied eee o+eeees DOCUPATION.......0.0cececeveceves . PG TRON iis cicahscd cok cress isda hdd aks a ree Color....., fe SNE REN Ey tote asicesens Occupation. Céaeende age... . 1] I os | Hib eta ro tee ee OS in cstertl CE aise eee : Slippers ...... tate en Paice Gloves Single, Married, Widow, Widower... ‘a ‘ ¥ f 4 ee ee i Birthplace 2. Lacpk- GQ. A @v } COE sccccssccuasnckasiasasioseetis | [aay JP rvccisctWhenscccccseevase hes sssteecscnss iH: | / a | 1} v Personal Attandance and Assistants .......ccccccccsccccssccessesccess: Personal Attandance and Assistants ............... Last place of residence eT a ERE I rN mE eee ROE Ne ee A IME me, E Draper i)....cc.000 os CUNEO 0x<scceesses sh ONGUOR oe scsseciaeces ; DY QO Y «0. occ0 ce cncss 1, CONMMOOTG 6.55. iinceses bes How long resident Athi Spate i i FMM 5 ceca tienen tansasepacsasssces SMUD. <1 neneanenessneresesesinserseres | casginesns ere | Husband’s DURE Gtr rs sc sacra e esac ene ccaeess ies PROD oss ous vistors es seas EN issn sees es Husband’ s mind hati Maca pig. 7 { : ie ne ee ee ee a wee ee | Father's Name....... Af? Father's Name.. 44K M444 ‘0 On an x er fis Country of Birth Country of Birth (peeve te & FZ oe ' PROOF TP OMMUAD vx anenis'ysesenkeh sidavati sabehousghrassesnssosguadensvecurnuenee | 404045055 bisseueees | Mother’s Name 4&*“#--2- DIOOH DVN ois si cc cseesncteksiacenlickas adsiey kettles Mother’s Name. OS." —..... Wciabous «2 } | Pee ere ee Cet PRIOR. .icacis cessoneunawavavcutuasiacdensaverseeis D256 | trae Country of Birth Country of Birth,.......2 yf ve i A eo_ Al PIII css 0niovivussssnpncetouensessissstaarees Ncceeenssieenivseueieteuseana ee. esl ae LPAMOAGR ...sccsevce esncbeuse re eres sceasen ae Flowers........0.000. néubo be AcA I 6400s ced OT Ade OTN GOR denen a. > Physician......7°.%. Ey Ki Paes ae ME here Q iM a | a aie sus canSvAeeGEDL Gp besanesdeaeusebornesberbaseenesioibenbinbeee) | cl... <. | heed TR A I a she ea a dyer Cin aeae « Seaseueuavawens v2 LareeiN saphevevsceeeeeeees ree = Cause of Death .,...... 1 cris tnaeas sive sdtce pueatsaLNS ada tape aobacbadNi | | : Re ee ee ee |oresseees = i : PROTA E: iis. x, sccens oaeeicedeucess Gloves........0.. Ordered by = ser tranieeeetae FOTEHE GAGs icccesseessss iabaterversae .. Gloves Ordered by th Puce O Korie / j PME ral NOC cc ceneeecreeenanennennenerenenneenenaeneteeianeeees | a, | ibibo «| Charge to .....00/.+ Picvsnsvss Feeds sesves tty is idwpeeen espouse aed erea Funeral Notice8.......... ssssscsscserssesesesseccesersens seeeoereeereees | ic eeeees | seeheees Charge Sup Mccate Pharrpoar fe PesePeNSeAeennen ssensvaeecssren hares setts MORELTES MES NESTOP ASSL SSERTRA CAPE ORDO TROESSSE: 1 cig teii io ee | RO PUUIITIG iiio ics ie eieeiccesipericereieeitersés Stet eeseeeaeenensereenaneneenssiearssnenenesesteaeceeenseeeunsseneseseeseeess TL ceeeeness Feeds When rendered... , RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT, ee ae ovens ii ¥ Clergyman a Gy, AL ¢€. A, (<7 on * [OT GYUMAN eee cece reeeccnesereeteccenerecnsnsenesescaneceaeeseasseeeanerss | { lermagtiven ft Fiavadt cea Ted eV oias eu vananrs beet iver I haseelsoesees RN cw oaccnasss0secnnkaekbuvees tnvucedhivcssi eck sadencseniaulins as ‘ Z Z Bose . Sexton... COO CPOE COCs cccesees | seesery pane eed Mee OE COO O Ree ” PUTT IU TL EEL EEE TTLTiiT TT irre > | | MIE, RII. coseloscusucseccecsuacuz TONNE sscctsivuserces bic, | -aBy | Lif ly Soa es A ie ekg tat ety (suartelle, Soloist oe | Peer ererietaner eae pee ene arene Mt eneemengen esweraees es oetnetots RNMmNe xo? F bvatnosonis | ropwinnhnnsaleesovesedlessatey seretierddetomstayenrsitsi TD TIOW Wercereeceseitasisees\ sesdnebiasjsseseccis ia bce | ; | id See RPA sites pan lac ee Cat adn ii isi ca este ei ee | ccncacsaill glk cock Lictge A ac SPOONING GPGUG « ssacesnescessvcansvcessosssvecsees TAQANG. .cocceveesscesiees | | oie | arate Leena rere cue ne rit eeeaee te a Ovening Grave ....... NINE TOMEI sss 5 casases en tviscessesurscacscpsacsivessivesseceveaon® etenetreerce > pene Tae ‘easter fr‘ Fisisisriieitiaessmasaeeres FO CU 5 Sr enn Fhres si Bites sve inwoneeses coveeexss | Soedtesnt tes ices | soscavavseccleveveesesl casoosedecsoscecieesciscccceslace, | iA , HOGTOG........000eersscervvveessccererssrseesssseescenensoncooesseeeeecseseessee: | GehacTh | ee eee ere eee ee pe aac ae Lal ssbabebObbnerdbe5e0eleacbuceciecibioieeeers Hearse f cman car accii desis ss batecdsebids cxbbierasudinésaioctcisaci ee poerorss | . | Tone De eee eat me ee buts oo alee ee Ie ae as a Coachea re Rr eneren renin neiaaseetiashiensnrietentioateyssiitnn aeeeatonter | ykenbhyibeasuiennc Lesdeentnr |cststiiortineeteht thane aAME REARS Ops oF wid hcl pte hal sch baad hu hain PVeEHeEreereeeneee | ceskssenslenseisces | PEER O Ree Hee E OOF Oe] Heme eee POO O ES eee ree eeeeeseeeeeeeesesesetlgeeeseescers|SeeSeeee® Me | TFT ere ee eer eee i eeeeee ere eee es eee beeeseeeeresseseseses | | . : ee | | ren en 4 — ee 1. eonennnete |i eeeeneee peewee eweeel rer eeees ARTE HERE EEE OOOH OHO eee ee eeeeeettleneeeeene tess eeeeeeee "UNECE 9 689 0UCS0SCEOES60000 90590005600 000505000 000050000 600010600 0b00000000800000K8 | Sy ce epracns coe cee eer cree are ee ge ee mcrae rene RND ES dy ent nID SrOTE ye¥ cabeenomeus vie Fcolnonyysbtioeiird Her slms cat sueyer enema rnETIS THe | en a *+ Delephone.....rcvvseserveereees osccceces | Sic cssle is Ca wiisosillbsicesvvelesibiidatisalsiia a snatida: NR issicictetinaniusen Telephone osicel : . [ TenPaneenetentvs eeaeneten eaheneneneneveneesaaerermemenenrerys GL TN" rn nat sUreeeenvehOhAneTteCkeeaGee, Se mm rereennenHneSTNGHEREE F saapent s4upereeeser | esvsovveneue]indubtint]-seacibaevennndbepheneen seieereee ; | Transportation Expenses SSS Tih Apcatese dE cxappuasnied War ieel dL oi ceeushan avidebbaadh sowie aa LG A as Transportation Bapenses..... ....cesssssesssesesavee | | | : | Seeeoseooseoseoeee OT ecccccesesiscosecees | seeeceerese | Oe OOOO Ree eee eee | eee ae | i cade cae ss | | FERRO OOOH eee eee eee ee eee eet eee eeees ee Puce eine ee ee ee Be ceeded Olin ceuneeeustieesenneeesbseenveneuteeeste | seek | ; Seetereerrereeseteeees teeee eeeeeeeee se eeeeeee eeesesssssesesvooooooooooooooee;ecooee: | $0 eve ee cece eee j Amount of Bill... ..steeses peetecese v sere seeeeennneeesrsnsnanane | Ammoutt Of Bill...ssssessssesseecssees 20 of poe kay a Rok At Aho ceroy a= fis Date of Funeral__*“ © ff is Hour 72.72 __ M. Date of Funeral | oe Le ' — | | : | : . | Date of Death ... ALK. & Ad J FE. Spseaaitacseap essai Lt Zz j 3 { /4@ : . . Place of Death.......2 Oe A.<- cn £4 Me hI Eetherteee Ermbalming ......0.0...sccccerseccccccccveccvecccecoccorcooccoooce ceanaeaeenen ee ‘ ¥ ~—en | /) J . . 4 . 2 z re Shaving and Laying Out.........++ yoespap Casket No.. MC A. fe iM eaeesd 5 / cs ore Mauka ene ORME asi csseonsh ideas ssausvessiceseata cihacsappedess sass f ee | Date of Burial....../ DAacSesccsetcceAeceeees Posvanacks oes Sys eeeanens ft ht Hace bo: becesaleas MEO A ccbsentslanexsonsacenanncbeined Paenecorsernereseresessnscessees : -. : i i | Where Interred. ......sccMresscorre none EM on eae ne eben ents : 3 i? fi Metal Inner Casket.......00.esesee0 Copper : | | Grave or Lot No...... ie eaters SEO. «ss .seasa. ss ccanne ee ais eer Location of Grave ...ccccccssssscccccsscccnsecenceanncssceasecesseeanssoasoaes + i i Handles No. ...cscsecseessevssccececccccececsscccccccccccsceassscaoonescoscosee: au Reale Ct ON EAE NOs icons conse ideelarecskssixe Section.....cc000.0000...... Handles No | Outside Case, Pine, Chestnut, Oak, Mahogany....ceeeeees | seeeseeeeee|ecceseees EON CF CI OIOG esis eA oan eats sas aa Li nahin lnc nebo , oe 1. Lining and Pillow Set No...sscseccocsessersseeseennssessvensoensseeses sessesesesslseesenees | ceeeecseneaesseseesceeaeeesesneeeeesanenen ceeccaeesaeasenees ning and Pillow Se Me tal Lined FROG ok a aie cae m i psunneaeeseed eek enbbenenannenes seatobecndeleeasesens waceensd 06666600600 606 5hbh0000b4n0ba00s £00006 Rdbese0bneeess etal Lined Box Arr te | i 8 oi Mountings.......sss0000 +++ Handles....ecssososeveers isis nee oaicss | suonshbusnoses bennsantioecsstnnnssesculoanenoeeaesanestbis Mountings. ....o..-.-+.- «+» Hamdles...s.-eseerseree a q Pe Leon 4 Mt A | pnrcacsansapesgnaesadnandeestentanecaess<abadsechaseenenet gs atts 15 | j iol f a Metal Vault, Style......cccccccccee seseecsusosenacsnsocssansseesenessvecesace: | ssecevevss|sseresane | tensnenenenencatuscencanonsnserenesenssasenoeanarenesonensec : Metal Vault, Style......scecsosssorssssoccnsnssncsessensacescnseceneenenseess 7 ; : Ne L a a 4 Ohi ea ee 4 a WT |C © | Color...... D 4K... Occupation.../... ae vette. ar aa kigeel |Moth, a b2 2 | Color Occupation 7On/ 41 e Burial Robe ..........ss008 4h LAKE, BR ies hoeresi ccna svesaep eee Jae : Piri FRODG sv cccnncnsnssesessn Gest fi ee weaned Der ccccuisusewenesusbacatatoe | tea een {2 TR i igo ieee ee Es oa IO os esi sss ; a A ; : ou ae Gloveshfop.pecprecsreee | ceeecceeeeseeensees Single, Married, Widow, Widower..... ......--. cesseenneenensencess \ A PB oo ociczscsdccaceaes sented WMb satecsncconsnns Cae ie ah yee, a Wage Single, Married, Widow, Widowae,............-2s4.00.0psse+-+0s000s SUippers....sscssoseseeseeeeeeeseed TBe-ceeeerererees: aye | ee Qreaogo |S AS este ft ; thmlaee......0 1, eT is conadggeageneeee O-PS, Soto ae cases i 4 2 FAG ee eee ge a ee aes | Last place of residence 7.0 ge! Personal Attandanoe Gnd Assistants ....02<ccceecesssnccssscncesceves:: | sorccsssseleasescers | Last place of residence aK a ae Me ane Personal Attandance and Assistants ........---.--- Panett. eg ah an cane eaes 0418 | i: | g ‘ . ___.....| How long resident of this Staie...........+. . : DrGpOr iy... <.200100s --Candelabra.....-...--00 COR cncsitsvcsanies | sinsecesed] sesnsses How long resident of this state SLE K* con reves PDPAPETY.....000crere eee Candelahra.........++++ Camlas......06-<01. +00: chert . a NOUN soins ccsnciab as tesibtciell nig a cata Husbond’e Name Onscrsujpoornvevssssypypiserssearseersonevefen ~ a ana eaeee ee eee eee eats | aoa Pte Oh Ke / Father’s Name...:::.-....+» nvapdesasdccatsnonenaanerte erm Aosta wenn secactecee|ssouenves Father’s NOME... eee ceeeeseeseeeesenensensenyeee ss eh ec elit z : ) 4 < | Country of Birth sene@hcteseuses ss Sngppacstyrvesterecaes chee: RK epeevese gf gestucyes |steseee CUEIN F Fr oon cae isa ed ter inteneteceoassese f a ye oe Péfoueer “e &X e | ’ “a KmeRe coeesece 7 “4H. ne Kak ees : x : ; Mother’s N@ME........ccece ec eweqees sarees eee ees PAE LIVNI cro asi oucncak dan baseanwadseeennsderdscs asad isteneneedet ON 5 ecg Mother’s Name...°> <4 Le ore ee PEA ORLA ee error | \ Caso EXPENDITURES. Country of Birth.......ccpec cots tener a i = in \ POOR R ERR REO e eee ee meee HHH eee ee EEE SOO HH PORES OSES SES ESSE SESH TESOTSOSEESSEO EES EES Giseseeans — | ; 2 aa % ‘sie x6 aX, : | : | Te DY cucpaecscrccsepeccpocestyeees Tqrisccvcccccseghosscssecees / ye ere ee PUCINE GE cicccdccacas sin oksastntansves GOR neue to Ordered by ..7% Le : thos E la C/ Pp J f _, Ak AP Masror a ee i ene Seen ia treet | seseseeceloeceeens Cate 00 ocecncitecksua es ee aed I a get civnsses Charge to .......2:+20 ti ssacases 1 Pee priinwrell.occccss <accenasscnvnessecenconnshes reanassnengys seenenaeh S08 % \ i tt | seeeereses|eeeeeeees WHO, FOOTIE oa oa ic covnnincsnvancsasnstnsensenietesencerasscossseee sss case | HUTERAttteeeeeceaeaneaeeceaanans seeeceeccensceceasssassencusesecenesanecrersereeee® cee pe isi : : — — at i sdeeece can eeerceneeeeseeeser ee eeeseeeees cecccenewccseesocerescsoceescocccorececososes | oo les, ee ney en ee p 0000040100 00800sesee eeeeeeese ceneeeeens Seoeeseenees Seeeeeesonsosesoeesonneeeeessees + | seeeseeees | oaenbanes RECEIVED ON ACCOUNT. Hg | RECEIVED ON ACCOUNT. fie—<33=——= ; ‘ <igias ae eee | | r : 1k Baits nccninccansbvvesensov ooecntnpecommebovenesiiaooi: | ia... RO AMA, MIAMI ih isc aed esedalbsctaesbnbntes palestine | okininnerisieebranh ousnvennensmntg MEE TT | ar re ee eee ee en ee Smee Se emote ee me ree ts kaa ee El tne eer perl igh ge at A oo dad yeeuanctece euyaermmnesetn men tyr ry ee eine we ae ‘ — gcscen sti sussuroeseenaeeusetenteees ss” PPP errr rere rrrrrrirr rit titi titi T tri ttre tee Quartettc, Soloist........cvccrvrernsorserseee Organist ......+see-eee00- ete yacs MC OREED OLGINE 5. 5 ds seusabanasesesen Organist..........0+-+--++ | sesseeess|sseeee Se ave ee a AID TIOW Silanes casinssnciserines corcatety sesinc sheds sconsusupenuene seve Delivering Bow tok See rrar 0. ccccccesescccsccsssaseas svsescocgs sete | soccouaves|sevensecs | soscerrert’ * en ee . . . . . . . . . . . . . . . . . : POOR GORE sascesssaséessesecssivaxseessosenrs cicada i a is eR ee a PIN CPE isi si scscsstisinavaitrvar decease FANG cvevcesseosne00e | ssveveres-|-novsenes | resseree® | rrv+seranennonssenennvonsiviseatiatonneerdoenasereeni Bk Pin ae Bf am eel ah a al ee ea Ea : ea NN sense arr assinetiebininsninine ot 4 cca at Foti gy oa cet cccoecabeetec ob Peet ci ede ould ic [i ene oe | | f va. + ‘ ‘ bei de bn en oe 1 ua lavevcousemesesntenseviauiersbevssvsonlcereerte af BA cstieivechaad ts rectedeee tt cavuncecorvina cacnabinninmaaanannmesn se - | Hearse... |}. “Lie ff } Be ckipessbecdesnservets | ed a ap coterbebaner[eet are | Be HOANBGsvvussnvsenenssrnsrevnnnnocensecsoasssenssecsssecnnsqnnoqnnneeseenesneseet’ | sescussusaluczuneens | soueeesesens|essesnesalssvssensnnecasezannnscanecsnvosasesscsssclessanqnueeeleesser#™ [Ace RE” Coreen - 3 | ee ! Mins i hires visuii ivsidiniseaceesasdvetiiissacsksaes na Coaches... - ae 7 els : Beat ee begs Asn | voevenncesen|sseenee paws ceded beeeerneeectecsseneereessoees [sees . | ee er er ee elias dseundndevebeneetneneee a devesoueebi versa vaesastee) ies | ee tv so Alene aR Rey vee | OT” | Pei a a i ana ele co aac bie A aii | { Coen eee eee Hen eeee eee OO OOUS OO OOOO EC eeereeeern sees sseeescerses se wecoecreereeeeeeeee ae Fc cou sic is colada enGWUb Sire aun gi eoRe ued Gos chee eUcee 550s mek te EL ee iaairemenaa a] © 1 1htTTOREEsTCR AC ere Ore ey men acentns Av uem anes eeumreuyeltans sexereurebeeercert™ se: (ES eeeh <7. seeeeeeee “* pe etery A IREAANT Ae eee | ; | oT | oS ucoasaieeabia net ikea 55645 GNU UE SadNeUERON SERNNNEL CRE EEs CEU ebS Seb eneeniaukdeedseusiubsemimmenebinnnied UR I ln 2 oe ea Diol SR |. Sh adap ebgnyebebese eben seeeeeeedeeaeb ben kblaeaecus pul oni vase a cenesereneeeseseds teed DP sracenverr ioe tees THEN eRe e ee een eee ee HOE eseeeeeeseOeRe eee en SEEseeeeeeesesesssessssesesssesensoeess Seeee | sasveeee a Telegrams. ....c.sesse0e eeceseseeccsccenee Telephone....... Sale cecuateue TOP va baviiihccictckeiecsteiss Telephone....... 00.000 :000eee00 ici vadaeave | unpeevbaeyes | Transportation Barpenses..........ceccccccccesccescese seccceccccccceccccce Transportation Eepeneed <x... <cccecsccscsssessscessestecsscecvesesene Be cieses boise Lavonsuvarees) verre” ae een OB al ! of... Date of F uneral L Removing Remains Embalming ......... Smee rea a ere ara ees Shaving and Laying Out........cceccoscccccccccascascccccssssessesersess Casket No Metal Inner Casket...............0+ Copper Oa ii rade iewsinsennns isn Seneeaaunatareroentes Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings..........+ Metal Vault, Style... Bor Mattress cece ence eens eereee sees esse eee ese se eeeeeeseesssesseere eseeesseeres NOS IVE au bn F eh bade ve ch ahaa bee vkes td Abbe reebece Ch TEE iii as i hevexiiosdsnwshesiseden Candelabra 5p MOOD 0s bis cvokscde pI fr ctiectie ceca cba wd eles aeukeslacaskcbissoss Flowers.......... Poi cshpudlacikeb ass cen aacepet ee kasd on se ceentareisninees | CHOP OUINGDM 00 ccstetecriecase Sexton COO OC CRP O oe te eereeeeeece SORE O Rete ee re eeeeee COPOCO OCC ODO OLR EOEOEOOLES cocceceee ee eeee am poets teat aig ATES I EE Amount of Biil........ ae Z A How long resident of this Stgte.... Sn - Husband’s Name .: Father’s Name Country of Birt Mother’s Name .| When PORMETOE,.»-.000.nveeserininn De cre eecoe baste aL Sool ogc baerees — VED ON ACCOUNT. Ti ae Fs Ka Le cc at, seve 3S. Mies SOOO COOO DOr DOO eeeee Oe Eee eEE Ee EEEereeee® POCO RC ORO eee eeeeereeeeseee eee seseeeee SO PCOR TOS PEO R OE Oe SOE EOE EEE EeES SOCOOOOSOS Coe eee ESOT EERE OEE EE ES: seeeeeeees Ceeeeeeeeeesoes eeeeee seeereeeerels vee Funeral of..... Date of iad... Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings...... Quartette, Soloist... Delivering Bow to....... Opening Grave Vault Cha Hearse ‘ i Seeipecnnce , +++. | Place of Death . | Place ehh, Di Country of Birth . Mother’s Name Ordered by Charge to i} WOM TONBOTEE. 55.500 cc0esiecscssas< ; RECEIVED ON ACCOUNT. — seeteeere ae seoeeweeee | i liad ans =n oon. p nae pode” sae Sa te eB ren Funeral of Date of Funeral_—- Removing Remains Embalming Shaving and faaying Out........ See csi eccunns soanbugndeseuencters | sss epetp Casket No RM ctad ILESBice Metal Inner Casket.... Handles No. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No....... Lc5 suas beneha padoantueiacsaaerueeiakeee Metal Lined Box Mountings Metal Vault, Style Box Mattress PO 3c HG. vsicnnsscsccssns] pe ONO R54 oig-syon5s to eee Gee dance and Assistants Candelabra Rug CASH EXPENDITURES. Clergyman Sexton Delivering Box to Opening Grave Vault Charges Hearse... SD ere pre ane a ee ene Occupation single, Married, Widow, Widow Last place of residence How long resident of this State Husband’s Name we Father’s Name Charge to | When rendered | <a ; a 7 Sj — \Al oe POF) RECEIVED ON ACCOUNT. FOTO COCO Oe ee erE EERE DDeSeee SOCOOOCC OCC Cee eEO ee eEeeES seeweererecees FOP Ce eeeeeeereees Funeral of. Mra A ase bhk Date of Funeral dle ec 379/77 Metal Inner Casket Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. ..........00.+.s00 See ere eee a Metal Lined Box Slippers ; “8 ‘ ad Z cckudubesucdeetaavetsak exceed Doz. Chairs, /Y Kole Lace Personal Attandance and Assistants rowenta ila Maes , @eeee POCO O eee eee neers eseseeeseeeseees POPOOC OTRO RTO O EEE E OEE EOE Ee Feeeeeeee | Amount of Bill......... POOP OO OH EOE COREE COD eee ee ee eetHeeeSeEeeseeeees eeee fy, ~) Hour A sins | . | Date of Death een Mead ccboricachstesncaasandhs cence celba enero po ? KEL < <4 _—— : wa, Seesseee | Place of Death.. eae. es | Place of Funer | | .-,. | Last place of residence Single, ae Wllow, Widgwer | Birthplace OL Rez —* | How long resident of his State... | Husband’s Name“. Father’s Name Mother’s Na | When rendered | |—-——- anaes . se eeeereee Ae ewer eres Lanes ceeewee eee eee eet eneeseee Teewee eee + / fl . . x Fees wees eee near eee erento ag Bas os gests a9 cw ett tan the Me ES hen “at 62 . ici, (edet~ GooLemare’ ote Funeral of Ley Date of Funeral ~~) ; Hp €Cui¢/ Removing Remains............ ccovsnnneesesss EEvinesasstssondachasayaeses Loses bade Casket No Pails NOs ciciscs casasissescossas Ss al aa eel ee oe os cage wean aa lxicnena nen Outside Case, Pine, Chestnut, Oak, Mahogany.............++++- | spcasenees Mountings..........-- Metal Vault, Style.... Bee BUI ous oss sidan yan caudukeGacsadiakana Patiee (an baveeia sicieeueens pecan PTY LA Sea ee? Ane PR TROON ES 7 trae neE pepe Emery nari yl | Lge eeaes HAO E coca cavsdscaresvovevcceess FEB, ov inees cceeds GHOGOE ob sco o0sicn sees bavasssees ERO SOMITE os coieci as Sis nese as ome al Attaridance and AGatatante . ..........cc.ccecccesccccessccess | ovsnesesss _Candelabra Vault Charges........... . ef Hearse......J..><2 A COO OOo Peet eeeees SOPOT ROSE EHO eee Eee Peete eeeeees POPC Sere esses Ls 5 ie | af i ALD RE PK | SEG T~ .ccccscsesnceseseee ei ssistiniaadiniepiiaalaills, i a Z. seeeeeeee —eege Ch. <Ct4y veeeeBeee | LIE OF DUT UL, cccncccccccncceeces wvccedecsecssecccsesecsasssesncncece PROS ENP + SECA PET SET SSS S69904 00000008 2000000 ceenibeee coec eects | MMMNITE UT NTTUG scccccccccccsscccevcncccsoccescccesecccscccccessecescccccens Single, Married, , ; c “Rie Birthplace Ck) Be K&S coccccccs | OE CNY PIU] cccccccccccncccccc nesses eres esses sees sees ees eeeeesese sennss OOH eeene Last place of residence ............cccccccccscssesces Bei ice jaeessuoe le A . " eCemed Father’s Name.......... ov ee oe ane Se Gerona Ax Leoe Ae Charge to .| When rendered RECEIVED ON ACCOUNT. a teseceseeee POOHOOO OOS eT oO Se EEE HeREe Ee sees Husband’s Name ..<3....9.-- eta SSPE SO COTE T OOOO SCO Deeeeerereeeeoeeees: PROS HO OTE S SOTO SRO OS Eee reeeeereseereseesesseseeeele nell Amount of Bill oo Funeral of. Date of Funeral rr ae. UY M. - Outside Case, Pine, Chestnut, Oak, Mahogany.....-.......2+++ Lining and Pillow Set No..........e00.s000 cs ceckcikeecessus Nadeuasi@ueks NEE TE FH ooo oie seasiiapeumminaeebceoasere ences Mountings. .......cc000- 2+» HANdIES.......000 passes PM iis Metal Vault, a Be iescessias Box Mattress SOOPOOO OCHO EEE EE OOOO EE ES OOO EEE SHOES ereee SOCOM e eee areeeesneeeeeeeeeees SOCCEROOS EOE EEE DERE SEES SHE eEeee HHEHeeeee + eee ereesesens eeereee SOO OOOO OOOH reser ener He OOO Eeebeneses sees: os teeeeeees seeweeeeees | seeeeeers | Date of Death ,« pace of Death .. Aes . | Place of Funeral... Date of Burial... .. Where Interred....<4.°<O JO LE Suattncs estate cietenaas Months...%........ Pie. eee Pere eee errr cree eres Pee eee er ee rer reer errr ree arr ree rer rrr try TY TAR e meee OHNO n es Hee eee HHL eee BEEE Eee Heese How long resident vy ee Husband’s Name Ge... Father’s Name. He peneeee Sa tse aie Ie - ee ies Renae cee yi ae 64 F ro uner. al of Date of Funeral_— Metal Inner Casket...............+.+ Copper Eee PUB coos <asccacca cvanwkavabassadataeseeensensaunes Os eas eye eiesens Outside Case, Pine, Chestnut, Oak, Mahogany.............++-+ Lining and Pillow Set NO.....cecsscncsssssasecctedse<senees Wis oa cnczass TREE RM eas so eo nas cre ons Fee Mountings...... PS oo vias PIGEG is ictstccases Py ME RCE ic nic os rnc eek bas cas techn sins ss eae esse kanes esas Box Mattress ft 3 _ Burial Robe . f ce icsascsenckaveaeesten 3 NE? tesioarteeteta rir easre iota Slippers agi aR aceiv ies) OE oe ce a peah ga: CARI Oe aes Personul Attandance and Assistants ...........ccccccccccccccccccccces Drapery ....Candelabra..... 1s COUEIOS,...... FE os hog ashes CA ERE EEE OER OOOO ORE EE OEE E ES IESE EEO EE EONS Nee eeenseeseuseenees S8Oe Pere eee eNOS ce teeeeeseeeis SESE TPP SERRIRORE ETS POP TESTSLEY ERE SAUNOREN DUSHNOPONSUNS HNOSASN FSSC tehudsov4oshasddacs SPOCOS COOEO OOH OOOO LODE OO OOO E OES OO OO OOOELOSL OL ee ereeecesees Ceeee rene erences SasNeNnnye POTS FESR ESESSN NSS FoNECR LOD HeNetNtesSeReEOseSS Pee eee eeens. TORO E REET ERE R EEE K HERE RHEE FEE® Pee eeeeeeeee OOOO Ceo een eessees SOOO el ewww ewes SOO ee ween eleeeeeeens see eeeeweees see eeeeeeees ee eeereenees Pee eee enebeseeeaeeeeeereereaseeeeenees TTR EEO O OOOOH HOO eee mH OEE EEE eee EOE EEe Eee ee OEEEeeeeeseeeE SPOR HOMO OTe memes ean aen ee ueee eee eee ese ere eee eer sess eeeeses Last place of residence Country of Birth,,..... | fe... How long resident of this State@ 22... Husband’s Name tree nee wwewewesesesereorenneseseePeusevesersabsesers rns tee eeee yee [HR e eee eee meneeeeeeeeeeeeeseeeeeeeeees se eeeeese ee eeeeeee se eeeeee OOOO R ROE OOO e Ree Hee eee eee eH eee Eres eeEnes TREO ORO ee eee eee eee ee OE OH eee eeeereess PPP PPP PPP PPP e TIC ii Tet ttte ee eee eee TTPO OOOO OCHO e rere reese eeesseeeeseeese® creeevene eeeeeeeee j seeneees TRAP OOO ORO OO RO eee ee reer eeeeee Seeeeess SHOOT OOO OOOO ETO EO OEE EH eee eeeeeeee + Te POePOOCOP Cee eerereeesereseeeeeeereeees seeeeee SOOO OOOO COO OO ee ee ee eee EEeEeeees SP OO OOOO OOOO Dereon eeeseeeeeeeseeeee: SOPOCROR OOS O REORDER EHO R EEE EE eee OEE ESEeS eeeeeeeeewes Oeerleeeeeeeenrerieeee #* Delivering Box to Funeral of... Date of Funeral << past B= ti Hour POPPERS RHO H ORO R EER ee CHER ERSe es eeEeeeEessesEsereseteeeee® SOOO POO naan eee ne HH EHO OE EEO Hee Ee Eee eEEE Eee ee eee Eee eee re weeeeeet | Outside Case, Pine, Chestnut, Oak, Mahogany.....-.....-.+++++ | Metaliaias cuted PORN ek Dilan siien inches <csonasiondcacctnnaniinncnons TE TO TIO sooo iisresssicosw kins ss | Mountings....cc.cccceee v0 Fn a csr pas nianadaan’ Bele MAGIIIR in stvnnckccaspiestincsses BRR e eee eee eee ee eee eee Eee eee eeeeeesernenas | eeeeesenes STE, FI no conn iskcdicaccecdiexs Peet eneeeeeerseeeee OOOO HORE HO OEE OE ERO HHH H HH Hee EEE HOHE EH EE REED HHOEHHHE HEHE EES TEER T EOE OOO OOO RS EEE EO SHOE SOR ESOS“ OOR EEE ES ESSE EE EHeeee WET REP OLSVHSET OUETSTOONESS6E5609000006000060000006.1 06050000886 66000600506000100008 ever SOO e eeeeeeeee SOOM RSENS REOEE OHSS OOREO ESOS OOOOH EEE EEEESEOEE EES OERESEE EES SEES seereeeee sere neees ) | Date of Death eon << Place of Death Pee eee eee eee reese see seers Eee eee eeeeeses essences: eeseeeses Sccseeeresiie (MO tartaisinisp OO ee { Oo je Single, Married, Widow, Widower... .......ccccccceccocenccodcccue La. tt Be Ce Birthplace eee ee ee eee rr eter eee rere rr rie rer) | How long resident Ye LOB is cisiies ag } Db) 2. Vos Ker ee eg _ Country of Birth Mother’s Name..../.~ ‘4 Country of "a 57 ae neaeee Ah cx sale bbag a aes cubcasveseselter Physician ....47¥ 1 ee her he~ dar / 5 Ordered by use Vash etNeususecuse dT savessounsbavsssusrrsabaibesbabaiseiuceuabeds Z | SHEP OOC OOM OEE EEE ee eeewEsee Heese eeeEsssaes FHEETEEEES F508 | ooeeeesessiiaccseces | ea = ee ne — Me spy ea SS aaa SRI, meas ta ate Removing Remains...........+: gRecoccaccccssonsceesssccenscesesessonceses | pmbalming .............. We inscsssdibcacbantheeussssanssuabennmnskans senshiell nseseeieint ee Shaving on CRE 5... ci csnsoccdncnshacdesasbansucananaens Casket No Petts LISA... tte Faas Cash oisiscis vices CONGOM, «..csnsaes EMA sues Vahenaseens eee MRI oso ong cui ci sass niacnccesssnanencanabeovaahatassecevesentnen |adeeanghoes Outside Case, Pine, Chestnut, Oak, Mahogany.............cc00 | sesereeeees|eeeeeeees Lining and Pillow Set No......0.+-ceecsccececcessseereesecsecesenserenes | sseeeseeee- Ta a a ces a oes ee ca ae Mountings............ PAMIGEE: oo cscs aes PNG coecs oe besdeaecebe Seine NN oh cca igs ob yoas ulna oeraeeenn ens es Ean ae Box Mattress.. Burial Robe .. PE oii ssndccsuciunssieash Personal Attandance and Assistants ................ccccccccccsecceecs Drapery ....Candelabra ...Candles....... Le nice lecdsesses G OF TMTR: CHEE ys 5iss cbiesdeicesesdeynct AO MMR PNM MOIN Gy y cid iv cdsxevdbetsirshuatsesscsiniix ees ee Sento neeeeeee: Seeee seeeeeeresertoee CCOCCOC COSCO ODODE COC OOOOES cecseeeee cece mone Of DUT. .css.cecenscoxtecee Funeral of. a Z, Date of Funeral puma, Pa’ lar Date of Burial... Last place of residence Le How long r Husband’s Nam ceeecocericoceecces |S MMM DO LVI. JLo cccccccecessecccecerse cece esas cesses ee eee see es ses sesssseeeeee Country of Bifth Mother’s Name Porrereerrierr iret ry) eee eerer esl eeeeeeeee MO Oia oo cose ohne ee ed cg sc ieee ss : RECEIVED ON ACCOUNT. FOP OOHOO HOT E TOT EOE OTOH Sere Heeeeeee TH ee COO TOP OD Cer ereseeeeroseeeeeeeeeereness POCCOOC OOOO Eero Oeeeeeeeee eeereeeees SAPPORO OOOO OHS O eee eeereeeeereseeeeeees: SOOO HSOR SOO Se HOHE Dee Ee Eee EeEeeeeeereseele Funeral of. Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. ..........c0...c000 Metal Lined Box Mountings....c...sc00e- s+ Metal Vault, Style Box Mattress SOOO H OR ree meee eee OOOO CSET ES EHEESEEHS EE ESEEEEESE! TESOEE SESE SEO EE OES EOHEEEEH EEE EEES Cha: Hearse..... carr eeeee Peeseceres Amount of Bill... Semen rene enensecsaeeieneebeerer eee ee ewees tems ae | Place of Death... AK Place of Funeral..Zct4¢ bet. Peewee reeset eet eweeeeeeeneeee Pf ont wee ne ween es teeeee sees TORR ORR meee ee eH mene HEE HE Hee EE OE HOE EEE ESE E OEE eetee SEbeeeeeseeres SESSOC ERE SESOREE EE | 19 98984008s) 2 e0e8C086 | TUE CE Ge SET MOU 6600006060600 04 0RRebd OSE KEb ese 0eaneds 6506060000eReneNeDenee ARR meee eee eee eee eee eee eee HOTOE EES EEE He eeSe Eases eeeeaenes CORO SOO ESE e meee Oe OO EEO eee rere ee TER SESE EE HEHEHE Ee eHereeeeee® 10606060006): 00600006 | SOOM 126 agh tt ede fnesccssauhhecetedcesess | | seceeee. | Single, Married, Widow, Widower Sed ee ere eeeeseoccececeueseseressessessessssesessusesescesseseresrese | ssseesesees sessescs AUENIE oon enensncertansnssvetsscessnsesenns SOCUPliONn, .. occ cccncccacccecces secwccccccescccccccscesessed FOoe ever eere eee e ns TUNED, ccesseeecseccvess | sencencces sonswcces | MUM hi, ALT TEAL, WE LOUW, PY CULOWET. 000. cece cece ccnccnccvcceceseeveee | Birthplace HARE E HOH O een eee eee eee eee e eee es sure e EEE EEE Ee ees SH eEeeSesOEEEe® Last place of residence sececccee ceeveeves | SAUCY PILE UJ FOCSUILIWE ...2... HER ROOT Ree es Came ene teens eee Hee eee eee eenee Cee oe reer OOOO Ore ceseserereveccese sD V MY ssccccceresenceses seeeeseeererees | cocevesces -srseceed Country of Birt | Mother’s Name OREO Oe eee eter eH me E ere eee eee EEO eee EEE EES u SOE t SESEEESEEeeseennseeee Sere e ae S eee enact eb tee eae een e eee eee eee sees eee Hes OEE EE HEHE EH EEO EEEED CEIVED ON ACCOUNT. Seer eeeceseeeceseseees eeeercees ee SOOM OOOO eee He EOE See OEE EEE ee eEeeEneeeee SFP OOO OOO R OOOH eee COTES OEE eee eeeeseete POOR OOO ee ee ewreeee: Ne RE RE RIN ert 68 Funeral of. Date of Funeral ye | Hour___/ oe Removing Remains Embalming Shaving and Laying Oyt Vack hels rb Casket No Metal Inner Casket... amr Fe owe co oso inc ss ccnca tn euec cise ateeea sensencacanasnaneascansecess listerkemene Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.....0..s.ssssessocrscsnssesecsnceesceenesasesens | iE TM so isc echo cs ksh ne da en ceekes ans pee hon ae Mountings...........- . Handles Metal Vault, Style. Bee aOR ooo in sc cb punncuns apes saavcnuccpyessisoccaaccssessasitaneracens | Burial Robe LY. pe py eed chose EPO ots cand Cees as ndance and Assistants Condélabra:. 5.2.) CGR ae ee ieee Seeeeeereesenerees SOOO rece ereses Date of Death — falta atenksieiesapibcssenesea.s. uM Single, Married, Widow, Widower . Birthplace Lereetieg in A. CO Father’s Name...../.% "Dee ALEC Country of Birth Mother’s Name SPO OOO OOOO OOTOD HOE Oe EOE Sees HOES eneees FPPC CSO OH OOOO O Se EeTeETeroeE® PPPCCROOD ECO COHESOOOED EC OEE EET OeESeEEeeesels seeceeee® Funeral of Date of Funeral Shaving and Laying Out Casket No. $3: Berle pH Sig : Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings...... Metal Vault, Style Te I aia hog Gia ion dante es ay a iess Delivering Box to Opening Grave @eeercereresssssssssss eee rrr POOR oer ee eeeeeeeseeeeee SOOO Oe OOOH OO OEE SOE EEEEES ESE EE HOE EEED . Date of Burial... Where Interred ee OF TOE Tsoi evaded Section | Location of Grave * Bi Peril e Gites Months............/2 L Days é Kol Last place of residence How long resident of this State............... ccccccoccasceeces ane Husband’s Name Father’s Name. Country of Birth Mother’s Name.. Country of Birth ton heals Physician ...../... Pe cece pies f Ki 22,/ c . a oy Cause of Death Ordered by Charge to FON TOTTI 5655 iss desis acs ; RECEIVED oe of Poot Fs a Cee - Funeral of A: dia CO OE FOIE eet 77 /t- “= ail ____Hour_ <4) CPt. M. ' Date of Funeral le eZ I 2 Removing Remains.........csscccrsrerscsseseccesccsenesescossenseceseasees | Eenisiiaods |evoeeeees Date of Death ee vf psnatonesans 6 stein a8 Nadeabebehus ick a ee I tiriinnts cxtsnsintishcsin basivistcerbinnisahaiusle Vcaisiiass=Aiaisin: | Date of Death KE - e ti panssovaoncenced ae Embalming ......... yesubessasscapiacsisuscocsapusnisciansiskaabasssivss cia os | pachenecs Place of Death CO Ne a ieaciavatsictuinc acca wicca ce eee Place of Death...... Pre Leeuw ber_JS er ! Shaving and Laying nity eroserveene ea: Or seafernnesennees of] «etocten id Place of Fu =. WP OT ND oon cv icdsoceeeccccscse jo 4 iia of Pert. LAr Patt Or eas a Casket No poe Lush a Eraexuiaiai Ae | . UL 20.0 oeneee GPRM ore wv iSvichaeaslsecnsiec SeSdEab 4464 0t 105 SENS USA biikoseisvky., Caaaheet N0,......0..csesersesenecsccessecsecssses Size Clergyman v : e S Ca <., i | Silent sical ea odetaliga tuirics Claes Caucus al ae aalesdcts aber on ais ss ces Date of Burial f Metal Inner Casket .....Copper nesee GM». Jap eeeray tend ae Where Interred , f ae ae a Ee) Se ees pcs ti acca asses hee . peas Grave or Lot No | PEE Osesestrstntiieic ee oa |Grat Te Ae es 8 eg SA ie | } i } Outside Case, Pine, Chestnut, Oak, Mahogany..........0....--- Ee nena ee | Location OF CNR ais sa vineegc pines ein eese seed i Outside Case, Pine, Chestnut, Oak, Mahogany...............--. | vsteeseees |rteeeeee. re OT IN sic icdincaceeendivcincic die aise) ee E | Lining and Pillow Set No....c....cssescsssssscsssesesees paar behets | Se aes ieee Y rr ee | Pane: iissaa Glienien Maik eS ; Matal Timed Bow... ...ccssccveiescess: : | Mar TAME BA ot) i es | ietaa tre | Mnadusdens suasdass ioheedssis isdcksas ele H Mountings...... HAydles......../. Plate......... Mountings. ....0..0000.. «.. 8 DU aa ks i as a eee ee es = Metal Vault, Style Thre gh ‘ alee’. A... MOHD VOMIEy TROMN o iciasecscesssacdsssteieseloasis Saegsvacae cic ciie tous casents | Pardue | 6405 eeteadeeees - eeoneseeccesones x Aiteeeceeeereenseeene + De 50s ascents eee fel eee ea | Re PN 5s yas fos ooh ok 5093s ah oss ss ! Pavey , oa a Yeary.... leeks Monthe...£5.., a: Bos PR, OO oo yang s trae re nhe cro Goune rues Fess pentecisstaadss eevee soos NE I ers ieitibceiecdisiihcs ssenenvetabaaisiansicdnioressatvesiecsensssed votcunvias Ea COON. LO eer, 5 asinss Occupation 6B Slippers ee A, Gloves......... aes OTE oss tcsessersivsstneiios Prs GOI seis vsivs eset ee cisecs pa Single, ss Widow, Widower..... ... ae ——— fg ‘ Aa_ts— osu ik | Cena eee eros AN ENON ii ssiaice ses sz ss piso seleteacas Rey ee | Birthplace Ae he 1, 0 AE paovayias sereeees ee GRO ee Lat eceueea ceseeee | Birthplace odvac Mone tone rst Cops tr tr tee ssi ve censcsesy es pene Se eeeassssieee | | hg Personal Attandance and Assistants eee ae aout, coe | Last place of residence 7! Personal Attandance and Assistants .....0.00.0.... ceccceccecccecece.. | ceseeesee. ee | Last place of residence YU. <k 44+ t bo oe ges LE ] ' Draper Candelabra Candles. Ce Ck ee How long resigient of this State.. aep Ze om ley, Drapery.....ccccces ere KJORAMOING...6000ccccsece. EIN ccecryayecczscapaclicouaneaee? | pecneees | How long resident of this State....... Clie Se Roe is r Pedestal ; Rug Lh / PMMINOIE <5 c 55d as bhso fiosk ads WM ce eee Wee ee | ere | Husband’ 8s Name., : My... ; | foetal sD cde Decssnveceric tel Pete ean vidcsensdieicusee CASH EXPENDITURES. | | / : § ; PASLEPL AU ELSES LSE LO LELEESS SS ROD ESOSSS FEEODSSS 16D OFESHOEHCEDONETRSS T scvncseceslsceseseses | OE OEEIET DO SYQNNE...:s6ccick, cl viaai et ieetteett ene Biscxenesccaseek a ebsc nce i err sve | Country of Birth¥ Dsus cdonceescundaus co ios cass branacndi penn as eh a eeeeas pects uaieg cil te Reo Sister ssensdsrrusewenenebsassononsavecsaneeees cesess | cossueeos[ccosencce (OMNES? DAME. s ; pment «—=—=—Ci«<C«M RNs sinew on ene ORES OSeveneosecerseannseisoeneeses bie UM te Ee cal f me i sdaacisaayiesnsagere pate = | 1 _— r Irdered by (at Oc Ul palit ee CE Npsgeeeeirerte ieee WATE EIB is sss sede sacchorsscsees ties GlOUER.....c.100.-. ee eee PPUOPOR CY os cssiecsccscses ps rursvaaxsinssyss esis URsenets pees htt eee nes ql peeaasseeeiis tees ae Wensetsvvere h ycccya cl wengeee fee emamerasees tics | | if F ‘efels y Jott. | if * Dr fA SESTARAAN ERR ER eeeR the teeeneaeeaveresbersresereisesiyeee | so. c/. 0.) fu oe chien to BA. LAURA AASB URPPEN i. Funeral iia saitaa sabia pcennstusesessdaieingeds ines ioxsbeneeies jepeeees ss ere { harge to. caw Pde be paNhakes Eten choo daeowe wededecscu ebaseseaseee j sR Awe nT ee Fi neat Fs Fe re ee LT eves ab eusaiereesscedoe SURES ToREBLIS Sinclar i ee ou ee When rendered.. Se au Wi Se gneen eric, Sneee aea Nema ntrrar ts NABER POONSRSETEA SICTO Odambpraasteuuenenee C7). (ae 7 ec er. |.) 8. 1) neshnenbenbapetan hae aMibalip Racaau el mubbsedsdbusuiehecinebeakbeelscabiakoiiiek [ ulsiccc Acc, RECEIVED ON ACCOUNT. Clergyman.. Sexton Quartette, Soloist... . ..¢ eG. + } I aa Fa oe Pelee bedi ec cies soot outed abet se i ; ry eo feseeee | eeesneuaesenedasntnnenentenenneneneensnesee pr ke tt Opening Grave .............00. Mises weeiaiweaa a . 10 OO ieee eee a SE tistics rN ana pee ae erica ini hia ee i &, 2 > | [CTD cc eeeeneneaneeseneseeseaensenenennnes Fier tiecies : Vault Charges.. - 0-0-4. | oe ore | | Coaches Y { ade eee an an oe oe st Sa eee a 5 cit eae “hat Kee 7 . Mee ae, | | | eae Ie 12 fCP: , | | | | | Hearst hy eon MMT OEW eM, ecsestesacedh stcapaarei ys mt ass i 2 er ; Hearse : ; I) Coachea TOSCO PH MORE SOOOO DOSS OCS OOS OOOSROOOTED OES OOS SOOO ESO OLE O EOS SEO COO SOOOSOO CS CéCS RA Pe Te eee | EPA EE SOR SITTER ESTS ESL Coe RANE OT EDURSROCOS DOE Sbeed nea bHiNNhEEONIaNi dae escccctinwoNTee Ten 6 RN OPSDES PEC OT OUGTRE USE SUOESONSS55005S5000000 005400 65608 reeNseeaeeeNs ¥e1.4%600 TROP OO OTP O OOOO eee ee rere eee eeeeeens ese Lg er TT MREANSNCS | Up neha Gewsnslie8 less ies eu ebeubseerenbeskebensder épecevepeseeic oid: ucccleilivcsiosew |. TR Ae ebawbcoapenneeweeeesnkaetiiis WU METI NT OUT TASS PS POUNCE UNSER Seki cscke ae a Coens ant Oe Eee eUaNeneR SATO PEON ot H OLED bed bau eiuNee bess. O00See cesces cs fT oe Penta ennee cag r ete y Pet) Lyeeeee PPOCROUORTORSVRRUE SSP SNL OTOL CDNAS iNT eUNOUEETS: p50008 |” SRN S SONGS RUAN NSU ER ENE RN eats shileuLsiedasbsiiNdeebiboeaniioeridicereiaiis 0000 0 AMMEN 88888" S88 CeCe Ce S00 CC CLC FoCCCeseseeeseeeeseeeee PORE Eee se deeeens SOP PPE OOOO DESEO rOe SD EeO Cer eesoeeeee ae er aes cs neni peas a ae "POCO ee renees Sete eeereeess eeeeeeesl eoeeeeee pi he tL ILLITITL IL I LLL T ee Cee eeesresccoes Amount of Bill PP POPE OP OODPOSED OOO COO OT OSO Cer CCHE SS COESOC Cees COCO COC eCCOOOSS SOOT eC COs OORO COO DOCLeCREOOCSCEOCele cocccceee eoeeee**” 2 EIU cecccccece eeeeeenees eee eee eeeee Date of Funeral Removing Remains...... Ys cy Mihai Mi tes eee 1010.9 A isco vss daca ccekccecsiceedelacicssscnasaduscssumsieeaes cacao Shaving and Laying Out.......... chicas Shubseacsoarsdobenkunseanenesinees Metal Inner Casket.................. COMMON... sivas es es creek ALAM) D0 scasicstadis cis oes sks teaeei es aa esis | cpunneenees Outside Case, Pine, Chestnut, Oak, Mahogany.............++++. | cepeeeeses bceuesexe PT A, FO ER id cans nee cence vende Sesencecsavenssesses | ilueactees ears Pe Ne RE I oo rs caarosds b sik ss odd camialan sods siudeohacscseceers | Mountings............ TE ORB: oo icdiovensessere FE Metal Vault, Style. ee PI eo oo fis ewe eae ip aeenene<i se | Burial Bobe .....ccssoccccesssese ¢ SUDDETS ...0.060000000000 a GRAS CNN os sash ski ci casidves esti Personal Attandance and Assistants ........0.....0.0cccccceceseccoun. | Drapery Candelabra ... Candles. ...... : | Clergyman Sexton Quartette, Soloist...........ccccccoccosccooeees CINE si Assiskecicsss, | NY BB ors science snsaters shoebionscasnseaeisvikcoccesseecs is | Opening Grave ...5..........sccsssscsesevesesees DARING sosoeceeoceecess.. Vault Cha res oe Hea Tse... A; WEREE SS ELIVTSOES DE TO 600608660 0000S08EES 5H 400050000008 Coaches............ See OOo eee ee eee eos eeseeeeeecocoeee SOPP OR HOR OOS S OEE E EE eee EEE HOE eEe Eee TOeeneeeeeesesuees POOCOO ODOR COO SoS eee eereDOoEee METIS LDP SOGETSEESA OTN SNDSSASE SICH TEST ESOS STEEN eH See sseSbiserabee OO Corer eesesseees tee erewees SHOR OOH EH eH a eee un EOOEOEY BEES EEEED OOOO ON EE EOE SHEE ees | When rendered.. & a 4 20, : te ot” f [he 4 C a FZ Clore Date of Death LK CK. Cf wings POPC OOE SCC CO OOOO CODE LEOE DOLCE OED eee seeeeceeeeseececees Date of F uneral__, Charge to tee weeee RECEIVED ON ACCOUNT. THOT O Ree ee emer ee ee THEO OEE HHO HEH Heer neeeeeesserilenuseeee +P Pe eCC OCC OOOO OOOO CO OC OOr eeeeeseooeeeess| TTPO OPPO OOo eeereeeseeseseesoes SOOO COOO COOL er OoeseeeereeeeEseeeee: SOOM OO OOOO OOOe Pee e He ECO eee ee Eee Eesees POCO OO COO e eee eerereoreesereerene: Vault Charges Hearse... .. PPO OC OOOO OOO OOOO OS eer eseessiseceeccereee eeeerees POOP OO Ree Hee reese eeeeer sees esenenes| seeeeeeee secccccccsesfesseceees = PP A PUT ITED + ccc acvcccceseccceccessseccccs POCO MOCO e Hl ew eeeewoeenrlenneeee® eee eweeeerlenonerer’ COO PP meme wenenerereseeee Outside Case, Pine, Chestnut, Oak, Mahogany SOP ee Heres ene e reser see eeeeersessess: seneeseseseees POOP CCC o OD Oo ee eeeereeneeeeeeseereseerereceseeeseeeees APOC e eee reece eseereessssesseeseeseces Pome reeerereresereeesseccesecccceseosecooose OAS ce Foose lover near: venesiceexiais Nn UNUORENS COCO) SOS HESORENEN 100 0060004060600 06094000600 05000600 0080000000000 000008 Ten Uae ORGESSTSS DOSED EEN ESEEES0U05NN5SNEEE16545450 0060000005 50000640000 56000008 HHO Hee e emma eee eeereeseeseeeseees COROPO HOES 1S OO8G E1009 000009600008 0O 0S Soe +e eS eC0 Ce bese veeweLecee — Funeral of Pag Lag Ree ea CZ <a ee y’ Lining and Pilliw Set No..........c00.s0000 pcadvecudyscadsessakudeucessun Se NIN osha aspera peicelagieea dase acel MMOURUMOE..-000.0000055 4% FI OMGNE Giiedsseicsisese PRE isnt ceeds Ds II RR a an a PEA TU NOUN ops csp ca bis xan ovnabobdsasixaeseschacteassed ves icnies Sexiees kee BRM BOON oc coos sie cs pies sais coca asi ndeakesert uate Sas seurs sisskeucce "On I iisiisatcs cigsiiatolecbbussveraas OID vos cakcchnvncsescusssesein PR aia rcctecces: NE feiss se5 EME hay ss hs oes Soest is aspen BN AI hodencatubeaidenevecubdaceciveres Personal Attandance and Assistants .........0000..000ccccccc cece ee Drapery.......... eee OP uo 00 <sscenve Candles. .. TMI oo oois soos eo ossas Geese POPC O OC e reo ere eee EEO O ees worersees ssenesesaseeeteesesecessesece eee eee eeeeeee see eeeereeerenes OO e ee eee emer eer enennsseeeeeeees POOP ewer ereeseseeerseseeseseces stew eeewesleseseres See eee eee tineseensee res eso aA etal eee ai wae rnin acinenaana aay Potente a Last place of residence How long resident of thi eo biped ay G8 eae ca ca toon / en ‘ Husband’s Name < Bis .|Father’s Name PROM Sepsis oc eS Po a ial a) : | RIE OO osc ceescdssannsccnrvsricne | PO FG 5 iil cle ee RECEIVED ON ACCOUNT. ame = =~ ft te : LY | Pred l vesawess sect Vewbecetvcw ces Pisisclliiiirnt sae i | | tf POOR HS HOO HH) HEHE H eeu e eee EOE OES OSH OOO ESE RT SOE SEO EOR ESOS! sone eeeeeess suseseees ERO ROR H ee ee meee eel eee HEH EO OEE O EEE TOE EERE ED EEE EE EEE eee e eet PHOS oe nnnenuy Lak main aby onthe igus ae abated se an 74 Funeral of Date of Funeral I A © CLi_+2, ‘| aa - / - AS Teller— Removing Remains......cccccc-ccecese PEN si iiadseo ccacc 5 sceseceasitiadakosecaonnas aT ] ow Metal Vault, Style...7>: the OT~ fee tae Box Mattress.......00ce syst s se eee seecegeupooees ccceces A Ci Burial Robe.. “Tock F.Goll i STi PU ccisicksaeshecasbadanauuaa Prs As ait Personal / Pee .-Candelabra........ces-cee Cee POMRCHUN, oo eases bias ieee TOE ee eee Cash EXPENDITURES. j jor ( Clergyman........... waend sb0bk000D snneren MOS cnicstsesacnncads Quartette, Soloist. .-~< 5 Delivering Box Opening Grave | Vauit Charges. Hearse.....: Coaches....¥. SAX, ..[, SOC eee eee eerereeeneseeeeees See eeeeeeeeeree eeeeecereroes Seeeeeee eeeeeeeeees Oe sia asi eceass essa «king RNIN: cceiccacectiiects tandanre and Assistants eee teecereeescereseeseeseseeeh seen ene eeesenoes | | TENOR ORO OHO HE KOO ESOS ROEEOOOOEEEE ESSERE ESESED OEE HES E ees THESES EHH HOOT EES | Beweeeee SeeEseesesees pepe CORR O Oe ee erase tenses reese eeeess eeesssere .. Palms oreeeeeceeeeeeeeesescvesseceeeesessesoeoeseeeseeccoses |... fabian A*Recescesessseee- Organist ste eetebeeeeeneees COeereresslsccsess « | PPOCCCSOOOS -COODODEECeesCe Ele ss Heese OESCSOEOOS s00 eee oeeeees SO eee eeneseeeseeeses esse. COROT RRO ee eee ere ceees OO C080 00000 s ceseseenesececosoocecoooecoococe ee eeeeeee SNOONSS COSOO HONS CeNEse SES seees coseconeNSS See OPO Cee eee eeesese tee weweces TSO ee Ceeeesereeseceeeoose ee eerenens eevee SP CCese eo recesses POPC ee eeeeses SPOCOOD CO eeeseceeoooese Seer en ones | Single, Married, Wiglow, | Birthplace } ane | A TT I isn iccesbeesdanh etc cunodiesecas docedsnnrs | How long resident of this State | Husband’s Name |Father’s Name Country of Birth a Co Mother’s Name \o FOO SOO eeesees SOCCCOEe Beeeeeees eeeescetcoccooocccccccccscse | P ‘ sees . ‘ | Funeral of... Wro fetes A | tie 2 ieee MOR 9 /oy How Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No SAPO ROH Ree Ronee ee ceeeeee eres eeeeesesesesrese Metal Lined Box Mountings...... vteteees / ( Hayles... 0.0.0.0. | nO, = Metal Vault, Style..<—f& Ve Orr) Tere eee Peer e wee semen eee eee esses eres ees eeeeeeeeseeeeeee Box Mattress HOP OO eer w en Heme eee OEE OE OOOO EEE HEE DE SHES E EEE ES weeeeteEees Pee ee ee ee ee ee eee rr Personal Attandance and Assistants Drapery................Candelabra........ Pedestals SVOUCCCCCESOAEEE See cenee sou sn'5's 6 cWUUE - hte 86b +8 hn 086 ebe Sheceseeseosces CPCCOOC OO SOS OO LOCO OOOSY Derees eee = seeenreseueeseccececescecece CPLELOFOSOEOETOCSOS ESOS CEEOC EDSON SOF CST CHOSE SO OC ENOSEOEDE NOSSO E SEDO SebSCOoeS coos SPEULERSUR ET OPE RENN DER ETEOE TONS 65665000090 6550 26046560 5:005 5400445444 04.006806 008 bes ees Hearse~. Me Coaches........... TNEMTSOONVESSESESD FECONGOTCTES 0550000000060 05 6605105500000. 660 00 bebe eesNeeNeeeeeece TRSSAEL SSS SEC HOS OST HH 0196805900000 600048050 0005500 0046s ceersseetceseneeeecesses NTN nN USPRUSEREENS SC USGUU CODE USUED SOD ESU SONS oN TEESE Ges boNeerseCCeseces T9OCee eececseces see SPPPSOCSOE COSC GODs DESC OSES L SCOTS COCO EN OOO SOS EOS SCs esesesesecels TPP eee ee eens OOo ee eereees SUECOSURS BOTOD LOSS OCDE NEED SEDC CONSE OOSD EOS ES OH ESSNSEECSes céeec cs erence POO re cores sccces PONS CPOE SO SOCSOO DOODLE DEES OSC OCO OL EESOSSS SEDeeOCes coccees / ' ¢ Place of Death 24t heer og. ee paeeeee Pere r es TTPO O MeO OEE eR OOOO DE ee eee eee eee eeeE eee seeeeeesesseesnese Seepideoe Os frccccccesceseccccescccccecces comesrebecncee SULUTUING. . 0.5. Becsecce ceefbeece ood co PeawgPocecceccccccsesccesegs ay Husband’s Name erento ee eee ‘ A; eer ty SialKe-— SSCS ASSES ES COCO CORDES CSO bEmT Inns > speeneeeagnanaescsecseciees 7 a alee ten ; ponates 7 i pibodvekuhennae¥ vxcetns sees Country of Birth......iyec0 sscsseek iiceas trys set ne i ) »= te ThA SUCH HCO RCEOOUCOOGE FOU O TERS OCC CR bOO5e8eS FES Ee S EC ON Oe So eELeceees ON ACCOUNT. — 2 . RRR OOO eee OOO eRe RHEE EERE EEE HEHE EE EO HEH eee eee OOHRS ce eweeene PRR eet tice esto ge PPO RO Ree eee Hee eee eee LEO eee ee RE ees NEOSHO EEE EEH TEES EEE EE FEE H Hee eee eee eslennuenens see eeeeeees) cemeeeee eRe ee eee OOO EMO e eee eee ee ET eH Oe HOeHEEe wal Ck a 76 GS A D —— 5 ? Z am Co ad of Bre lent gery eA SS aa Funeral es Gil mthaan Ll a eae ame ed ‘3 (= 22 Lte ie : 7 a asiaeiaaauaiaiaas M. Date of Funerah____— ae Riis. ie a Date of Funeral— ccvcncccccs|eeorrrese | m Removing ReMatns...cceererers | Ve : / ¢ 3 4 eee of Funeralyy’ 22 ORE. uD Cs. coe Se eoecseoeee eonesceee oe oes pesncestane } | eae ass | Place of Funeral Embaleming ..-.ccecsrseessceersrsnsooonssces | cerayman keel... fae C ortoeae 7 NN oe, Casket ih Ss joes Caek | Me ©4,. A Shaving and Laying Out. ...cecereererees iD senessnnete Ll aaeay Laeeaeeninee Shaving nof3.. i a a / oe h d _L4 O47 Bf 2+z Fo ssacaskcevve-y: Mh) “<ceceaneonbenubin iombeadimsunnsesenonasaas tomes a beaepnsnenneneneees en oteT 27/9) Creer we of Burial.......6: Oday eteanepsane cotta seanes hanes Casket nde “nh Bb... OLA. on Ax oo Aone ueeaeni ith iseres be Fens ” Pesca seus Phhn af Bartell ..ccic-cceonsessens sncsssecssnfostnsetorrensssnononss+csees reese a | Where Beteenee on Wises Ieaed...0e HC UDP. NH A ee yaesraneoe |.eseeseee | seseeenee Grave or Lot No....csccoeeseseeneennnnerseees Section. ...ccccses.cecsecesees TW Perf iiiccnccccusnesccveneces sseneneesessss ‘ Metat Inner Ceaabeet..........c0001--COPPOP....-.000000 Me tal Inner Casket....ccsccccescooes beeen | Location Of Grave ..........serssecsccsseseceennsennnensssensnnansoscssssses® Handles IOs anacnsssaven oi a capuacansenssnnsa seaeeusnnasenreneeeee™t” Pine, Chestnut, Oak, Mahogany...cceecceeeeseess | Outside Case, | Location OF Grave ...cccccseeesrsernenerecenorseneenens sncsnnesaeennsses Outside Case, Pine, Chestnut, Oak, Mahogamy.......ssscsssees | covsseeeee Sg padpe penauanas tenses cearnre” Serres 2806 6040 TF" ™ sn od co elce | calatace atone cranes conenenettceyn conet ant AaEe SE” Metal Lined Box Mountings. ..ccssesere , Handles. ..cccccccoeeeeees dan Rieti eee Oe ee iia cp isan: Lccpnncaus | coraenermasnetnernete MRE GIy Terine . Metal Vault, Style........- Af BT Metal Vault, Stuyle....-cecccessoncessovserressonoooer sere” aunnee eaiivind: |eaieees st nek Z 4 / ssaneeseneleceeene Age......4-.0-5 Years. .....5.... MOmts....!-.0000++-DOYB. 000-000 Bow Mattress ....s.c-ss0-ssssreobossssessenceceneere seep f}osse fhe Ai } essen Color... (DCL, Presses Occupation.>~.. Best en Soe a irc ap tan sbens & Ake ee Occupation..........cescecveererreres Burial Robe | Colon (Mosc ctee stan caceen seer | oo L ‘ingle, Married, , Widow, Widower oe wy Aa | Single, Married, i Oli i csi accencnicincerns . la ceca Re ed ff Pe f 3 SZ... | Birthplace ....:- i 7 a Kee eer eaaasnntnnenngn en anat Siiccos T,} > d eee eeerareeseeeeee swasecoeesessesesese 4 “s y ae PVRs csccanasonunee CUVEE cascakcestoens<s | aaeneoeete beeasiaena | Birthplace | oF caesavenee Doz. CRAULS.....avencnsressseseeccerorerreres ssennnenes|esssenees Personal Attandance and Assistants | Last place of residence .. 21. Tissetenceresesesnsnsnenens sree eee! Personal Attandance and Assistants ......-.0-00+ asa iessbiesiates® Drapery....ceecveccere Candelabra.......- Draperi....ccosess .Candelabra...- sss COANE ER. cacccerscsccees | cesreoesee| coeeeees | How long resident of this State,.........00ssrrrrrrr rr Yr oassngeeregsecs<**" : ¥ Pedlestal........cseecseecererene cones . Aug Pedestal ee ny cccceced@U]sssocccsencecserseacenceraconsres | sensserses ee | Husband’s Name £7)..+-+++..+sg++ 0} 3 / Wravak wcll v4 | Father’s Name... frreraaffersssrneserrscrsrrerseeseassoenseenenn e700" | a * Country of Birth oN causasncecoss MERsetaetepre™ i cecvesvece|seeeenere | 1 SGU co Sra alyvesanabessseeensaesse® | Mother’s Name....4 : Loo 2S see reerseseasecsseere e ce 1 cad agaswenpennesstouentaneersre® | | Country of Birth..... ; er | Physician ec crac oe ives enmeckdamunnnsseeratepecneeresseet=="** : | ee i es Ue seaedan pa epennenvers connnunenmenteserearanterstrrote) 7 F/I Core off Deaths ...00i.....csesnerooesanecensvensensongenssesnesee eee" 1G pd USSG ac cau seman ewes nenseenseennelenameeraeeetn ec yy i eeees SRN STS | Porters Gnd ..s.scoreceesceoversnrsenene« GVOVEB noose ncege hi ae ee ee ) j | ‘ ; ; Funeral Notices......s.scer-cevsesescssseeeceeesseneceoeress paeecewrewurdes | Py <a | eo Charge tO ........cseeeeen recone Funeral NQtices....ccececcsecseeccessserenoegnnee city ves saa , asecnasognesennenensters eset | csceseseleeeeenee apron Th NO en 1 Tsai sapea oe aceaneieen eae nanan nnennmrnnee RENE eo eet When rendered... cued es ee UME rae cucu cre eves te tan gers ass seeesraneansne ees nomea eset en cae RECEIVED ON ACCOYNT. ckeveusexsnseserteeks pares ee aaa : Af Smt A~PS a = hala cecececevcccces | sonmers® ppp ah bwe nNOS RAsRhh4esSCGRSEREEREREREESS RU UES TSE RP eRSSES SS 7N7 IT" ” eeeresseecer|iccceeegs SOPtON, .ccvacecccvvansenecrssstecusssecesncnseeses se 2 Hing paeatueieenanwneeene? Sextot.vcsrsecccovcces cous gaicuucbedeneausesyss ucunacupensensebbbesesepeyeenerses® Quartette, Soloist... ..creeesesssreeees Organist .....cscneessee Ki ; (¢ Quartette, Soloist.......c.ceeececeeeeneeneeeres Delivering Bow to..... Ovening Grave ....+.+65 hee a | Delivering Bow t0......ccecsssssnennse sessessecsesserssssssseaennes «ye n0bes eek See CESSES S ECR ORRESESESHOSS TSS Vault CRA ges. .a..s.ccesssssesssceversecesssecceraneasnreeesreeree eee Opening Grave .seveerererrcssesrreresrersrersers isi. icssasemeianens | Cos iccislvavse cease Vault Charges.....erssssecesesessererseserssssenensonsaneganenseee ener’ : ee chp bob essebee be FSNOCS DEREREN ONE ON EE YEE thse EES eee 9° cc paunnperecansesaeesedesesesssecccasas chan nse ee SReeeyerener™ ’ j VO ee eee aie: os cece nesses neccesesececccoosovosecsocsesieeeeee sec RM nnenfegerge geen Fone gy es anne asses nee ee ak aa aie eens preteen ep vewrenes tee ed (10 o | bo. TElOYTAMEB. ..scvscesesascesvosesesss pain Transportation Expenses... COO MOe ROO ee seer e seer eHesesesee oer eeseeee Lepeegndusts cbeneees, [danedeedaben] SUSSTETE SeEDORERS SES eerEE ETT TT? Seeeeesessceaeees peeeuKOELsheCUhETSS+SEUEDERESRRE CRITE STO ROS ERE SOS FETS ETTON TITY seeetener seta RAE wees * PVSSOSSeAEOCEes POOeeessecesssseenese ee pe eeser tly cuss sOSseesscererereoese seeeeevenseeeeeeers ss evekerVee RETRO TRITON seerere ccceeeoneoreresessoreeeees ceapenbereraprnaeeesssgreneseeeetererrn’™” tier Gen (pierre ne ecesninumrscmummanicnnoninl wesesseseeeeeoeroe® eeeese ee eeeoeere eeewere secceveeseveoosnnsesoseeooserssee OOSSe DOPDHOSED COeerene® eee cctee spec eeeeseeeesser, seer eeoereeeeeereeeee Amount of Bill......-.-seeeeee* ' eveccccvesecececce | 78 << Funeral of WW Lt hice. Metin Date of Funeral— . | Removing Remains...rereerececerererere nesncseneasnnanncs soesscsesoneneen® Embaleming ..cccosesesssccnensoecoooonseees = sanmemaenaaenses? i Shaving and Laying Pe ccccsapssseaneeee Cas Junnenananancnrnnnemh tbs @ oy SM (hood Loch eaesseceoeeere! Handles N Fc disabavuanapeese ens tenn nantle “RPmean eS Tne?” en panera Outside Case, Lining and Pillow Set NNO. .coccesecoeeccese Me tal Lined BOD. .cecccseccescsnesscoonsessss® eeeee Mountings.ccceeeceeeers oe Handles. ...ceceevereeeee PURE. ccssascceeees - Metal Vault, Strle...-ccssersserersesoveesenes Bow Mattress. ....sseeeeerss osjegesnnonmnpponmmennnccsneceseess©se* 3 e > B rial PRObde!|y ...cveeereccevsvers ecececcececcosoroeres SED NETS...cccaccncesacsceeosccoess PR sincneesn GOES. vcsccosesccnsee+* slit ag pale CHAIrS...cecneneveeeeeccceoees Per uw Atl indance and Assistants aeeveressesese .. Candelabra...-...+0 CONES. .0coecs0s080e) Pedestals. ......ccacecereccersorersensooees Rug sic sussias CASH EXPENDITURES. { y. eee oo. eee er PAUMS ......scscrecccrerecccccvcceserocscoeassorses® | ; <) E) i 1 EE .. Porters ONnd....0e weceee s+ CLOVES. .ccceoooes Pee ae ' Funeral DNNOttCOS.. 000 sen00ss0<scaccnscvevenssesvossonconoooosocserosconers s ' * | 4 se pe cts iC pacnn nonpnounenaconnseambeneennennin non nanianunaasenaserenat= : oie ie apiece ie otiesntalertie rennin nen eS : : 4 Cer GyMan.......cccersoscesereencseverssorececeranononcusvoosa s o o o n s s e e e e s e e ’ s Sextoth...ccccsesssscsrccrsesenserensccsccerees sonssscscaneenssononoccsesooeoorse*® Quartette, Soloist... .-ererersrrerreereres Organist .......ceceeeserere YY 42. Delivering Box to. We hk LIP BAD seaneat Opening Grave ....0v0rere--rssrerreenes Vault Charrges.....njppevsesseerrerrersvrns a: Ye ov wi_Q FHOar96...sc-ssseessvssneeseeenasarescrereerenenersnrens Ae see ae Pine, Chestnut, Oak, Mahogany. ..crrseerreres serersseresy ss | seveneeess Lisveesass | SOrrEPe MN Serer aE wy | } A | oa py t , eeoeeceee 00 Grave or Lot No : cence | LOCALION OF GAVE .....ccerrerssencnanrecennereeceeaeees on Aipeninka ate eR ae cc ceks cavekhekdns SURSCAd Ae Reneeheeens Ene eReRETVEDEEETT INE geese easel Caenes 4 | Single, Married, Widow, witewr...... sire St _- "all eoeeee® Nis ao | Birthplace | Last place of residence ...... | How long resident of this State... Cece yf | ‘ \ Husband’s Name cae Father’s Name | | foes | Country of Birth | eet: Baie, oe ee | | a | ie tere } | Country of Birth... teeanecese ce paeodsess SegREOrOegEge tees * | Phy@ician ......ccsceccecesesseeensnncensnensonsanenenersess Cause of Death avapdhvbeeeeessoehGEer sense he seenee er | cementacetananaae = = eo sae sik buS MALE ASS EDE TELAT EEAUE VEVEDS ENE SRERTS SOON OTIC EET TAT T | eeeee seagesacennceeseeseererre heen ete ee Ie Funeral of . Tra . Date of Funeral____—__— if \ Be ae eee eeereaerenerere {pee _se Sete ae supaws pueen nes ved neers CanW Ran Roeeneet tre Ly es cuvnk coi ke nas eed svanssvaceeRseaeausannnnas eet Ate ts*OS0877 057 12" ee we Lo Oe ee Personal Attandance and Assistants eee Drapery... .. Candelabra.........sseee cpaewcehbsd bbe odes eb SCESAARAOsREGRSSE REESE 1S> ES) 440805 ET eee eso et uke bea pasamoa tha saasennsendanseptnnrennseaneareranene lene yentaiseSnonts 21) Pedestals.........sceceeescecrens sereeeree ccaeveoweresetess 59 0eessekeee eer ss a aoe? 1 ee aa eeteweeewneans oxo: cuanenaveneeeesereysesNSSST SERIE ee Cer gytddth.......csescsceccsesensorenvonssorensensenesassenseneanensosennnenent® | \ Quartette, Soloist... .....cesesecceneeeeenreres Organist | | eae Delivering Bow to........+f- ‘ cen ellagle Loe | Omening Grave «...scecerceqerssererseeenrnereeres Li og hic EET ve taetvscecrvatenestvepenpesyerssssuevesesgsereee2 085" ini I i iis sssciesninnininoniions coccccenes- jseeeseres perececses|sseucoese eeercesnerieeneoeees pg enone Last place of reside How long resident of this Stat Husband’s Name an ures ( Father’s Name.... f me. Country of Birth 2 Cause of Death he FRE fe eek uhvaisbees Charge to -?. 37 Se chk SVS AADEEEDE UPSEEECERE NC EDEASESORGEESESERSOR SRE REST TSS on eaenecaeaseensen sess rrrreryir rete of Sie oe cccccerececcereseceeeesesesese ec ceee recesses eeeeseeseery eecvececeee.seeeseseer® wpuechagnscadedecodnnseneaeneheneneséeseeneeheyhet tees). 7 — : a . a ¢ : t ' ¢ : RE an an ence taal — ale er MCE Lovie vee Porererccoees ‘peeeee ¢ sees | When rendered..... RECEIVED ON ACCOUNT. ——— PPT Tere Te TT cad ee Pe ay cecum Why, Bescaet blah Ordered bY oo. risengccenceccescecee renee erenee mae ee SS sea en aaneiae as pourra ——— Paap S <a sennenmeanase tae sgencveemipr meee hh Sagewerrne ie { 80 Funeral of Date of Funeral— Removing Remains......cccccoscecccese: cbidicscmiatinanaiaa tt anhalaeuees SPEIRS bo cach nk cacdichaasavenasebasesercanmnens ALR IOs as cals sacs cance sas cakdcenckesdvansasaniataveniscsnasiacass | Grave or Lot No | Outside Location 0) Grave +608 ORO ee Ceeoeeeeese ceases CA cacti aadicedidssisstdaiianinceuciatsts \ saga Me A tata: ee Pas It ce Occupation | Sinele, Ss eee | Last place of residence ' Atiandance and Assistants | How long resident of this State .. Candelahra Clergyman Sexton RPMINTREER, SONNE v6. os cccinscsssvcssecesssccs; Organist Delivering Box to..........cccscose Opening Grave Vault Charges Hearse SPCC O EERO OOOO OSES OC ODEO SE OE Sees esreeneeseeeesecececeeeeseelee Oa eeeeeeeees Coaches SOMCOS OOOO eseseseEee . ? ae eee a @ i] 7a Casket mie é; / Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. .........sc0000000 Bra cee ree casero erg Metal Lined Box Mountings Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants Drapery................Candelabra Pedestals Delivering Box to [ Onening Grave Dt eTTTTTT Vault Charges’. oe ee Hearse : Grave or Lot No Where Interred. O21. Oe aay ae Single, Marri Widow, Widower... Birthplace Pile ee ican SORT Tab bea fener: Rice oevauiny Last place of residence - How Father’s Name Country of Birth ... Mother’s Nar ordered iy LL. hye La St ee ey ll When rendered..... RECEIVED ON ACCOUNT. A s ae ea 2 SPA A a I SI OTD AI a ee a a hs i; 82 Funeral of i ei ‘ | LOK he ~~ | Funeral of shh Oe, dtd. eee: A er re Date of Funeral : = 5 t Ray Q 4 = ho fy | o AY = | fae sRARA nena SeKessAs Reaeunipnecineennaiaesiaaicedasceece tc.ck. J dick | Date of Death TDi OME cag A Cc ee ceil ciliata ieee ce 722).2.2..| Place of Death XA Sassen eumemnameemeeeeietneinenaenmratin nema heh nannies itn oi ligstiaennse as anerone eeeen ter RIC tty,» STR « ¥ fom, THR eee eewoneaessesesedessseesee esse Wes tttee StARAGA EA ASEEAEORAPOOTORDSSRRSSANSE GORD ORSELAGdA shut beneaSa0s <nenckenensseearedaccets......c.c1 sco. .c: Date of Burial Metal Inner Casket.......0.scseceoes CONDON inc cievesess ih as saveiuussabiaveneces - F Metat Inner Casket S Peewee ewes seeessee sees ts eeeeee SEOPP SLPS CAND ERS ORO ODER GOES phexkiaeesnetians CORD. i oss sc BIMB oo ss sesccsensss|-sensseee| AES nine Ae ae aerator Handl: i INO. <. cs ncn pudavaenccnhacabuandeehddrennansncneseseboenseacsedseena’ | ebensanasen|+aasenses COOP O meee ee reser eeree ree sesereeeeereressereseres Sereeeseeeeseseeeees Outside Case, Pine, Chestnut, Oak, Mahogany................+- Lining and Pillow Set No. .....0...c00..0000 Se ro errors Outside Case, Pine, Chestnut, Oak, Mahogany. ...ccccccccccsess | socsscceses|erssseees Peron NR ae TAMIA ONE PELOU? OE INO; cccarcasssesssnebasivabcesesceeneguanasideasons | casseseseusisss esac , yr. pecvccccccrlecccccnce | cocccece levccccccccsccccncoescccoeceosescoses | Mowumntings........00000+- «++ LONAIER, sscccccccscooceee PRs vissinsisccec erssticss | aaecenes Metal Lined Box Mountings...... ae Pe cséeskcass FUME sce RSS ETRE Tae Tape RT Metal Vault, Style....-cccscece 4 sbssct banigendcbedpranssssnranneananeisnsangea | -otosaeensr Picsahees | eases Rissareagsnne Metal Vault, Style POOR m emer amen re ees a eeee eee eee seeeereeeees i eeeesseseesensses Boz Mattress see eevesconeerees Pie EN oS ace ssc ie sca cas dip herdeee cea Rie a " * Pat FOGG i ccssisscuncgaesscaen ROUTE oss escivtastcessestanes Pe fe PROPEL perrer al perpeery a Pee | Single, Married, Widow, Widower (aan P02. CHUAIB ss cncteseststnt-on ed kaicorsy esse | | Birthplace tee AQ_ ' Cy ee eeeeres seesereee TOPO ew meee reese. cree eresereseeere I A iibine Oh Ame AES is scssiccascextasesgscssiseesss | cossiadeacleasessess Last place of residence ..... Si Perot rsa kien ccoscere cosccseeses: e Personal Attandance and Assistants CONTEIGOIG., << scscacccess CREB. oso coscccsoeee | sees ree | How long resident of this State.. “425 tas Mitte Sey... DLADETY...:..000006+6 <oCOMGELADIG. .......<60c6s0s Candles. = bene: sess | sesseseeee] seseeees | How long resident of this State... aR, Se Roe ~ 12 Ute Husband’s Name 1B nos a oeets raxaeaeeteneeies MEL 2a cone tcendencs sieeyersieviaes | cases Husband’s Name ..... i phd SEALERS RDP Ey os Ne peceeeweneseceesces PIG oo acne scawuna cds Rug Stee e nen eroeeeces veeeeeeeresenes | cueuewcese Sree ee Father’s Name.....<<<€& onshuanilonns ops Father’s Name../ geicore lesen Se COMMITEE Ol TWO. 7 ivinideveeseeSl eee peu ibeekn esate Country of Birth Misa scscsicceiecxudvansdebuve iasessiessicilscosdescaks lees ee Mother’s Name Mother’s Name.‘ eee eee rer eereeeceeeee teeter eeeres sie ATA ER ONO E ee eRe OOO OOOO Eee esse OOOO Sens senesesseeeseeseeseseseeeees | of COOP eee eres eereere errr sere elle ltt Oem Oe e ee sesecee * *- . CEOS EEN OH EETE EEE SHEESH HE HERETSSEOSEC ES EEO = —- Ay : 7 — sat | = = eaeeanenenepkaneagiemmeneeneenap i bacnaeess / ’ sitosctak OPEN: CONUS. sc cseiaissisitaseetmennen sss OUMMsrsteries | oi cree Ordered by . Oz fea,,. Woe re, Bee he oe . Ordered by ee PMANL NOUN i susacsiis ceccives¥ickskdcanearsedtatassel leek Charge to An, Laks. Ol ee When rendered EUR TEO eek” fe Te Vem ERT Te ren The ete ; = ' SRESSUSEES CUNCLTSEPEEDENS Fe PANEROEASHD A 4b ne ee N OEE SEND SEES Rhns keb bOSbbabaneesaceser< sigserstes oe, When rendered ae iccieaaamnan isa , ao i | Rune ark oReeva snesuces culusiven anddneesstnnastaescd od eesavectsresvenasoaseessscissis : PISTIASSECNs CS AGUNAE SOR SEAAS siereeaGSt'x <n nabsdussseenconnasnswhanns<andgepersesens¥ | nencncuves|seccwases | Monin: ‘when RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. "e babar Gage attic : j ge ee ete 4 dD NE Bl MANN ESS ReNRSUCNAH SLURS ONINS HOSED Sy. + EeSDERenaLveNSEbeneeesso6se0s500s4 0d¥eneeeTascews } | F SHOP eer e cee ee earerseeevedsasseseceseseeeessesenesese PeNeeesasoeyeeresansesesansesseses: gUMeepess seufepesssssesecsversevevecsessoesen<s | 6... ... cect cacsses, pees = SF F= ee IRENA IIRL EAN STAI CEOUYt APAUAAP ash ecsent ear yedeneseiayeshs shae¥apiseecvs. | seeniesss sl. cesayass | accretenciee ee — aus is Clergyman......./ Ae hoses (VE Ce |. Mb, U yt d1 Lg OK 2 4, (4300, | | if VORTO SPST COREE O8S6E 004066690080 00n 0056000006000 000s bes 0d bess 660680808 OPPO O ORO OOO C OOS ODEO E SESE eeeeeeeeEOOrs cerns sceeeeeeeeeeeseeeeeeeesencccces CE RARER SERS SR POSTLESSLEESE OES SECDSO GUN 00 0ONN000000 500 66R 0840s ks bebnGeKCes© | ceseeeencc fs yee eet coe gee eee rene eer ener eC meene cn Maen RU NI SNe pa Ty Em 5d cies Oh gia ae Re an Mere aaa estar wstranerennerssencrser sasSee ener’ | A8¢Gguuheelasevugess/| webu ged ubaen sa sSueetvilayeasb ia susedws vey Tew cevere IeaTeOvEL Gara Eiewes a Pune Teer er eresevesconenscoocscosest Ss JUTSU ...cccccccecsesses Sf 8 Ree ee Tet teen ene oe eRee CCE G SESS TAS MRM See Ct bakeNKSeRNORS | oceans js lial sacs ot eocebauenecttaces Po hes gue | (oy PL ages (pet atte TORN e Shee ERE EAP ERAOU CY REEDS A EU erverepwer sates t Pees GM Lore CaS Seimei ofan cy een uen Ronen estes Oe IS ae Mnemany eee MSNSNSERESSS | “Se yddeess yebduye «: liveue kaes ey es|d su SeestslinseatucsiesuedacdOceas ecco eck COMO OCC O CEOS Hee e sewer eee eeeeess sueSOSEeSeeeees esse | Delivering Box to........ , rye sevenenes | evees coven crettites| ecsusesesansnnenneenseneesncsnsanensseeelceueennenee] scesese! PEs so eae Opening Gre «Spoose esssrrreney sasessee Lining SDN O nakies njro Dts auc 8 Sia cine Opening Grave ....Sdeccccccseccossosesssseeses L ining evens j fey olo 2. Vault Char , aul i , . eovennesaseeslayeegye anes Byrovegapepsosvecoervonsersess | ee | ae | ow | Vault Ch . TT VRE OS | nen neneeaBvnenees | cseeeeeevens oo AN ssssssssssesesesenenensesnsessssasees:lesesssennees |e { peer) 7 Z Hearse... 7 & RE | i Del WEVING Bow tO. ......aseecececeees LO | | | seeerwceeeee SOHO HCO ROO SOHO OTE TOOD EO EEE HEHE EEE T OOD E EE Eeee en SEES Ee tee See beereeeeers Creeerocene | eocecrocese, Mosereed lsc eeMegheenseseseeecescnoscoceseecesceseclsscoceteesesieeoeocess «= MN ST ERSCC DOSE Ores eseesecEsenseenereeeresecnceses + NES SOR SSEROUCESEUECHS SULT EHDNECC CNET OEEE OE NNUENSOSNHSEENs 15040 00b0e es oebbecceeuds MOPIMPSS LST SSESOTSS | Ooo EMSS SLs MEOee Sh ol o csc eeSeeerescontocrecccccsueccesesesinsesetoccucsfeeseeosss® =| 66 “#8 ff MSROSORORC LOCO DO ESOC SSS ees er Dee SeEOC REESE See ee ese rreeceseeeeseesoescees Seeeessereceeeees ee ee ne POOR SeC Coes Coseeres | POPC C OOo el ce eewees | weeeereneeeelrese COEEeDee TTT NSNNENSU OS FO NEES 10906400090 06600 05 065005500440 bbs 6h cer erenceneeeetesoneceeets eeeeeoeeeeee nr eseosssscereves | |... | Teleyrams Transportation Lapenses..........se.e00 ease eeeeens sonccesccvcocccecscces coe TY MNS O OSOCCC ODS OOU OOS OCT ESDeoescHOeeee see eee weewerleweees CCC CT OC OO Oleseeeeees | eeeseesssees| HHereeeslioeseseeceeese THEO OOOO ree eee eereuseeaserisereseneeee |seereere® WW SECCCCSSSUERS NO ORS N80 ih 50 66050 6450084s Ties) Bren ete Ev eee twee a Cec pr ets Ser tpSeVeC aS SOT POOROE SHINS ONT DEES SKIS TeRRStaViveveeaeueUeSpUeTSse#*) GEE | |... | (Thre eane SP ORUNSOS EVES OR VEy se bEuNSEbOEN SHEE Eis +eNeD ebuntentssuesececce eens eeeeceee ORCC CC ORO So eee sores | sesrereweneeslens seees Se eeeens SOP eereceeresne ee eT Veen Oe eee Rew RENEE SP CORE TORN TERS eC S FET Ee ee eee Ne OOROP OO CNOLEDCS eS eR CRU NheSOSENOEESLe bes LeUbeecacee Seecresercccsseeee *SOMPOSRS HOLS SOSSLOSS | 666004 H9O0SE] COSC SOO e EIFS SEES OO OS CeO DSO C SOOO CEOS SOR eCeCCess eye SOS) cae. et Tee eee eee $NNCORSUORRGUERE COOSN FREES RONEN SESEUSNEEEOEEN CS Kskexe ss Sheseeeeescoseosese 4 5 OO americana | ss2stsssseee| sssssees| seceescsseeseersoscesseeeseeserseeeeesss eis 8 "TENE NP SS esearch ie aati ben boys wedi iinsies < Ai a eli eeveccecoocosscevscesoosoocoees: Amount of Bill......scecseeesrcsveseesrons ne 3 at - OOOO OE Cerro nese eeee teeeeeeereeeeseeeses + eeewweeee [eweowee® 4 Funeral of Handles No Hearse Coaches ORO R Dee He He eC ROSS EEE TE EEE ESE OE SESS OE TOSS Ree ensenneetasseeeseee eee eee eee eee eeeereeerceresessees OO eee eee OOS OSES R SOR ROOEOEEES SOOCCOS SD HOO HOSES ee eereseuees Date of Funeral ___—_ af. vf aes PN inc M. FROMOVING FLOMGINE...cccccrcccceccoceccccccccse-coanasonescocococsqoonscose Casket No. Ried dee eoreks LS cedk Metal Inner Casket.......0.scccccess Copper Outside Case, Pine, Chestnut, Oaks, Mahogany. ..cccccscccccoees | sccoscesese|soeee Lining and Pillow Set No...scssscscssssssesesseoses Di ota. ss akc caste 24 SEI OO iantanosbaretaces P Pletal VGUit HO: <icecducsiaxeencranuninnes Peer eecrenreweseressoreeees: | eeeseerene teseernne Oe eee ee eee eeeeeass teeccceeersccsreecoeeecescesssWTIUES.ococcecoes | ol oo eeee TTR OR OOOOH EEE TROD OOS TORE HOE OE SESE HEE OE EES EEE HeHEeereceeseee When rendered ATA SOE OO THEO SHEE HOE SOOO ROE EES SOS EEO ESOS TECOSOS HEE eee eeeeseseoeees COR e ee eee wee weeeseeereeeresne [steer ewes | see eeede saereseese rere es eer eeesereese ee essess sess eesseeees FPO eee eee eee eee eee eee ee eens ere reese: Cassese ee seri eeeeses | Age.......: ie Years.. 4 aia Months...../..5/...Days Sf , / | Color... irre eke yesssteee-- Occupation. / CO eT ec ee Pewee eeees seeeweeereenseesee ees seaes eee eeeseeses seeeea trees eeee Orem meee eee O PTO OOeae ee eueeeseeseeees seeeerseeeunees Misd SUgeMe eras Ma tpiacietsstixeettty rites _ bets Eee slattinecske ts spetstsenenseceees l(a firt Country of Birth......... 24 +49Aeee & pat Re Ase a ) Se Cause of Death q en Charge to THRE Oe eee meee eee OOOO Hare esse eOO een eee eee EEE eeeeseteae seHeeerrns® OOOOH OT OHO OO OOO OOOO DS COCO EEO OOS ODORS SL COL Eee CERES SOO SCE OO OSES SO StOSSSCCCe Clergyman \ 3s \ . =. +8 Sexton CO, LH iia ais iseeniiesseccaxceccacxes Organist MUU P NOE SMM SIE B65, ba cbbsccdadbeeies \5i0ss0ia dasekeesi dike GR * GRIGG svccccescnsesscsnsvsnvesecesevesesel tMRMcarseessacescescens Bt MEMENTO: Sade ts inc isidbukiebiusisds sevens haseieeciEe ARG PORE OH OOOO EOE OOO E TORE SOHO Eee stereo en ee tee eeseseeeeeeeeeeeee Peererseseee SPOOR COO OOO RO CO OED EDEOES DE OtreEE Eee sr eeeeeseeeee+eeesee sere ceseseccesoess SPCC OS OOo ee eeeeseseee Pee eeeee eeeneneeee seeseee Aeeerecens eee ceseooms RECEIVED ON ACCOUNT. TTPO COREE CHORE SOEs ce reererereereeeeeEOOEOOePereeeeeeeeeeeesiossceceroses(esreree® TE EPO eC Oe eH Hee ee OH etl eee EOE EEOC COE OOOO EEE E EOE EE SESS EEOEEEE Heese eee seees|seeseree® 000060060080585650000000000504500slscendnnuces preeenTTeet Des TF e ce] pooper ces) secccce se eeeerecescccvccccccecececescecetleceseccccces|eeeee eens TH TP ROHR Oe O eee eeE seers esere ees eseertleneeseses resiseee? PPT SECS OSE EL ES HSCETS T1668 HO HSCEST 6 CHS80 60000608 s 6000066 NO SS bOs1 0060 ee ebeeslseeseeeee TOPO OOOO eRe Oe eee eee EOE EES EOEL Ee: resseereseriesseseee® see ee ee eeeeelsnseeere® SHOR O OOO eel eee eeeeeeleeOeeeeereeeeseseeeeeeeeeeeeeeseeeeseeeess SOOOOCOOC OSS] Seeereesr!. coverererreeOOEOereenrcececceceseceseees: OOP + LOCUOOEFOSOSOCOSOPrCESETOCR SHE CCC RSESEUS SERUEBEOCCOCECOSCECele cececcees feceeeete SPR e meee meer ae ee eee nese sree eee eee eee eee eeeeererrsins, ara = ; ’ - l. Hier @ CH Lette” hott da | eT Mag ON oo eet cges cies ajeonicetiones _ p E.. a i Ra tN a Funeral of (£Lfeen4 Viceed Date of Funeral... ==’ hy ER Se Hour FORO eee ew weeeseeessesesees Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box PA OURIINTS ois s<osees cs» FROME. oesscssadesisecs PIGS iosiesis Metal Vault, Style Box Mattress Personal Attandancz and Assistants DPAOIOY: cosicsicixcescs FOE LO os cricsoskeeiser ese es SOCCOOOSO HOSS CERES ODDO DOES R SLES EES OH DOSES SecccececeeeeesLeSeee cosee SHPCHED PETERS RSAC EC COSEET OES ESE SODCUNS + UNOSOCEU SE CO eHOEEERENESESE0t Std erSEESbORD 50K iF covccesove|ceovceces _ earns BP Ps ae <—F aaa = : ; Sie prlae renee PP OVERTS: GONG og occ cccs dines cnsicstececs x CHOUMD..n os ie sececee. | Ordered by 20.7 FO tise ac ite a EE PION iccscensesevsdsesieerensiovebasiaiashvasniy swiniieasiiciion | 2... aa Charge to Tx ie 2 ay y Re ae ih ; ¥ | ¢ : eS eatdsalani disk toleatripsanlatees ats Goubonaiie ukaleiei id Ae iP |.sssocees | Whom. vendered...... Sane tee | cere I ee a Big Ok ad a { pis ease Ub et ea re ae eas baat heesiniininaitins ; ae ieee ee i Ricca cithcitdeasiasibbetes oi ciere ee | | / [Uy Me Che Ch. Pb 4 | deeveseess seevassve | a¥eee ened [rosegest|-Fonesens Pe rAsCTueE OPW s PAINE y Ce PeCtR TT xa vonessceafascsinees ee RIMM ceo entire c | | d | | iio : a uSauv hsb avSbes¥us bv sWhssetiCeesieasexeessceesebeies | kcliccac, ['creteess | coteeeeeafie) cesteneslscssnsernsesessenesnsnsasesersseeseseressleesssneneee! ea tEEST a GUATEEEE, BOUABE. 65. js 6 scscscesesececcsonse ss MIME ss cvscciy eevee Vee oe: ; | si vheeob s¥scl ins shedualveneCuay sues coset sennaiieeedaiecion laws j ; H : RMN MN si ish chs thrchev vaeiasadantataa eseuniocyaege | kc | LOS c ! LY |" eececces | SEAASERORNST NA SRNSEED 008 68N 0 00 06b 0069 6U SE 445054 0007590454088 0s cashes cx is Opening Grave ....... Beetle ete seietia, Lining. 2x8..0. 28s ME ig) Se ie Vault Charges ‘ = sesesennunanvaneneecencenennnennenstse Hearse, /\@ Chg fr Merann 2a. /, Coaches........ pio Te Meereren eee cus re eto siveveuenseeseers vine SECPOSOHT ENS OC CCG 005060000000 4604055005 500600000680 Ce ceeeceneeseseeeee NUSESTCCSSROCAD ETOH H06000 090005600004 600000400 4005400000 5600600660 815s 00s THO RRO Ome reser eseeseeeeeeeeeeseseeees SOSOPCCH LOSS OOS FOSS CCOOOEOEOOS TE OS HOES CeO eS CCEOCeKeeCS TN NALYRUCSOCS PES SHENG TORDON ED CONTE HEED ON THOS SEtSSiS666s04ensuseses we eee eceecereccees ce TOMSKE? CHLLSS OSS STORELOES OSES SOSOS eRe SESORb Ob EEOSOECHCLeecceces COC rcececces OOOO eee reece renee eeeeeeeeseeeseeoees Amount of Bill +teeeeeee POPC e ewe eee se rere eee eeeseeeseceee POPLOOSSOD OOS ODS DOERR OSEROOOS secencnecnnenesoeeececcs Sarenapistexcoais, SPO COO OOOO LOCO D DOLD OEE LODE O OO EDOEOeEEeeeseEe SD eneeeeceooOCeeeS ROR OHe ROOM Oe ren eemereeseeresessesesseeseeses see | seeeescccenlseecccces see | te ersccceesiscccccces POO O remo re eee ress cease ees sees essere eescess oesessessoeees POOH O MORO HH eH Eee OOOO SESE EOOE SEES SHOES HEHE EEEE te weeeEeeeseee ts | eee weweweclececesees SPCC T OOM OPO ROE OOS COOH SCOP COOES | SeeceeceselecoeoCeCe aes YlQ° Place of Funeral....<%,./! Sas =<, ene a r ee oa Setter ee ees eedeene weedengesees eo eecccceces |teeeeeees Place of Death /<e@ irg 2 tse @ Caks ; rrr reer rer erry Se eeeeeenccrene SSOP ERED, S6H PASSED O6ES 90 000000000000nS6 56h 0 60 5496 es cadsaces POCO Oe SoCo e ee OOOOrccorecccneseoneseete oF eee Father’s Name. fC CAO FA St Mother’s Name ' w | le rwrate,- | | seateins — Country of Bibth cc POPCOCe TO le eeeOeoes | CoSeeereseesl He eTOOODEl re ceee sees eseeeeereeEOSeEeerreseeeeeeeeesslsscuccccece CCCOORSOD TIO OUSCESEY | 65SEC EDENEE/OUCEG COS lr erasers eeeETeeGeDedeEESeeseroeEeees tests lsaccuseecee COCTCSCSSSISSSHOOSOCY | COOOOC SEES EIS OOO ESOT coeeeSOOSOSercoreseseeesoneeeceeSsooeEeeslcocseeeess SEP E EOE E EH mee OEE | we eee eee eH e HEHEHE HH HEHEHE EE EEE HEHE OEE OE EEE EEEEEEEEEEEEE EH neers OOeee TORO O eee OE OE | Cee ee OOO EEE HEHEHE EHH HOO EERE EO EEE HOEE TREES TEEEEEEESHES SEIS Hee ee eee nnne OAD 9CES 6006 699 SATO 00S 0000000050: 90 cama hse eee se eel ess se eeeeeeeere! weeerees Be eee 85 C4 Funeral of LA hebben _— 3 —“} Ts 24 i OIE ; Date of Funeral- nl f —— ~ M. lo Elta | ii 7 ae | tYnA } ’ Removing Remains....csseseserseeeees nae | senecsesess|sennenens Date of Death ..-7....! ¥ 4 bSasrannnneeees eek tag salaah eee texssaneets } | a R Le. S = Wisilabiabiad .0ornscnesassvsenesnsnsnsenesenannenannqsncenneneemennnnnne ser” ** Retiree. | sscesnse | Place Of Death. ......hYicsescssssecesoenveessesssnonseseesssesenessnssssensens 2 Shaving and Laying Chath ccossncoiansonsnnnbahighesnseioneifngaenies ee * Place of Funeral.......:0-sssssssseceeessensnnnssssenssaanasancenscseseres sees Casket we EA as ’ i LOM exscone 12 or . fh ae 2. | Clersyman Be es alee atacegeeereneneneees 7 5 i sil aU h aad sens ; k ff 4 po BD Te csscsssavssosnsvscennsoqnnnsennstonscsrsnsnansonsen Sa shapes deg Lage erent | Date of Burial...... He — th es be) ‘ ‘ “Ot C2 ee < 4 Metal Inner Casket....erserserees COpDPer....eeeeeee LANL. ese nnesees | eneeenrres | eeeeeees | Where Interred. ........0.esceeeees Ss Soc ahasniccssnvenupeneeay Handles No....ssssesessserssenesorncenenens sce er =e --| Grave eek ia BR on sc cteisiicenaunnens Section i | | - Outside Case, Pine, Chestnut, Oak, Mahogany....soeseereserees |serrereeee |oseeeeeee | Location 07 GrAVE ....cecsecssssssssccecceeeeseceerennennesseosoncasesrssrests f | ieee Lining and Pillow Set NNO, . scscuscoccecesesdaccccsnanesnesoncoosooosers$ss seeesdeudee fe a gap ecck saNeePannesdan ce eas sa ua anaaeneen ee thet skGk*S peaks aati | hia dacalanenoertanaminsscunsnenaepnennalgecsanenme weeps sseccceaccoooosorosses Metal Lined Bor....cscerseereeeeees a eccveesccccseneesoecosesessesoooesrnls®® Metal Vault, Style...ecccerenccceres coccnncs cosevesenscooegoososes cee? Burial PRODG anccesseesccene SUimMers...cccccocccecevovccccores wesoceseoenoccecesoogoorosseneseres Personal Attandance and Assistants [ r _ Cantbelabyrar...-.-..10--ree COMME, .reseeccrervoes Dor Dr Qaettil).<oovcrcsseececnossorssonensveysqnsesoenensssenancrnncessccoener’ Pe eeueeune POURS. caccoessensess vexn cv Fl ee... , nccyacesdnts sebnoghesheranseseuvenssandceenesssupeanenseerenseees?® Porters ANG ....cccccrsessseesevscceceerss GlOVER....0000800+ i Funeral Notices.....ccccceeccceccecseecenccccocooees Ne cen dub Saneeks pESDADG ADEEANEAESDRSE OSTA OED DA ERERETEAESEPS STOR IEIN SENET? OTE” Clergy Man. ....ccccccesscecesscsecseceresveressencosooescosonsacesosossoosonerss Quartette, Soloist......cceeccereserereesseees Organist Delivering Bow to.....ccecsccceccesessensennnerseneresessssmeaaaaaaneees + a Coache.......sseeeneseessreenersessnesssesssansnensaensesaanaecnsmaene calkeeaee encesccseccosccreceeoosereorosrs aerated noah fe Rt I No Telegram. ..ssessosreroenensereres ars "; | f yA goecessccese censesoooosoosooorles® eeeeeeee eseessseeeereseeses ere Boz Mattress cecescooomencoeesse® ccvovevcccovepoosecopeoesscsss**"e eeees eee { t ee ey connor ereriaetes: SertOn..ecscccccssscccccccececscsccsensccorecnceseveseesensscooooe oeakuenessen® Opening Grave ...+000 peksiasasarsebusanawenses LTANAGNG.. .coccocccecscceee Ope Uy Dye EY. Pr Transportation Bapenses.......+-.-0+9 push eninninnnngllios _, Handles....ccccerereveses Plate..cccooeseceres |ovcsssssces|oeeeeaees aeeeeeee eeeseecess eoeeeseere oe ereteceeresereere Secccscccccoecosoosesossesooese® Pee eceeeene J ha bbdhs Die kded £OOeseeeESRROGSERPEASO RENTON OTT TT b vos che bnenadp demas seebeeed ness 2490506008 TERE SRT SS +7 SENET | How long resident Of this State...........csesseereeserereerees Husband’s Name | Father’s NOM... ccsccccccecscecnerseenscnaceeceeeees eects usepenee | / | Country of Both ..2,.... Se per = beToccercccnscccevecogeessecer® | Mother’s Nema, ee : j v ai | Country of Birth...,..... | Physician ........- A oeees tsi ees | Cause of Death - arnt OM sso accsccnicovsasacsnasusernpeeronyarsssennin seer eet puudadenneneeds kitUSOR0GECHETSEERESES ORREREREFERIS LIN TST Charge to 4 | When rendered. ........cccceceereererer een sd eesueenaeeren® a ——— onal on | RECEIVED ON ACCOUNT. seevvseey ae = SS - vig ZAC 2 leccceecceseelescsree® Creweevee slececeeses | cevvecenesecissoreves Funeral of Ne I ect Shaving and Laying Out.........ccccceeceeereserserernernnanseserenss cess ig ee. 2 § FO QO a o i fern ‘ Hour... ne | esssssenns |osseesen Date of Death Seio2 ho Meiicessesseeee ER I a ea | j 2 = AL x" £ | sssereesens|teenenene | Piece OF Datla. csiscdes Fe escn Ge ee i sedasankabnaknctaees | , | ssessseseeelecene ees | Place of Funeral.....0i0<0.$0402 Away S Aneee OG c.. | “s a / s for DATS. 2 VOIR, cos ssennccapentansesnsccnccrmensts ees Ce sauna c Casket No... SechsadlcttheMeses Tl piled Mer sussesssssveessose gl 0 00000et cdeeeeenee PO0CePeeSe Reseed oveEsesssessesssseessssesesesegsecreceseascceereser® Metat Inner Casket............000++ Ce ees Die i Handles No0.....00.ccccccessessscconsscecssncnecssonecosssnenannnesssssanasasses | #* Outside Case, Pine, Chestnut, Oak, Mahogany........++++++++++ | + Lining and Pillow Set No.....s.-ereereeeee pe Re Nee area iene aire Metal Lined Boz. Mounting3S......-.0-:000 ++ Metal Vault, Style..........ccccccscsccececensenessnsnseseesssenennereeaanerses cpegngnennaasnnbhatcbbGSsseseGeeehesenereegneneeneerse 2488406567"? Box Mattress pide esasdbeepasadehednh sdd0eESERAESE DSRS ROR EN FOES EROS ORS SE RETR ERY ee 7% Burial Robe Slippers ......-.2ceeceeererereeees Personal Attandance and Assistants Drapery....cceee- + eA COMGAAOTG. 5..00..0000006 Candles. ...... Pagan 5s vba pa te sesupees errevsee Rug Fumeral Notice......scsccosccvcscscvecnsescosescescccsosses ssescesensenscs | sppad er beOeee heb SESE EES bSSESDCEbEE E4554 FN ARSE WORSE ESOS eS RES ES ER SEF SEH Pte RT eT { : ClETGYMAMN. .sccveccccrsecssecssorevcceevevereccescousesssecorsccoseversesevanses | POA oon vvnccn vasavevecinssvecnxccoussuwsnenenanconencanqqntsinets serenseenenses Quartette, Soloist............. sbapuneivevetwnns OPQGMAR....... 0000000200080 Delivering Bow to. ....s.ccceccsesnceve sovscccssonssescsceconseeqecrseese sees Opening Grave Varrlt Charges. ....cssvesvovrsevscesercvsssccsevecccssorereerscecsersess PIOOTGE cov cccsrcenscyecccnasccpsevesevcengenessvovseusenssedeeeceer9 AMOI 5 si cccvie sa caasseusane snraavniseeeunseosner IT OOAD: 6 sicvsiccveconsovsersesrondenes Telepnone.......esceseereceoees Transportation Expenses... cee eee eee eee eR OH eee HORSE RHEE EEE EO® ROR meee eter eee ROR OE REE RRO E OEE REESE EE EEE EH EEE ERATE Oe CORPO R Ree CORE ROHS ROH e eens sen eeewes ceeeeeeee | | Date of Burial... cae “Lts Secsnvcneees wr Siiatabse | where Intorred.....<.. Bg seas seeks |-sseeees | Grave OF Lt No. coccocccccecncscccsscece sore SOWOMcccsoscnccs.ceccnecsoes } ey Bera senate Of GO 5k sciciscctsiserteaer ees nedsibasiaaenbanne | saveeeneeeseeseeeestecsenereenseseeseeses peessen o(eceebe 2 lo o| Color LA - . _ ppaate ease had pn | seesaw Seailih: Mantel, Wie, WI si ccnsonssvevenssnrarvoteitionis sn eeeserer sesesence Birthplace NA Last place of residence ............s0eceesssescenaseseccoeens V eeeyerneene : C24 a se ibanees | ........| How long resident of this State Retire ee Husband’s Name .............++, peas is eae, |Father’s Name....../.: ¢ et bs reer Ne re seeeweees Country of Birth ...........00* ; eee copter natch. oe ‘or ire. : es { Mother's Maiad:,......0<lcnasiesesssetane here rr ane t Country of Birth. peeves ences ss ehh poe vessnestassiieeess Physician .........! } SF Mie eo esr ieee aye ee Cause of Death ......... s Oo ssishassensiee tayo rVrA 4 p Ah rd. werk pa, — =——— > > —=——— t $ — P ‘ he a J CRD Soseciccicrciys ee a ; oe Lae 4 A hte oO When réndered...,..........005. $6 es < ‘ nM x ; = aaah Sa BE py SOLS siecueseusleceeesees | eesgeeverseelesereenesseo seme seen orrrr rrr” aeeeeeeerelesoeeness | eeeeceeeerer RECEIVED ON ACCOUNT. rofee iL be ot x. ppeess lea eee e reese eee eereeeeeeeresssese seer) seasceesl conre® eeeeseeeereorereoeorerevereereseer® O8ee. even ee voeeevene | gg. Funeral of Date of Funeral_— SA pl es V4 | 4 < dl / | Removing ReEMains........ccccccecrocceerccvece-neencsecessconcensennacsese | PR Bo. os i kababemebaneiad COs OOO SHORE O OBER ESBS E SS OEE eee® Peeeeeee scorers ereeessenseseseseessess Metal Inner Casket...........0sse0e« CODDI co scccicine Ne cies Pirorreays leeds PT un TI: ns caioicenssssansadeenkiasamaans Lining and Pillow Set No. ...c0c.eccccscece Oe ce ceeeeoesceseeeeeesereoese Biles TAME DIOR. vinscnssecounennense MOuUntt...cccresceees- ese FIORE nccsorteconsete aI ase yo dinvcsaaes 5 Cer rae ae Me tal Va ult, Style..... acai et eee Fa MGTIO, cissceseceseses = OOS OSSSSSSOEOSE OS SOSEEE SCH H OHHH HE HEE Burtal Robe .....0sscesseneseooseee Hew eewweesecesesceeeeersereseessess POPS ies rai ci cennensaianad m RR ee oreeeesereceeereeeecereeeeeees Flows as re oa Sake CHRO REE ERR H HHH mem eee een use H OOO Es EOS EE SOE TEEH TEESE SEE OEE ESS © SOSOSS SEES OES EES OES Perera potas cs jae OE GUE cos capcoiads sbatacussecsier COs } ¥ AY ° , POUETOL FIOUOUE 5 ai sccsavsd sens destecesces EE RecA PRET RN RMR OTE San ED Sexton #OOO00000 0000000000000 000500 000000000054 000000 50000000000 lbe eee ee eSeeescoce Hos Ree eee werwneeeeeeeeeseeses HOPE POCO O TODO SOOO sees Seeeeerereseeseenes vena beseees, OBOWENG GTGUE .nscircsesescsececoesanecesessececd Ait Vault Cha TYCB.. ree ssesseeseeeerervscnsecseeceseeesesneaneneesees spees : ~ i Hearse Lan hovg. Keoyae vey (ec, eee veeeee CRONE asexcessisee Ov wine . Rta. 4 be screen aA CHOCO Cee ee See SOR OSO ODES OE OEOS EEO EOO EOE OOOS SH sete ene eee ns 955 588eeeeeeeeeeees cececece See eeee seeeeeseeeeeeeseeeee Seereeeerececoceseree eeeeer eeneee Soe esee ser ereeseneseerees ° Amount of Bill..........000+ cnentes seseeeesens Pee eee eenen |e eeeeeene Oot eree see seeeesees | eeeeecceeee See eeceeeelseeereces eeeeseces sseeeese. | Mother’s Name Ceereres|seeeeeese Date of Burial....&<.% | : en. Seem meee reer snc eeeweseeeseseeeseseeneseece f)) Jig E Mae fh / > yi are secant t —... Funeral of. M. [Date of Funeral Wee eweneees teeeeeees eee eeeeeeeeenesese “a I | Place of Funeral A ffed 0.02. FINN iivcsccusicictiaciae ennekicdiai a ce esto tte ama j fermen arneteeerencanstclainr nerve. ances | Date | | of Burial.......: (LLG. ] ssesee MECUOL INNEP COBH. .........000000+- COPPER... cocec0ee.LOMC..cccccscese | secececces ae | Where Interred....... v sreewcesses| ewersees | SLUICE OF LUuUNETAL..... Ce eeccce febececccocccccseccosces ss seenessssssesesecsceeses Stee eeseees, seeeeees eee eee enee eneeeeeeeee tside Case, Pine, Chestnut, Oak, Mahogany.....-.........00. | -ccssseece-|ssceeeees COPS Cree ecccccces WUE UE FUN TGA No oso sogso cca bay's snccanas cs sdedmacioudaserce etal Lined 30x aS RE oa COC oe ta ee eases io Aes so 9 ~ § N“ ox x AHR OOO reese eee reese seers esse eeeereeeeeeseeeseeeseseesereees | "*#POHEOEHs sr esesnees | cececeee oe oer owen reccccereeceeecesesescesccscccccoceschese 'y s fetal Vault, Style CPR OR ODOR OOTereerennsooeeeeeSeeeoCeconsooeeeooecoocce er x wo anaes Birthplace | Last place of residence How long resident of this State................ccccec0000- Husband’s Name Father’s Name | 2 2 Meee: coe (O64 nt 7 oo ae. | Physician... WY. Vs... Me Levee lower eee nce ere eee eee eenes cece eeseseessese os THR Reese ree seeeesecenesesececee : | Age... EG. ae oe Months../. Fs sces PME sede iets Burial Robe at eat... Ah Boohe, 3/00 Color Set eeerereerereccoesseuesessscceeseesesesesesesererseltmmangrreerecs Pihcscccces|. ccentvus w BOr Matéress.......scceess Sadbinssedeses esta sioas seas ee ee hy | — aot CTTLEE..... Occupation... Varn «__— ‘ | DA UOVE.«. coaxecictesdsskscanescs sce, NOON eo cae | Single, Marrie ; - eek ehted — peramenss seoonnee Personal Attandance and Assistants ..........60.0.-ccseeeccesccesesee. | Last place of residence POPC CCROSESHEORSOR GOSS OOHRS OCOHEDS OOS 06066460 90000006 eee ecceesscge:s oop. | How long resident of this State Husband’s Name | Father’s Name _—_ of Birth | Mother’s Name | | | | Country of B | aces Physician ae a al ee ee ie | Cause of Death Ordered ty KO, DK rprekQ— IN 6 i ease oe oasis ctuesenees fe oo COCO DRO eer ererereereeseeeeoeeeeeseeeeseseesaeessteseseess WE NE FU seis kk ania sss ects sees ’ | | aseane sesso | 1 ih EE a beeelayviseeeaetca ar GHOUER. .onsc:. Eee ee Bao ero | Ordered by j ' | | { } i SS hae { . aint Funeral PL OMMMET dss ooh sess osa kha cee bist insiawlcne sk | cseseeneesicennneses | charge Pee i ae | | | } aad i ae, sesseee Ptterereeeevtecassonaaeeccssanaeseaoaeesesoaneereeeesssesnncsssapesssesveseeserees-s | seseccs.e-/ececseeee| When rendered RECEIVED ON ACCOUNT. SMES POPP Serer ecccerscccccsccececees lh bei tahaleenucntsvnshinnsicrakiavins eb peanpeieecebagiunes taninuiaccbesnmnivenspatiasss 74'00 Dlerogh an COP OC Oo COR COC OS OOELO DEDEDE ELE OO OEE ECO ESOE OES OS OOO OO ODED EO COC EEE TERR OCS rtette, Soloist CPPCC OO DOH Oreo reerees + CCCCODO SESE EO eeLes eee HHH eHOEEED eeee TTPO SOON ORR ee Oeerererebesesesesereeeeseeseese SHHeesereese POOP eee oer ore ree eeererereeseeepeeereessesereeeeeeeeeseree PPSPOCOOOCONCSO COCO SECS O TT ES STD ESHS OF EO) 1 OES edO OE) Ob ODEO OSES Se THOS FSESSS T0090 00500640900 0508660650 0504000 060505004560 60s C0 ee eeus Peesececceee VOCCULOP TOES S886SH0 6000 0660005055 5000 50 0n0 8b unhennseeensesccccee CP Oe were eeeneeeeeeeesseeeeee fee trees Se eeees Fe eeeeceeses TUUPRSOUSEOSNSOCESEOEECES See ceusorsebenhueensnss6éb6:65406 fees eeeene Fe eeee WeRPRVOCSSOL 1608 SHEE ROE bECEe HOUSER ES ESEEDAYGnECsesecses POPC m Oe oe eee eeeeseseeeees 90 Y Funeral of Door Dressi Clergyman Sexton Vault =o iene Hearse Coaches. Oeeeeeeee eee Stee OP ener reeeeees ie Ns iccinslincinClaelliios SHOOT SOOO ROSE EH OOOOH OEE EE HEH eee seereneseeeeees SOUCOOES CORDED SOE SEES OECD OSE L CODE EEEereenseseseoeeS SOOO OORT OSCE OOESS - FOREOEEY ESOS E ESO EDeeseee seseeeee ce a2, a ceiiecc 2 30. : meets <itcea ese eosesvoaber see | | Mother’s amg Toe Pretee ra sees see sert est eggehs+vecsstryheeeoHe | / : PELL Ko 7 beteeseeeeeeeseeseseeeeeeeeees Paneer: oe puntry Of Birth. .......2.. Peo Panera ass er oe : 7 Z el ree Sen eh ye ears ely te ee | Siatitn ........ tt ov sacesseeseeeen MAePh Sec eeneesesstensaneeamniees | yy aie sere «iy eKe eens | Charge to SiS oa sbeecapasebancesecceseeyess seoccccre-[ovcccesee | When rendered SOHSPO DOD coon eenee | CPMECC ELE DSs| Meee teeslcouceete seeoeseee RETR Ree ee TT EERE TOE] TOOL eee EEE eee EEE SEED SEH EOEEEeeeeraluunsssenttne| CUS COSCO CDEC ECCT COSC CeCeeS CPOSCOOEC OL ee Dee oees | edeeeecesees! cose seeeeeee COP TCC OHO OOO ESE H Ee EE EEE e er eee VSOCSSOC CORES SRE Esse csekeeee seeeee SEPP ORe ooo eee eeeeeeeooees * Yeeeeseroesliccccccces | seccceee . ° Sreeooercecos seeeeee Pete eel eee ener seeeeeserseseeeeees syereere™ . PPOs ee eeens SOOO eee ee sleeeeweses OOOO ee | cee eeeeeneesleceeeseesiteseceseee C000 CC COSCe Coeeccecs coe MeOOeeeeees! weeeseeslieeee TOPO Meee eee eeeseneey tote seees socsees® ” Pee eseeeeereseenieseeerrre® FOP eee eeewes le rs : i a ae olee. -00ee? sleseeeseoer® Mit INN ic <niccccnntunccenneioanecainscosacciexdoeatoniau | cites’ ae Date of Death nse fee eecenesececcacsssnsscgiil Op ERE CAROTENE EERO, Oa) GG MOTE Ie ik. 5s Sassenceesceanaunvsaponcncasd axbanstahasbrenssaar! eos bakecenes Place of Deuth..... £4 #11 a 00napensenssengil IIE spkeabili nis das passendiniackacaestacdiasneaasnaabdalicstaablinaicd Ja Be Oe CR OM iisiovniscci cath sccsee petseena res acedee eos sacdancees | Scabuvaee Place of Funeral Cage if. Math hia eM CONE FN OE aos ccs ccdik cc Soke wentotcsiic chs ate: Sa Oat Noah eB IGE ened L.asctee..\egman.. KB. AE SOLO oe ite ne | sete. OE ln le : 7 | , aa | Metal Inner Casket.. , COOP sacs AMIE «ss wan seen | osseecuaseteanneses s 1 OO Interred: GO Sele vectes cacsucsess ¢ endedeseasesrsnssessacesestiiie Handles No...... Seat coclseetaverais cue lerenlivcsakssNan -sueseueuostnanes Asseketvesen | erences ree OF Fie F8 . BOON. 66s 55scc05. a Outside Case, Pine, Chestnut, Oak, Mahogany............ eee eerie occ | Location of Grave ...sc.essorrscrsccenscressessssccsaserssssscssecaseocanslll § Outside Case, Pine, Chestnut, Oak, Mahogany.....-........:00+ | -sseeeeees | Sighs | Lining and Pillow Set No. .......+.c0e+se+00 rohesuaee civ esenccnee ree | caneetaneus | pavaceess | kebainaneuanun buss ueeies ss sha ba Kdsd pease eRiserki nadeaebes ; Lining and Pillow Set No. ..........00-.+006 Orsesceceeccesecescceccssceses | seceeeseee: = Metal Lined Bor ey rte ee ean vis [eeeeeeeees acute Sree. teats OCk I K-18 Yr sees Bs MNMENE 2 AOE FIND 2, <n s osakevaisecacks ss encnsoramiscntiersaaisircdadeseansan |e mseneee | neteeeees | Mountings........-. Handles Plate m = ibid bass gh lala cactaita hades, MMIII. oa iscosicses- 5 PR CIMIUIEL ccissiccccessoses PNG a... csccsko lecseesrcs | Waveedets Mae ad SOA ee a ae A Beis oe ee ia. Moatal Vall, SHAG ...cc0ecsscicsceesscses bees esescasstsis ans ocd vanesiieieines [acaeesecu | giles | Box Mattress........6......s0000 foseeressnenneeneypeapeticeeen eds Oe eae Poe | Age....... Fo Years......J.... Months... ae Dee Te I voices eee ceagncnstcng bck eAAkds Weed aansoneaceeeice cecnel] casdasenas | ee | rel Tobe os asiossscrtarases ee i ROE aT, Mele. 2 | Color... PAI. ae I i irac cic ek al nacanhaciencnneninil ones saan * a nee ee 0 ae . i en Bass Slippers a pe Le, Dee ee at | Single, ari. Widow, Widower. capss+edsssoen RM BEOMIIOTE: xcnvscesabesasnnncsossasas PPM scsnsaos UM corsets sachet aa asada pore aie ia eee | Birthplace Kmevoe. ea o tea 7L@ ee Le cc stases in eadaeeneasssakarven Te Tas iki ae Personal Attandance and Assistants ..<<.ccsccccoccccccocccoccehccece. | covecdsegehinecscces | Bast Dace OF TOMAONOE 5... ..c.coveesesccicsscncecccsosces anscconlelle Personal Attandance and Assistants ..........c.0.0.ccsececcececerecees | cecesseces | as veeteze Draper Candelabra MEDAN oi an ds bc eee are eee | How long resident of this State............. cpecccese- Drapery.......00+0s 099s UNABUIONE. 5.5050 55s005053 II si sicncotid sanspmetes | coveeees Peart a ee Husband’s Name .4.C&-73... oe A ele I ircccteieiitesicien coche a se endagae, I ie aa | ‘ather’s Name... Ave, heeseg — sun ore ee iinet ae of Birth ..,..: fla. Y R ip 2 sistetes € coeur me a ee eae OO OCR COROT OOO e ee ee sere ee Eee EEE EEE s Hee Eeeees anes e eee ee SOE sees eseseseeeeses Seees | sos sss i le eaeeeene COOP OSCE EHO E ERE HEHEHE EEO EEE EEE EHS OEE EEH EEE EEH HEHEHE EEE O EEE H Hise en nee eee eee eeeees Funeral Notices......... Bh sssevnvadeveoeseferece dye ft Sabieceesese tabeakass Agere meee eee nner en en ee ee en ee eee eee seers eeeeee POCO CO OOKY ee eeeee nee r ee reeeeeenresneer rte eeeeeeeeesesee SOORRION OF CPGU6 oa Sis e i ee en aE 7008 OMERE ee Pe OR ae ee CPU DOT OM ois sesinsiic keel | Single, Married, Widow, Widower | | Birthplace | Least place of residence | | How long resident of this State PERO INE os osc nice cncasvvesinvaaancsiessaneivel alone ape j PIG Bath sii css cdiéslnec eon sostiv ade I WOMEN a BI os 2s ss, Spon sake Scaiaeataee naasuiisatsn ees i OCI DR I oo ics ks cds ds ioncus cu csksd. ei ) , | Country OF esi cos sess. saad Re ee . | Physician Suescass dein dh dyer dhaaavacsnus seks akiechseiawa ease cneedi ete 3 j | Seen meee reer eer eeeeeeeeeeee preeperntnes Sebocccccccey aes ee Pe eeern ies te eeeeees | Peete ene sennsceweseec comers seapheegpeeretibeseeeeny Pr oereeeevererereensesenseenenes eccsecccc(seesocons | | COCO c ee enemeeeee POCCO OOo ee reeeesesees a 92 Dyer ETO 93 Funeral of. buuatin. ehurosg Web Kd f bent Cf bsereg a acelecaaidets Seceuucaie ait J Sail a ee Date of Funeral atte Se. Hour 4 _ / Date of Funeral hang ' 47) {2% Hour. si ae Serer eeeeeeeedeserocosee MII is oxhasaccsiiiccs ccsanccess cas aes cs pete ss peers | ed tes Place of Death...... Tih, CJ {| an | P "88" poe eens, A , oli | Vang aufts C@ ; Removing Remaims...........-.-sssserersssresssrevssssersnserensssnneses | s+tsssseees|eesneves | Date of Death 1. DN I ii a : Date of Death - a” rt 4 : ; t I aa et ce ss gphore> .0O.| Place of Death.... “Fs << YEAS! | Shaving and Laying Out............... eS yee» | Place of Funeral - shendenntespesesacnssceseensailll : Casket No..... A her Wbiehiusss eae LULBRI.. MBO | Cities Ihe Woe. elec fea S [on ba Srasteeses tanis caesbaicsescse cates scaks worn Aa ro istabens Date of Burial gy cocssmaae Metal Fomer Cashelt...........00000.: COMDOP. oo. cc.iccs PAS dk a | Where Interred pasdapebeneenes veeecenseseescOCltOM..,....-... en seceness : PN es aay igs ia sacs csactecscassaceassicicsacussseniseae sie swan eee | Gaaies OP Tk er i os a es oe a Outside Case, Pine, Chestnut, Oak, Mahogany........... raanvae | ses teebeenn|sneaestas EO OP QUIN ss sivneesesesesvcoenssriciirenrsssnenceniessaciai Outside Case, Pine, Chestnut, Oak, Mahogany.....-.......c0000 | -cseeseeee: | aes | Ladle OF SP OUG ida vis ietidds eiaeaxcicrioisesneee eee | *retrtsesseeseeeneeseeesesssseeeesensseneessseceee: seneeeees Tae i OG TG iii hock cp nctecisdcesiacecavhnesiabosdasose 1oosXariass nea | si cieskonkeh chndeaiibtea he wsieeldedaplasnaniiaieelis [oA tet nOe | ROAaObed 008009660 h ens FeEHO8ESCRSdebEDN Se éDAbEbeSeseneesece Metal Lined Box. ene a sa hin hbaies Sasa wa nw puuad@Mdbds ak down Dokdadsenaean dee emananes seeeceees Bers akira) bus UGUN eked nesdah eodcPhneeetesaih sss eseneasanasuansiasectesaasneake | ssteveeeses|-ereeeee | Date of Burial... : ( Metal Inner Casket......¥.......... COMER ck ccoxes BO iN fo Where Interred vvs POO e mee eerereeereeeeresseses teense deoreeseees f a ; 3 : me G aE . <5 Be cam a: anette get perenne PWM enn rks oss vs oh os cdo dn bce sesso eins cdsacuaiesnteiaaen ee eran Lining and Pillow Set No. ..0....cccacoseossonerossseoncssoarseseascosnees ee } Metal Lined Bor.. Mountings........ PT ARGUING bees teensccssss Plate fe TO RPRRI ROT T ATOR AEE AA ROA EDN 2 MRRP EOREA SR EASES RN aig seccnitess 6s DO ise css- Te de a ds eee ere eer a es ee pags ee Pee e eee enreccceeresces, coeeeeeereseseres eeescecces | CER oes | HOOPOOOOR DOSED ESS cD anee One ees eseeeneenoeeeeeneeseeinesoces Metal Vault, Style ie ead i peed hake een 4 Obese enbnnndh eee cubed beadeaabins obsacnsahdbseasddckunaseue ; 2 i ns e) eine eee sssteseesi oe Lalas PROG. iss ccivaics MOOG io oivkconceces PROMINE oss :.:: ENCE ie A TOO MII oa esac eas scadevcncnes sioatnwsaonnaxestsassuedeveteies tel sesncseuas Eerie Age. 27 hl. Years.+....,. Months.” rccpeeis ca Days......4..+. ; : mR a : y pe eee Se COLO oases eee sep Covsreersresreesnen Occupation......... ssssssuma ff Burial Robe | Dolor... ke SAA Lee Occupation. <A KAA eer eeerereescosescccceuessseccssoscssssasssersasansesecessssssearess | ssseseseses ceessens VUE 0 FET gates he ceceeecebresesens AOCUPlion,. rr reece cweetee < a e | } | } : = MNO. ROPES as da ask ch ee fepeeeee ta Rie ee ee sass i Datrs wea hone vi theeken iota ME MINE oo oocvcsvsckcncinsucbans cee | | Birthplace ...... sg aeeesaspeececierees is er ee oes Se caos » v > ss | te, a * / / MO_ Personal Attandance and Assistants ..........06660.c.ccceceececeees. | aseidouteslevxvennes Last place of residence 0.0.0.0... .cseccecesccsssesceescese. Lisecssseene | Personal Attandance and Assistants | Last place of residence VA ALK Ba, } . . — q a Prs....... ‘MOMS sosccn sos sincet ee re Married, Widow, Widower .............660..ccccccscssssssse aia ois nad cco en ona oe ik HY estencsseasssesesesssscesssesecace | seessecseclserencees | LOSE place of residence ... 2-2-9 a ite, a i | | Ceeanehk SEL, | = Mraper ....Candelabra............... CONE ice a Hpw long ene He prem Pe enscoeneantll DPGPOTY..coccesesssbass Candelabra.............+. See, game |... «+. | How long resident of this State............. : asd Bra fy Pedestals Pare tsk ee: es eae PEON © UID soos oo occvnreccencectnc... eleeueea sia i-sisssp eee IN oa occictbhioe casts ese Te i olen tere ces eel | Husband’s Name ...... / aimee evades Father’s Name sass eagelae | |Father’s Name | Country of Birth } Mother’s NG. ....:..0...0.0+..Artrm sere ed Es seseTeusteteesece sete atl ; Sy pote Piporeetececeeteeeeececseesesenen ay i : 4 Aat-fA_A. ~ Cite. as MPMI jis ssewonseeseiuiaystassirt Mackiaciasacsietomemcdatia «ea | Arbre oer T Ine _ oe i a3 | Ordered by .../. } ae 9+ ofdeberTTTicess | Country Q Bote.c. ré ! iH ; t } | | foe ( PU OD soi siceecsscisevascne i tries ee Wei AED va csnsntes ; | WAG TERMIPOE. occ cissesevcsces ST LIN Hicen eee IE re ae { RECEIVED ON ACCOUNT. SOOO O Oe eRe ee HEH eee eH Hemme RTE O HEHE OOOH EE HEHEHE EHH EEE E EHH: HHH Eneeeee Vault Charges. oe f an Hearse... N......- aN. cxbion VY Ay cee, Nebaseheeeiasieiaiais | I Slo © svenes Hearse eee el Cee Oreeoe recor creer eeeoeeeeeeneseeeeeses|secccceer® Coaches TOP ere e reese eee cD beessees enn tT SRRRUEES | pean shee] sovnsesty|sns un bee eondeeGGespOUCNUNGOU NEE UE6dELLCULiiiccan ccc rie eee i MEN SS AON MERA Mar HN ES yt eE MEETS TT EPEDUPORES © 1 Soeeson: eslabvesesss | sdens COPE tl eee eee ee rereeerereeeere seers eeeeereeessslsuneseneer® S9OSCOSSS SS en Ube NTREEO Sep es CT Tc te fe eee ewae Mia DORR G cocht vous bctcaecseisl cusscusuees Ld clk Rc. Lg) MORO Uan bebe audesenne ribet ense ss SECAMMN Nas iisen BURL oT Teetotes Feseeyeeceseiiebens. 1c cceccuuclsicenacce | desioaccsanstccadavisle suceuenvisewbeandosduesbuiiencvcioseiincelooccacscccidivieslaus Tne YO SPSS OCR ESN ERSNE DEN a biee le 5 el Pen PNMIN EL WNeL isan SV eavebigkyclepsbeeds Hai oe eis ya es TN Caan vb vacdapnesdibeascsieubeds ame NUNNE: six lineeesessacishiore L sicac G5).clvusdcs Lu sku codusedulevesveiel aubadaetlcpad eA, es Heed nk ee ee Ok PR PR URS ReUheh OhONE ME goes he ee ied le i «Ce, on eee en nn ore Ress RRONEDE CADSR TED NSHENS OSONSAERDSCONSORESSONE L . 5eyn6esbslsneaeeb4s 1 ceedenoeaeso) 940000001 :5pud ned ckevkwauncapenedeebabedaneoveenestiianeieones seeeeece POPP OR OOOO TOO rere eEerEreEeeeee iseneeeeeeeerire® COCO R ECOSOC DOOD ODO SSO LES EEL Leeeseccetees CORO ee reer cerseces POC eeeceocccccecess So eeeeeeens SRI Sab oer vais thud cra a Ee SEOUERES RPE a re ebnnaen ce rkes bed raih ibs iaiewLbk4 4s bon ouoecd och bukadbendetaicevive "PP OP OOOO eecereesccesoeseeseees Cereeeere POOH OOe COeeeensreeseeereeeeee SO ee eeeeeeeons PO eee ee ereees #eeeerenes oe teens OPO eee weeees seeeeee SOPOOOTO OCOD Ore ereeresesereeeeeeses|seneeseeer® SOPRO OOOO rem eneee eeeeeeees eeseseseses i COCR O Cee ee eeee eee eerersleseceeees SPOR eee eweneeeeee See eeeoes ODUM Re Mis sist eetsuvieelis. sees Ae Sexton WOU s 00. o. ceccccccocccscos i Delivering Box t0......0...cccceceeeee sseesee.... iI | Opening Grave ....s+ ini ' t pening Grave WeMENEARHRMAKAER gc, PE cciinctiney | ie) | / ie Voull Charges.................. istePiisarcc ee | H! eee treme mn TPR UNDIES es send sacenestrvinberts iba inteaiieisinis: [ cscgete ce. a} j Hearse ie RSt sat 8ba 4s Tens ako inapebrnesvasveciicikscic, | | eS MOM MRE Treated | 4 RMI Sas iiks ee cieiresileus os — | pee He eeeesees Pee COO eee ceceoescecceses POCO ORCC ORO eC Oe eO ree eeeeeeerensseeereoeeees FUP INTSESS CE OENST 65s i ced verens Be ee ee een NR TONS ROD be Sens iheeeedice *OOSSOS ESOS SSeS Ese ees SOSETECES DOREREDED cOnEEDORY CHOESS EN SONNE HONES SeESéseCs 6 . POO w ee eeeees TOPE e HOES EE OEE EH OR EEE EEE EEE HESS EOE Seeeeeeees POM ON CeCe ec eeceeceesoenseees Pe eeceens ttt sedeeees ae | RECEIVED ON ACCOUNT. ERA SLORLS | CPPESH COD SO 410 OOO 0 CON +) 0 0066000086258 88 6 Obs OR eE NEESER SD OO 8s50bes1eH80O* 0 0008>]08 Ce PP OOPOSle) 9960009006000 00000805008008000000000000 Coe PPPS OOOesl e+ eee eee oODeOeReDeEsORoOEOOOE ECOSOC Seeess| POPE ORCEY 1 SHAY TPCROEU OTE DD AOHEEls 600 bab HE ONNEREREE LAGE biiince 16 ce when cb tkLwakedkicecloeseee FPPC OPe re OO OOo eooecoesoveceerceceeeseceeslsossseescess|s0nnee Pon et ee nee See ee eee TOSCO Ce rer ee reer eereeeeeeeeS edie LILI TT Tit TT ith) peoe POPOCOC CD | ceccocesereeleoeoocoesloveoeeeee POCO O LOO ser eeesees Pe eeeeees | seccceesesesiccccceeesie POOH O Ree eel ee eee ener tetesenes COOTER OOOO Cera e reese eeeesesslseeereeeee® OO ee ee eeeeel weeeeeesliosee pet aeeer IIIT TT TTT TTT Tree Teer ewere L eeeerseweseeleceees rs See eeeteebeeeeseeete SOOCO Pees eeereseseeeseees jooeoee® { ' 5 P } ' f. : s k 94 7 é yy pert te Mes eA Funeral of Li pak” "tee Fos 7 ———— ( ¢ ooo am ta Date of F uneral. ee ee ee at Snel oveeenennneneennneemnene ae 7 ‘FT s (a. AM es 2 4 EIN TIN oi tic oioiis da sankccaguaicabenscasnstsricatasieesee sean or EMNNOME DUR fiinsiciiic Fd, ONE tones ésnsnsunciocaeaniendssanasasenassatansanngarnemsaiationsl aps ykseas |eceeseese Place of Deuth.......«< Rees os ae s ; } ies LO C% 2.24 3 en NE Fi i i a ee a ae POO OT PII oases bara sinaessedees csseisesg sosessc.,.. srteeeere sens ensnesenay Casket No....-.0.++: Lsce iis cs nian aa 4 _ Pec nei Sepacan peed pe ys4 ds Sabd<kdeend tenis Gis ses ohkknes s44 ea tobs neh skderieclbaleidnieteet A I ee eibeetoc so ae | ise Metal Jnner Casket... CODOET ... <cccisncs Zine ssfeennaeess| ROD TUOMPO..ncncsse:scossssosesessensstosnsactsnsssnrecssseerececseapil | TEM acs oy secs vcs is ope sas Cena ddca osede eee stesnceee ae Ee Noein iss Sistine. Section Outside Case, Pine, Chestnut, Oak, Mahogany.......... detest leakisssavllcsietecs ial OF HOD asasinsnosurss tenesnencncsavensasiessansensenessaceccaall Lin ing aes IN AE A ice cc as anacss Le ie ios PAOCareeeoenseneeee hanes sedenneeaskasabednesnnneséideabocies Metal Lined Bor ; Poses Pani ee TOCOCOe Coersrrrserevere veces ceceecesceeeeeeecccocccoeccces Mounting PidliNiad 2 8 ee. FOI eek esd ss ee ee Mei cocakiae i cpndecitacacsasenes cae Hie brome Vi t, Style Coes sdbnereensnvnssnns | Seandensan|raangansa | *00seenaeheanesesscnessecasbanebeoagagsoent¥Sitel ce as ksess | | — ee ee NR Es ees cane ee ee One eee FOB osc ce es PAONAKG. «ooo cscnsse Days } Rs ete ee a es Bia A | Color, Rigivetsasaiiiae a ee Occupation.......... Pre Gee ee ee ee | Single, Married, Widow, Widower.................. fg CRUE oct ee ee | Birthplace biedNgeucdvabecixesead eyess see ee Attandance Gnd ABBIBAWES 5.22)... cic cicsccceencececsesicsk. 1 vscoveccsaleaeciscc. | Last SN rei Candelabra Candee i ee | How long resident of this State.......................... Pedesta , BUG Ri te a ee ee | Husband’s NIN er rr werd Los ol apes pa oe OE sie ok CASH EXPENDITURES. ; berets Asideseade CI Te iii 1 BOE SIND: isi risen svossocuriasstbentebni fastiorisatabie omelet sie ae Re | Mother’s PD isiievicios clpaieisiradi die bcs pdueeraccvicin oe, SEAM PMR Ss sp ieativ enatasoaerstotaiet de cisabeaebiases | saat. oer CR Ini cvcsinte cose deck I lowe PM ievelekpeseteveheeb vuseusdecsevassepeaebeustosoreiees insane sbieilennic cok: | ’ Hearse Funeral of S Lawes a. es Date of Funeral POPC OOO eee meena e HH OPOE ESOS Dare eesee seen seeeeeeeeeeeese rs sesneece Shaving and Laying oC Casket No..... Lit Gen r, 26. OYE : 2 Metal Inner Casket.................. CODDOP. «.<cosr-050 Fie oe | NR oro ozacscdis scscdeuk cata cssas saanscaccvavisassaeaeonessteenees Outside Case, Pine, Chestnut, Oak, Mahogany................++ TAs ine Fe al oie sos occa si cdcennessvcesnspoconsaccs ss PEE TARE i cco ha ccc Sak civatsaaniese cctntelods bes Uiekiseseecsess Mountings....ccccovcecs os TE OIOD, oss eicoecis es PIB 55 cssisaxickes BAL VN, NE a sissiccvassancen cance skccce De er ee I EI ass seas cis ssa Fe twe tanec ccna sai tiaadceaneasiewsiamuaneaarssssos HIRE TRODE sacks isssinictsceiess desu ueeeey isis sine neiees ses eenaveads PRE oo ysis ancacasaitacticntace PS CURB eosnsedasansesbansouastiesaccaas Bre RMN on occ cpeehaserespuasenssarysiee Personal Attandance and Assistants .............0..csosescoccceseress Draper y.....cscscsceses Candelabra............... COMM aise PRUE iirc eee rer eee ere eer ree rere ere rrr ere errr ere ree reer ee ee eee eee COO C eee Hee ere rosesasec eee ees sess sees ee ee see esse ees eEE EEE OE Ser ereeseereeeseeseeeess ATER Eee TOO EHO OHO DESEO E EEE EE EEE HHH SEE OTH ES! FEEEE EE OEOE EES EES H EE EEEEH ESE O ES SOOO R OOOOH eee eee EES EEE SESH HEHE DEES HEHE HOHE EEE EE EEE E eT ESEEES hee eee ee ETT Teeter ere rere errr rere ere rr eT Te eee eee Delivering Box to OUNING ONIN ciiiisciheis Si ccarsvcetioleucwnk WOME TN eee ido eaten kiwis Stans TARR EERE REE EOE EET OOE EOE OE ESET OES EES ES EOE EEE ESE EEE EEE EEE SEES SESE ESEES ESSE E SHEED eee OO Oe OOOOH OOS ETOH SEDER EEO EO OOM OEEOOTO SESE DEES EEE HEHEHE OHOOOEO REESE SS: bEEes POOP ee ee mene neeeneeeeeeeeeeeeene POOR ee eee eeesereee CP CORLOS OOO OD DOS SeOOROSEREDOSOCTOE OOOO SeOSOOSO SH OOO OS CODEC Deee: LeCes 2 a Ghee eRsainesuenaae | Where Interred C aie OP Tat Ma POISON io ee TREO e HERE E eee meee renee een see eeee eee e eee ese seeeeeses | Location of Grave THOM eer merece rerereeresereceeeee cesses se seee esos eeseseess eeehnscesclsobsasocns | 94098004050b0000900060000060600000400000000666000K0040000006 Seeeeseenl ces | Birthplace |Last place of residence peeseseseck siastia: | How long resident of this State : | Husband’s Name ee eee Father’s Name | er or teres Country of Birth Wid reali aos eee | Mother’s PWM Da aca Sa cca pls a eee rhe | Country of Birth [ tome ereees seeeeeene i 7 "3 : ar.) == ae by ct CU fot | | . | Charge to | | at When rendered..............ccecse00- Cee elaine een nee ES ne nee yO RAT 2c poo a mee — — ener eae Senna: epetione ts vs ey = aT We SA tims gen’ Slliaeenaiaeatiienrnat 5 eR sence TREES Boreas 6 Funeral of Date of Funeral_ ——- I MIN osc sv cise cn scccincs¥en iy uecaechendncudicsckaneas NN see ey Shaving and Laying Out. Dis sea RdGIS Anas behka Sea AG GARG Oe Casket No. ful EB Me fe. AI] TIO © i a Sa oe oo ee Metal Inner Casket............. ie. COPDEN. io ciccceens Site ial es seebuexe MRE Po ooo ce ana oo sen gen cag os end peccaness sarenscceoasvasesaes | Gerlisesene Bere Outside Case, Pine, Chestnut, Oak, Mahogany..............+++- | rere | PONG GRE PIO SAE IN occ ccc visneis cvs che sanecess ckccupossenseateninae Witte | imines ete MIO a eset ere eee uke eee eek eae | ntenesooses | aa set aus Mountings........... PIGNGIGR. 5 25.3incsc ce PUES conpsicisctcns | iastusievs | ero: PGLOE VU UNE ooo essere sii aie ee | cise | Bota No ee a ee ae Cone one LO\KS. GADNOTE hie cocce ooh Prs MOOUGR ieee ess) | esac as i v | peti, RMB Ces pieces ksi ens cee ies | cca Persona! Atta lance a? nd 4 Assis tants . EWES ENED aatee de oabeedi ene fee lredusekns ’ 1. | Candelabra Candles....... S eeaibeghs shikedawese PRUE oe Sco, Cen etek ne ia | eR AE (a oie CASH EXPENDITURES. [ssvsseese f)00 L/re ng RR ONPAS ONG oo ol ee ae UNE i ssiices ll S| ie } A ere INOUE ia: scans Charge to When ren WIMCAATROERESR EIEN YUE HC EONE CN UENEN A 64944064%05 Quartette, Soloist inte Aca wosesibestevectoecoisi Organist Delivering Box to Opening Grave Vault Charges Hearse... Coaches... PEO TH OREM O HOHE RHEE eee eee esa eee rebees HOCCCS SOS See CLECC es SPO eee eereness PO eee ressceccccs METTESEY SUCORRAS YS OV ORRESE SSOP RDNSS ESOS S ILENE SahineiebeeuL eee PO ee ereccceses WUNOOWOHPONOORNNNNCS esi csseua SOR R OO ee eee eee ne eee eer eseeer neeee SOC eters os Pee serene eee eewenee Peet Ce rereseses,y eerees. Father’s Name ~ Ordered by /...{f, Cte se a. Years.... sissies How long resident of this State Husband’s Name / IL f POOP OCC OOS OOS sr eoeeorereocceeoseseeeeseseeceebesecooooecoecs CROCCO OOOO OES BO eee eee eueeseeEeeeeeeeeeeescsns errr T TTT SOOO O Peso reese esocecescoes seeeerce POOP OOOO Ce eeeeeeeees SOR eeeeeeeen OOP COCOO OOOO ccereecesesoes OOOO OCHO ee reereeeeeeeeeseees: eeereeee ee eeeeerors Stee ee ere eevee roe eesceerbereeers sins er teeneners Jae e eee cescnss eoeeresereeseser seen see eeeeees POO meee newer seer sereeeesee reser eee ereeeeseserere sess re eeeees COOP O eer ewer ererene reece nese reese eee eee essersseserseseeeee heer ee eee e eee Peer ee ee ree ee eee eee errr rr iii) oeeeoeeee Funeral of. Date of Funeral .- aaa i IOC Outside Case, Pine, Chestnut, Oak, Mahogany Fee Re Piatt bb NG. csoicis hcsce sca cccesncsvinanaccessaczeevsiesce>s AE FAA FO ons) eis ase lesen se cesses emsesstees aia aes Mountings...... FEI Fo in nctasa cones Plate PE VE, PW so sicc saticccskacciscpntsxvacasaeseuinees Pigeveccasvucuies SPER NIIIRINE oss cages cs caeid sens xdnnnsosecotssvenseinesaascissu sss tshesaes BNE I oa vnc icactcac asus yesh seca saxiaspensuness taciessiseenieacuseiee DIOR. ci cainssvikescetsinsseness TAO xen: COE ies ccheness piveieaatieesonsersbcckurovsaens DIB: CROWR Sic cessctecsictesenesie ss Personal Attandance and Assistants ............66.csececceeeeeneeees Draper y.........00- esse ONOOINONG.<:..<..cs.ce2 COMGIGB. 2. 6.255.228 POG MROAIE ic css cvinsetene sccikccecessstssas POR coe Sota i east cdons OO OOO RTO R ORO Se HHH eee OEE EEEOHO OES SHOE HOE EHH OEE EEOe HEHE EEE HE eHEEEEEe CHEE SOOM R RRO Oe eee Oe OOOOH EEE SEES SEES EE TES EEOOEEES! HESEEESESESESEOEHSS OH EEE EHS Eeeeee | SOOO M HHO eee eee meee ee eee EEO SOHs CHEE OEE OES HEEETEOEEEEE OOH EHO OES EEEEES EEE SE SEES FORO R OORT OTE HOES OEE E EES OHO EE UHHH HEHEHE EEE EEE EEE EE ESE OHEH ESTERS EES Sete eeeeees weeeeene seayat¥s Stes eg eetts Fea sckearoune ce Occupation | single, ine Widow, Widower COO ee. Coeeeesencscscesscoeseecooceee Birthplace /.....4 MALLS ?....S A eet R Sot ciek eae | Last place of residence ..... “(eet he, Bene meet Coal aati | How long resident of this State....:.ssc<: Af... LEK wevssess | Husband’s oe ee Riss Meets es bn father’s Name.....*< CAe ace AO ieee hin Le a ven Country of vo eeteseeese : — eee SS = g% beaass OK es Mother’s Namé. ada PAERA be Seen eP eww e reer ne newer eneee ee eee eee SHOP O HE OEE EEE Eee eee s mee eee | Ordered by (Bea )\ Meee ¢ Mien ceaiaeenee Charge tof; Quartetie, Soloial.....: cccccvsssvesecssecesees OPTNMIENE | oscs5 s<iisess sess Bhs =i ek Delivering Bow 00. 0.00000c0csses090 -egfeoseessoseess : Opening Grave .......00.seseeeees nt discon rina tfé. pusnseeal 4 aH TTT E EERO RO HEE OEE OEE EE EOE OHO EE OEE E SEE EEEEEESE SEE EEEE EEE SE HEE EOE HEE EEEE EE EES TER O ERT R EO EHO SEEDS ESET SOOO EESE ONO SOE ESE E ENE EEE H OEE SHE ESET EEEEEEEEE ESL OHEES eeeereweewceseenesesescssseeeses bh CUOTMLOTLE. 2... cencsccerecsvecees TENET SST CC COCRRNEHNSSS ONS E6050 585590000000 05808 050000 c0nsess eeeseN bb Sense center seees CeCe ene eeeeeeee POOCOO OOO SOO EEEHEEEERESOEH EOE SE SOHO HEHE eHeeseees Peereees COOP e ee ewe eseseneseseeceees POeeeeceeeceseeereseser Amount of Bill TOO Oe eeee weeeseree ee eeereee SPO eee een eneeeeeeeeseeee ere nae See ee ete a aes a gee let eae ory Rar TEODOR av OS Funeral of . Date of Funeral I FINN one kc hs.bsdnsnkbcakcdas scudessnaeskbiccasoieskccscas Embalming Shaving and Laying “Co aioe Casket No Fae ef l Metal Inner Casket... ..5.....60.6.0¢CODDOP 10 0.c00s Zine PN Phe gsc ooi oy knw c cada gecesss- sepa dian acces annie reassek ns ee Outside Case, Pine, Chestnut, Oak, Mahogany................+. Bema Oe FO SOE DIG. acces csncccsiasesnsccksaats. sé cocassaseicnscs Metal Lined Boz. Mountings Metal Vault, Style PDD BIOL RR 85655 os ce nisens chances Gi ices ae ee Burial Robe . PHNDOT Eso secen enti se visi cavsnss PWM 5s OE. al Attundance and Assistants Candelabra SORE EEOE CHR OEER HOES EO OHO HRT EO EERO REED OOH HeEseee Foes ceeeees SP eeeeens Peewee eeeses POO eee eeeens SOOO OCR Ree e Eee eee eeeeeee POORER OOOO eee renee ee OOOCe see eeene, eee nena herd Father’s Name Country of Birt, a EL! Hour__272 2 __ _ Mf Peeeeern f Chg oof Prose cugccrccccccscccccesccrsceesesesyascscsesens cgmsesseeees —— ; clea . —= i O lec « en ren LEV Re ADUSURSUN TIRES OV UN Vee buesssoxnevenee “ities be o.c i, EE er eee O RECEIVED ON ACCOUNT. TOO ee Ce eeees! seeseees + COCO COC OOccccesceecccoeee be eeeereeesoveseceseceesccces Pe eweseerenens SOOCO CO ROC eee eresereseeeesees See eoeesere. Ce ee eeeeeeeeee oo -000e8 eeeeeeereeerieree® « beaenoe””” POO O Oe ee E EHS EOS SHEE E EEE E SESE EEE EE EH EEE EEE EEE EE EEEE EEE E HEED eee eeeeeeseeEsEeeeee® Outside Case, Pine, Chestnut, Oak, Mahogany.....-.......++++ Pie he FT 0 IN ova oes ods oa sce da ccnscacninearesee TE NO 6 oo evccakp cas ieed specie A Aes eis TINIE is cast nc sas FE EIOE seaincexe sient . Metal Vaailt, Stafle.......200...<0000s epee etre es pte Re ooo oa caches ce nyc taveda koa puacecaussecseccsas pectonesssies POE oscil cascsthacassenest > PPR dais inkovess te an Sons veciuacaniedchivsderaasases PE, MOEN E vc nccs ccdicncendseavevascminecas Corre eee eee eee essere eases sees ees e eee sH eee s EEE EHs EES OES OES OEE as Sees eneeeeeeeeseese Ae eee ee eer ee ee OHO E EEE E EEO O EEE EEO ESO EOS HOE EEE REST HE OH HEED ESE ES EEH OHSS EEE EEOHEE® OOOO eRe Hee eee e eee eS OOOE HOES OOH SEEEEES SEH ORE OSEOS! POOH E HE OEO OEE O SESE EH EO EEE E EE Eee MID, I oo oc sc cccsacvsnscccexsvaced Organist Delivering Bow to.....0..cecsssee0eee snonebevhaceetsnuave seus: tureevivkh saps Opening Grave SOOO R ee eee eee eee EEO HERE HOE ERE EEE EEE EEE EEE EEE EEHE SESE EEE HE ESE REO EEESEEE EH HES OREO RRO O RRR O ROE EOE EHH EEO EEO EEH ENE OE EEE HEE HEE OEE HEHE HEHE OEE OOOO EEE Ee. HEEEE COCR OOH O He ee eee ere eeeeeeeeee SOOO OOOCOEE OEE E TEESE CHER EEE EEEES Seeeseeeee seeeeeee SOOO OS EHO OOOO RODEO SEH e ere ents EEE EEESeeeeeee eeee see eees, coerenes see eee eee seeweneee ae | | | | Date of Death HAGE a eee meen e eee OHH OEE ERE EHH EE EEE EEE TER H OEE EEE EES SEES Eee / ‘ L - Place of Death....../ ded eh te p LE RA...’ 7 es oe Place of Funeral....f6A<2. vg Me ARs. Re iibuiukskspomee neue Ries teak teen hee T enna seers re eees casas eeee ese aesseeeuersess se seees eee eee eee eee eee eee rer) VO 10 SOOO ee eee twee ween ee eeeneeee How long resident of this State..........0..-..s-ccassefdass/ anssnsocoeeee Ce sale ae CoH re Husband's Name «022774060... ae ae aa eae Father’s Name...... eee as (We idee Boe ee Jountry of Birth Mother’s Name........°. 7.7.5 CF Vacabees (navn unassecibeeae 1eienneas Country of Birth Physician Cause of Death TG oan rvics ch ccenaccs When rendered........ ee RECEIVED ON ACCOUNT. SOO Pee Oe meee eee ere eeeerereersens seen ssw beens ber eeees + tee eneee saree ee 7 ae ia ae z i Hee | | ' | Funeral of aw. Ser nee Funeral of _\<“-<zz Ge g/ facet Se eee a Date of Funeral — AA _ Lf our Ll EYL Date of Funeral es hin oe ee ? 4 4) j € ce 4 Removing Remajpe JAte, lL (Le <4. ragegenye | Date of DR idk ciee eoeveecee Rsseevceees snsary ee Date of Death : ( (hd A oD 4-44 Embalming DE: cava gnunen sheds dgneusansnassansibissaaibeentieccieiaesl s30ciasisd.tsaaeannen Place of Deuth....... : ‘ ; : fo 12.2. | Place of Death | | bons ye er | | ey | Place of Funeral. | Clergyman TA UNE EOI NB ais asvicccacinenneskkckcs dia Spadisenedecsciéx, Casket No | / Date of Burial a © Af (t3-O Metal Inner Casket.. = Petes ereeeene | ; ; Big eg 5 SORRENTO ENN apenas We iisninaiceees 1 Handles No nis esac ee | Grave or Lot No Section..... Pi ou ssiesuasecs | Outside Case, Pine, Chestnut, Oak, Mahogany.................. | see | Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No | Lining and Pillow Set No......0...000.:00 od Udike Coastside REAL CAME ORs ioe oiesee rise ituases ce teassog Metal Lined Box Mountings...... Handles.................. i Mountings.............. ... Handles Metal Vault, Style ae ee | | | Metal Vault, Style Bor Mattress aes | | 98 cecck Box Mattress <a. afte uk é..©.,..Days ee a reese pot Ce la eee scene 278 Burial Robe ; N Occupation Burial Robe oeseccees ye | We Slippers ee eet | Single, Married, Widow, Widower rene Slippers | Birthplace chee we valoeusentcis tied DG CROIG ovccisiscsesaceicess spurte onal Attandance and Assistants i. Personal Attandance and Assistants ..0......00.60.cccecceseeceeeveee Candelabra rd at How long resident of this State ae Drapery Candles, .............+- | Husband’s Name cen sree Pedestals | Watherta Name Father’s Name | Father’s Name... CASH EXPENDITURES. ‘ i = ° | Country of Birth . frees ee “ssssseee | Mother’s Name : siestdekasleuneaaes | Country of Bi Door Dressing Fllowers......... Porters and Funeral Notice: LA Clergyman Clergyman se ewletees y Sexton a] sac SEMIN oo paiessi 355 ha de Le es peer ii. Quartette, Soloist PEG TIO crn vis hisseeers eisecneee,.... 2 MI FI Gs vice skkcidiinsdstaceesanitcasiik mes td | er “s Opening Grave .... 4 CO Opening Grave Vault Charges FOGTOS... on... < - ’ fa tte tees en asTT Meese een eeeeeereccssenegs PROT OD iss ckacencia caeeeea sees nea edabecend 4.$ 4 Coaches... ronan eT mee a Werer nn Cine arn enna a es ao f | wr, TTD seikkcicesicicns “: sons yt. Telephone i \ Transportation Expenses FOC ee eee enseees COCR O Re eee e eee aeeeeeeeeee OOo Renee eeeeeneee COOO OO e a eee eee eee eeeeeens CHEE EE EEE OOOEOEEOS SESE EEEseEeseseeresees SOOO OO ROO RTOS OHO Eee ee Eee Eee eee sesers PPOROO OC Corer orerceceeeoeeeeeeOeeenSeeoeoeeeeooenoeeee Leese seeneses eee ceded ead LILI LPT TTT TTT Trin ibn Neeiiniiniiedicass sad iii iat ca Oe ks senaiaiiad salad PPOPROOSOCODCOOOCOOLO EH OODLE CCCOOOSZCCCEHLe Coeceeeee — ° ‘s 102 Funeral of Date of Funeral. LS OLLEA TH he J . os fds a oF Pn fithh !F4 |v Hour kia M. t sli ppers Personal Attandance and Assistants fyrapery Candelabra Candles. liedesta Rug } CASH EXPENDITURES, Door Dressing Vault Charges.......... Hearse = pe «f- i) F : = Coaches..¥.%22_,. | “* on = ot Sassabintccsbeibi Massena A EY. Are Rad SHOR OOE HE RHO Hee eee COO R eee Ree eeeeeeee FOO CR Oe Seer eee SOOO eeeeereee OPP e eee eee ee eeees Foe eeee ee eeeeeee Cee eeeeeeeeeee * Amount of B il. ame oom rere errata |G POURS sie ecrreaiiritr tence ee ene ATA reese vheaprens runbeti ra eistnes atannansiinioiewee | iss dt bey drtaiss fii | Sn RHPSER ESTAS ET HsRebbouxe nigh ynasessnay sansa lPPojvscsesecovarsrseresesersese seers | iassscofulieses. d ‘ { ( | BO , asaistupvcnesivieiivvasa eenne bee BARS) 30 4 JI Bit saswesThes es sesegazaseeresmietees abet cD) saevceoentsl Weses | | See PO OMe ee COMER 66566 : i DR MONOD orcs or, coir eee tS i 4 qrvsedbenedea Vay seneseeiee | yaycsiasculiecosc: Fi) 4 4 POPOOCETO DEH H SHOE ree Ee SeeeEeeeeeeseees Re eras Foals) essa ccc seid he su ddaics do MN htnihss tiensovensisentassiessesnrs oxseinsoscsesessescsccce, Quartette, Soloist..............cccccccccooees, GIS cssczsvensssissss | seccvsen,.|..., Dalwwering Bow to.......06..ccecceces.... OCC ee eee ceeeeeeeceecenees Cece eoesovese ry Ae eT TT ’ } 5 S 2 : Opening Grave .........., WE essiiccscess Lining. 28°. Foie, LO|e 0 | th Senxes ter eee Revere ... | Physician Birthplace ..! .|Father’s Name Mother’s Name Ordered by --| Charge to .... Single, Married, Widow, Widower) poixcreareisees Last place of residence How long resident of this State Husband’s Name Country of Birth Country of Birth.. PRUNE TRIN cccscinienssacdsbssicesdeatcecissctsnsenaburbanunnteaas rove | Date Of Death . J. PSE selsssresrerrsorivene Maren ccc io NN a cic elswacpeaas (uReiad eacascabanoel | eh ML Moker. Place of Death... £290 O@ 00h ee Miistns aud tadiiee init steseussncecnssnnscnaconsegses prergrnys | eeessiasalseeneckee Place of Funeral..... Me Ct Lee Ce erote isieaxs ae Casket No......! 22M AAvemrasssee i208. 62] 4 S| hte See A Mt os cosehE por ceesnsenanaesesadsassansnevessitsssessssecsc,. ‘ Bei i aD eee a ace | ssoeeees| Date of Burial... $KSEA AGL 2M ee Metal Inner Casket Copper Zin Pccineekiass | sseeseoes Where Intorved..< peaks & Heke os as cvdcasee | Pe Fo ooo alesis s saris cd onde sososa va anusauans onee cates | eteeaab ed a Grave or Lot No......:100000 cabeanevieagian Section.......... an Outside Case, Pine, Chestnut, Oak, Mahogany.................. | ieeeaaehs | sanascene OE TG sissinsicssditsiiiccdaaatbaetieaasciasekicicis ss cecal Lining and Pillow Set No. 0..2..0-s00sssesessssesissssessesssssnssvessens hse Saco iblecand sid ssdahesi donee jai oleic ' WT Pinal Moe. ae | pies ashe | peas Ze isd isads beaesiniesiniaes grsagreneees Mounting Handles Plate.... | coe seer | bebeanesbesacet es . e 2 ~/§¥¥ t Metal Vault, Style / ST Bey Be Osis iscteabiate er a a ee ee eee ee 4 | Age..... Pa. Yegrs : Months LG Days gata ranaenssessansansanesenncesesecsnerensarsenserasesossenesss | sapagesnes [eseese ar sins ee ys a Rusial og sik A No Ae Kaas >, | oN oe Color Lats. says iota | eae ts ae O40hks, Ko. KG | COMO ewe renee eren ese epsreeser recedes sseereersserert rss essen Cor eeu | [oversees ceen cefscenetnnenannernnenennes - fs at | vrrstese estes csseuseenaneunsenseneneevssenee ee | Oo | Pe eeeeeseoeriseesens | tee Ree eee ewan seeeeseeenenteueseeenerens leeveveeveees Joveeeeene & oe Bel aes eames | | sla | TPL TESCO Peter eee ee ee esl Fee FOO eeOOOS OOS O OOOO OOOROO SO Cor ese Co OEE le eoneeeeses } | | | a | | [ crreteraenenentntnenennn Jesseeene one TPL Cee e eee orerslereeeserrlesneeeeseeoeeees OCCT ROOT H eee eee agers! weeeerere | | vost es eda ‘| eee eee eee | teeeeee ibaa hahaa aaa arti iit) OOO eceeeeeeeeretreeeerre® bil sichsaihaidileneiiabihbbiees sicinenessncisibialiiinninnl diab onnt AU eee pith bee III titin,. ~~ _ . y rs ad - sf . 7) j A © « Funeral of CL¢ <7 ¥ - Date of Funeral_. santana Hour er . : ‘ + DN UN oo ee Bg ie ae Date of Death ........ etna Gi cccicet ee paukancuaasekecdaek Ge Embalming cPPARPORE As 5h b0nes RxShehbuhsanhedsaseebecubssebsdanbashéeadosdeusoall cs<chcediss{osanassia | Place of Death............. _s € aa Ve Lee ie cence akon tks ¥ . . ead 5 “4 I I si beets Place of Funeral..,... en &... “ai 2 | / >» &@ i Aang nc netlce I Pic sasiasteesta esssahilacascasasees Rs athireesiaea ec es, se sebinnls CN a ivisicseiisgagerteciniulisit Gide tapickcsuctiacdcccesnaen Z 4} ++ SASS EE GAR SEES HLEA SADSURNDSL ORD DLS ON CAaEDEDSARLobAnGE«404000005464104is L000) 40 sia0 10k basse siekeses thin en ae Ge es c 7 2 A Metat Inner Casket.............005+. COPDOM.... 5.05.05 NO ogee Nib aasssceses po Where Interred........ S af ie Ces A ee : POMP 655s 0s ras ss 0s sacicenssieseshaasasndeessavcsnsdessees ee Outside Case, Pine, Chestnut, Oak, Mahogany..............0.+ Lining and Pilliaw Set No.........c0c0.c000e Pe ei oR a a ae Metal Lined Bow. TI OUNIAME Lik ici cs isis 4:1 EOMOB hades verses PUG ec ctiteks TL VRE I ie is eos chess eas cea sa PR Pe ios 5a sk cn a sep ca sv aecenidand caseesdriscesdinsiiousassss PIPE OOO <i gion cess ther cbnc banks des indcdes buasupticxecah eas tacsas indians BE ois bvapskins snc EMS ccs vecesense AONB se ccslseckss iio ae Oe NR a a es Personal Attandance and Assistants .................... Drapery...............Candelabra............... Candles...... MONEE Soins cveasni css csvas ox SRN: oc vaeetiie ase eee CasH EXPENDITURES. PROOF TIN oycitiitioe ice HR oO ee: Fe gts NN i514) esac siee eee ee ¢). Ee i‘ y— PRON 5 s5ch seca ccpvakesscssscs : ¥ © ee ah ii presecsefeges YPorsreceesnqeeevers Dol) (Ler nw RQ, i ro occ ci ois bs 3 aso Od Tonia ae santites. | PRM «ss eobshns i0aivins Wi iTs Levis esssk oni aehuaereneasbia ca Le Quartette, Soloist... .........csc00 maei cise Organist ........ ae BI le Te Oooo ss oh cies cscs ate 4 Sy NPI SITIO siscbicicaisctceessisivacciene «5 AARNE: .+s1edheconae 4 Vault Charges.,....... ciarbahaaeesssapeseregl peesess speteeidesteisi i A Ri { At liege deuce Hearse... 44.1 Ricans h SOI aicvntictvcentosive ervegues LOLOPMONG. .ycdeoresseevecereees Transportation rmgelok v9)... 5 Coe r eee reeeereeeees COTE OTHER EH eee HOR OH EHH E TEES SEE EERO ESSE HOER EEE ES ee eeeeeeee tee eeeeene [a eeweeess Amount of Bill. PPP PPT rt eee SOOT OHHH ERO ewe eeeee SOCORRO OHH e eee eeee | folo © | : | Location of Grave go MEIN i's <550 sass taedcr ial ie Occupation Vv Single, Married, Widow, Widower Birthplace ... Laat place of residence .... How long resident of this State Husband's Name ........ Father's Name........... Country of Birth Mother’s Name. Country of Birth Physician Cause of Death OPUCTOE ON 6 ésixiins Charge to .... When rendered | RECEIVED ON ACCOUNT. PT cy |e, dpe pc a es item dey ee Ghar. tha . | Cie OF £08 NO sisi a Section....... if eanexneneed i % - | éevcoebons pea cern are | Fie h ak as ie eas a | | | sevepescntesivondecestrescwsbacessteccebecsiavesertaieiientiks | svberebuces | sits pbaeye sbSSSSDE ODED TONEDES URES ENDS sssucceebeesiinieacns | sanueeabecdebesessetesevereeesueeresete jeldesedoues <sbsueniese | oceans | seeeseeesecceereseeesercoenccseeseeertlseseeseecs Seeedoveses C0CCCe | seepeceoneoneeeroeneeesessecoveseoeseeoeerlseseeeeeees Ce iss een . tebe eteeeleeeeeeeeeeeeres, stati sala i. seeseenve be Rn A = as etre liao cae mapas adcaendan con BSUS Pc 4 eae 104 (ih Do per Cee anes r Funeral of Ot _V¢ Funeral of Date of Funeral Date of F i Removing Remains.....0.sccceereee aanecssaauen Oe OES TEE PGE EE OTE OO Ce- Shaving and Laying Out spasaacns ~f/| te Y Casket No. AB. iid Be ; Pe chacpensasahe ize Metal Inner Casket.......0.seccesees Copper Perce eee eee Peer Serer reer rrr rere rr errr errr eer rr rr rere ri) ME Oia, oe scghndg he Ladesy is caaniseaesaiaa bisdadeabahesesicac | sec el jreewores | Grave OU EME TA oes Section........... asapnecuen Handles No Outside Case, Pine, Chestnut, Oak, Mahogany... sesseeesseeleseeseees | Location ee it i eh ss Outside Case, Pine, Chestnut, Oak, Mahogany DARE GE PUIG Sat NG: oicissccsncscadacesinosecessovccansiceevescacee I EM A a re soc casein S53 cee ‘ = Eimer Piller OG ING. ccenckvcssks cxkase veccudisciavondsansaene ? , . OEE P/O TOE so silicide scecdebeiieateniweadiekinae Mountings..ccccccoccccs ase PION va eccstcss secs FOE moiigs ss sksks ach sckic is ae | Beare hab saeae cede eee SP AELEACNENN Ab ngkaeosREE lL dakuabexs Mountings.............. . Spies ee eS Plate Te A en ss a TRO III was as sos esas hsodckcdecncdenacteecnsdsnbicasssateadasipass> «ox Dletad V aadlt, SOO sacscessiacknaceresesvesee Be eC: cs «techs nus sen nsapuas sauabasnee aM ee ‘ pt ce Cie ot poe | Single, Married, Widow, Widower Slippers PH cis Gloves cy} 2 pers c = jceninsoecnieeeee, MOIS esis rants upaesnecasmaieces | y 650 oc) nee | Birthplace } © “oe AL? _m iia... OMe eVeces crs ceness roe sbdccccvcccesecececeseeseseeees es os scesseeeeeeOe® Gon evccccreccvencsecececeseccore Personal Attandance and Assistants ......-.0ccsccescsesssssocesesseses | coccsocees \ssseseee | Last place of residence IMoahee AC | | res Lateran | How long resident of this State, LKL- Afr Seetiet DIP COTS 5 occ ce KOO 65 voc COOIAB Shai cevencs | cseteaeses How long resident of this PURE cabins lias eet SOON rose is cores | ieee Husband’s Name ....... Mey saegee Lee mis oad eam one eka eel Ua pe ayia pee SO Un eae cae | Legennses Father's Name.,...f....000+. Sho... CasH EXPENDITURES. a I i i oP a ee en ee en TS hs nie Pane Gok ea tales Country of Bitph’.........4).... | ) i ai et | a Mother’s Name Coy 4 | eevee ‘sitet | Husband’s Name reeieess Father’s Name CasH EXPENDITURES. PE Oe hee a A iokeeere Mother’s Name... Iyer Qervrerrnrerieen eae UV ENE Net eer et esyerres aeennes POIMS........ceccraeeserenscnserncessevozcoseesees bE ceaseeues.|ctesaes COUNRORY OF Te. occ ee aes ccscncieees 1d aokpbesvnetededsocesscsncesens RN oe ones conn tga ceevee esas meeaeeee eee ell oil isectsciveeeeeuss a OE i ci i +098 08009000 006000080008 000000 00S COC OSCE SL Ee SOOSe SOO SeSOOOeCeeS Chis ceel OF OTE MIME cs omen Ses sce aces PUMCNGL INOCOR, 5.55655 hekkkcs eed pukcesexs |ovesceoee | Charge to ..4 Set When rendered ree Meee merce rere ren een ree ereree eee eenseeeesseeesesesesesessenss RECEIVED ON ACCOUNT. RMP PIR is osisth see ee es ee Sexton CORP CCOS STO COTROTOEDSS SOL ESS DER DED OODORESSO ELS ED SHOT O DOSE TSEESeDOEHOSDOs+ | soscoseteslssocacese | HesETTEPOCUMeseesoesl + ccneeees s Se oenecceeeeeessveueeeeeeeseeseslaonede siete]. scccceve * ee ee ee CoS ee ere een ee ee ee oe ered — 1 ye ae 1106 Funeral of nee a... (/ 7 Arhe Removing Remains........cccccccccees MII aici che ccssiexaxevees Spay nd Laying Out.,< 4 ra A Gaské No. Ab Conch ttacccanaseetess J J oe 4 7 = T. \ 4 Bk. da Metal Inner Casket...........0c0ses ie PILAR IV, «coca sqccackis vs sowencdcabenaceencaiasaessbianesoeaeusbbeiaeesciesss | teas Outside Case a oe Dining and Pillow Set NOicssciscakessstansapatecsessaccsooes euneuouessies | tases ye 7 . CURE TANCE BOM, cacandasdace ieukaysiasaesed enmaanient siphia cabinet ee Metal Vault, BEG ns srenansspeer . POL NIGUPCRB.. cc cccntanessssassedl Ped Is aC RUNEY <iccbucascncuseseacseniek susie. CasH EXPENDITURES. Door Dressing...coccorcccsces pedciNC eR CeebRaReCehabas shjecaeukecchesueusenns ) oF COC COCO Le OOOO COEDS He eer SOeESOOONMs Coceessseeeseeeeees sc oeeeeoee GHOOCEHO ODES co en eecenceeresenscepeeséenoseces SOOM R TPR O ewe eee rewrn eaeeneesereeseeeeess y ° AY. roe Funeral IN QUIDON 5 cv cedsceseviusstencceescaee TO PPO Os COCOOOL OOS SOD OOO Se OOOO SE COCOEDOS Ocoee eeeCoeeccece RPE Tih vs dosicseneecsie hia tcse Se Sexton VO eea eee eeeeseeeeeeneseses a Sh M Meee RHO Ose e eee eee ees eeRtesersecs Delivering Bot t0...1...00ccccevrscessesssoses.. uhm sstasseaseeens eseenneensenecsors one a Opening Grave ........ Die enieslelsdelsis issues Linipff Oss PP eee TORE R OMe e Omen eee eee en ee One seereseses. OCC OO Cee eeeeees seen SOO OCO Ree me eees St COOeeenee ceseeeceee eeereesoee o0 FO OC COO OS ODE OOOOR OSES SCO CROCS Ce OCEeeSeeeseecees soe OOCCOe Heres eceses eeeee eeeerees sense seseee Seereeeereseeee seeeeceroees SOOT OOOH eee TERT e EEE HE EEE SESOOES, Amount of Bill. ........»ecbaamual ‘POOSOSED Oreeeeees eeeceoeee bbb ta Ce ee ed eeeeeeeee . re rrr Peeeerererers . , Pine, Chestnut, Oak, Mahogany. ceccocccccoscosss | eccccseesss it as tea | When rendered niect Cee” VY , Mf aati How long resident of this Stale... 0.64 LAN. ie hic eee seein: Husband’s Wie oie cas oe Oe, bea Me eka ct ae eee Father’s Nome LAYt dhs Persians (ea ives Country Of Biv thy 2.06679 csecececbcetfticwssesecss KS viveukiee DMotier’s Nama. kr ee once ence eas liavexeess Country of Birth. see ote Physician RECEIVED ON ACCOUNT. webeesaus : ; x = a | bez Vy vt KZ Ke ch abe | fy Wedge - eset eseednnse te, SE 2 Pecans lost 4 | alhuhisseg iasies nev csiihchtdiedh coke candida ibbcinnidaaatadiath aie ae Doane — oO TOC CO He | eee eee eee ee leseeesesel | ‘ SObeseeelseeeeeeereceerseeusestocceesecessessseccs|ssccsseseces|soeeseess 7 j | | | eeeeeeee te | TOO eee el eee ee eee | ORO OHH OEE EHR E EEE H Ee RHEE ERT Eee | | < €) pueeeebe? | stinscedivialieeweee |*sceccccescececeveeecoseeseseoececcesccerslscscecsesees! POOH ee | ee ee ee eeeeeei eee | am s|eeeeeees | sOeeeeceeesrecesereeecseceoreseseereseesiosseccesesse]oosees bennevess | es cpeeueeses ea Steen eee enneeeserecennenseeseseeeseeeessleseeaesscnsn|seeeneeee COCO Ce ec eeresees | seseececeees [*seseeceslecccceceses hig |'**rtttts|steeeeeeeeesseesensencesescsessonssseeserslensssnses seeleees | PhO NRMEPUUONEEOD | bss ov RbES SNS LEd8 NEN Ts ena eCebeben sen beqnvbeKiuedésauscceustlas Lika dee TTR O eee ee HOO eee SHEE EEEEEEEEH sceaweeeeeeer Heeeee® tooeedlvcceccese | peveseseveee| ceestees | "*rhtt]sseeseeeereeeceeeseeensessneeseseseesess|snsecesensr:|eeseuert® SEPALS OLPONS SS 5 SHEDS ERTS ESENNED TESS Sh. o ge eOdeNONNTEEsmebelcededbboneeldied bes ilskpndeessunctsaeesee® POPCOMSOMSTOOSS | OFC COE ERED EELS OD 900581006500 CSCOETEOSSSSE SCOSER SSeS bee US RERwSe Hose cuseSSOSEl Sen e4004* Tee ee ele twee eeee | OPO Ceeereceleoceseeceirereyeveceeesceceeeccccsceteseeseceseocesleccccceseeesfoces see? Oe eccrreeereeeeecseceeece: seeeee dee sedecserny MAOC Deere oerreecoeeeseroeeseneecoccceesceets coosceees fooeeese Mowuntings.....0..t00e08 os a Se 5 5 ea hs id ae aided de Box Mattress -— - Funeral of... Cunert Weg hice Date of Funeral a __ Hours SOAR H Oe HEHE EOE e SHEE EEO O EEO E OOS OS SEES SEH S OEE EE ESSE EEEHE DEED Here reeeseresseeeeeses Outside Case, Pine, Chestnut, Oak, Mahogany...............++ Lining and Pillow Set No..........00sceees pe iiscccaicaeeoks Ce so eaten pacl eaheo meena iksanaweos Pree ee errr rerrrr rr reer iii ir rere, PPR e ee Cee OLE HEHEHE HHO E EE OEE HHH e OEE EOE OE EE EEE EE ESM EEE EEE EEE EEE SEES EEE EeeEes COTM OHO e meee eee HO ROE EE EEE HEE EE HEED HHH He OOO OEE OO EEE HEHE OEE EEE SESE OOEEEH EEE EES ORR meme ee eee OHO HOHE EEE es H HEHE EEO E HH POOH OEE SESE EEE DEEDES EES ESS OES EE EES ROMERO sce ccesuvesceiccers cos sucveua shan casdescseusievinecerstcdsiosesone UOTE 517 asneh ss NTdKGAG cae ys sa aceni coca exten ic cides soitidal acs teeebisiaies NONE, SOLON 6: 5: .6cc0ss0sscasesesese0s0: III ssc ssdcseisvcesxets POROUS oe Cal ee sons ce sesst aan avian gk SPO INGE on oss vk ko ccaecdwendecvsaviniace EAI s oissiteseciessiees Be CI orga coos ks to ick wnt uns ich escapees PIO i csivesc techs heha ra ADs TERRE ETO R eRe eee eee EERE EEE REE SEE OE SEH HES ESHER EH EES SHEESH EOE HEHEHE EEE EEES NTE O TORRE COTE R HEHE EEE TERE EERE EEE EEE EES EE EEE EOEEE SHEE EES EH EE EEE EHH HEED FRO R OOM e HEED EEO EEE OE SEES OEE EESEEEE EEE ESE EES EH ERE SESE SEES ee eeees Set eereeees TOOT ORE e REO EEE EEO E EE HEE EOE EES E ESTEE EEE EEEEEEE EE EEE eee bbe bene _ ae ioe When rendered...............0.s.000. ; RECEIVED ON ACCOUNT. Cay OOO e eee ewww eens | eeeeee refers Pewee eees sues essees ee eee eee esse OHHH HHO EEE EEEEES: HHH HoetEeee eee ee se eeereertlsevececes | eeeeees sere srseeeeeM, ceeseeeeese | SSP Ceeerslsoveeeses | HOCH eEOOF er Hrs eee eeM i verereeerer eee eEee esses tees eee reese eesslseneneeeeees Seneeeeee CUR na eReneat ane na ERA naarae tare b ERO H eH ETOH TEES eee eee EOE eee EE Ee EOE EE EEE EHEE ED HEHEHE EHO EES PERO O HERE) HEHEHE eee eee eee OHHH EES O HEHEHE EEE EEE EEHEH HEE HUHHE HES a aR Te eR rt eeeneeee Coes eee e eee es leer eee eee ee PESO OE HE EERE EEOSEHESOSES FEES TS EEEEE SEH eeeeeee cece] ceeeeeen|. cee ee ee eee OOP PPeeeee eee esereeeeereeees aFnee nee eeneenenne Pritt reer colle a ache Re nrg nie ar te AT e TN 55s" Ge ara eS 7? 2 meemen q aq ; ¥ i ‘ ALE! | : ' a Caen ee Sener ee Ee eee) eens et wie, ec erator “Mei enero * Sen Paneer Wicd EE nce tener an mE — ee eee 108 Funeral of Date of Funeral : edi [Sowinaet© pas | ee 2 Hour LOA Ay | oreeceee Removing Remain,........ccccccesccees NII 6 wibsieciscsiacecdeciaveeinaioios ,OCEOE TOO SOOO OS OROHEE EEE DE BEE E Ete Shaving and Laying Out...... \ i phskaseannbinnarsecanai oe ee ae Metal Inner Casket......cesccccscces CODE sis essavides Zi k oo o ae ~ ) | Casket No. . tansy Md Ok ah 6 , eee < , } BION Dis ss cnscschecpencndsaxssacdbacihccuasancesondudphbbanabhasdsaakesiss Outside Case, Pine, Chestnut, Oak, Mahogany. ...cccccccccseees |cossscssees Lining and Pillow Set No. ssicicscsecsscvccsesescecees Metal Lined Boz.... SO Oe REPO RE OS EEOOS ETE SEE EE TEOOE DORE EESOEEOS Mountings Peecanisaies stoke Handles......+- eessocsens PU i ics Metal Vault, Stale. cccscacescsccoscece pauaaisanaessiekensneniaae ae Fee CIO os icccedundsassanads Oe ee ee Prrrrrrri rrr iit iii errr ries Prt OOG cicncsxcsaecnee PD IONG: ss .xivacccscknsteceteet DPODETY ...cscstece ens LOE aus bsdeceedesknaien TOO OO HOE EHH ER EOE EE OSES EEOOEEEOEH HEE EES HOE RO EOE EEE OS SHEE Eeee Pie oe ae COCO CH OOOOH OH eH Hee reseeeses SOC OOEE EES SOE OO OSH OOOE EEE OEE ESCO ers ceneeeeeeeoooocoeoes | sisted EON UIE vo sdtceccinsscceccans Funeral Notices......... COC HCES - 10001 S00 OSOCOOS SPOS ETON EEE SOOOOOSO OOO SCOEO DES EOS EOS OOO SOOO CEOSOECCCCCOC CCS Fe COSCO EEO TOOTH E OOO TDOOO OS OOODEOOEOS OSCE CEOS EDEOD OOS OOOO COCO SES O OOO OOOO OOO eecee Clergyman 7909888 SOS0O2 0504000000000 00200 eS 0s Ce COO SOS OO CREDO SOO SOOO SCORES CCS Sexton eae IIIT t TT TTT Tree NE, SCs. js ccunedecliesccsecsscccus Organist Delivering Box to POCO OO COCO O OOOO CEES CES EEETO SEO CEL LOt ss CeCe OS OOEESEOR eee see Oesesereeseseces COPE ERE O ORO HOOD Oe eee eee eeeeeenee POO OOO OOO ODODE SOLO OL OE SODeCESe EEE OSES ESE SCE SE SO OOS OOOSECCCCOSs OOO Oe eee POOR OEE es Ones eeenene oeeees eee eeeseccessers Transportation Dapenses............. see eeeeescesees ° * Peeeeeesoeoersoeses@ CONST EOD ES OOS OR SOETEROEDE SEE OSNOROEEOSO SOC OO OES SOR eeeeeees Seeenrececes SPeeeeeeees eeeeeeee Sereceee a ** . SORE Oee Oe RCE E OER E HS EHO SES SOO SEO OEES Amount of Bill. .........t us SOPOREOOSe Coeseeees seeeseees | i Pee ee POC RO SSCS eer eeenecee Seerceeees secererewermoeees | sees Coe eereeeees | OU eeeen cee POC CCCCO ROOT OSE EEEHe seeeeeeeee eeeerese | Ooo eeeenern seeeeeres Pe ee reer as seeeeeeee eee ener ee! teeeees Cee rereesleeeseeees 112oo see tere ererbereeeeee, * secleereeeeee ) /4 Yu 1V'BO Ck 7 Date of Burial... ooo ones ‘eseadete Where Interred. ...>%A=ffe—Gnwv...! Hea > SAPPORO ee Hees sere reese eee E eee OEE EEE EEOOE OEE EEeeesiren Free rerereeereneseres eres serene seeeeees esse ses, O9esenses Mother’s Name Single, Married, Widow, Widower.............ccccsccssseeeeseeseoe Birthplace ...! . Mee a Qhr»wY SOOO e eee eet OOOOH ee HH eee eH ease arene Seen ese HEOHEinse See OH OOOOH eee Hees esses arnaseserreesennine Husband’s Name...“ oh a ae ee ae ia ca aie O(O peel . Father’s Name.....>7<.. ee sis Country of Birth ... Funeral of... Date of Funeral do H_- cee de Outside Case, Pine, Chestnut, Oak, Mahogany.............+++++ Lining and Pillow Set No..........c00.cee00 pesca esacsassavelniiesae coun BE NE I sik inv.ssrotnaneniinenineinclaants Mountings...........2.. +. PE PG COUR eis ce gcse SG yee ee a Box Mattress POORER HHH H THEE OHO O OOOOH EEE EEE OEE ES HOSE OH HEEH EEE HG BEEEEeEeeeee TOOCPFOSLCOO9OCOS TODO CHESS SHH SOO C0006 0905 40s0005000000 0086 be eh ese eee eeeesOCeScéeCes COO ee OCC COOD OOOO COOEEOSCOOODORECED Sos oeeereceeleserrercereeeeereceseneoeeoecces Clergyman RIUM :iiucce) cin cs cecndices o\ceses bhaieigbdigddibansuinainses dose bhi bedbbbacls ius Delivering Box to Onening Grave FOO COOP Ore ere eee w eee ners eeeeees Vault Charges Hearse... ©... Mia UCSF OLR MRA OPP OOOO OOOO OOOO SEED OOOO OECD OTTO OOOO HOOD OE SEE Eee rr eeeeeeerieeseeeereeces OOO rome ene essere eereeesseeeees wisviee amas Country of Birth ........... Mother’s Name When rendered seeees FOC OPO ee eeu sere teee 110 Funeral of Date of Funeral__— Removing Remains........ccesocceccceee noveeee nacence paeseaene nbauncdooke PN OMOOINS ics snskndssesneiscseseeusneus COR eRe OO OOOO OOOE OO ORO DOR OH OES OSES RAO CAE TN OF. ci cincncsnnsocnnncqnsanentencssncnscncnesonsnais Casket No.....%.. 12 p ke ean ee isiciniedeeriasks TALE I. «cca scncchdcdcadensucsscobenbessanschengubacdencunasentoneaons Pine, Chestnut, Oak, Mahogany. ..ccccccccesseees Outside Case, seneeerees Lining and Pillow Set PS cies Bt ent Bite ein se eeeeneeee Pereseeeene eels eeseseee EPR H EOE eee eee Eee eee eee OEOOOOO OE Oe ese EE ee OEE OEE EOE EEEeeessersnny Ce er F i EG TAME L508, onic sncncec cnvsacchnaavadianuimeadsesiasekasipspivanaiesss | o54h+atesas]ra0neieie , REO sai idiresees scence Handles...... nisaceeenen I es See rsk | oc acv ties |rseseeees | i Metal Vaiilt, Btile...c<cccostsccsss orcece pipbaeidasens soudescnakedonanasasicer || nonéeet 5% | Seeacr aK | Boat Mattress. .....ccccccesesccerrevecccccccccccvccscocovesscsseses ddidbsdaneti ote Fuel cae : i Pei TOON co cainsscancsad sundedsoncnnasaaubavavesawinbesaentapeincssnncecnests | tecasdixaen | Geevies Slippers Pi ccccinncriod iiimiae eau: Less site pei ai Sil: Wc scaiiaiaiteaintioivccitiitns’ gk oe Personal Altandance Git Asctetantte .oicccssrcsccsssomescssousensesss | csonssonce|essercses ; POPEBENIE Ye coasts 5- ct IN ssn ce sescansees MN ao ohecces 654i | eset lek PAR oo oc ion vdieo vhicsscspaivawke POM Ga oss pce reavxsdandeneieseisie | 2 | ial ae eae i BOOT TITMMIIIS cts ieee sicekerssentacssnsipenesses ta0i00 sen eet S. sdcnbisgs ease | ee eee errr rer irri rr errr rrr errr rrr re Terri iT irr Tir rit r TTT sa PONT EE oss sskccs si 4cs cal idecs Ce eS ae ee ements onl eager Funeral Notices......scc0s THEE O eee OOOH OOOH EOE EERE EOE TEES HHO EOE OSES SOS OSSSCENSEEEESEOESSESS earner Smears eer Town EE EE eee ee er Tt er eeesseesesesooosecescoeet ss GLMISL ...cceees seeee stones COR SeSeeCescreee Coe ea eeeeereseeesessees Oeeeeeeereseeeceee oe . ae Een eeereceesooes SPOS CCCee Seeeseees SHPO OOOO See ees ereseeee’ seeeeeeees seeeeeeene see eneeeee seen eeeneee see eeeeee seeeeeees ee reeees ae URN! ve OU * seeeweres lh oeee PAPO eee Ree eee Eee ESHER OOOO EOE OOOOH EEE EE trsstuny SOROS TOMO O eee ee EE ee EEO Ee ees esses esse seas sees se eeeesene TEPER OOH eee eer sama eee eae sees ee eee ses EOS OEE OEE EESeEeeeee® TARO RO ROO eee HOMO SOO EE SEEM Hee eee eee es eee Eeseeees ns eeeeees How long resident of this State............. arora peat EMINEM MII oo ooo g he ocie sashes ouch oedn carcass peiuioinneess ; Father’s Country of Birth RIOT By ert k esos cdi inact eoaane TE oo sears ag ees ee rsdaticasee sons NS Os ce ood scu; sale iesedeccesassasncies atseeteeR Re aun een When rendered...... bes erie ccc cae ci wlaestea tet eae eased chaven Kenan ; RECEI VED ON ACCOUNT. ee eceecccsecccssesassiscscesseevesisosesere® TERETE Re eH EEO EES A eee e HEE EEE STOO OOS EE TORE EEEEEEEES SEES HH HEH OEHEEEEEH GS oEEEETe® THOT R FOOTE THEORET Hee eee eee EEO T HOES OEE E OSES OSES EOOESOSSS looses sesees|sererert® TEAR ETHER LETHE E EH eee TERE HEHE OOe OOH OOOOH EEO HO RHEE EEHES EEE pore ars sees sees eren® seeeeceseere|eeeoerere PERRO REO meee THEO Hee le eee eee EO OOH OEE EEE E HE EEEOE Eee eeeeesesessleneeseseeees|eeeeeeee® FERRO Ree EHH E EEE) Fee e ee EO OOO SOS Oe eee OEE EEE E EEE EEEes le eeeeeereees| se eeeeee® SHEESH ERE EL EHH HT OE HS Cee eee HOES EOE ER OOOO SEES ES COSESE SEES OSES Stl ye eeeeeestes|seneeeee® PROMO OH EEE EHH EO ESE eee eee OOOO O SOOT EOL OOEO EH OEE EESESEEEOS Hee eceenesessieeeeses® SPOOHO TO OS EH] FOOHOOE Er evereeeerer ser seseeEeEeeeeereeererecrcerlecrcrceeeessiosoeoeses ORO O ROH eee ee OHHH HEHE ROE OE OOO OEE HEE eee eee Eee eee eee [renee sO OOOO noes eeee® POCO OR OTRO EH HEHE EE HEHEHE OSE E SHEE EE EEEO OEE SEES EOE ESOS EO EEE EES lv eneeeeeenetinase See? SHOT O EHR OE OOOO See rer eens eeesereeeeeere® SURO ee eee ee eee eee eee ee Ee HEHEHE OEE EEE eH eEeale eeeeeeeee SOOPER OOOO HORE HEHEHE EEEE REEL SE ESEEE EE EEE Een eeeeeneee SOHO O Hea ese reas PHOS OT OOS OSES EEE Sere ee SEE eeseeeeeeseeees® Shaving and 7 ON gees ihe ea ns bcecoteienieres oe Casket No. 142 Zs | Size THE P ORME HOHE EEE SOLE SOROS OSEOSO OE SOES CEES SOE EETE ES OOOO E TESS Soeeeeeeeeeeseseeseses Outside Case, Pine, Chestnut, Oak, Mahogany..............++++ Lining and Pillow Set No. .........0c0.ee0es ea aac alae OE Siac da ee ee es see eeeeeeeslsceereces seeeerees Mountings.....0.c00000 s+ Me Fs oie a is esd assem Box Mattress POPP R OMe RTO H THEE EOE EEESEE OEE SSE SOE SE SEES OSEEEESEH HE HEHEHE EE Eete® | weraeenees seeeeeees DGIOPY << si0cse base Pedestals eee ee eee eee eee eee eee eee er ere eee ee eee eee eee eee eee ee eee ee COR eee eee eee eee eee eee O eer EEO EEEEO Ee + HOE EEOHS OEOC OOOO ES DOS EEseeserseseeesese seees SPOOR OHO OOo eee ese reer eeaeeeeeeeese eee u se EE EEESEOOE ESE EEE OEE a ra senesseeEEEEeesereee | Lie iss eile eeeeees ee SOOO OEE OHO O EEE EROS EEE EES EEE EEO ESSE EE EEEEEES® POCPOOE OOO COE ROO CODES DO DED OO COOLER EERO OOS LOOSeeees COeneeneS SPCR OOS Oe Ce eerereeeererreneresercerescsreceeeeeseceeecese i ieckieses a 1 | Ate... 27...6. x I iss. BOM a DE ccivterss if a VLE t OOP ask. ME aT eee cssesssccoess Ona ai i Sad. — pcr ie Lesdsateesssecaesrcese ree h RENOIR os rte EET aiden ts ; EAGRE INDE OF PRONG oo... venenee ccd B it ; 7 How long resident of this State i i j Husband’s Name flere, } i Country of Birth ... Mother’s Name Cored ereservesees When rendered..... CAO H eee ee merase errr ee esse e eee ee eeeeees He Hue eee ese eeeeeEsest eereessesseOOEOeeseeses | seeeescsesisccececes SOOPER O PEO O OH HEHEHE HEHE EEO EHO EO EOE EEEEE HHH EEE HHE HEHEHE EOEOEMEES COC C COC ees seoeesess | TTT HS OOO eee eee OOO serene e ee eee eee eee TET OHe ee EE eHEHeeeE sti sees HOt Serssss | seeeesssstlieeevenee | eer er eeeseeeweseecceseeses see i tl JUNO 6. s-csscssssneees | seeeeeeecs\sseces* + icpistp tk RS ee re nC CL SMR Cine e! ean aRe dou Ovening Grave ila il i i ceceveunasonsnor’s | Hearse TTR ES EERO eee ree eee eee eee eee OE ESO EOE E OSH E SHE Eee er HH OOHOOOOF EM Hseeeeeeseee | ps sss si Couches... sree eeeeeees] eeeeeeee Renee Kee OOOO arene eee eneeeeree sealeeesenerees See ee eee ew ee een weeeele eeee as A te oOo COOOe COU OMORS OS ORO ROSE ORES OSE Eses MINN ovis ceccesccnecanccsdenecen PE GLCH DUO. . :,55c0ssancnscnasesdcnsandanaonsesntsyneens Lining and Pillow Set No...ccccecscecscesesscesee Metal Lined Bow......csccccsesse MOUNUANIG oc ccnvcnncces- 0x0 EUAN CB crcovnssnsscacees PB csieccenscnss Se eesroesusoeosesescessceesnese rr Selart 7-<ehi-oaent eee eee ee a > ‘ me ae q Metal Vault, Stile...cocosccccorsereses i Wudgel dpeakerse tesasdescalos scseanew E 3¢ WL J Tattress copes ds wocsecgssoe 000000006 OeHOO OO SOOCEE CHS oeees Oe eeeeceseres ¥ J#2Q ae iad } . : i Burial Robe sscassn csi Melietiostaad asosceenssscsesns Berroa | ih isi svcccctccienesiin a Gloves DTG Per t....ccecece- see Candelabra......... dppilt MUM scsdcssuckeces i fi PICA AIRS oo oces secon Tite eee eee errr er rer ir iri r rrr rrr rrr rrr Trrer rT TTT TTT rrr TTT Terre seerwccecesenee woh SEUOTS CLI cosscccnersecscnccccsccoseess W\TUQUEB, cccccecces BIE II OCENO oc icencacxesanicicycbnescccinecs ahha tae PITTI P TTT IT PIII TTT TTT Ti Ti rr rrrr TTT rrr COOP OOOO E OOOO OTOOEO ELE OLEOOOSOOC OOO SOS COL ELe COREE SEO OOOO OER SEO SOO EC CCCs Teer ererewesesesceeewseesesees NSE FIELD cnsesccccccesccees PI MON OI ea iiesvniatsdaistns “skesiergcndideisalic Giles cal Opening Grave ....... Reseateebnnssssicessscensss BRIE cerciivioiinivins Vault C FORO RE OOOOH OOOO ERO eee Eten etree ensues 090000 00000000000 000500 00000000000005000000 055005 0C00 00 6008 Obs Sees eReNSss PAO Oe Reees weet esese eeeneees cone eeeeee ae —e Funeral of / 2 _ Opeth Tov UL, Metal Inner Casket. ......0.000+000e-COPDET 0<seceesee PB vis ccins | i 4 Outside Case, Pine, Chestnut, Oak, Mahogany...ccccccccscseees |cocceceeees ’ rf SPOCOLELe Coseerees Amount of Bill.........0++-<de eee OOOO See tees seen eee’ . Removing Remains......... ceamnaeeuncnen casieaaenenn sitkhnadeuneianekiabie 1 kkasussaiadciabeans ae eee ewer ee soeesaeee Single, Married, Widow, Widower............................. oer eevee eeneeseerese ies Pom eee re rereereeeeeeeeeeeeneeeeeus seeeest® Birthplace eee Oe ROR em ee negesseserenre How long resident of thi: Husband’s Nameiyy.® 1, YOLLTK Mov et Father's Name.....2....0.....02 Country of Birth Mother’s Name ft [5000 SOOO w ee eenenaeeee Lewenie Cs } Clergyman i Vault Charges Funeral of... hia. & ee Date of F uner___@arguet” mie ee ee ee <9 See ¥ Outside Case, Pine, Chestnut, Oak, Mahogamny............++-++ Lining and Pillow Set No.........ccecsesee pincsiycaeeasaeskescssin ees ee NE OE is. : sedi wee tee eeeweees see eeeeeeee Mountings........0.00.. «+ TOE VAS ao sos os cencvnce recess os kobe fsaceceacedess ones Box Mattress ee ee ee ee eee eee errr DVDONY ..ccdeciiscca ses Candelabra............... CER assess ccays PORN: Sosccickccosesec si FOL ees Rug seeeeeee sreressccceseccccseroscce sessed UNITS ssscescccccccceccccessevecsssssssceseseess sees | secigecens OPO eee ee ees ere senses Seen eeeeeeseese rus eeeOOOS OOOODOOS DOSS OEH Hrs eererssOOeeeseseeee® | secssceeesivccesceoe Seceecceseccocs co ECTS WTO cocccccccccccecoseccccocose oe WTUIUCBsccccsccces | secccccccs|-cocccecs ERVEOMRARREGEOCRSEHRO EROS SEEDS ORNS SSESeEHOs «deeRSsESONEses TL.) Lo c55kchecnsesece CCOCCOERCO OS HHOHORETHRESERSSOOHOEESGRED 00+ 6D SOSe CE EDRSeORESTOHCeROeTEDESEHEORONSDCs | seececcecsiecéeseces Sexton TFET E OOOO OOOO OED Os SOOO EEE ESO OOS ESTES OEE OSES EEE EEE EES SHEED SORE OE SOEs Coachea.. FOTO OOOO OO OOOO OOe eee eee eee OEE EE SESE HE EEE es CEs EES SEBS SHOCOEESO SES TUES SES C ESCO SOHO OOS EK OH EHE OOH OEE OOOH EDONS EOE OEE Hs suseseeeeseeseeeeeseeees | eee OOOO ORO O HCHO OTC OHO EEO COREE OES EOE EO EEEEeEseeereneeeesereeneseeseeees | oo Stee seeroreserevescoescesessseses AM CLO PIUUTUE. cocccscsccsescccceeese TREE OOOO O OOOH eee Hee eRe Eee EHeeeeeMm | ool. +098" Corecvescccesooecsoe Coe Oe eee Oe CeO OTRO RODD OOO EEEE EEE EOODOEreLeRSeoDeSeSeEoesoeeLeSee Ei cccce tee eeenees CPPCC ee COCeC oe ceeseceseeoeeeee (eee e een eeeleneenwens SOOO eee Hee ee TOE EO ESOS EE OEEEE HEHE ETE FEN Te HEH OR EEE EHH eee ee ene eee RO ROMER EEOHEHC OCCT EHO H TET EET HEE Oe Fee renee eeleeeweeroete SOOO Oe e,, poeeeeewerenerenaeeTseneetn ws 114 Funeral of Date of Funeral i pe Ar6 chafath \2ock Care ) Removing ReMains........ccccsceccceee eccegee Shaving and Laying Qut, Embalming ..... Casket No Metal Inner C IIA DV Occ iso bans shekad oanin duals deeauee Outside Case, Pine, Chestnut, Oak, Mahogany... Seeeecesesercsere Lining and Pillow Set No. .ccccsccsesssscsdecresescossss Se eeereeeeesececeseeeweceseseses DIATE LANCE BOM. cisccsscssssscastensniosenen Mountings.....cccccces ose PIARUEB crcsocetacesteces FUN ssascvasccscx, fess SOOSOOOR DEN AH OES Eee CHEB OOEESEEES Metal Vault, Style eth: NEALOV OU... vedisesscsnkknscusbebbadadambsdimibhiniecisse enccceces ore bD Fiprial FODG ...:<sssocevsesssee ITI co ccseanacacaagnatesioen Drapery POCCRAGIS 5 .0.06ccsvs00eee .. Porters and Funeral Notices Delivering Boz to......... Opening Grave ....... eee TT TTT TTT Tree SESS r eer ee re tareses Anemmeeesescconscoesorsoees® | sees Oeerrereeesseet | vverereense * POSSE SOte Seeeeeee Amount of Bill.........000000 How long resident of this State FLUSDGNA' O NGING oogcoiccceccessecesschttrceahet<os Father’s Name....(. chaste | Physician..........AANX... 47 Cause of Death Ordered by . Dn he | A RTS Ses \ooo, SOP ee eee ewereres Funeral of... Date of Funeral Lining and Pillow Set No..........sceseeeee Biers seee iakaccksuaee Metal Lined Box Mountings...........0. S Metal Vault, Style Box Mattress Personal Attandance and Assistants Drapery................Candelabra Peles okie A ae Rug CASH EXPENDITURES. TOO R OTe e eee EEE OHO eT EEE EEEES SHEED OESS BEEee | Last place of residence | sicewuee | How long resident of this State See ee | Husband’s Name Frewaucass | | Father’ s Name | Ordered by a): Charge to ..: ..| When rendered... } | Seeeeee seer eeeeerereeneererees seg eereeeeeeenee eeeeeenele wees 116 Funeral of Date of Funeral... Removing Remains........+. Prerrrirriie ei re ir rr PONE isis cckssaasicccesencnansen Shaving and Laying enn eee Licensee ati Oe nesece © Ceeee Sereeeseeceseorecsoosooces Casket No SICM..Liitddu hlasibafnSize..SfL M2 cerveera. Metal Innes Caghet,...cccconcceccsese CODD cc ciecsocns NE So ios ~ amet Funeral of Date of Funeral Bilassbin! Tout, Ahe9g ius Cr2 sie SO PE OAUIOR P00, «cs iskcscscsccdaveccaanvancatagaecssvanapucssqnaanesoneent Outsix Lining and Pillow Set No lo oer eeccccceccocce os eccccccoces Pececccccooces le Case, Pine, Chestnut, Oak, Mahogany.....c-s00s Wletal LAne B08 os vciccccvinseckacavavcdsient a Tounting ; Personal Attandance and Assistants ..Candelabra......... DPA IETY «...200000 ee Repereee so seme torre ee POCOOC OOH e ree Hen rer sereseess SOOO EEOO SEEDS OOOOOOOE DOSE OOOO TOES COOOL Oe eOeeeCCeCe sorrerccrccsess ooh SECTS CI sccccccceccesssvccecescocccss CTUQUES, occcccce POMMEPOL INOUOOE. 55 ce8eceesvicessiesadeescebsaccuncceiicacs bth h ett eer iii tii ti Tit ier err T rrr rrr ee PPOOMANL OLE OSOO9S0000 000000080000 000 000000000 054605000000060006 C0000 Cer ce TOOL OF OCR eeeereneceeeseeces PORCOSO CESS CS OOOHESS © +00000006000005s005s 00080006 0068600 0s POR O ROOT O OOOO TORT eee ee Hens as SOE SHOE HEOE OEE ESE SE EeEeEEeees OOOOH OO HO MORO OH ee meee ee eeeeeeenes COOSPSSSOSOSLOSRDDODOEEE OSES ELLs CEdE Ce COR OOS OCC ESO Ce OOS COSC COeSCs CROCCO EHO HEHE SEO ERODE TERE EE EE EDSO OSSD OLOSEH senses eeseseeceeees TOO e OCC Oee eee ees eesces Po ereeeneosesssecee Ce eenereoresoeseceeoeceesseeenees f Metal Vault, S q 4 Boe MAN CBR. civesncencsecsvses 4 Bw ial Robe.. cecreseosece vessecessece , SSDI E cass cis cavscaccnscdncended Wi axcssinisecscae OUR seiceccccasixe 4 Chairas...... scgucueseseaxes eka debian ce 4 i Ste reer eeeesonsseevesesseresecoss [Jr sere ee eerereseeseseeseseee ees e eee tee esas sense aseeesesesanan KARO e wee OOO ew ereeeeeeereseeneseseseseeses ee Pee OPC CCCCON OSC 000 CCE 08S OOS EOOOS sees eee eee receeneseoesoeeeeceooeece ** See eenesesececsces + eeeeee SPO Ceeeseeeceeee ee | teeeeeeees eeeereseee eeccseseee eee eeeeees tee eeeeees seeeeeees | How long resident of this State SPM O MO meee rere see ses seeere serene eesesese -ssseres: ooeeesese TOPE OEe HOON eee eres reer eeseeeseeeseseseesess eet eeseseeseee inal 1 nage oa Birthplace Cede eseseereerereesserecseserereseesessseseeeeesessesees Hsin ss POOOOOO® Oem eee eee OOOO CMa ees ee eeseeeeeeeeeee wes st OOeeeoes Husband’s Name ......,...... Country of Birth 4 J / Physician ........ Av. KO: Cause of Death oon eee eneeceese CORR eee eee eee OOOOH eee nee OOS OOH use meses eeeee eae eteee seeeeeeees eee eewesee oe eeeenees eee ereenes Amount of Bill........0.0.0-0.-dil ¢ OOS CECeCEse Seeeucces seeeeeees se eeeeeeee SPOOR CeCe reeeeene” eeeeeersode Aree Me eeee set ea tere Ble Lees ees FOr orcressepecscececssseseseesessseeesess Sere ceeseeseesslecceeadeeten| srneeeere TEER Te FO Rare eee ee eee eee eEE eee ehEeeSEESESEEEESEeEEs aleeeeeoene THEO OOOO eee eee eee Heme ee HEHE OE eEH lines eee eeee THRO ORO eee meee OOOOH SORE OHHH E HE EHH EHH lenses neeneee| ee HARE eee eee Hee e ee ee tHe eee eee eee OEE EO HEP OOOOSeeeser esses tisusanseeeees|rere® SEHR e ee eel Hee e eee ls eee reer eee eee EO OOO EOE Hees eesseseeesssloesseseeerel*? seeee TEETER OOOO O Ree e ese e eee see eee eeeneeeeeeee|seneeeasesenl rene seeeeeeet SHPORTS ORS SE THOT OE eH eee eee eee EEE E OE EOE OE SOO ESOS OESES SE SEEEeHleeeeeseee see aoeeeee SPOR ROOD UCC ELH 0 000 00'o 0h s¥95b6550S0bS 00050050 5505001 605606 s60 cbse e sl ecce ee beseeetecee? CSCOHPCCHETS) 049060591 0:600606060000000 6600006006 bbn bbkec cebksdalsdccsoecenestscesenee TSOP ROO eee eee eases eran eee eeeeseeerlsereeeeneee OOOO OM OOS OOO OOOO OM cece SPOCOCOS Er eCecrroreseSereeeeereESeseesicceceeveeoeeies SORT OOOOH EOE SOE OH HHO O OOOO EEE SEE EEHe COeEEeesreresseeeeees jesse ese eeeeelsseee? SOOO HOCES Kis eeo reser sOOerererereesererrereeseresereeeeereeseseleeeesesesoesies? eee eee eeeee! ween ieee SOTO OOOO eee OOO Oar ees eeeresneeeeeeerere: SESS e ee eee ee ree eeeeeeereseerrereeseseneseels sessseser [oeeee® veil Boa Mattress....... = {Burial Robe Lining and Pillow Set No......0...ese-esees gv isassseasiescaesseoisaecsaxe OEE Fite PN rsa oe oe ees savas ei oane devs eine ks OUNTINGS. ...00. BLE ie isons SU Siaadiaask ea POLO RRO OOOO REESE EEE E REET ESTEE SEO HER OSE EE EEE DEER OSEHEEEsEerEeS RO AIONIE 5s davies cansucaseovnsasscd WR ssc ech sciisin teers IOs CRUE. il ssiacesccccvoabtka nian COOP O ee me eeee eee eeee sees eee Hse esen se eas esses OHEEEeEEE SE OEEEESTEEEEE® | seni eueees|scucenee SPOOR PORCH O COHORTS OEE REET EERE OES EEE HEHEHE Ee EEE Eee HEHEHE EEE EE EHO EE Hees Hoe OOM e eee eee eres eeeeeeees ONS NE Sigs nics hiv acadee Can pd seeanet ssi pideas <asdskizs ck SII CII sictvasinsvocicnhecssevseesecerescsdiiMeccsevmnsesescssees | scccsices Aedes os: Ceeeeeens bbe EEE TIT IIIT ITI TTT ITT rir T Ti iiiii eT iii iii t ir eerii rire itirii titties CORO OOOO OREO HOE EEE EHO OHHH een ee eeaeeeeee FOO O ROR OOOO ROMY CHEE E EES EEEOE EOE E EESEEEEEEEEOOEEEO HOH EESEER ESE E HHH OEE EEE: SOt eee eeseeesene POOR O RHEE TOE OOEEEESO REED ORES ESOS ESTEE EES SHEE EEE HEHE Heeee eeoeeeene SOOO O OHO O OOOO MOE SEER eeeeeerene® Pere er ee | Single, Sint Widow, Birthplace Country of Birth ......... J Dien Kale Mother’s Name eerie oe eee ee eee P OCC COL OCC OC CeCe CT ieee eee ee eee eee One rwesersecevesccs Pa Lasts” §sniesdadevesesea f \Q eee ea te aac te ESAs ae anepentnenie any Pia tie Freee AE NRE, ne Gcmaninaeteteee ee Sone: 4 aati a | & ‘Lle. 119 | ; 1 18 es ond Che, Meg = Funeral . .. ee es Se ae | Date of Funeral Date of Funeral ao a Hour M. Zz 7 . ; Removing Remains..... i TGs asasntacoesie OME ss senscodsasss Reece eee eee ener ee te Re CORSO OOO REe ESE ESSE Hee MEESSSOOSOFsesseeree Shaving and Laying Quty.-....-+.+-+ ) N sss sssaeaaead ae kreaaaees Casket No <0. .cvcscst¥- Lieeek. STs < e oF pAb S Metal Inner Casket................+- CODE oa vcasveves DUMG os sceraee De ae IN occ scans dnkacctnussucbsdcansasncxenecetvassh lusnsscossabecersees Outside Case, Pine, Chestnut, Oak, Mahogany Outside Case, Pine, Chestnut, Oak, Mahogany.....-..........+. Lining and Pillow Set No.....++.-.++ eeloue isan Baie cess ae FE Nii iviissisd cin tvesschecccatieace Sikcadabincd icine tal FA Fg poate ceccdetog ss at oonts= santas daca crvdeneseaesse> NN SPRINT FINN si -ncscedircdeasnccnecnapnessansminebansantoeamabens Mountings. ......0<.0--. «» HONIG. .,..10-s0scc0000s Plate. ..cc....ccceoc|secccecescclecscccces | *eesseeescceccesecsccercecesecscoccescccscesceescecececoes Mountings.............. ... Handles... Sea cae seas , Wibt Weed, MUNG... csssccscesescsosccsssevesnroavecsiacsbervacccenesisind, Cbonneeeel-conencns |/t=neanones meescireetnn re eaeneirioaiDiostin | Metal Vault, Style............ AW pl En. | snail Nee ggehl MEI I cones gilt cccencieciones Box Mattress........+++++» Jasnnvscseees VW Wack civ ce aavesnirit ein wees stat ; ime ? peeks +] alle seees forrteees Month. DO. wo vccceghecerceccecescsecseres + | ARE renee ninnt > Oe Da -RoE +: -+4 MOI 055 cB n+ 5 AMD sasnnsestnns Hl Burial Robe bs . : wee? LB... VOOR bcs srr hn Occupation Ark ECet th , Ceiiniiitten ae tale i | AER 5 itack er es Pe Clg ai Fhe Single, Married, Widow, Widower....... peisciseen sa cil i 2 Prs. ‘ Single-Marrie Widow, Widower... cceccecsccssssssssscecsssen i i a eran Wile ON ccs cssnc eanicecasiaieorsence ae lesbae aioe ian..scebeeee ee | YM... Doe Chairs....../ | Birthplace. L-A-tdNA a. Y AG De | Personal Attandance and Assistants ............cceccusecsseescnssees | covesesecs [reseenene Tek OLNOE CF POAIINOE oes sis cic hevsevics cdi Givesties sis ee | Col ie a Win os a Drapery sisi as COMMER os cccutes COMMNMBE 05.03 sats | a tessanes | peisoves How long resident of thy ue soca pgp dieoa <> A ; | How long resident of this State.......0...... cscceccesceccoeeeececcecccee ‘ Pedestals...........++- : BI nesses iaices ese i | ere | Pest Husband’s Name 7..." te, t ; Husband’s Name vy, /....... hea = if ae tice Father’s Name. Ud oet Father’s Name 4 fehicdgsneoeeter aane etre rainaighoes / | VY ? / C ? ’ | escosce [eccesvees | Commbry Of Birth ......0.4..Sdaovtwten Country of Birth ........ Ses ee Pe ae oeiteasbatsetaiet tt essai Mother’s Name.. LI ate coWesces SDMA Oe HOH SEES OSES ES COTE EEOEE EES EEE EE Oe OSES EEO® cerccvcceccsens cok OTUCTE ANG. .0-crcecceceeccceppedpeviess so FLOVEB. ccccsseees | covccccsee| -covceeegd SE CT OW OF <ecccctesoctepecs lodeboucestegecdgtocccvorsgmerteccommores Breese ay SUCencouesogeneneth ME MME rv Ceneeeegerseceroccceoevessoess\FOTUCscccccsssss | Wesccecses| socscccs | HE MOTD UY Vercccvvesgnccccscscccccscvesessenseeccesghsscceesevecsncccescspeoroeee ONT IV EPRMIN 6 oss. xk) Soeur eikc cove bedencacsucins Liao eetcroine $00 0006s 6000005000000 000esonnss0d0senee sees cetged oes ce Wb ober ce ced ocsccscesescecceses ste erereecccssccccccedetnpscescescceseeaghtVersccceVeccccccscccscncses | sescceseeslecoce IN ii vcuxbcdncucs faves dscvies -oceucnecns nd Soke 605 Mas enbou teeaedeayiar sess | TNE, FIIs ssi seidinicnvestessicanen’ CIE his isircktacncens Delivering Box to SG LIT GOD: is 0 is ececssccccncsoueneviceisceses Lining dene eee re een ere OOO eee ee reese eeereee COE RE EH SR EO ESOS OPER EES O REET HOE EE EEO OEE SE OEE OHE Eee Eeseeeeseneeeeees TOTO Omen eee eeeeeeereeeseseoeee SOCSSSHOOTOROD OSCE TESS OS ELEL COLE L CEST FECES CEETETTO CEO CRECCOEeesCCeseeee Cee eesveceeers TPNH ROO eee ee reee | sees eee eeeneleeeeeeees + ee weeOCOOSSccrccccccccccecoccecceeeseeces|seseseerrr®® OPO OP LODE OEOOLOOOCRO SC EOD OOS C ROO ODOC DCOL CeO eECCOOC Cece Pere wer eeeeess . eeeelee & SHOP RHO OER eee eee eee | seme eee eeeel eee Teer Hee HOO ee Peereeeeeerereererrorssereneseererisseeere® ET ee ee CO eM ere. da - THO CO Oe n ewww eee ee | pee e eee eee eel EH ee CREE THEO ORO OE Re POSE Dore eeeeeeeeereeeeeorereiseeereee® alii iM ll ail, “a N90 SAL at Aisi ag ee drvespatesoosninghb lb tsekessussntbeebentsinn. _ 120 Funeral of _....°-<A*t*4#£ = Date of Funerai_— | a ~ ~ ~ X a r2 e 2 a a) ekkuncsnsseavssseR PORTE DUNG. .cacrsrccassovensnccanseveres GOUGH, ns v006ss a | } Funeral Notices.......... RUKEEP AA To USD ake sas V aa sAaeeas Hentai ethene GIT IAG as cons svonressces PT I TOE Cason cevicasedvsscees cbeanetodenccvenutrssosrsessteenty® S786 Opening Grave ......... sea vinewieee nda setn BIE stisicxstccsestes Vale CRI. aver sessvesnsces Midakisiatecsbeseclereriieelieatentin ers ie Hearse......4 OFA pr eer err reer dee e ee ree ee eH eR ee eee tHe HRS SEES FETE FEEL ETERS HOH REESE HERE HEH eEeee sca e eee eee ee Pee OOPS OH HEHEHE HEEEES TESORO EERE OSES EEE EEE EE ROO ES Telegrams.....scceeseseeecceserserecnetens Telephone......... subsdkieiiaibe eee t eee eee eee eee eee enter ee eee EEE S USER EO eeeEEEE Hines cece nee c cece reer sees eseneeereeeer eee sees eeererees Ds reeeeneseeeeeeoececessoseeeeoese eee teed REFEREE THERES EHH EE REO EER OEE EESESEFOOOE SOOO HOON OEE OEEeeeey oes een eee eee eee eee tess >a ammmmas tess POO Oe eee eee HH OTE Eee eee eeeene Removing Remains......cccceccccceneecsssecesensssnsncaesccnansseranses ses Eembalming ......000-.002sccnscccescrencrenessoncerensseaccsennsccconeenecssoes Shaving and Laying ( PE cok caneon eo pe Sa ceseien “Eee eee Casket No (6-<s LOOM ft Ahh ViSayo ae Metal Inner Casket.........-..0000+ CRON. «is. seas BE: is ssccaeek Handles No. ......+s0seressssesees PC e ees inc gah td canaponsaneeenaneee’ Outside Case, Pine, Chestnut, Oak, Mahogany.......+.0-++++++ Ldeningy ond Pillows Geb N0...n000-sn0s0-cnsenresnsonsesne a ices Metal Lined Bote s.cic.cscecseossscsocecsascveserctnrsacrsneoessenaeseasersses: Mountings.........+-- ee. sca ccc a ss sane ss A ss cians i Metal Vault, Style......... sa hess spuks sepnenee sean aeeae't | Bore RIGHT ERS. 20 coc essccnsscossescencnanecrescsnste soncsrsncorssnsnceneraneat>s TEE Burial Robe ..........- ; WANA ae PUL oigeistaaae seus enk as eee | SUippers.....ccccccccccceeceeesete DUB cceeecereneen: GLOVES. coscecncssy ose | ora No NOR MOTO. 55s ios cco cd coesned svt ancl saees ' Personal Attandance and Assistants ........:..ccee se crenee eee rees Drapery Candelabra Candles Pedestals.........0<++ ET yan ence eee ai CasH EXPENDITURES pS SI ee ee er Ee ye epee Derg ema ae Pree arene etree Nari CTR, ONE... csciascccessicccnexevees PPI sv vcinistnersseress Transportation Earpenses..........scccssssceecssvcsvesccesseseesseeessees « Single, M ian sa pt Pees ae zpaesees hin Ve BW GNMAOG oss isnot crseccendes vo donsscaesssesensadesenss atts iiyeceicdeaas Last place of residence ...........ccscceeccesescesscesenereee (ial How long resident ? this_Stgpe...........+. ses hcg cece ees <-ne eee dite tak See BKaAs Father’s Name......“ a op /erow- Country Of OV ........02.00020s Be en reen het a (os) Mother’s Name.........-...0:00008 Soto: ae eee aay : eoveeess o-|cocovcess 6060600050] e 00000008 Ordered by Charge tO ......cscsccsoerccerecsrerenssoscrese | | Ww. TO FORGOT OI, cans csncocecissussecayssccesessats ssa cssvenens otecenees oo RECEIVED ON ACCOUNT. bnwbebeesdcs| seb 60600]s700seb eeebesess ten eeesoecedennnererarer cise s9eesee”® see eeeeeeeee! coneeees| eeeeeee SPOS HESES See eee EES THERE EEO OHSS EE sleeeeereeeeseeseee Pee Peer e eee eeeseerererels seereeeee Funeral of Date of Fune Outside Case, Pine, Chestnut, Oak, Mahogany.....-...---+++++ Lining and Pillow Set No.....+-.sss0-sssseessrsessnesesensnnnnnnnneneee® Metal Lined Bow..........c.ccescsssccnssccecenenneccseecsscseeccsncnscereres Mountings...... Metal Vault, Style Bowe Mattress.....-ccccsesccccesccocesssssecsccnnnenccennaceseseseresesesenseees Removing Remains... ¢< weve ence e eceneseessseseceseccacceccccncerecereeesesenecerssocssesecosonsesoaeeseees eee ec cece rere ree ereeeserrseseee \ —_———— ooo obs 00000006450 0es 6000000000 50S5SS0Ss COSCO SESE SE DEVEL DSO SEHOSEHOTELODEDHOTELCHSOS | aeevereces|soesseres SRS e ees ce eeee cee esa cece ase reese ees ere OEHS Ss HES EOS EESSSOSESHHEEYOSHEO® I CI oo reiciciicarccsssosiecorsieseess CAE. s cinciticnssecovs | Date of Death | Place of Death | | Physician .. ‘ | Ordered by | Charge to caccccces eee eecc ee | Cece nese en enerersseesseses sees er eseHesseesersssrss OOOeeseee Country of Birth. | When rendered | ee ebERR a ele ceSSnecd | USCOREECHEO051 55080008 01 405045550090 2085S EET CSOT H ENED HOH ESSENSE ORES Tee’ Eee | | TaN a eyes Acre usccadiecdaieses savas cutosearsvedcausapreaneneesees b sidaetek thal Peas ROUPOIGE, FINGAL... cicccneivsesetesecesnese IE isis tay ssn cane rs ei ee ee Dae has BOR WO. ciciccsccvsssescnss vervsinenssncovsusveiers: soopteene sa0e Ser tie a | Cee erec se eee neces ec eet em Kg? hth ONS... LIA AOI Cause of Death Cee oe reseed ereseredseescocecereeeveseeeeresseheeseneereceseeees ARERR eee eee eee eee eee eee ee eee e eet eee Fee eeeeee ass, ashame aeamanee et etateie on se Bian 3 — cee aE ASC AC eat + Pos aa IRS DE a APART ensue Tat Bee ns one ent nn a rd 122 Funeral of. Date of Funeral Hour - len Removing Remains I seco chasse cack tanec te bi ashessecbakiabasasecnecsial Meta! Inner Casket.................. Copper... Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Bor... Metal Vault, Style BO DEGLI GRD ices ccaesgevesscuens SGRRRESWeeNRSTUAT ETS EA Ted paV ESE DeRBE AIO aoe Zurial Robe. Slippers Personal Attandance and Assistants & Candelabra Clergyman Sexton PURO UMETE, TOLOIGE. 0, «5 sovececacesacossicconss Organist Delivering Box to I NS os sass antuevsersasontcinecccs Lining Vault — Hearse.4 A Coaches... Date of Death....... Megst— Gf» "2 A How long resident of this Husband’s Name Father’s Name Cause of Death ... 2 ff erties re rfoeee rs lA MOErEE eevee {f <2 Ordered by Be a | Charge to... Jy Goh... Mt T ..ccccccsecsesees ses When rendered RECEIVED ON ACCOUNT. PHOTO RTO ORO OOOO ere reeeereeeeeeeEeeneee: SOLO eee eee eee ee reese eeeeeeerenerenetesesle sees Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.........0000-0008 piconet ais hus tesatianveures Metal Lined Box Mountings.............. ... Handles Metal Vault, Style Box Mattress Burial Robe Slippers eissashessekusayackaunsiss acsdes Doz. Chairs Drapery Pedestals Mb.a\aci Date of Death PHL — Ff: Place of Death -.+++ | Place of Funeral..../\ nosseenes Where pe y ae oa ae Cae ~ ‘ce We carte eae Sect » HL WA es icss: Occupation sis ae i Single, Married, Widow, Widower. G | Birthplace .....7...5 | | | Last place of residence ....... mat t* on Sle sees eau a | How long resident of this State | Husband’s Name .;.... j | Father’s Name | Country of Birth | Mother’s Nam | Country OD BW tis cis | Physician QOV Cause of Death | Ordered by elt to ..| When rendered | RECEIVED ON ACCOUNT. "424 Sick Weds Date of Funeral MOE TOI i iin vincitsicascndcbickancdsacadacadssansicscnasseaces | TED wassciescsiasecce' Ses ekak ci bnceaadsavecsecessetssiioaleessadauscces Shaving andl Paying COME inv cis sags cczadtunnroense LQ) Casket wifrag. Messe Lhd ie y, : EON. Pa a eek oe 4 Metal Inner Casket..................€ ’ OE PE noes ca dkaesicecekicdcesusscauadsauneevesiscnivesessassede eerie Outside Cuse, Pine, Chestnut, Oak, Mahogany.............+++ ; Tie GH PAO OE NO occ seks cs sce oasecvn ce ceccanessideansseiccene nas Metal Lined Boz... PE GRAIBR. scisbokascsixs PIRES. ceive sie Mountings........... Metal Vault, Style.... ee iaee VRE Od CUO isc nacdan cas eeeuacads poe shis eas csnusseagas ieee PRPS FEO OG ois vekcesssitaeivioia: weep: fig syigag css teieens aie. SN OUUE ceo see yt Slippers inddeek vate 5 SRR MSPS: ch criovererghGtiiaioak | dEE Personal Attandance and Assistants Dr upery Candelabra Pedestais Opening Grave ......c.0.00.0 savuieiebisievanies’ Lining Vault Charges,7............: WM Gaaiicenssueaeeteiceswauisacviwensccers css ahs era Hearee... (02%. RR bei pedisekusleivievintbcsde isc SURE O HOR TREO eee eee Cee a eee R eee eee COCO CCOe OOO COOLS BeODCE COC CEreCeeCCees see eweees eeeeeeeee Location of Grave Birthplace BS i tctetee lees » Husband’s Name ..,... seeeeeee SOOO ORCC EERO Ee HEHE HEHE eeeeee: Ce POOPPOPOererereeseresereeeeeseeeresees seeeee SOOO ROC OOO R OOOH HEHEHE eee EEE EHOES Grave or Lot No....cccccosesces geiixkeue a sevplecee POCO ORCC OOEs COLE O ESOS OCOD ES EOE EEE E EEE eseeussnne serene a ' ay Last place of residence Sater, BA ors How long resident of this State , seneeeeeeree POPC ROC SER e re Hee HE OCeEE OEE Ere HEeeeEHenes + eetreeee Funeral of... Date of Funeral iP eer ree errrr rT TT er rrr rrr eT TT reer COP COOOO doce eeeee SPP COOEO OOOOH EeEeHesecenesesseceeceecee seececeese TREO RRM eee ee eee OEE mere eeeeeeeEe He Eeerrseese Prrerrrrr errr rrr rr eer itt ert Tt Ty pores se edecdpederegaTereerecseeveresscssssesoseesees | seeeeseeess Z ¥ i SJ a a é Outside Case, Pine, Chestnut, Oak, Mahogany..............0-+ Lining and Pillow Set No..........000..0000 Dr eitbaxk i ssaalabeesiiia tases EE TN Fionn cscs i es ee Mountings. ...ccccesoees eos Pe ee, Friis ikea Bet DAGIIVGAR ss csshasesescsnssxicncs PE OO oink asia hccaticbs¥eloceseasueddncases ebssscduseincwces teases Personal Attandance and Assistant ..........0.0.0.ceessecceccencecees Draper y....cceseree eo Cais ois kd FOMEIDS cis cesisteeduceisixsiscinies Ga sMINPUND <csencutevcucsusevacssosiceaeiies Date of Burial Where Interred A eee er eer eccceenseresesresebeoecs Peewee ees ees eereneseseenes Occupation as | Single, Marrjed, Widow, Widower Delivering Box to SOOO MO HRT RRO HEH Ee OOOO EERE EH es eeeeeseese SeeeteEtes esas | MPI PIE oo soo csiscdcaxaisadehccsvcuddiocd Lining VOM CINE: ooccerssosvsusicoorcsses peeebeireiekx ii nasi rie / / Hearse / POO e Meroe eee eee ebee Pee eee rme ated ered ernst beeen eee sees eens themes eee ee TTT OOF EOS OOH OOOO OOOO O EEO O ODO EOEOOO OOO SO OOOOH ODED EOE EE SES eseoeeeeereeeecoeeesbors COCCCOO OHO OSOOOSOSOOSEDODESODSEOSSESSOOSOOSS ESSEC LOVE H SECS Fes Ese ESO HOODEO CES ECO: e088 Feeeeereesecesceccesesecesceeeees & CLO TIUONE, ...ccecscecesesesesese OOOO e eee eeseeee PPSOSOL SSH SED SOS SEHNNEEDESE SESOOOSLtes coceOROerEOETOCC COE eOEES Coens SOOO OEE H OOOO CEH HOHE E OOOH EEE EE HEHEHE HEE HH EEO HbeeeeES Ceeeeee SOOO O eee eee ceeeeeens seeeeeeeseeeoereeesoesseeseee Peeeeees tees SOOO e Coen eee eeeoeeeeeeeeeeeseeeeeeeeeseceeeeoeoeese Husband’s Name Father’s Name. Country of Birt Mother’s Name...$ ; : on RRR aor an a SS Se lipases Ss I Bhi a See ee en ee nn ae ern a es | Funeral of. nnn = — Date of Funera 2 —— ional ee aad | AMIRI TRMNNN ioc ae soa lac c alec aneewacctinals aba | --seecesees|eeoeeeees Date Of Death .........sssessssesesssesesersessenesssessssacssessscsecsessesnues OE ia a eee | siveads cacsipeaeeaens Place Of Detth...........ovceversssssserrerertssssrssssesssesssssrecesneensaen Shaving and, Laying Out, ....precccccoccccccsceeseees OMe insoostsunsecss Be FO OF PIU oc ensscsnsencnnvedossneabsvssbistsssonessenscoscaccscle “at. /bbnuch, OF 3Boloo Caaket NOt rier riecl ascent fe Size..f...... scaghkebeen soc eee eater ie CNIS 555s sess ee on ree Fe dg ths less a easiis i eies didi a ees ae scasiusssedensusiecs AMMO BME sco co fei trio cea | | Meta! Inner Casket.................. COMDEF i. cocssces Zine . TPO FIN ets cconcevsss initesessesesacesnnnernassussenecaiecscsaaiill Se RR NS oss csp nae dks s sa bien ceesnataeceasha copsisuieesss iu icnesseeesnce | fibecicsaws | Bg CNG OP TE N60 ooeiiss ec Section Outside Case, Pine, Chestnut, Oak, Mahogany...............+.. vasbeass |sseeeeees ciuaniad decuuuk To | Teresa Po SO NO. nsec iso ckccse nce scccaiasaveusniavisoossecvsee | saasseeauns | scans bu | oped nesbeNediaana desu seis ivesisasassannin vie | eer oe | ouenewaeas | Veecwasee | [TANS Seen eeeececeeerseneeneeseeeeeeeseeesersrereeenneees | Mountings........+-+ PE OGNGIEB. «o.oo cseeccsense BN osc oc kc aeons Sipsah acne easaies Fcesel Aue b aaa ee i | RE IE isso esses aes nih vn dns xe cpie sanveus Meowenuacbinteess | tecenikes | Deg nadck gl 4 ee WEA eM NA WE Naan ae Seed mL kaek ee sieae tna ail bua soas Be ee a viscous coc oe duicocs | caved nus saessuceeskas Galnsaeeaioe oe ety | Age pao ee eae TMU iscsi, Months............... Day PREP TROD cass sca sccic aisasitssnsyenesGisVay sees usivacitecsidesacs esses: | ei eits acorn cit ie ete os ere WUD 5a icsevecsxscs savin is aes eS aa oe | easberest | ixesasess Single, Married, Widow, Widower..................... a oe Se eae TDI iat osise bose nstccotscriwavaudianue, | Personal! { ttandance and Assistants Serif tert ere ee ery ocecvccces a Last place of residence TRH eee eee t eee menes eee eeeereeeesuee FHrr rst OOONees Drapery Candelabra ies OMNES... aoe ee. How long resident of this State.............. ...ccc0cc0000:. Pedestals DG eg rer ee ee PRUE BIN MAG oo os cs sieeksscavars nie eeeicavin acini Ae ate eigee MMENOD INO 5 50 55) Das vs cau dasha to kev asedekues evaxcaawe wan CASH EXPENDITURES. . cael ukees eee COMO OF TIN ooo oo sos nccaduaceccss sac deeediteorserebineex esas Secrest ee ae A OREAOE TION oa os5 £09 6 go as ee ee le evans Rost etre. POE sass nnscesviestesenesuvs choltvteestossveessesd' T 54cecajssscascves a (IE IIIA LEs Sissies icccccakncinicseleiolusieieseteds a ae es. ce NN ee coc ee thea eee Dep tesesayatoatnsieieit tig setae eee eee NANINI I O oaoioss stieisecsc asa gtd dla ccdeesse te ss SOOROLCLOR DC OC Os OSCR ORT S eS ee een Estee eSEdES HORNED NEDO OE DOE D Deeb ObeeesoeeebebeCeEesces> | Ss E ~oveneniannieaeatiik, a aE aa or == Ory LALLA - } , stttetceeeeeees os POPES AND... .isecsseerssesesescerees GLOVEB.scsessee: | secesscess| eeseesee | Ordered by petetacnafolasersesonsosnrereseogfrensnvonsasanencavessorcverssestet RN CNN cis cases sieneyeesbsebdl einnosibsiunitien svtoigiacadbions Pq ce) oe Charge a a Uh cwupdaetea ae cheers crnks es ects ance ea eaeaear dea | ENA 54NE SAGRVAUNS (RS heb bene LNy whee ¥en sveee causa esse Cen ea beets Talla uel sil eee 2 seeeeeeee | WV AO FN sei ee a dduke | | SN NS Ne CaN Neen = ™ RPRNbes4us¥esev4bhr’ Weide vaca vids s¢sskssisosusssicededaesnsenssiesilibeicclivers is V Gea eikcien) RECEIVED ON ACCOUNT. MOWSENE SE TEUVGSSESS AONE VELOHODTSs US80a CHUL Sin Ss 0 40004000459063 bl e¥ees evsddediesens, | | I ig scts gs sedseasenisicliiirsdeeeL ei a | MIN os ses ics igccreah ini ids sdiell a lisihsees ch eee cies a | PUTO E, OO. 0... c0sevecoccececoscsorees Organist TIAN INE BDL snes sesiisseseesissegvansseicesacuinéavesscceicocsdecee.ccc, DNF GIIEG sec tcciesccesvessassvadicceccces, TOI i caine vas esis Vault Charges........... Sa are : fase pt} clei ausbunvs sissies nm LA) Ut © Ox 10 AY Hearee......0..... bit Sonat Gr Sareea es Ae 710 OLA IR ra sicsensinessneshesersessevssnsnsdiveserssecarerososuseccgeosgecge... TAOGTAME...cercverccvceecreeesscsessevane PNB cassis ieee = Transportation Expenses..........s.ceecccescccccsessssssssersececeseees en Amount of Bidl....... ree preeenenene OOM eer eraseeceses eC H eee eee eeeee * . . F ~— of _. Date of Funeral AF * 2 oe : rete . Ce Hessian eicicasaihacsccitindececmasiaiiaseain Sc lcetbae Date of Death ic as (3 S sacekcnecaseu rene Exmbalming ......000..c..cc00s0000 > oo Pay kt fo aia Place of Death... sof, tC tee here Ateten Shaving and Laying Out...../.ccsv.ssoseuttessrsseecaiinn] smenageese|-seseeees | Place of Funeral. <4 AE£ Cce $4 AD Casket No... LEAK OQ ocsevvscoreccuecacs Raney meat: oe ek Goons | Cher QytmGto....cossenessseees sire tia ight cuca O11 oe Sisieea we Siaeiacii aba ea baahedsint bit ad seseideaaadsi ion wbspbdiescvaobédeics eet Lcbcciaacoek cone | Date of Burial.....°<A¥- re | ae Metal Inner Casket.................. Copper............ DR i ae) cn Aiea | Where Rewied....& KL ULL RL 4 "Shes eee FE TN sca scccsepucadks sada deaiasieniSoiannieass cacabedaceidsi ddr xeasée bvialev aad aoe ined | Gina de Tt Me a ee ee Outside Case, Pine, Chestnut, Oak, Mahogamy.....-....c00 coe | --seccceees|oseeceees I. QING ccccciisccsisctinscticinnieig ns re ae MA PUI I ais. conse cicelsbka seteeaicntds bee accueil bis Eo, SE oct CADET sepryeesesecapteennee ee TE I lirica eesmianieastedtsianins nesse | Coseeoeeeee Ree | ee ee seeees o a MIOUMOINOR: ccssicsescess- s<s FR OMOMBseccsecesssssceass PUALE..........00000 | oseoocereelocssavees | ss2erererssencoscesssseseccecscsssssacsssesscessorssseseses I I NG ssc casinos iets esa sates vanities E semmnadaa setnaxins 1 5*<s0usesaeiedllllichgeddisanteaiaiaedatsipuiamsaccctniines Box Mattress....... edgiecaskvekas dacdassccsctkecasdissincsssueld Gassisoacees Woden | Seayees | Age heck & : Years,../(. asi MonthsL(. cageueaes DOR cians Burial Robe ... Sutete Reha. (ASL. Sod Nee bar Brereecense. | csseaft BOW, cove isscscissarscnactsenss PVG osc icct OODE rasvctscssaesvad iba tendusiassssskisesuiert Es PR a sps sea oeacdsvescsshieoeaes Personal Attandance and Assistants ..........60....ccsceseesceeceeee Drapery.....cccscscoces Candelabra............... Candles. ............... PPO os vccci tists sccicdisksiss ssc OMNI os Secte Reoe Ca ice CHORE H eH OEE EEE SOOOESE SS SESODOOO OS HOSES EEE OSS HOCEOE HOSES EEE EOE EEE EEOC EEE EEEeeS Delivering Bow t0........ccccccseseees bapeSEUE SEES bRENIT ouesd? Uvasinuedy ick Opening Grave TOMO Ree ween eee eee eeu rere eee ee sees es HEM estes e Hr eee OOO OOEOEO senses e Gone TTT ROOF OOOOH OOOO OE LOH OOOO OCDE SOO OOOOSO SOO OSS COSCO D ESO E ESOS SEES SES Oe EESEOECe ee SeeS CUECORC EE OOD OSS O88 OS 00959000 5060000005400066 000000008 00050 000600608 0000000000. 66088 Pete eeeeenes SPSONS0C000 09000005090 0055055 000000000000 s088 005008 0608es 60s se ceeees cence POeeeeeees SOO eee eeereeesee SOPOT OR OOO TEEOE OSES EEO E SHOES EEEOEES Seeeeees ee Amount of Bill........ SORTS OW eee OO OEE eee ee eeeeeseete SOOO OOO ee eeeeseees: see eeeneee seeeeeees ee eeeeees seeeeeees “ee | #PPCPCe eee) ceceeses | eeseereeeees seeeesese THERETO HR eee OOOH eens CoeeereeEssi ees C8OSs- POESSEEes | How long resident of this State PRIN 0 III nice ioniisin seca etna ease *) - ar tte. | Father's Name. wAB: ey Kay ‘nen BO sn: De a fsatttea | Comntiny of Bitth........ crcl rcs, ee Ee | Mother’s Name“ Cha Chie A A416 AMC hk. esp 6 GS AC | Country Wf BW cc ee Rasiks tiene Physician Teer e eee reese ees Wer eeeeerOOeeoenerseverslconseeccsgasl cecccces OER Ree eee eee omen ee eens ree eeeeeeeeete eee EERE Ear epee NET ih te > Paste paren denne P BS ONLI, SRE ER 4 Ps NE es EI meeeerpestarar’ i « R428 | ii | EP. kages. — = Peete Ch | Funeral of ne i Date of Funeral. Hour a (ie ' Date of Funeral / fa —- Z ; ian b. AN funred....... eee een death... LAL. 2b- oe 3 © coil er Me A hae 3 Removing Remains Embaiming c Baits GOR Laity CE a s.s oasis ccsccasicpguncstscascesesesvan f peananuas j Casket Nb os re ‘ ee sseaes j/ / Metal Inner Casket..................Copper... Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Bor Mountings........ % Handles Metal Vault. Style Mountings.......ce0000. + Metal Vault, Style Box Mattress Burial Robe Part RO MAIOE 5s Je ley ssenelwaanancuesseuce Belge re heey ey Catay | Color/ Single, Married, Widow, Widower |Single, Marr¥gj, Widow, Widower Slippers jaa eae eee ; os isang’ Birthplace Che ar hoe OE AIR ie caxcee dieu Birthplace Burial Robe dee a atte seas asta tii nd Assistants Last place of residence Last place of re:dence ....Candelabra Candles. : evel ...| How long resident of this State | How long resident of this State POR pepe sea es aaiemage add Husband’s Name Husband’s Name Father’s Name seanascoiteamenmanaiuscime eons Father’s Name CASH EXPENDITURES. Country of Birth Mother’s Name Country of BP ....60.<c0s. seisests assy ssreyJorernse peavildcekstnrnisiassocs ih. Fd rr v AOALCLLLA FOIE a cece est tatist ee eoRe adda : he { u Charge es Agen. eres: © ines ( } j ood f i ' PF RON. PIUON IE ooo eich canes dee > cence teveeeecs Besse x 2 @ KE | “= eR RONDE ee eens _ maces | | ff paca arc 7 re Ce ae ee Ne Funeral Notices 2 Vo ee Charge to Delivering Box to I. 2 i Ai A BIA Ree , Opening Grave seleeceee sereee SOCOM OOC CHORE eee ee eee ereeee . Funeral of. Date of Funer INI TU a acs coer Sle shag tnsanedsaed | Se MII Gosia os os dapadbees tansdadnnc teases habe die | sereeeeeene Shaving and Laying OUut......cragrecrrerssserscescsgesegempereeeces | ‘esanssaves _ - o Casket No. f\ Gert sxe. J. rs S| @.2. Metal Inner Casket...............06 CODE 5 cceciais RR a | aaa, a ea ing sagen e nae fora ua eaeaenevisccaaesbssstiaeee Bs ea er Outside Case, Pine, Chestnut, Oak, Mahogany...............+++ | sssseeeee. \ecevaves Tame Oe PUIOW Gal D1 aos vias sseicas ca sspavss vats cis pandaiseaten cans Sats ae acu gle rte a es Re © A 8 nook sis cndnins apd oni be Joctteesees |-<seeeeee | seeeence coeeeeeecsceenrsesseeceeneeesees Mountings............ Handles.......... FIORE: cccscciceesie ae | iUagetiny (eae CeaAeauh av iaey ein iesee es esau TE FEE STEN oo soeohs eke eee nas Lin tebe CRUSE Fe tan a aaa a] $A tad oo gM Pe cant ia reiad <a TF I soe avs vada 565 ooh ccd anu vd edcioes Bi ssaencs OR PN or ty coc os cata sagan avas ciples sd ook enka Spvaateeias ; “ww GI so oe ee FO ooo OUR as vised cist Seti Sreriues Single, Married, Widow, Widower bee ORE oo hansen ee Personal Attandance and Assistants Drapery Candelabra... ...Candles. ...... Pedestals Pe Rug... Bee eee ee PORE OP isos i CE ais | Funeral Notices | Clergyman Hee eeeens | teeeeeebneeriseetsehans semeederereesesese Mee swowseeseserereseeessseeee® Sexton COMO eee ee ewan eeerernereeeeseeesesseees Quartettie, Soloist.................. sssnneseeess Organist Delivering Box to Opening Grave SHAR ee EEE E OREO ORES OREO OE TESTE HEHEHE eee eee eenessenenuns SEER HERR EAE HE OO OOOO EEE TEENS IEEE E EEE EEE ESSE HOHE eee eenny COCR Oreo eee eoeeereeees eoese ORR e eee e eee eee eee e tresses eeeeens SO POS CORO eC OO ROCCE OS COSCeCoCS SAREE EERE ERE OEE HERERO HEHEHE EHS EEEH EEE OOOO Eee ee eeeenns POPC CCR CSOO OCR Ces ceeneeee SHREEEED DOERR REL EE EHH EEE EEE EHO SSOEOEE EO SOE ESOS O EEO EE OEE eee ean eny TORO O eases ereesesenes ACen ween eeeeereeees sete eens eneree SOOOSODONSE SOS COCLCCROODEOCCS Goceeeeee o POO Reem ee seeesenes Core eweneeseseseee COCO OR error er erse cress eeees secre ress seseeeseeererreese sire ret OPOOsese When rendered RECEIVED ON ACCOUNT. tee eeeweeeslteseeneee Pree eee eee eee errr rere rere ee COPOO OCOD | ceceeeeerenel eS SOCOOrl so eeeeeeeOCeeeeseeecnecseerooccccocoeeoeses TS te tO eleeweewees | weeeeeeesenslseeeeeees . . +P OO OTC OOo eee eres eeeeeeueeeee eeerewene Stee eeeeeleeeeeeons TOPE Cee | cee eeeeweeesl se eewenes SHOOT OOOOH OR ORE e EOE EEE eeeeeee THEO TORO OR eee OHH Oe | cee eee en eeesl eee sOeeer lt eheeeeeeeeD SOOO ROSCOE Cee ee ee eee eeeeeee Capeeeeeeeee! eeeeeeee bbb hhh dee tI T TLL tit tt ety Funeral of... oie Date of Funeral Get or [2 Oe Mountings Metal Vault, Style.............. 4 Be ee ys Sic seiscaes | sekesavans Ptipecyas TRO I AEOD av cicsascecssisisescieass NO ees bakes da uaendecs sseW A scsadeeakdlishancavs Drapery... DOOF DV EBBURY, 15 scasesnesssesess Sodpases's Lining and Pillow Set No...........0€p- BE r.. Be aasissess | DGG TARE B08 «oop cisicasc ae DT <isciaives pe pila See ostaG ts gusanaes | Pedestals acre Pal OOOO e eee eee See EEO Eee eee OEE O OOOO OE OEE SEH OusOresereseeesresesss | HeeEeseeeee!: seessess setesec.0.aQpWMbMBMBs cs coctous Candlee:...... oe ae | Lc CASH EXPENDITURES. fh Ay ila BPs fsa ee tj} heasxeisnel Hayy sexwseexeoue | ses bua a Meier ewes IG EE kno ais vice ces asc etns eked pis | PUM ND oui sins io asdcncusdavriansivvinkb | eee eee eee eee rer ere irre eee rere er ee ree tere eee eee WAPI, BOOGIE oss o.ceccacevessecesesaeecits PIII io io5s ckcd inne | Bie Ne ial a re ee a i CN ONIN oti cis s osk ines saiedeavensini’ ... Lining Hearse... VOU CRAVQUB........0csresseessoeess are Pit a ete Rie Oy BP TP Coaches....... POPP R HORE EOE eH OEE EEE ETOH EOE E SHEESH EEE E EEO RE HEE E HEHE EEEEE EH HEED POCO C Coe | COE Oe reer ere reese essere es eeeeeeeseesese sssesess: cereseres Last place of residence .... How long resident of this State.... <...| Husband’s Name Country of Birth PROROT OD INE 550k os ibisstastaninineen Country of Birth Cause of Death When rendered.. RECEIVED ON ACCOUNT. CORO eee eee eee e ee eenl eee eeeeeee Cree eeeeeres) eeeeeeerlieeee COC ESOOE TOTS OOO HEHE REET EEE HOHE OH EHS Seno eee eeeeheenemeneeten SOOOCOS TSO e Le, peeeeeeeereeeeee 4 eee Nn PO eee eee ee eee eeereeeeeeeeeeerers POOR R Oe Ore OOOH EEE OE EEE OO EEE es eee eS OE OES eee uueeee SSsUnnecoLAr a needle naeeaataebaeenetietieemee ammmeateaieied | 182 Prauthn © ME Funeral of Removing Remains......cccccoccoceree ntilasdassanaaieai ascii OPP CO HO SSECerseCes eee I oii acces cots taakbacximedenae A Shaving and oted OO oe Ta fon v Giz Mi ic F. Metal Inner Casket OE Te gc ae Outside Case, Pine, Chestnut, Oak, Mahogany...... Lining and Pillow Set No TORE TRG TS OG ca cns ics sssusccguvscscoucdssasa senapsasiuwasagoaees Mountings TBE VALE OIA ccuccsseccstvnccssccdessuessdessacessssé iacceeebaiuies res Box Mattress. .....ccoce + 99 OOSCOD SO RCOSOOOOSSEODDOS HOSE OE Hse LOE OEEE TEES V Re JL . TUS, TOG xs ociccoxnesi sevens Atos. Oi Coverecesoseses nal Attandance and Assistants ..Candelabra CasH EXPENDITURES, PI MAN ooo iste ones io essai vc bad ckkok se MEUTeNOes COPOSNEROS SOL eRDSbS eHURSEbOSSSSOSSOSeseeiee | | Single, hari i | Birthplace . Roe Laseks nici | Last place of residence How long resident of this State Husband’s Name ......, a a Ordered by a eyhee Charge to... [®,. Recto. ctctech | When eee Lig Uiusehssens <Vecensnuneecert Mu eeisiesss Mccsisaes RECEIVED ON ACCOUNT. Funeral of... Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box. Mountings..........02.5 «++ Personal Attandance and Assistants Drapery................Candelabra Pedestals Clergyman Sexton Quartette, Soloist Delivering Box to APE CIPI ices isn -ssesssiceneaesvisans Lining WOE CN sae leli ss Sets easars iacdiivasguledbicie cet Hearse... © Hhvvcée, f. fe Lavo, Coaches... 133 } Le er 2h o _— ~ “te Lg» AE | Date o&f Death ... 82. iben... (O73 y an eeee | Place of Deh. b Kehes $hetkoeewes 05577 Date of Burial Where Interred Grave or Let No...cccccsesessed, te Section Location of Grave bs ie a uv Single, Married, Widow, Widower Birthplace ... P< LEC LR. ne she ‘ ans (uiciivesyeuvetells Last place of residence Country of Birth Deas osrenett At ehlete ee 3s ee Fey ‘a ie Ordered by CRON 10s 8 isi fies When rendcred... aS ie RS aeRO Ree aE: cane eRSn DoT ONT rm ea a PRN a ee we | ee ee ee ee TOU P PCE CCCP rea Jeeog V Cerne we enreeree Dy rnnsnnnnew |. 40.99, | | ee PMO RCOLOSESEESS Seseneens Deesecces a COO OOO e he eee teehee eee eeee eres, gap eeer ee eree sokee ena he nt | : - @ a Mm i | 4 } 4 : | os — soos es Sa a a ms ars teat ieinen benaiealnceain Date of Funeral_’— i | Removing Remains........ccccnccecsvers Tis eewda biases cniaamainmneie peecekeuse Embalming COU BAG EI CMG, iniviisdcicccssedbbsnctatbeeiesedsandccvncnesens sss Casket Nov A MSE coecnerneize boasass uespaansecioruans PTITTTITETIT IIT eT eer e ap. Pine, Chestnut, Oalke, Mahoganiy...cccccccccsseses | cesoseccose|scccseces eee Fe POO TNs cis ican conch bans canssads ash ebb oanbaiacess 1idascaebuce Bec nad ow Nie eae PETER sakninatiaceaaes Pa ia cck tartar AEE YF CAE GSN cccscciacuccasnaleacansuseeeuniessiascistenanianienees PEE ITC oss ccadaunuih issih csnnamacdadassaunadanmusbacdstssscigdsxeciseeser I thos sveech seek Burial Robe 9400060 06085000b6N000NE6 600006000500000608 0000 005000060 ss e00b00s bes | reeeas ease fe A Ne a MOOR sso sakessseoe ess eS ee ae eed BR CR ops cecntccisine Personal Attandance and Assistants ........ccccceccecoscececscssceses OOD 65 <caiik <a 0: sictapinc MAM ns seeesseissaes | vandsnered ehaeiss Pedestals RP ONN is oe ae es CasH EXPENDITURES. | TTPO OOP OHO OO EOS HO ESET CEE EEO ROOOOOesHOessresesentoseasoseccosone | FOO COCO COCO COSCO OEE COCO EOSO LOSS e sete eeeens svereesenescoonoenoeeeoeSees COCO O OOO Re Henares ser resesesereeeesseseseseeeeee TOPO emer e een seeeeeseeseeeeeseeee te ereserereresseccecccevcsess « WTUIUED. sccees coes PCOS HOS OO OOOO SOESOOOS COED OD CODES O OES OCC CODER OOO CSO SESE SECeeCes POCO Hemera seceeseeseesreensereneccoeeeceeceeesces THO OC CORES + 290 U8O1 HO8 0600600005 0600 0065000080 5606 Cec ces bees ee Clergyman INE hiss ioscan bnsoestececenesencisiuiy Lins ccabvecolaccssecuss Quartette, Soloist............... Delivering Box to y? Opening Grave ....ccccceeesccee Vault Charges......4 ps4. TOP ees eeeecesonoeecessesee SOCCCOO CO COs eeeeeeosees eeeeeree seeseece a Peeeeseerecceroee eee coee ..| Color.........642 Pte... Occupation... ere CC- M. a ee ae Jpsmnsre| Date Of Detth srs OPA. 27 RR a ff | BONN OF DOI os sssssinsanininsvenspsbseruiabrndasteisssesssaceascs. Place of Funeral Clergyman........ | Date of Burial......82....5705......2...° 2. PON BI ns Sesh assn-sssncenonss seasneiaddsrceeseucsuce ch SHROREDOOS 9055 9 4006005:00080206500000056000600an6000eeeard TORO eee DOOR er orerereseereeeeseseesees cesses eeeecccoecoees HOO ee eee eee eeereeeeseseeercereesese es seveeeesersssseeeeees | Single, Married, Widow, Widower psa eee \ | Birthplace | Last place of residence ..........-.csecceccssecosccooses- it) ee r | How long resident of this State.............-c0.0..- | PT 6 oi ence iota es sina | Father’s Ss ase censscsscsieaseaesslevsue kes ride Genie | Country of Birth Me a ice Funeral of Date of Funeral__— fe ke ee 135 | POOR OR ean nee en ae SHOE O SOS Oe EEE EEe ee EOE SEE EEE E ES OHSS SEES SEES EEee Outside Case, Pine, Chestnut, Oak, Mahogany.............0.++: Lining and Pillow Set No. .........000.+0008 ne ea tance OG Fe og a he se ee eee Mountings...........02+ «+ Metal Vault, Style Box Mattress Burial Bide cnet. asses PPeeeeerrrTeeerrrrrrr rier irri ier er eee ee. we eeeeereceeeeere Drapery POR e 55s assess iss as es 6 ss Rug CASH EXPENDITURES. | ! fof f /) Pe. . Hd Vee a. Liansk le fe pipe . , ‘ J — As ae ie 2 eer. esses ce Ji CH. a-t nt & te ; ff + ny * cA. la wees 4 F : 224g Riad. A ht Atigg ff | C A fi f Kes Pta¢, —man Ata” ~RizetA ag _ ORE AF DOU an orc ecco cca nce Paks cs tnkdnsdcndinntouanees Where Interred CORR Re eee eee eee e eee een eee eee eee eee EeEES HEE SESE: neseneees How long resident of this State Husband’s Name Father’s Name... Country of Birth Mother’s Name,,. 220 G.nw. : oo a0 _ ) Oo Q 8 3 a S Ss wy 2°. q oh oe cy pe \ 7 ie a ” Physician.......P250%..0.5. SSiriee TS emmy H , ia Rte AF NE 6 BC ei i | EOE ON oly oss eloe cacti sieeeivisvusbas ae ie ' RPO OO yds 2s 6c. taneee, i When rendered..... A S ote eeeseee ; | st Open: Vaul: eee eee ESOT OOeTOOS CSET OCT Teeter rt TTT) SOOPER OEE COME OSH HHO EEOE SEES EEO OEESE TEE ESEOO ESE H OSES EES SHS OE SENOS OL OSES FOF COP OC OF Oe Hee CeO OOO OOOOH ODEO EOSOOOO SOO EE CODE OES OEO EOE O OES E Se eeeseeeeees Ce mene we eereeeewnee ACCOUNT. RECEIVED ON sehereeerererree.,, seeeeereesereseseecereseets 13’ 0, Funeral of Date of Funeral_’- . nahin caiieaa en, dee ee. f — Funeral of... seeoeeeeseee: =>M | Datect Funeal Removing Remains.........ccersecccee Embalming Shaving and Laying Out Casket No.. Lt Ake peusaeauuncaracoune PRS savesiseseace nepuns | as. ARERR REO e Ree EERE ERO EE EEE OEE OOOO ESEEE EEE EH OSE SEE EE SESE SESE HE Ee 4 4 . Date of Burial Metal Inner Casket | i Where Interred Handl: 3 No ate e meee e eee eee eee sere eee eh eee ee SUS SeESeeeEe® Peececeececeeseses: | seeeseseeee | Outside Case, Pine, Chestnut, Oak, Mahogany | Outside Case, Pine, Chestnut, Oak, Mahogany , 010 md Pio 0 Set J COOH HEHEHE EEE SE EEEEHEEE EEE TOD eeeeeereecre POOR eee eee eee etwas | SEPP HEHE ERE EERE HEHE HOHE ES . tee eee T 2 2 2 Lin ud a) [ v Set N Die seeceeee 2» @6d0Senes Lining and Pillow Set No eS Sen PRGA San Metal Lined Box I | Metal Lined Box SOBEL Mountings....... sree Soh ms Metal Vault, Style Box Mattress........ meer NE OE a ocass- cs eceensoseveane CT 4 x7 "2 ¥ } a | . tee eeeeeeeeone Slippers + tee ec es Mecees ean ee Chairs | Last place of residence 33 bases Last place of residence How long resident of this State iam Drapery ; bee ae How long resident of this State | Husband’s Name Pedestals Husband’s Name | Father's Name Father’s Name... CasH EXPENDITURES. | CasH EXPENDITURES. : | Country of Birth eee Country of Birth ie Mother’s Name og fre. Ce oa , CfA, aay-—/F Ba- Ce Cnh-& X¢. RAMA EPVOUBOND wanntvedsenitosriaeeiesstiapniniete mess a ae hes sdtie sees | Mother’s Name cevnccosaxernvene Door D St f $6 | | 7 Ltt & f ivesbasoued TONES ioss as 7 4 Rf rene Nani lf = ‘ OO Porters and FR | NT ec oe a ee ond e~ —J-aee, tt Fa as | F WROTE DOIOUR. «5 cncaneessinsctoinasaniawaccen STATE DEPARTMENT OF ARCHIVES AND HISTORY cs - dEt..|se00ceeee | Charge to stA. att Se = RALEIGH, NORTH CAROLINA When rendered... ft , ' RECEIVED ON ACCOUNT. This is to certif v t -_ wae Clergyman - (s) Lz LV SE RI 2 Wos7 Sexton EB 3d a DE R PONE, BRON se C FsLpy - PRE RRAWK OR H4s7e0 Dow) ing or blank at the time of microfilming tu tebe Meee icrofilm Cameraman of this volume were miss Delivering Box to TOPO OOO oCeoeeereesesere TOR iciceisiccsscene he » prises Telephone.. See eeeeseenere OOOO OOSOOOOO CEH ESFOSEDESS HHODODOCOC Re eseecees Cet COON eseroeseresecose SOPOOOe Cee eesesecesoses COCO eee ee ewes OOOO ee eee Hrs eeee POCO Hee eeeeee seeeeeeeees sTeeeeweeeeneees,, sees eeeee eeeeesersernoeste tee een - Shon ones ab ee sc tc a peeemesininey eee ee ae wees eee Seen ees = 4 a . i iat oe 136 Funeral of Date of Funeral. PRM TOMAR, inccicontcessnccsnsancbebeincadhecskghenonnncanannsaane ND ooo ek ccca cise civatgubecane Shaving and Laying Out......... Upahabbaasibagadicccstasiatiionioncss ORE Ne. cides istesiasscc scc See oe, f Metal Inner Casket PIGAGTEOR INO, «5-0 c4s16sdssodeicceadauaeiansansabcesastsankenesianson Outside Case, Pine, Chestnut, Oak, Mahoganzy....cc.cccccseees: Taine Gd Pile Bab NO. vccscistavedscccnascdacscssexee Met rl Li? Mountings. ...cc.cosesce es PLANTAE: vcccsntaraasvesse ted Vieashh, IA scsi diesiceaiietinesesh ccaanncicsbe f attre a ee ee eeeeeseeveeveeees ceooee PD PONE ., ccssviiermsseviatine PAB cicsicicece OUNE igi casas ces ncavexen sage Wika: CONGNOR ceckssoncesianccilid aaieess Personal Attandance and Assistants ......-.cccccccccoccecoscsccseses Draper yf...cccoveee .-Candelabra...-.......-n0 CABS coi cecke ct ous FOC OOOO CCORO EE COO OOO OOOODDOCOS PORE OOOOMs FOSeee sc eeesceesesecescooeses batetasteacees POVETS! GI. ste vsinvvacsdcaciesei sss Funeral Notices......ccess ssheestessccenadesenetes WM A sasetncanscisentcssiGiiseas escsnlissnie tae SPIT vier westiseed nausenintesswiavveenpices sncsilareeisbinsssaddooucissin. ccs QUENT, SSOLOEIE 5: 5 Sviccccccseicacsscsccec: Organist ........ WER POCSCCO SO SESSSN 10s + 00000000.04046000000s 2098bO00 ee Obes 6 cee COCOCO OOO HSC OC OOOO TES OO COD OO0 0s 1000 se 055 5hoe5 neces eneseeeeeeesee cecccoccece SEOESESOS OORT EENTSS 6000006 14000000000004005 0000806688 644066 bus SEES ebOEe ss 00000000 00 000000 S0eSSoOnESOS COE LES CONES ESEELoCCOLCeD ES eeeeessooese Oe erceesoces BE evsiss vsssvacersensersinresiies SUNOND bist gs Transportation. Hapenses................00. evaesussesean steseseectioncees Secor esseeeereneces Poy POPOCOEe veeeneceooes eeeesess POOeeK neee Pe Ceeeeocese HOeeeene seeeeserooees seeeceoe sereeooerscsce seeee eeeerceeesecens . A ee eeane ee ewooooeneneeeesovcsoosoeecooosoooestoeccoesene se oeeeeeeeee teen eeene See eeeeeeee a pinesnins Where Interred....-tAAA 7 | Location 07 Grave a} ccans one | ©0098-0009 006000 006060000006 00005045646460 60 00bb 000+ 00s ceeceoe Single, Married, Widow, Widower | Birthplace eee Last place of residence | Husband’s Name ............. | rere ot Fi i Section Panamera Occupation.......... eee ee ee How long resident of this State..............ce.cc00e0005. Father’s Name.. ME sea enn: ; | When rendered TNR e wwe eee eee w eee ewe nese eeereneeeene seetoeeee SOCOCOTOS | Co deveeeeree lees HES oes cenederedeceeeeneleeeeeeereseeoeoececeees SOCCSOOOS | cocesrcrreereleasereees [TOC COC e Eee eeereeeeeeeeeereeereeeeeeeeeeees COSCO OHO ERs] SOOO OO NS] 606008660000 0005s 106500000000000080865 0s le 0088 Daysf m SRPSEHOREE DOSS 2890009'0000000 680000006 00000 0000000060 006bbben seeeeweeeee eeeeeeeeeeee Funeral of... Date of Funeral. imide Les Shaving and ee Casket No.........%..6.Z.%e FRR O meee ee Oee EEO EEOE EEO EEE EEEE EEE ESE EEE EEE EEE HOOEEEESE EEE E EEE EE eEneeeeeeeee Metat Inner Casket................+. PR INII FIoo5 255) ose sins savage 6cacentesassacessosasinshgssataneaesaataeesys Outside Case, Pine, Chestnut, Oak, Mahogany..............+++ TE EE FG INS: oncovces skdawsshcektenstks ceseeeacsiens EC EAE TI so os oan svcok siaalaseassasessvaekstansesenoass MOURTINGE. «<.00-000<055 35 DYAOOPY 5. .cisiis ees Candelabra............... Fe oo coia shee es Rug CROC ere ee reer ser ese cece re eee eee eee eess OSE EE Eee OOEEEHESEE EES eHeeeeneeeseeseses seees RT Is ea ck song pene oes as ed ses aa | Sexton Opentng Grave ....cceccccesccsscce shataeseneioxed Lining Vault Charges... : “38 ” aw Ut Khe Hearse TERETE EOE eee eee eT Oe O HEE T EOE H ESE ME EEe EE eH EHH EOHE EERE SO OH EEE eH erEee CNTR e eee COR eee eee OO EOE OEE EH TEE EOE E OEE EE EOE EEO OTE HO CREE SH ese es eeeeeeseeseesseseee OHO O eee SCE OOOO OEE SOHO EOE EOE HEE OE SEEO EOE DE OE HOSED EEE EH eee Eee eEeeeeEeErierees eee eee Peer er TT Cerri rr Teter errr eT Ty OPPO POCO CHOOSE TOs Looe COE EEOC EOEECEE OOS OE ESOS + COCSCES SOC EESeCeeeL COED CPCPOOLSS PES SSOSOSOTC COC COOS CO ODOES OOS See COC RESE CSOD OOSOe LOD S rE SeEeeeeece CP POOP Hes Cem ee eee e SOR OOOOES FOOSE OES ORES EO OOOO OES OE CEOS EE e Seeeeee Bee ew eeeeesleresseses | eee eer eeeereseesesseeseussesesseeeseeeseees Coemeccccse|secccsece | MPP PCOOCee eee oesececeess ssecccrcceceseseeseceseeoeeeceescoos | See | see... | Stngle, Married, Widow, Widower...... A) Dre fIRL2 4 Birthplace ..&~% Ver Last place of residence Country of Birth Mother’s Name.4(4¥ wee eewererleceescens Siete airs Cause of Death Girtgre Ordered by . | Pee Ubigss [osoaeaess | CMMI DO ooo crc cceescorpneess eee as | When rendered... oe } See T ere erew seen epeseee see eeeeeee verses eeeeereee Sg + * a 4 r ; } ; ; zi a } ; '; if . ; it ‘| i§ 1} {i} i } a ae |e seeeciencnet i cteernrage nt simmer ese i ges me natn seers meen | AS aE Aa See AST | aie a | | | rebeis ce r | | f seeeeeaeee jocvsceces | seeceeceners| -sevccess|sseeeresereeereeeceseeeneseneseneeescenes«|soncesecesss|.ssevccee - | fa | Fase eae ey a a ae ' i pennies | gcucuuaees | idevkasckeskveaslbus <nunsaunisee se pee rows if ibid douches daapwaeace Poise en i" Seen eee eens eee Omens ss eee ee nese eee eeee eee ee ee OOOOteeseesssessilisccnccunees fvae p j | : Ose ere task cedumial ive benurel sadesereeeuyecs nate eet bat alc [rseeeseeeeealeceeeenn i a | | pubsecunt Enstiiebaates prsinons Sie Leesbaesdeneesiuvisess dorack ee Sypeicecaueies oe eee | oe Cee ecerseeleecoceces | cvcevceceees eeecees | eo ee cercseceeenececececos erence | oevosceces peeoeces 5 siebiunvn Lab taseeees seit ae ee bee: : thon eee eeeeeeeel) Ce eeeeee <eeeeeeeeree SOSH SEETHER HEHE HEH HHH SOOO eee eewweweene Lee eer reese eeteeeaweteeteeee eeeeeeeer., oe i 5608 138 On fortine Dery inale Phanvore 7=———— Funeral of f 7 an Funeral of se ic i oad Date of Funeral aaa —— 2S if ne —__——Hour__ £5 Pm - We Date of Funeral. Ge a e : _ / ; j borden loth j POOMROUTI TROMEEIE. .0 <cccsscscconcossnen~cinece-cacneassesenncnsacnensnnees | cteseeeeaes|seeeenees Removing Sie... aad AAG ee ae | . | Shaving aitline Fi : y is CINE PIG is vcd cscbensaasacs Date of Burial ick.. Sha. esbeaceel Metal mer COsicel, Jd .covccccccens i | . 7 | | Metal I Chet, Jd Copper | Where aie ‘ “am | Where Interred Se IN a a ts slacken bbs a@anadaainacnunonees sseencncece|seneneees | y i | bw or Lot No Pine, Chestnut, Oak, Mahogany | | Loca ‘i Outside Case, Pine, Chestnut, Oak, Mahogany ae Gt DUO cs scacn tach sosuate co csdee eeasaiedsiae see csidssicccl ce CJorseecereens foc ete Lining and Pillow Set No Seneeeseeeseeceeessensesessnsnes tteteeseres|seeterees | cos er Bea hes acces Siasasa istic eal sees Metal Lined Box ROE oo scans css FIQUNGIOR: cictssssesssveone Ue ie ean ars ga DERN. ccnacasscers <5. Si 7 TAOUEN a csnnsscicdacov ies sudan aiandaetocaiaes tb ans essacbinesi es Metal Vault, Style | | , oo ; + Sa aaeisess LRbseba Geman Gita rideakieetatense . | Age... Oh... ‘ leone Box Mattress : Months... .Days Sere yo Burial Robe p prbteee - hers cl ra Slippers onal Attandance and Assistants ......-cccccccccccccsccseccecceses | L Personal Attandance and Assistants ........0.0.0 0000 ccccec ce seeeeceee ooh TROT ays scsnesracc AON cisnus.cciccees ‘ae long resident of this State... RS : Drapery................Candelabra How long resident pr pases casnete vecheeery acs serekade. | Husband’s Name i Pee ins iscteteissi as es Stina pawn (0 |Father’ s Name: CasH EXPENDITURES. Country of Birth Door Dre DEUIO. cosceenessccenesenesencehs soesceeneesoheecessecccessosnsesousenns ’ L : Mother’s Name pict IE Ooi epee ieee oul : scscecces-[vccccees. | COUMtrY Of Birth.., | Physician ........./, | | | Ordered b / pas TE NG inva cescasctie trimers af cher to Funeral Notices | When rendered Clergyman | ALL p if , AVVG { *% ein -2- Clergyman Sexion | i oe die ' Sexton Quartette, Soloist Delivering Box to ID CII oscinreneniccctecscetecesecscvasialieal a e “Ye 1 . / J Onvening Grave Vault WC | AA LN | in ' We I ibis sa des tees anadinewinesaonce Hearse, AO) A ) / \ | s Z Hearse Coaches : i x \ MNO sig 5 aoa el ee eeeeeeeerees! eeeeeeee SOO RCO OOO SOE EET OMS CEE OH OEE E EEE E EERE HESS Amount of Bill... : een een Cee eCoeeeeeeoeeeeoolCcltcecccossegey See eens eet eeereees . ” eee rseeereelecceucerelees rer er 3 sisal 140 Funeral of Date of Funeral. a Ps Removing Remains. ...ccccccccccoccesesesceece BONNIE og ovcnscs<acyhccaancsnuiaasans sages bouWel bre Shaving and Layitth Jr aXcscccccoocsteocsscoveaccvesccccesest v ereerrrwerrrrrererrrrrrrrrer TT Terri irri iii iii rrr BI RICR INO, cikcncccdndccdansacacasncubonsacsatdacsscbavnbeaquasonesasscvunes Outside Case, Pine, Chestnut, Oak, Mahogany...........0+++++: i : : Pinenag and Pillow Set INO, ccciccicecsccansecesssensscccscnesnssenacs EL VGH Eos caxccis vance snscsdcansandascabsessessecbodoesnsversc St BICEEOUE, ic scanccaevesscvsssoncsanes OCOCCCCORSD SORES Cor eeeecgrueeoeeerses PULL FC O00 .,cocevcanneceaxaneen PRONE oss... ss sans eddaennodess PR a ys cncisicvaas Gloves Pepesiedieathsins vecseaessiseses OE COG sac conse actsecteckoseis iskev ks Personal Attandance and Assistants ......-ccccccesssecccseceseseceeess DHADOFY .« ccessavee. <0 Cama bP. iis cones CIR is es ere ceween eet hl] s cocccesnrecseeee coeeseceesenece ARERR eR RHO OOO EOE EEO EOEOE SOOO HEED EOOEMS SHEE eee ESOS ESSESOEEEESOEEELS TERRE H EERE EHS ER ESEOS ESOS OOS OS TEESE EES HESSEEEESOES OEE T OES OS OEE OE SEE EEEEEEeseeeeS Clergyman AMOR HS OHO eee ee eee ere EOE SEES EEO OEO ESSE OES EEE OOO SE OEE TOS SOEEEES Sexton TORT O ROE Hee OH OHO EOE EEE HES HES EE EES OCS SEES SES EE SES ESES SS Sees MED, THOU. ons oi scecactccaciccdcccaanecd Organist Delivering Box to OOANIRG GTDUE ..crveereesissserssvesceessseecees cDNA) .siacecace eeseee SEP Oeeeeeesessenereesenee Amount of Bill... COCO es eee Cneeseees sf ereeresececeesesescensseneeseesesscecnahc, * Ceereeecee|seeeseres + OOOO OOOO HSER EES ESET HERO EOOOE HEHE ten rereneseaeesesesesase | a ae BI OUREINIG Accccscenssesnee EOE sacisuieticntans« TORR eset see he arte | Mother’s PUN eae os oooh esa rede ons so Ladiigp ve kco oes <cvaagins |sttereees | Country of Birth..... te G ee | pla eaees ain beste GST E Mss steviccsevecstis sel Gseieeses phe . ae cones eee Fs so He eet siiessvyoretins sea ne en len | sssss.| Ordered by Cll yfoKoeed pee proce | Charge ND cgca cach ecse chs seeodes esti ousesanecates se circessccenses 08 -snsee | = | VY OW VPRCOV OE 550i os sc cbi bes cceususectessucccedsseeacebaasessscwvarsesrens TTR e tree eee remem ewer e eee reese sees sees eee seeeseesescers Single, Married, wo tee Zrvvvee : | Pivtialaoe fo Cter— oe “ZY. eee eee er ee eee rr rrrrrrr rr errr error rrr rrr err ree ae erer rrr rrr Ty) Last place of residence ............ccccecsesseacccasecsees | How long resident of this State..............c.c0.000000. eo pendocceccccecesscceseeescesegegesesseseess | Father’s Name..sA¥ KK ee ey } - 7S Country of Birth .....,. —<*.<. | | | Husband’s Name RECEIVED ON ACCOUNT. Delivering Box to Funeral of... Date of Funeral___ Zz ee. mory) a ee qf “-as fr ie 141 tia ee BR DR apes cho sss as ce Outside Case, Pine, Chestnut, Oak, Mahogany..............+++ FAIR FN FE oases ences oxctassedssesecninvermescees PUT TA 2 a ins se esd acess sei eo Mountings...... eye « PEON: ciscsccssscnseses PAGE PM oso sssssscnesacub as Gubucesneua seus suaeesbssueuausses Box Mattress DR Gs i hss erate essdetrrite nedssu ss ei Slippers Divine TOG, OMNOR a vacenacesensss iecadtuexcvnisit: Drapery Pedestals ioeitce.= seus pA RIE IMEI. cs) chive sacdeuctasccuviasnn. PUMBIAG FOG 54500554 csisieccc SE ee . 1 at Opening Grave .....c..0.0000. {rtrrs®atining. Sacneg hele Vault Charges Rev 1% [re Peet ee eee w eee neeerereeseseees Birthplace ....>73™ . | = ot bate ‘ | Last place of residence . sete reece elseseceres Bee ee eee eet OO OOH erro emer eee eeee Beereetesseenes Ordered by Charge to ...... | Supaasn res] sobasens When rendered... saa | LL — — oes Pet RECEIVED ON ACCOUNT. ccovecees aa = i J pment eS > f = Wee. MQ hMKe VD Ae eran a lOo 0, ISSIR mi 2 ¢ ‘ a = epeencemmrenennceen lela aaa taeeanee eines ache aad ce neti ee ean ita ees THOR EO HO OO OOO e eee ee eee eee ee eee eee eHes seeeeeensees| SHOE EEES eee eee ee eee eC C Tee eee ee reer ee ee eee POOR Ree eee eee OHO EEO OEE E HOHE H EEE H TEP EO ET EHEO EH coer eee OeEes Reema eee Meee eee OEE HOE H OHHH SESE EE TEETH ERIE ES a 142 Funeral of : “4 ' ————. § Funeral of. Date of F esl. : ners nae ener ' Date of Funeral FROMOUING FLOMIGUNE. oo vcncecccseccccsencsncenenenncenncqneessoscncnuaenseens | s , . | EMbALMing ....ccceecccseeeeereersnnnensecsccovesensconcssecsscsssosossnesesss | | Shaving and Laying Out........ccccccccee Pe aie hee aes { yng Casket No. tal Inner Caske « i : ? Metal Inner Casket saesnnsancnenDpasasensnannsnensaressoesaMie esonenernessccl Metat Inner Casket Handles No......cssrcscsevecccccvccccsccvcccscocsccccecccescoccecoscccsosceses: | ccccenseses|ecccsecce bi : a ee Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany f , p Outside Case, Pine, Chestnut, Oak, Mahogany M TARO TION eas ae iia abecasate Metal Lined Box fountings..........+...-+.. Handles oe. Pla ; | Mountings Bel Vell PONE, oeiscccetecccanacsaaine , | Metal Vault, Style. fleet sie a ede baededdes : _ a A? Ys o0etebhen na $ORGbSG Oheneseseese Bat DIGI ORR. -ccccicevesiscassnssce picabaahase wibdaesbingsestietsskatalae Box Mattress .. ining a -illow at Ni + Pee eer eseeereeeeeeesseceeees ee seeeeeoeeeseseses a a e ony. Lining and I w Set No. i} Lining and Pillow Set No.........ccc0.se0ee i cksthaccteess ee Burial Robe A Color Occupation... ... 7.0 ee ‘ ungle, ie Widow, Widower Birthplace ..........5 Yd © PUPIAD TDDB, scusiccsxanisons Slippers Last place of viii Personal Atiandance and Assistants Drapert)....cccoeee .... Candelabra MSc socks scsccs i of this S .seceis Drapery How long resident of ~~ POMEL 2s cca bd teks ads icc tnecsesanee ‘ : sed Pedestals ; Husband’s Name . ve Father’s Name.. a ere CASH EXPENDITURES. ‘ 2 a 2 : eee Country of Birt POGOP TIBI os sore eciscsadc ledesavasdescioneecseeicains lannsincinnns | : ieee SST Mother’s Name Cause of Death COE A agg ie Ordered by ....... fda Cake. MEAL DECC ORs. sc 2icshu bs crac idvaceebucs WEbeded RTE | CROIGG OF on veccsccierticass ebay oes seca , eof - When rendered : La vives fe eae | When rendered..... RECEIVED ON ACCOUNT. ae / Clergyman Sexton Hearse Comcne’......: Qos. rrr ee Peeereesoereoe eereoros PO siti tenet ese oe Telephone setitieacaienibeten evens Transportation Expenses aevcecesce eeonee Coceosoooroccooocscosoooesccooncoosesecccescocccecoccce See ecccceseses eeeeeene sees Seeeeeserecoeeeeeeesoeerers SOO ser ereeseeoes ee eeeee POO OO eee RE HEEO MOOT E ETHER EEE SEE HEE EE. Amount of Bill........00++ . o ae y es Amount of Bill teeeeeee seeereeerereereneeeeeeerls eeneneeee lenge ie pe are a ees fi it ; 144 Funeral of Date of Funeral. rT f tye oe a ° . x v | Removing Remains... Neder ncofroobonre srvenentimagraceces | Metal Inner Casicet....0..000ceccsees CODOIP.<. sievivecs TE oes, FIAT Ct TNO, :kdsodecinccncnhscavadedsasdenchoasaunssnbakapennaeeeasensens Mountings. ..ccerssevcers TO nee ccnensn PH csi nhace shakss | vaxdsesseas bcs ih san one seateae ies eka wb nee eneerscreeeerenereresesasess Ai Glad VAUih, BOUA., .ci:ncseavsccpaceschcessbeandarsers Box Mattre BS. .scccocececeresccecce pprecceces OOCCSCO COOSSOS Cooccee ce ccoccacenses Burial Robe sce... EAA It tate) eoesccoes IR os cs veces isesacanaunansae Pe scastiseonuiene CL RROD ED PUSECOEE Personal Attandance and Assistants ......-.cccccocccscccrecssevecesses DrADEPY...cererese --Candelabra...-.....ce-cer Ce ois PR George es coco ae PON ices toes cds cecussicuacate CasH EXPENDITURES. OT a a ee a a eta ) Re Lei nego PAWNS oa has ae vente POPE GOAT 5 ois sccassssevesnesecdecivas OOM as cescas I ne? V (CES. cecccccccersseccccewccccsecccseeseeeeeeeeresccccsessecossses a sia 5 kk sn pein 5055s chi bs A beRATE OL bib ia\dbe bus cdesaenasaneeiasoulaci a PON beesinchees i cerkeis cist et rs CIEPOEE, ONIN ois vastceuscadeccencscccsas OPOGUEE ies BR Oe ai i ae Ce PRN CIPD si aikattings seticis es ake RAMONE sists rickcsnsst Vault “” inns iekvimonins wie iesveisicadineiaisstes cannes BOGTOR pscsdsctesosse 2 : ies Af at pisvescssentneneessvansbeh ouaseveests Coaches CREE OTERO EO OOSO OOH ESET EE EEHOOOE EES OEOEES Hee ensesaennesrenesbeserens Telegrams obec ces seccceccocooceccccccocoses Telephone + * Se ececeeeeccccccccccs Transportation Expensed...........cceesseceeeceeeee seereceeeee seeeeeeee eeeeeeccesoree Oe eeesecoeens Pe eCesecescces Seeeeeeerceerereeeseooeeeer SPR TET EDOM TTT Tee One O nant TOORON ER OSOSbeRbEEE EE cetneies POPC reeeeeeees SOOCCO OO tes eeeeeeee eee aoe | Country “i . page be is eat ag | Physician .4.¥ : Tr fp — - “Fi | BB. | Date of pea Af 2G. iabasen i VATA . Removing Remains...... rh S aicaacian Se | Place of Death...f “BA& _ GD. ALES MM Dstt. EMbAl Ming ..-.evreerereeeseeseeenrees eananenassanensensens ee SINGIN cioicuncansMiscccitercii ceo aheaahaee For rye Ss 4.2.42. | Clergyman Peaxssuass DON A ITE. oan ccjapenecassrans ions i 7 pi Vay yee eee ee ey Ce teeeeeennes a Where saiieaig 1 ed. y | essa J. + | Grame or Lot No........cccsc00eecesss00000+.. Section siidenees |resreeees | Location 0} Grave mies omer - 73/864 Oe e ener s|seeeerees | seeesses Cee teseerseesseseesesscessseseseeenessatssesesese coe . | Age Jb 3 “K Monyy. DIO O iii ree oer |......... | Pather’s ia, Typ reerepevnccerafeceggerees ff) patois pee | Country of Birth .....' eile ere | Mother’s Name../!. Sets hens | Cause of Death\-4Z-Y:! =e sidtal ae CPO O OOO ee He OO OH ee | Heer eH eee eee HORE CEES! Ser eeeeee reese OSES OOE OOOO DEE HESESESS le reesess kd — Funeral of _ +o eee eeees sao | Casket No Sai ace Sa ft ... Handles M Prag. Burial Robe ae ees Pedestals... hess puuepssaseaseariesan Cf ak ope Pedestals _M. ‘Date of Funeral eeeee eee ee eeeeeeereeeeeseeeoe Metal Wee Foss he oe soins Box ND as eps casos iy vain Caco iene xis boda aes ane SUNG ss) cxraasiansccahosretince ee ieee Drapery pF NINE MOREE ys oii dest ios Cee... TPS 9920909900 0900000008 0000008000000 OO0OL OOOO - Hsesncerenecocs POPP CCCOLOODSS SOCCER OOO OES DODOOD ODOC ODEO OES OR OOOO OLE eeEes SOF 909s 99096500009 000005000s0 0088s a sO OS eee ROe Dee eeseoes Clergyman..... SOCPOROOS OOD OD RODS OORO OH STOOD SEO OS ORO EED EOS SESE OSLO TOCSSSCS ET asisesias rtette, Soloist elivering Box to TSP COON OHCOORO9TOEH + HSUREEOS HR OENEE dD es 8008 9000080060 done ing Grave ; Hearse aah eKa LQ © © CMP oeercoceMnawbooeresecede f eT PPC o Cee eeeceee OP Oe ror erecccccccce FHOPOTOOH OOD DESO COHOTEHOS HONCHO OSH ORee: 60s06 eee POOF 8S 000000: ceesecces POCO O COO cereccesscccecereseoceecces sige. seveves PPOOOOO COCO re reserecesereeecoecocecececes HONOR OOOO OTE eee e reuse ee OEE OBE EEO EE ee as EEE OSC eE eer eeenrers Cr FCCP COOOOCOOD OOOO CODED EEE EDEL EESeeecereeeroeeeeeceeeconees | FOI hdsssociniasacacigeriincnceh cute “ie + | Date of Burial.....~ I gee ee ee J SPOOR ema geeee. eeeeeseseeeses Grave or Lot No..,.:........... ‘yids cue Section eee eeeeeee eeeceseeees COP9 000000 C0 Aa eOO OO eee reooenesnecceeeneneeneseeeeeeesecee Location of Grave sibseepet tees. Last place of residence serps etesteshs Aeteh re 8 ee sick... See ieee How long resident of this State... Sr Tr 2 ‘ sansaghhre Teeter ce eee .| Husband’s Name .....; PA .|Father’s Name.. ee LV ee biden Pasieats es ils sates eee / eee a | Country of Birth ...| Mother’s Name.‘ eieetas ‘sesseeeee | Country of Birth jee ers | Physician ... = NK. grein Ta haeKen j (< nm Te l ¢ > aL ees cate | Cause of Death Chr AQ UL tc /. pase COPS TORE] COREE SS TTT ee a #FePPLTS SO EPSPERNTRO READ V0 DEA DEEd NEED RAMNICA TEES 58 904055 4442 0 089% PPOPOOS OS eis eOBeOeo tN UTKEE IFO CF coccceolO eet ocsrePbseess C ber eepeee , > é i ‘ i cease When rendered...) f WANK dy Saar “tig JB RoE ha He rh RECEIVED ON ACCOUNT, % POCO OOC Oe re eeveres | seeeeeeeeens seeeeees eee ee ECT OCOCTOCOSO MICO OT eee ese rere ee errr PERUTOCEOCSOCTOOOTOCOOT OCT ee eee PTETERIMETETETETIMTET TTT 144 Funeral Casket No Handles No Outside Lining and Buria! Robe Slippers { 1 { rapery | { ! Ped j { Embalming ......... Shaving and’ Laying Out sn tfanisanapaseioeseas F of i ccc TI TIE ivi icckkcntnccnsncntcccntecsusasesassacsetacnsenniainn De aes WOM ELK &, Hour Metal Inner Casket... Case, MOUNTING ..s500.52+ Metal Vault, Personal Att Door Dressi Flowers Se erecesersoene Pillow Set No....... iabesgegsekse sas ssseeuusasecees ogee eee Jessen, rar | shasememenana Vedeh ao hasieiacaiuk ia causes phasieens ounkeedice Metal Lined Box.. Style Pine, Chestnut, Oak, Mahogany... ie MR ioe ie See a re rakkes Sass pase eose ea eet oke er : andance and Assistants Candelabra Rug CASH EXPENDITURES. FU) sé tt esseonse aan | Sci | Single, Ma | } Father’s Name Country of Birth .. | Mother’s Name ati sm ee aed Ee arr ..Porters and... wr onmerepnunde Funeral Notices peter laine a tts CLEPQYINGI: osesvecesunes Sexton Opening Grave Hi Vault Charges Hearse oes civis iss desieos? ic: Se eereesvefoscescesecsceseece Bs ak bpssirsoeeen eis iviteeasi. a Transportation Expenses .........ccccpecccccecececcags), Oo eee eeereeeserseees Ngee h Tw: Fee ee eerereeeeeee Seer eeeeeeeeee eeeeeeeeee x ie Date of Funeral Wi MW eerteccled-~Cnlo- Nea g¢ fzr Removing Remains...... eee si NS BOLLE SISO OR ES LOOM CE RS ONE ONE ON PE! Sate: Shaving and Laying Out................+ Casket No.. CAEL, Fess ox. COCO CORE HSE OEE ES OEE SEES EE CEOH EEO E EEE HEE EEE e EE EE EEE HEHEHE EEE SEE Eteeeeeeeeseeeees Mountings........0.000. ++ OE YM TON ics sinscda nan vhs ces dunsncd sisewabeuna dkcskensncons coer Doz. Chairs Mee eeeeereecseerossersererereeer Amount of Bill..........ccccccccess =o eer nee | Place of F saaenel Ae es /enu jcc cbagcheebeeasan | Clergyman.......... ( foe | Date of Burial........., SM cca 5sca<saghinasscsassteasaxecces See aaeunee | 5 CP OP DOE FIR. occ cnnxkapaediadscacascaunen OB ooh coin ciaideseens | | | Ph ysician Location of Grave | How long resi | Husband’s Country of Birth. | bast $160 Of VOOLAOIOE 55. oca ss secsnstiescds eas Cre er ae nt.of,this State....... Name, errr ee eee eee ere eee rrr reer rer rrr ere rr rere r ee eee errr ri ee ee ee eee eeeweses Ordered bi | | Cause of Death 148 Funeral of. Date of Funeral. Removing Remains. .......cccccscccereececccssecersnanenensenransnseneses i Embaiming .......:- Casket No....6AdN« Handles No Outside Case, Pine, Lining and Pillow Set No.........:ssecsseseeseeensnsnnnnnnnnnnsesenenec es lexis aes ieee bcos cccuuwetuecscudatessisia caus subeciagsansenarsieevevents Metal Lined Box Mountings Metal Vault, Style Box Mattress.... Burial Robe Slippe rs D0 CRITE, Joc ssecsascscgasert eaten Personal Attandance and Assistants Drapery Candelahra _. Candles. . Pedestals Rug CASH EXPENDITURES. Door Dre WOE. . oc ccixss Clerayman.. Sexton _ GN HORI ois sock sicscaaccesevosesesd Organist I I 0 on oe sh svc eue vases eeceneesn yas iis oman auaves Opening Grave Lining Vault Coayee eH ss: OY seragfisnes Hearse A : Coac 7 Telegrams Transportation Expenses ~ b | frseseresrenees a | Wather’a Name... 00. lessees osc | Country of Birth Caxak a : Mother s Name. ~<— Country of Bi | PRIA «sete ceases Cause of Death {- Tae ee cagrenerse a SeeeOPSOM enero eeeereesereereneseeres leweeaweee | eweeeeneeere leweeeeees|seeeereee Tee eeeececes | cosereereres|seeeseees| sete eeeeeeereenee SPoeH SSS e HSS ES EES ESSE ES Funeral of... Date of Funeral Embalming Shaving and Lays Casket No 7 Metal Inner Casket Handles No.......0.ssccee0ess+s Se ce), css cuuag tadadeuneneaber tears Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.....0cce-ssseeecseeeesnerteesenneennenn ess ; Metal Lined Bom.......ccccccscosscssssccnscncscssneccncecrssvoncscnscansees : Mountings.............. --- Handles Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants Drapery. ......0.+s.0+-.Candelabra Pedestals CRIP IAT casa scvcesacs sc cecbnsapencntersegssscessncesbebetpcsvecssesees ree | Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Cha Hearse B Coaches Ceeerens On eeee PPP eer) Amouni of Biil.......... chnaeevion POORER OO OOS OH Hee meee EHH OEEEO EEE e eee eeneee: | Date of Burial | | Where tmeret. <A Peheetethlen <5 Pee eue | Grave or Lot No Location of Grave 1 | Country of Bi | Physician | Cause of Death . er eee ae tae | ' 150 Funeral of, Date of Funeral_— Removing Remains Embaiming .. Shaving eng faving ot. gece eee siedes - ’ i ee a ] 0 ' Casket No qi Metal Inner Casket Dei bliaes Nii indi sersersinacasonsnngesnnacessenerksansnton scynuaensatnansense® ee eae Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.......-::sseccscesesseseesresecsennseeneneeess Metal Lined Bor.. Mountings Metal Vault, Style. Box Mattress Burial Robe ......c.cceccsescoescnsccocscsserscennovecssotes BAO DOP... sccocessicenesde> eee Ee cc ...Gloves........ ee CRO oi cn ice esse ees Se aN ree eos Personal Attandance and Assistants Drapery................Candelabra ..Candles.....,.... Pedestals....... Quartette, Soviat.... ....ccscccscesrvosescneses OF GOHAN. on cceesccscaseee Delivering Box to Opening Grave Vault C ‘hayges Hearse o ew. Coaches... Satis 2. | Date of Death ..< limes”: Place of Funerajg.f..05 dees Clergyman...d. “aS Z. Date of Burial....{. } | Single, Marrigt venice | Birthplace | Last place of residence | How long resident of this State.. | Husband’s Name... efor ne KL Te _| Father’ 8 Name.. 07 4.Ar. ae: wed Roa cs A ALVA Sip So | Country of ore ge teeeereeerees Country of Birth... | Physician Cause of Death —_—__ > —<—} cate 7 ee — Ordered by .........0%... 7 We aka fot Charge to |W Fee PUOT OE ose carne cote ; RECEIVED ON < ACCOUNT. Se ee FOOD e rere ees eereeerereeeeeeere® SOROS EO ROE R ETHER EHH SEH EH OtE Eee Ee Funeral of Date of Funeral ais , gfe Mralasex — ae ie Removing Remains Exmbalming ....csccecccecseeceeceeseeseees sae ae Shaving and Lays Casket No. Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mounting. ..cccccceees 0+ Metal Vault, Style Box Mattress Burial Robe Slippers CLOT OADR os eses.c2cee , sasdageins<uekeueesonnbensnecksvecnikarunyneeee®® neeaeee Seaton Quartette, Soloist Delivering Box to Opening Grave Vault Charges / Hearse Telegrams Transportation Expenses POCe Cee eeree Cee eee noone FONE CORR HOHE OOHO SEES EEE TOES EHOEEEEEH EEE EHE EHS HEE H HEHE ES POOF eee eeeeees OOOO eee eee eee teen eeseeee SPORE EE REESE REE RE OEE EOEDE FEE REEEE OHHH EO ee Amount of Bill........... cianenents pusebesborerssecerseresennsosies eff a2 J : " { asl 9 yogi | Place of Funeral Where Interred |Grave ie TE eas cave ncteseenrcanenoeences Section | Location OF Geav' .cssisiescssesseccunencasnanssncenesnasesspaosesesseasnsteees L (x oa Nee. ly * fa % ; Years......: rf. Months....2:.42....Days i access LR. Color.....44. AAA eee “ Single, Married, Widow, Widower,.... ....- seteeeeseeasteeeneeeenes Cs Occupation | Birthplace | Last place of residence | How long resident of this State | Husband’ s Name country of Birt igen et aeee O1rMer hace tt “ae sae tag eta a i ea ein ea Resins area are eS pio ityayeren ores mt 152 — | 153 |i Funeral of Visco Lirockh, © Shiai Funeral te A Ug Mahe, LL 2ews eas hate’ _ ee | | ‘ J Date of Funeral ___ ee 37/a—~ —_——_Hour__4 24M! Date of Funeral Mee WW yr Hour 279 2M. Removing Remains Embalming Shaving and Laying Out eS £a_ ALLL Shaving and Laying 3 lj ) y sees r Casket No Cla Besos 6G4GA.. | 1 Cemhoat No. Succcc car ceotic rae cet cate ane conncsosdt | Date of Burial é le | Where Interred. Lo PTL RS | Grave or Lot No BOOUIOM, oss cssiees ss p canes Outside Case, Pine, Chestnut, Oak, Mahogany...... | EDORRO OF CPOE sik oes hiokcksckhcdciicecs a ei TP hectais ake FOTO ROE Gi isaac cies isacasexorcncecivesncstsnensteeies : | Lek rv = Metal Lined Box ; | 15 Se Sree cearennta earner ae eens Mountings........... PID sas ses esas |. / Mountings.............. ... Handles la: bas at Pietal Vault, BGME. «060s c.c0ies. !. | ts : Metal Vault, Style | Box Mattress...... Jurial Robe sy ) | Color.......5<* Spans dives tree ret cds OY Q. Burial Robe ....... | Color Slippers | | ve ; Slippers | Single, Marrigd, wid, Widower * 6 ceenade paren . tere eee enseneesen | seeeeecees seseceees eeeans 4 ae) | a Doz. Chairs | /, Doz. Chairs | Birthplace - Personal Attandance and Assistants .............. | , Personal Attandance and Assistants ; Last place of Drapery ....Candelabra ..Candles....... aa Drapery...csees seevee.- Candelabra Pedestals : Rug Ee ee ea Pedestals CASH EXPENDITURES. | 6 Country of Birth | Mother’s Name ‘ ) | Mother’s Name | eu ic | Country of Birth gk £ 2K AA , I" | | i | se Physician | Cause of Death | - ————— | wes yy) x 7 a : | Ordered ty deh tt, dee Be eadh reves toveseens | Charge to . | Charge to When rendered a . . [ eeeerer en) When rendered RECEIVED ON ACCOUNT. . RECEIVED ON ACCOUNT. Clergyman os =f Re | saveecsveelsecsaeoes | Qiesuvemeectatcere.|<s. 000 : Sexton SINATTONS, SOWIE, ..... sccccecsessccsvecccecene Organist Delivering Box to Opening Grave Pestrreetegeecboa peers eS. va Vault Charges.......:..sssseesserereee jad injsdierbesndentin sruawsessssees TFL ch, Se watt | ie ds, 9 Cee Coaches Tee OP POOP CO ee reresesereEeeEoEseEEreee seeeeeeeeee SPOOR COTO RE eee eee EEE eEEeEee seeeeeee SOOO E OEE ETER EOE O OTHE HEH He Heele 154 Funeral of. Date of Funeral Metal Inner Casket... ee es sons es ss wh as se ce es sla er AO, Sia. Outside Case, Pine, Chestnut, Oak,? Mahog Lining and Pillow Set No Metal Lined Boz... Mountings............ ; Metal Vault, Style.... Box Mattress Burial Robe REINS scree PO acc arccne z. Chairs Personal Attandance and Assistants ............. Drapery ......-Candelabra.. Pedestal Clergyman Sexton Quartetie, Soloist... .........ccccc.ccoccocsees Organist Delivering Box to MrT CHIU ois scsscecrsbiceseccdcantacacec:, Lining fault = isveecedapeichixtguiidsivetund Hearse Coaches Hour eee Date of Death... Bb = 4a Place of Deuth Occupation | single Married, Widow, Widower | Birthplace | Last place of residence How long resident of this State | Husband’s ie | Country of Birth | Mother's Name | Country of Birth Physician | Ordered ea nt vias oe to ae rad When rendered RECEIVED ON ACCOUNT. seeeeeeee SOOO OO CORO OOO eee eee eeEeeeEeS Funeral of Date of Funeral Handles No Outside Case, Pine, Chestnut, Oak, Mahogany..............+++ Lining and Pillow Set No Metal Lined Box Mountings....cesseseses v0 Metal Vault, Style Box Mattress Burial Robe Slippers Doz. Chairs Drapery Pedestals Delivering Box to Opening Grave Vault Charges Hearse eeeees tee eeeeeseesee OAT OOCOC OOO OOOESOOOE SOO TESESS CODES OCOEE OOOO EOE EEEHHeseeeeees TB sv oeeveeeecees WAONTRE eek: Daya... sessass i c os ee ee Oe ca vin gaxes Occupation. (#ALELKE YO _2 | Father’ s Namie Vie i | | ialeiaanaien of oa seleas Country of Birth, Physician OY: Ordered by MRI 10 i ces ..| When rendered ecdictnaiehdnslielie ootintieneaeadamesaanameme nett. 6 i of Cf pe LAM ES AAA 7 mm Lax on ica at Funeral a eeu ; Hae Cly he, Vales —— ———_—___—— oe ee Date of Funeral ___—— Same wciiseaesclil 2 Crro: _ Date of Funeral .__ If eteal, Pha eh a = C. ? Ls on LDA ABM ALAA LLL LA AAS eer af C4 Removing Remains ss |. | Date of Death .....<. Sonam comdeceien canaplasasanans 7 oO Brenbalming ....00000..0csss0ceccssesovseesesesssescesscesssnacsossscooonsnssse| sesccsoenes Place of Death....... 9 I Se Shaving and Laying Out saee-eee | Place of Funeral eee od Casket No , Metal Inner Casket.........++- F COBGEF ics. s 005550 Zine ~~ y. Vv . . , Handles No. ” IGOR cvec coco cates Shawdllide Ns csxsessvsesecesssesevesssseensnesncssvsensesnessernnennensoesnens® Outside Case, Pine, Chestnut, C, gant | Location of Grave .seresssssecssscereesrerseeessensscctccsesescceseneannens Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No bein : Lining and Pillow Set No. } t{~ 4. Metal Lined Box ite eer set ek WOK F- Metal Lined Box Mountings......-: Pee en ee aes Metal Vault, Style } ] | . “) 3 Bie DRAB UNE .ovenconsensaenseanvensnanhesssertenvsansuvenrscsnsancaasecssensehs | soncgseunelstentanys \4 Months......<.. Foxes DBs cise Burial Robe. Slippers....... ke < Plleatlte ca sscasscis | cnsnndenveleredseesn a Widow, Widower................ Fe ne ME ee eee aaa , en Doz. Chairs... i | Birthplace Seo alee tio ses elaine aoa S ay iegas sos ‘ Personal Attandance and Assistants ... ; j pasts | | Last place of Wibtingy WOE. ooo cc cuvsasssenesandstavecensies0 tt herent Drapery .... Candelabra .., Candles. ...... | How long resident of fei pt ae - Drapery Pedestals eee a | Husband’s Nam C dite Pedestals { t | | j } Father’s Name.. CASH EXPENDITURES. | : \c Yountry of Birth . cedler cose eh D001 Dressing. .cccccsccececcecccscececeecccnsscensseasnsesbecseyboes natcresxe wv) > a he »~POUMS ........000creeyheeceessgleneees ¥ “| Country of Biri PHYSICIAN 0.0... cceccrensccssccnsesecenenscenceeeneseneaeseeees : Cause of Death ; Day eat Zu Fe. A_A_ Aa war 7 | Ordered by 1. Si cccccesssesscossvevensesssecsssvensssrsvanennsesrees® Charge to Charge to | When rendered | When rendered RECEIVED ON ACCOUNT. Clergyman..........0.+- : ; | | ¥ Le Be Clergyman Sexton | 1 | 1 Sexton Quartette, Soloist... .....cccccccrcscrsecsceees OP QUE sa ivccsancivccsses | : | oa Quartette, Soloist Delivering Box to os Delivering Box to Opening Grave . int | } Opening Grave Vault Charges.,/..., ) ) el pea ates 2 Pee si Vault Charges Heary.. Oy : ~ n.d | FR ii ccoccadcceccccdadurssevccssetcecsenssuscereus senses twbeneereasteee (OZ / seo |assseeee Coaches 24 ; praca | | Coaches Telegrams Transportation Expenses. .........cccccccceceeee scene nneeneneneeneenees i a | I aia of. Mo Clean. Ore cs & or SS Date of F uneral_ / Removing Remains..... iL Shaving and, Laying UL. . ype rpororsnnves$froreeeerenahe a Niche f Ht Casket No.\.ngirtten ¢ ie Xj Toe — j y BC re sone tdbdenspieueans sheet eaakbievenataicsenionssntsésoncesvecen gold MED fcreeeeeseeeeeeeeceseeeccneee leedeebincsassosafelty a bidder: fptonatesl-sootoree PN IN sic hcccikanee seis oi pia " | 7h Metal Inner Casket............,.<77 i Copner Pecsareeueee Like saeeses|teseennes BON FI iia acrcvntlusienilioninenssebinaidisssssésievesanccaceam 1 bf Handles No........ssseeesiseseeeeeenen Me a nes | sd italia taambtins Get OF TE Pid isco Section........ H | i Outside Case, Pine, Chestnut, Oak, Mahogany................+- a ee RAI PIII ivi in ti cata scesedethesles viwiigtiegs viii | | Be Melee cat Wd HE II oc ses ccavencivivives vee ccxactnines nines POL a a ee are ME A PEIN 0s ch ee reages rea ps lsats ok cass Ges fate dave | yevehasese | Gbapdteds llaceausse: saneeheashaneacensseesnsaiseisaeascielcckcss ui: ; , Mountings............ ERNE os cess eis os PAA 5s, Gees | ieee | b ehgaey sy Ins caceetssaiethss¥e lent sesbaiessisissieetree nie i PR 0 oc oes 5 fats ak oes goed dle a | sesaeaeans | seeeeees Os PRE eke csividnjissovcinsednsodebulicsscusaces PENRO ass sceu sc tenehop tak onsite weeds Gensgfinns si verkwebansise ves | ee al A002. 3 ii RUMORS, aictpct ers BORING .06.0000520005 Days Burial Robe ........ccecesssecalt me eM Ree a a5 eas ved dcnk hove oe ee 1 DAS... COOP oreo ss eae OULU ois cco te ee Prs Pes cee CIOS ee oo ee Widow, Widower... Ae,<Yz Single, More ( * pce ePeS ROMER oi oss csi ee Birthplace Por Mey Co TT SC DAARMORE ROSS Ob Oe HVT OVER CEES OOo | s0dnbes Deel eeeenebes Drapery .Candelabra ...Candles, Pedestals eae... Ce eee Es ede ee eee CASH EXPENDITURES. | sreseees sissies Country of Birth/...£. crane FN PP 4h casuvedkrss Yensesin cgeatousdbcboiaeesaeesudiveenebonesen <<. lack cues Mother’s Name... Pee rielsvee ee etal cee PAE rye ee eae ee D cesvaoaspatonseeaes Country of Birth...... , ; POUND oes boss escntrs oo echoes ores see | ae ree Pravin IM. lrdep 72 OK. pik pn bond xuwSsserasesnytasuysbcasicvaneceress :exsesepanneide one uu | cue Cause of Death a Qed Qtr eee eees Oe Cec ee ccs ee shsherct++cesecees ereccerses| cecwence | AE MEI OW UG .cctveeteecccreese Meee Mo decasseesesessseceseeves Quartette, Soloist... ........cccccccccoccccoses Organist Delivering Bow to..........c.cccccses. ale oe Opening Grave .. y SO008Te cre Meccscgesceves ee eee Sere eee eee Coe cerereeeree SEO O ROHR TEESE EEE HEE ERE SEES EEO EOS OS OR eteeeeens Re NT Tyr neers nent ony ee A OHEOSRT NN REWER URES CRS ONNGREENENS Sésuieey { SPeeeoererececeeeee WOO SOCCOSOOSOORSSODENOELESecee cons POOP CC Oe ee eer eeeee Penne eee a eeeoeeee sees ees eeeeeenee COOCOO OSS COOre COLL CLE EETeDCeesCoeces POO ee ee ween, TEES C REO S ee eee Oree | seem reeeeees| seeeseees |S Oseeeseees Pee reereceereeese eeenee POCCCO OO OCODS coveccees coe eeerehe ston! seeeeees IPP t tery COOC COO eC OCC O Ee eeeeeeses weewees ss eee eeeeeeeeeieser weeeeeeneeee Poorer ereee eee eeeerennes Ceeeeeeseeers | | od Py fp J lcs 240 a V a =<. A Q A teem ee eee EEO E TEESE SORES EEE OE REESE SESE SEE E SEES EEE EEEEEEEEEESEE EE EE EO EEEEeeeEeees Metat Inner Casket................+- 1] Handles No....+0--:s0cssecsessesessesssesseessnseecssesanesensnennensnsenseees 1 Outside Case, Pine, Chestnut, Oak, Mahogany FAG OA FUTON FR I aon ciis casas sc Suace ca iabie ossssdaseviccinnses | Ss a aa iia l) DIOUNTINGS. «0 00<.0055055 «3 FROMIOR. cesivestases sess Plate De iteset Ve, BOI occcccncee Eee eer memes nearness | PRs NE AEINIE Gi inc sacks ochre cageti bascdnnsdcdous cestcesunsvas tea sussepeacess | PGE TOO sa ak chen sac bs bruce chau sd omens ap ao segs bea ss a deasaasae i SUNN oisnsssccitecsessssinas PTR oe Gloves Drapery Pedestals See e ener en eee ee oeeeeeeeeeseees > COP O ROCCO eee Oe OC OHE OOOO OEEO EO CEEO OEE Y HHH Hs eebeseeseereereeseerererereeeeesececeeces Clergyman ¥ Sexton HTS R OOOH OOOH OHO e EHH EEE EEE SHEER SEES OTO ED OO REESE EEE EHN OOS eeeeseeees AMUN TIO FB. go iiss ocak detains My scc evens Onvening Grave Gt a eee eee ROPE OO SOT OO COCO CO OO EO OORO OOO EOO HOO COO SOT OE SCE O SECO O ELEC eDEEeeeEeeOSeLOCeeS TUES VS 9 2986880905 5560000 6 690585064 040000050000 505000600 0568s 0sece0cees Oot eeeens WOR O Ree eer eeeeeeee FTA T OOOO eee eee eee eee eS eeeeeeseeeeeeees ae JOB Date of Death . «| Place of Death... 6c... ; OF PIE ego ivi 5s coins ickee whic ssh How long resident of this State PAMBDUNE B NONI 05 ings chon nniehi Country of Birth ......Z.c20-0 Mother’s Name4.4.\.8%. Country of Birth.........4 ( neat e Dp cenafan cseserene ganas e reese eee ee eee See Eee ees se eeeee Charge to When rendered RECEIVED ON ACCOUNT. Peewee] eeeeeeenl cewee SOC OEOHOOO CET EEO EHO S EHO R EEE H LEE. eewweeretee seer eerrrers.. see OOOCRO CHOOT MOO eeeeEle Henne « 160 yp i Funeral of n UY, LO™ it dug UA Ka. ie a ae ek i Df hung ail el. cea Date of Funeral_ 7% ~ { 2 } aia es Date of Funeral at : | a a / ; oy > ° ) -e | Removing Rematns.....crccerseeererenrsveeee>’ ccmasauene anes aed n2.K2.<4.| Date of Death... Jp 5AAA stesseeseedhenteneeseeseessesenccsceessesnens Removing Remains 251909 : 2 cose | ceatendedealte | Place of Death Erbalmtng ...-..c0s.cccccc ccc seeeeeneeeeeneeneeesssmmeen ete Embalming sid : ee Shaving ang,Laying Out...... | seecagssese|erees-eee | Place of Funeral eae Shaving and Laying) Out. 2d teed Ci, oo apibsarnbnades Casket No (pn Parr Size . see bees ve sbiesasvcccee Casket No...aA be seaspe....gr. INR Prbebde 4 / A Date of Burial..... ‘etal Inner Cask ; } | Metal Inner Casket : cueeeie en Metat Inner Casket scsi euaiiina vdles Ne lo ope cece rereceee creer seeseeesegesoe see seeeeseesOeoeee® eoeeeapecesee . , Hane ? ink. 3 dee Handles No Grave or Lot No ue : I |OO Outside Case, Pine, Chestnut, Oak, Mahogany Lc sattice Ties OF CI iso 655 iv a daa hese ae Outside Case, Pine, Chestnut, Oak, Mahogany Location of Grave ee. meee: and Pillow Set No...cccocrescersesccessssesceessscccsocoococssoess | | ai . 1 J VU, No. seeceeceeslesecesees | ceenereseceeeeeanscestasereteeesseseeaeee casters eeeeesene Lining and Pillow Set No Metal Lined Bow...........ccccsscensesssensnececesncesecenesenseersasoaseseres Mountings......-.0+00++ + . landles... Pee, ' | Single, Mi ee . | Birthplace ...¥! \ A eal, Last place of residence "AML. Meer... YW Personal Attandance and Assistants ..........00.c0ccccrcrre cere ccees Last place of residence Personal Attandance and Assistants | } r a < CONGCIAITA, .2-<.00000-00e CONDE, ...000.0008000: | How long resident of this State S222 * sa * : Drapery...........+..-Candelabra...............Candles, ...... How long resident of this State........0.... ceccecseeseesereectseeeenees | Husband’s Name cS eee Pedestals Husband’s Name | - 3 | Country of Birth . < Physician Cause of Death Ordered by Charge to When rendered... RECEIVED ON ACCOUNT. Clergyman Clergyman Sexton Sexton GREER, TIOROGIE ais vcsaseonsnecesececssiacs AINE ss oni Veibscaxsins @uartette, Soloist Delivering Box to Delivering Box to ORENANT GHAUS srecesorecvecesceecvessscevesseses Lining ODENINY GAVE ...0ceersrserersserscesecoresecoecs Lining Vault Charges Vault Charges Hearse Hearse Coaches... Teleyrams Transportation Expenses sereeree seeeee eeeeeeeeoeoes ano gms pacer basen mle a - ‘ z eaeecee see eeseseees Amount of 3 . . bis OF . | Amount of Bill.......0 A Funeral of Date of Funeral _““*"* io i 2 Or. cial S 20 a 1 | | 162 lett ho val Fatthao — | ioe Date of Death | ve ee Se ee . ‘ Pramiwtiay TROMRINE. «6 ccscccccennccecacssceseosscdoann iinacbaaiesoninibe Tete WMIIINE ciscsonic ko oisesceeesss sce MN ooo clige soso scat ixcdansahensaesunes piscunwiunesianceats | pdesseananatebeeteces Place of Death j Embalming Shaving and Laying Out — of Funeral Shaving and Laying Out Casket No Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box DIOURUINOIR s ccasscrsncnen-eie Handles Bleial Vaal, BOMG,. ccsccicsnsscantecasos sckececuaperuiens eee ere ae MoOUnTIAGE, oo ncicsacess <6: Ticino i Metal Vault, Style BO MAGIGIAEE Sc. cccccenseccssecansins eecececsseesreeeeees passvascniads | Ag SE, Montis Digan so Box Mattress BPI BODE y, ssaisssanesasvas = pines dokenss;ucsua eae eceee dae CANOE csr ee ee Occupation.... DOTS i cccskccsccvcsssccciccats PR cicisevaceases OOORS ais ickisss ss: | Single, Married, Widow, Widower Personal Attandance and Assistants Drapery me | How long resident of this State cseteeee Drapery................Candelabra..... C How long resident of this State.. | ?, | Pedestals. ...sscserreerercersreereanernes Rug. . | Husband’s Name Pedestals Husband’s Name | Father’s Name of ts eee Father’s Name CasH EXPENDITURES. Country of Birth Pers Country of Birth | Mother’ s Name scoskebant Mother’s Name Country of Birth | Ordered by ‘ (ene .Porters and Ordered by Charge to os Funeral Notices 1 CROTIE LO weccccicses ni ieertea thane | When rendered When rendered..... RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. Clergymai Sexton SOPHO Oe Cree H eee ee enero meee eHeenee PPP PPP rr rere rere ee eeeccee SPCC COCCe Coeerecce Amount of Bill........s0000009 woe ecececceccccenesccocse’ al F.FO i Amount of Bill | FORM ROO COT HL ee ew meer tee eeESEOO OES e,, gee OPPOOORORGROeBee berets euauel : gt + enercheccrhnanenegeasectnemeasacertios id-othieeguateaasandis Lapdh-henptichiernaeediedkiekaysteietneiensdinasciesssinanaationemiennsiamntdiath=htabetctslains scala init rid . — oe ee . i inca eect oa on er Aid stat eeaptiltins line 164 Funeral of Date of Funeral_ -Removing Remains PIR oii cous dn dccavccsseauaseabaaesonenn | | | soneececesceseeceneerers | | Shaving and Laying Out....... sryetteees SIF Ri rnnrnrnenensnnen Er: fie Casket No.....N. LG Cy) bs Metal Inner Casket.......0..000sess COPDET ...<sscccaes Waele ss es ft PTE Tas cs oc sass he caannkw say uaenedsansas bin susasensanesinasens Td Outside Case, Pine, Chestnut, Oak, Mahoganay...cccccrcccceesss Clergyman.......... fry Masaka asesshdeneabe ac agaSneikskecce <n vexed: \ f 2e75 fry : | Date of Burial, = Weseeeees | | Where Naieed sete pabareeeeses VASP PTE IG 5 oes sos chcci viaccess Section......... J CO | COOP ODO roe Ores cerersererere ree senseeeeeseciosecece : Q (/ = rt . on Z....| Date of Death ... SAAT, hy ae a iicaiece ace of Death. SPA BO Kaa fore | Sarre teers ieee sacks | Place of Funeral, Aweele Vere biesaces a i 2’ ; Lining an q Pillow Set TOS sadcs Saba diccskunccinnsskecduesiaesuiaw Zz... a 2 me } A ie Ge a he a VES fgg) | DEON Bois kisecisc~sss FIIOR sectnasisnsevioss PPM ssbes cc vaseee acs ees es eG ¢ DEAL VUE, BOMB. ciciscscvacsénscascacce mkaseecesiavadaves Weuetaecsseistaes ban usl cussisiead | onthe tone sine speeetsasalecs cscs iooae ica cis os eee ) Bremen cer oss cat mad Bor Mater a6... sccccseccsscessese pipes tin oan en dabdak Gsaeiiaeabeebee cee | ee eee ee..2 ass Years....../ aren Months...../..?.. Dave. ee PRED BOOGIE ocd unvces K3u Cwacasdabacciacias abualaavasiiacneuxcs ILO nC | Color.. Dakeassnesesgasegecncsebranecess Occupation Vn. og 1 aed Personal Attandance and Assistants AOR O eH Oe OMe reserreeeesreeeeesers oe CANndelabra...-.ccccccsces COB iss bnx cick Dray T iiscsteasseke PAN oe ee POD ca vecasidonccbaies seebinieeeuks CasH EXPENDITURES. wr Dressi THERE TOMER SEES EO OOOOH OOEEEHE HOSES OEEENS CHEESE ESSERE OEE OEES SSE OHOEES OOOO CTOO OC OSS Oreo eee e DOES re SOO EOOE SES EOOOCOOD EOC COLOR COCO SC OOS S COR eLeeOsOCeESsooes Cecccccee|soveseces as ivn oe ON TONE CULL c cacexakncsvacekeaGpactiecdivs LHOOUEE. cisineies: PAOITL IVOCLOOE cc cadshiasissdsncsesudecccss ee HOT GYINGM. 0 0ssaserssecees-sssseerssernreseosesenseenseosevesseecececsceseces | WP TCIE ES chases enicisssnucsescesvvedacossesciescdelbcsien scl Quartette, Soloist... ccccccoccescecceccecesee OVGIINE oss csavickeviess TINE CI Winic senisicicisssiceins -enduasdivnteciauaiechsecsieiuiie cig. MUNIN SIPEG sci chcdwieieees ikeiebchevcsececancs CME ss ccicctuiesccssxens wot Grates res Pe ide of yo B.. E eeu | Physician iy, Ck \ | Prsptan 6 A AAP. tiie. CB AL agen | Last place of residence | How long resident of this State | Husband’s Name Father’s Name RECEIVED ON ACCOUNT. FERRO OOOO Ree OHO ROE eee eee EE EEE EE EET HF oceeseseEer® see eeweeee +» Telephone....... toecescerceccscs | _ Transportation Bapenses.............ss00. Poeceeseesecs eoecceesccccocecoee SAO eee eeeeeseeneeeeoeeee om Amount of Bill....... Seeececes CORSO OO HS | So oEeOEE EH Hs] FHHTHE OH seer eeeeeeeeeeee ee Serer eeeseesececesoeeeesleereceesees [THORP OOOO ee ee ee was eeeeeeeeeeesaeeseeeerienseearenee® SOMO O Rees | nee eee eee eel eee HORE LEHRER OREN EO eee eH es COE eee eee eee ee eeees [seen e se eeee® cuveeneee sjeeeeweeee SPOR RO eee el eee ee ee ETHER TOE HEE es eee eee EEE EE eee eee ee eeesieeneeeeeeeerier® Funeral of .... Date of Funeral___— X) Irrohkel [lero pee ey Te TONE 5 inccc cn scnblitekc da dacic 00 baceskosachanaedsccestccncs Embalming Shaving and Laying Out Casket No Metat Inner Casket.................. WU GMIGR INO ss ocsssccncsssensncens Outside Case, Pine, Chestn Edsel i FIN RE I: asc ve tukcnvctds ca sapoioiescadeeud sd sckienens UE TA I So esc tis Soe rece eeerectucttaaewes ads boas ateneteess MOUNDUA OR cceseccssases 43+ Rental Vie Toons os seks ci cs scedsdpkapas ibaa tananentetesinoes Box Mattress ......: RUPEE TE anes oes sh yoo gh a a gk ba sdk a wo kad fades se ECD OOND oan cccskaiaxanbeconvesssas Personal Attandance and Assistants ............0.000ccceeecceces veak MIME OT cone ccecsncese Sranerny ESTAPETY. .ccesceres-0 Padeele ocak ee sc Rug CASH EXPENDITURES. DPOOY EIT « iiicnkesicisnsesasdieetess cesdseuou +Scbnvussevesssieacviersaners COPTER OOES OCH ECOCSES ODOR ESER ODED Hood re eRe eeCEEENSS CE SD SESS ORS CC OSE OOE ECO LES tte HOC e OOOO OO OOOO ES OEE HE ee EH ECO OS OSSOOODE OOOO OOH SEES EEL EES COS OOOE Sees Delivering Box to Onentng Grave .....ccccceccesses intabubaonenakans EIN « <cscvednes sasries Vault Cha rges Hearse THEE HHO eee ee eee Monee reer erasers se ese es FHS OOOH SEED eee eeeeseee Coaches og Telegrams...... gicinebeceverastiansibearis SOOPRONG. covcscssscesseresseves Tra nsportation Expenses POCO OOH eH OO OOO LEO see EOE OOOOH EEEOEE SOOO ues SEEDS eeeeereses CP PPCROCOC COS CESS SES CO COOD ORES LOL OSC CESSES CO OS SCOTS CeCe ceoeeees TT POON Nee OOOO HEC O STOO OSES COTES OO OOOO TOROS EES eeceseses OOO e ee eeuees TT OPPO ee eO Ose eee eee eee reOEe Ee OSS E SESE Eeeeeee oo Ree e eee renee ee HERO EOOS eS OE OSES eee ee Ee eeeee ee eeeeeeee EEE eEEeeee® eo ; pie OF TOMER ii scscntks Boh . | Place of Funeral.... re MLE Kg -Z 6 | i Date of Death ...... A ions eee hi ong c “Lae ch (ar . eee gh eer ee eee nese eerste eee ee eeeeeeeeeesenenee ances tena COCOMOOLS | CODE O OE EOE EE LED e er ee EEE OEE EEE EOE OEE EOS ES Heeeseee: Seneeeene ath eases ne caer pene pena se wil 3 ee How long resident of this State. Husband’s Name .. = AK x DY S on o ate ‘ Country oe SP pg ae Ce PMN in i ie ed Hh Cate Or NNN es spe elias cae ———— FS, —— 5 Ordered by oe eevee. se eag Lenses uesseakeas use OM es ce YS ei eae 4 | When Pe. ree ee ’ t 3 ; | pare if [oeetonivete eee wigan ecto [erorbeate : et ee ener eae vIn er eR Ren eR? [rteeeeseseeelecorsesee ; : ff <wasnubebese / tN Mees acrenieeren ere ipanie Pe ‘uns | eaten | | ea eee eee eeeeee! we eeeeee PPP Tee Bere Moree rewcee Leweernee Seeeleeeweteestons eee eeeeeeees. On i atts Season he hao = lai AOR 7A ss = ethernet npr a enti an Epes Aik WH | 164 7 ) | Funeral of VS oe mh , an er iiaaa. Funeral of : eae Oi 4 - EEE A290 iw. | Date of F uneral_ a ye? “TF —— Pee pe i Removing Remains........ccccccccsescee- | ke : 2 | » as ug > Ie i t I oasis ca. cc, csenaiancases eneeeanaanaes seeeeeseeeeees | | Place of Death hi Ae ; | : Sena cas Kd dtu Agsaesaees Me ae s acd. oe o- 7 F Y RCL | Shaving and Laying Out | Place of Funerai Pie OF PII TCG vssis osc evs seats nates areek eereea eae Casket No ize | | : ere Date of Burial | | | Where Interred Metal Inner Casket F . | | Metat Inner Casket andl: s No | : } Ha NO..sssssseesrvseoseenscensonsconsconsensessensecenenczenscansnsonssees |eenesssssselsteessees roe Of Tat 6 ce Section Handles No | Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany.....0..0000++-++: I" | Location 0} Grave Outside Case, Pine, Chestnut, Oak, Mahogany | Location OF CVE ois sens ins in pista scddatissscacstisaassestreewetoes Dig Gd F026 Sek TNO. ocindascnesn occodecsceecsnassviens gebsisicsiie ' | Lining and Pillav Set No HCAS EAM TIO8 «cis cacausaicksccsvanixiavesesamsscnves Metal Lined Bom...........c.sccccsescsevscnscercncsnssccnsescscescrsceeeesenees Mountings....... Mountings ee esa Metal Vault, Style Bees Math rtd... .ccccacecnecscvessvstacessscosqaconssavensusaseesee cesecsasness Burial Robe fet Rai stamens 8 i nt i mst ea NA A SEERA th 9 een ripe te 8 Slippers Personal Attandance and Assistants Last place of residence Personal At cas CUNGMAONG. ... oresesnnci AMORs secseossscerses | How long resident of this State............. 0... Deanery | Husband 8 Name sera ae (| seeeee } ede stais | { anys CUES ‘ oe or U. Cc 7 Cette ere Meese sccscereseees seeeee Country of Birth | Mother’s Name Father’s Name | Country of Birth | Physician Cause of Death Ontee by : sass heseersieatceee Ordered by: AOWOE 00 sen ccicasvesccssssacde es When rendered..... Frege i } _ “GY ae : { Clergyman........ Lisk Bevsicnpiis the ccateangeasiied \ RECEIVED ON ACCOUNT. Sexton Delivering Box to,.2 ye , Oo Opening Grave ...QRvccz Vault Charges at. N Hearse Trautheds hisitets 4 Coachee .... eeeeeeseooees See cceeresescorrorerscosesooces Sees Seeeereeeeseseeeees eeeeeeeereccees enoee Seeeerneesceseerere SPCCeeeee eeeereces on ~ -) . . Amount of Bill.......c..cccceseesesoonas ssinieaititi oe - es we ; Tiree a 5 Pas co ° ° weeBewe . Seeeeelesewcereelene TTT IT TL PPeeeeT Ti i regeaenh ery a ae saree . as ep son 8 os Wm 168 | a. ii Funeral of —— —S - ed Funeral a Wnt. fee Coby Date of Funeral Fhe UX ? Remcving Remains........... a capatanadnecukeineaiciesicidiaaies as ibinwsodiin La a a2 ey | Pe al _—— eacseusce insite Removing Remains PN hi iiins ls ssc ssccupeegbbaxacdeuns ‘ insuadehapsuess'l 4bs0kakeahttesesneea | Pi } | Ww a ee Ue Embalming | Place of Funeral Shaving ang Laying Casket No.b< Metal Inner Casket.......0.eccceseee Copper ine “a8: 1 Metal Inner Casket BE ROO IN Oso os fav 6ckcacsigsasvcdcavapsensikeoctssecsean eat Sci ett Pasties | Gr | ave or Lot No Abscasvieee Handles No Outside Case, Pine, Chestnut, Oak, Mahoganzy........cccceccees | sccosescess sa ecesaes | Location oj Grave Outside Case, Pine, Chestnut, Oak, Mahogany ! | | NU NI ORIN CE ON iia saa eitn clades dacabins Vecsiss) sci. | | 1 | | | | *seeeesannennvnseresenesssrssesenssssesees peabyadspueeewires Lining and Pillow Set No Distal Te Oss ies cesses ee Mountings. .......0s00.5 « oe Se prune eae 2 vs aa . < e Ke Ud why) li Metal Lined Box Mowuntings........0sesss-0s PUNE gies sss ca seas PMR rose ae Dated Vieill; Biles ciciccicccsic cucu abakae ; : ' Metal Vault, Style Box Mattress.......00- soaaeeaseeas pdsianahpeibetabien | | AS LUS...000000008 7 Por Mattress Burial Robe PPR OOD occasi i clachavestindacsvhescn cecal eseecsssisiccsksasis SUDUONE . <cc<ccigesiesissiswinis Siz | Birthplace | | 1h ee isa sie ie Sins Drapery Pe de stals. When rendered RECEIVED ON ACCOUNT. Delivering Box to Opening Grave FEMI ik scssccsnsvsiesenss eee CORCINOD. a si-ves vaeseeedh weeeeoeeese OSC Oe Ce COO OOO DES EROS SD ESOROECe Seeneeee eeeeeee eee eeee SPO D ODOC e eRe een eee ee EOe MOORES OOOO OOSOOESIOS OS OOOO OSE RONSEES Sesneeees oes, eeeeee Amount of Bill.......ccccscceesees a ead 50. 7 | . veeealr veces seoeees 3 - ee ee ea Sse en fmt etna tesnmnnsnnncencnnainrinttiaais = —tentnsintenncesianenentiatanindanns hove ounce -shsitatenpceseteasenecemncinastendpeneimarn diesen if a + if iu H 4 , oF i i] i if ? H ' - 170 Funeral of Date of Funeral_ Removing Remains........ceccceceeteor Embalming ............. | 44a0E OF Lean ..... fp rvvcvethooees gteeees Mperee | Place ob LAA Mona dow ed Place of Funeral | MOAB ics Sart pices + OPODOS COS SEDSO DEES OD8 288 OORS00b6bR0000800%0ssce +9 80 e + seeeees OP OPPO e eer eseresscseerens Toe ee eee ee sees Ub bhhiekccextheress esse ane. 2 | pacasnan Ete Of DAWA, 0 Peder th dessus hecssscs.... es Metal Inner Casket.........c..cceses COPPE?....cecesees MN aos oes Ve pekeac res Where Interred Pos wee eee ae eae s * - . Pe tenes reny y a a8 | ‘i PIMUIAS TIVO, sy cas sausides susauecnaapeasxsanssdisdsdsanksnewseonseans oo OFTEN oss acon Section......... | | Outside Case, Pine, Chestnut, Oak, Mahoganiy.....cccccccoseess | ssescssceee ae | Location WF chk a a | | RESON OF SIPIUG onssnssessneessesassvesesesonevesnssunssensensnessiay pol r ae / RS TO gi ioscan issn puis a sadabelal 1 cams: Ss icasccnalic vieuasis idiiecas Se ff 5” | COOH HO HHOO OOH See eeEEsereerereserseeseresees . —— MOUNnUNGRcecsiscvevensces PRONE Bs sci kncuisesnianes Pe chttadns wakes’) Seaeiidias leatelinc) vomiaes dead sia Gi os 17 (eo NE a a icsccacadie tas csccenbeslibaetinaecieiaa naedentitedass TV dtas. alicia ee Wei lect sas veseees Box Mattress. .......900+.++s0+seceesvccoscstoseneotonssssenssesesseoeeesases . | Age..... a. Years....: EY oy... Months... Duys ] il Robe decbanhendentesd ctusstssessaceessusbiskees fe eh Color.../,... CH Ie... Occupation....... ecacseak tt cisseuacausued WEE pore a | ee ee | Sing €, Married, Widow, Widower.,.......o...... ite eter Be CHAITB.....srrcsersoverrseecsereereneess | secsscersclesseseess | Birthplace . Catete . [IP si vessivgstagseiay beast Shes sdanke lees cetesine teeia Personal Attandance and Assistants ......-.ececcnecccomsecseeconcoess. aot aed ont | Last place of residence ....... WAPETY.....cc00es ..Candelabra....... gs COME Oi sie ic kiss ie | How long resident of *’is State....................... | AJ 6 OCs eee ener eses eeeseseeeeeees CAsH EXPENDITURES. boor I VE88UNG... Oe ee reececrncsecccsesssscese wucee Seats haa lca PUMA Sc POCO COD OC Ode dr ecesacceccescoseesoesesos SPOOR Owe meer ese ee seers reser seseeeeeesseses .. Porters and......... Funeral GOMER a oles a esis Ok Coat FOC OH mee eere ee eeeseeeeseressseesseeeseses CORO Cee eee seneeeeeseeeeassesesesecs HAAR OOOO RO eee eee eee eee ee eseeeseses OPC POCCCCOODSOOOOOES CoOCEEOE OSES TOF EL ss seceeeeeeeeeeee cess Sr rer errr Ty Vault Cha IO... ys seseppesecserecscesseesseeeenens SOOO E HEH O HMM eee ee eereseeeeeeeees TOTO meee EHH eH eee HOO OHO ERIM OEe BEEK SE SEss deocsec:es eeeeeerens seeereee POOC COCO Oe eee eeseres: CCCP RESO ESEOEe o SoCo R ee eee reeeeeseeeeeereressors Ceeeeees secees Ceeeeece Peeees Seeeencoces Seeecerecese SOOCe eee Seeeereeeeeeeeee eee ‘ee eeeeeees Seeoseeercreeoes oe Seeeceseecone e bad oe | Husband’s Name 9.0.0.0... ypeecseyjhesssressssegeeeee | “i é a eras | Father's Name bh hfe " > ( 20 3B Jessesenes | Cause of Death } | Foabentac ; sani = Cong ac oes ee — | lOndored yA, MRS (¢ : 2 Wy a 7 | ~ euuek es Charge to .........<.. et tastes a iets fe Se |rresenses | Pe SON Dacca chen tikes Vata ava chinese eo ihe AOR nie ae en ear aca Hi RECEIVED ON ACCOUNT. seeeeeee Funeral of... Date of Funeral Removing Remains Embalming Shaving "Chia. Out. Casket N*s«- ihn” é é Perrrrererrrrrrrrrerririt iit iii r rrr irre rr rir i reer rere rr errr rT TT rr Tere Metat Inner Casket..............06++ OOO... cose nes PANE oes Fe raat Ae gi ss soa a vias ku ops babu ion tw ince ddncaeiunaackaviveus Outside Case, Pine, Chestnut, Oak, Mahogany.... Lining and Pillow Set No Bre Te ee oa ee ides a PIOUNTINOE. sci icecsesss 24s Metal Vault, Style Box Mattress Burial Robe Slippers PTePPerTeTOTer Terre Terre errr rer ieee et eee eer ire reer errr reer eer) Personal Attandance and Assistants ..............0cccccccececes LORY ka FOGCRNID 5 ssci5 ioassaness CONGMBOTE:.. «6 <iccicicee Candies. . RMP PMIIIIE Sug sae sctins apneic ah vassin pues 4isis bates shues avn th kaa Sexton Delivering Box to. Ovening Grave ... ? oo f Sedaka tekts <utesees Hhetwness Lo) verve evn’ : oie Rees Hg gt Fee were eee e ees enees | Seem eee sees esse aaa eases eee Es SHOE OOM OOeee Heeeeres: Ceseeeees Date of Death | Place OT cise : Father’s Charge to FHP Oe eee eo eeeweee | caw eeeeerees ssseueee FOROS ETE OH OOOH OSH] + ee eeeerer eres eeOeeee ee eereeeseseeeerers FOO wre e ele eweerees | cessor eeees sseenees See eeeereeee! seeeeees -eeeee POCO HOH EHH OCS O EH ERE EOE HEHE ERE E EE. Daie of Buriaf Where Interred.. Single, Ma WES WGI oie cess vecicecadsest see Hus i Comatery SP TP So scscsssettnsseenssasyessscgffh iy Dall Mother’s Name Shas e Country of “2. vu Physician....V 1... WUKLLA Cause of Death Ordered by. When rendered..... HOTT TTT SET eTT Tee ee ree THE ESET SS HEOT EEO HOR OO SEES Sees rem meeee ser ece res Heer ereseeeeer sees eeeeeee Manatees Occupation FM sm e 8 Nome /.2.. Name, eer rv eeeese Pewee ti eres esnereeesesraeeeerseee Ve. SRP E CHOCO Oe eee eee rere meee eee eee O OOOOH Hele eeeHeeeereleseeeneee Seer e Eee eeeeeereees.. geaeeOeeeeeeesesonuereneale seen ~ 172 Funeral of PUL Ms = OLA a ——— Funeral of Date of Funeral. 7 i ees tM JM Date of Funeral , 2emat . Dilbtiliiéssxsseeucinas ail Removing Remains ‘ : ; ) Leek A Embalming stiteeeseeeeehenronsnsensssansnnnonefphen hiswneadacuusa eee é - «+ Embalming ; lee LSE | re . Shaving and Laying Out pseekinss eee Shaving and Laying Out Casket No. CCE MLL. arte 4 ‘Casket No Metal Inner Caskeet..........sscccees Copper PERRIER ING: iicaiccisisavdecces Outside Case, Pine, Chestnut, Oak, Mahoganzy....0..s.000-++++ ; > Outside Case, Pine, Chestnut, Oak, Mahogany Bane sid PUG eb IG, i cncexacuenesdacsibicskolbesscdvcnssandvandsodecs seuedeestilvanesuane | bhatawunasexetnesenabiseutsabsembcaastpardanclecsssagueanial pw ining and Pillow Set No Mountings Mountings......... soe cleat tannin as Metal Vault, Style....-.ccoccccscrsessesee Sine LN MIE) PROS a | fetal Vault, Style tox Mattress . | Age PATS. .... Months..... o he DORE cccccs he : e Bou Mattress Anan OOOO er eee rene se eSeesesereseesese seeees = PAIGE FCOOM <x. 45:<.06scscnusbsokessocssccor bauabicesssncakececciccessiclaiiatel Ml 2A...1C Occupation... led, Widow, Widower............ Rate ee ear” — ra TTY OTIS SV a oor cree aes Sites 0"! naan ae eee Sage oe BPE ee asia ein eta os ce mci vast Cnr poutine oer Personal Attandance and Assistants Drapery ..Candelabra...-.....- POUR GIS oo siccdcconsevnisaccvccandessce PP ciscsievi erstbae seseiteseeacees CasH EXPENDITURES. mass OF BWM iicciil es | Physician Cause of Death iceaibdacbeniaaslintale Ordered by NPSRTTAL IVOCWONG: 525 sel sbeecsssiasssudiasabonalaseebicsauie cose ( 0 / cr . : Charge to ~ | When rendered.. UN WN ee ese ee i a jeadeeenes RECEIVED ON ACCOUNT. Clergyman Sexton Delivering Bow t0..cccccccocecescs.... seven nce Sess elivering Box to Opening Grave int aoe 1 ’ le ; ing Grave . Vault 7 SoCo eres eeeeseceeesoreseeee SOO eeee eeeeecenenee ' i eet ete ceecees seseeecoceooeee Seeseecereee Breeeeene Steen me eeeseerereseresceses seeeee PO OOC OHO OH eee H ee reeeeess toes See eerereseeesersoeseseee POP eteeneee, em BPM eet ees ces esees # Pee eeereesoceneee omni niteeeceoversiie, | OME Lid | coeum | Amotint of Bit OOOO Reese eeerenene 7 ee ere ed Cera IER OSTERE ES UNE Nn uy ener tny nen nnr Inns © REO OEO TSS as ee eae 7 ROTM Tene Oe es es ee ae ene ree 474 Date of Funeral : Funeral of... ss Y,; haw ANadbslh K SIO 5o5c. saicccadnncdchedacu cha saienduonadesdsscconannieiwe MN Soi va lesncs ines cet tniaesdeseabainuad kde Pe OE FR Moin caccvececdsncasccesiluaccccicasscsceaineds NRE NGS. Soscicsscctasess oe te lasicsiseaee PM | ckesstctee ck Metal Inner Casket.................. CODDEN, «. ..scisivs PIs MEN Os goa aoe vaik cscs c ud won vadacueaee isso ness ene ses avdas casera Outside Case, Pine, Chestnut, Oak, Mahogany.................. Peete Ne FAO SAE Ni vndas ss enenencececocus cane sca saeseesoenscty ses EAL ERE oe heya sks ss dd Serer re rere Personal Attandance and Assistants ..... ..Candelabra Drapery | Pedestals Door Dressing Dee SrT oi. wen eeasraiene ote FREE «cision suvevetes lv eeie hn ties aes COSC COCO TOES OO Obeecescesuseseeces TOPO e eee ererssedeccoeeccesebesepbecscerGevse sovecveeeces BORO emt eee e ee eee meee ee eee sees SOOO eeee sees eee eeseeneresess | TUMOUR ceva cca ete eel clone cess ore eee cb ae aa Single, Married, Widow, Widower..............ccc000000.. —< > ae CkLg — : Birthplace Country of Birth A Mother’s Name....4./.0 Charge to eee ereeeeslseeeeeees Tae SN as orc ag ees eet cg eae nea eaeys RECEIVED ON ACCOUNT. og 5 j ‘ [ Tet tee een ees eee eeenes) coe me nee e rere reese seers esses eeeseeessseslingeeseseses eee | ce cercceress creer eees| sere e eee eee ses seers rset OOO OSerressescesieeeeeeeseees COC CCCS He rleceeccces | ceceeeeeressleeseesess| sre cereeOOeeSeOeee Se Sede SOSSOooErseeccessiscccccceeess Coe reer vericceceeses | ceeeeeeecees| sees eees seco ee eee Os OOOO OOOO OOOO COOSO CEEOL COrerlsvecesesere® we ececees | ceceeeeeenes HHO OOE etl eee see ee SO SOCeeeeeersecees Ceseceeoeceees: Poe eererereoseereeres See eeeeeeereresoesereeaeele eooeeeeee i eeeee eer rteee rere eCeee ere r eerie rere rer ire tee ere reece ees 1785 Metal Inner Casket.................. Copper... .......05 Bee ik i aaa aca can bs dada cnn ansas maaee sa taaseueeunaas Outside Case, Pine, Chestnut, Oak, Mahogany..... MTR re © Mating ame PIO EE 2105 cack on inti aes dacanedcsccndecesensapessenssecesas Mitel FiO TO os ovn cckcascxessvinriesavasencnatee pdanetxe eres cans Mountings. ...00..00000- «+ ¥, ndles een fp reseceeeees PAA vs cs.ccssesatins Metal Vault, Style... Attn taaddl encnantinteataocces Bom Masi ae: sisessecscssstcissvesss Be oss dan sede aninne ds oA ceouncevaaseness ee FEO oo ccicacocuececcccesnsctachsnestncstosssces sisi ssivsnstaveceseoxs SIONS civuistavecnecuenssninc: Pe AOE ee hs ih sae ical Sure ea eenens seas Det CAME oss cen esses: DPADENY . .cacsscescocees PIB iss ck in vaceke <tsis <etenssessas PMN oe oy oases tee hice ctnawa es CORO eee emer eee ee ee eee Ee eee ESSER EOEEE ESE SEE HES OOE EEE E EE EESS THRO ROO HOR Oe een wean nee eeeOsOes SHEE HOHE MESES ESE SESE HOSES SH EOOE SESE EEE DEE EE CEES POOR Ce eee eee eee HEE EEE HE HOSE OEE RE SEES OSES ESS OEEe ee eeEeEtT ee teseeEe TTPO ROPER OOOOH eee OEE EEE EE ELE EE EEE EHH a HEH ESE HESS EEEEE OSES EE ERE EEE tees Quartette, Soloist Delivering Box to Opens CHAS sss resseccidi tcc Vee gprevecececcesesese OOOO Oe EEOC SOOO DOR OES LEON OOOO EEO E SO ODE SES eeeesereeeeeeeeereseseeiseeee TOMO R eee nee eee eeeeeeeeseeeeses Oeereeee ee eecseese COOHCOSOS COS CC OSSOOES CODON S SES Eee SeCeeeeO Le RES SCE SSeS se Cesee COME Os CeO COOH roe DOC CET EEE OSE EEE Sesser eeseseseces POCO OOO OO ES ESOL OEOOO TOO E OO SES ES eE ee eee teesees: Pee ereeeses Seow encores eeseses SOOO CORO Ose ee eee eneeeeeeeeete® sees SOOO OO OOOO eee OOO OOE OSES eeseeeeeeee POOP Oe ee ee eeesseees Date of Burial... Fee meee e en seme meses | eee OH eee Eee HOE EEE see EEE OEE SOSH ESE EEEEeess Oebeseees PR ee meee eee sense eene | sees eens See eee ens eee eee Omen ees ees ee eee eee EeeeHeeseesees Husband’s Name ... V Se eee e eee eee emus ee ee sworn eeeeseeenes .| When rendered Ceeoerercces | socccehes sedevceseseeeeserereeerecesccesesecccoes pee er |.eeeeeeee| Where Interred.../....- CE Kt. ” RECEIVED ON ACCOUNT. ee a eee eres ieee CO er YAou 5 ' SECS ceennieiamatiaatesahtine, ck ne a ate ee pps z So Ni thee ncrn wn eer ne caine ii. “moonheengiebtiemasn ay vera aponpemegtnmnioapegitscina ect eT TRENT win senda = ah aeinsnain ie aR Sertrete anen.2 eee eres marererreeeeeeee Slee eee ween eee eeeee see eeeees Fi uneral of oe Date of Funeral_— fw WE — =e #- oti Bates an od ae: i US ak M. \ tO Ls i a | = ; . : Ahad ons «ee ‘i i i atta | Date of Death fe Lae hy Sa ae C2 | Re Sieeree | Place of Death. <8 Sa beeead Sicictcawns ae |. 2 O12 ss | Date of Burial... M&A A OO ery es Metal Inner Casket.......... Saeco tscllDuckss'svavses | + saeneuaaieelseeniesca TIGRE Ia d Metal Inner Casket PM Ns cea oe dads sce covnvs esnenesapeqees asad ened) secectecavesta thins bstsacnuaeas Secti. Handles No ; | Grave wi ee iis Outside Case, Pine, Chestnut, Oak, Mahogany...............++- | ssesseeees Outside Case, Pine, Chestnut, Oak, Mahogany I. | Location of Grave Ae GD PONS FEE INO. w ocisascsvanccochdecisessantsicasasntouanrsonesis ' Lining and Pillow Set No Metal Lined Bor : Metal Lined Box Mountings...........0.. Mountings.............. ... Handles Metal Vault, Style................ | . Metal Vault, Style Box Mattress.......... ge necevesevevoees sprrererense sens seteee iPvakaeasussnneen \4 . “ Z / wr 7 ae. acca Box Mattress a: LGEY C 4 ¢ Ho2e (dd | | LtAd wan | Burial Robe i. Single, Married, Wylow, Widower...........: a ae BUDOUNE: ariirinivicwacae PB oS etnias Gloves Co (4°77 Birthplace <— ALBLIR OAC ene acter ee ela Doz. Chairs Personal Attandance Gnd Assistants ..o.6.cescccsceccsccestcncss | Last place of residence : : Last place of residence 0%: | Drapery................Candelabra..... en How long resident of this State ee Drapery ; fina Spree | | How long resident of t} C << TT CY ie i | Father’s Name ee eee cece eecer sees eeesene eees pryrcccores CASH EXPENDITURES. 2. CL + Bee LtB 7 Pedestals eer Pug... Husband’s Name sak pA sa pea eae Piles Pedestals Husband’s Name ....., Woe pseeteaes arse roe ee se coas ica Country of Birth Door Dressing.......... ; | ees ) Mother’s Name Speirs yates ats Palms : Country of Birth Physician Cause of Death Fo a | 8G cs Ordered by ~.: _| Ordered by if me AAR ES St tl CRE i 8 lt BIR Sac une C2 Bar 6 Charge to ee : erie 1 A i : : CIE IP oso oscoesscoperxianeeenes: LP a \ fr Ee Oe IN iso rensvascgensvronccanes vs ; veers | When rovtibred A)... | ee RECEIVED ON ACCOUNT. 72) pk, ay® Ly, Cheep ty Yes, | RECEIVED ON ACCOUNT. , & Delivering Box to...é. Delivering Box to Opening Grave Lining,» Opening Grave f? * . Vault Charges......{L& 4545, KiB Me iex Ie. gf , Y RMIT iss cis ¥s0<sevnstinid baer A eres Coaches.......... “178 § i i | i Funeral of Date of F "ee. ae ar i: Removing Remains Embalming Shaving and Laying Out Casicet No Metal Inner Casket. Hand! + No Outside Case, Pine, Chestnut, Oak, Mahogany PS ae Ft oie si vn ca kvccdn sacs neces dio at canadebonsicse Metal Lined Bor.. Mountings........... Metal Vault, Style Slippers pe se seccess OU s Doz. Chairs. Personal Attandance and Assistants . py ’ LPPaPEer ij . Candetthra ...Candles. ¥ Pedestals CASH EXPENDITURES. sos ee NOUN MINED os goss ove 50040 os bak cne licens CFIOUNB 5 di osxixe Fun ral Notices Clergy? Sexton Quarte Deliver Openit Vault Hears 09 000000000000000000 000000 00000000000 0PO00CO000S 2000 EL CCL CC RC CRS Seeeeees Amount of Bil... BY 50 TEOr Gee eeeereeere lh eee SEE H EOE HOE CHEER TH RRO R eee eH ROO ER OESEE EEE E EE ree EEE OE eEee es oe 2a S- ji S Single, Marrie | Birthplace .... Last place of residence ........ he seureanss Ordered by .. OR. ; x ‘ G, CCOUNT. 7 Arti tteeeees Charge to eS -, ‘ biniioes When rendered..™. : B22, ett ia eeereeeee Funeral of... Date of Funeral a ett ee Shaving and Laying Out. Spire bllreft le ee see cere en eee een eeeaesesesesesears Metal Inner Casket............06.... Copper............. Zine Handles No. Outside Case, Pine, Chestnut, Oak, Mahogany Drab are anee Fe iia svn dics cncbta cas cd cde scss tet tas cas Metal Lined Box DA NEUE sii caneeincin c's 1 ARE n kin icavcrcassss Plate Da Yee Fe kiss ca nds ws aie oo PROPS. occa vedscvscuncindveinies Prs. ria Ga AM coe ole isbn anes esdisetiud omaeinesic ee Doz. Chairs Drapery Pedestals Door Dressing ie atensteneeeus tats eteeee MRM or che rere oes schict seen Sets Flowers Delivering Box to Opening Grave | Date of Death | | Place of Death Where Interred | SN i Fe I ee Section | | Location of Grave | Last place of residence | lry , o2 ee | f10W long resident of this State.. | Husband’s Name ...,, . /Cé | F ather’s Name...!..~, Country of Birth | Mother’s Name Ordered by .... Charge to .... | | When rendered RECEIVED ON ACCOUNT. hy 180° Funeral of . Date of Funeral Removing Remains..........00..0cagetbonsveess Date of Deaths 20... AaJeccccececsesesee Embalming Place of Death Shaving and ping Out... Casket No se eeecererecsesencey (CSE nnweececeves yee Metal Inner Casket ge a ne fy A, Betta ef PI Youn. | Handles No side Case, Pine, stnut, , gan. ; | Location of Grave te paateete cl sstéeeesscis; <. é ‘rou Outside Case, Pine, Chestnut, Oak, Mahogany tAning and Pillow Set NO. ...:10.s.0ce0scssseescrenres Me ew eta | ie * Lining and Pillow Set No. Metal Lined Box | Metal Lined Box Mounting3.......0.0.0.. s+: Mountings...... Metal Vault, Style | | | Metal Vault, Style Be i 8 a a see voce bso anecn da sakes eae eee asec ar ‘ Aa ee Box Mattress TURE aN su eo 1a oy cy ahs Sve suse U ie nd eauadeaee oli oentans d C 26 |© ae Burial O08 .ccescsscscsieshly Slippers... ; Gloves.............. & | ls Single, Married, Widow, Wi : Slippers Vc esckcapnudbebsppieestacearsessie Doz. Chairs Birthplace Personal Attandance and Assistants .............0..ccccccccecceeseeee Drapery ss; COMAAUADTO............... CONGO. ...... ihe long resident of Pedestals easeines 4) i : Les |: Husband’s OS Be Father’s Name.............. ¢ Country of Birth ; Country of Birth Mother’s sie Country of BiWth oe / Mr er @G A@ ee ceistiie iC Physician ud vt Hl | iit Tf int} it By Hl tee i hi Cause of Death Charge to .......... KK. ae fee BS siiceeeneneys ‘ |W hen rendered RECEIVED ON ACCOUNT. Ws oe Delivering Box to Opening Grave FU Co oivscierittndesscnsiess Hearse } Coaches. Telegrams Transportation Expenses eee rewneenee See eee eee ee eee eee Eee ES OOSEOTEEFEEOOOO OSC OO EEE weeee EMEP RESCH ORR O Oe eee eee EERE EE Ee ee eeeeEeeeeeels seesenen® Bee eS a aa arene ann nT en OUTER NS OO a RI on van? Sle nNUSSTESE Sng IS SINE SnCu nO STE Sprint a | es i ©) a a Se ee | 182 Mh. . Funeral of... Date of Funeral Removing Remains Embalming Shaving and Casket No./ Metal Inner Casket Handles Outside Case, Pine, Chestnut, Oak, Mahogany RSIS ANNE FAN IGE FB. vin oic sixes oni sas ge dacntasanensesschvsscesersies Metal Lined Box. Mountings Metal Vault, Style Bor Mattress .... Burial Robe Slippers ..Doz. Chairs Attandance and Assistants Candelabra Rug CASH EXPENDITURES. Door Dressing.... Porters and Funeral Notices Clergyman Sexton GIMGrbee, SOLO. ........seccccseccsoecssceses Organist Delivering Box to....... pos dr4s0u ees ushSeseeeavinelssenses & WIR CPUS 5. citocha fos... Vault Charges... scr sckbeasvisacese “ Hearse IY Coaches... oeneee SORee ee eee eee eee nee eee sree ee ESOSOOOOSEFEOSEOO TERE OSE Ee Seenceeny Amount of Bill....... shinteeciannin Location of Grave p+ _7 Vow 18 Le | Color, Chesca Be clas Occupation ia . ; | Single, Married, Widow, Widower O | Birthplace (2 | Last place of residence .. | ¥ ei OOP - . | How long resident of this State... ...... Husband’s Name .... } / | | Father’s Name Mere: Country of Birth Mother’s Name Country of Birth Physician........ Cause of Death FOTIHFE Ordered by “z..,... bie aan PPP tees) freee eee ereeeere Funeral of Date of Funeral > Q D, i oe SA ee 7 CK. SJ 183 | Removing Remains Embalming Shaving and La: Casket No.0 <3 Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Ouwk, Mahogany Lining and Pillow Set No Metal Lined Box MM OUREAGE. co ncsnconsers- a2 Metal Vault, Style Boe MAGAII OND icicicnsseccnctdincekantercss ees ciecstceesa pale destdeassiesnaes xa Surial Robe ........+ . Slippers Sccpsusuatinansareskabereenieets Doz. BOE sipiniinsivitiesinkbecolcblascs TOE iis scisicerl sis Transportation Expenses FOO C eee eee eeeeeeeeee OOOH Re Ce eee ee weeeeeeee (0k 3 , = Date of Death EE Secaes LZ | cakes Rcucecdekeiaiacsgead J he | cd Jhb KB a ‘ Rfid je : re — of Funeral Date of Burial..... | Where Interred | L. ey Last piace of residence & ne “Lb. ao ce FLE | How long resident of this a ay | Husband’ s Name Country of Birth Mother’s Name eeeeeweer 184 Funeral of Date of Funeral_— IE NN eas Embalming Shaving and Laying Out.., Casket No Metal Inner Casket.. Flamdles NO, .cc.0ssscc000s Outside Case, Pine, Chestnut, Oak, Mahogany. ..........0.cc00. | escoserees aaa Lining and Pillow Set No. Metal Lined Bor..... Mountings.. Handles Metal Vault, Style. Box Mattress Burial Robe . Slippers... Doz. uwnce and Assistants .. Candelabra Rug CASH EXPENDITURES. eee] | Where tteretnd lla a of Burial gobs. pom or Lot No | Lonation of Grave C ‘harge Perret £ Crcee/pe 2 ; | 4 hen rendered... Te Clergymai Sexton RECEIVED ON ACCOUNT. COSC ee ee seerseoeoeeress ht eeeereernesereeeseseeeeerene Funeral of toe 185 r i ee . ae oe | Date of F wean a TROT FOI ach inn sis neces cccsindensdneeeansnnesoens NG ois ae ra pat aaa obo koopa anbanackaiouacivan lance Shaving and Laying Out...........c.cccescccsceceess iad cbeaciesunss aces Metal Inner Casket TO ooo casnectins de savccesccachvceessns se sniencstiaencanses Outside Case, Pine, Chestnut, Oak, Mahogany "Lining and Pillow Set No Metal Lined Box Mountings... Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants ....Candelabra Dranery LITA DCTY...c2000 Pedestals Quartette, Soloist Delivering Box to Opening Grave Vault Ci Hearse AL A a yo? ) | ; n€ re (4, Date of atte Chr_ / yn eeeeee GaP ene een en RHEE EOE SOE OSE RO OEE EOE Seen SEES E EEE HESS OOEOe | aie ee | Place of Death. <7. os Conenrs iitees | Place of Funeral.(/4¢., S@4#ERL 7 riaoge Hall | Date of Burial ; feraey, S : Ww ‘here Interred.....: of REL cs : | Single, Married, Widow, ™ idower | t Veh. : i Wpines ...5 presto ree rs | Last place of residence Che te x. Yh co long resident of this State | Husband’ 8 Name yes | Father’ eS Aae..”....: sages i vountry of Birth ... | Mother’s Name...4°— .. | Ordered wl octane es | ar |< ‘harge to | When rendered..............+:. : RECEIVED ON ACCOUNT. 4 184 Funeral of Date of Funeral Removing Remaina. Embalming . Shaving “By. Out 4 ‘ ‘ 4 ( Casket No a C6 G4 es Metal Inner Casket Hlandles No. Outside Case, Pine, Chestnut, Oak, 1 Lining and Pillow Set No. Hlandle: Plate ..oz. Chair wstants Candelabra Candles. diug CASH EXPENDITURES. Palms Porters and Funeral Notices Clergyman.. Sexton Quartette, Soloist Delivering Box to.. Opening Grave Vault Charge 8 Hearse Coaches SOOe seeeeeeee ee ln Qk Mere, - Lofty J saciid ) ‘ feu Ate? Date of Death Place of Death......... Place of Funeral.. 2. Clergyman j | & Color A | Single, Married, Widow, | Birthplace | Last place of residence . How long resident of thia State : Husband’: Name - | Father’s Name + | Country of Birth) Fa 4 + 4 ray LZ a A: | VA bs rr | Mother’ 8 Name/7......«: j Mong | Country of Birth. | Physician . | | Cause of Death | | Ordered by Ah | ¢ ‘harge to When rendered. POOR OOOO eee eee eeeeeees seeeeeerl wees SH OOOOOOOOO OO ee ee eee er eneeeeEeeeeeee: FORO eee eeeeerene CORPO Hee ee ee eeneoee eine hol L.A Ade SE Funeral of Date of Funeral_ Removing Remains Embalming ......... Shaving and ne PUNE sch vanacevakhcskieibkitneaties kocinsissckic cs .| Casket No.t. d: LBs BL sccvacdev' Bi Rd_ SRE bidva teen PP, cs 4 td, Metat Inner Casket................5. Copper... Handles No Outside Case, Pine, Chestnut, Oak, Mahogany De A Ft TRE IO, seo caenncndnchdceciecasssbnsandasnddisuneeos Metal Lined Boz. Mountings. ....0.0+205.+ Metal Vault, Style Box Mattress ., Burial Robe Slippers ..... Wee coi itrs ce erik os oR IRs ix is iineaeteisacitvviniek ; Personal Attandance and Assistants ............... Drapery................Candelabra...............Candles..... Pedestals Sexton Quartette, Soloist............... Delivering Box to ODEN GrAUE ....00scecescorsvecesscessvesscesseLAMINg VaUll CRA GOR. 00060 /afasrvescers Wenccueriees seueciiases Hearse Coachea Date of Death | Place wf Deh Se. aE ; tt 2 Aiea brhekishe .. | Place of Funeral | Clergyman leeias OF SOAR ascsccch epic Gas fa tL | ¥ here Interred Single, Married, W idow, Birthplace ... , | Last place of residence’ How long resident of this State Husband’s Name ...°.. Father’s Name Country of Birth Mother’s Name...... 6.4 CEMA... Country of Birth Physician Ordered by .\..3 Charge to ..,... When rendered RECEIVED ON ACCOUNT. l heh RM LLeg EA a} Co eeeee] eeeeeeeel weeeeee FORO OOTE CCH e OH RHO R ETE HEHEHE EEs a ei wee eter erat Bb ERR A I PNT i BG einnentinen nn x en a nb ear aaa “ pa ag er: <a Saeed * Funeral of ~Wr4 ELRe a Ca EN a - cmc Funeral of a“ Fei Samet LOH YS Ader 7 A t ‘ “ 3/ [> 3 an Bo iz / g ne i Date of Funeral. Mae Ae 1 Date of Funeral___ Efe v YY L | is li eae ee me M. é ‘ 7 Of), V > a fyrrsssienserneerenegenetennencenen ences pessasiaess oe Ke 2 Leer Oc CW herfle 4 POOR TONING onic i sca kcasncncdercuseesne jikianaeGansanbase , p . soa ? . Removing Remains Embalmin sine paeahdbdbiabadaad becuse 1 pacussceuacteewbaseus 2 " . . ‘9 saves vedinias ean Embalming meen pA oo Shaving md Laying Out.. re > se taksknanee Shaving an c - YP, “635 - ae. ye, AAm oy i ~ | Casket Ni On nade rcccccececcccescccsccescessesenseesh UZ reseetefacs Boies Casket No | eZ Cleon a A ’ Date of Burial cial ——naeespetie cunenie weer aarp ap Metat Inner Casket...............05. Copper inc... aa | Where Interred iVO.. Handles N : |G ‘ot BOON 6 svcansitee te Handles No tel ha or Lot No SA rope nen rev nan rone romances Br er rR a —— eee Seine ts. Feet LEN So Sere i : ' Outside Case, Pine, Chestnut, Oak, Mahogany . | Location OF WON Goss cchiisarei has saa sp aitans seeasuiitanscceae tase LANG BNE PULOW Bel INO. ccscersanssevcevevecsaensisase pahasdsciscs a si eo ; Ic ‘. : Lining and Pillow Set No.........cs000e2000 pcepuleessaivapesk aeeiees Metal Lined Boz... teasers inatnstipsinenieesatitinjaiisltelant—nes “aeniipgaifa nimenasageaitierimaancomgen~ winipigalinsisininiatiaiiimeamtinnapittibids-inlaaiiiabdiiiacaiooaie ine caiapmmmnmeaa nied pain - maces a 7 - eneulniiinetiaaiiaaitis “ nee enone | o> encima lin ten Raritan reentry ee ane ECan nee ET SE EET eae eT OST } hreans - —y | : . vil Atlandance and Assistants ....,...0ce+-+000: . | L o PSULENCE pics ese Personal Attandance and Assistants ..............6.0.... = ae ot mene dete CO Le Dd2 z Ao ‘ sins CONMCLADI, .o<cescanivexs CMU) ocesvescsiavess ess | ( ident of this State ‘ PAPCTY......0....0...Candelabra..............C = How long resident of this State aA eg OBE ecensinacem n e Husband’s Name FOU concds succeeds Vac POUMRHIIN: coke cen we. Se Re a Father’s Name...\/ Father’s Name CasH EXPENDITURES. Y cXPE , | Country of Birth .. sere i Country of Birth .... = ~~ Mother’s Name Mother’s Name Country of Dd th pesiiensies Physician ....%.X.. 2 — Cause of Death ‘i OVbS QNE cc reasteveeapeei ica POTTS GAG 60050055 ee arukaasseireacse p IOONB ea dcxcs luneral IV OUIONB sss hidta eek ceashcuiswiunneaee | ~ I uneral Notices ( ‘harge to When rendered... Clergyman PMCID sche ab esicis tts syaasevinicisess ticked kneels Sexton Quartette, Soloist........ccccccccccccccseceesee Organist Yar (uartette, Soloist Delivering Box to............ PRB -aressrrervrresessersennes Delivering Bow t0........0cececesees pe Opening Grave ...... . ining. — a Es Opening Grave Vault Chargeg../¥* is ' laa Vault —_ Hearse... Eh afel Freitea eessney ° Coachea.. AWMOTOINE iii ik oink inuasteaekas Telephone FOC Cees eeeenoee oe ccthechitaaen anaes tices Transportation Expenses 000000000000 sees ereerereeees esse seOseeeeeeeereeseseeroueseerseneecocossccssccecocces See ence SHH SESE O ROS SEREEE ESOS wesessesoes weereerereseneceeereseenese Se eee eeeesererereeeeeee SOOCCOOee eeeeeces | ; ee eeeneee SOOO Ee COR w ree eeeeeens SPOOR OTOH] COR Hen TL. HHO EERE EOE EH OE TEPER OEE EET HEHEHE SEH E HHH ES a bf) Amount of Biall..ccccccccercecccccccscccoosscocs . S000 Cee eeeeneee YU a L POPC ee ee ene ee OOOO OOOOH eee e eee rete EOOeeeeeees . Otte ene . 7 SEPM eer e rele eeeeeeeeesees,, sees OPP OOSOPeeseseesseeeets sennee r ; : 5 19% Funeral of Date of Funeral. Ek gor vo Afpfrn )'4 ———> —_—__—_——- -}— 4 es | ee Ye Removing Remains..' Eimbalming ....ecceeess See. Shaving and Laying Out...........s.sccccsscee bicavckbacbeg uabiussiess: Casket No Ls Metal Inner Casket.......cscessecses CODDER oo vasceccus | Date of Death A Bx aig Lee et : : fone Simran terran apnoea trapenbrnrrentenbpeensessontosssSary | Place of Death... 24. v. 0- PE MALAR ING. 2. ciu ec ecshes xeacevdetecetasveaursccausbeuts eceecce RhEkRbekabee ts) |] enadesceyasiseeunnvta.) Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No seeseRGeonoonesgapoepenees eeeeeesee OPereeeee see J CL Ahy Attn 0 PAO OOOOSe OOOOH OOCOSOSESE SOSH SESE EO OHEEEEEEsenesess crue Peas cucreabus (FOOD cic vndicseccensas ssccansasais Doz. Chairs ..Porters and ; ets PMCMOVUEL : IN OULOMA i. shi esis sis ication cicndane Clergyman BRM oii ss terete chains huis sk - } } : ty f ge Y Quartette, Soloist CEE EN voi ccs PRN RRO BO eect ee 08 Opening Grave ......c00.. i < iventiiaciciccka Lining. Seeeeees Seesecesesereoreees Seeeoeeee ceceseseeseceseees Seeeeeeeeesoeeesere® eeeseee esse eesoeee | Location oj CleaIVerf..... 5 “le K_.. tw ) | Last place of residence | How long resident of this State Cah | DAH o, | Husband’s Name | Father’s Name....%: Attehs wha @RRNESE Pore eis er sakes so : | AL Country of Birth [i eves ot | Mother’s Name...... /} - ree Ti Cee 7 | Country of Birth.........1. | Physician | Cause of Death ; oO op eS : Cae | Ovdaved by / eyed ou. | | Charge to When rendered.. RECEIVEDLON ACCOUNT. Funeral of , Date of Funeral—___- — Metat Inner Casket................0: Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings.....0.00.0005 + . Handles Metal Vault, Style Box Mattress Burial Robe OR oie iiccesees haa sae Pres... Hr ee ene Doz. Chairs Personal Attandance and Assistants ................. Drapery...............Candelabra..... PeCaBel soos sik ccaoceke: ; f Clergyman Sexton OWNING IID ops s tales isc5sikc ii cecprasedca: BANG eo civiaiscnciccens Vault Charges Hearse.. Coaches . | Single, Married, Widow, Widower | Birthplace me tie ae e,... HA Be svisticetnes | Last place of residence | How long resident of this State | Husband’s Name . Father’s Name Ordered by Charge to .... | When rendered.. RECEIVED ON ACCOUNT. SOOO ECE C HEHEHE ETE O REE E HE Ee +s EneeOPTOOOe OT eRe eR eee erate ebay: oa aoa | Hl i 4 a 4 i hi AS Sees RRR Beret Thay 192 - Funeral of Date of Funeral. Removing ReMmains.......cccccrccece Embalming ecerenecnmoere | cesesesees - ey a / FAQ ' Place of Death...¢: | Shaving and Léying Out... Ba eeeces cow. Diciiaues | Date of Death Uh ul? ia - j ) HEE A fos ooo ip 98 eae dings Ri, t : Like | ‘e ON" Funeral of _ cua reveey or fle __ Date of Funeral fn 2 ‘ ’ ‘ Removing romaine 20026 IA eA lic esc eee TE a ck sas iss sok eet se ccigactexeausese | svennvennns[Reemeuass | Place of Death.t.>$ be : 1 93 | SYfy — UF 19> 8 Ho ahd 20%, eaee rowers *. c POR R OR ROHEMEOH Hee Metal I 7; ) ode, seeseesce cv ner Casket... pecan eer Copper Handl Outside Case, Pine, Chestnut, Oak, Mahogany (LUPE If. .cccccccee RNIN ons cca Gee v ees chpcineecrc reas ee ree Lt ial Sexton PN AON i na cs casi pars oo a vienccc ioc cbc ens a ecccd roc CPOE GY WOR ocncsveseciccccesincsvsccescecece pM iss ecresessidevdens EE © NOR siosisiiscaziscinitlecesieeciiaa foseveseeene a , eeoces eeee cee serererseseeeoeses Amount of Bill....... scceeseseceooes Pen | | Husband’s Name ...,. poses eee pie pale | Father’s Name....L2AL eee Country of Birth | Mother’s Name Country of Birth. | Physician ... | Cause of Death R 770 Ordered by DT. V * > | | | Charge CBee Be oars eee ; | When rendered ———————[S 4 ie Ch ent « a Xe Shaving and Laying Out........ Casket No. Place of Funeral | Date of Burial | Where Interred pr rg Seana a Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No MOAT AGE FROME 6281s scsi de vw xcnecctins bidvaessod'cksdadeasenee» PIOUMDINOS. --ccrceiscaen ss onal Attandance and Assistants DOTY. .cscesces:0 s+ CONCEIEOTE,...- CASH EXPENDITURES. HIE A TIT: fase cs dca codivcccee tere ieee s te ks ( oexto | Grave or Lot No aap of Grave .<) | dorm VY Sot re oeremnercenvcmny = : sender of t= Mane tw oe Ee oe —— oa es a Bl eeeeeeeenttnecenesioe easement eeaeeeteemeree tat ere ae (enn naan en ae rte ea i neg senna OR Ne aA RE Lt iE AI Phineas autem easiness? se UES IN SIT CL IR AER SCENE I OE SESE ES 4:8 ce tennis | Last place of residence ... Gece Te Shin 21% AMA pe nh ly a ay pence eer euetre ae | : ¢ ...| How long resident of this State... Ree he JA merece Sa see as BS ae as ‘alae by Charge to .... a When rendered... | j RECEIVED ON ACCOUNT. Steet ee eleneeeeeeeeeees.. pene eee eeeeeete renee eenenl itil Funeral of Funeral of Date of Funeral. . ————— Fn Date of Funeral Removing Remains Te FOPIIED oinc<snsindnsdesied sdsaasasensnessdanseseahanasnasnnes 4 seneeeees | ° , : Embalming ee | Place of Death....°. ’ ‘ : > RL. 2% MANNIE isos cinch i sacs yoenseendeasnaesmnnenennedansunnaunien Shaving and L eaeeernsetteneessaneenntaeestonsssaty | “ , Shaving and vy Ba Naat Rak See Uied dhcni eas chsh cttescse| xn dadisccsalseeks --| Place of Funeral... /..Ake< hn. L Casket No Casket No. Metal Inner Casket...scssesseersees COpper.....e+-0+0 Zine | | Where Interred... -<<.§ATLM Ax Metat Inner Casket..............04.. Copper wiseeed | Date of Durlal... Serge Lo LI fis les cecece Handles No Outside Case, Pine, Chestnut, Oak, Mahogany H wnidles No.. eee eee eee ee eee eee ee eee een ese see es SOCSSEOOSOOOSOOOSS Outside Case, Pine, Chestnut, Oak, Mahogany ae Dijin Sot Wh ; ‘ Lining and Pillow Set No Lining and Pillow Set No Metal Lined Metal Lined Box. Mountings PIONEER: cicccscesensvesse PAGE, vitayeiskscice bactadeesec sacs Menai Metal Vault, Style PEATE VALE, CUR 15 vin sana cesaiscconshacdnaaasansasibceuiacesine “Months. Dag Box Mattress sesseecefocseesceess ehenoceenen nena huanens ; { Zak ; HOB. onsen snes cree SALYB ss cincsncons Fine RETO ovo is hieswanvianbdsncdgsccmsnitusesinsins ia Bea ae 2. Ln... ) ee } VOR oie 2. -cwaptind Nee Kasse ° a-y 4 Buria siden aki se } ; Occupation...“ ener. Sa Burial Robe... y Single, Married, Widow, ww Yrxlkece Op | Last place of residence ; Personal Attandance and Assistants | Birthplace Personal Attandance and Assistants ..Candelabra ‘ Mi iiiicess | How long YY. ..ccsess.-0..<Candelabra..... | Husband’ AORURER Ue, tend lack ck | Country of Barth ,. Ee | Mother’s Name.! r Dressing Mother’s Name. £ Country of Birth. | Chesiew of Birth Physician . | Physician Cause of Death Cause of Death | | Ordered by/ | Ordered by Charge to Charge to | When rendered...... we eyes ie ebalesdt eeees aad Fe eecuet aes | When rendered RECEIVED ON ACCOUNT. Clergyman.. Clergyman Sexton Sexton WUATTCHE; SOUMME. 0: 5: ciisissiievarccdssssasee Organist........... Delivering Box to..........0.00. ee RII CWE igi ee RUIN So iccioceacice secs Opening Grave .sccecsocscesssvesessneit> \ eft baa Dekusuphey bate : . inate Vault Cheap acm te Be for we. Vault Charges Hearse....yr...00+ Po 48) i rsctss popebeteac Ae ) Hearse Coac hes PN Ss Telephone +o en eeeeoecerorocee Transportation Expenses SOP eee reeeeescorsosooe . SPSS Coeerecereoesece eee eeeewesecoeees Seececereceoeseneseseeeee SOSCCOOSe Seeeseeee greene e LLg.0V Amount of Bill......-sceeveeees-e , | ; a Pewens SE * Federer vereecelesenese POOH THH TOE, ge ee OOO OOEFEEO Hee Os ee aewet, | 19° Funeral of Date of F uneral. Removing Remains.....ccccccocscccceee eenceesee’ eeeereecereesoesoeraaseness . Pine, Chestnut, Oak, Mahoganzy.......cccees+++ “yy ’ yr NID PSOE 1) O). cccanssanteksoosaonnerassaacies eiaabsecdsntsieon . Handles viabhededscvaveve Oden caransd caausnke Rese iiiel srs cauanbaserncas POO eO eed Om eee OTOH OS ESEE HOSES ES EEEHEDEE SEES EHE Enns: Te) CAGE se sssstciasncaceocens 1 Atiandance and Assistants ........+. eirenienneheiansceeias es CONMGIAITA. .2-ves0ese~oet CONGLER, seccnonsssossi .. Porters r AT gt PUEIOETCAL J APCROONL Loss abecescesycnsacassansoae MA SIMARD oak och sudan ius cucan cascss pic cuue os baxeencdiscoacabas piisiececretsauess Sexton Quartette, Soloist Delivering Box to OPOMtNd GTBUVE ..vvceeecocesssesvvscessesreessvers Lining Vault Charges.. Hearse Coaches Rate se J 6 OC OO See rene deseee eeeeeees seeseeeeevee eee eeeeeeeereeeeeneeee eeeeerereeseeeesereeeeeee Amount of Bill.......cecesessesceeserers | Date of Death ‘i ieeds ~ | Place of Death | Place of Funeral | | Clergyman | Date of Burial | | mn cone aaa Days. savencdbnes Occupation... | Single, Married, Widow, ate aoe ee nee eae Pee DMA MY .. | How long resident offthis State........5.....222.000000+- Husband’s Names 1 ’ Y 0 | Father’s Name...1.i5 { Country of Birth .... | Mother’s Name | .. | Physician | SOMME tk oes i Sd sa dent ronensessees | } | | Ordered by e Charge to AL AL fo 7 Funeral of be Wa “c Date of F uneral__ a ae 4 , Prank | ra celrr ” _byeass aad ¥' the 5 : : Vv ‘ Le ” Removing Remains...... hivg +f. Coser Embalming Shaving and Laying Casket No Metat Inner Casket...............+++ Copper..........+ Zine Handies No Outside Case, Pine, Chestnut, Oak, Mahogany Dimi GE PUI BOE IO, on nce sacutnacnsced soak veesi ter tsecsssosesceyess Metal Lined Box DA OUMAENGE. <coisnonscers 6s PE OMCUMR <i ssccseerecsc 2 Metal Vals, See vcccscscdAcssnisces eases ret eaacabuaneransesone. Sox Mattregs (1 df... DIOR, TRONE, cc din ens snecnneesessea ial Attandance and Assistants ....... ..Candelabra.. CASH EXPENDITURES. "EPMA oes ss 540s bekude bs co hase vk oasis eeu eek Quarictte, Soloist Delivering Box to Ovening Grave ............ ravi iseaceanersans Vault Charges Hearse Coaches seeeeee OOOO OOo eee eeeeeneneee Days é tm . Ay . Occupation. /..~* ae Single, Married, Widow, Widower. vecvenees ee cpcsnks | Birthplace .. M.. fee | | Last place of residence . . | How long resident of thys Stat. | v : 4 yy | Husband’s Name ,..... | Father’s Name Mi ee 3 | Country of Birth .. | Mother's Name. |< jountry of Birth. ony fs “| vi *hysici wan . AZo | Cause of Death .....2 ‘ | Ordered by . Charge to | | When rendered RECEIVED ON ACCOUNT, Arg ee nnn et aR tere ee ~Ba- i eee ee | Sanaa neue er nn Onn Dn ON IED TnI OI 0 tee eed 198 Funeral of Date of Funeral. Lahde __Hour__ Removing Remains.......ccccoseccceeses Embalming Shaving and Laying Out Casket No Metal Inner Casket Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No....cccccoscessecce pexasvaeannasees aikenene Metal Lined Box Mountings .. Handles. Bae VLE BtUA ccccnccucsancenonsonve P5080 BIATLTORS. 0. ccsncsnnéesssenss <0 OOSOK oOo OOCOOEESSOOSODE OS ESEEEe @ereresces . vil Attandance and Assistants ...Candelabra eer eeeseaeneres CasH EXPENDITURES, PIGOTT IP ORIG: 56s cncnccocetascuacassessss SSP IM con o2cc cusses ..Porters and.... MOE TY OCR css cincncksssntisziovinnss Clerguman Sexton Vault Cha rgeog.... 4 /} (i I fearse... sacedaeents <f 4 debenssvesveseus eesecsvceseee oveuesurersvueusesestie bvassvsccses eoeccceveeesateoeees , ~heerereneccceees eee ereseeee sees eee eeeeSSOOS FSS ee SOHOOIOOs SOOOOCeeeeeenneeeahseeseresousescoscesesene Reeeeeee eoeseeesessesseeeee® eevececesececsoescoessese hoy Seeeeeeereeoreeseee eeeccccccccceseserecesseeseeesseseeseeseooee SOOOTESS Coeeeees Ooeeseeee L. } | Place of Funeral Clergyman Ce cis epics ae co face f/ Aes Suave Occupation... | Single, Married, Widow, Widower............... | Birthplace ................. | Last place of residence ............ccescecessecececees : | | How long resident of this State...............2...+.. PERIIINEE BIR ooo os ches kinds fered esas | | Father’s Name... | Country of Birth Mother’s Name | Country of Birth.... Physician | | Cause of Death | Ordered by | Charge to ..| When rendered I) Peewee W | bee seneeeelerseeeeeeleseneseeeeeeseeeeeeeeeteees see eeeeee ones RECEIVED ON ACCOUNT. Funeral of Date of Funeral 199 Removing Remains Bambaleming .....00000....0ssceseecesscsccsscscscscsccnsccssscesccaccescescenses b cciubeies Shaving and Laying Out......c.ccccseserepyeieoveerseees G42 Ce Casket No.cinrtrdecel.. pith siaus = hw Handles No....:.scssseccesseseseencnsecsecaneessecenecceecscseenseesassaacanes Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No......0.++6 wiieuee pcreustasesissbiceas sacsessies Metal Lined Boz. Mountings Metal Vault, Style Box Mattress Burial Robe Slipper: Personal Attandance and Assistants .............. ; Drapery ...............Candelabra..... .. Candles Pedest CASH EXPENDITURES. CRBGIG sou 4'0:5:0'0 4.05 60490 ee RUD HOSS 6 40000006554) 01400 be NDE NO NEN ERS «yeENes .Palms Clergymu Sexton WUITURES, SOLNNE och eis pci Organist . Delivering Box to Onening Grave Vault Charges Hearse Coaches TON isicsited es Telephone ’, Transportation Expenses . FUROR O OREO EEHED SOHO OH Ee HH ee eHes SOOO OOOEHP RR Oe ee sw eens leakisbins | | Place of Death | Place of Funeral | Clergyman | Date of Burial | Where Interred.......1 | Grave or Lot No | Location 7 Grave | /4 . ‘ . Single, ei Widow, | Birthplace if | Last place of residence . How long resident of this State Husband’s Name Charge to ... | When rendered A [POP e reer rere reer eeresereeeeeeeeeeee se]. eee meee reese ee ee eseeereeeeeeragoeseneors seen . * Oe eee eee eee teenere sesseeeeeneen eee eePe OOO eee ee eeeeeneeee 4 aeoranemirm et stata a i adeeb D2. EC BASE, TR Are a Act Beene eee ejiesicanirercectinanangr- Snguopeternanecternmaroneebaieipeire- evi ns ener ee eee ore’ ~ 200 / Fea ig hI 557 gente Dre fits Tarai. 2 Date of Funeral_ ff ¥ ? Z oan = Ba Me ate of Puiiual. ? OUTS FEIN. csiiecactcincedsinidniasksaeeiannsinabiensiiamancnbanth | < ‘ . | , ‘Removing Remains ee ae ae ¥ So aeRO bevecere me Tw Perna eess FE MORIINUNG osasacesencricscecasasneennessaccasummuaccnnnneeinaehoiaeasstsooses | cackecPiascie mikes | Place of Death.... ; . Lk mbalming | Place of Funeral. £ ee BShaving and Laying Outl..,......0i..s.serssccsecsesegs ices. ae of Funeral Casket NAb Asassahes ee oe Karscsovaseed bof “S of Burial.......... ble Forte... ... Metal Inner Casket .. Handles No. e, Pine, Chestnut, Oak, Mahogany....cc.cccccseoee , a re | | e aU * Ul, stnut, c, 0 | : nae Pha sana sb casera tec eci tee etl, dessin. ining and Pillow Set No .. Hepdles eMac tiie he £ COM L EE OS en Years Pee / SS PCCCOO OST COESESED OBOOSES CC CHSEO% oe eseesereres oe OX ae ) | ; : Purial Robe Jolor Sie cerita cess Occupation 4 -sseeeseneens Rippers NOS Sean | Single, Married, ae idow, peers. ote easy si vpee see iuvacaciece Doz. Chairs Birthplace Mt ‘bone place of residence | How long resident of this State Drapery rae Bi py “OY sito j destals | Father’s Name Country of Birth . 9 Ng Mother’s Name oo of Birth.. Pee aoc ye ae ‘ § Country of Birth.. : Porson. Mf : cossansee HEL , : Physician | | Couns of Deat wo OVOOTE: CRG «ons vceseccasscecevcccsevssss AU0UES | ; ; ’ ° | | ft MMOTOL INOULOER, « ccs snabaesis tise cobeeessibeeucinakaiseesusies«eiseecisess } Charge to , |. Ot einai Be Pia aac isveusessnasecss } WF A POV ee ec ioea co cose nc tnsn eae sense : | RECEIVED ON ACCOUNT. Clergyman ; Vee AO iG (AF BBP ey CT IYIAN veer rereeeceeeececeeeeeceneanat eles ~ ee j j ee Oo Cn 0 Ly PRR erence eee ea vase e as e e ce. iaheuueessete Quartette, Soloist Seeeeeeerscererereseseroows Seeeeeoeeceeeserersereree SPCR OCe Seeeesoes Amount Of Bill......scccceceseencesooensoes One ee eseeseeesesececseee” 35 3.50 ations \ 20? | Funeral of 1 Avoeee C20. Date of F unesilt alae) tha G Removing Remains Embalming Shaving and v tying Out). ia Casket No. tis sos ee waas fhe AA oo Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Taning and Pillow Set No Metal Lined Box Mountings... Metal Vault, Style Box Mattress..., gurial Robe SI uppe rs 5 OE MOAN cies es OR Personal Attandance and Assistants Candelabra ......Candles. . Rug.. CASH EXPENDITURES. Door Dressing... ; Clergyman Sexton Delivering Box to Opening Grave WN TING, vscgstscscvacrsesininonnsassvecvesvarrereosyenedevse ‘ t ‘ . . Hearse.. av SC oa. AIOE: cissiccsseas ar. eI fr Date of Death Swehe back a Place of Death A Occupation. ; Single, Married, Widow, Widower | Birthplace Country of Birth Physician Cause of Death Charge to Fe NE PN a a eeces RECEIVED ON ACCOUNT. faa | Mea Rigas Ca Jaa, Lo | ena Date of Funeral _Mby "VP Hour Removing Remains Embalming Shiving and Laying Oh yp-y:--- Casket No (obf Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.....-....+--++++ Lining and Pillow Set No Metal Lined Box Mountings. ...ccscseees ose Metal Vault, Style Bow, Mattress..,y...ccccesceseserseposeedversoece AR feo ruriat Robe SBLA , Dieag — Slippers Doz. Chairs Personal Attandance and Assistants Drapery Candelabra..... Pedestals Clergyman Sexton EIDE, IONE <<, 5) csenesctcucaieiscaraseas Organist Delivering Box to CN CPOE ooiiiidins etrdiesessni vases Lining Vault Charges Hearse | Place of F‘ j10.@.. hil. aii jae o ccautess Dave of Burial a baeaesses | Where Interred /..7. |soncseese aie Oi Lt Ngo occk cack saccensdakecvans Section | | Simalle, Married, Widow, Widower... Tr, y DP | Birthplace eA LL] _| Father’s Name | Country of mae c= | Mother’ s Name | Country of Birth, . | Physician | Cause of Death Ay ~ ae ordered by AGL... ae LR (VOL feu a1 aw Bi secesies ..| When rendered..... | RECEIVED ON ACCOUNT. 204 Funeral of Date of Funeral | Funeral of ..___ Date of Funeral cauuedaacns |eceeceeee | Date Of Death ....9:4ccceceoone.. PARR renee ene OHH OR OOOH ETOH ODOR Eee eOE EOS ES OOO OEE OSSeEEsessses| sascesscces| Seeeesees kinasacsasasessdigl sss cena a Eo . Mae A coos ss ste t e g BA KAR SES. aes i eed O- Leora tee ae f si ) 1) Ny I NG Fe Coast tccensctsicecsincciacerssnnacicrvanadedind cue ades Place o Panera nf sathctennale be wie ae icupasesee (ene | v. ‘ < i U gv \ oe Casket No. f fetstt ee ee heasee eee eee eee eee eee ee HEE ESOS EEO OOSE SESE EE EE HEHE EEEHESER ESE EEE SE OEE EEE EEE EEE EEE SESE EES Metal Inner Casket.................. Copper... ....0.5.. OME iso U desenens eee F ecomemaemriee tamer mene ot ou Metal Inner Casket..................€ rr sae ator Leto atreat ime eee traits Peon: IN risa PU 5 ics wakicacen ovcaccanes: a Aakers lig Pete a ar ees Outside Case, Pine, Chestnut, Oak, Mahogany................:. t seeesteess | Outside Case, Pine, Chestnut, Oak, Mahogany j Us’ ’ * ’ » < | < Y s a Lining and Pillow Set No...... spec sh es cawerad = alas y aka coat es ste Koch. ff. Per. . desdgeess 1 I if i ‘ Lining and Pillow Set No........sseesseeses Wee Rote aro ee ates Sa eee aS RS AE SR TT LO I TE IE tb 2 = ~~ =: : S v 8 ‘ g, C 5) aN) iS Cc S € Ls : & 2 : z HORE TORE EEE H EHH EERE ETE E HES OES | } Met “ne ‘04 2 4 | i cao ca ha: Di ited TARO TRO ooo is ho inns sse se sacveecassesencsvwnsdonscscaveaunnasanassotens ai | 0 } , re ? ; H i] Mountings epee aka ae AREER 5 os ces dass POE osc oe Mountings...cccccereess ++» ONAUEB. .000r.c0rereseeee . i q 1} % i | Metal Vi t, Style ‘ t : es... ee es dat Chill DR socsiccinecceincnakive ain ne wee penn pong 7 el Beth REPO ree ev ete hee ee eae ie ees ae es : aus Doi REMIND oo css siiink vas x loaeund Ottis as conan ne seated toutes segs esis ee se eee dite ® C. Years...... S Lakies l Months.....7. sagas DGB ccs racknans ; WG % i | } 4 . Os ncchedkebacn P IVICLELT OBB. cccccccccceccccccccccccccosccccceccveceeeeeecosccccrsseesesceesese | senscccces 2 - i ib | PUPSOE TODO Gy cis ceiucnvncchecceseacdactaians Liuaenkrteue see dsaetecerec aise Te bes aoa O- RA Burial Robe - Yiov. Color Kb 7 ea te 4 xt¢ Sionuas sancccd ( ecupatiok deter Qockers | Te ; ‘Svante GhGUR AT TOR cc ocesas caknaea ths gad boniadea kd dnueduncssscibcscebaaniacslsisdine | Gteseenes | | ss : Ht F OI csesess oe 000 PNB ooo eee GLOVER ee eeee cence SHG ca ciscinssvcsanersonsseens Wits cites ee cis kas cence | Single, Married, Widow, Widower..... ... HO senna a } BAH ONE oboe cheese esis Se ean eae ke ue oe 2 ie asia cae | Birthplace ORK eee Ce ieee rr Wivadaea sanne a konneeanes | in 0 “MN (9 | Versonal Attandance and Assistants Personal Attandance and Assistants ...........0.c0seersoccesesesscees | coscevenes LGepasis’ | Last place of residence we {Okara ve Ke teeees ses Wes sre eeeeeees / ici ’ ; : ae Ceg Seo | ere --.Candelabra..... Candles. ...... Draper y.......cosssoses Candelabra..............- Ce Oe ags | ele | How long resident of this State............60vesseseesegheneeeecesenennes Pedestals... votes BOO ra PAG isc ic cats thes Goss oes sks POU so cece ee PP ea ene els ess | Husband’s Name i fe sn Me cre ioceea | eae | cays tian a4 ecg NE NR Sar 5 td ae SAM MOOD Een Gl Or) I on dM a V2 dae aa eh Pa) eee) ta Le ei a reece ie | Father’s Name.SA¢&42-475,....07 4AM... if ; CaSH EXPENDITURES. CasH EXPENDITURES. | | Sate eae EOP OF LE Fee irr ae ec Saree Sy SEV a, oS ING cw mime geomet ee ye aay eS roeeyy Str eee cues ng ess .... | Country of Birth & ) , neuen | | q ‘ : PONT TAN ities inti an sii teraenuisaisior ecient Le EON A Waa 8 ie a is ed at es Die DD. risk 5 eae is A a Ge i} } : | i i : j ; ' } ‘1 A CUR ion eieuss tings sntees ce assspees sii, ees eens mabiras OF TTPO ei eo og oo oe bea soukpcikcs i GER Lore tnawc even basenestresa sina IE oo cn cones anus cual oan nnri) sige dee Po saes ts |-seeeeees Country of Birth........... 4 | : | so ae .s f 3 \ PMI seis arcs raneoarstntaneccoshuttcsanplamioedunensiiel pans bee tk: aces PPCMNG Solos 5 0G poh gana, Suniel oes sys bos cute Flowers......... Vea ides eos eves aoe ee Fes ate DA ciels Physician.......2% etd 4 i ie i i | ' <7. menbbvddesonsonrentkeenéosiepsxaseendievaupens teadedbeueiaabiotea frikekesmbiéseicis | eheeiea a Cause of Death 0... -reerreereerr serene Pic ic 2 20 UM sds bacitac bakianaeasuvcheamsoveares cimenia os reueuuanbaidane lnasmny Heameanel bide E Gncilaus ce akcte Cause of Death . Oeics cee eee am ie | | itil iia Saat soles es cocaine see cei enigma seed ieiaiNie | slain an Peres ternresentecsosninboesenenvuseneneanbspabaniowenenonteavassenséscinasetanice | sscisosbens [sseseeees a - Warn POSSSAB ORE FAEy bt rheorecdene ra heeen s kbearnysr esd sy <tee enard saben rc Rare ater ease Ree TNr | Tepeans bee pareeneees | (Z ¥ i Pr | | \ . | KS ” : MU Srsia emitters ses RTE OME soc sssasek try gesasens tans) COPE si ieccvss pige okete erie Ordered Uy ....%0%.4:4.. PRR Micgt Es viventwsievessvorescsosterssecsessiny gm MeSaereunusencenes POTS GEG iscsiicteceten EW iiss oes Ordered by ...°5..: ee piishcewisdasactivecieniaeceaeores / . ade v\ 2 | qi nf ti t : MITE IN OUCIR 665i ise his ee Se ae A eo te Charge AG: MN VUXY PD RACAD ‘i ITE FO aos acarvin cues en dsccsdcpeienisesbeks trrctesaptitese a Charge to Dna . ; igi Rn ovneseeeeses ace i AK MS j a . BERET rete treseeseceseeesensessesseeeensesenssesesenssssssensesasensessenees | sessessesjeeseeeeee | When rendered.......! \ DAP) MO we eet | *ittteeeeaceeseeeeesenarsceseeaaeseesersnseseseasesserersceeseneaeuesenaaeeee® seeees | aa ree as eS a i ecenesntnnnsanntnnnnsntntntntnenenenesetne | RE EIS cee ete Ce ue ree ee os RECEIVED ON ACCOUNT. ' j a sense SORSTHSOOPOSSOTESOPEONHCLOSs REDEE SOU NODO EOE OD OSH OES CL CESS CeEe es ieccvbabeeunns AA eet: | / ° ms H eee eee e ene e enn re rss nree ean: see ee eee eee eee seeE ssa Oe Sees eH SE Ess eeseseeeseens % i i 7 meacteaias oe ae BCU iN Su |. Cay Peron ac tg em Yo eee _ > “6 5 : E Rear s ins ssnsensrvnsneriacdesvnsusisis sinateevsacensieouibeedeeiomin V .ciccsc |“ we V4 ‘ a CONTIN ck see eet se eet a atte ete 7. PO tis asesvinisiteenhssisualaltbotcanberebatiaisisecupuilaibe dance: Luc J BGs cess ckvaneicantecennssvnsgsntivsacnsiorsinnsnus susshinassaisistbepens ens / | 1 Quartette, Soloist....... eeeteitesd IN ee ta Quartette, Soloist..........cccccccessseeseeees Organist.........000c.002 | sevee Ley pe ; pareanee | sansseennlacseres s | scsvsenerses|seevnes fi lainvonbscedseivenseysees¥hatsasaensetorscslivedieass> seseaie . a Delivering Box to........... a. iveri : {! ering Box to SO ence weep oe en ci fe id ei seal dat oe oo DIIIOUTS AE Wis isciciisiy sess ech ion Wane ss “| : . : ie |OO | || - | J j f COIN CIIWIN sess iisnsccticcassecisacvegsasseeed BR sresirni isis thee | i siodsketdlicckke Ake ie : FH ql . | Se eeeeeeeeorl sre fers as Km Cdecpee wl ccogboccccepPegecccceses 65000008] sveceeseese eRe Ee ea erg PPE paar = Nie ne On rs ae ee ee Sg ea ne ee ea oe OSC RTR OS HS THRE ROSES? LY ORS TSES TK CATERER CEN REE OR RE SUMED RE UO ONOERENaRS |seeveeeseeesl|seeeeeees a | i | : ri | -+f | iii scssp calls piesd tise st Bardi iscalicg csatacicendcboeeed Soin ee | / : eeeeevesesis Prix s] cocdes phebeens ener ti aeye be eee t veces Birt lereeeeeee | soveee et Ke hHK ee / Bec M acd ar CA, Soe ee ee mii iat ahi sor ete / ri ao I ~ : Rte Hearse... TTAAK? satrrert es Nigadaneteees ip ibasiaterat L960. eae LU ventistcasieini i eae od 1 Rn A MORSE PETE SAS AK T 69800586 OOO OSES RELI RaTe peed co eee weet ee benes wae We eees | seeeeeeneee eras | fF eee NTN ee ee rege eee eee eee ee rT ere ere Ore MSEC oie ther ener eree , a v bi ke CRAGIN siccdasdiiasiess rascals a pvt setciveusis es EL | | | H . 7 se flerhl--cccsevecsccecece Asin pehbsbbrecdberdciles cacsaasets Fi cestee@ee 0 i ee en ee toe hr OO ECS CeO She et HPORE eNOS HET REV ONE 61195 £40096 ORSOSORURECSESEESERESSSE URED $64) cic l0 0 44 51a beet ae , Fi e fe | «(beter eee emcee eee r ere eeeeee error rere creas ecreereeeeeeeeseecesecvcesooceee | H : gee ae oa ON a a Ee epee ee eee ee ee eee Nene MOR SRUSHYSUCSISSSSESE FE obese eeG nls NhGEbOd fab p59) 15008] VREEESS Ol eben bbs 99OEES OED HEdENEESTONESLEbe bbéaes : } Pons “ a | PN ak a ae eed sl | ue © in scl» 7}o7eceeebineneinahicenninntonmainansentqntraieenhersvitntatiomanehvnreerscesiesF octining fosetsesoscsetnesarnes euneunenaeneenannnennenntnness lotsa |aenan a / a | RN NE eisiincescresicivs sinensis DUMDRONB isi ccisssysesissesis | a a Lae PEt Ce ee ee eames manatee lsoneyeens | wvenssinnyase|scsesnosi | iasddteveraneinenaveuntsvevevsveusnenssesiivituwancassiecesaeeb 7 7 se | | TIE II isis ssiniibinivenbiicctcsasiseiniensiievaten a | : pee tee ke Sate Naki Te re ee nna aan ON ORNS REDE RIEE Raves eeniRHaNO DOP HOSEOEL sbonesenedsswbnsese | sipsburveholl <vdbered rcenesbinvidel Meapemeeiatapveadsensniaeeiei ne | oe | | nna ym tneheies | vreissconciaeisenet len pisliteeliidiamnisibhinikeicElaccsede OEE ee nn nanan ntTNHINIATN Kite | vinybeacionaaeinegs | conbiniiennste RvELYS IL) sD NMEIN abkalsespeladla dal man een IAaI ta Een Oe or) = Pree: oe { Rs eR ae os i sre nnn el aaaiaa LL ibbiiais Maal mal arssheceeveeevabsevepbede sp i ees EC tr eer enna eentee SO OtMN ORY OE SEVSTARSERPES GSS e SoHE DSU NNSS ¥ese etdeleeseveess | cose dite ial : BRT TTT TTT | r — ’ HOO ee teen eer! Seeeeeenl eeeeee SOCCER OCOD eee eee eneeeeeeeeeees: a See = OOO Cero reereeeeeeses tee Leweerewewees seeeeceeeles PEROT ROHR RHO R ETOH EEE eee ee ee eeeeee ( Ca | 208 | | eee 207 | | Funeral of (De. (se Aersehe | Nae Ea _ @ | Funeral sl wa es Cae ° vs A | | Date of Funeral_— MA . ? J/ laisse Somme ee Date of Funeral wMias Jaf i Mow 10..4.2 i : | ] 4 ‘ : ? = ft. ‘ j nA , “2 5 j= ° ° K- ? Fa , : « o > Cf . Vv Ass Removing Remains. ,¥. 4-244. 44@. Kier tog Svenaseas Pe S 2 00. | Date of Death fkeen sseheenece a ee Removing REmains..........cccessrercecsssrersreccescerscsssnssenaessees | ceseesenees|ssenoens Date of Death .. Sch: 4B... LG Jac satcasteas a {ve: “ ; | Of 4 _ 0 / a ‘ 2 ihe TN oo ee —— 2...| Place of Death. Lech pects bane’ Aue ae bE eereeeecnnencres rsssentrne tes soersentcnensresertonssenrerenrapinas onnveeene: Oe | A. 20 Shaving and Laying OUut.......cccessereeereneeerereceeceeeeneeeeenseeees sobencaancs|coodssens (2 OOO OF FUMOIUIL. 0....cccert teases A LAvABres fe ae aa ay i Shaving and,Laying Out.........ccccee0e saptshdakhdbadsabnuonasnncs ‘ikeisesses |eveee ..- | Place of Funeral.....: ite ie eee Gs wie ite ae ; Casket No. te eeneeerececececerssees Fi nsssecccnssniaiiabiided sasearr st easaees | Clergyman..........00+++: sesessenetennenens etesseneneeppecnsesees sosssesseeeecs cians |... | 290 Bo... Coronal £ haa, LO. Peace 0) f 40a F ARI ac ee a RF Pl PER tal ap Ok eMC PDE aR EMILE TNG Can eG tS secenisks | shankess Date of Buvbal bc ke, é ae Ka coccumcoucecncncocneeaneapececsessernececeaseeecesessecnescnscsesessessscesece| cseeneneens| cvsseens | Date of Burial... <A beste aces aeons z a weencscreescecoes a tn io we oe Metal Inner Casket. ................ COPPEM......4+4+4+ GAME. s0rens pessoa ys | eens Where Interred. PAELLA CLeccelocs Metal Inner Casket............000++ Cope ............ Bilis oisevens selec! ee | Where Satarved, Aovt Ccthteen HMMM, ce how pe . oa Handles No. .......:ssesceseeeeeseeececseneececeseesssnsceescasenseeceneneeeens | ceeeaeeuees |.seseeees CORON Te ING oie ee ae, Section...........Locccoooce, | Handles No....ccccccscsccccsessesscssscccccsscncesccecarenscessoscnscencesanss | rereeeeers laciense Nie Gi TA) IIB. c= isin ck caadcd save Seis cc cGish aes | Outside Case, Pine, Chestnut, Oak, Mahogany...............+-. | + anita bacon RIMINI AOU clea a | Outside Case, Pine, Chestnit, Oak, Mahogany.....-..--.-.010+ | -crersrer:-creseees ROE PRED sncenvesetissenesnnestntese chante aes | > » 5 ’ i Lining and Pillow Set No........s.sseccccssesssseeccessssseceresseneeeses | seoeaeeeees | biexenses | sseee gem Sie (Chae 29 ($66 | Lining and Pillow Set No.......-++++ ne pees eee ac [access | icisian Beet sine ia ts eng a ae ee PN Ue Be isos 5 ey ase ak aay stand sacs vonnaud onan doebicks ae Pak bis ikdse! sanngasgaukeess ios sesdeisaiss Wokenceeainaiusaasiaes Metal Lined Bou....... oe MMe ia a ue pcsceaceeyanekeien | siueenenes |ssererees ae a tae cael ade eee One | Mountings............ 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Color LTE icc nce OCCUPATION «oss scscssines sisi kee ees Slippers... ccccceee sessed PB. Wii ee es Single, Married, Widow, Widower........... SE aa nt ae es 5. cdl cesdaisenoieh cca: aeseese | Single, Married, Widow, Widower... . ...ccoscvsssssssssesseseeee | \V 4 ? iM Bi, a C4 A\ 4 DM CORBA Oe heat eas | Birthplace CX 4&4 £ 2 te | SAKE @ § : | 4 m7 r | : ila Personal Attandance and Assistants ............000.cccccceceeceeeee aieats ieesgees Last place of residence... AT ysccescssssescnssssvemees ons ieee Personal Attandance and Assistants .........c0.::scesseccsssseceeees | seeseenens sawn | Last place of Tesidence ...........cccossceees seccceeseverene soverees < a he 8 a Drapery .... Candelabra iit ROOM 0002 Lo ee cae baeseres How long resident of this state’ Cee EE Bitlis Drapery......eseees ...-Candelabra............+++ OC yc sane cece | How long resident of this State............0.. cesesceseeeeeeeees aeaeeeees PUREE ocd saadnterAuriseraeebier a POG, cdnaghanses <cuvec eden pevsseene Se PT DORE okie bos Sucanink oobi dns sans dageveets 0xaceevey caneaenen Uy ii Pedestals : PEN eer Sees rosetta outta: saeecee ss Oey Husband’s Name) | i a } 5 : | Father’s Name/ ee Oi a ne ae ee ea eee ey tins Raat c,h aa ee | Father's Neve. oer iccvascsocens sossucssossueseensensss Caan: oe a asap nssggegcnren tees ee i | oa - : Soper | o.eeee. | Country of Bérth asf aay Le ue K€ Ne seo —_ : -cossoe fucevcncee | COmMErY Of Birth, oecesee. CV LLL UR K., a - 4 | j : A KEE. Zt; g 7 ee Door Dressing Mother’s Name, 2A ALL Lro of pel siavaneees ‘ <1 hut tment Nee eee en eee nnn eee PCE eS ELA AERIS I eI | 4 « / ‘ . eae EMI anno setveencsonsesreeiestécsensaoweyesiess ra eteon a Country of Birth..........., oe es Skea a ssc cIMEIIIR coc occindaeicke so ten sebapusesceesaseuscceas | cacreatsea| ccciisss | OO) Ean Flowers. 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RECEIVED ON ACCOUNT. een NN ii epider eesti ee tein ce ei cess hes se ee ee ee rs oe, Shag Clergyman | sesvesessslvcessoes | sygporece Ditctopuasss fiwee cs UvheeeuseNeusuches Wu slaverecainess bwaditiveuae |.cesanees MI ooo oh ones ony ie caesecsascieds ati cienies snes SOMEONE cas cckcccecuucessuinsnvecd beankeus selesnsichccsebnsceteacenvecvensanenteys «| wacebunseclscapasice)| GROENIEE Tell Pata sn tics Pesdh dns pasecousttoatensioeeinbersaserarinan BIE Gy INIT. sin cibeiscscescosssciecess OTGQWIAE i dereivicvesvess MPUNVOREED, TIOTIINE. «2. «: cess vesenencconceseessse OOIEEE i ccsccenesses ans errr roa ee cere a rye Preven EePrrcenr, Fane e DER errr emn a ere enone a rr be Delivering Box to. mod PROTON FEO 90 oi cctasvccncavaviensscessevecscsvecisstscges veakteierivects F sccsbasnad F ivcanckn dE vabinGondusdislateensd vivnkarercteelnielaegineeaiesl ce ee mmemnneaet ae ty j = | | . oo A 4 Fa / Aur i , | i | | a ‘ | | y RPOTANG CIT WUE oro ios. ccsecrecesvecesvevenceses TAMING. A bevikeseseses shes becaaeed he seeetee . steslepsevessovecteebéusceseunesenseunseeenses Be eo Jevsensese , Opening Grave .rveererereerseereerseeseersserses LAMANG orvvrvrerrerresries coonenens fe Pt aaah Sar eRe h ie tr eee ae |ssereenes | Me SIN in 5s cross oe sosskvis ere a beneatenikk ccs ee WIE CIID ons sacyesesdencesissentsonscesnswscauseressw at ecusstsenies bet Gesdseeesllicgeddies |.Jcadivaeis clipe rs eke hacer ee | / , | | EER U awa ASUET EAL LEK 1GASE 10 Toa Sao e EN COEes oa ccc ncuent eee eNOS OOD) ee ees rape ee er re ee le gd US Taree ee ee Ee Ree Ree ee eee rere ee Vosevesss oF ae on ik seeks | : ' (A 9 | Hearse. u... 7... 25 me Thexexss sii vresdneuness Uxdavedervoenssbens seaviies sheet oo JOP Sac re ee ted a eke it ee eee ey eae i eae cg eee. Pol en Hearse..,,. se ee eeereveeeecseoseeeeeseseeseasssessesseeensseeseeeeeees Crerccceeseee | secseeees Lpesvaseee | esanepivenss|stnansens | sf Md sRenfle) phitse bhadeliseacssen Coaches............ ais me tae | i Coaches? e lo oO | 2 ee | | OPVEEUENN SES NENGREES. 2 +SEE ERSCEEMT SD EEON SELES FEES EREEE SEN ER UE RE CEERSUEER UTED ORESSEUOCET TIE RUR SEAL OERETENEOT ERTS 88 Ny aries wpa ae ae eben pM) oy Tes ee eM me oot Ree eR ee ce ee er ge eB Se eee os eg ae eee Te OC ae ee a eee a eee Le eee KEPHSRSSRLOURSCR HRV OEE SDOS OPUS ORES OR OSES cree renseonereueUUeNsseNeéeséteséescsiascce EL re Be a a oi | eee ne rer ben ensind user enere a Nene teen den 68s'n ere ceeueweees er seneenseseesnececeue se ing bmw ssn inc, cH nm soc a co ee see ae ee ee ee eee eee ee eee ee ewe eee eee eee ee CCRT eT eee ee L ee TS Ff PONCE CSEC OS SOON EEL 6 64K kee ON EOLS ENS NET SS1) OU NE OROENONDN HN 5UNOON a OE ENR RaO Te 6000S 6lenkees ones cttewsnereee Cee meee ele ew wee eee | cee e ee weet HHH EEE eee eee OOOO OOOO OOOO SOTO OO SOROS EOE ESE cu neeeeeeaeriseee® ae nested eeeaienias | | seeeere [ewe ewene | cee eweneneue Se aka td Veen eeeeens [teeeeeees | ceeeeeeeenes seer eweneleeneee SOOOOOOTO SEEKS OR COTE HEH EEE EEEEEEEr® | ; | Mane! 177 | 4 |e | SS eecbedectedecneccseseetecesansssveess aus i — rH | | & i a ; REV eres ee ee ee ee ee re Cee eer ss err eee ee RWNOU SURE RURE OR immensity ae MR Win ah Be pic hl ck eect ae kh Spada due nunSe +s mand ceed ate, Uhl tal ncaece wispeacecEts sci f SOReheeeeenans WONCONGNSRNGRObUREN ees beeeeumuy Be i Ni i es ec ne eat es egy ae ee-peatpa sora es | ME ORERSSERORONSS CORR CO RDENNRNN a WeedeeeNNSN bEHnet0N Sy <ensvesesEERueNes¥seElees.b 055 eee nee Seeesecees pibbensusas SPOOR OSE EE EM! CHEESE EEOSEREEES EEEESEEE SE EEOESEEEERESES SESH EH EE EEE EES | TORR O weer le meee eee | cow ee eee meee Hee RHE ee HHO EHH EOE EEE EERE SESE OOOOO ET Cee eeeees) eeeeeee eee Mee eeeeeer een nen seni $3.00 Buby Whoa (an heel [abl eo. | ee il 208 Funeral of M14. /har ph a Funeral of... Date of Funeral_— ate Date of eat. Esse nadied einem > ar orn cs Removing Remains de spine A Removing Remains i. | Date of Death .. PN sooo gio) 5 cs eo tens a snseeeedesacecs chevacseaisiausetessscceen: ; Dectietcen ie Embalming » Mrcre..| 2082.. | Place of Death. x4.&... a EI AE abe AO rR er RR al i ee PRONE CE TUNG CIE os csissc ciate shave codenncastassseabinsececineanrs 2 Picsees eeeeeeh gaat Shaving and Laying Out Casket No........0.-. t laa Kn ize ’ £8...) C tee eM RA. nate Casket No. nena “ Date of Burial.. Where Interre ‘ | Metal Inner Casket Handles No } y ection........... esntineiee Handles No Outside Case, Pine, Chestnut, Oak, Mahogany h 7 2 Outside Case, Pine, Chestnut, Oak, Mahogany PATO OPE FA TRE ING, aac 0c.ec onde esa ges ecacdscesnsesesscenveaseveen ; Lining and Pillow Set No. a eee a pandas a Tt sien Soa Pete near ep o S R SpE Saaremaa my Metal Lined Bor.. Metal Lined Box Mountings Beveveeseeeesseeres Plat Mountings. ..cccrceceses vos Metal Vault, Style......... |: gon reece i seca Bor Mattress cp bubs 060405 00b05es 0b bE b ONS 6x0 kbn6bb es eke kkeuddebes sp beesseeasels ae \ ba skier cue vcs BAR ss sauces Box Mativess Burial Robe . Ax7.. “a i Burial Robe 4 Ck « 444% ~ . y yy 1°. ° es, Fis ca OE a ingle, ied, ja SUDONS s ccccacccsssrsiounzssienies Prs........ ee Wf | 2Q..| Single, Married, Widow, Widower..~. phe CODER os asncveiscusas Cesk eas eas teess | i ; ae ‘ Birthplace ; et Personal Attandance and Assistants r Sas * ; —_ ; ; af Last place of residence ..... ae eeneiiae Mgsssesnsnene eenecesesoocese Drapery ....Candelabra mie ee i 7 vd ae Drapery C Re ee eS | How long resident of this State....... Pedestals Beis aU . Padlsstale ( vecescecestseeeeeee. | Husband’s Name Father’s Name.. . Conary OF TRG icine ocasnc cts ate ih cn sa suss bas enesteeleeete te cilerasseitsi Mother’s Name.. ne : a ag eh sooetes Country of Birth... NAST ry Physician E . (Anna Cause of Death Ordered by Ordered by . Charge to Charge to. Soe eee eee itlihisa-ncncinndiinrdentialieabeenevennamennrtti WE NIN iss a oe cay es craw eis ave eianavues , BSA Pk a 8 nO Clergyman we OY | , re Clergyman Sexton | Sexton Quartette, Soloist. .......cccccccccoccoocccoces Organist | | fea os Quartette, Soloist Delivering Bex fine strates ee eer | | ae | Delivering Box to Opening oe Ue Z | ° oF Ge feentiareé ae spesge 1: A, Q Opening Grave Pha. kd a L(y i th Vault Charges ice eaneke neon net ney NEESER n EINE Seren Se Te eta TROOUOR .vsncicecc i iieasvan sense pepiiengt ee Ce oree aa its e insdeuigeees in ~) COOOIIR iis ic a Oishdihce asi ccsencou Telegrams Transportation Expenses Cente eee wel ewww weer eeeeeeee POPE O TODO HORS O eee H EE. UHH REE EHH eee e nee eeree FOO OOOOH OREO ETE EHH OREO EERO R HEHE se eeeEeeeee® sleeewereeeeseeses See eheeeerereeeeereeeoees ececces os steed ereseweeneees Levee 4 POOR eee elena eee ee tome wen eee eee eee eee eeeeeeenee Oe, he tis Cees } Hour Funeral of. Date of Funeral_— ts UE EAN COME fois oi vcisinkccnnccecackdvcxauctsteiandxesssiooss Cabeet NG osiccesccnee chwed ag ieeucr Gece etca Size Metal Inner Casket..................C Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Boz.. Mountings............ Metal Vault, Style......... nN gs yong vo noob axons decane eke ase sat susavesesa ckaseend Chis | De PN ooo vx a do eae eyo cds os dv sy Fidese cou eae seat Seas E ooo ssscrsce ce ccevecns PIE etl CONE. oes seseess | Doz. Chairs Personal Attandance and Assistants Drapery ....Candelabra Pe de sials Clergyman Sexton Telegrams Transportation Expenses Date of Death... Place of Deuth Date of Burial........000.0. Where Interred Birthplace | Last place of r Country of Bi Physician Cause of Death Ordered by & CNG £0 2005 a — RECEIVED GN ACCOUNT. WY TONE PONT a iskeiouk creat sincere een ae jroves , Funeral ot Mn Date of Funeral Removing Remains Embalming Shaving andAaying Out Casket No. 7. Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Bow.......-cccccccccsscssecsccsscnccccscscscensesosccoccsoces oe. Mountings....«. Metal Vault, Style........ Box Mattress Personal Attandance and Assistants Drapery....ccescees 5 COPE... antes CHIE nid Pedestals Clergyman SOLON ccc ccnsesese Oh, Quartette, Soloist Delivering Box to Opening Grave Vault a Hearse Telephone SN os elite phirielatiinchitsaustunrseersionss ‘ Father’s Name.: Country of Birth .. Mother’s Nien tet 1 ag,.: enemy eae tate ee cee alee Teed ee ee ee Ps ciihdieaehipalitindiirellernes OE EL Oa seiacesapecade deinen eS e . 213 : / - | o bie... _ Hour é. Tay * Date of Funeral Atue | tv ia. ——- WA en i ° Removing Remains..........ccccccceeesceenessessenenenneeceeeeenenennerers | ceseesenens sanbdeees Date of Death go <— becceahcenens ee i i i 212 | Funeral of, ae ' Date of Funeral____ MS TID aio ok usa anvdadceusncisiacanseensbaauconnnatuaeens | icskdecossesiasconentn ON oo ee ee | Taba -2..| Place of Death : Place of Funeral....4. <A Rm Shaving and Laying Out.........cccsseeereserereerereeeneeneseennser snes Pidpadaabell ueneiann | Plane of Funeral | i Shaving Wd, --| (CA | if Casket Nod, thee» 0M A eecteesetaanncens s | 2.| II scree ico screwed sso... ck Casket No..o SMA thee 2 Neteseecteneed i icissiceoababerniin ——e aa see censeesesecesce seeccesesecscceccccocosonccoegoncess Perrrrrirrrrrir irri rire Date of Burial... i F Exmbalming .....ssecccseseeeecssesseeneneerecscenesseneeneseneeenenssseecseet] censeeneers ae Place of Death....£> guinc.09e0eeeds 080060R0SRORbE0S 00 S60 SE0 00000000000 0000054s0R200000088 hf Metal Inner Casket.... -| Were Interred sar gerne Metal Inner Casket......... 2.00000 CODE i cncianxes Te I eos kcsda wns nedoescudsi chosen eo 4ue seaneiacadanesaupndeusseaces Uastuecessia séananes Grave or Lot No : i | Outside Case, Pine, Chestnut, Oak, Mahogany............-.+++- Dalaman: Location, of Grave | a... ae | if Lining and Pillow Set No....... IIT TAOS EDR ED IS OTT TD | / Handles No...cccccssesrosessveesssscsooocsorsccenccessssessansnsccsaraacssoees Outside Case, Pine, Chestnut, Oak, Mahogany aeanie Iisdebedss | <sssdesetennbedaaehoatacan de bsaseansaeieasoieciss doonkiess ' Lining and Pillow Set No....cc0.cccesceeccercsccccenscesececocosenserces a on Sin: | POOGHHEIS «vase ivevsscc .. ug Husband’s Name a —;. aie . Pedestals | q ’s Ni . . | Father's Name... stescteegeened Wf. fekeesaesanemreses ( See | Father’s wena Ce. OTRAS - : } : ieee ee ee Country of Birth ...,... renee me a ar ore CASH EXPENDITURES. i UE TAME PR ook acc caves ccs occas Bissixerciv eee | cokes anaes | ststtee teseeeecarersecerereeessensassreessseessesersescees Metal Lined Bow.....ccccccccsessssscoscccsccnssssnnccesecccccesscaserasscsees if | Mountings............ FR OHEID oo ics ce cicveszsss FIGs oe iinns | Sidessccae. | bessenais | setteeeeeeenees ee is Go ‘ ei seisilillli soda cicadas i an ciceccias Plate | | i Metal Vault, Style.. tae i. | steeteeees |-seseese. | tereeeres Se eee ingens ire ' mer Metal Vault, Style........c..scccccesssscsocssessssescccons:soreeesseneeenees ! ; Box Mattress......4../ pe... ae 7 ber, eee, cheese Brett i eaosiaie Age..... be 3 Years.......1 / +++: Months bead [ J Days... Box Mattress......cccccccssccscsrccecccsccnsssnssoccccceccsrscssscacssssenseees ' Hi Burial Robe ..(G/rirr.cc.:+0.. OA Ae eer oS | fo velosdel CONF... tae ah Piecstecestas Occupation......... Burial Robe ...c...cccccccccssccseusscssvcescrscscccceccescesncasececseeseseress i | SUBDOTE «onc scnises dusavic nek a steerer ae Gloves......... nee ree | sia seeks Single, Married, Widow, Widower ey mstieindias iia SUEDE. ccsscseeccssaper>-arevese PVE 6 icc cos oiee as | va sceencrnstussceans | Single, Married, Widow, Widowe Gecoctenssaneues j I 1 | | -D0%, CHOATS........0ccccecceseeseceseeeneceee, Fa | sais | Birthplace BACK. Ce. 2. Ma, Pe yeaa Se 8 ee a ; ee OO a oes | Birthplace ..7['% I : i | gz Personal Attandance and Assistants .......0..cccc0-ccssecceeeeeeee. | cei ean place of residence ox isan eae Kee olvurestees Personal Attandance and Assistants .. | 1 ih | i Drapery ....Candelabra nial | | How long resident of this State. 22? eh ieee DrGIOT Yc. 0cncsesesesse E t ANAT Se LI ARC Ace | pieebesbicisneke FOS CRE vo icctsctenisssessascesecsc OO eal Ordered by 4.4. orth sola Sts eee s caconnvogueslt cai PEIN TAMMIE .occidsevassesnastecaesaspeoshOMOUMreetssh bes! 1 voanercene veseese. | Ordered by Funeral Notices.......++ sss iacsavakeeessnvereeeessians coasactuyacns kil SAbHEUT' Sipkensusslodbaexars Charge to . +52 on b 0600p hs 0 0856090940600 00008000 s baad s08es oo0skaue oteccese Re eee eae eae Charge to FOTAE Hats des 4aKas DVRS ONES EAS $UA 9s ben ¥ bs EbuGSNaXovAPYREL SA SEEDS LEAI Ke, 088455904008 L cccckcn cc ak, | When rendered \ ssssssseeeceeseesseneensssesssonseversecnseesceseessenescessassosersensenecenaanss | cxasereces/seseennes | When rendered...........cccecceeeees idalavcuseeheneebersaseuxesseeeun LabRB iia ian ie ip acum cin hs sean acola tie aid a ae ae sans genecetsesnonenrsisrmoscnmsnanesnnansenn | ease aeiaiindl ai cimeedis ea eas aN SE [ssseeeenensssnsnnneennnesunnnnnnnnnee Jsessesees natn | | fe | a — | nt . Quartette, Soloist...........0resvererseeseees NN a igcsines sk | oceans 2g. hg NORE 2 FBS MMi scrciheees ae te Delivering Bow to.....c.s0scccsesssess eidseabibectass (os lb puuineasse aes SPO TIO Fa veivicvecascineinvsscciaxiiatasien TM ss risntnnwnsaiaeed | iissdvs iecdeiniva Se peceunnens siiisiailiiarseetisisensn lesen Tagen elec RN POD crvcscsniccscccxacdshecdcesscccecis Lining ~ > Bia ~ ; $ ~ « \y \3 i tn 2 iS Vault Charges........ “ HHH RH ee] Comer eee e rere eee eee eee Eee EEE SES EESOHeErilsnnnnseeeeerirrerrre® It CRON GES.......cecccccccrccsssssssseressvsccssscsesese sogsrerseeeeers | seseseeee: [assesses | seseeseees cttsteess seseeecavecnncansunsanengnaneensnseneey: ene PORE OOeRHOCEODECOeeRObEDeOCD ObOCR OEE CEcebcececiocce | OM TR EF bLiM|||UhUCUmthCtCt~—C~*“‘C‘ < < < ; ; ‘ ‘ ‘ai;‘i ee dd FI he OO 8 es 5 Pe TOONS E0005 06 50665 CU UIUUT 5 cc ccc Ob olocbecseee | 066006 80h ess) conerenece| +0500 860560000090! 6650 SR SSSR S9O850 00002006), 5000 640000019980 008 PRSONOCROPORES CS SUPER ONS CR Reon ee 6 ie6e FO ee ae 6 a ee NEAT 888 Area ee rere ee Seta Terre TL CHSSLOTETSESECHSEDS | P40 EHH F600 0) +99900 2041+ FO RHSEOE SSH EET OS COSTER ETT TTS SS Ne TE CROSS OOOH S0TSPSETeT ES RRR EERO H eee HHH EOE OHO EOE O EEE EE EO OOOOH EE SOHOEHe i lsnneweeeaeenrneene® pe EEC PESO OOCOTOCTOCSCOOT TTI TT Tei iii ee er eee SHER e ee ee eee eee el eee ee eee OOOO ee eaesrewenere res aeeseeeans (seam esesraes teeeeeeee eee eee ee Ree Hee eee Eee HOEEEEH Oeeeeeeeeeenresesenncsehansunnsy eececocsonscccederGoves Ft Ul UG ig... Fo | PBF e pee ee re Seer ees ees eeeesee SOS OSOSEDOSEOODSSOSOO OLE CE ESSE SEED EOSEOOODOESO SOO OSESS | srenesereslseeenenes | soenceerseeel te FOCFFs | cee SOe SORES OOOS FOL SSSED ES SDSHOSOS SSCS ODS sgn HEeEs SEH ELH Oe ES SEO rennet tienen pieree | eee Fee e eee ea were eesereenenseeeeerene P eee ere eeasetereserese seeeee seleewewenes eree rer erieee ert ir eseeeerr rrr erre rr rrrerr errr rrr iit i er be TT Trav re ton Be COOOL OOOOH | ee EERE eee OEE EEE HEHE OEE ESE SEE EHHESEH HH He HEHEHE H Hee EE OOS SOR e eee eee e eee eE eee eee nee eeeseEHHeEHHEPOOEEsereenesah nnn ea bgy I ir NR I oe ede we ce a A Se ee oe 1 erie OOOO Wm 60k a i) i ee egress Be cpa a || OMROO9OO8HN8 98S 980808080000 4000800080800000000800000 rece cerescenereenennsoonene cheese | césacanwehianesesee | o460ineseeeslentseoes SOTHO HOE | Soe e eee ee He HEeEOEEH Hl ee see eOOOOOSECCSEOOSOEeeeerereseeeeereeeesinensesereseriseeeere® SHOE eO ee SOHO R ED HHO EEE eRe eERE EEE TEEEESESEOPOTOE EEE OH ee en eens eenngy COT e CHOCO HORE E EEE E THEO EE HESEE THEM SHOES TUTE HEHEHE EE EHOEEEE HEHEHE HEE EEE EEES veodedeseesesoce ee ecccveeece|soceooess ee ae seveecewooeeles vert 1609eeeeeselocesooess | sosccsvovess|ocovenes SOOO R ee OER H RHEE RE REEEE CHEER EEE Ee eee rey POC Cee Serer eees ee ee eeeee See Oe Peer ereeseseeereceee POee rere erereeslseeeeseeeerriereere et” eeeeeeeeee SOOO ERR RE EEE EERE ER TER EEE OOEOOSEO ESOS ESO Ee | } ©00 @eecceess ‘ POOH EEE REE HEHE EE SEE TED OOE EES SES EEE ESEEESESESO CSE SES ESSEOOEESS COeeeeee BueHerine eereenl mrrrrrrrrrrrr rit ee gee eeeees! ceeeeeee < OOOO OC OOE POSES eee De eee eeUEeeeeeEeEe® os ghia cama oes MS ETGNISOTOD LET SIUM: cosscccocs weeree re oe hi ° SHOR eee eee eCeeseeeereeeeserteseesesesees ee eeeeee + e008 - web eveees | seeeneee Rese seeeooeer ee ee oocongeoetaa citing slp r eS ny of | oe oe a eee ll of. Dro Thatlez 0 Macfor- ae a eo Date of Funeral Late 2h/rd_ oan ZU Mf Date of Funeral oe hon [43 Removing Remains - Oe. Date of Death , Embalming ......+++.- sessesesennsessssesnessnsenssnnecsnennecnnesnneessssssst] 1b) 10.Q.. | Place of Death.. U AEA. Shaving and Laying Obey noes isis a | —s | Shaving end Laying QOut...., . | Place of haeaemae FRU GA peaeeaat aw, Casket No : my eet drerereed y- ; 13.520. Clergyman Date of Burial.....,W ctf on. 224. eee | | Date of Burial 7 ° } Metat Inner Casket ! | Where Interred ; ener ns BIE | Grave or Lot No Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set NoO......0:+eeeeseree pe aoe ges eeeued a “Ah f pol Metal Lined Boz............- Hated Lo.0-C..toipioy Mountings 8 | Mountings. .....-.eeeees + . Handles Metal Vault, Style Spear yan valet emeneenana ener t eat NO Nee , Metal Vault, Style Box Mattress... | , Box Mattress .......0.00-+-s000 ata tasdustoteaener users s | Rouial Bake. . RIM... cscecevessrcserreeets scagitosess Occupation Burial Robe a : ‘ , ; ; . Tido eleiia Slippers..........0.... .. Gloves ea | eae | Single, Married, Widow, Widower Slippers .Prs... . | Single, Marrieg,, Widow, Widower | :: che . FC | Dirthylace Yeheeepa>-RO),. ie | Birthplace CAD Last place of residence Drapery oa am ~ | How long resident bf this State Ay : Drapery.....02.+ Pedestals.. ees Ud Husband’s Nath RA Le : Pedestais Father’s Name | Country of Birth ..,... : Country of Birth Mother’s Name Charge to ce in intr When rendered See eae RECEIVED ON ae ACCOUNT. > pen Clergyman.. CROPIIIININT «5.5 oc5 «testy ccs sdaciuonteesal aie tietie ci ee aaa Sexton Sexton iene “i salamat ai encase “ - ea 3k (uartette, Soloist Pee wee yi Delivering Box to ANUS COPD v5 ccc oss siecacosnas easeaeesten Lining ~ ral Pak a i I a a , yo 000 0005050000045 000s000000e0 greeeee a Telegrams te eeeeese maak Arev is 5 ee | Transportation Expenses . v/s hesstle SCeechon doeeveeuesess seg esse | (eeeeeereesleeweerees | coeeeceeeees|seeeeeres|seeeeee Seeeeneeedereveseesreesereseseneess 99990000900000 COS OR CSCO SEESESS CoCneTeee Cece Amount Of Bill.......0000.000000 | VS 306 sewer eewensl weeeeees SOO OOORETOSSO COCO E SEES EEE EEE HOE EEE Ee: Peer ee errr itt terres eeeereresele ereceeene beoeeer” a ER Ab Se ERG Eh alin ne tc ah ieee: he 216 cB AMhet AG 6 b2 a7 Funeral of ~~ flttte 2 Date of Funeral DE rf ie ae. TROIS EDUMINE soiikkcie cass ccnciinosctbenonneanseinmanasaioeune ~ ee Shaving and Laying Out ie . Casket No....& yo sen r= Handles No Outside Case, Pine, Chestnut, Oak, Mahoganis..cccccccccecseses | cecscsceees Lining and Pillow Set No. GOCE EA RO POON cs skacaccacackacalcassccockisubiel stains cliseeisnshs [eeeinaee seeseeces AIOUNTINGS...0 00000000 5 <clMEEOEE Socnadanncpencbas POE: <céciesandevce [anceksesss Gas BIGELE V QUIE, Oc. ciccccincuccakeccecsucuccasesscscasstuceaakéceeisacsesés | FO DIATLP ONE... sccknidachinckissonissnaventneaaneaee VEZ aet Lire eeeeeecee Seceerererseece Burial Robe..... seecesoore Personal Attandance and Assistants Drapery.....cccces POGOWEIR co chicas an =e CASH EXPENDITURES. EM PINT, cococuniicciecuneseesacice lemons Clergyman Sexton Delivering Bow to.........cc.00 Opening Grave ...rccccorccrccscscccscsccessecseesLANing Vault Charges....... mtANODERhaAaAGSecencgnyuceessone helene PO eooeseeeeeee Seeeeereereeroee SOOO HOORES OO TEHEEEOOOEES + OCOD OOS OE seeeees FP ORSCOe OD Oeeronesesees Seeeeeoerseeseceees Amount of Bill.......0+s eee eens eeneseneeeeeeeeeeeersssence nee SECO eer een eeeeeeeeee Thess] Occupation... Lait ; | Single, Ma : Widow, Widower | Birthplace <7. | Ss | Last place of residence... How long resident of this State Country of Birth....... FRYGUAGA 6.5.50. Beccieses 5 Cause of Death Charge to | VEOH WONG a5 5 ose seis erin agit oa wesnaveavooviee RECEIVED ON ACCOUNT. 217 KL LAK a J , ees ae c - on 2¢ [42 segue bctaoebelnes Date of Death .. Funeral of Date of Funeral___— Removing Remains | Place of Death | Embalming aeppebaed pss: »+ | Place of Funeral (vee cake Chan he... — Shaving and Layi ‘Soul | | oy ice ey A 10... diane ; Ke * | Date of Burial........2 ken, eo. 2 i> re a eat eananaee Casket No.. Bi, ge He Metat Inner Casket.........0+0++++++ | Where Interred ; ; Grave vr Lot No Handles No : Outside Case, Pine, Chestnut, Oak, Mahogany RNIN soi ccnvcasscccaabansskabavksbunandniniis Gakeueeaeeene es | Location Lining and Pillw Set No Metal Lined Box. Mountings Metal Vault, Style...........0.-cccesceecseeseeeveneeseneseescneresereasecrees Box Mattress ......cessc.scseesececeenccscccssvecceccscaccsscsencrecesecersssss Occupation Burial Robe .. | i | Single, Married, Widow, Widower Slippers lati , © : ; a | Birthplace 0-2 | | Last place of residence .. How long resident of this Stat Husband’s Name j Father’s Name..»f-o-4 ARMA INO Country of Birth Mother’s Name Cause of Death .............5.:QOG et ie . W. rene CA T al F Ordered by Charge to ,.. | When rendered | RECEIVED ON ACCOUNT. Cuartette, Soloist Delivering Box to SPOS SOON 5. ociccidsissnesacigs veaunscerneens Lining VEE CI aie csckcnidecassinitc es iors ees : ges pyrene etenats 2 : lo i Q gf» & Rar Bl + a & Hearse j Coaches... Teleyrams Transportation Kepenses Cea Peterereseeneeeeee ; : a ' : son scanner aeons Se-cseenenataan ts Se ee i + roaorne ens prcesnennereseeeneas RR Te ase a aaa ia a ee ae ‘ : Le TL. : Ll a z eT ED < gocudal Ladi Funeral of Pilieeeces ¢\ p—_-— oii ae MIMI 2 i ee ie 7 Date of Funeral’ nee - ceewe IO / 7G. said EN cuiicc ss, a fede feck, ifad. eee ee O-%. as - j / : { . : Removing penne pcaabeenanennconbes eoneons ccaanensiaen | seeeaur oJ, S22. fee. Rg an sbi ee RAO nnn | Removing Remasins........cccsecrrrsecescrescssscsssrcresccnssceseesconsess Mae heece LOf % Piisssctsneeen CeO ket aw ; . ern Ta Neem Te Tht aeRSOOR GS AhGs bes aseneagenice riage : | : : NT ee ee eee eee one : A Joa Aeplee Death oe (toes oe 7 E J /4-3 Embaleming ....0ccc0.ssscoscosrecsceseccrsccscccccscesccssscscesscescesescosses hi eee, Aton... cieeaan | ALS? iy 4 Shaving and Laying Out... ZA cescesenees eee) 2S Place of Funeral..... “awed bray Je | Shaving and Laying Spr |-seeeee- | Place of Funeral..... LOLOL Pc... Ln Toe eenenene Casket No.0. 1.ZISO 0. ccsc-ccesescene Size 2092.8... , ea Nou. fobiterge eae te ore an A” fd. case ney Hives uttered nit cece ceses scab er ec es ePES ee these neccerercsseseeresepel! sosesesescs|serweeees | JOT IPTIULTL, «onan nce s TowO Ce ge eer secre cenneeeseeersen se esses ee aee sess esses s eases mane -some SRR eee eee ete HERERO ORS E OES FTES HSH EOSEHEESOEOOOSOOEESSEES RECESSES eEEeesereress (n SF o N N \ ' ena dll ace ee hada ae oh. He ad ™ ( . A» ™~ ' ~ ON \ ce eee = ~ ~ ~ ~ = 5 7 S we ~ m ~*~ . Y Outside Case, Pine, Chestnut, Oak, Mahogamy.......ccccccceses |cccccsccsss|ecoeseees PI I ii i Outside Case, Pine, Chestnut, Oak, Mahogany..........:-+-+-+ |.eeseeeee | LOCALION Of GAVE ......ccccresseccccennecsrscencnceeacsarensessesersnsosenens PASAT POI GRE IN Os, civensieiderccnbeesiaiachaksseshamsenamaensansd | iosciaces ane dus ghaev vase kea Teds SITET Elo s5S sd caves Lining and Pillow Set No.........sseeccessenceesssesereseeerecseeeesenees atid suas | sseeseunenecenscanenagesuvesossonenvenanesoenqneney cessgnens PIGOE TAUB TAOD, .. <c.sescrensasesrsnassanchdnapabesecsines sabi cacasisedeieas | sOsetGiss | eyes LGuapeahs andnbslansassacnwanesetucerseesbentcdsiccceisisshe Wiidaed lai la ais. cnc yaks eusccinc assess tiles ea canccsniaesiascamervecde | oorteenens | de kedeees Viccseeaaw oaseceueaiaoen i sdsh a biieenvesskemasaneiuhins a i | , lles Ni sAciachanid kad abana SAeUREEAS’ Udas acces et cbbacsxe . *y ced Feccecsoes | POG OF LOE NO. soccnceccccccccccennesssese sch ONO scesnscese-cneghosess . Handles N0...+1ccrsscesssecercncsvesccessocors stones CN EE Bs ois oso sean ee es PUNOION, cscs has cg ee Handles No...+..+.ssssssessoscesscccscrccccsesecoensccccssssococensccesseees Section pf i ‘ 5 : | | ; Le i MOUNtINGS..00e0-vereees +++ HANA rereveeerernenees Plate | | Mowntings......-cecce0+ +» HONALES.......000000000- PUG. ocsciccnccnse |osenteesser Leeson [oaoeeos esnennieeniaass Lateeeeeesncecacscesrersconessees i | ig Metal Vault, Strle......s.cccsseresessscesnsccnsecctonsncose.cocnssnssese Sebdh Veil MN ii rican’ tae . pce gage isi chieeaseesaahana tases ienesannoies | | 4 Box Mattress......+s fofirrecesevnene ee coeaessices . aN Box Mattress | ial Years ‘ Burial RobC cond het tM L&E SV ehivasor 5) © | Color Shia as ea sn pmcoh mene nuecaeen rea | URIOTB cs isscescsuccuisecocsinved Wie svievscoesteras Gloves STO Seeger DER pe emeey mea eee ie “V[nr / arian tiadaniaes Doe, ChOtra.....ccovsessneesoes eee oe oe | Birthplace ....... aes ee ee 1 § Personal Attandance and Assistants .......ccccccerscccccscsccecsccees | sscceseeee Eee ies Last place of residence ............s0.00. bees ee Personal Attandance and Assistants ............:cccccscccssescessesese | sececcecce|eceeseess Last place of residence .......2....:0cs0esessereenseess ovary TS Draper if.cccccccses oC CONDEADIG,. oc<crcrsecened CR ai istics | ccc ivesaoe | How long resident of thie State............¢....c0006.. cana amed Drapery....cs000s _..Candelabra..... _.......Candles. ...... oral oeeerents | eters How long resident of thie State............. ccscccsscesecsesssosscaceesees lie: it a eas Pedestals....,....sseecseees es BUA... cocreeresorores sevccecssereres | sessesenes Boece | EES NG shi nisin svcesnereerrnapapsarevesspens iced ea ioe ee e i : Le erfileme,_ if | Father’s Name..™<* 5 ee Father’s Name 4 , Country of Birt ais FI caine ci sac dicsseioih ica cass poche av eeeminaeete ene eC ee eke oe Mother's NOMBsi.csisissesssensis BPP ekicix in banvibereer scenes emerenns idl TATOO HE OEE T ORE H OOOH EEEES BE OOEESESE SEES ESES SOK ee seeeaseeseasencs | teeseccccsiseseccces | SEUUMET DB LVI rec cca reece ences secs eencesegpeessssesesss | Mother’ Name seeseereseaunepess Pinnacles | sesssssssifesesssse. | Country Of BOth.......22o- © RI ons: cee Country of Birth...........; svesvagethyenssenseseseenensiseneeneestnee Physician .&<.......%." es TOS Se marr ee ey | sossenaconsesevccssonanepeessesocesonee atthe anmNNNINE \ neicucseset catechins {ERE ns#cinsin ps xiobeeeasnivaseibtbsiesti teases inudeeesaene) . 7 1 ; o \r 3 / Cause of Death ...... 7! eee i rer rer bene | Ceesesevesrascnsssscesencaeocseensesens resesenscoccteccosensenserscosecoosonsossecces | LSE | Cause ee ec ee ee el ; i iund ashi ca criasay toy nuk sasesanceedns sasaki tascnnessbeeas te) een | — 2. ac - a ee eee ere | a eseusheces |receeeene cB | . . pktvesavaecssse.sed OVERTE GNU Gloves Ya (7a. Ordered by ..©.} Or, & aes + ee. cons STTTTTTT TTI ccs eceseees a Ceerececeecccsvecseoesooscocse A iprsrrreceecscen Radener : | A ops#Fo y Oo fi | twat Charge to ...... A get 7 Be ALS ie j Funeral Notices......... | . ; ‘ ; spneascenpssan> | viseancuncades nets 04 iteve4s teietiest Cuseeed exes . 1 C t ttt soseeeeeseseeseesesaceeseeeecenesssssscssoeercees | | Charge oe MEME et SALE ERB ae N28 . bees ; When rendered... ekg | sVsa edad beh bs sieeueaussaSepasessaeeeveenteateel Metaiotasiiieieb cs ee seenseseeonnnenee| When rendered ; ; reritteapehe i | | RECEIVED ON ACCOUNT. | f OOO eer eerwecereesecsossssccorsce SST = = a FOF FeO eR OOO ee ORO ee eee ees ee nes ers seeeeeseeessesrs RA Eas con ss ncusis oxy snyah vesedenatibarevenisiesdevuea tasciclietsiicehinn Seed a Le Sone : | eSveveseeges Modevsooe|ss h CR YC.» owate QV ®.2... Sexton CPO CCC C or Eee eer ereeeeeeeoeescereeseeeeeeeeeseeeseecoocesococcsss |. h—mhmlUd]Tm™™lUF Lt RD lef _ ey EMA cer wcccccccevcccaecersereesssssse se eeessesersseseseeeesesers sors HHSSOGessss | SHOSOOEHEH ssesesens | HEUHHOOTEHs | FHFOESEs HEHE TOEHHHOTES EHTS HHO OHTEOOOHOOHEHEOEESs sess ETeresse®| goGTsee gum GUAPTRCEE, TSOLOIIE 65. 6 :ckectecicsvisvesveses sed OPE os Fv sncasssecses | scussanaenlessna FORO OO OOOO HOO E OO Rees SECO OHO HEE HESE EHS Heese EESEEEEEES HsHe EPP ES THON Gi oss sch ccisviese ve eneny sesanopsivecnitnsvarsiecee sone | eosseenees Caeeuares bs cank<bepnuatecusvens<lacebencuwdeete pursues seussiasaeeesianees es + oie ess ce er } soso eerdecosecerecseoecosoosee le oar | j | * ae | ONE CIF GUM sccccceessessvisessessosesavadeoes TADONE scevceiessecrveses | | RONG CDE saiivivivedesasesservengsenssennve TANG iecsdsvinrvnee banc hatiessxs F scipabet A vigell Mca hsaia Gas yssewas eniupaensbegeuncecnsactesveeuene MN CaN NOI is a.0865 90h Gg dedi os 1501434500 kas cd Ka kgni panto VOLE Cia osi aks scksavav iessesarcosebevsvasevebteosasanspeonsekosveinass fies een ieee cree Migs, Sisal ia ih ein bees ah sear Oe eneeeeeee see eeeeees! | | ie Hearse. .. reeasereusnscvceseeeseerescesersevcesoeeassssessnesee@enecessoeee | sayeseneeelseccesses Fs cncsavpeacctiscesbssiliasicrs esse eiandeysieceschtekeeiiessvotens COO | ee OOO COREE OOOO HORE HO EME HEHEHE HEHE ee wweeeHeee® oer" i | | Coaches.. @ |] cee ee ee eween tee ee ene [ese ee reese sees eres eee eereseesseeesesesessrionusueunaeerlrrrenee® Ob + 006095505546 KOH 05000 E0F 5640040900 F0 0025554500 080808 602:0000409006008 5089000088 F yg ince oe 68s 68S SHEK 1560605 6EOU0 41K CHRON KO 01s £66065ENO OE Sb 0c 0k0 560600 babs 0588s 6 6bbs bteaseeeecekectseeeeenes seeeeesee OOOO OOOH el were eee el | cece eee ee eee HEE Het eee e eee EH OOOO Er OSE OEE EO EEE OEE SESE ETEH ESOS ERE EEEES Sone eran eeeeeeeseeeeeesesces wae ee renernnnenereseosoneapgeonenieseseeones | CE CB Be Be a ee Be Ee RON 5 00000085880 6b5540 0005550555 050050518 F EE OES 0584555004400 508 0008580581 550058048 TC. Coca ceclncuenedie | oos0000e 60001s00endeerlscvedeeeteneewesecebeaebeeeebeeeseusesessslsxeecsdtieisisesee PERRO OOOOH eee ee ewes | ween new eee eH THE EEH EEE Hee eee OE eO EE SES OOOH EE ES ORES EEHESEEEHH nu eweeere reine” Telegrams. ...++.++++- eeeeoeeeseeeees seeees Telephome...... peenteeudabinsens ieee TREO ETOH eee eee | wow e eee eH eee HEHEHE OH eee ee eee OEE E HERES O SSO EE EHH SESE HESS SEREHlisaweeeeeHeri ree . | } , , . Transportation Ewpenses............. evneeesscocesccece seoceeceececosecece Transportation Expenses Sueuseeeddicbwewasew 1 iki RGk mck ch dap he Akl lle ad AT Se Nm Re Rel a a a ee ae ae ees PASSO ERS PRESS STEVE TET eT Te Seer ee eee SHOCCRTHO RS ROSOERN F CORUOEUNSREST POUETET IES SS SECRDOCERE CUROURO EN ENOENESS DEST COROT Emr re tenes mannan ware COCO CT OHH eee eeeee | Seem seresees| FHHHETHH eee eeeeeeee ee esee Oe Oeeeee seer eseseseeeserieoseneseseer|s® COC eee 8 Fe Oe HO Oe OE OEE OE ESES EES ES ROOOREOSS HOSES OES OSes oneesees ebaenenks Un wckbeeke 8 itcdes winks ies cade si Sa a ee ee hs oi De eee aN OR ee ees EE nen ee ee ee ST Te eT eee COC Tee CeCe rtn . Neier eiwtt inl thee Ces eee Tenet Oneh eaten eeenenNe entry enwesCntne neem ans CHOC OO Oe | eee ererererl err HTeert leven ee OOOO OOe esses see eeseeeseesereseeeseesi|ssuseeesereris® nn / naman nam rr nr rrr a rn rrr GE ee Cees epeneen ee er eee er re cre te eee a mI Fo Bo I Be i Sy sR es BRNSURS OHHR TENS Os er eNE ROSEN ORE RSNNOSR bOnEEEE be Ce CdRSSEEEN ONS DNEpGSLOCe +s cnenecnNes Eo ciscissemenbinges Daculcciscssesabesesesesbedeetnietn eee POPC OOE COR ewe rerees | eeeeeeeeeeesl ees SOEEE HHH EOE SE OEE Eee ee eee HHEEE ee Here eee eetee [sense reeeeeei rere Seneeeeereesoeorere TPO R Oem eel eee eeeeee | wae ee were eee Een eee ees HOO EOE OEE eee H OEE EEE eee eEeeHeeeeeeesesisueesrereeenlen® See eee eeeeeeserereeee a eeeeeeeeeeer! Coeeeeerliee SOOO eee eee EOC ee Oe Ee ESE HET E HEHEHE Eee - soeeeeeee woapee-ceccccoce ge Se |b cccerceeeeeelseeees ers peeeeeeeSOeesees, gee eSPCOOOOOSSCOOOOOFETETTs Seeneseer Meee eee de) eaeeeeeel Come eee reset OOOO eee eer ee eeeeeseeeeseeees: Amount of Bill.......0seseoer-or * SPOS OOOO OOLO te ses eeeese’ oo FLOP eee eee eee teen eee Hee ee ee eee ee eeeeeeeele SeeeeEee” : qaacaussmiitineniieiain ~—~tylape animes ay uneral of a Date of Funeral_ Removing Fematns....cccccccoccccessecerccecee | @eeeeeeeeee ADORE so orsceeceseeveeesceeees | | PTE Ry ans Ge ie aoe ee ete an | ae i. Outside Case, Pine, Chestnut, Oak, Mahogamny..........0.-s.+s: TP igne One PUG Bel IOs snc vans cessecsccads ssudeveneconnsovaceseus I lattress z ci basanubsenabandbbadsebissiustideeereecseeser ticks cheek 8 Age....: ttl Tie... Months........2.., Die 2 ies A ry , : / 3 Burial Robe Linea niemanaveiaaieneenstiastethclbninhsbincs | wsasdieed auiceins OO scasccnsens ig Occupation. 2 eget Baca Be y PUR cevscvevcomnne MM iksvcnescivetins | nexeasecin Saas | Single, Married, Widow, Widower.............0........ccccsesessse | J : oo ) & 7 eS aap i ol es). | Birthplace ...... LY LOY AAA Personal Attandance and Aastghants ....ccccccscccsisccecccsssscceceses | coseceeseclcaocecec, | Last place of residence .oeCandelabra...-..sccca-es- Candles. ............... PAS tive Drape Filecs caaeaves COOPER OOD Emre ee seesencererereseereeeeceeeeeessoeers SOOO meee meres sereraeeeesesesseene Sear eat eet Porters and...... eiesevents TOME is ckccce. ge Le, 2. RPE Pe aR Boa SE carte toe Pee eke a Gea ilar tpen ee RINE os i caceceeside Kveresssasbuedls (sche tee eee eeeee hence OOo eee ee lieweees © Delivering Box to...... Si ; L 6&9 CPO CIROG oele St vckicancdecsecenccs Lining Vault Charges. -.g. Phe OP Oaks +4 ++0s00sscreereveenseseseneees L dvr45 TSayr viens aati PAE OCHO ESO HES EETESOOC EEO EE Eee e ee nseu ses EEEOee DOSE ES SHOE OCOS ES COSSeseeses HAO R eee OOOOH ROR e ener en eseceeeeece THOS OER Rewer meee ee ee HOE ee ROR See eeee Telegrams........++++ jcjbisintesretesece T elephone Nbrnbieetiesiess Tra ion Expenses nsportation os sbeecsesecoseccces ebeeetodendeseien . Seercerseesere ee Seecesccces hbase su shebiauaestaieusies eeeeeees seeee ceeee NOOR eRe eee eleewewenes Amount of Bill.......ccccccreees COOCOCOOe CHeescoes So eeeeeesecoveoooe ces ccocecse: janlenntiaite | weonsanstt Be | Date of Death ....//: ean ee | sabeannes | Place of Death........ / SOTO COTE H] He eeeenel Se eee eens eee OOOO ereesseseeseeeeeeeseees: sveee wx YY eens veseuniuueGeebeidereessnssaghiiivebiheveteeeesubennssiaibbies | “2 SOR Pemeeeraereerseceeeseeseseeeeeeces | ° Grae OF P66 NO. ee Section - | Location 0) Grave i toes weeetenee a | TPO PPP eeere grees ocececenscccccccscnces: cosesseeeresssecesene LIE geo | Whar, CN / vlads - Oeeccccccece f Coserecesecccece CM SReees Jyaes .| Date of Burial....”....' ¢ MeL, f AF / Oe eeseeees +88 eepeoese | How long resident of this State..................,0.... | Husband’s Name ........ Bprstaratees fr ay | Father's Name. SORAd oO Pie eiss at Country of Birth! : wh M cet irises. 9 | Mother’s Name Peete epee ee eee e een r anes seers essa ses emereseabesn inet 7 Country of Birth......... KE es eke 2 Charge to ........000 iar tenho kate Favs a noo “| PPI. PORES Gg, cits as RECEIVED ON ACCOUNT. TERE e a meee eee ee eee eee eee ee eee HE OOO E EEE ESEeEEr eee eeeeeee BRR eee HOE O eee HEE ee OHH O EOE E REESE EE OESOOS EH eee eeseeileseseeeseee TEER EERE HEE Eee Lee eee E HEH HORE OEE OEE EEO HEHE OHH ESE se eeeeeeeee® SHE Ree meee eel eee en eee] Cee e eee ee POOR Oe eer ee eee e sere esses eeeeses|eeeeeeeseere TTPO RET Reem e eee rere es aseeesesesss lessees eneee® PPP Pee Pee eer errr rrr rr rrr rere reer reer reel eee ee eee + teweeeese Funeral of Date of Funeral___— —_— Pg 2 ee i . eee Removing Remaine.....c.ccrccccccrcscsscesscsssnessocssscssesescssscnssess Wot INGAG < <<cccesssaccaeestudnansvasacessaunecesovenscsconhansasennesevaness Shaving and Laying Out......ccccccrccrescccsscssescossssceconssseceesss | Casket No... oof peeachekabancan’ eae cakes sasiewsciccses Metat Inner Casket.........+++++++++ CAP oss scse PANE ickeces Handles NO.....ce.ssscsevecesssccceccenssncccsccccccnsscscsscsccsanecseassnsess Outside Case, Pine, Chestnut, Oak, Mahogany..............-++- Lining and Pillow Set No......... eo sea assess «in epesesesnessaves Diatesl Tah Bee 5c css ccsvs icc csonosecccsessonsensesascaseseetnitantash ones: Mountings......-c0cesee oss FIRM xoissncetec sxe PUR icc cnacenscacse Bhaderd Vath, SINE cova ia ccc cca cec rena tancossansenesesarycssinesesnsenss ieaans Box Mattress .....cscccc-sccscsesccccccccccccsccecccccssecccscsectaceensseeeres Burial Robe .....cccccccccccccccccccccccsccccccosecesesessescecscssosscvccsseees SUOCENE eccicsdedsessessenee PNG. oo ccvietetet GUNES. csses se snsis Dies ease De OIE ois esa rea thee eens Personal Attandance and Assistants ...........0.c20ccsernee seeees eee DFAT Yc. cccens see Candelabra............... Candles. ...... PORE an sccs sense ecce ns vere ees 5 os ride ee sabe ss ntane CasSH EXPENDITURES. DIOOP TOV occas occ ans ova n tas hie ax 6s s0adence 050s sind Nevecueensietenans patiodisancaeues IGE yo vsde vecicevencussasusnsnsa tex seuyoesecsseuns PONG iia vascausan en sud Wo are canara reser ests teesanncsnanmeeasseaeese ts alee sepvorpueusaseeies POPS CHG so cccacscouscssssnnsicesess + OUND ise vense0e PUMGPAL DIGEIOUE. 5. fanccsccscecsesisesssosvaussssvnuadaneesss peaseipr ia rees CPI, ois sa ven bascdeckev ss vsncavsentncacdsksesvenTerevicecitesns is eutevete HOM OITE 5 sins vunvesssnbinsensud cesesseVeunhokveusnunsesdeuhexebinceuseuseenvars eens QUATCOLES, SOLOGNE v0. ss siviscsscsvedesnesenses OID a5 Sates ccevaes FOES TIE Gia soy cs gricssasensvpesicncasbeterscicyssseunsvesbices erme DONA II O oii ccciis es sce scsiccecesivcssanese EAI: vcrivecsrvesnsces WE CHIE ioackcecincsrecsesenncicsbatsccesavasvansesadsdesevsine vers cons PEON Ss os isis ceeecs ic ss dias sais cie seins estes enipiaseseesteces RATE Dec cece vcks sc g2aksbsearac sty gorcs vherseTic bie meine ssae ed AOA TERNS POT res siiciissnce kav eciinaees III ci si ncdectinndinvetsis A IIOTIIIIN TRIN. 6... cnsosecinevacosevss ioineansncseiesenen a TTT ERO e EO EEN ORES OEE EHH HH SHOE HEE HHS EEEEOE EEE OEEE HSER EEE EES ESE ES ESOOH_ OHSS "SPREE REO e Hee OOO EOE HOE E EEE EERE OEE HEHE EESE EES EEEO EEE EH SEES SHEE HEH eEES CZ JUL és 3 no Ss aa Date of Death ae ile " | bas Mises Of Ditthcccssisccdgnc ite,... nce | Maewey ¥ Lbe Ci) ee oh/ Sesanbenueafasnantens We ate TBI OE. occ cccssiccissavce osscaccataoteiescsacesugniseesteaeee aissisines a. | Location of Grave ‘etn ee ae nasa | veseeee|Single, Married, Widow, Widowey,.......sccssiessssssssreees . ‘ y qf L£2ge Titat O00 OF POMIMANO ions esis cn eseecscissecteicctiass see How long resident of this State.. ae a mae ee ices Brae fo ae Peete s ie Pathan NGM os ca ha vhertaessccces Country of Birth .. Mother's NGME6...5 oo ccanivd Tig eth eee eeeceslseesecece eocccecces| sccccccns ———E —<——S = 7 ‘itt ie Pras wDeRLRQ sstisncees|sesbenses CPI TD vn ao vo oa ooo ashe sas gk user banensl yiecenereinse periess cae WA PONTO. 6c. cs csssin cco vexnsses Wigvecisirin eet ee | . Sg eee eee er . eee | | RECEIVED ON ACCOUNT. oe Peewee secre reres | Hee e eet POEs Hse rene sie eee eee eee EE SEE OOOH Hee SE EEE EHEEOOEHs | segue ee beens SOSeeeee Fee oe rer el cee eeeees | coer ee ee eees HHO OOH eer| He reeeePOOOSOO OTE EE DOSE HESS SEES HOES ES se ebeeeeeess| seOOeeee® eeeeseeseslsceeceees OPEC ISOSICe rT ee ere rrererrrrire rT Ti reeiter rit irri ies lk FORT e eee ele eee wees | eee w ee eee eee Hee eee eee HE OEE OEE EEE HEE EHES EOE EE ESEEEHESEEH IHN EHH EEEHEEHEL HEHE EEE H Vv peewee cE chee sevevesvenetievennnsoncenventoossnetl OO nee wn e en enenee POOR eee e eee been ee eeet ee eeeePeteeeens, per seeeeOFO OHO OHSS Seeeeeie Sanam 221 bile ecete 'D Seite EE a eeorigatens hho c) nl Le ae ccesnaa-mntenenatiinedts hee tace tre cs a eR NSTET ¢ Se cee Ercree<tseemeeasnaare aha raiacnone eee aa Eee ennens te a aan EE Senne 2 SNOD NONSENSE SES SEO eee fa = ee | panes Seer ner ee ss Pe a ai Funeral of Date of Funeral_— Metal Inner Casket......cccccccocsess Copper PAIR INO, iy cries sc vsenksancesbsxnshaoeenk Outside Case, Pine, Chestnut, Oak, Mahogamny.....c.coccceesess Lining and Pillow Set No....ccccccccesces Metal Lined Bo AM CUAL VOUS TOs caisncsescessccnssgucceascncuh exeasnevise igikctweesieaeuas RP pox Mattress sede scaaeh eoccccced iimeecnacbounel wieceeeeses- 9000 Ce Coccccccoscs in -+- D Ve f chy 6 SLid - ee vesfesee . pects chit PE she ROME cis vcctenieisce v) Personal Attandance and Assistants Drape ry... Pee ici Vault Charges Hearse.... wae VT avy Cle, een eceeereeereessssenes pererweesceees Peeteererserssereeseseneraseseesesreees ses weeeeers oo > ae ¢ 7 eeeecceoee ~ ve <A 1! ao. Amount of Bill... \ A ) KUL ~- | Date of Death ..d..000000 eee eer er ebeseeeeere OF CRN eS oe seeweges Ape CY How long resident of thig State.. <a Husband’s Name </s VO 0149 Country of ge Mother’s Name poe docccccccccecese ithe keaeas lat OG TERT Funeral of , _ Deuce Lilawa Khe, — Date of Funeral 223 ~ —/tF2 How 2232 (//7M- Removing Remains Embalming stiniting itil Eatiltah TH ccsanssipasvenipinic Casket No..4-.1278 : Siz Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings Metal Vault, Styla.......c..cccescsssceccsecsecccsccrscoessanceesscosesenees Box Mattress EIFGIONY 5 terewigees POmggtadt hi cxesseeanses PSone ohne Rug CASH EXPENDITURES. Clery ma n.....cccsececcecsccccsscvccccccecceccscscosccesevescesssscesssencceces SOMO as cvcvinciccssscestssevesseses eneseusescnoeenssenscsisenccssanessune secs Quartette, Soloist Delivering Box to Onening Grave Vault Charges Hearse Teleyrams Transportation Expenses .. / 1 JP 44th Ae | Single, Married, Widow, Widower.......,:<: : Birthplace Last place of residence How long resident of this State........ Husband’s Name ips i Country of Birth Blktrprsther.. Be... Reh Mother’s Seen. kao < ee ice a a Nid gos octane tanner eee ————————————————————————— SSF Ordered by Shirt Jo Crarge 00 ......:f-J>s When renderefl eRe RECEIVED ON ACCOUNT. celeceeneceesoress, seveeeereserorossooooorerte 225 cot | : | Funeral of PE 3 Tepe ee ea” cele 7 a LAL » ciaeashh dieedenesesaiaia cates! Winn: quanemnemmiannnne i _—. a 2 , ae ee i eC Date of Funeral i a x / A } “...M. | Date of Funeral Ss ae 2S Removing Remasins....ccccccccccccoceceens ssluinasadaneiene aici PN i i a ; ; Embalming Shaving and Laying Out Place of Funeral...50..Sicisv. 03% ‘ ices frrvssveerisecsseinsuemen | COBket NO. Frre! Date of Burial... “3... SS a oo Metat Inner Casket I NI ooo cc cnvgaeaioa basa dads eh nas be ° ee Handles No Outside Case, Pine, Chestnut, Oak, Mahoganyy...cccccoccccccees | ccscscscees ho gany Outside Case, Pine, Chestnut, Oak, Mahogany bhai Pitt A Bose scshscecasdcspeininieenasaisceia Voxkescon . | Lining and Pillcww Set No......+.sssse++e00 Nets perieteossesasshare PEOUEE PMOL POU ecco seks cease ea icada seen dade abbas eas | ee. | Metal Lined Box Mountings Metal Vault, Style F102 WE PORE, soi spenshanssssdiskgeesaibesslneaeinndntieinKcois | : : = sip nne ds APOPOsssicvecein * Box Mattress BPG Tee sks iccticebeicneadan ecusadaansteticula oisaerekes ded Uk ees Occupation PIO casi evisncenesnanmamibinns Single, Married, Widow, Widower SS eae Doz. Chairs...... oat: gatas Personal Attandance and Assistants ......-...sccsssscscssesseseeees: . + Personal Attandance and Assistants Last place of residence BADONY <0 ssceseces rei Candelabra serene | Drapery How long resident of this State...... ~edestals = POD. 5 csinssatvecese.s sebbcasesaes Rug. ; . See a dy: Pedestals Husbard’s Name Father’s Name on LH Ag. SALA Or. Country of Birth Ee i Countiy of Birth Mother’s Name Mother’s Name | Country of Birth | Physician Physician Cause of Death ee aac pis coven re woes ned ne dina aa ; .| When rendered..... RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. Clergyman Sexton | Quartette, Soloist Delivering Box to....... | veri - _igeeaieranniaamaeees: (ee aed ic anita luna | Delivering Box to Opening Grave rs * ona i ; | | Uvening Grave Vault Charges Hearse Coaches Teleyrams + OOP eee eeeeeeseseooeees + se eeccescccceccseees Os eeeeccesecessoeceere | Transportation Expenses PSCC OOO COC eeeeeneeeeoes eeeenee eoneee a oe j * seeeeeec[ ceeeeeeeeeeeeeee recat eres erereresererers Amount of Bill........00+0++ OP eee On eeeeereeenseosresccocsese | \ 0 \ eo ov : | ° ‘ Save . B.S ieee eck me Seon ee hae ser een eee Ore eewenee Perri eters? were PROS R COR Ome e eee eee eeeeeeeereerereseererneeels seeeewees beeen eomnm ga f Of ob Gon Funeral of Dat. of Funeral___ a | a / z sy | Removing Remains........cccccccccseces isidiaenahics puikhcndebiinimamalissilias TIS ooo acceaccan Shaving and a Casket No AL Metal Inner Casket IGOR ING, isa cs<sesscnoksesssaeeaeee Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No....cccceseccsccee PU GGLE PANO: TOOK... cc ccksacssnvccntscanssucabubeieensasane Mountings Metal Veil, S16... <cccncsoscoanseease Pome MGUreee, cccccssncenaatavasan POO C0e SO COCCOOEED OE OOEOC See erere Oe eceencesers Burial Robe oerseecececcosocce SOCOS CROCE TOOOEOOOOSOEESSES ESE EeeEEe Draper y....crcove see PM oi 5 cs sxccenenisibeccéiiiekkcexk eee eeereseceoeseoee PP OCOC SS COL eseneee POS SOS Cees ecesseosese ‘eo SOCCeCCe eesesees soe eeersene re of Birth AC yer Sencha Rober oaehasceesy > [Mother's Name hobo e 20 AW aici, Cafa- : | Country of Bir o | Physician i | Cause of Death | I 5s vias eases sesasse es esas easiness | Charge to | hE ged, SRP CRE DECENT RR Oengs (ho phere ey omrrr ree RECEIVED ON ACCOUNT. Date of Funeral Removing Remains Embalming Shaving and Laying Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mowntings......--..0006 +++ Metal Vault, Style Drapery a ao kp es dos caeneeene Porters and Funeral Notices Clergyman Sezton.. Quartette, Soloist Delivering Box to RPE PNUD os onc caisssascovicecnsnsep sconces Lining Vault Charges. Hearse ie 0 sien NS oot ra ee ee Telegrams Transportation Expenses . cenit ce enti aae ane at ae ane ane Occupatio: E ingle, Married, Widow, Widower... .<0.......ssessssseresessupbones Birth place . Btkeg K< Last place of sities ah oe | How long resident of this State | | Husband’s Name .. Father’s Name Country of Birth 4 | Mother’s Name Country of Birth.., Charge to iy ‘hen rendered.. eeeeeee Sees] Ceeeeeeel eee eece ee OO ePoserrereeerereresereres jm, f Se . a acroreteline as ~ * o a alnorthaeie eh eel eR eect el eee lho. nee eee ee nf a ; 22% Funeral of Date of Funeral. a Seka 2 fv 2 FEOMOUENE TOUR... «i cicccccocicncnsscdsnaeasetiesalidapssnenbnedaniabaans | PO UPNGIAN o cciccnsecesscacas dtecasasaieeaes eencncenpsesnensseonsescoseness Shaving and Layjng D babkcians csnssenesenieuaasssuaeseviasensiasiaes Casket wo hele Heeeth GE mescksacnstnsdvusessastess | Pt Metal Inner Casket.......00esesseces CODDET .scinnsese POM iscisics: be eee y AY Outside Case, Pine, Chestnut, Oak, Mahogany pedesonebaeeassued [hacsecek sas me “17 C 4 Li ring and Pillow Set INO skccsinchsvaestasdebiscintacsspaones sees BIOUNEINGS. ci ssiccnssesi+ses FIOMAAOR: cssrcssisevivceas PM vasvecssiea, act Mie VIE BOA ssscistcatssvedtehusgss tate ie A Sess | Be oJ Tattrese Fee ROOK eee eee HO PORES OO EOSOOOOES COREOES Soeeeses ceeenebbeses | \cadcoceces: DUPE FLODG ii cscicsuntincstisnsbaravsemsbaunsinedsideiiestascalebnisaievGatiss Vcc Personal Attandance and Assistants .......cecccccccsscccecsccccsseees Draper y....ccccces ..Candelabra...-......« mcagh MIE soe skessisesess PORLES ois s ccaven ick ives cisaicis cas os ete ate CasH EXPENDITURES. + Pee werereeccesosecsceesees esses ere eeeererarsewewseeeeese essed LITLE ..ccccencescecescccccescessccesscoseeccoesesss | eee eRe EO ORO SOOO OE OEOOSE SSE HESS SEEM: COESES ESSERE EEESEEESeEEEeeES CLETGYMAN. .....cccccesseree Sexton TTS e Te POOR OeOO eee nerereseeesessesesecooecese eee eeeeeee seeeeeee soeeee eoee Se eeeeeenes 7 ’ Py «° seeeeeeee eeeeweeee seeweeees | Grave or Lot No | | © O00 e ee see ess cess FOS eee eee ses eneseees ceceeeeeer ese: seccece Country of Birth Mother’s Name Country of Birth....... Physician Cause of Death When rendered Funeral of... L ld Dorey’ [ 229 Date of Funeral Let} ($7> 3 a , “ | eeces £FoccsMecciece 4 seer eweee we cefesn + -scees aeeeeeeee LFRYS, scsivinaig os lpcee AONMAMIMMED EOE Ds an cst ca akabesivinsksisaseasnusvaduevansyesesscaicunansissanserses Wb ousicccddessaes Occupation... , Widow, Widower PIE. cccvedoncscsaasureseesses PaO COO aie RECEIVED ON ACCOUNT. IIR vasa hcscess 5 PA Bs capiesscessese Rossy ky RE NEN sso hi eile sk SV sn Wesek even dia ceeeks se a Sais ncn ocd udnaue Cade adenineatubauaassicskee a Nee bai gs (cb) susan: ta Rug... S028... deren. Cas Expenpirures.A |). 7v . Oaty TOOT DOP OMIUNED, coda siccincerdnsasssasecsessssenokuacuen es. siaacvneiasosseh Gensel hi bees Pant papel bS s a lowe Meiers se Pod eneei secuhcennvansesbsaceenes . | Place of Funeral Date of Burial aul. ee Months... 774. ee DE i siosee | Single, Maryied, Widow, Widower... seen wee ee tweseeees teen weeeee| sccossoes Husband’s Name cores wcees|sseeseeee Father’s Name. VV Msportation Harpenses......:...ccccscesscoveescees i Pipisawnatieeeeels « Hour_/@.%2__C2-M. ¢ L needs Place Of Death.... BLASER. es ore i LC MC Nb he 6g C2... mmm ORR e emma we eee nee eeeeer este Ee eee ee TN Hee ee HOR EOO EEE EEE EE Eee Sere gee eeereecercehsereeeseseseseeeees senssesseseees veees..-Occupation.‘ Gasentc nels s | Birthplace Vieekie ce . & Soe Bee te ee po ¢f} Last place of residence ......~ AL, Scan eet eter / How long resident of this State, (2-2 L Pog ee yuu fp , it OWwuny P a creas Bidens @ NC ~ siiipeamenan en ae nea IneE See eee ee Tae ae ga aces 230 Funeral of . Date of Funeral_ Removing Remains...........ccccccoccccccscsseesccrce-scccecsscescssonsces Shaving and Lapping Out.........fiJecseeseesegers ez Pre occ s ais csc dv sen we shonsadedsceausssanagessousiecescnsqstaness Outside Case, Pine, Chestnut, Oak, Mahogany.............++++- Lining and Pillow Set No0......c:sccccscosccesssccsssecsecsseeceeesensenes DRT FE Oo iv cackcs coh os based inn esdssgqeanae sins ugueanseastneten xs Mountings..........- FI GRIMS. vis oksecesi cence FIG cis, DEAE VRE FO ioc ences ss ccckueswesatacnsecinces eeaseneeeoee Tee III ooo icc can Gos ccapceletkenssesccunadsaonenesststennan sucasnsseee a soos ed Saeed tw cs wasn da babes Pe renter nisin PR ae ONES cexpstietessos ersonal Attandance and Assistants ...........0cc0ccesececceseeesees Drapery Candelabra...............Candles. ..... Pedestals ‘pee ae if Joberpousees REITER, IONE oc. sy exncsecciasesevessensnce CVE bi vesscagisinssss TR ons vet vivncdis av spanetadd deiadiecec atk rah Opening Grave Kgprmnsonnne | RMN PIII soc ie ch ia dss ss tess tad tissu okakssencdeuswsahsnslik ane MR icin wisasani ink jki bss sndenbvheivakuinebisacs Seieaicksaaenaere eee es Date of Death OD tg we Aiea Place of Death... ike Funeral of _ Date of Funeral —F wn Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.....0....sce.sssssocsseccerersssesscscoecseeses Dltal TAO BO oa vcsckvc encores ea sass coccasmecetasececsnsscncassceese<es BE CTAS casos ccs ss-s< » PAVAMOUOR: <canesseserseeetn Plate Metal Vault, Style............0000++ slant Ae es ee Whose APNE voc sckcnncicasssascnsseceacccssneniuanevaesterosensan eacesncosies Dod GE oc a ccs csanen alee cee as oe enone ee es Dee CO is scenes mee eeesereseveses ee eeeeeseeeeee Draper y.......ccsccecse Candelabra..............- CONGOR ois FP OGRIIB: «on occ csctieeds costs ataseeonnse TO i kace tel Amount of Bill te eeeeee seeaheceereee SOOO OOR OOOOH eee eee ee tHE EEE OEE Se eeseseeees set eeeeeenr|eeeeenene oeeeeeeee see ence sec etpeseetecnrertere | Date of Burial..... 0h Mofarr..... suitsiagllag Deneceecaiiuasias | Where Interred Es AAP. : ones d | COUN OF TIE PiGsiseis cokes sees ce Birthplace ..(\AAA ae ae Last place of residence OC kos yen evo A ce Father’s Name Country of Bi Mother’s Name Country of Birtp..... | Physician ....F Petcaviepe¥einda teens es eseusteOhGeacensee eceetetereut eaters MNS AF TAM 5 5csisseacs cl ae eres oe -. | y ) | How long resident of this State, LR i ere re 231 fT eecieceaaae ee Cee ee atti tea eente eee cc ho eee al aoe TELE Sa POS LORRI Ea Zac Funeral of Date of Funeral Removing Remains... Embalming Shaving and Layyag Out Casket No de -« Metal Inner Casket Copper Handles No Outside Case, Pine, Cheatnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Bor Mountings Handles Plate Metal Vault, Styl R Vattresas Glover Doz. Chairs itfandance and Assistants Candelabra Candles. Rug CASH EXPENDITURES. Porters and... Funeral Notices Clergyman.. Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse Coaches Sede eee ee eee ee eereeeeneesererereeereeeeeee Amount of Bill... rereeven ' ..| Husband’s Name .). si ¢ of Funeral....... ae — Date of Burial..2.24...¥ Where Interred. ORLA | | Grave or Lot No | . Montha Da ua Occupation. .NIR ELA‘ | Sing «, Married, Widow, Widower | Birthplace & EL d Seven) . | | Last place of residence .“< Z el ¥ k be ..| How long resident of this State | Father’e Name OR fd. a va Ae | Countr y of Birth sl af ae |< ‘ountry of Birth. ft e Ch ceca — | Physician AP i i | Cause of Death Ordered by | Charge to | | When rendered.....,..-ce~s+<s math vgufke PPP Funeral of Date of Funeral— saittinccciniecie Removing Remains Embalming ................. Mc ccschbshentuveuencs k Shaving and Layin Casket No..f... Metal Inner Casket............... Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.............++ Lining and Pillow Set No Metal Lined Box Mountings. ..ccccsccesss s . Handles. .......+ Metal Vault, Stade. ....0c0s.s0s0s0 Bi wr Mattress Pe I eos ic seis oven cecncd ss 0scscsuss nessun unas DOE. « icasnacvadexexesecvseees Prs Gloves sbyekeskekiewadusasecacsacuccuns Dez. Chairs Personal Attandance and Aasistanta ........... DPGBOID: cos nsccsianiad Candelabra .. Candles, Pemsstee . c.. icssnusas ‘i Rug Casii EXPENDITURES. Door Dressing..... SiN bh FAR AHEE ADD abanie ld sdhr anak RecuEeseas¥iacabalokeaue> Paima.. Gloves Quartette, Soloist Delivering Box to I a eS ee BIE i cticsrse ences Vault Chargea He arse Coae hea ‘ SOOTHE HOOT ERE U HEHE EEE EH EEE EEEEEEH Beeee TT RROOO ROO eee e rete eee eeeeees Z ‘ 4d Oe ef LOS eo ween Perens four... a Date of Death QEL. Scale OJ. x, Place of Death * {x fe 7 2s Ces Place of Funeral Clergyman Date of Burial.. od al Grave er Lot No i 7 wee Section.... Location of Grave Months Daya Color As / . ae Occupation Cpovt« é Vers loune i v Single, Married, Widow, Widower | Birthplace ica te : A sr osee ¢ | | C Last place of residence i How long resident of this State Husband's Name . Had f! Rak 17 Gan Father's Name | Country of Birth —. Mother's Name i ‘ountry of Birth. | Physician .... _| Cause of Death K-75 Ordered by yp ap the ( Vewe la wes AL When rendered Charge to ig oo : NI nn nh a ROT AE IIT ib TE eT a tba 234 Funeral of Date of Funeral___ sf / I BUI os occ ccslanses bucdscssceusnasssandasbbeuaschous ccs JO p2. Embalming Shaving and Laying Out.. Casket No Metal Inner Casket... Handles No...... Outside Case, Pine, Chestnut, Oak, Mahogany...............++. ipeeecaens Siciiiesaa Fi AE PU FARE TO... «sss saccaeinesasnscesaneidcec4ascaxosecsaasies COE ME No ods csc sinus pn ddan een eed weet headend aca Mountings Peet VIE, BON oan cs 5: osicoasen capevanssiseseses cranes atecentains and +00 Rab fanege as Row Mattress... Burial Rohe Slip rs : ee. *s see. CRG a aanasyeeuees ce ’ Attandance and Assistants ... ; sis sermons LENA Sea aS SSNS ST en nn eemrawenet vnlrconcmtinconeinaninsonivasttaasionpssentiinnaasiettaashiapnnenntnlninhininiiannataicitins Candelabra .osseee COMGIOS, ...... CASH EXPENDITURES, = ee OT LITGRI 5 sccccccisns Léa i) ebinnthhes aces eadewashassadd Veedicesceieasneres pee PURE oo sdcisscanccbsctsads vervewnissnienikiakicke j | | 1 Clergyman | | | TM oa eens ox nb0505 0 Gs nnscses sd pduwasndencteasixesvasicdsdiinccitieah TIMAYEOE, CAR oo: 5. cccsccscccssszesecexacie IE isiccsasersheh i csesics pocasts a RRR BNE Cy sy sesesi i sosiiisisssionsssapesinassi ce dies Co iearess Vault Charges. Hearse... FETTER H SOOO Ee eee H eee eee EEE EE EER OE SEH ESEHEESOR ED SESE EEHEHOES TOR iscissinxcxs Seer eee eee eS eeeOSSSONSOSOEDEHFOESESSESE ESET ED EOOE EEO EEE EE See eLeeereseseseeeeeerenece OOO PROC e He eee eeseeeeeereneeeeereeseseeS eer eee su rr ee ee eet TRO RON ORNERO DOS h RibNREGHD Eco hce BS See ee eee COreeen eee eee eee eee ese eeOe ESOS EOE T OOOO ESOOneeeeereneseeeesessessuscesecs SOR ee eee eee reese ee eeensees eeeeeeeee SOPHO EEO E REO eT eH EE ee POOCO CORO CORO tee eee eaneens TTT ITE PP EPCOSOOOOOOE OOO OOO OOO EE SEO OE SES aeereeees Seeesees Amount of Bill......cseereere ka sessonnsnsetnnanpaensn BMW... CU eve Gee Te O _— Single, Marri a Widow, Widower. Birthplace ok flo 2 WM ce Last place of Tesidence ............ccosesccecsecessceccecsese How long resident of this State Husband’s Name ..............++ sccdinasigieegeRetel eveasnrss in Father’s NameLeeyeed, feud ince aa i Country of BirtpO2 Lhe @ opens "Siar qe Saas e codgeseees Mother’s Na Country of TSG. ae ceca iets nasssta meee eee | Pryician. 2% MP2 ont, Iyfinnansan sofas no Cause of Death (Khirveae gives. OYA Pasi ea » 2. Charge to ..... FT Vo: yea Wd Gai eee os a cai xt a By fr, barr S Pe PAIR WIT issue oh ce Cen ia beedicwsecs 7D er RECEIVED ON ACCOUNT. CREE OE ee eee EO OOOO OOOH eee eee eee HE eR EE EeEe le eueeeeuEee see eeeeereetlseeeeeeerls sesceces ee eeeeseeeee| eeeeeers A HORROR O OE EOS E SEO HOHE EEO HEHEHE E® eee eee eee He ee eee ele eeee SPORMODe Ce ee EEE Ee eC EER TEE EEEE TEES seeecee SOCOROCO OES O HERSEK EEE eE Here EEEe FORO ROO OOOO TOOTS SORE EEE E EEE EHS EEE EES + SO OeOOeOO OO ETOR COCO OEE OSH E EOE EEO E SHEE: seleeeereseeoeces FOOeO TORT O Ree eeee | poe = ~~ ccmnneallt I will S, go | bX%2.52.2 | Clergyman Sees ieaes | evade Dat of Burial..... 0. SA. 2 aideescesaausaienl Metal Inner Casket................. COMBON sc ccceeess Cian eas ee Where Interred om KRwecxinvcnccccccecccccrecee BRR van cack ci cnisinccsssecntccescscacscotnceesstts sootactenesotansengens | Beatties | cies cease | POON OF B0t NOs cc ciccssccsonsseascssaas pin MIORUNOIR, cad cectacacespeeneeeen Outside Case, Pine, Chestnut, Oak, Mahogany.....-........+++ ae aa ‘Location OF CO ie i iiaohe es ihanessas nsec ee Lining and Pillow Set No........-+++ ae egal ay Ane reac =e | ssesseesssesssenscnsecesssssnscnnecensescesssneseesannenens eo a as pan neenney po aan ne | SUdbhan ad | ahakbee RRAKAASwENENARRGHRRED ROCs SEdUKEAi ROS IehaaAaNedaes DONA vncinctcccecs’ sss ERONGIAD aca scnscceesst. Bistad Vid. GG ov iccccssscktcasaeniess PLS PORTE POET MIE TRE Beast MINE so issccsiassociosincesesas Dies TO ines cc cadiced i rnekaensa cacincnsk net dhkbnaah ta tasnbnesaans staan cox BOING: Saciincstecesasisiass Prs......... Sivsivsvisicsinescceeceis Doz. Chairs DORON a vite can enens Candelabra.........0c0s» RS io ao j PR oe ci ccutacasse se PN os sii vines ons otk caaseun cess ‘ Father’s Name CASH EXPENDITURES. Country of Berth Mother’s Name COO eee eee re rereere eee ee Oe eee eee eeeee st HHeee ees ESE E HES OH OES EE EE HEHE EeEESESE® SHEes PRIS FR eins pssiakinsartaccblensiadenisetsecddasdbaveccesscocshasiens 15 Ce | souveusus }Gdbucecicveusberssesaepsecabuneaue seki pauses Wsacsvers onessdincesvsceseres | Giadis: potters | RP i Rica asin cies ks cugdixiciiecdbesnc serie tra ierekitieietiskter deed | disneverse Se as | POR cacac 555s wis bi ks causa asiuns a bieeds Fikes SUES A a eceauius MPORPONEDE, Ns oo. vy conc cosececsxtesinass CPI «ooo nkcssics0ss wsve | sunvaeeees sane : a Delivering Bow to....... teore rasasbaveneties 1 D.-7RQ-- | shoeundaglcsntocees | sasaseagensieeeens sini i } —— Pi 2 Jo 0 COMIN I ac ciiICS 6. scans cn daccadvisiecede Lining..f X84 Scape 7 Vaank Chena fro: Hearve (Qe gg Orv} (Dev MS PR | Coaches ere rr PPO PCO OOO SOO COL He O ODEO TOES EHOOO LORE ES EPMeee. SEOeEereeEeeeeeee: eeses iibbb hhh hhh bah eta Lite Terrie) FOO H eee eee erenes | How long resident of this State Husband’s Name (.. + tee teen ua i nid ' } ; aa (| ‘| Pip eee ae ii i a eS ~ 3 { ." » ee vet a i ee ee ee eee eee — 234 Funeral of Date of Funeral— BND FOI yo tiikicn crs tc cinncndecidaseatsnticceeiaseiieieseneis t wcsouall Embalming ......... Shaving and Laying Out Casket No Metal Inner Casket.... Handles No..........++. Outside Case, Pine, Chestnut, Oak, Mahogany................+. PAT RE TLR TSE ID cs on cach n cas scab ciscastndatseserssassbnisaas Metal Lined Bor Mountings : : Handles Metal Vault, Style Bor Mattress.. Burial Ro Slippers Doz. Chairs \ttundaunce and Assistants Candelabra .Candles. .. Rug CASH EXPENDITURES. Door Dress Flou eTs Clr GYMGN, «6.200.000 ‘ Sexton MOTTE, SIOIOURE vv: s scccascnsenssecccrcence PGCE cociccvecces i Delivering Box to Opening Grave Vault Charges Hearse Coaches OO etre nee eee eenee ee eeeeeerane SHOP eee OR ROE RE SORE EEE EEE EE TERE FES ESOS OROOOOEO STOO OSES SCHOLES OSs Beenesees Seeeeees. Amount of Bill.......c00 000 | ve | POM OE FI oci sive rdecivetcecisissecstcchecsecn, NI sa ee re, LOT Date of Burial.... Where Interred | Single, Married, Widow, .... | Birthplace . Last place of resi .. | How long rosidew of this State Anatecce Husband’s Na a a ae | Father’s Name. the, MELEE. < Country of Birth. Physician MIE DE oii tickers oie : a 2 ov eet Ordered by Charge te. |W hen rende rod. apenas RECEIVED ON ACCOUNT. seeeeeeee COCR CR CCRC Eee eee e ee eeeee SPOOR RETEEOOH CREE EER ERE E EEE HO EEE ES EE > PAceZ he fee Funeral of Date of Funeral Shaving and Laying Out........cccccccccoserees a ics Disneys os > Casket No Metal Inner Casket................. Copper ; De oc ik isd vices escedavcamantistiecs sie Be i ee Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. ........s000-s000 Raa shits vi eeeaees Metal Lined Box Mountings.............. ... Handles Tatar VME RUMI acs cc ss eas sss np bs od cacy ued ockeseaseebesesss Box Mattress Burial Robe BTR, ois sestistescnss eta Pra. GEODNE iciteseies sees RS CRIB i i cicssdecccnescces peace Drapery Pedestals SIN codons sebsdirs mieete oc ceseesasasciises eis ease) cccnsoeeeie Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse Coachea Date of Apath | Place of Death Color neki Occupation.... | Single . Married, Widow, Widower..... ...... |B irthplace Last place of residence ..............s000... How long resident of this State.. Husband’s Name | Father’s Name | Country of Birth Mother’s Name. | Country of Birth...... Physician Cause of Death ...... ‘ceaeoa Pes | | Charge to . When rendered RECEIVED ON ACCOUNT. ten ewer eeneee FOP eee eee weet eeeetln Henke ere sn eke te eee ae a one ee Oc oe teat ee ae | 238 Funer al of Date of Funeral Le hi Ly. | Dome ecw fityv— (% —7 r+ ee A / ( cS aK Oc FY Removing Remains ] caus Embalming Metal Inner Casket Handles No....... Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. ....+0-s00s0sssse00 Piacsbissvisesuediesenriseees Metal Lined Bor | Mountings Metal Vault, Style R EOE, GHOIB Sos cscscensiuivcscheviticsrsedis ' Attandanece and Assistants ...Candles. Candelabra .. dug CASH EXPENDITURES. Clergyman Sexton GMBTERTEE, BOLO... .. scescscsesscicncccsccese Organist Delivering Box to Opening Grave Vault Charges..... ot Hearse. Coaches eeeneeee See eee rene teen ee eee eee EOE EOHOOOEOEEFOFESSSS TOOT OR EH Ee wane eee eee eee ee eee eer ee eee A\22\ pate jet te hol ah ecceeveseces 7 Place of Death. {~42--7.. | Single, Marri Birthplace “! | Last place of residence | How long resideny of this Site. - | Huebard’s Name ¢ (abhce pet y y , 4 Father’s Name. +g PE ee ai ee Raa : Cause of Death HPO TOO D Oooo eOoe ee eEeseresEHeeerer® PPP eed CCOHOOOC COOH O DE SOE E CHEE EE Ee SOOPER ROH e OHO RE HORE eH OEE eee eeeeeeeEeeele POCO COCO TERS EEO eee eHeleeeeeeeenee Funeral of ..... Date of Funeral 239 | Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Burial Robe BIER: os iindesantdatsvsaniesne’ Pas nade Gloves aawaepiocinees suvaunanesasade DORE, CIID ovis incasssavscrnnsce Drapery Pedestals Hearse ¥¥ Coucthe < Date of Death | Place of Death | | Date of Burial | "Vhere Interred Pe oe oie f. ° Ay . Occupation: C2 AEE EE Se | Single, Married, Widow, Widower es oe | Birthplace { ( ‘ eo . ™~ Last place of residence ©... Sak LM pte». dete ’ | How long resident of thig State. RGR. os Khas nr wenie | Husband’s Name y 2) : ‘ather’s Name see | Country of Birth . | Mother’s Name..?. | Country of Birth........ | weseeee. | Physician / Cause of Death ......~.. ree eee | Charge to .... J | eit | When rendered... a 2 be..| Pe eee, momen | RECEIVED ON ACCOUNT. &. el SOE oe cual M. ceaeninines: eae emanenestienemememmemnimenanes | 240 | Dead Date of Funeral___ ‘iscsi: ae | Pe IS TIN in oii a occcnccocddbacissnceccucuasicsecnaadisaseesiseunet bad L2° 2... | Date of Death. ee oben NNN aici es, sdn'ccsasakbcaxasenoucas secon a cisksnsaaaccueesia eed KE OO. Place of Death (Ow lee ae ; Shaving and Laying Out. AQ ALE meee | F ee eee. Place of Funeral......... ie cecees ee 2 ii oe oh I Is eo acai oe cc ease soe PROG: cas i pasdecinsacsetacestsl {sesccanea , piakaas a ae I pa a oe eet a aut el TOON eke dah heed | icipe AIM Metal Inner Casket...............+++ Copper.........-. Zine cme FPP PION eraser esicddaciondascetchsccenaseaieshecssscosscesaccgill NS ee oe ech ees anaes s castiaes iit aie Outside Case, Pine, Chestnut, Oak, Mahogany................-. Metal Lined Box PAG esas Sieve ties ese ioeeeeer eee ee Mountings... Metal Vault, Style Box Mattress Per {ttandance and Assistants }) / .... Candelabra ...Candles. .. Ped POU: cars bre rar ee eas CASH EXPENDITURES. Door Dre PI SCS Corben ces A eKKRdE ERE LANERENOKSS HERNNDOONS ERA D ES eEHEbRSAbeSS Notice 8 . , } F unerat Clergyman Sexton GIUSTTIEEG,, OLE o5nscecscesesecnsoocsunsacd IINEIE os ses csicv sees MP MD Beeps isiosis ausisd Sibustacekks ev te I CIPI a sissivcce ck cssicatssesrensinseccec TAME is ivocrkcvcan ents Vault Charges............. ; Hearse...... Coache’............05: TPR tee reese rerereeseseseseece Peer eee eee eeee rears eeeeenes Pee eee eee ee COOH HEHEHE HEETES HH SESE HOTOETEOEOH SHEE a ensereeengs OO CCC eee ee eeneeeeees See eeeee Seeeeen see eeenen eee eeeeeeeeeeOOOOEEOOEE Te neeeneenesereeneeresserncs Feet ewe eeeeeess CORRE eee HERR EEE e ROH EO EE! RHEEEEEHESOOEOOOES ESOS S HH Hy ereneee SOCCCOOO SOO OOS OL OSEEEOOSEES Seeeeseses Seeeeeeeeeeeerener eeeeereeeree eee 0l0lUllCltt:t~‘«‘w ee teees Die ee POND OE BO oi isca cca soinpsddeassssshisedecatsdeceasinsss eee gees Sea ee c Poescccves POPP OO OOOO KS Eee EEE EeEEeEEeeeeseres HOH O OH HO TOOL ORO O REESE TEESE ESSE EA SEEOEOOH HOE Hees: wEeeesess seceecese | THF POCO eee een eeeenee- eeer snes esse sores esses seeeeseesseses a os Ser a eee le Occupation........ | Single, Married, Widow, Widower | Birth place Last place of residence aes How long resident of this State.. aPrerer a Name.......... te dd crieriagestensig! as Country of Birth eset 1 AEN Y ie NUN ok cust ey ey conn | COMMING OF FEU a oisaisck ves xunekn ites sviceeticseskoreien PHAYSICION 00.0..60s0cceseee shies iseae) awit etiadies estes ; MI EE rg en se chaneiies Oras OF ee ss Gyn bueunaee Festi reushsuavie {¢ RNP FS ow icc teenie eas se ges ee aH . Ls vessseee| When rendered... | iA 0 hes —" : ane RECEIVED ON ACCOUNT. Seamer et esesegoefocessererereress seerenee See e wee es | eee ewe een Hee eee eee EE EH HOHE HOON OOOOH OEE OEEH HOMO OEH HES OEE EHs live eneeee FRR e ee eee e eee eee eee EEE EEE OEE DEH EE SETHE HEH Gg CHOCO OO eY | cece eee ee en see OF Oee ee ee eee sO OHOOO SOS Eu eee Sees er senses seeersiesesseeee® Oem eeeee | ca eeeeee eens ee eeeeeerl er eeneeeee eee eeeeeees! eemeneerl encore ~~ ae Date of Funeral A IN iessicliicislesissisondsisscniceppersitinciiediaieanS coisa a Aidit Date of Death .... PEL... FI id Lf ef y lay, 4 a aaa ae le ences Pidos of Detttlh. os cocvssteaccser.. Rt EE Se ieee Shaving and Layjng Oe th. thse ae Saat | Place of Funeral... see ft Brel Casket No toa eassbes / gqasaisino sts S Vale pekaesiosaeees Lah Daxeeees ‘dlidiiisitin susunhcanedeatorseeetesbsaenuescestiacesscscescheliesnns’ saundpeeares sa seakseschinib<du sud Gusssnsacubnciunceche ss sskiecceccas seat scss 54 sass ioe <¢skanecesesesl La dasaceon | scene | Date OF BPNPME go sscgeciea es cree Fi etree Metal Inner Casket.............. Copper..........+ a rat eee ee | Where faterved, APA LO Cre ck ae Pe a ale FE AMAGG NOs osccccinssdeisescssscncscasasscnvasanevscsesatsoxcasensearassecases | ctasteoenea eae | OF DOE Oi ovis cis cncsavaaiestecssAcneoe ath. eae on Outside Case, Pine, Chestnut, Oak, Mahogany.....-....-ssc00 | oes bees LUNI EOIN sess xcsasgngsstgfinicsinsvensntrisonunsaiat Lining and Pillow Set No. ....00.:0:00-+cscecssecsenssssensesesceses sees ia cat besa ancnaanee —mWery © fies 1¥3 X peas et ia a ee ike acetnncicacsswecen | aresonmaner|epatoas se | neterene. sennesuneessusugetua Olbcrntanwatsssbsanenasannannes DECAIIIII occk ncn sco 5: POR wa coc nsassseneacs a osc eres ak iy ends enka tos Sennen pupae sanscacss hye eesheberaiaaiess Rita VA, Oe ii vc cisscestissessines ee gal ce cag ule weve eo dees ieee cra panennasirieeaiens [2 oaseer es Se ee a De eM ioe ois ween haces orn Sea essa tn penn nit ae EOE N oot sso eases -. ES eee... & ... Months..... . —_—. ccbeebenanas one iad } a Siete BRB cpesecsncctadciecisnniesnineeseanetthe ee Color... AZAD esc Occupation....2 7. eas ve A . ss SOON oo oniase Riasessevicis oes ie eee, COE ceed ase leas aaks Single, Married, Widau, DONO snes iassesens cessvesenenes Mt ieagnsGasiasasenva | o ie i aibanidigeieealaenet cM MRI casi crenscaecatntan, ae ee Se | Birthplace AMA Ve Ud-tan,' C. FE secictitl Dn Personal Attandance and Assistants ..........0..02cssccesecseceserees | cossseeeve|ereoesens Teal VIAN GF POPIAOUOE v5 occsis ds oehsancer's dasosinersci nde aeacin Drapery.....ecccrscesss Candelabra.............+- Camm 2 se | ge soca | How long resident of thys,State....... eo” | a becca : Pam os eectea sks OM etch ioe eee ie ewe tt eens oie Husband’s sees Misppeciieo uae rhe A oe | Father’ s Nam CASH EXPENDITURES. | | ‘ Disc ase Country of Birth ....... Dae VIVO ass oak oo osc koko ccs0 a csd succes vhutadbuassbosssexeouisees’t Gayla | Mother’s Name.......... OSS piee ce epetitudaies eeeedaeee PR og cree reset e | Country OT Fs pe a os fe dav eens ce | | vy Pe RRR ee tee eh ee eet ae Seed gta ta ees eeu ne vet me a L casteves Physician ..°.~. ieee ie Vn OOO ORO emer e rene seen re eee es eneeeess He eesees eee eee eee ees eeseseeressaeseees Sees | soo. li nweeeees PreTTTI ITEP Tre TTT Teer Tier er rrrrrerrreree terre ere ee eee eee eee ee | | ! | { Ooo ence ee eer eer eee OO OSes see OOOO OOO CO COCO OES EEO OEE renee seseseesesesereeeeseesecees OO eee er ere ee cece reese COE eee es oer OSes Cee eeeeeeSer CECE OE OE HED EEE EeEeeeseeseeeeoeses CMP 5 von avn ck biasexen pig asus encsteieto bcrepes oan tess inva sbictaas WOOO fica sa chveacecs <b bvventananeseeses asi sessed iets tn eens cass Quartette, SOLIS... p..crrsssesccrscsseesseees PII cnc scsenenesnes Delivering Box wib~e(at er A oc pBlgvetse 0180 | seseseesslsonsvoevs Opening Grave ...ccccccccceccecececececs avid Lining..... I] PAR ) TE CN ooo a aat et sns deri ns theses essen od C4: ee pj Hearse o La Cir £ v PLARLE POOP nee eee sereeseee COCO OR OOO Oe eee OEE SOOO EOEOE SEDO EE He ee OOee SEES H ESOS EEO EEES: tases 000s eeeees OPC OCC OC OOOOH OCOD OO OOOO E TEED CORO COO CSOD OO EOOO OEE CE EE SO OES Eee eeeeeeeeees —y sain | Ordered by MO Seoshegy / Handles .Doz. Chairs..... and Assistants Candelabra ..Candles....... Rug CASH EXPENDITURES. i ' MUMETOL NGUOONE i sis. cock cicscke ccc Clergyman ~~ PRM cvs schwernciiecsadecsestsieadeatsiiseccousiotticc ce Mi aeéveids MIMOPTOTIG, IOIOIME i bik inenscvcdascdcosecssccd Organist Delivering Box to TN + . 97 Opening Grave .. Bis. § Gocsddneinatdanes Lining “4. CAgh Vault Charges................. : . Rid Hearse Coaches.. TOQTOME . 01s svsvcvsevreveersecvsccsseenes Transportation Expenses eee eeee COREE enue sees eneeeeeeeeeeeeeESEEEEEEESE SS ESSE en neeeeeeeeeseceunsennnucs sheen enerereereee eoe reer ee eeeeeerereseressseeses ses eee OSOSOOOSSSSOOSOTOONE EEL EEs eeesesees sensenss, POOP OCOD eee e see eens weeeeeweee TOPPA eH OHO ee HOO en ena sees ee Ee EES EEE Ete HeeEeeseseneseres Single, Ma Birthplace . | Last place of residence How long resident of this State.. Husband’s Name .|Father’s Name.’ we wocecce | OMIT YF UF BOOT UG onc erecrenccccscccepocsefedevscsscvcsesseeses Country of Birth. ALG ELA 100086 OF Os PETERS Ge bes Cone oon sO KésberuBeNee pare: Country of Birth...... VU a, OL te oun | ? | Mother’s Name eee rg eee atari Cause of Death Ordered by Charge to .. ctl Tieeie eae acute; | ¥ NN Pog a vas hare RECEIVED ON ACCOUNT. COCO eee ee | cee ee ee erens HEHEHE en HE OOOO EEE EE SEES OEE S OP OCOOO SEH O Eee eEEtisaeseesene® CORRE s | eee rem ee eels HH OO OEE ERE Oe EOE OOO SEH E EEO EEE eH nee eeeeeeeees|seuseeneee POOR O EHH | cen e ee ee wens HHO EH i eee e OOOO OSES ESOS SOE SO Os OES EEHOOESESEHlsnwaeeseHe® Mesto OK? Vou 24° A Fesscaal ok ok hi koksplholee a a Sennen Date of Funeral— de =< - fr 2 Hour__7.« PM. \ Date of Funeral__— icin I IU 5 i iciscae 15 hed bocca spices ces saseisstn aioe ace |eeseeeees | | Date of Death... x ne e sa i” [> A. mi ne I aiciiisiiiioioucinicousineue i ea ial , pee Place of Death... lt (ate, y en / AN ESSE ALLL OE Shaving and Laying Te Scoala | Foc ogle © ... | Place —_-s Shaving and Laying Out Casket NoLbtede.. t Ehessn,.. 2 Geaetere Chesney gece aot | ae Clergyman. [S29 Wight Paes BR oa 54 | vs o Sere ee eas a es piacere ee ad oseeeees I RUN sc EIGETERRSOeRT Sgro ree usdece Siesns at 4 scavaianescssaseccardncsiasesap aba vaaserasad a veiaaarnstn ens ‘Metal Noa ale Ch hes)... Copper vs sesecaesiIMe ie [22 R2Q. Where Sinead. Le Metat Inner Casket Pa Ns ok eS reer i ties obs coe 2 ea | seseecece ANS OF Tb Neo eo CNOA Sos iccies ee Die Ossi a sks dis hess Ke Outside Case, Pine, Chestnut, Oak, Mahogany............000+. icinit eed Location of Grave .....cccccseccseee wc ipuisas amiga Outside Case, Pine, Chestnut, Oak, Mahogany...........-.++++ has tacis ete PBA MEAN BIN, oa accce csc ccsaaseichis'ed. tadavacaciesacnds cece: | ap | sean tee, i htrae ? © iio Be Slealie ee RE I oie cass itnisisceierecercsmnesien MEGUAL LARUE BOG... s000sen-senceseeenen ssenstarssrsvenavaaeoansenssncsecss | toesoeenan | oreseeee | i stAL Ae Oe a saris eae des LS ¢. PIGGNNE isco AE a ii eae kd css ba ese tances Box Mattress PERE PO scccsd oi cs baka cesctses conkcckasbetsccacsnisucackes couapnedesacnsye Slippers Personal Attandance and Assistants ..Candelabra..... LIPO 60 ivecscs.0 POGUE 6 uke his cs Rug CT NN 6055 B05 os 1549s 091 cha aa MLASEA REEL Kaede oa ceaeetnns as é ’ ROMMINEIN 5 bis eis Vee shauna da ened kee Saku bwabancecackasesatalel anced tacouiatrndie iL Quartette, Soloist Delivering Box to Opening Grave VOGUE CHOPQIBN sccsssxsescentesses hcbaedvcebsateebaknbents becsuecaueayecsite PEE eee ee ase Coachea ... TOPE EEO e ERO EEO E THEE EEE OES HEE OER ORE OH EEEEEEE EEE OE HEHEHE HOHE EEE EEE EE HE OE EES TOE R Oe Oe eee OOo een en Hs Eee e Eee He ODEEE ESSE OSEEEES HEE E EEE HE EES SHEE eer eeee ONO R OER e eH REO OHO E EE SH ORES HE EOOEO EEE E THEE E EHO EES EEE SEE SE HEHE HO eeeeeeene Pete erereresereees TAER ETE O eRe ROHR HO RE EEOe HEROES E SE OEOE EOE E RECESS OEEE EEE teeeene hisses |Date PN en as ricci Y seeeeeees | WU OUD THRIFT «, icccihsossuesbvcevirssissascasessauel esaasenpeas teeta seeeeere | iheneia tr GO Diba ciccccs dine Ral ieseueced | Location OF CI oink vnccceis dokacesiscsioakasascesdiass cavesins eee See eeeees | see meees os weer eee eeeereeeenesseeereese tenses eeeseseeessess eceeccene | HERP ROR ee eee sees eeee nessa eese sees esse eeeees seers seesesese How long resident of this State... Husband's NGM6 ....0..c0000600000-: PUAN S NGG, «oo cocsisicyececces es Country of Birth OURO 6 NOG) ot oa neers rs When rendered... penenaas NE ee ee TEER RDO OO OO emer eee eee ee eee eee eeEee sees anaes e eH eeeEEee oe P PCP PEC OOOO OC CC eT eer errr errr ee eee reser ee eee ree ere Pe Peer ee eee e reer errr OOOO ORO O ee ERR eee HL EEE OREO EEE OH EOE EEE HEHEHE EEE EOE EEEEEEEE TL EEE ee EERE Ee eeeeeeeeeeee| eeeeeeeeline COO EOE TEE HE TESTS OEE H EE THE HOH HEHEHE HE. Porritt Pemerri li ria ree nr eer ee ae is cea tl NF 7 gS eas a eee Snape ae vases serio enrairusoe> see Se AST SPnaNAT eee "eerste ene 247” Funeral of Date of Funeral. Mz, Removing Remains.....ccccecccccccsescens eiies Keene esabshiianntaaaebin BID i didtks vikiccidiaciiiv OOOOH OU HOMER OO COS ere Eeeeeeceners Metal Inner Casket.......0..csesese- CODE. issisians Zine Pe OE TN esses casncaaehssisnandesceieinkes sectecsdcadiaxasaneas Outside Case, Pine, Chestnut, Oak, Mahoganig.....c.cccceceess: Lining and Pillow Set No.....0c.ccssecsece pcctteinsacasean paskeananacuce M tal Lined Box SERRE ER HOOT REO EOO STORES ESE SEEHE SERCO HOHE SOHO EEES Mountings........000.. +. Fandles, score ciaaenscnie F Metal Viciull, Stol@s.sccaccccastsacese Ee FLU INOUE os cctndeeesicainssccabbeeieiceenn danas a PGE FROM vi cccvcsunassceecadeccssoecnee DHA OYE, 50 hicisicstscctnmeoes Pre ied ls CROMUB Sis dcantcisscixe aeiccsenaecen Personal Attandance and Assistants Drapery... Pedestals... CasH EXPENDITURES. ODT LMM haved akc tes Cleryyman Sexton Curtatte, Solotat.......scococcsccccescccsssvece Organist Delivering Box to Telegrams. ...se.cerees iaseeeasniarerewedae Telephone Transportation Rapenses SOO eeeereroernuse COC RO DORE Ces eeeeeee OO Oe eee ee ee EOE EEE REO OSEOOE TESTE SOOESOEES HOES e Hee eee eeees Seeecoesoceccccs seeeesceces seneeeessene Seeeeeee seeeeeeeee evececcooeces Sees eee re teeeeeeeeeeneerer se SOC eee eee eee eee eee Heeeeeeeeese ser = Amount of Bill. ..vessvevoree perestwlitensteieags: | ie wae “ ev : ; | Single, Married, Widow, ' | Birthplace | Last place of residence .. | How long resident of this State................ Husband’s Name .| Father’s Name | | | | | } | | Count Bwth.,....%. G ry of Br ao | Mother’s Name/...-%* 7 | Country of Birth | Physician i Funeral of Date of Funeral 245 | 2 — ens Se M. Removing Remains Embalming Shaving and Laying Out CT I iiick sic cis ons cha ck sadanverssess 1002. Metat Inner Casket................4- Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pilliaw Set No.........0+eecsseee onesie apa Gaeecknieesiaks Metal Lined Boz....... Mountings.............. ... Handles..... es Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants Drapery... ....Candelabra..... POMBE cs isc cc sabi neepineccsn. tess 2 , Ke ce @® a I guy Clavodalhkofhaur eeeves ot 7 eas Ty ———————=——— Ordered by ....* Charge to | When rendered Clergyman STII 5 655d 1xOG EN EEAL SHER ADD ud SedeONAULVENSTOGLASSEENERADELINS, 1ONRRIES ES ‘ (Juartette, Soloist Organist .... .... Delivering Box to Zz ec senes pres Opening Grave Se MeEveCdKEnbanreares LA saint? bee Ang Vault -.. Lucan casabesabed cameanncdidbecnesvearebinocxsstheewtieyts Hearse * ' es , Teleyrams Transportation Expenses FOO POOR Cet e ee eee OOOOH OE EE ROR ee ee ee eee tr eeeeee (, teldeK.telie. a... Color... JC. GING cs vissnseenes Occupation Single, MarriSd, Widow, Widower Birthplace ... Last place of residence How long resident of this State Husband’s Name . 3. oy Father’s Name. Getto | Krug Country of Birth } Mother’s Name Country of Birth Physician Cause of Death Ordered by (Miiiv..90..4.00. Charge to When rendered RECEIVED ON ACCOUNT. PEPOROOH OTTO EHH R REEF EER Ee ate teeeene | sahil ffune . Sal Bie r eet 7 SSE Yer iteie taste eee | 246 4 AG | | ( 2 igs . ( Z (OD Dhiwalt\ Me. 4) Funeral of / PRELL OH AFL —— ee sasliiteane he. ° [Vy 2, ~& Date of Funeral. Lic e vA ___Hour_/7 Ge. “me, M. — Tan oe UY. LC? Zz bo @ NT TOON vas cccnsntancsebddecdniapeienseakentaniscinecineesanente sbananans | Date of Death ... A “tee i stabedeesblescesesteom Luy.NO Ue UN sci as labo vsaedimbakek abe cnbah asec nicaaiassii | | Place of Death. ac 8 kin C4 : = Lt. Nauk an by nisin NS COE ionic cscsnescaccaunsvncenyscobessaxbasaviecsss beets dae ces "Coscdevee, 110% Mwal{ Casket No het Cece, / | Ara tad Meazk bckie tihap re ee Cevececerscseseces Baccccccccccvestececcccececccccnseseseesccess cessesccccncoessecsss | | Date of Burial. Ace ANA wt fetal Trndy Casheet,..i.cssccsssocases CODD iciiscasins BR sissies Nain Im Where re ra Mage Tost. d.. fs 4 C4ort Handles No beseueseta PEEP WOE ON BM FO ah onasckseed cndceddrieececcaan Section ‘ | Outside Case, Pine, Chestnut, Oak, Mahogany...cccccoccesceess |cccscsceces bore ees ella 0) Grave ........ { eS a bene ie aA tte Lining and Pillow Set No........ccocecccocee amiosGiies | citalamaiton ee ot (kee G mee | ass i M fal Lined Boa eocccecceccecccoscoeceoceesonse ses Oe ccrceercccccsescecesceses: | teers esnstslseeeseses | sevesned eoseeneares peaeueane bo ti eennnisenseereenteriKsis AT OUNTINGB...00sececeess 00s FE ONNB cc acdccobcsuasess Pee o, Vaiccesks eRe RS VOLE HORAN sc sik sknaiksa couse au snden ous Madua taidouied ebnebeeoeeeee | 6cidin iets]: oicss sca anaes el anes Vo cesteeeteriveen ae Box Mattresa..,3. sseagenerste nnnninnarinenn rein tecnntat Beane . | Age.. b i; Years a, .. Months... b Dicys Burial Robe.. fraes m' bn A” R fh We caus dbo | Color... Aone Occupation. DOE oo. sis cisexicsseadiiiccs PV ctsctcsavixasad RE een ae | Single, Marrit, Widow, Widower............ R ; oH eaucecsischasssaweusssinsanniars EPG, COMETS, .csnerccayascasschbeborscdemivesse | y<ccsccecslecsacsacx (ETNOOO st « “kh SS AO Me pes Personal Atiandance Gnd Aariatante oc. cccccactcscsécsscesccscecsesss | cecacce 5 | MAE INO EF OMG oo 55 oss sscicinsdoccscviac svccsdeaes i | ' DOROTY 50: cstv oe CONMELADTC,..-.0.0000-00: NED sicanesaccsenes | secede | How long resident of this State. Flite is i Oe ~ FOND oo. occ e heh ersnsapaissesidasseees ME s+: cecghserablties ieassonkietus | Riva ceili | Husband's Name ..¥ hee. { ¥ | t | Father’s Name Ba Pein ea sacisieesvenessiomaes Casu EXPENDITURES, | » Stats | te fountry of Birth . @ CU Mes ras : ‘ wun 4 /} PROT LIPID Sia inc cepsahcarsacihin kc taen a ko ee | serseeene boo ores | Mother’s Name... £23 oe ae ee { : | ¢ 52 @ = (oO Pree ei teeta eae areas Palms eseeereeerseneasanseeneneneeeeeeeres | cecceeslcreeee ces | Country of Birth. ¢. ¥ “A i, MK AC Fl | | | Phaetotan MO: 's/@LG Jae < IGT osc acinnsevcrsnssedvneuienekes bcodauiussoneesthenkecseeedescnceaaieinas | Physician . ier a oo! rare em cee ae I ss sseaenesesbecenyseovesnessucnasestesoceossaseesassccsecnievess | 0 1k come of Deatly../ Bie eee. sn wPOTS | wseeeeees tee eeee | EE 5 ) « ae se EMER COMED cas sheseisncaxtactscny icin: COUOUMI curs cascis | Ordered by (“3 Keser 66 2 Kee oi Ql Q, a hal PUMETHL INOCLOUD, <5. x caveeensiceatansbivincs val ‘ k "(Dobe c 4 Soedeaceeeereseseressvescotessoess | |... tasliesetsens |! I Osi racehorse cnc cys ie seherenavstyteceensisacerscousssbiesissheesestsecheasnbsscssonssesetoassorseeis |. |. |... When ranma: ; - : aia RECEIVED ON ACCOUNT. | ROY RUINS 4 cin 5sk ins «lnnennsnssenndansusueceinceecsasicccsicscsisiinielics., PEMPIIRC cs 0505953 s0serecbenssnncecessasvarsapedsosyesareuiatsiebinielcilnd CQUVETE, BOO ic: ocdarsscancevecoececseces Or Delivering Box to..% Hf : there hash, Le NN API iiccintisecncvcdienccecsasacccdecsk Lining Vault Cha WUD pssercerssscrsscecesovessnespeseeMpervoegusiareeseseescsens. J, pues Heares..2 baktsen b [echeras rile A Au ; Chae. : + hss Bees Coache........++. Me wf | ; en | sence aiesinaies sesnsessesnsssnnennsesanennsecsnsssunsescanessssteessteefiersroepaesenseenessneeeees | COPS Oe eeeeeeerenee Transportation Ewpenses............. $ebbeteeonnsebeien SOR eset oe eeeseeeeee SOOe ene e en se 10ee eee ROR eOOOOS SESS SSOTEOOSS HOSEN SHS OO ES ereeeesreeeseoeeeooececconce eee . eee eeeeeereeeteee eeeeseres eeeeeeee eeeee Peeereeseseees COCR SO EO He eH ETE e eRe eHeeRee SERFS Hee See eee eee eee seeeeeeeeeee 2 SOSH OOTOS OSC C RO tee eseseeee . OCC eer eneeees py (FAR ocscssscs | ry r } Funeral of Date of Funeral_ Delivering Bow to........... jc oes iunseieusrenses isaacesea ee er ergy cree | ceeenenees | ,e2 J Raat Opening Grave occ Mo rcecccccceeseccecseese Lining f VAR, le VN CIN cicaicistsaniasitseccseenesstasevsnenanceres Hearse Co clay enyiabikeespesenessaescersusbenveiti weaainnvessend Coachea ) PATTER LL ee eee A WIN sai vi rac cela acei shasaininannces OUD fesucsccss easton doce STOIDOTOR MON TBINEE. 25.3. Sibcosszsasvistis Gitsissbigsbisteianaes a OOOH e een eeeeeee eee eee eeeee OOF Peewee eeeeeee eeeeeenee FOO OCO He Beehe eee Cone Amount of Bill. SPOOR OOOO OO eH SOTO OO DOES TOES O ee ee erase HOODOO SEE Ss seers eee eee eeee seen eeeeeeeoere CORR O HOR R Hee Pee OOO ROP OHHH eee eee treeeeee mee I Be inc ins cckk sh 00 aanind dks dtiatnivaséetnaecinnsnis nindbndsdupancnnec: | RMMIOUE OE MOINS aisle ces) IRE i olonieicds bodes dnaneesn’ 9.¥2.. TO oie ona dong cncic theiecdain sasarssviaienitae sn se | Bers, ee i ccsssssnssssseces FE BE FS in iis chi cic cakc sbdduides oonscknecdacsicnsssedis i iccieuceeantciaes cas Place of Fruneratl, ......ccccscsecceses Casket No... POR 42 ssavieshayateans sees ecard v Yo Ad... Clergyman.....: ten CER, sas (Aa s4s4us6 444A ADVARDCREAUA ON Sab GLLEG KA S4GAGKIATEN AAESDUMAE NAILED REAM LAD STIUA SANS codes | csoserss | Date OF Burial... AB. A Metat Inner Casket................4- COpper......cscces TN cs ivetaakec coi sasiad | paeierees | Where Interred. a je FRR ois ide ain Ade aks tts ke tes OO aE ane | eandanae CE OM bb FB iiivcsdincseisciagiasavsvencedd Outside Case, Pine, Chestnut, Oak, Mahogany..............c000 | ceseeeeees | [iseaneks | Location OF IOIOR scene iesdssicindasssckatnssei ke ee Lining and Pilliaw Set No, ...0.0.ceeeeseeree sapiens sies aun eo ede Lashes cee |reveesene fs agaaenienaeieeninadcbeatica teed wae a a ssc aadiyaag Biveieenees | Sou saeasa seni bg eek toni tao Cc Mountings..........00.. «.» Handles.........005. os RNR: oo vecseudacien Porennenencs [eseeeeeey | ils au etaeda aioe ho idk Metal Vault, Style.............:. Sis sectasibagnaesnsedsarvedssar taleisrsca | eekerens | sececses | SHPORMRORO Reo ee ee re eennenaeeeuseneanreeaeeeeeeeas ener snenees Bi PIM csc ics 20500 1s eth ka ek din baa coed bon nehinesdacbanaanencins fllasi vista ee | Age iy i I Sa cris Montha.......... teen Acs BT OI os sok ss hak cc bk ca os pce nan deta cased sie sles ils seuduevenst saaabens Color “Ok tres inticeveusis Occupation SHINS Glave ke Pra. .... eli | sess ovssestaees Single, Married, be bir pe” re op eae Pine COMI, sss ccensderunatniiies SE Birthplace ......Ec ccc hy, RZ a. seeniias Personal Attandance and Aasistants.............. a . | Last place of residence .................. Drapery. .......... «...Candelabra.. SII, 6 coins caceea d unetaes | ........ | How long resident of this State POUR ion sviss a tstencis bee ee IMI 554 oa Josas ia ei ia sasuke ea | iaiee Husbane’s Name 7)... | essa Father’s Name. CaSH EXPENDITURES ; Sea ce re Country of Birth , , Tei UN ec ee eae iu ig ace bere eeaesaee seas oe | Pisa Mother's Name.é-™ vg Oh NIE oc rasta ci aol cyeans Scebeuxe ince Tock a lke ess Country of Birth. PR roe ee ie eein test cece ect cu u aul oye yer are egatade caesar et oie | ete POUR 6 vies gi ciseeslateaiiu ois taeda ed sa}ibaas eeaneen is ae fase uiesd tutse es eeu hac ee sa oe Cause of Death .......60..06 uaeetincee bs BE MN ce coes yh cs cab bican seis Pa vic<e ses Locke cs ee Ordered by ............ Fumeral NOWoes.......0.0sessesse00s iis bepeesiaaaeaeens ped panmianess : | veeees | Charge to iy aaa ca Uh Gah wana GET ss besa es SR a rer When rendered pao en RECEIVED ON ACCOUNT. ara Hida iid eane) <acne one s\anouaneeidaei4i 41 cashT U8 deteisisaas ibs enaaoe jr seeeeees , f CII ss ack con inas cases siencists cabins catseasesi oasis | vauneveas ee | j ‘Ber pee Kh ‘eet afin Peo , ln RING sia a iac9'0.0 6 000 0000505450 50 i 00s ceneeneies Guneedaesesedseecnsesyanen sevens aetecs s: bread we ee Divvecesdccevt dey heaved 0 Facteeseces a) 010 © PUP COEEE, TIEN ic oa. s ccceessocovccasseveeees EPI sca ss ccecvtevares | séveenss | ng ' Sevan a - a RIOT Te BERS Se Neen es ae aren emersape en sap ee 4 Le a we 249 } Li N bya gyed- OA. sities i one Funeral of __ Ne : a ' Date of Funeral____- Mee ¥ / es er ae ee Sant MME oso coos sdcdssadasaksanssosineaies abennaea ves oui Be | Date of Death Re .©. es / J (> ai ne wenn haw. ; 7 ) 4 SERS EID LS ea oA ACSC RRNA! Ag ee Place of Death. G¢L LULA, YORAL Kak fav Ai Hour___//. Funeral of Date of Fi uneral_ Removing Remains. AUK... ae as ‘hay Piccunbiens Embalming sessed ok LAG AAG oh wes Joeeeeceoroeesep sen seceeessaoeesss Shaving and Laying OAM, oe cat alee de caabaian \aaunnsnabeseusaenicedt cin ece. beau ieks Place of Funeral Ren ORR REO H eee EHO ERRORS HEE ES IESE EES EE SOE OSOSOOSOOSSSESE TEESE EEE OEHEH ESET Ee® Ree eee HERERO HHO e EOE O SCRE OEE SO ESE SE SESE E EEE HERE HEHE EHSH SSE EE HEE EE EEE EEEeEeHet | winnweeeues | Meta! Inner Casket. ..seeserereees Copper.....e0n+0+- ZAG. 00004- oe ed Metat Inner Casket............0..++- Copper..........+: MR i ae ee | Binaa Where Interred...7..0.....: A (y/o Bo a hae ee We AOR INO. cc cn es vaschcasscasndes canncsbadssuvicecassavensunensiess Peas ac kh vo cask Gabe ses nnn Cacnadnndancan dU ao ee Ubuabeaaeien [aseasnapeny Uiseanet® Corin OW TO Io ons inks csecacccsaar TINE cre orale Outside Case, Pine, Chestnut, Oak, Mahogany...e+..-+.-.-.. Outside Case, Pine, Chestnut, Oak, Mahogany.........s.sssss0 | sssresesees Sacnival Ci INE «oc onsiscinctiibciianiinahe itn | | 4 : Lining and Pillow Set No........ssccccsesscosscnssscesscnesccsconseseeses | teneeseoees plenksiee Reta MK —../8 -/EH.... tes PANE FULOUE SEE Diesscasestencncsdsseapuvaachdasesauonataanbiiectel brs csxaccceslysiasiccd! 1 Metal Lined Bor...sccceeerereecersresseensnenons Didtal TARO HOG ois ike ess nnn bercasdabedes: gekORANERN SN reer errr r rr rere r err errr rrr Cee er ree eerrere rrr er errr errr rr ert Titty) TAOUNTINDE, cccsicdeciess- is PGR iccisssrctcnnsene PME estas cg Veiseredi ss es tieess | ctettteesseaeesccceeesenestssseeecenseseeananenesseneeesens Mountings...... rs ie he ig a ge: ET 1 ALTO. CUS cs csua evccsnassannesdaaseirassebaseuvaresanbeabatas Fs | seeeeeeeee/sreees wo [rettseeeseereeeeceaasasseesecsceeeens ic canguges Siacieedael Mile i BA icine ae i os 5 Ny séeweneneasksiutiaasaeaiiseestasieis ptt teeeeear en eresenees i 4 1p Montag, «...::. DRUG ia dicins Bie MUR oa ccai's as cusansncictuaneatavaapkaatsedecnsccnstceeng sedacadiexs | ‘cceecsaassiniacsvecs Age.).O,22. Years eeceesepecees Months....L....Days te eeeeeveees Box Mattress nee ORO ROO eee eee ee OOOO OOS COCOOCESOOESSOE Sees essere seeereeres® r | ; Y , “~ DIP GAL FOUN; .:dcssvinasecnccaxounccnaesentaabersbes titnke aiah<hbsabshencissss>< | onsavcce | AOUON.. Mtets Mets eta oy vic cna heres CPOPUTOTAON 5c os 5s oes iay-cndevinae REI ea Ge aa uses daavachnstanssaes Ak here oar oe Dee Color take. pannus ee Occupation....... ..c.c.6s penance “9 +s ° “~ ; DONE. ssc csaresesnonanvins PP Riscccitsensssain NUR cs oscccce cisions | desc desis Wekaxsexs Single, Marrie Te es sis re UO 5 coiicivcetinsecs sexes PVRS iss CUE ooo oes ississis | aes Single, Married, Widow, Widower..............ccccssegCecseceseees 'y OCatawtse B42 NG i .. atedeqaceeesemeniaconnte Pitt, CRAG...ncccnvivscresscsvestesesesmesions | céssonisealsosoucons Birthplace a eat si eM ihe: eae as NE I oi ooran ose cease scdawesssi seca E mceeceuses aries BPG ON 5 iar or ance re cans Sr es vss b sds nate i Personal Attandance and Assistants ...... Pe ee |-sseeeees EAARG TUM GT COMOROS 6, 55a essa dhe cts tiheié chsisvenscx 40h sssonet lis i Personal Attandance and Assistants ..........cccccccccsece ceecessee | ereseeneeleneenees Laat place of rewidenoe 08.0. iscceets co csssty i tsves Wis eee | : p i Drapery......c00+ Candelabra... ..coscasese CRS hicds oy irscss ) sha | aes How long resident of this State... 0.002000 .coscosesesseey 6 oe-ssncsees BS DPE sic naeke Coo sons CE cnc ahaa | setewceseal sacenasss How long resident of,this D7 cee) ‘ ae sk Ol ‘ he Pedestals.........0+0+0rescoreees oeeeseess RUQ...cccccrccevseess cveccesrsesvess | cecsseseee|soseeeees Husband’s Name . : Mee nine 1M ares lp POM UAL yogi oicecnelea a oooh sse 64 coco RON 6s cae apt speeds Cae taNE tink tts Husband’s Name . 0... Af... OA ‘eS eer Pion | Father's Name. a i foo ; Pa, Be ee ee eerie Wao: a ache SOE Sere ot Om bae ai rye ino nl lees Father’s Name...,2. | =. ‘ Country of Birth selma Pe en Saeeeraee Bee oy sean eee ine eC eee a nae ea ot ea near nae Country of Birtha.....00. SPITE POMRUAG osc scckchuvasdunets 4s <oseandiesbikacts ict addenda nok peat Mother’s Name............. (eS eae cca ieee TOPE PEN Fs oa coe os ex ono Sonat eee cokes cons es sceu sey nessaaucsssdets | ylenaese aeieese: Mother’s Name C&..> , ens pe ec tet uae ts POUND, ..<anesevencencsesessconsesennssctsesenssrss | cecapusnsss|sersencss | COMME OF DUT. ccsciccnes ssosistscisesscnsseersiesesevcsesessorsteccerioned | sists Uccwaamedeveieess OEIMMI: cles bbs Vasvivas sukesatasareuss Seeae eri evesds [lneecgeesa dd ieenie eee of Birth, A708 BP OMOPS 55:0 ceussbetissasadeisaabnuaea ini aust a a | ciscceses|-ceeeeeee | Physician , sa ame > Ua ca aa at aides eee Physician. OY ZO: Saye EET TT TRAN aah das kievewerboaeanins eocresccccscovcccceceses :ecces TI ooo sc oho vp ew ew eee ae Scussey OM. eewehenaneensecnheneavanbaneoueucseues Aveeudeseedueveunsstabsdbseds bua cessines JO896 1 liluiecies ee Casiae OF DOG 6 iiiisisiisiccesaviss Dp lire, Sistas a tween BUT I isc cin trs cet caceeeteicci I etic actos seca... | Ordered wll rler. é, ce COOTER HEHE HHH e Heme eee eee OHO EE EEE ESTEE OEE RESTS ETE OTEEEEEH THREE H OEE SEES EEE EES ye ae a 1s Me ee ae a MR ass sched th a cepa tI a Ga gd oes a es Gece eee PUNGVAL NOCD... sncrssrscssseccsscsoanmimneronenseonenntencessseveosnseees | | ia eare ee A a es cae rN Funeral Notwces.......0.sc0-sssseeeseeensseceeesereeeeerers eaueneiaeeoene> | scokeenes bakeessis CRAP TS ka eee PECa ey RGsAG Gis LA eh URS Cade TEA RK ceva bh dS OO Ee es ick celts baccasacs ok OMI SS se ae eae cane Be Bs MMS aE RRR Che Tey a0 MM ey Orne ren Rese Mer ree TERE POT a, RR Sate pee eeRen ye ge es ag ; ities eaeeeee | steereenee |reeeeees RECEIVED ON ACCOUNT. | | RECEIVED ON ACCOUNT. Clergyman ah adel at ach Lda ected hah nfo dork fink Lo narehos. doch indeissvi.tt ko a ee eee ee 8 Bee ame! On, ee Beep Me Re ey ee ca im ca aaa lla ahi ila NII locate ca ceeetc’ ss cheer ice cee ee eg eee ) | | . Pics hh ners ee sc STM | NR GS re reread eae bed DE RMEASL ENO RAGNT AAT ans OA E ERE OR SH Quartette, Soloist..... ‘ebusabeannensbisknseiece Organtah...seccccccaBree Delivering Bow to....ccscccccccovcsese enn a | i; boca MMIII BIN Di ccicccicsce tesserae takin ss oceans oes Oo V;, " Opening Crave ..ccdkesceTeticcscccccscescocaess Lining. Past paneaeen , | Hearse.. ONIN, oso cetaav cs tv ees tens sicasinees ore ae nS, oo) ot IRM WSS So eit pee Sg ee hs | ho gle RS ae in gebecaees | a ae a a Sa nee A LE 8 cee SR HS Roca e senha sdnen tee paenenthethkes is 5 te Secret heweeensew heres anenes i eteseruessbieeeee psd easreceeseenovenssessossesees Gigi cee } \ / | PUTOME iidiciinnicuu densi / | Transportation Expenses eeeerereeeeerene POO SOO OCSESE TEESE EHOOSEOS SHES OS OOS eee eeeeeeees TOOT R eRe TOE OEE O EEO OH EEE EOE H SHEE EEE EES OEH EEE EEEEEEE EE EHH Hebe eee eene Seeeeseereeeseeseeseeeeonee See eeererensseneroeeeeee seeeeeenseeeees, peeetteeOReeeeeeeeeOeeeeete Seeennnl 250 Funeral of Date of Funeral “lu. Q: te. J ee ae | — hee at lV Hour (2? Gee iy | Removing Remains.......0.000-<+s ocihisndancamuanaebiiaidinl TANIA sikncaksdh.keisssds <snsdsecivciaassemasseaeeaenbioenes Shaving and Layi ens jaceaeeneess ' Casket No....%...4.04 f...J.ae ekseas IEE, ; Metal Inner Casket.......00cessesees COVDO sve cinscans isis tetas. | | Pandlcd INO, ccskccccvsavescanenonscdccconcncesseseccsascosteneacscesssensenesse | deecsesseus | Outside Case, Pine, Chestnut, Oak, Mahogany...... | ‘| Lining and Pillow Set No.. ccuadasunaniie i uuusdaaanes 4 | Meatal LANGE BOG. wicecccscciscncecconsssacnescecommessntepnenasencdnctsnenes Drbere Lhe Funeral of... Date of Funcel.£__ ce taupe | TO Foon sicca bacdavncnscinsscabeasassbasenciasensancesicieay | eee e nee ee eRe ROO e OER EEO E REESE E EE OHS ESOS EET E EEE EEEESESOEEEHE SHEE EEEE NEES EE EES EDene Metat Inner Casket...............0+ COBEP Ss scciacs BS 552 ice Pome NOs cai akiscnsecs icvncses ocnss sanavniaassazsnsesassavscncpassesnenss Outside Case, Pine, Chestnut, Oak, Mahogany.............++++ Lining and Pillow Set'No..........ss0e-.000 aceon fan Miatel EA TIO... ssisesssssissdssenacasscssiastavenrsanseresreresaness senaatt? 10.02...1 PA O.t. -| Where Interred..... BafLicro Dot ta Rn ee ee scat cakwavexaseurdabeessunkeaeenarde Date of Death Date of RPO resent reroreat —* Givkit so psiauaaeiassoneee PPM OF BARE INO. .dicicossichncnsavassincasens BIR is vosa secs. cc cassanccn ERE OE CN oo oss oss secabncde ducks debusscasepaiessdaees ceuseces As c—l — 13 : i Eee te eee tree Ht | | Burial Robe... Seees de AION: oc ciscascaccciececencess EVOL vdvcncsiee Se ere eres oo AERA ROE R EERE HOR EEE ETOH ORE EE EES E ORES SESE EEO OO EES EESSOESESESSESEEHOER OSES EH EEES C088 FOOSE OH OTOSEOHEEEO OSES j Personal Atiandance and Assistants vee CANAECLADIA...-.cccccercee Candles. ...... } FTOMIGIG scscctseneshinnvecee senkensen TONED 50s cacate aces cuueethacesses: CASH EXPENDITURES. A Pe COREE ERROR HMO e Reem EOE Ree EEE SOROS EE EEEHEEES! (OSEHEEEHEHSOOEESOESOEOEEEOSes | FIOUBIIIGA si sescseenes-5s TaNd1es. ...ccccccescesess PRA iheicisceay aerate cies eae ‘| i Miatal Viaidl, GIA, occcsancescnscsescanesacace beesbaddesksssuanaeeoncarcaxee i } | BO MGIIOGR. ks cccasavancessesees euassccecossssbadansenbeeccteenes a heeakaveesan PO Ore eererereneee eeweesereeeorsecres beeches | How long resident of this State... @&2...-~ bet eas om Husband’s Nam 7s Father’s Name a. Coen eeeeeelseeeeeeee Country of Birth eteeed Physician .....4<%... Cause of Death se eeeeeenee AERO E ERO e Ree Re OHE EEE Oe OOETEEEOOD HEE HH EEEEST OEE EES TREE EHESEEE EEE OSE EE SESE nEe Clergyman BUMNIRINE kis cudiee\cisissnacessadscessess Quartette, Soloist Delivering Box to...... Opening Grave SEES REAP OO EHO HH HSH ETE H ESE REE eee HE eS EEE ESE UNH HEEEEE SESE EES EORH OER SHES eeeccceceebeceseeecese rereereersvereeses FORA T TREO OOOO OE ERE SESE ESSE ESE EOOSE SEE ESEESEEE SES EE ESSE EEERE SEES Vault Charqes...........+. sdeietievsexsciccors eliiecsbuwesrssleibaness Core ee earn eeeneee OOO COe NOOO eee rereeese eoeeee COSCO COee Seeeeeees Go Mountings..........0005 +++ FIOM, aa cissncisaees PION sc. cisecssteis Mealail Veil, OO. os ooc coos onc sedekssccacesendcovces Siuanaes cuuen sans BOX MGEPOUD vaca cicennscesisssccanccadccsnscssnsaucensbetseseassva sentonsess=s PRR rica a avcn nt bien eisncns ss ndeaneseseiuessussuvacuazanabaseeusaseass+s AER 55 vs reccdeseesoeitaeors Prs... UFO. i caries PORTIA. 5s istic senath xs ss lke ee DO TE CT nn sentupdacntnssee< casei bene chcaniesachenisel os ‘vations ES. glee Peay Palms. PUIG vc inninécivancnccsld suasinadodt cs tbssicovdenessstlen caceriees fa el becaeeushees POURED AG os sincecatesicsocesisvsens 5S AMIE PIII soo oo vic sicas sauces ine csavianenecsssnse ended eka vens CAO QUMEGT sia nass tnebnesas tes cannecksassnapscensnnsesess ce5030 00546 tunvvecencens Sexton seeeeweeercererseesesecscesssecese sh JUIUUIU, Vcccscccesees Hearse........ (... Mate BR SAehisey Ficdiescaxvackuneeaeed ted Fadia es oes cmd NERO eee ORE eee OREO E OEE HOES E EHO OH EHH P EERE EEE ORES HHH HEH OEE EEEEE ES EEE EES THOR e ROO OTHE RHEE ERE EEE EEE HOE EEE REE ETE EEE ESHER EEE ORES HOES OUP e CECT OeECOeTT Ie errr rT Tie itr tty HOR POORER Eee HL OEE E HE EEE HEE OE OOOH EEE EHS EET EEE EEO OE SHOES Eee "SEM M FOO ee OE He ee OOOOH ERE HHEREEEEH HEHEHE SEETHER HESEOE EEE EH Hee eeeeeees TTPO EERO OREO ees HORE RHEE ROOT OOEHEHEHEHEES PORES ES EH OE OESEREEE EEE EEEebeee ) | Physician ........ Br. CF AM GAA AD ooo cvvcsccccccssses | Seem meee eee meee wena eee nn reece sees ees eee ee ee ee eee sees eeeeee sion Tipmailapatealaeaen ' oe 3 cebpusgsstndeisbbispisadapudsnrsce+stéatin i Age..... Ca Years....../...... Monthzs.......4 t gpi aI eb ne ee an eaeus Occupation.. Boatnsfl. Single, Married, Birthplace ....... coin cK. Last place of residence é How long resident of this State... =... Husband’s Name ......-....... Father’s Name Country of Birth Mother’s Name Country of Birth. Cause of Death ae Peek tsi, 65s saek eee tase eke can ee Ordered by. 4- HK A> Charge to Wines sepia i Se eh i ae a RECEIVED ON ACCOUNT. pane ae | Femme were ees Here meee Ce meee THE HEE O OH EHH EHH EEE E OOOOH OEE EE EH ine eeun eee: ceeunee Po veeeneenes CORE OOH ORO e Hl eRe e eee HEE OSE H eH HEHE EEEE EERE EE EEE EEEHE EEE IEEHI THEE TEE O DEES sl CAO aXe! s 250; Funeral of Date of Funeral_— Removing Remains A ONIIED « cvcdcanseccccncssoeccesee Shaving and Laying Out, Casket No..}... (7. ee PP MMEE P10). 5 ccncasscscsaxsoasess Outside Case, Pine, Chestnut, Oak, Mahogany....cccccccccocees |cssccsseeeeles Lining and Pillow Set No...ccccccccccccccccessesssss ENE FT AVEE TIOL, cscs oncasceondbassasnenssbenase an TEOUIINOE i cicesncncess-cs PIO co scccechenaviees I oe in oe ae pisos eeG biebee¥iccenes ais BN eka | Metal Vault, Style....cccccccsescces ccniabeneshaniace eae AUT ORE ., skid sads sass aisodbannuceeaceanbesaubbdndecsenesesa vesneeoeness Burial Robe .........cccese BYE casks acctecccscmsnssnier Personal Attandance and Assistants ......-0+ dcacascauauantaseiiinaces Drapery sc ckescnacacekscavucat Pe eeeweseueuseees eeceee CASH EXPENDITURES. + See eee eeeeeesoroeroese COP Reser ceweecesaseose® OP OSCR EO STSO ORES SESE eSereeee 92.2... / Occupations “ | Single, Marvypd, Widow, Widower | Birthplace. A-7RA Ba Last place of residence | How long a Husband’s Name A> : Country of Birth Mother’s Name Charge to When rendered Date of Death 0 GEE AZM ‘a7 -| Pl 0 > . Funeral of. Date of Funeral__¥ “ es, Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogamy.............+++ Lining and Pillow Set No..........000. +0000 i Sachiesdstdesscoanustexasaes Rial Tae MO 7 og iacg hosed Pin GEL at Mountings.........000.. +++ Metal Vault, Style Box Mattress ...,. yocveeccessersreescecessncs x ls ‘ a ee Cece eeeeree Burial Robe Slippers Personal Attandance and Assistants .........ccccccceccceseveceeees Dri OY Wiinsseses ie sce youawaeeerces PUNTO MN oo bckik shccibs Sascsestenics .G Funeral Notices ROT NII 5 cscenirecs pas cis eis ce laceskbasceiiicedsessiveie tase anssie Sexton | | A298 B2...| Date of Death LAAT me] Place of me / haus Koer/! £0" oa > iniiesdaee| “end. QO... | Place of Funera).. Ate Mereee. 20 oc st cae Birthplace TRY Last place of residence € " Lhasufee dhe {KAO ke oe How tong resident af thie SIRI To... oss ssccisseicxdh ivcecvmc Country of Birth Mother’s Name Country of Berth..........06 sees l Dehiela ie veeeeunaeaee Ordered w 10K. / Charge to_./...... ee ws WY Pe WII. 5 hci iascs ets: RECEIVED ON ACCOUNT. ote 2? Bn Funeral of _ LMM ii Poe / i pT Removing ReMains.....cccccccccccccsees inbaneannuned pabesaakusasonneanan’ POON eis cncicns.scsccccsccosctacssecabccessuconsasbeesbbdbadeneseseqonsns TRE CEE TG CN ovnccccccscccsnnetackabsncessuasnsacccenensscess Sivoo vic binccedoskcacsedaebatoanncues PO csc kiviccatactaseesiks Da AIM ING, ccc) cccacnsscancnapcsdnsccechensassuatassusseansansabaasasccesis | Lining and Pillow Set No........cccc.cccccesssccccccsescccsecsocecsceess Dab a TARE FIO0 sik sa ckciiccvccinnanecacinberssiscanbescissstagttedacase ee eee en lanham acre ane See ee siege ts i ° | We IE, «cc cviscdeuasasceraeten Paes OUI sc csc seckcexesss Metal Inner Casket..........escccces CONDE vic csccnsees Ge ibssaitins Outside Case, Pine, Chestnut, Oak, Mahogany.......ccceceee-- | Bow Matt rests. ....ccccccccccccsssecceccccsoccconecncceseescoccosesecestecesesss | PO icc s cans na dckaeclindadcnbasebaeabeabh tatwansagoebunecnes ances] seeeeeeee MOUNTS. ..00c0se0esss-s+s FLONMMECBsccarecorcosesooss AN esas ccoececay | veucdcdesnciieicsicen | <ststetesseeeeessesesserenrsssessssseessessneneneceaseseeees Distal Vatill, BING, vcscccscsacscacsscee Wccchassedanbaesdncesian pix ikeciacnes: A ORR e eee eee meee Re ORE OEE E OH Heese eee Due e ee eeeEEr si ss ee eesee Funeral of... Date of Funeral is we Fi TO vrsiasvespneccis tasackersenktinscassscnercdieasccsiions: ania boskeeiais } Wi Binds cos ain nncecnas ven asu epzasnsegesstactanbieipeadsniinae a Casket No. ss Lass u baa asked Ga renee dei cae Ebene haa ian Geoasas cssaucsenstneceeceouys Date of Burial Metat Inner Casket Where Interr Plein Neicvsncsassatasteusssascacsscnsasavednnsecekecsunsousduudseusaceseesens Outside Case, Pine, Chestnut, Oak, Mahogany..........-.-++++ Lining and Pillow Set No........ccccercesseereersssenresccosccconsceseees WH ahad Tad Th ss ep his ss sata eee este DAOUNLINGR: cciscie sacs «1. PUOMNERL cies cccieens nse: PUA, cissscssenes Wiatal VE te, ais a ooo secs cone hbseterd cess Bins Box Mattress ........++ Peart au wehba cdaea sabi wot aneaserccs eectesacae Bipr ic: FEODG iccaiics vac dcuasccavacs soccenusdsnnetevesesvevecuiivassidaesscineent SHUG icici eee TPN bss ievats OS ee is DGS, CORO Gy cssvictvcn is a ks eccvexect Birthplace .# /. <4 Draper y/.....cecoce- ee CONGELADTA,..-.0secee-eee Candles. ...... ENR oi cas icieedasasacasere on hinaeuia OME ca ciscveseossvevincscsvesancsss CasH EXPENDITURES. eee ene rensreesenen arenes eseeed MLTTLD severe caseeeeeee sees eeOSeees ese sesseeeeerese® SOC EHE HEE H HEHEHE HEE EEE H EEE SOEE ESET OSES SEO SESE HS EH EEE EESESSHEESEEE OOS ESSE EES EES seeseeeeceecces ooh GEUCTS LIL coccccecerccsccwesevosveseesss\TUIUCOsecoscesecs SORE Hee ee ORE THEO OER H OHO EEO S EOS ET OES OSE SOE SHES ESS SES SH ESEOE ESSE SEES USES EES POOR O eee Ree eee eee eee OOOH: COE REE. CEOS SEO EEE SSH EOOEOEEEEE OES EHO EE SESE ES EEE® Peewee rereeeeeeeeee SOS ORE HERO ESTERS OOS E ERED EELS HEE Hee HEHE TEES ERSEEOE EE ESTES OER HOSOEES PROT 2 TON cc ccscdecckcnnbassnchnceaueabubebnncorsessiaeuaebadauenieniond 1 ARR e nee eee eee ee eee eee HORE eee OEOOEOE EE HEH HHO EET OEE ESE HESS OS EEEE OOOH EEO OEHesenee | TOO ROO OOOOH OOO S EEE SHE EOHEHHERE EET H Hs eee OEE eeeeeee sees | Vault Chargep....... acai iiilobins casts \hegey ae Hearse [VEY YEE ..|. 9. briunsufpaue | j PPO POS OSC OCE SOS Cree eeseene’ | eeeecreree seeeseeess aeeeeeeeee seeeeewees eee eeenres eeeeeereee yeeeeeeenee see eeneeeee eeeeeeree | Ceereeeereisccccsess ew rbereseerelseeewsess esses chases ssdsces eet desersccsiessouseres® ee eeeeees | When rendered Tee) How long resident of this State................cccce0000 RAEI BO DNUI oo 6 hos cc carey canes cas abatensesaeies- I NONE Fos cede ies sai sch evceket ines secdaei jth ied ose I MMII 5505s seaa ca cutee che ccsvaeeedan dis Mother’s Name leweeoeawters seeeewene see gtecewhe! cone eeer| see ee ee ee eee een ee eeer anes eeeeneeeeeneee® + aeeeeweee Personal Attandance and Assistants ...........0.c0000cecceee eee ae eSr ig | a Se Ot OF SOI 5. Aa Drapery. ....0....-0..-CONDELADIA,..........00008 Candles. ...... pai aan codusnsd : ROM Comme PUES OF EE Ink iG: aa Pee oor rete ec ow eee ceo eae ee eer rere ea ea PEE EN ko gn RS ee a ~ i i ' cea ecto at a Father’s Name.....eZ@22 ftegetS 3 { ieee as fpediases ae ae: / When rendered....- ASU ates s cacai vu oasis ek goer cite ads 0s sdea ed ssh sii | fe BaP tog ae iee rr PER IE et si TeL EO ner ont ERs ouatinpan seemed: Peco Saaseer cane cereae ee WOMOPCOILS, SION is cso veisaucscuisincessasees RIPE TE 055s ok. ok cass ease saat ees adie be ROI COV TNII ois scchencavestvdcinexesvaccuts FOE COI issn sssevigeseceinniriecessscnsnceniatancinrnessapversees ial [iinesenes ices Hearse CR. 604) 46 TE Ch ESET CEE OREDESUSREINS90$0054006.060 54050 000SN0N08 5008009 T8 UNE fe causa | yenceceeecdcl seeded bbels 460nsnevonneesdeebesaeceteese ee ee CCS ESOOCOOOCOC OCCT eT eee Tee eer eer ree ERO OOO OR eee renter eee ee eee eee HORE EEE seweeueeenrnleneune SOOO e eee Hemme meee HH eee REET OOS EEE EHH HOEE EH EE EEE EEE EH EHH HH HEHE OOEOH nn euunnns freeones Peewee eeses POOH ROOM eee eee eee ee eee EEE ee eEH Ese eeenee OOOO COR e eee ee Bete eee. Amount of Bill........ exese Pete een eees POO OOOR OOH ere een eee ee OHeeeeetes See e ee eee OOO OC eeeeeeHee ee eeeeeeneeee tee eewenes aes eefeceeeereoreress, see eeeeereeeeeeoeesrnrenty aos oe a Saree 206 Funeral of Date of Funeral___ Removing Remains TIN 6 cicckik cca ccsnncetabadnndansrenesannses Shaving and Casket No. Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No......0.+00 Metal Lined Bon....ccvccccccccesssarscccccscceseseses BICURTINGB.ccciccencccss-20+ Metal Vault, Style....-....sccccees aatinane canabsnussedssscansusoueeienese Bott Mater ed. ...cccncctarssessasves pscabesupenopasanpbensoneheness pxeiernees ve Burial Robe .........e0006 BBO UOTE 5 cc ciscesescenccncsecexess DOPROTY ...<caccteeus ass PEN oso chan ddaaaccinnsescoaunes MGM, ac acu mieeeny eceenscie CasH EXPENDITURES. Quartette, Soloist Delivering Box to £02 Opening Grave ......06 aaa Lining” : SAFO Oe Os Cees eeeseeoeesoneeee® se reeeeeeees ee eeeereoccs Seeceecerereneeseeceseseres eeececeseceeeeerereeeoorrs hhh heehee tittle) a | Sco | 300 se leedeeenenereeeens {Ca eee . we eeteee HOO Oe me reer eeeseresesseenes o PPG OT TRIG oon incvcnckccigtihes icass te Aecsice 20 Where Taterved.cr.. 5... teratinr sc ciatcette sc coseeeess KA. IN EBA .....Occupation..... | Single, Married, weil. Walon SDxn-heee ©. ~ Last siivatiiiiie Fcc, aw kis se Birthplace Father’s Name Country of Bir Mother’s Name Country of Birth............ ili Physician... MN ae eT Ror Cause of Death 3 O° |Hearse 6.3. Date of Funeral Ae fee ee Bmbalming se ia shanesebdbnnnaaansdsnsevesqonsoneneenes soabeedsedl ote Wits MGUY ESS....caccccnceroscscssocccssncnacesocaseceseooassoronccsenccaserss e+: urial Robe hicerny Lee “h owe€ Hr. st Sexton: . ¥ Quartette, Soloist..........s.«:s ceeegaveuseiees Organist... ..2cseeeeeees é Vault Charges.......ccccsscseees Bo ls) a cieepa aaeeeeen anaes ) 4 g. Levace HDi issvrorenses ve) ie i eat St os} cS adbieet Date of Death..... Re. | Place of Death | Place of Funeral Date of Burial Where Interred | | ’ | Age...gp 2 VGGPA Ae csscesxss Mite... ed DAYS. 2000005902 | Color..... &7.4A* RE igaeas ass Occupation Widow, Birthplace 0 [00 C& eee ce eee cnsannnnnnnscs sennensenees “ss Le (CL izex ton e oOo Last place of residence ...<1....cierverstens senveresetoenns trance How long resident Y this State Husband’s Name .: . ‘Dell Father’s Name Country of Birth ... yf. factevenetunnnnnen stron ees gesesene | Mother’s Name | Country of Birth . 1 | i Cause of Death ........... : bead by... A ms ee Flask © aaa | Charge to .. | When rendered | RECEIVED ON ACCOUNT. Peete Pi Siar area doe wero Aone neta Core + Sate Sirone lore ‘ fo oe a th sat ark Bor en an ee RE RNR NERO NRT ie aT Sei r <= aa ena nee SL eee SSRIS IE ESE ET RODENT: se teehee NR CES ethical LO lalla 258 . 4p, | gk =: Siac Funeral of a see Funeral ar) Nhe AMAL & el br i a pty ) - } Date of Funeral__— peas 9 OF iil eee ae Date of Funeral a A ok A Sa ts Removing Remains : | ...s00eB/ [soto | Date of Death... ZS oe LLZ<.......2 ; Removitag Temdbeas......00..iass0s00--cccccccsccnscccescnevescessoccoseos | Embalming =<.» | Place of Death 2 GL? TR 4h Be Ay c Shaving and Laying Qut : é 7 4 ok C < Shaving and Laying Oyt a . ttt, Fitau 09/2 / p Casket No... £4 NTR» Fob b nly | e+ “pages Cankeat Ns. 0se Mess <hecktenst DTewsae ais iad Size Date of Burial....&, 725; Ree Lee | Date of Burial.......(.492.+:- desig Wee oe ead cise Metal Inner Casitet..............006. Copper eS inset cosseeany Where Interred A A a ’ ees | ie eee KG elit. Handles No sotioatgangrestanmncnastsnt Rapa . Sian emctieacndoneinnonapinsenteagleaininies c+ mt tekst ra en ae Outside Case, Pine, s : : | | i r secsceccssccceaetl Outside Case, Pine, Chestnut, Oak, ! Lining and Pillow Set No.....0.:sccecsecssecessssnsecsesseessenseneceees | nik Lining and Pillow Set No Metal Lined Box A : Metal Lined Box Mountinys..........-..- 8 la | | - . MM OtMEEAR is oenisesesnn 00s Metal Vault, Style......... Metal Vault. Style Box Mattress _ Fay ake ee a peia du cac ses Faded nuded due du Daca ah eAaEA Tao onageeetercceei ings | 3 ~~ fr Dayan * Box Mattress Burial Re obe & eck | fees Mls tL Occupatiok 2a heo Ann Burial Robe Widowe e es was ash duxducenseabanatecepenen Slippers ee eevee wlescaoe’. | Single, Marri Widow, Widower Muiti Suppers | | Single, ice 2. Ui ORAGUR cok icesscsstkesnege ees Birthplace ....Z.....0 20 Co Sins Ae < secoosene ff wvececenccncscccescossenseseeees Doz. Chairs | Birthplace Tra oreciclo 1 We Personal Attandance and Assistants ...........0:00.-f,ccccccseseees. | bE Laat olace Of POG1AONGE oo co. .5secesccessorscessess ie Drapery ....Candelabra eo biscacs How long resident pf this fee ete “fs esssssnee Drapery Pedestals ehaneeaas ‘hadi { Husband’s Namé . oon Pedestals : | Father’ s Name. | Country of Birth/ | Mother’s Name | in i Country of Birth BG Scoot | Noa alus scissors ies eee 7 Cause of Death Si ae i a Se ce er ——— mT? | | Ordered by | | ¢ ‘harge to cian i ae tid he as . | When rendered RECEIVED ON ACCOUNT. Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave Ne ee ane tees tare cates. A NN 52. sss vaxessxeschcbesignecheiameies inte Vault Charges I i Sos sig igs spnscadedh ips ines seni esas seegaepesians <aneees e Coach... Fei ha. socuiatiiiiaiaediniaiees uth Aa) I MS I Es ee ee a +. ove eveceeeencccccesncosewsreescceeseseceeoees Ulan wt ioieammick iii: nin kl lo li nner eee e eeeeeenee SOCORRO COED ROO EE SE EEE EOe OOOO Cee eeeee ee eeeree Amount of Bill......0% phn titer /...... 5-29 iy |. mT fe | Amount of BBM. sse sinteaianiitiiileine iat iia gs yxS NO | Ad eS er ee Seren eee ae eee ee caer 260 Funeral of Date of Funeral_— NE TEIN oicsciccncncccesadocasdnsebcicscosasnencsieseniaesecsen beeen Embalming Shaving and Laying Out Casket No Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.................- EAP IE FOND TNE NG. vasa ccccacdanceckeadccnsshavesaceees sctevacsices ME TE TI 655 oi angi ins cant es Mountings. Metal Vault, Style... Foe TOTP IIG oo ices cesni's cra bunds snsacnsohiexeaseuae sere eee cedi ck nee easea ta | Burial Robe PADI Ss ion ose chxuenczacccinane PB ile sice ree ee as, Personal Attandance and Assistants Drapery ....Candelabra Pedestals......... Medien Kee Clergyman Sexton Delivering Box to Opening Grave CORREO EHO RAE ERE E EERE HE EEE OEE FESSOR SOO R OOS SSO Ee Amount of Bil.. ~ Date of Death Place of Death Occupation.......... Single, Married, Widow, Widower Birthplace Last place of residence How long resident of this State... ee OES AE Ve TET Father’s Name COUMONY GT BRAVE «ic 5 incasssiscecscgaeIe ris snesscspeessees Mother’s Name Country of Birth............ Pree on Pe canes I ois cls iyin ci cai crane aa nen asses ! Cause of Death seeeeeeeee SCOP O RE ORO HORDE FETE He eEeEee SPPOPOSe reso eHeeeeeeeEEeeeseserere FORO OOROO EOE REETEE SESE TERE OR TREO CEES OFOFS PPP ee Funeral of Date of Funeral Shaving and Laying Out Pitas We 0 ee seo cose i Mountings.............. ... Handles Metal Vault, Style Box Mattress Doz. Chairs meee neseereeeeeeeeseoeeeseseeeees Personal Attandance and Assistants Drapery Re oA err Pedestals Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse COROMME Seals. Pitas iictecitaacistouses ae | PZ... | Date of Death ...> 2 CL sncakeccieaiaaneeiheson J ; le | Place Of Death... dyacsdeaccet fad. oot Sdagapretcbetesecssesccoqeqpessoessees | Lf : | es] oneerraee | Place of Funeral...‘.. SATE A enc al EN biti oe Dat OF OI sige occ Breet ba dh lee j How long resident of tiits State Husband's Name woof! c..cpei cies! OR A wasn trees | Father’s Name.,77..!..!.. wo. dedeelovt veto siocneniat ceveceaysetoes Country of Birth Mother’s Name Ordered by Charge to ..| When rendere d RECEIVED ON ACCOUNT. a i a Rt nl ae a 8 Tl 9 ; ; 40" of “Marche CQc ho eet sie ~ronereeececnnne woo-esooueneneemnenensenneeneeeneeaat Funeral eee a ee ee ee. ae Pies dt Pouaal ? : ‘ ; ? uy Removing Rematns.........-..-rccserersersersoessssossnssssosseseseonens | eacnaioiiene |teeeeneee Date Of Death .......+.2sssersseeseeraees i IG ieee ass edeicien, estates gue aoe | Date of Death .....2&£ CK. —.6 (2% Ae... 1 peesccsstaa Nee teases AE ocnnsnn de soe, ] Embalming ......... stefan cha Seasisbusndy cisias oatastaeekaslibciseekins es ae Place of Death. OA... Alar VQ TON coi candi css ton dgnns sng sn ospnnnnssnnantensaaasabaaeanensit paacd LA keasind | Place of Death... A&G Ak ees 0e. 9 (else vel KO | Shaving and Laying OUut......ccsceseessererscaeneseesssnneneees | steeeeeenee]eewercees Place of Funeral... . = Meelis Gael Ti OG scnien is sesscscnmnsercicgpessiermniinnansinns ian a deine | Place of Funeral... L224 C279. tern, Foran / | . CWE B6 onscscccckcncdsscs ae co Meee | ee aia Be : Casket No....: tf dracee...Saprorigd inet (3 Coabh » 2 Chen c.| creroyman ee eee eo Res : ' | ! SDI SEP NO) mre ORO CCRT paeeP esis es kc cigeoy sae ees aes ere | sslevsauoe)ceepeeeee Date of Burial....... : a ws ab ee Nau tal gale ha peach teaeycacaseh oy ascsieudessis sacs cial ceuniekeias | sinnseee Date of Burial, (LE CK eee gievad { ' i Metal Inner Casket..................COPP€r.......++04. RANE i ccsseves om ebeaanes Where Interred.......00.2 seers OOP SA. vesessseeseanti | ~©Metal ener Caahet.................. Copper... ...s..0+- WEA ees sl eden | Where Interreq, (22 ©0-§ Chrr@l- elias : Handles No.....10.cssscccssssscsesesssecceececsseestsesssssesseseasensseeseeens | vesesseeeea]seeeeeees CE WF TE iia iis ccicicsisvenicicsiadesss FOUN. ........00 eccecsaacg | Brambles No....cccsscsescosccssssssnscsvncnscancssnssosncsssasessossrsosscongne | cosesecsens | sanenione | Grave A sia adlaspeibcinde BEI san o00 06s. ete oi i | Outside Case, Pine, Chestnut, Oak, Mahogany..............+++: he ewer. TO OE NG iii ntitiine edi sicissineisins ss. sshenopeuelien Outside Case, Pine, Chestnut, Oak, Mahogany.....-..+-+.-sees+ | orrrereere: peer ee ee eo sds Veowa Jeena i | | \ PAnihg Gnd Falle Set NG. oiiesscsclcvcsnes Sees eee eevee [ dassakansestveapa rhe lectanesseustsanpeesspaseadcneveerseerslicesdacisseeciGacc, Lining and Pillow Set No....cse-ccseessscnsescesssenersntneneeenenseesers | sereeeene ss | ae | itessisustree yates onto usiecah seul Sid ivanteidasssacnte 7. Ke ) ] ! RAE TAMA PRON chon sess os vss ayes cae tntee ors eee tee | cspassu rh | wesbagdel vapensensncelaonhaschiessceie estes siesissccsaseicke Mi higl Tk Phe coo cccs sce svc pite ts xodcesmpccaseevcvsenneesevoncenrven p> 0 erenee | asecesis | sissehse panna crine<ucscsoesucsnessaseapneeacinsseaaneaseats | i | i | Mountings............ Bae tide... MIB Se lon | ‘sersseeteceenesesseserscanesccrssscnsecsnessenssonssensonns Mountings. ..cccccccoee. «++ HONEES....05000000000e0 OR os eiacscsexecu | ecsemnenes | seesesees stteneeereesene enehosenesnaeasenmersanenerhsspenessaonenvess | | . f ! Ee VAI, eso 2a aden woes ein seh eoaenie ae laeie ena eee oo sla hecsh caxcavsisebanbn caleieban Gniasceivicdinies Metal VGtll, SUNG. ..cisecssesccssneisscachencscncssooseenss vonsnscnsssestose | tsenenesen | Pecadiaas ee aimee Se scisciecesscanbees | | : | Boot MAUtress.....ccceeeeceeessseeeeeeesceessnenenscancaescnsesesraeeeteerseses | seeeeenees | seeeeeers tn ek. i | Daye. Box Mattress.......0-0po.ee aa areca creer re a os eek eae Ceesau see sa , | Ait... gk Year ef. Months......:::. ee A i | 1 | : TP) Fee: a iiss taken en sea MN eee ie Occupation......... cstccbene Burial Robe ......- Mike Beh ria ale ckey 7 ee ae oL22] cesses. | Color LODGES sel 2 ctileg a oe ev Tia... | H j IIR acecincncereice MMSE IEE isis | condi Single, Married, Widow, Widower................. vais la SRI cs nicancinissasnienninmsies Pe ae NE iiciinetnndd ena | Liban ‘Single, Married, Widow, Widower..... i Uw | | { : | Hl <M TINE ccnicrecs eatedeceh | osinesacoceaatioa cui Sil: MIN osc sccscrsnciatnadiswnionn wots | head | Bérthplacd Xe Ce Mere esr G 2 Os cocsssee i | Personal Attandance and Assistants ................cccsccecceceeceeee Dinrnienesl Aine diel Mam ic cccsiss+ <aseceasnacseneeined | sannesnns ae | Last place of residence .../ <A Shel. C2. LOE veseeeteetenes | i . | i : Prapery...............Candelabra............... Candles. ...... | DPADOTE avcinsnscanoes Candelabra (gc INNER ike ccinvaseaEtontwaiabde | diel, How long resident of this State. 2-Rts—. SoA ferris Feveeee | | 4 | H Pedestals...........s0s+. PAPER oa orton este eg PMMUIIE oasis chiseatessacesesenesone PR ee eal cane Ores J ree Husband’s Name z.y...0.0scecessnsessees sf prsveenenecnenennnenengeceneesees ue | i Deis Vices Father’s Name. S2Accew FT i cc snins i 1 | | | a Es Pe. ae Country of Birth he Cf Carn Barry pci 2 oe | | Dig er TPRR Sa A ai ese ae rr Wire ae TAGE TIVO aa cnx ca inca sac staknvic igo co gkevenpensnesascassanvasecsenuess® | axcssavaes Lecawmnens Mother’s Neméo—é: 4 af Od Cin s/ desestuiessiebebens / I : J tk Ehit erie & A, HE : | H ere etree BOR 60s oissacasd vcs encvacausses tes esic incest | ixeetens ot Biteth 9 Fe ee ] ucecvcnncnccpscnsessononenaves ee ache etiere eee tee eee Country of 7 eR cere erie pie serenacepiiarenreny : F | PRUE hace ose Lee ce me A eee PE Se a | Fe CSN eadamanpr eri omen las belles Utne cece gs i olen en Aaa, ree een ER Red | ae Physician .~7.Y..1...08. mw... | ) rig aici Leela caidas fe MD, 2 TMs Maa ha me ee saa i a laden Set spud vg hbdiie lalieue AOS PS RTPI ISIS contend | Os ed ae Na ee Ht ee ee ee ce wisi a i : Re ie Porters ANG ..e..eceeccceececcccceeeeecees ieee Pe el be ee A A en atl. dpesnaeseiuensnies Pe OE oo5 ockissscidsonceduensoonens OGM... stases | | ems Ordered by IKI Naa i ! fe ee aires costes sass ss | Charge to Fruneral Notiees......cscccescesrscosscevevecsecesscoscovecss isis Os pene i ei eee | I fo steteseseseevestevaseenessssssssssssesesenssenenssenesesereansseseeesssensessesenees Pp tr | eee Wis GR ik Oe ea b) Subp auees uacceaussoasabecbuekthened pedwtenkeater¥aecassuevessseraieessetatssasastayel penta ne nntilbioccsibte ao ictentntcnencnennn ssoetenenstee ' { I SR PRUeTIE < suuvacsceccukseusestlvaretlssaesdctebaesb tad sie OrnEroTN UL eUS TERE Tae) Gaede euasere | ee a RECEIVED ON ACCOUNT: es oid yippee an ea REMUS MAE TE 20040 69% 5650 Fe in Fils Hall iN ee KGS cds ees tues hee spaneeenes ES s | ale fae. | . aca epeeues | Zs oF. Clergy man...sesversvreresserserssrersereesrsnsenesserensencersenenen es aa | . ole. ‘a> * eet Cx LDS | oh 02 i ‘ GAMRAAMN rah 0s vi Rss CeL Sean ee 56h 5504s piu dye lund ieasalGen cei ote, | Nicdeerss | : -F w = seh | £O ob SOOM. ..sseseservecsesereerenessnneneeenaeeerenrecnanenssessasnrageseagenans cess Quartette, Solotst.........cscccecccsesseroess IE csisinssinacninse tS suneiisiediokessl opt | ates “Catt pyeine 7 e100 Quartette, Soloist i EE IO Wi sicassvsiseccccacenss singrsersdereevateclanstcsiecceces scce Be iN ace bee a ate | ie oe Delivering Box to ; ‘ CPE GIP OUG vc vsencevessiniviesicivsdicsessccs TI i tices enscocss ea ot del Oe ol olin. comin gee ole | ee Ba | ae ; Opening Grave ......cccrccrercrecscsceserersscoes } Be III, seven eecencrssvevnatsinecsissssenkiovasibiiicannnsessevicadaehs i ee es wii Verult CRAPQOD. «1.00000. scererercseelhsorsssnsevevecseesceseas os fee ) j SNCS ak att edcalandbetuanbustsccasunacicececorsikaisutasaeiie ic oe is 7” iia aires Re Hearse..¥. (<2 “EAR beeek Fe ene roca cs cesiceters incetieeete ; . IOI si vsatatetenecanvencissaciescicadeyvessuvescesocsssiauaiavesivmcsiaecc. aCe aa eee aes | i | ee IM i cleeayiiieedl Cas ieade ates ceanayes is eri ites iam eT ae a aaa ena | ee DATO. ci siverssersesscsvecsssscesvens SOE, cesnsostanasnuvscneset | ciscsucsusiicceees.) eee OE | ce Telegrams. ......csrererersssoeseresooooes : Transportation Erpenees.................ccssssescesessesserssesescseeses Je | ee eee oo OE MPI vosbn sos sévareevisincecessbinasinevccusnskenses P i iiiinirsuniiniecncnt FL Discih abe taiseka asic’ ee as a ead ican siesta aie ' Olecevees esesensessoosonsns ensenscocoeonooons seceeeees subbbevsviesbeessseusevan pe ee Baa ha a soisienae ieieiinniidiancnsacss steve uetesis IE sscudeecsiniecondenes | Leedssdesvesfuesenesnanuetebeees Sheecbbcecbubescascadeentebictaisessvietstefoienset iB | | Bbdoiaanei oe Pe sieaes cesecees woccccccccccsesosccosoeces CO ere wrreeee coccccecs cosecees. soeeceecoeseeeeeeeereseseneeoeseoereeereoeeooseeeoeeeeeeeNeS seeseees seseenres ‘ cos] covscers|. evdeccosecsecececcsessesoosescoeseoeese) hmmmmmmminmal am eon lg) ee Dice _" ee 265 ff C 4 bi ; es bf ff Funeral of {Tie Aha See See _ ace Funeral of __7 7 4 iiss tO Tt (oie ee, Tee ee a... siiwciceies tet he LOT 2 Oa Posse af Penal | Ck Me fee i Date of Funeral__—. > . <>) . . { f & 74 | j f f © Z, 4 ‘ , Removing Remainsh« “igh std Gaacnd 2. (Raigie.. Y jh sbuacheaiunaanaes Fatt 2 tit eK ) . . ad JFL 1 eS a eee emoving Remc A bt. | SPUN Of DOD escrito sche ncneccl Net Dat fips Removing Bemabint.o..s.eciasseccescescascccessscnscecsconesssecsovonccores | secssesenes|seescnses | Date Of Death cb cctrse Paaceradecciexteasess siasecsscan ; 4 Ure Z Fase, plates habcran kat er | -mM..|2.2.. | Place of Death...//\9rgG.2 Ar HO-cr “<4 SS . . | j Embalming ......}..\4.. i | : Saertevoonetgresess cz bo screes We icstdiisccicciecstenn sick sbaksdd <sabaausensbvansecsuceruasll cusuiseanis cesmniae | Place” of Dotti. ..2i.eu iso. BA cag cueuatenessennenanenenennans Shaving and Exrying Out....csceeeseernnperegerees binriusnhas p| id onsiansclsaenetins Place of Funeral,.,/ Oy VCAe Many ine “ag C Shaving Gnd Lasting Out..........:0::cc.cccscessssescessassnsasenees pee pcsdeseeeest-oues | Place Of Prmoral..6. fh Seeking vcs scscccac-ssesnecssansnenne Serasexs Casket No LVR oektSe & Mh t...¥ nv f C2 eves. farl..| “ | Clergyman i x): AQ tetkod Oe . ] panasOPeosteTauséccbsnatnetiatocss Fab rentaesoeyesdrnsss tl \ A A ~ A Ns 7 \ 4 eo a x ‘ ” ~ a or >: Casket No...¥...1.28 sabetneowne Se Mass fesse POI v cansnnccasdeuntsdsdessal ceseasuseacl=seacsens a lisveauaoee er ccs csuonanceadevunaccescnaettttn Thttestt tmeatesaeeees Wee ehovas a ; : | Date of Burial... -ccssaz.tesscee vesscsvessucssenisnsderncnvensnrnncnennens > ” DP 2 f Oo / ic kaue kanal 6 cndahadsdanadeged neck eis capsa sibs 5h cnds cs bak sbcsedsiedsses f iscscseeses| -cesseses | SEED of Burial C (A. a. {eC / +e eh enes re Sseeveesasacne Sestesevedesesedeveneeceseseseensens sesscenerensenensssensneanensonensnecseerescescnsensscrssetescessasansncesseseseses | censanenane] sesneeee | oe . fe - | j ) | | eB Oz Ly (i Metal Inner Casket......... a be | +s+enenweee | pretense Where Interred...’ Morne! hn Sere Metal Inner Casket.................COPper... 20.0060 BUM. eececeeeree | sreerreres aan | Where Interred....: Ce re Bert sense ar easencens t | ae , | es ‘ fein Handles No....... egg sg eae re a a ea a rea | --sssseeees]seoverees GO OF TE Ni ive ocak oniicioesans cecekcecs. Beetles cae i ais a cxilapisccpithhatbadasaie sa anciwinecaernnthe LeaeaaeS | jakaeeed CS OF FG INO vesacs sce censsvectsmecosaess BeNOR Ss, o0iskka exes eo OO POO eRe O ORES EE UEHHSEEHE HESS EEE EEE EEE EHEEEEEEH HEH OEE OH ES | | Outside Case, Pine, Chestnut, Oak, Mahogany.............++++. seteeeeees | seeseeees Location of Grave i HD reas cece Outside Case, Pine, Chestnut, Oak, Mahogany.....--...--+:000+ | oorseeeees |-sseesees |Focation OF CHE oS cscdcdiisenade eae v SG RE FERIA TIRE ERR rion ensess shone esenecsarasvantventntan tas psaneetsein [stresses | ssssssesnscnnecnnsnntessssssappeccnstensnnseeny ase pile TN IN osc ical etic isssseennsenennerrs ecslose | sone MOT MLLER 2, Ped SL Lacsssssee 6 k + S oO > a [ POND TAME FIO 8s isd iises cosh chase kines es sttesconsseroessasesdsuseseass | Ceeereseesslensencess | *t8e0eee saneeesceseeneeteeeessssesssssaneneneesecanenenees | Metal Lined Bow....... PG cca, Gis ae A an fs SE Ls abudacacclas encod | Ackdayes: shcdsbeavehenabesschauenanastsegenstasaGhibeshesees : | i g | Ktdpdbenseenake abebeneks besdededensehacekes sen aukedsaedeesce Mountings........+0+++ ... Handles..... EA eee PUIG. ooccnccnvsicccs | osnescscass fracaanens | +eobensensnesenssunnenssenguasassseyaassesseneatensennnatons | i i / | / | j / i ' i i Mountings........... FF I a ios asco cnc c OS pk | t ; i i : j H ; : | / “ ee hae 4 ~~ H | Metal Vault, Style Bi sls ss SURAT Pee EVES Raed i oe er ; | “f ae Metal Vault, Style St eer ae ene os) ik ae maid Oe eee e changes = ns | onvensenis aarionenenbiensonthennanependantnesninesnpanbeks | : ; reat : . O Q- Ve | | Pn ee ne, Months... /.::?....Days ae BRE FPO oi vasccscsnaanecsuen casas ecei fase hoPtocvercevereseecedersessees | ssscsseess : cee PT Years Wold 4.2. Months..../ DGB. csesen tes Box Mattress........0++. ageecenscscesossorsesess ose gabbautisesacsses gessetssesa| cesses roaleseoeee (GOs aie zi Riese cd Rois Wiis ssysees . ie A | dew : ONE POR so sseeviqeersoe oni ene eee emacs Occupation........ neha Burial Robe ......-++ Lycee dette Chet Ree inal | ne Color... ee Sacuduianah Occupation,.4.£. BEL. fe — 7 | SR sce. GRE Gs : | Sau | ae Single, Married, Widow, WIMQWOP ..osccsescnisgnr- sia BUDO: cisccesessbersinmiavens PW iacee ks SR ent chases i . | Single, Married, Widow, — aves yadategauwacpesuea ier eee if | pO, OMOIOE,. 5, vic csisesss codes Gee a Birthplace Mie Ol Cewnwhears Co. Coe Sieibsianan nen De oo ovvicksadimnssaee ao lane | acbucees | Birthplace shi Cs Ee, ee At Oe a a i | | Attandance and Assistants ee eee ae aes Peeeee: Last place of residence .............ccceccccecoscescoesese Ls sssesteee | Personal Attandance and ABS1StONES .........200 000 eeeeeees agen sesise | neshees aes | one | kane PERE AF COTO sone ssves sisoksnssness secanssscaniaee soxenncineaet | | j ; j | | i | i a } 2 | | . “ o , { Candelabra ...Candles. eeiab sei peaeeeeesT ace How long resident of this State.. <2“. ~: <n eh DPUUPED, «<ocicccexctses Candelabra.............+. Candles....... oP isbsanaesee L piveeenn | How long resident 7? gee ee ae { | aa C o%& MCEID A i estals teeters FUME, vend ance cinceadsasien | wasehensdglovesuuees TRUMROINE BINNS 55s solids ivtgapyieeenasecsssenee +o fhisnocovetbanie POROTIEER iick sissiaren tas hs taneseeeecnne Lo Dae aia erence e eee ees, vererneray Borer | Husband’s Name .....5.0......e000000+ Z seseeeeeecaeneeesensneeesseeenaees i L i j A 4 z J - 2 | ri See F | | 7 » , C & L t J he R€ / } $1 Father’s Nome Lthnad- eT bn, I ee ce emer at ee te hh ae Ai 9 Naa) eae bE Wastatemiane foresees | Father’s Name...0. 00.000... OP: Memes, oat Chino { eee eel eeeeeeeee i Sy AA 2 Zz 2 ; s : ” (< 1 Country ——- eer tgs OP rs ee ed | Country of Birth . capers ee rcesesessecannennengsueeaeneneenensceeerseesgaey | ' ‘ : : | ea eee eee ene y waeeneeegesceyereras ere: © 2 x = a » ~~ = s S = a om S a & 2 , | a NT 4 | ; | | OO > ] vo Se ee : Cw 2b UF Ie cl ei mi a a |. csececeelseceseeee | Mother's NameOr By —feeceeeF / wv | | Mother’s Name... Adie canada Rootes Seee iste eits ssecsuacsens i ‘ ; ; line 2s N< deal C2 fi “71 6 | pte ecw aie PED. oo isceeue Vostaveeessaccsensie dxeetbiar silk ce ae ores! Country of Birth... fox PB | Country of Birth etal ienepeires ‘s es 2 Leena pcuus bassweasas eter reSiwees 2-7 LB 2)P oO J | Physician ...... Ki icles ite ees ee srxsaviicnceiade | Cause of Death .......... igi sks supassddsen ses senso aero ae pecasiaeeveiaie tee eeeeeees soceeoens i a tes 9 x? = > /( Dep C ‘ Q g Ei & S e = = x . fg A _ a I—== = a passers | j j : C d . ’ | } oT C. BE (teeta eneeenees ONIN HON os oso dascrsreincoas-yisines COUN iericess dd acces ee Orddled by iT: fae Kae a or | wennauanaeannences Porters And.......00.0000 pivsiiseaoae ts OUOE, Gcncsbth Lee, a oo foieeaia by .4. Bi sos via Bene cda band cateoa cack tans hisase sbeasen ) : / Funeral Notices fr - Funeral Noti0es.....ccccrcvcscoccovcceseseccocsevecsece pubes cnovesssqgeocess | oceccenees Fee COWIE EO ive cdscyeisteceserseeewes Sais Danas aaa Gee eat lee & es Line ea eaeseeeseneeeeseoseneeneeeeenenes ibaebls eee ee en es RMON OO oc coca ess cey ss edbssecinsssbapeves siusenvdens seeee . THERE HE THOSE OHO SHSEEEEEE EEE HEEL OSES OEE OH OEEEEOEEES | Shae aa ene When AN oa es SN eg oeeee ASOD SED SOAURCEPUS PRUNES ONCE ET RT er een ek eee eee eee eee h OOOO TERETE EEEOE EH HOSE EEO EET FOOSE EH TEHOHESEEHEEHEEEOE HEHE EES RECEIVED ON ACCOUNT. Clergyman CLOT GYAN. 000020 secccrceveess sa pasbeusesevsnadn tsb kneuiuadersersuasssutasensess Semen ne | eee eee eee Hee eee es Stee EEO HO OOOO OOO EOE HEEEHEEEEH UHHH EERE HHEHe Ac BU ctnilicnidecinerinclbinnliineeemnene ' | | i | Sexton | Rc vcd cocina vices coke eusnaukeusksedintents sixbsnnbsosunrsdecserstasenessshex | Quartette, Soloist... .....cccccccocceeeooeees.. Ov ganbtl ociecesens-s...:. | Qearbette, Solotat.... ..ccsccsssrsicsscesceseoes PEM iicniecscxsess ens | ssasoeenee] Delivering Box to WA me TPA TRIE I Sa ots y Gidas evan bsdexacabatensdccaies pene Gita aes Opening Grave Seal a Y is NE CONS fisaiicrtostisseesrrtsaesies TAs ckssarcétzssseves , | er . ee Pe | ee | aaa Vault Car geg-y...csrsoressserssveseayegersssseensnseones wees j cS, ae scsi | -+sayeoes a Eversstiav CxekhipT dN STIR Seen : hla lag 1 ony 204 [Br OO, ne GRY (Mv vee, lA / Hearee..(.°..6.. tae icant hee ee ies ae Hearse./.#, COGERGB........00006 necenawande | boreiaies oeneneee OREO eee e eee ee ORE EEO EE EHO R OED ESE OH OSES EEREEE EERE HEHE EO EHEHO EES EEEEH ED HEED SEARO e Re eee REE OREO HERE EEE E EEE EES ESSE NEEEEEEEHEE EEE EEE EE HSE H EEO EE OH OSOE TEER HE ES HOOP O CORO O OHO O HORROR EHO E OEE HEHE HEHE supe baaree® seeeneee PPP FOTO HTH H EEE E EEE E HEE EE EEE HEE EEHESEO EEE REEEEE SHEE HEH EEE CHEE HEHEHE SEEN: BEES +o OR OPPOSES eee onreeeasereseseeeesereees HOES CORTE H OHO EEE HEHE OOOO EEEHEH EHH SOOEEEEH USE EEE EOEEESEEEEEEE EEE E OEE E HEHE EE ES weeeee PPP ee tee eeeeeee CROCE EEHS COSCO ESESOORESESE TEESE EEE EEEESEESETOOHORE RHEE ETO EE EHE EEE: aeeeeeet eeeee SOP POR RO ROHE RHEE EEE OSE EEHeE EH seErleeeeneeeeee”|* iii oben cuaelape Ne NNNNNINRERONeRRONNSeLOinS dinbneees dhsuecs:. i aaa eee SOFC O meee eeereeenereee COOPER E OE OE OEE OEE ETOR EET OEEEEEERES SHeeeeeeee Amount of Bill......... Pocccccccces e0enbeneesdeniicuia aed SOOO OR EHO OOOO OOOO TOT E He eee EEE HHT TEEEEES HOHE ee eee oo jeone* caprresecee POPP Peete Ce rrr itr ee ri iti iit err 6 oe ; AA ‘ M$ CC » / s °. KA Funeral of hn... Se : nn Poel i ae wee ire the EE ROTA ee DM sii ee. i ees Mek [8 aes wie 2 PE NIN aii cn snnhccgusedassricnsacciacakeaieeriaeces, | -seeecceses[eceescere | DIGG OF Death .........ccsccsrcesesessccessecesssesssececees... Sa Ta vik ase vnc hn cnc cchdeneces ss cascercersantesvevdecances icannbenees aesensees (en ar Death ..Ldoder. Succ ee UL YS. R #2. E . — os ee é Embalming ......... ceettsteaeecenseeseneeesseeneneeeeennnnsenenensescs | srsseeeeene |+eeeeeeee PE cre iincicsinciecisessccinesinosnn senses +e snes eel cect diesen ttnasateentaaee cde icine | educa | Place of Death... 6 lest ME hebree CEES zu A EG Cis icisscinecsnbasobsticnacesoiensnd Be | antics POT FI vs ciassiensesasctiniietsonienccrtessessvessecsecnc at initiaited | Place of Funeral, he Ro hi MEAECA fein. SOG CINE NG sis oss secs sco snncy eccrine SAS RARIPET one a ape odie | csetenees eo RMN scirctcintere ee sa sheeeesssensanteee am CRI Ne oie ieee ie cea etn ceucencace BB iisisiiiasisctk Can b ceseauel ic tine naar, D cpccacecestceenl vasbiacabes aee~8 oes COPE OH TOMO HEHE EOE eee mene e ence nreennacccs...... | Ge eHEREESEEOROOOES SEES ESSE E SENOS EEE HEE EH EHH SEDSEEEE EEE HEDH EEE EEH SHEE HE SEEEHEOOEES | SH eeeeeeees +e eo eeeeees Metal Inner Casket sec ne a oe ponreres Where Interred Metal Inner Casket...........000+++- CODE snscsesss Oi iis A ens Renee | Where Interred...... for Re, «rene Caen I epics uc ade socukbek be aacanonauunueleetas eee eeeie Grave or Lot No egickickhe secccecceseoecosesees Section... 00000, seeniennees ; Handles No ees tial abe Oats el aaa Tea ews wabenautee syaaeuasaes | a a | Grave or Lot Oe ee ree f Outside Case, Pine, Chestnut, Oak, Mahogany.................. fisasesesess|sseuseses | ROE AT CIID sis coast caimssanssatdscianesiessn«. Piaeuhieieal | Outside Case, Pine, Chestnut, Oak, Mahogany.....-....ccsee+ | oreeseeees|eeeeeeess Rama NIN ia seaetenens Sikaassseubeteaee = ; . : i { | | enone j , « » | I Lining and Pillow Set No....... seeker sdcsbasledaseen snc caebineneaer tees Ur ccneaaok. paacai nas | eoensUsheshsseeheneabescseendunsede pasisib sendeeessdehersai< ( Lining and Pillow Set No.....cc.cccsessseccescennnensrenenencensesecsece | seteeeness |seeeeseee pee enc ee rere) eter sasebvnsasess ; ET FRO I i os og Beds cc cave dng sev eg dae Ske deo es eieaaions jeplesseieian lcesenorks beistse MaAIeadaTIO GE ; Metal Lined Boo...cccccccccosccscsscsccsocecceccsscsssscscsccusceseccececeees [Seeeseeeens]sseceeeee | coseenes ensesecseesasacsaseanaesescuscsesesseceseesoooonens Mountings..........-- PRON io ivdecisecen ss PEED. cove ekcehenies | peseeaieuie ac seapdiesbinbesicuerce EWekeniepsestnesdbnniessedibiedescais Mountings. ...ccosccese. «+ HANMER. ..002.000ese e000 PUGOE. vac cacs ckcasae [atedexaess badasesau:|/eoreans ereeeeaert Whe ssp ss onkbaps dkeaba ns nates caeoiausnesnih ; ‘ t | Og rR So RISTO oN) RE eR vi | teeereenes |oteseenes | tttteseteeeeseeessecseenens sheauaukesatsussabeuurausyseeeeue : lati) i I ois oi essa ins hades sa das vs Sosy pee tnt |osteesses QA Ta LU aAKau bb dead SieegesnORespoueAdevensakskeeeniae i x ; ee NR oo oe a a ee ee psceeveg cae taseeeees oo Caines EE is csskacs FOS oisccieiccess Months............ Daye: .<cccaee Bich BEG ova cscncesn cadhassavkcsddssensecccussnscheahtadssnstsncosersssseus | sxanenteas Dene “| Age.... ili occas MA. os occceecns PMA Aisi cts FUME 5c an seen ces eu vasivcnecdssaseussens ekeussissavdauseusss axe teweeaie Burial vistasieul cl wuieeaes Cr ae ae Warp l OAI oics cau oaks caccicdcedts oh sic e0al Ua tavaiacossnacatccessngecsnelissersesnes seseeeee | COlOr hens Tee tit AOR Sv ei OA Slippers Ie cern 5 ra al i = ee rae a ea |osennases Single, Married, Widow, Widower A eprioelanaed angie GED OUIR. citerinessincanssvssasereel WO oc es0ccossns: MMs ccndtnes ooueieeey | sovenseces]saneeeses | Single, Married, Widow, NI i cisessccoornglliiiincce De CR ie cs sie [eee ee . pa a | Birthplace FE NI voce ca nc scovsco css tha thaes needa re ae | Birthplace . Ue ao ST a0¥S , LE, KA eeeeeenes —< Ct naeeeeeee teececeeeeaenee OOOO reer eee wesnnarassee ese sseseeeenseeeeeeess eons cece ennenene eee rere renee eee ereweeesareeeeee Personal Attandance and Assistants .............00.cscscccseceesees t ecw ee | FEE RINE AF FTI on oss cectccccviesectense, ee Personal Attandance and Assistants ........-.66..0:cesseees SEAS ois anes | Last place of residence “..¢ 4 et Meher... | Sieiaascesent pevessaeesenees = aes een ee | | . ° . ae ‘ * Drapery ....Candelabra FMM oc seb eet leg rtcie How long resident of this State DTODUTY ci dinestasia Candelabra............... CNTR. cecicveveesh | wvcseee sity ieee | How long resident of thie State-......rc..cc.. sesceoKascseccceesseseseses Pedestals i PEPE ies sis Ceyaqst ictal cartes Iitineeedes ae PEI © PROG oo ide dik ecsnassinbessessseas sie PRIMA incites a ees eee RO i eed es | Husband's Name .. a “o3 Seen | | eee cece OD ¢ A < Re |......... | Father’s Name scenes eect | Father’s Name... Ce Nenewegompensancesennee cusnseecsenasessenenene . aeaee Country of Birth : Siam i a sikh nauaseaty eas oN ks Aes ten, ee ane eng eee Country of Birth ......, gsc Bus KES RE CIEL La Sada DEM Ea aI Oeea dda a ee a nade | Mother’s Rigiese Pre DPN sic acdsee 6ncne ei sacs insane ssnsen ss eidattaaeessnceneaste | sis-0es0id anes Mother’s Name......./..7 00. AK Mert, et eweetl akin issteatane El eaeeneeeteaes PUEMAE 5 cass cherinsdeiis agi wikia sins ar OPE TS 2 ee lo, a oe Cael ae Oa ese 2 a see sect rag ce cdvakeuhebetie t: cicscca pe ee or “Dy Picvesevssesacnsrsentyesensswnnconiaes peksunhgeenasendnusss sha sduaGennseesavceeses<sesesnyeius¢euvdeaviavdsces Tosccsicc. Akon) TO i eeeY ROMO cxcienanccuskinensshonseunsersuessntsaneneikeecsesstsssssesueaen yesees> | Vctwavencas| -4hesenbs ENON oon sassis i ocssgaihe soviatieretessap peravese ciate ousv ners Cause of Death ......'4 LEE OE : Wir c ss exvivecyesencseuases 0000000000000 Se coe h oe ECOSOC EEOR SSDS SE EER OTERO ES EREHEOESOOSOE sr eeereseraseeHeeese® | seeccccees | shenteeen > ee Porters aia cee 12 aes NE iisinsin ae becdlselaciiadusetaa eee scons, | cuaus,,, | RMMOO TE Sette see cer ee siaesice et eee 19N0S6OOPNPUNSEEEKOD ES HEED OEENLOGRSURORSG UE 89595 55855UCN DEES TE co canes clcoseenwnk bE EOE Suen cchuhcoccncvactabalecacessedeveeud 60s ueebcebebasnecececalsceevtlou CB scar sseseveerscncseereeseeeseesreeereesseesssseecrereeeeenes riansuuns Rear I) eta se css ese cans SObOc Ses OURS REL Ors ORS eecacesecescesteeHeseestecssenseestoevepecescsecsecees | geeeeeee seseeseee | When rendered .s.sssssssvsevresevereveiien De eae seeeccecccccsesccceceneeoesoecnenneeseonoseeescoeeecesecensoncescseoscceosssoescosess | ceeceess iene } ee Bite eben tot lei ee eed ieeed Be ee a oe Sn ngeenee Gaal MR is isi sansa biyeis se AIRE ee eee ae Kz ee fol, Kt 0-4 C. i L Dsvs Clergy. ...sescceseseresrrnreerseneseenersssennnersseeetssesennesen seneees | sesseseses|ssosesces | Wes Mh pbk BGA COOP O OCC COCO eee eee EE sesseeeseeeseneeseseossescese | PN re eee Ne ee acest gtscky ee uckakasaue i Quartette, Soloist... ....cccccccececeesceeece., Orgamist .o.cee...-...... | | Quartetie, Soloist... ......sssececseeserseeees Organist.......... ssseee | hed tii gic as dia as Cee eee eee eeeeereereseeeseseser ess eseeee We gels cesses tlesesceees Delivering Box to........ i — TUS BI Bs sic iss ote nics ei ne PU MOROCCO HOH es eeeeeeeeenese , COCCOOOSHEL. cececece | 06206 466600515007 64 45+) 150 0000s 50 benreeeeentesebesencseseeseeese See ee ear ; Bapisereetteeeeeeeeeseeeseeeessssssoenys ri? FO teen eee sesh cape WF os | ci stsseeeuen|securseeslecsvccescnensebeet van beeseeseebeneseseees | OT LOG oso ccesiscevesesssaciseacsins Lining. {U.FA& fi IO s CRIT GHG visesisssrisissscssscrsess ere EAMANG ss sorsvicsscsscseee | scsasesensleceeseees Fi isersimsstcooeess ' voll Ui Cees Bt eh tee Kan LO >, = 4] OO } | | aia ce i MI a aia } - | oak oe | PPro vcesedesesessecsess geeeesess or ; 4 reneee Petal tecae wee | ssecsecceees|seveeeees| snsaseesecensscosesccccesesocesccesenrens|sesccsnsesee|seeenes z Ma a ra 3 | sesunnsnnnenonsnoossosnnssnonanseeesssssnssne anton Ji7 3 | Wet > MK RAK i-. Wii le é ain >| Ji‘ | | es, ee A Qe & pe aA Ck % / sels | | | nm Cp, egg Coach ‘af | Hei veietitienittaah oa ik carg } ,¢ ly ae ‘oache bari peunnae ees ee eB ee eb (sii puscnvecuaveleemns pokes ee sol pee nee eae ue : y Cs Po o Fier heh As a ar) pe8e chloe c Ue NG cis Wbrabsoe0e kscccceiccead.. ... 7 41... a i | Ee ree rene SOT S Ere tT COC SET SS THOT SSS OPER O EHTS S15 090090 CSOSSOR TARTS CUONENTROT ) CIR cess elessedeces | eoecienseess|+0ebuewocl + 5006006000 055606s 66 0heSSONORORCCRe bees TRU AEN 65055 Or i NB i a i A | een ee Me ee on eae ee ee EPP eeO Sse | SUEPETEN HESS ONES SHELLY ET SERUEDSDESETES GUSTER SU UNRORCODT EDNTEN EWES on dGe SS ETE CREED INOS POOP OOOH de ee means | ewe e eee aee HHO HOE ee HHO EOE E HOSES SESE EEE OOHOOEOE EHS HEHEHE eure ee eeeee TEE OREO eee REED Tee e EEE OHSS OH OOH EEEEHEEEE EEE THEE HEHE ERE SEOOHEHEEEeeieeeee | oo COCO OTO OEE COO OCOEOS | seers s sere eel HOO OHO EH eeOOR SOOO COE EES SOSESEEEER SEES CE DOES eH ee erereeenerieeeseeeee teereereressesereescosseseewerese bh CUO TIMING, .....ceeesenceeeseceee | icune culeueuune - i i cg aa su eigen =e in =s4 on -aaamlncmaaanala wT etter a hee | { FuUsLeu MW PPOTUBES «os eeeee cceeerrewrewseeivesesnsseeeeaeereenseeeem ! oss. neh a RE ace ie my ERE PMR RAL cs Ae) UNE Nol NIL (fly, 2B won mc RRC, gor nr EO ee So eo eC Oe ae HENS come w eee eee reer e ee eee eee eeeeeeeseseeeers sees eeereerrleeseeeoee See eeeeee | ceeeeereeees| Seereersliceseeceeeeeeee COCO POC R RTO Hee EH EOE HHH HH Hie ew eeee® te: SUPA SOR RV STD Serene eR ers nT Ts one ares = SON SSET CORDS NedeneEsnbéedebesenéddciclsuee A ee A ee a a ee i | CCS £6 Ret eel en ekedeeNkS 66 +e eeneseneeeadenues thes egeeenssetecens daw ecenseerses RO OTTO NI Oi I a as ee ba Ag eR rel oes an nar aaa eum) eel nd Slt MEME OE sk ae aN eae pe RRR RC Maa i Neen Se eg eT re en ee ee eee Se ee TT ee ee, Re oe OGRE © | odd ves SieeheeeEes F c6460 ebb) bile 66606 bel kc eee ne ei sche eeeWOMs 0 Pon ee ae es ee de de be em ey TEESE Ree eee FeSO CHOOSE EEO ET OT CT. FERRERS C56 ne 14 eds O RON ERGO enOenenerET TEN eer es eeu aa | + OOOO OOOO Oe Cen ereerene eeeeeeeeoereres RSENAE Te Ce Apae PAD SRD ATER RUR ET ONTR ONS URUDE SSS ESE NSN esatebetneebehidsiccc ccc Ek ee Bo a ae be Cs ca, Say, | SOREN CON NR Re ee aeeeee tn eneicesnnepebesuiaddbeeteebestesseeeessinseisussveaess CREE EE ORE E EE REE EOE O OE EEO ROH e CORO E CHEERED FE FERET eee eePOROER a eeneenas SHOR RT ROH ewe eeeee | seeeeeeeenesleeeeeeeeriseenee Fem eee e neon eeeeeneeeeeregeseeee SO OOOOOOO OSS DOLCeLOED CEELLCC COC CCCECees eee 1060000666016 05060086 | 6660066656500 0666065615666 FC RON SORE RNN Neb eRe bem eeeReReESE SSK OT eS OOECOORSE TTC OOOO EE ES EET i GPCRS O SS O80 CORREO | 65S SSS ONSET E)s CHOOT EES LION CS SOORe CRS SeEUR SENSES CORE FOCROOO SOOO OOOO OCOD LOC OLC CROSSES Seececes + eeeeeee Amount of Bill........000 stesiiialin vneaiahieilias eeeeee) eeeneees PPP eee eeeeeee SOO OR OHHH OOOOH EOE OOO R Sere eee eH OEEEEE EES Rees epeeeerede CORO eee eee eeeererereeneeeneeeeee ee eae 268 Funeral of. Date of Funeral_— Metal Inner Casket.................. i, ee Zinc MRED IN oe oa coe eos ies chacl pe sane eaneeivassss Outside Case, Pine, Chesinut, Oak, Mahogany Lining and Pillow Set No... TT FO OOK io ees wavs cs ta zan sess centon besa tang eavianeaas Mountings TF NID, eave casicnc ence Plate Pe MIE eS ks soo cere ev ric snoncadnaceetas stabs oa Box Mattress Burial Robe Slippers SEROR, ROME oc ien. cs seses eases itiandance and Assistants . ... Candelabra Door Dressing Palms...) Leheasenes Nedoneuhsacevsenperatibeesenss | j PUOWONS 5 osscor cocks Loa Konus Woy Hee eee eee meron ee eee ee eeeaeeemeee se EWeeeeeeeeeeesesess Vault Charges..,.) a 5 (Gre Cx SOOO RR eee eRe SERENE ERE H ERO EE SESH EERE ORO SOROS EEE ay Amount of Bill......++. FOC OP TEOOCerereeoeeeeeoessee® eeeeeresere eee PPP) Peeeeseerleeeeever® seseeceee SO ROCOTOe DOC eE EEO DE Sees eeEeeeeee sleeeeoereress seeeeeeeseseesesceseeeroneses| Funeral of _..___ Date of Funeral Shaving and Laying Out..... Casket No., a ee ‘eeune Mountings...... Metal Vault, Style Box Mattress Burial Robe Slippers Doz. Chairs... mee eeeeerreeeeeserseerorereseres Drapery Pedestals Clergyman IN io Sa Ol chau san dacs suas dnaeabs chauenesicabeeniees at Quartette, Soloist DPM OT IN TIO G0 ii os vachessccinisisissercceccecuivesesssisere sancesisen ive “ SOOPC OOOH ROTTER EEE SESONS CERES ETESOOOSESESE SESE SESH ES PPP eee eee) Cereesesee ee eereeess Last place of residence How long resident of this State............. .| Husband’s Name ...,.....- Father’s Name Country @. Birth Fir fi-« Law Mother’s Name.... Charge to When rendered RECEIVED ON ACCOL INT. lp - PU Te ePece eres: se Perr erleneenceereeeeeeesesssee ere eeeseeeeeneees eee TET. parr ee eee eee ree ere en a MR oT Raa aeeen woes ToT t i / ere A Noe nnn nee aoe - 270 af a 4) A Funeral of. ieee De Aortke fabbsele [Ceareg Date of Funeral Zh Ck: '/ af Oe Hour Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings............ Metal Vault, Style PEO THAT OED, a ccnneknscatnkcusgas coisas devaus sasaddueiessbscssssiguseeiest esac Burial Robe PINION isu sca nak gavuseccscsiaes od02. UY Personal Attandance and Assistants Drapery .....Candelabra Pedestals Quartette, Soloist Delivering Box to SOR ROHR OOO OT EEO E SO eo eee SOO Cee ere rereseeres ee SPROe Ree eRe REESE HEEEHEEEESEEFEERSESOOESOOEO ESOS O ESOT EREEes waseny Amount of Bill........00000 we secennooeseseses Charge to When rendered..... ; RECEIVED ON ACCOUNT. | } ae on Se eeeecerereeele eoeeeeene - _ Funeral of a cep ke Ay alii. Date of Funeral ZL [ A fo Shaving and Laying Out,« Place of Funeral.....: WL ALS, Koa, Men OG. aeaes oa Casket No. vA { Khe. Lteyl crarad, / CAAA? os. Grave or Lot No Location of Grave Mountings Metal Vauli, Style Box Mattress BL: Hates a yteseeees - 4. J 5 f'n Burial Robe ..4.. AS 4 Ea Last place of residence GE CK « Drapery How long resident of this State.. Pedestals Husband’s Name ) Father’s Name Country of Birth Mother’s Name..........0..+0++ cinctcss cand eseGh aurea oe When rendered.. RECEIVED ON ACCOUNT. Clergyman Sexton Quartette, Soloist Delivering Box to Ovening Grave Heeeeeeel eeeee See eeeeeeeeOeeereeeeeeeeerer ae seen Amount of Bill....... iiniaailbtiarin rTir it Pewee TT Funeral of (By : eg Ch. 2 f o tale cco, gi Date of Funeral I PRUNE FOIE ineisiciiccsciitciacnsdatiasenanebbbaind danndinune er Pan NE TN CN oi his cctccntsnccicunessdesseets io. Casket No TION P00 ous cinsiacapdpadacacscdvacsacesos Outside Case, Pine, Chestnut, Oak, Mahoganiy...cccccccccccsess | sccsccceces SANE ORE FUIA0 OE ILO: sashniacandcansdincecsdcenccceincekadanseciesee | casks cae j Lining and Pillow Set No......0...se0+e0+0 PRPC renee STOR Nees ere EER DE IO acs doncosoanccadastnisasamsedies MOUNTS. ..cccesecccer on ae? aaah snseconns Gh WR eodig cess cad Saikecdas ses . sieablchcAck aL hetero 7 creed . ’ Metal Vault, Style Box Mattress Metal Lined Box Mountings corneas Drapery Drapery PAEMIAIB 5... icc bhi sank decssavaides cass fy ; - t oe : Pedestals Country of Birth............ << Bh ae Aa ) nsiccimadaallceay’ (untae ab’ ay Oo - mee XX. S CEA” (LRAT Diese ke <eh- Pa -oernareet eterno eetnments tai atte —aintinnn int oap canna an Ree PNR ae sinsisiieabiia iegiinren-ilgiani SS echt AE Ordered by. Charge to ......... he as ick pekevage as 0nensase s ..| When ppndereg AC, A (Ch Le .& eae Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave Coaches....... (L)Octr. 4m reg Z" a Vadked pj RLE Doranh € a. @ savetepuamnuanieels Teleyrams Seeereeeeeerescoee a * SPO CCC COS Sees econsoesoees Seeeeene eoeraeeeee SPCC OSOSe seeeecees . ' Amount of Bill....... ——— soe ii s .. ; ie . SOO eee eee eeoneeeeten eeeeeereree. / 274 pe. Funeral of ALL _ Ckbo-+H2 7 / Date of Funeral ek 4" of wy 7 OTD TORMANE. id sicde ceric ticcs seaceiensenecs Seees en eeneceonne ooese Embalming aioabensningonsaess Shaving and — Miinksssenienecinnee siendbbekvansenseatanns sais Canket No. 4 Adi MiP Qisssssscsasserescssesene BR is basics & BP TIOR Fos ccios cbs widedsassccsacaicels Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No........ Coes eeeeeecescasesesecssesese Metal Lined Boz.......ccccccoccececee Mountings..... Metal Vault, Style.........s000. bike ssacaeeen Bow Mattraae. ....cccccvnssses 8 COC CC Se OOo Oe OOOES OOEEES Burial Robe...... SOSH S POCO OE ESO HEOOOODES OOOO DEESH SES HO eeeeeHeeeeeereeunnns | PT iris vise csaceassaaasiacart Personal Attandance and Assistants Drapery........... ....Candelabra.......... RR oe a Rug. bakers OU ieucics Funeral Notices............ seedcausheduhedbeeueumeasesenenssss Quartette, Soloist........... Delivering Box to Opening Grave ge, Abe sssseedbpevePpecneersseaves hy > -| Grave or Lot No Place of Death... a tht, Ades biel * Date of ptt. Ct LF Fold ‘Wao iM) SOON assesses Where Interred. of oe Location MTN soccressesiisinn ei ty he | be vee, Occupation.. | Single, alin Widow, Wi Birthplace ..... OOS MELD, bs wy # How long resident of this State Husband’s Name spessyyreseeseepapeene Country of Birth . ? EL og 9 i ; fesel evade sree Prk. os. i Meche Mother’s Name. S« Ordered by Charge to WY UME POR os ici ckcokcccsh dkacmuieuc donee ia sucaeonasnavatensseitisth RECEIVED ON AC SCOUNT. Funeral of ES OS 279 er Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillaw Set No. .....0.-ss00++eeee se ea eeu cau wavaar sient Metal Lined Box Mountings....cc.ccceors s+ Metal Vault, Style Box Mattress Burial Robe Slippers LODEPY «ca casnccess Pedestals Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse..... Coaches... teeeewrenedeeneeeee C Date of Burial..& Where Interred... Grave or Lot No Location of Grave Single, Married, Widow, Widower.............ccccsccecseesecseeees ; GINO 65s i ee Tiget oldee OF PONIINIGE | 55 iis scsi kcscanisticuie orien How long resident of this State.. Husband’s Name Father’s Name Country of Birth PN ON, ough s asssceagecs havea ns : NE EO b POH NORRRH EET eH eee en ele eee oeE ee Teter. oe) fin Funeral of pp ee 2 5 i ae, Date of Funeral // rg bu / wf re - sees Soak tin 7M. | Date of Funeral 7 t i cecccccete..... PE CTHOVING LVOTTIVAUMG «ow ccccnsncccnnereererereseeeeesseesseeeseeseneenesaeeene 00ers seseeey q oh Pi jo ° . LA y lL a “2, alt | : Removing Remains.........0000000 eeseenee cvsennesese coessvesees ereonecens | taecserees glissnssans Date of Dah Ce de ae for ~ Removing Remains Oe eeeceeereeee scien s eee AS § ——_ SILALVUNG AM LOT — A Abe wrcwsccnsseccnnneccenscesesessssasessseaerasssers| suveeneneye Shaving and “a. COE sks xcscsccatacnebiadbdabecsadseineaticektisce Chg ee Place of Funeral, Elie € 4 CO ., FZ head / Shaving an ying Out y TE i ie eg Place of Death.....' Lk hk hee 0, At - f Casket No...4... ‘2 Peres cs vcasuancasseuce PMB ciiicu eek tess seta 0c a a oe een a RE Sain PENS NY PONS 2 or C Site y \ BK yp Le A C > yf % Metal Inner Casket............0c000 CODON i onissccssdebiavininessas | teeeees idliseasenae Where Interred...2777.7. 200". Si iovnssaoe TET tt js a | Metat Inner CN is carsiv sess COPD... ...0.000% Re og ao es vs canis icc sean nsnecrscie Bee sissies eat ee Cre Gr TAL NG. SOCOM... ceseccssssssere | Hamdles No.....ccssecsssosseserereesceresccsncccessssssrecscsnnnnsnesesssoees Outside Case, Pine, Chestnut, Oak, Mahogany.......cccceseeeet | sseccceeees eesaierd | Location oy I ek ns canes on eth ss ttus cayocst acdc Outside Case, Pine, Chestnut, Oak, Mahogany EE RE PRE TI IU siciccsciinscdstiaciesabcissluiainantticsieanind | bessuasaans L4h2y—/ ore 7 Ripe Lining and Pillow Set No seeccccce | seceeseccccoseeveseseseceehoceccscoccevesed + Sesch-coccccese fF FF § Pampanga and, PUICW BOC INO. .cccceccocccccccccecccccccccccccescescsccceseses acer eeecrnesees «beech ceeeeeese F fF §£ #£zJapmangd ANG PUMA Del INDO. .ccccercercecccccsessrescoceses NL EAE cia cicnsceansascncnnateentiabinebeintintaaneaiaiiedvasies [bameaeeaneilcaexsiriics med wnase daenevacadag pe cues fel cas tsanrayedinasseneeskess Ri alee) TOA FR coca. cis ciccassciccuaocsdsdssstuebsisevacsoanenesaseseseasets BI OUNCES sowccssssacass coo FE Or saxinidevssacian’ PIM basen ice ccs [nasegseieesls cea lense |0oes 08s tte ee ee tnt tees uetos ePvkaee a ee Mountings........-0000- «+» Handles.......cceeeseess Plate Metal Vault, Style........00 sepdesdsinas ehensees pak ceuAKELIEGAEGSCNN Gi Lebeau oe sug lop bwued sas dh bdas eed Eaesee he tare Gaeeee snare cases: 4 eth i i ossicles i ea he a Z / a2 is Years...!./ eo Months. .97 Days Bor DE in ek ii oo eeieeaet Deen icsreg cuca hae waak Burial Robe......- ‘ hose tes AERO. Sen ieuasbedescaiactéckees 1ax Xo} 0.2. | Color 2 Y) £ Welt, ~~ | COLOM. . Aner etoaghttet ert e + scccecene Occupatiqn Soottipaviieins Buried Fishes ois eke Sa ee eae T An t & NONE os cas cccsassiascansiessteee Mevsssixuaaseal ARNO sis rinknds -S5060A ecss craven aie ) x ~ 7 a 1 AS é pee ie alo I ge Birthplace ../ ,Resme ee Doz. Chairs itn EA AO hb sssssscrsirrsnssineriaationsain ARERR en ane nena ee a eee eee eee Box Mattress.......ccces.. ee - . , Single, Married) Widow, Widower .................00..--ccscecesssee |: URINE lcccatai staal couetd WR issiidecci i igiccxtrieccstve 6 eemaiearens Single, Married, Widow, Widower.................0cccccccsesseeeees /O : ! : Perens Athan and and Aaatatite osc cccecsccscscceseceessecessss | seoccccsee ee Last place of residence CAT Bo elascccele cis «tee & Personal Attandance and Assistants ...........ccccccceceeeee cee et cies Last place of residence ...........ceoseeyfececeunnnnnnnences teeseoetetennes Draper y....ccococe cps CONG AIN in cnisscoscas COB vince ssc <ass Pedestals.........0000 ke aaeuenneecanhensas POUND co sin becatiscicis ake ea nies ss] sssesse. | How long resident of this State... 2-2. <* crerttesene | DQ Pery.ccseceese-ceeeeCOMMQlabrad..........+.- COMME... .cssere| csseseseed eseeeees | How long resident of this Sta reece ie Husband’s ie UAEGG LZ, Karu Coe ie Dacbesteye ics saes eto erica EIR vce ead Hit aERPEADIE basses Pei DNAS ov ossisiinne cvwvsisvayovne deh cd ceasecdivhiaas cee TEL OCE PIE: osoiiceabinnca ein ene } escrecuds oe TIE PIII ccs wn ogs os sdies cave edndy <andoeenons ince ce IN a I a cece uebemeea >i eae rere te eed ee eee wo) Eilean ene Comattiry Of BOER .0..0...00seserrvereensessersnesnreseansonsnnenssnensanete ie | CasH EXPENDITURES. poe ess Mother’s Name DOO? Dressing....cccecccescececscessssescesccceeescecessescesscecsssecseceneee | cesssessee[eseeeeees | Mother?8 NQME..........cccceceeseeersenseeeseee csr ceeeeeneeeneeenecenaeaaaees Boe ATOMIC AF TIAN oases dee ceaen ty eee ss MIMI 5 0 cose sais cnusscsccnceesseouasaey Po ceeseacca aeseeseecl See 1" RA bbe ssh nbere ae ee ssceskadertheseonnestyachbenneuscsussusssenpicesbsserseaeestvouasseuenbes®:|| ee II oo ea is in Casco ded) PUN 5a ikpssvckanishsheccned assess bovsaneetonanud le crno es saseren ee BtEOs | babaans iv / sates Seeeceesecccweeecceeoneceiesers | eile Cause of Death sdaceecebcceveeceececeeccedececeucccoceoncecsceccsnesccseneceness #00080 CRUSCESRSORDECEODEIOSECCSORSSES SESS ROSS PSS NSESTONE SES ER SEEDS Eee eSESOGeD COR | scassanessleneneroes Cause of Death ae cadbe ko deca Wace bs 20 Uda onn VaR Sas Rbekedosesannstsees aR eo ‘ i i if ore ee ee POPC HEHEHE EHH HE eee EERE EHH HE HEE HEHE EEE EEE ESE SOS SORES SEES ESEOES SEH HOS EOEOEOEESEN OSE ESS See berets ee a ——__ nn TTT TTTTT eT TTT ee ee TTre rr rrereeeere eee TLL ee rere rrr ry fret rr - . 2 ee — Bee _ —— / . ce | IO. & Pravt fez 4 pasariacnciees vous EPCS GE sesexsesessnssncentssesvenses AMOUR cessesssies |... -...<.1..<....., | CORMAN WO oosevsecseecnennccseseacejcoceseaseesancecsereensoe>s pee scessssescces: oo OVEOTE OND .crrccrcercersrsssssecssees + GLOUEB.coc00r000+ | sevssvenee] ssveesess COV OA res cccssivcecscekenslelitheadacecccdtensssebadgianssscpusatieses PWMOPAE NOM. «52020505; cceecasansennchensneenbashesneneseentssse. «neice | aaa, eae SNEMANE Og ee een Naa ee Pina hereal ROO i os nics ca acevenescacesnecesesasysseseness hpi eee | ee iia ee eet ee ee ee ep Ye emcee ree | tsceeserealeseeroes | Whem remdered.........ssesssssessssssssseesesseescrsensnencessnenensrsensnnens ainda gcndeds subeesnand uasuavetsdnson Caunaueasueseaersonseteensseethesneyea= | .| When rendered... i ee eeeere ts seceeeesnnnnanereecsnnanesean as ape ea thatthe ee tags el i She eee —— a —= oe cece ee eee ee eee OOOO OOOO EEE EEE HHH HHO EHOER OO OSES HOSES EEO OS EE ESEOO ONES E SE SOS | Weseesscaslesnecqnes RECEIVED ON ACCOUNT. Bp TOL CORE. IIE, iasis's chs xe stanavevesiessees IIE 5 <A ss. ~ esses ikea lie el aise Fe esis belciyic sb ee Jagat Delivering Bow t0....0..ccceccccoccsse a eae pie eae ok ncaa ae Delivering Box —— sesiédes luis es Ee bees 4 crosescsatiscancnics eas Cea eatietia ii fe ee FPO OH wwe wee ee | eens OHO ee THERE OHHH nara ew een eee ee ESE SES EEE OEEESOEEEEEOOHERHEH suwuuntere® senseesecereccceces / Opening Grave ...Prrcirerccrserscceesecceerers LANING. Widerbeescee coees|soreeeee® PERE e Meee ee eee eee eee eee eee HE ee E Eee EEE E lsanwee® NE I aki6 iss 04c0innskaeksi deaths kndbel Asdexsdiaincsttavins Vall CRIB cicisniisssssoveseesesessesassescnsevessvevsesetuecsscssssonecs: | spgnonseeslissencees | eveseieeds se cao scab cuaebauen nem iaaainctneias fo Wee bss Us eBHAREN TA NANERSNA RECTAN A Fs Ve taal sid uaiani 1 vs0;hinelies [sttrsaeee) sereeenasessaeasseessesessssensessensess|essenseees o A Hearse..&.S Peete ness sencseeecsteageages fe pasevioendente Weserecesces If bo ease Hearse... ee Losiiubdebshbagmnededardesvaseeensneuiessiounsssea 2000] a ere ae teats |-ssosseroneveesenccssenseenenssenenosssntclersesssesnselesnnseses Q a POOP O eee seem ween es | ee eee eH eH HEHE EERE SHEER OOOO EEE OEE E EP UOO EOE EE SEES EEHT a wanuennene® ! seSeenrasdisevevesessencveeses’ # ae Coaches...../. Serta. /.. chvavwancesssuces | psccedes Rte Mastees | vaveceswaneelosevannnslerestesceserspassceniusbebouonesenoene iss seieteek ee 6660000 b6sls cedeeees eis: eas budecs | S00 CSO CC OTERO SSO RECO SROOSSED SSCS COR CCE CHlsceeoeeee seoteseeree® { eeaboeteeveses Di Rem A aie Rin a a I cg kk BPMN os cs biScckiceccevseciuasxtuaeens IIE ois vancosesnsdceenehie D ccsecciebacaaveans | bescnndadclitk nai hc dale eee Transportation Barpennes...........-.20000 Sercceccvece See crercecereescose | | cvslecevceecs Transportation Expenses andthe ees 0d0? C800 SHESEE ORS GT cocceecscslenncewess | cecechécdsacl, 450564511064065666bh64054055006460045040 040508 08K 03 sciiiciiibei iaidiaianliten | ea een ear Sie amin eee es wee eeeneeeleweeeweee SHOES HOH SOOTHES | Bem e HEH EE EE HEHEHE HH senna sO OOO OSa ne er esse eeseseeee sss eeseeHessieseseseeeet® rN enn rural Ny Boi SM eM ee eee Ne ee ee ee Bi | ore pee re See emeeny eer annn weer er emmnnnnnenaneeiniibiaeanns 1 oo i es i a ee EO a NOR SC8t Neateene te cebebbeebbbennecenseeeeedeebeensueteeness0eeeeedberesecsscesecesces SPRCRORO OTRO eRe eee ee | cece eee eH EEL EEE HEHE EEE OE RHEE RHEE HEED CHEE REESE EEE E OEE a annem ren nO POON Oe ic 5 Mg eM MR Sa eae Ea) ee em Ne Ee le. ee er OmUOUININ FBR a ee Bo Dk Cg cel SPER COR SEU NNR RS Onn enenes peg eebes nenRenEED Seecendbe bOneSERSESebeRENbeReecetiieee: I iiacccicesulies HAsO eeeeesleneeeeees | ceeeseweeeeslereeeeensl HOPE reer eens er eeeeeseeeeeeeeeeeeeeeebesusslusasssaareenlre® | eonee a ie. i eee Me mc (eS re eG ei es tana bee em rece oi fe eS ie lems Aaa ie i 3 ce I oe Ro BS le Re ee eae Uh. i | i aia. as és kbccceegenenanenesebeenenabebennebed es . saghghoncese! eoeveces|. covesecesseee OOo ener eeerereseseeeseness 3 ere ee ce ee en ae seeee eeeee) seeweese eee eee ee eee eeeeeeeeneenererererereeenee Amount of Bill.-.mmnnesygiiaasrninimnnnnnane | 9,00 iat al | ANNE af IR srecneonrntregerethncitidicieniiiioreninn 4. 1 OO ciciansbsustaciiimerent nsmougilialll soedooceddocwesecs Voseorsecccecieseeseesslecccseersevsnsesccecccsecccccesccccseccesels sessseee? ° 000 ceette . : ad ( A OOS PL Funeral of Sw Pee Removing Remains.....ccccccccccccecceere nisshinisasihiienenmaieanennane MONS Sian eickscse Shaving “t Lay: » Gasket NoM , Metal Inner Casktet..........sceceees COREE oc canescens . PEAS VO; « .5.cs5scaccccnscdenchosuawnduausieissitiserensnnncacses Outside Case, Pine, Chestnut, Oak, Mahogany...cc.ccseceeesess | soectree £2.04, Date of Burial Where Interred DAT CL TUIOIS AD oasis o ncksctadens cescsineserdecnassecesienee |yidsscesiéitsiccicl TURCHEE EAROG: OU o. cvscskscononscsbabvacsacenesmmonancandssatiaenssdeavcace TE OUTINGE cascsciucesetass Metal Vault, Style.......... poakesees iveuuseeoeie BOG DI CTIOIR, 5. s0nsncnessscatsccsenssedeeereaeendiemnabecssenetats steusedeenie POUIGE TEO0M «cates senchea saccdacneeoat Grdor ese toeasenrsekesenc Slippers Personal Attandance and Assistants DPGDETY.....<cceece:--008 Candelabra PIO os ccsscstenics pedicees NAG s ccossvoutassneksisxcckcicsianss CasH EXPENDITURES. PE COD, vata cianscivcsantnssonsisareicnans IE SUNY Oi ensibsiiniseiinindisixvethihbad\icnevistesnummansaaiaben aces Opening Grave ....... ebOvoreennevenesosscccescses Lining Vault Charges Prt ee Amount of Bill.......s0c-eseeeesee POGFR: gc. Months...... , WOR olka oe a eased Occupation... ~ Last place of residence | How long resident of this State CLL, Keg ees Birthplace : jranere Name™.: ere ay) | Country of Birth | Physician Cause of Death ..............0- Single, Married, Widow, Widower... /..(.)...... Ondee by Ws =: / Charge to | When rendered. A+: A AA Funeral of Date of Funeral Removing Remains Embalming Shaving and Laying Out Casket No Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountitigs...0-0.s0c0s.0 0+ Metal Vault, Style Box Mattress DT ODOTY oss <zenecaexs Pedestals sscceseee « LOrters and Funeral Notices CLE ZYMAMN. ooccccccevcccccccscceccessecvece seececcccccececcessccccceccs seccoeres | Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse eeee SOOO Ree tener ene nee eeeeeeeeseeee OOOO EE OEEHEEHEEEEOOEES COOERED ES SHEE Eeees Amount cf Bill POO ORO ROR eee eee seer Ps Last place of residence How long resident of this State PESO INGE oss acuigg vs tetas tosis Father’s Name A ' . : Country of Birth Mother’s Name .| When rendered..... SPOOR OR ETE E HESS EERE ESSERE RES HEHEHE TS oe ee eeeeeleeee POPS eee HCCC CEE EE HOHE HER EEE E EEE HS . Se eeweede eee eeeeetees wee eeeeeeres. RECEIVED ON ACCOUNT. pene eee eeeeeeeneweeeteerels eeu eees 280 Date of Funeral___._-_ ey Se nanan fe Date of Funeral lia A ica a et Cc | 2 foxy 1. : ; Removing Remains....2...forceeeeeet Ret ce icaicucnseiesauast i LQ 2 a. | Date of Death PN iiss ics sss sce paesestnnseeceseeteetacaenantiedeen uns 2 O / | seer yes Oiieccnaet es sshgssssasseaie Embalming Place Shaving and Laying Out | ia | of Death Casket No. Shaving and Laying Out Casket No , orate AP PGs os ss san asses es apn ae ee Metal Inner Casket i \ eS point Metat Inner Casket Where Interred Grave or Lot No Handles No Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany...cccccocccseeees | sesececeees ..- | Loegtion 0) Outside Case, Pine, Chestnut, Oak, Mahogany Location of Grave DA OME FUG TOO0 ING, «ccs cccacnscichansecaciaceseasucepecdessasnsss | ssiccocaatsiaccecesd ls —— - | Lining and Pillow Set No PM EAE TIO: ic cus vscndudndassokescnsuacscieaumnedescaiwssecsnanabcanvat. [eiaseecaasieaiaians « becuase es | | Waa eapce be et out nw cis was SukRaG Adi ks Soaks Metal Lined Box PI GUNEINIB oc cccccncsees: os Handles...... | | ; § = =Mountings......-..00005 +++ en a aN WO An een ore eee a Metal Vault, Style......c.ccccoseee: scabies caiaapadini | Metal Vault, Style Fare ac Box Mattress : ( a a 3 ory Months...... a. Y8....00000008 | Box Mattress Burial Robe.. paces Budeueaaeeckal tm ; HZ . } tecetted oC tion. FCAK« Lx ~ | Burial Robe OBIS asec csscccess Occupation. J Slippers cs | Single, Ma gy 2s | Slippers Single, am Me Widower... Osi | emma cn = Pe. set | Chai : i... ss Sd | | Birthplace HH. DIRE OTe cree ise aaisaa sini DV ARETY is cinssess 00 | 7 : } pery M « Drapery eee How long resident of t Ene ena Ye tire sre see Ne NES cccckccksa ek skaveninc / este Rinbizesie WIAs Fitscrvecsencsas tec an YC / edestal a Husband’s Name .\. CasH EXPENDITURES. MO TPM, ic coi cescdcushcs xsesdibadepenseucasisosaicesa neon 4 | Mother’s Name..{ oT of mg Ordered by PONTE INO MOUB isi ccscsvesksricrsaceteteanabinias Ul loti 4s6hsbebbised ei Dn i ee ° Reccesecesece | Charge to When rendered... RECEIVED —— ACCOUNT. Delivering Box to IIT GIIUG cciccccteescssisseccvecccescccteerd tl | Opening Grave Vault Charges Hearse........ Coaches. eeeereseseceeseese CORSET ETEE HOO EH EET OOE OOOO SO Hees eEeereeeseseses Se eeoCeeeeerecosors Telegrams. ...ss.++++ sendbonrsessesentonns SOI ncintnennsliannnens ~_ ombutt Tuma 7 Transportation MI POTIPES «woe scerseveee POCO Ree eeeessesce Pereeccccesecsccse Seecenecesesceeseceseeeee Amount Of Bill....c.sserecercsseeecoeersesors 0800 ee eee ee sesessone ) sefecceebesvccesene 282 Funeral of Date of Funeral. Embalming ......... Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany........+. Titres GA PUlow Séb NO, scesercesisssaccesvessensessosanagececens AGU TAVOG TEO8 os scscaasccssccocsansncanavenssetinnsniaaesecsnsnapensnsscuaes | *énesesets Mountings..... Metal Vault, Style Box Mattress.......0000 Burial TOG x. iscscssesssentbes Slippers Drapery Pedestals... EAGt PUNCO OF VOONIE 522525 ccscsasensecsscserscorees How lana resident o 4 this State....... ges ’s Name“. ASE, + Father’s Name cs Country of Birth .. Mother’e Name..: fer or ier eee ed epee he. RI TD oases aa cucav eRe rude ee nina nce 99 NM: PUI oso ihc y cael va eatese concen eeeesacannee'es ; Funeral of Date of Funeral Removing Remains Embalming Shaving GAG LAMAG AOU, ..0.0cccsscssvesecascescscsesggicsecesegee ; Casket No...... 474 ALA.. 4,5; Metat Inner Casket............0++0+: Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Mictal TARO PROD osc cicaes Saconnvsctaennscseseepeciencrnseess in icacesves Mountings Metal Vault, Style Box Mattress . Burial Robe Slippers CASH EXPENDITURES. Door DV OBQtNg.esevcserceesceccovseccesss paneac ays <wcoeceaieviniasveustiusiunne itesemnyt eras DPOVOIS GH iis sciences ssc eexavess oko Funeral Notices Clergyman ORION his csansensvcaneveccedispoucsexnnconbetveceseneceastivesesness:ncanvbs exe Quartette, Soloist Delivering Box to RPITINT CP PIIO ics coannces chass vasssees acetone Lining Date of Burial.. Where Interred | Grave or Lot No Single, Ma Birthplace Husband’s —e nicl ¢ Father’s oat oe. rege ae eee Country of Birth . ua Ov. C Mother’s Name : Soe How long resident of thie State... ici... bs eavsstsscesceccenenes SN RENE aINI eS aRaSR NE SERIDE SORES eS einteee a —aaeiees | eee | 284 , OnX : 7; | a | Funeral of oe De. aura Fhivece ! sesiatsanccatll _5__ | Funeral of. ee (d ied rae 7h. oa a. z a a _{/ __ Bipie of Funeral May (Vv (ewe : | | / A e F ; . i Removing Remains....... f. sovceseceeseline tobe a2, saan QA}. 22, Date of Death a seeees ouput si z Ph Removing Remains.....c..scceecssseeesereeeneesssenannsrsasnnsanensnnsees | cosensnans|ssenennns Date of Death Oe beware os sem OO Rom serene, | | : | MONE oii coe is ii saci Acct ccanaacasons ed iecdeiccnnsiliaasseces Place of Death..{.7% oA) ae ALY tes, Ermbalming ...-.cseescseseseesesesneenngapersensseterssncensnsnnnsanrsaseseers] conssnnnens|enenenens Place of Death : ~ ty COP ee seepovesccsensscne Ub, ) PECOURNNE CANNES EA eva hs va sin csnbiscnecdncnasdadacanctassadeds® | cdcenesadcclsiksisadx Place of Funergl..... ti opt wae Oe hhacseel/ Shaving and Laying Oyt....... LLB ONE RR OPE re \ a : He Joo se renee Ay j Casket No....!. PAA POURS scdccchvascoceccexes Lal / L910 9. ities Ae jaune ed pee cbhakeuseceskrde ka Casket No... Ml Sec hee A Ref. eR ee eee reer esse es eedeseseeeeaeseeeeseee Place of Funeral.....:. Birt toate eee Gucci eeu ale ace An | Ae Oe coma snk shea ceatre sea iao bd sped eaansnbsareks Ua ee as cnniewiae } Date of Buriat... GRY 547 «ye rf Metal Inner Casket..........s.sesess Copper. .....cv..-- TARO. ccsssscscss eee ates | Handles No,....sssssevsesecssersnccccncvenscsrseeseeessenncnancnsesecseesssses | sesesceneee|sceeeans ere 60 Ta A SeCtion.......cceecesecc...,,, Hamdles No.....sesesscsesscssresenssssrenserscsevsserersrscnnnanersesseneeees } Outside Case, Pine, Chestnut, Oak, Mahogamy..rev-rveersn | servers ’ Outside Case, Pine, Chestnut, Oak, Mahogany.....-..sseeeeeeee | vreeeeeeer lpaeetaes LocdfJon of Grave ...... ot- i oa heise pape a as eaau alae ened Began iosiesiaselesenesseassacnie cee ml Paring Gnd Pillow Seb INO. -secscscscce-sccosesecsacesesonsnashassonecasvce | sssrncenesslsorcossoe | cnenecase ee ae 27. i § 6 3 St a Lining and Pillow Set No......0:-sse0:crceversesesseersennnanennerscercrs | sersecseresiseneen es | apegeeeeeresenage 8 * XA ALLE rh oganevens DCCA TAHOE BOs icensccssicocacccsseccssenpnastebecnssncsenaunneasacbares | teeannress|setacanes | Vaauaaue wacsynee (aye say ine bcsbuaccivasacssoessutnsustos cs etal Lined Bow......cccccccccsscsscsccccccccescoressvacocssccccescesesceseees Mowntings.......0c0ess- ++ FLANAIER. sccccccccececeese PGBs sees fats Evssasrwsce web annhnisanicnn AUlAs bosasiiins sentebabatssiscend sanceniand OUNEINGS. .eeecreceeeee «++ LANES... 0.sceeeeeeree PER yc costeex EGIL VAUIE, BIG: «. naccsssieksnntescaxaeensstapsnsssepessiacsssecasctuacass | a on Easuadoncde ts 1evaciaabbabeny ieee CA Closes eis ieee fetal Vault, Style......coscsssssoossccoassccnessressccconcesceesnsesonaccsers Muithe.... * J DGYB.....yy0005 Bow Mattress......seesrersencesssesrssessnesensnncsnncnasessesnsse ceseeeseees ics a i i cata neers Occupation. Ledisi, Burial Robe .. a seen te ROO pea BU ODEIS. <ccscscnccssvasscnenenens? Pas Go FOO oo cuscncsccenst Boz Mattress. .....c00- Oerecsceessoe: OO ere cersecceene eescesssscccsseccesooceess: eae a eaten eees ia User 7~-e~ | 2o\00) Burial Robe al ere ticensts — IA sacs scievsvcavcasseiecs PR tice NE tase esse [etree | Single, Marri Widow, vg 2 P | Birthplace CEU | Single, Marriedg Widow, Widowgp..............06...cccceseeessesen Pe istaeeciics carkestaa cea INE: CMGI sccsscincacsvnnciaee seecesndssiie | meeeeee ee reweeeeeessereorereeees a ; Pavaonal AUGHdaend GHG AMONG occ sos ccccocsepsccuvanceserveesess | sissessses Lares | Last place of residence .... 7 ef pits 4 cess... Personal Attandance and Assistants ..........++-- endebnecnvensessesss Draper i....scs.00- ssc NOE i esd vesnarect CR ovale vscsks tak assoc eee How long resident of this State... (22° te, DV AVOPY: scccsersseaets COMMING 5 5. 005ne08 COMBI. cicexsccxeses | Pedestals se erevcweesecesences Coren veecceces ok ise feta a cis desnccxackcains ee ‘jaavaceou Husband’s Name | bere thy 2 inate Pedestals eee ce cece e OCS eee cecsccseseveseeres Rug ceccceessncscchede 4c sseeeuencesus | seeseesese | sveesens | Husband 8 Name CT wi geee Sittppenes + sora ins ee : Z | Father’s Name..... Lert Rey Aone 7 oR; ot Me VW Country of Birth .. I< ——— yeasanesyt a. eas te Me Jo ofl acy 4 ( ; Mother’s Name...™....-... LJovappersscssnneccon oosMtansessacvsaaterrettoseee b oO, Country of Birth............ . Jr¥<h222 Co he. . CasH EXPENDITURES. eeoccrecccacececensseseseee eee ses OCS POOE POCO Ore SOS EE ESE DOLE Es EHs s0OSe SPORE ETHER REO e Ree eee Eee HEE HOH OE REESE SEE EOE HOE HEED SESETEEEO OSH OREO OEEOEESES ESS OOS Funeral PRON ic no ctacascescnececesbunvecsucencsees ciekiseanwansebakaee) Vibes 5. Sesscbesa’ Charge m4. . eee ee reaek : BY nial Me oes Exe coe debra. dees | | foe ee -awacasecd Ty WE PORUIIUG... asics caress fliisesbiny ent atwebetee cece ccc ee Oech Os OES COOOOE SECO SOS OOOOEO OOOOH TOS COE ES OSES EHS EES EHESHESESED OSE SEESERNNS a ence esa ese c ee cece eee OOOO e eee e cess eeeS es eSOOSOOSOOEe POSSE ET SE SESE ESE SEH SEH OES ES OSeS PRR EOE HOO H EER EEE OH EEO OSOOOOEES THESES ESE SETESSOES HOSE EEES OEE S EEE ROE EEE H EH EE® MPI aa bir cn scck acs s ncakniucecedes sc be sebecascvesscabocepuascacenecies Seaton ; S| FI | ee ee | n hee 5 | i & t Hi rH H Bi i } j | eee i ei iF i ' . Hf a ! eh | ee i . i ; het i 4 i r ef i ¢ | . F | : © f } H f 4 a F # : is | e B i ? 4 E a 5 ; ie 4 it ne ef f # g ee eh t STOO Oe SHOE HEHE R OER EH OOH OEE EOE OEE SESE SEH ESTE ESE SEES ETOEE EH EES re | Y | pe Deer tata. SONAL, 6. x vcccucescissesscocesenss OPT 6visicssccesessese ebbebeeteclicceces ee capuceeuues td ora ere eA seas ote 55 a focesees |eeeeees foot: caaneene } | | MAVEN TBO 0. crcecccccccsvcnsvess seccccensceseveresssouse evoegeeces se oe ae | et Motel... Loe Delivering Box to............00 SN GION 6 iicesitasinscoccveasisckisncis Lining Vault Charges. peskenaiei pevouesssvenguevewes }s Hearse...¥... av een, 10 op piceeleedsiecacsanes | ElcescUiglcha ieeesiecd lens cusetpuresiasmuceareiyesvanaueyevesrtsesstssee?s ons ss diialnesnian ean — — et area na 4 Transportation Expenses...........c.oerersersscsssssesscssvevecssenseses | iS | ele eecceccceccecccscccse Rr a ee ae Be 2 eee | eicpeens nes g 3 hitaninaslbadeauens Bay’ , es Sl aainasinenieaiiatietininnmitnsteiiiss i in Nec siicniucaaclile ‘suinicls | eee skeen oneal Ul ea gsipmninniisidh wer Lene [AMMO BHU assess RE tin har Sidd BO ie b aaaaae i a 4 ¢ ) - / Funeral of Date of Funeral— Metal Inner Casket..................Copper... Be telae NG) icc nccisncccsnsvcctecpesavenscicscasdsdactavasessdcichsgennabaveenstes Outside Case, Pine, Chestnut, Oak, Mahogany.........:.00++++ Lining and Pillow Set No Metal Lined Bor. Mountings Metal Vault, Style Box Mattress Burial Robe Slippers Doz. C Personal Attandance and Assistants Drapery .......Candelabra Pedestals Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave Vault C Hearee. Coaches Transportation Expenees..........cccsscccesssssssesessssncesseeses fo | eveceecccccoecercs eeenererenee PERO eee OOOO EOE EEOC CET HSE OE eee Date of Death Place of Deuth...!..cccascFeresd eased Single, Married, Sp Birthplac Lael PUGOR GF POUNIONEE 55 Tes on hs sce cats cceesssnss How long residen Husband’s Name Widow, Hy 1dOwer............... _|Father’s Name... Country of wn eee Mother’s Name. Ordered by /...... Charge to | When rendered seeeereeele SRO OP OH COR HEHE OREO REESE OH EEE EE Ee See ee eee eee OOO CeCe RE REFERER RHEE He EEE: SROOOOOE Ree EERE EERE RHO e OEE TERROR TOF E EELS HOSE HeEee Funeral of. Date of Funeral Removing Remains DRI Fira sks sins eh i ees ; Shaving and Layi Casket wie AL Handles No Outside Case, Pine, Chestnut, Oak, 1 Lining and Pillow Set No Matted TO TRO vias bekcka cies iee ies sas cute tac eanasaceeecensericenee~ss : Mountings. .cccecseceses vo ONGES....0.se0cseseeses Plate raid Vite, BORNE iv csccicevisnsiccscsssexs sguxuewasntassaeentanks aaves Box Mattress Burial Robe OPE, . ccactsnavekesesss iron PRE hiscaxs PORE, GING io os vs ons cccaccisiceressccinases Personal Attandance and Aasistants ....... Drapery Candelabra...............Candles, Pedestals CASH EXPENDITURES. Door Dressing : us (aa Cena enaessen seni aetey ug 3) pee Flowers Clergyman Sexton Quartette, “Soloist... .........06 e Delivering Box to Opening Grave ......0.0060+ Ore sucaseneubaseines Lining. A217 Vault Charges pubs ciscarigskbeverieei iia jbo oe, Ce fie 4) VA am “ | Single, Marrigd, WwW: idow, WN sects sicgsee eet A | Clergyman=. | Date of lle 2s Years shane Lo | Birthplace Carekhtle,. “uss a Levee RE | Last place of residence .. U | How long regident of this Nb HusbaXt Pi KA me ..| Father’s Name.../ | Country of Birth | | Mother’s Name.. - | ig Jause of Death . = Fasanieh a | Ordered by Charge to | When rendered RECEIVED ON ACCOUNT. Occupation, 74 Pets lduesenei i : 1 i i ; it ai) | Hi 7 tj iil 7 ar Hi tt} y +t t Le i | ' i | | 288 Funeral of . Date of Funeral Metal Inner Casket...............+. CONDI. cis ceassers PE vic cstgess Cea BTR ae IAN DIG. cs cis as ca xsdu sos nas snusi en aawehssssteseanvrsnsheneesessiekpsosss L wekdessuees Outside Case, Pine, Chestnut, Oak, Mahogany.............++++- Hise eee Lining and Pillow Set No.........c0cc-ccrccessesssseersessevscsessoorsnes Burial Robe Slippers..... t ERO SSRN cc cssacs ties seni ssacee eee <> Personal Attandance and Assistants .. Drapery ..Candelabra.......... ER ot erren cen ee eM coe ae eb enna EAGT TT oa inn os ve rnnc pt cyuk Caa teeoepapeeensa ees | Sits ta eae rates PO ik is Cie es | ...Candles. ........ an ae. ee Re RPUIR «is bi stda sie ¥en sa sieeseesatisaensneabediciudalsesisscesuseeiemeeca | ce Aoaerce MN iw ods enh 505425 is cuucde eed roe pectin cdecsycrcscuseseiceiesinenseatieess | Ceetrteths; Bolte. ck. oi.ccccesscevcceseseseseves AIO ING ok ac cecccestisecs RINE RO 0 ovo ccs vhs soenccen vacvasgskadaencniis ke ads te RI ITE og oisencessstscsssnsossscevsescetss AINE lascssccsnsecseeuns Vault Charg BRON ic vo vcdcteeectctevtetercvasctecss I ccs ssisssavsesicciisctte tea tesstss SOC TE EE EHE RESET E SOTO EES eeeseees eee Peewee leew ewen | eee eee eter see e eee cee eee e EER HEE OOSOEE EEE HS HHS HEHHEHEE HHeee Birthplace Last place of residence | How long resident of Country of Birth Single, Married, Widow, ea a afA Husband’s Name ....../. Father’s Name.. Py I fortes eee eee ee eee er err ereerrrrrer irr re eer errr Tr Tre Tree re TT Te) f? y “Vey vapid sen safags = Mother’s Name...4.SAAT SLM lccrcisiseees COUNTY OF BAN cdcccssees saxiestier eine as Phystcian..........0..+ We elaine ete ia iia suderiscxdensssees CARE AP TIERS oo ok oedcis as cnsis bas ewictcs sed was cence seoleeeereereceee ee ereereerescerese ——— x mn + SOOO OCereerereeeeesesoneeeeseeree POOR MORE eee eee eee eeeeeeee REC 5s VED ON ACCOUNT. seeeeeee SOOO CCC COE e ERO EEE EEE e EE HOOF seeeeeee SORT HOE SSO S RTOS ESTEE EE EHE: HEHEHE: secele seeseeens foor® fiom V OO V) 2. haa eras ace beac isis cvs ds sv ache ccsesvosacavnciesss<eGersauseuness PIII sss seis tare ivabcokdevixss sos sesvuers puvvatesnbiccssecesestessisatentcise : Quartette, Soloist Funeral of... Date of Funeral Vn [avgaet Ha e JIB ane Sm en Beene wren eee ee eee OOOO EEE SHEET EE EES HOSEA OES ET OSES EEEEEESESESEE DEH EEEOE EEE EEaeD Delivering Box to | Sin Gp LA ye eT Vault dea Ge Ss... RO eae ed ae es aa occa acetals deb nkenesnive Coaches SOREN eee eee eee ORE EOE SEE EEEEEEEEE OEE EEEE EEE SEES EEE EEE HE SHEE E EO EEEE EEE EES Pee recess ceneees TOPO OTHER HOH HEHE OEE EES OSES ESTE EHH HEEE EH EHH EEE EHH EES: Hees eeeees TOTO ORO Ce eee Hee OOOO EETE SHEE H ESTEE EOE E ESSE EE EEEE HEE OEEH ES EEE SHEE eH eeneee i SU ia vid skin ens sda dateacscasacksananseccaasersseeiisies | Pisbests s encabaes Date of Death ..£- gah Ss 2 Ae, prqacacisccuscsasaseeechavsa neal SN i csi cial eh caliaerepmaieccid ee | eipuaias | Place ot dele. Aa ee TEAS RAE EN CO isis is scion esadsiscdccccstuasiossasectece | sekecieesls | Seumcaas | PUO8 OF TAIN. os vick civcai osckeseecsc stesso scabinscvanncnsnonssnceeyanuaees I Fok saci Scns costs av enesenas ance acs POE risvemisassccrsccssea | recess Nee | Clergyman...........+. g pice dav dea AneSKaOLi shakbusaVanuueeaNinl wanisaiaeeen es Aa ee el oe ee ee ea aes | Date of Burial. SDE L Re Ge fe eo crssnrsrrses Metal Inner Casket.................- Copper........000 BAO i ossssenes ro oe | Where Interred 2-BM RASA. Ot ) (Ze "eae Daag alk FUG ia suis haknicia a biens dpa sade vans ced anniensecaceaaienstiqanuaginnsn| codeereees pace | Grave A ue ek Canker / Sola Outside Case, Pine, Chestnut, Oak, Mahogany.....-......02:00+ | srereeeee Ri ccenese Debeebaeiah OF GHRIG oii conv duno nknsosasesudabavdisiaccdcastasees i eee © Lining and Pillow Set No.....c...scseccscesesceeenenecssecnssenenenececs | orteeeeeee: | Env ccuall Ausguuk oouasnanesu uti vnesssesuesiassavucacovesess cise cutece | NNN cede ea cobaepemers eae id ko nalts cece ah aor a oe Mountings. .ccccscoscees 1 ELANMIEB. .0002s00se0se0ee: PAN shah cccansea | -cotasvens | ccaucssig | Ses ¥ahanyoaeunx dls ann denentnadensnecsssaseeseivatemeeee Metal Vault, Style..............00 deg baeip dds aescodcanes ce isessaeeew risk | eseeo sacs | Seancinaa | Weesenooasens aasaaetcpacenbniensenssarenuetitersians step Wi caai Ni a a resets Ge ase bok ccnp sate doeeeeodeet tC lpeseeioat | suieaas Age....f- PQ Veare.cccccecceecee MOMths...ccccceceeee- Bt Seer pT 5 OGRE Ln suns Ges RIA MR eet ye re oeprrerren sa) Warrecrr ere a GO 3 Bie acc OOCUPOTION. -...scssssncerasssttssee RE, iisdiicicckciabisotineacll Pe aa I iain d tee Sacha Single, Married, i ee re ice ‘ssh eee eteaaeloniaae i I i vind acceso vicadebos | ie SE oie cacsc, secsvanes onde tscseaiaes nica a Personal Attandance and Assistants ...........00-.-scroseceecscerosees | seeeseoees ae | Deel GIAO8 Ol VOMDNOR 655 si ascunci esd sai ven aicdavindecun ore Draper y........e00 ny COMUIELROIG c5vccsvessnee Candles. .............+- = tigdeis | How long resident Of this State.........000. 65. cccvnecevevesescesasosceess POEM sini vireeioen ek need FER co hacn vss os cas ees seed se seensins ie | TIUAURE 6 IAAR 6.00 ool ine lp ngttansedeencses aces a pags WEA GAIN 5 oka c cso ccn ccs cass cise taneave ouces census ssenccseeosanaaeen Wood Uae ine CEI GF THOTOR 50nd a a tsa tits ee TIO TIPE 5 Ge Loc cocnse nonce cve tense scuncdeacessqessintcseseveis|| sosccesve |-seeeeens | PEGGING S TVUEB nc. coscccseysc ond asrecehapeaiysahecreqtavsiyeorsts et eaanen s shy Suey Ren ented Pec oacuneres ADAMS ccc pass esaaeeesassss tas esiuucteesdenieesiese pnt Saee | Country Ol TUR ice ai occ cock ensapcrcsnnenvesssviess steiner PUN ee oe 0s seein oie 1c Gu swan uous sansouay eas besak sas eaas Soh Uasstc ee | sree ee PMI ooo oso ood cos one ws ca tae e eee re OER ME 5 euasecucnwscetscsdass)cadenaeuaareste¥cisssis)-cetranmestsprekcaescteencnceapsisener | sistsedGey nn CAUURE OT TOON ioc, ee Leet ccie eis ae Se Epics ea —arsmogl ee sidaae i | halt | Ordered by a Jil) eeeewere a ssuivessaeees ieeueueres nes | Charge i sone, ag - [er oleate poe aie pucuaessasleipenevas | When rendered...... Me ces | = RECEIVED ON ACCOUNT. es aah teeta ine eile et Se eee ene en + Slama SERN rane Metin see Sas NE aN Funeral of. —_f = = npn ma eee cecenene si v Funeral SEER EROR L- Af Foy a 1. dail aaa Date of Funeral_— _ —o = , TT eee eee eile Date of Funeral 4 sed a Hour... // 22 A= M. Removing Remains Embalming Shaving and Laying "Gp aexeas | Place of Funeral... f Casket No... P£.2 sevens laa L ox%.C/.. oa ize be.0 ix | | - | Clergyman Date of Burial 1 | Metal Inner Casket..............00:. Copper i | Where Interred Handles No . siccsecesene | Handles No |Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany..............+-+. a PGI oie ch vend ccinnccebaiiabivesdacive Beis cssssemsne | Outside Case, Pine, Chestnut, Oak, Mahogany ; ae Lining and Pillow Set No........+++++ bstacencishcaniaeveissasehasvoseoes * Lining and Pillow Set No Metal Lined Bod........crcciccsssecsrsccenensccstenrsssooeceasvessesceseseses Metal Lined Bow....... Nea tie ee eee ae Se rege oe Mountings Pav «sf Metal Vault, Shyle...*7.&..... SA |. 1 Metal Vault, Style Mountings / Box Mattress , es 7 MVS: aie Box Mattress If ; Burial Robe 0d C4646 ES O60 6b NOC EESDEED ORS CURO0 669000505654 45 60040008 0006004500885 | © Tete o Mater ees Burial Robe Slippers....... IE ice aa WOUEE 3. ho cise sci a nteen Slippers orate. ec savsavcecs. \.ncuvsboalal oss ssviliiauiieaniosesn tat ae Personal Attandance and Assistants ........ Drapery Geet Candelabra... ee al How longre: Pedestals 5 .. Rug | | Husband’s j é | | | ’ y. Door Dressing : | ” a | Mother s Name... 4V.% sonsav acess scan seas PALME ....ccsessccssessarseccdepyesesegtecsseenscese t s , : | | Country of Birth. Ad ee mer ner ame te RE peel ns tate y er em “4 j . fi | Tat : “a ve | | f 4 ' t t | PD , 4, Flowers......... pak l dns Ga sdueiks oaershscsee seeseden -oabeeiee ceetard Weve iycess ote | Physician | Cause of Death AYA ene eer ee anne Ee Seren ee | Ordered by .....NAAZ..¢..: j | Charge OD ei sseve ius When rendered.... RECEIVED ON ACCOUNT. Clergyman EI ve taseseswiacciasciscrieies vl eeisasisvdl bonkiieabeevis ta natissas . S Sexton Sexton PUMRPONCIR, SIOUNUN oss vcs coseecucicsoaerseesie Organist | 4 | Quartette, Soloist Delivering Box to oe Delivering Box to Opening Grave | Opening Grave Vault aan | ; | Vault Charges ? Hearse Coaches Telegrams Telephone Transportation Hapenees............sssssseressesscsvsserssessssvessecees a aceon Hee eel ewww ewes | eee eee een eee eee tle eeae OOOO eco ccccsecccecceceeeeoenreoess See eee eee eleeeeweeee | come eeweneesl es eeeeeer eee eee Se eeeeseeoeeseroerers SPOOR RH OOOO HOCH OOOOH Oe eres Hee eH OEEEEESESeeeeeueens eee ie a Pri eS eg PS tai ae Vy Leakey Wavls.. orblons Funeral of. . ‘ Date of Funeral Mh 7 | tf Date of Funeral Removing Remains sceeuban SA 622) 5. os sks coansceeracercs ivsxceacensdiaeaacaun naa naaiasen AWSAL.. \ A 12.2. | Date of Burial, f., r Jf Metal Inner Casket | Where Interred Handles No Outside Case, Pine, Chestnut, Oak, Mahogany | Logation of Grave - ticueeae Outside Case, Pine, Chestnut, Oak, Mahogany Grtkeoct nL ” Lining and Pillow Set No Lining and Pillow Set No Metal Lined Box Metal Lined Box Mountings..........-- : Mountings. ..:00.00s0.0+ Metal Vault, Style........ = Metal Vault, Style 5 Box Mattress Spasubiein... as Box Mattress area eas ROOTING bons iciseceaes PRE cis acus Burial Robe .. Occupation... Slippers Scstiee ks COE scsi i a > ra Bt rele te ara ea aie Doz. Chairs Last place of residence _...77......)secesesccoee eas tae Personal Attandance and Assistants ..............2.ccecceeeeeeee vues Last place of resideiuwe | M22 Ke {3 | How long resident of this State Drapery................Candelabra ......-Candles. os How long resident of this stats ae seseseail Drapery COMMU eo cscz2 ee : re hoa Husband’s Name . fo eee Pedestals | Husband’s Name Ay I ¢ de stals Personal Attandance and Assistants Father’s Name | Father’s Name Country of Birth | Country of Bhrth Mother’s Name | Mother’s wean. (\.#~A Country of Birth. Country of Burt Ks sroppeeesreneneneess ( fe | ~ CP chs 7 | Physician FD csr rae co es ncaa coe ski eoens Cause of Death Cause of Death = — i. Ordered a Sat ; othe , ikea cee | Ordered by | | Fe } i rrr ere ae Charge to TY Eee Cee er ere erry Serr rrr err tan : i Npsaneiune When rendered.. wus | PO MOM PINOT OD oases cccessveccesentnstescenssencensseees ss RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. | | | EOF III 5 cits bnvcaknvesess iv euskanssusessseneveasncvesspeonsccsscescs ities j Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Charges ME alg cgnce origi ceases io eicas is sit vdune aha <basestetsiawvasccvasies Coaches FeCORE TESCO HHO HERERO EE EE EEE EES eee e ewe eewe eens | ceweeeeeeeeslseeeeeene + eee OOOO OG ee eroeeeseeneesereeeoOeerere NOOR O emer ewe eee ee | eee ee eee esse eee ee Ee ee HHO OEOeOOee PROPOR RSE eO ER EH OES OS EEO D EEE se eeHeeee qemeeenennceemeeme eeeeeeeeeees! seeceeerlieneee See eOeS OOS O CeCe Eee EEE EE EE EEE EE: eeeee POCO Oe ee eee eeeees Cee eeeeeloweeeereseeereeeeresesereee SUE ee ee re ee! ' Funeral of Date of Funeral- Funeral of... Date of Funeral i MMIII } . 7 = Removing Remains........ niin aenscsUes bends kebieiawuaesucekecukees y 7 c Gee & fe | Removing Remaina.......0.......0.. 77 - Fy a Ca aeean Se gets | cols 7,o. Date of Death DS Embalming ......... . ie el cdecsonmbareaa ss os cecdickicul Sintec eineees Place of Death....: Shaving and Laying Qut.........., . . J PN i Eig aie vay ha nsicsndeessshccecessuceudnceadiel saobeuundsl aseeiens | Place of Funeral Mbt NO: cssesesns wetieeireee ‘ . Caske 0 Casket No...... 7 ite BAO SONICS eI ia pesdiececusioes COGO.2. Clergyman........:0.7 Se ne ns ha abe mean en NESS wake eR maw ouaRenewereL ioetis has a cececeeeeeeneeeeeeeeseeenssenasassecssssersssrensesanssssseceneccerenseseseeseenees | cesaeeseers| seereees | Date of Burial...... Metal Inner Casket ke : : ; Metal Inner Casket.................. CONDO 66. s cna: WMDs 094000350 eee: | ese Where Interred .<.....-08& i} ; lo eee eeeeeeee hose | rs Handles NO......+-s00sssseserrenersecrnrenccncseerersscscnescaaavsareconsocccs | eassenseses | ses ek ee a is i 1 sana cadaesaeuacers ss codauieeansqnctsnvajstaneene | Sansanvanna{nesnesees Soman OH 1d 2), onus dncunvaese aide Case Pine "hog , 1 | | : 7 ‘4 2 . Outside Case, Pine, Chestnut, Oak, Mahogany...........-.-+-+- | sereeseees [ssesenens —— OE CE Bison ii vedaricd hae lk ehnik sedans: Outside Case, Pine, Chestnut, Oak, Mahogany.....:....ccccesee | crererreee:|sseeeeees Location of Grave ier scureaes Lining and Pillow Set No... et ee de Joss | fae eas eis os li eh Piste Bik Nb. oasoin scossnsenssnscieciceisssseanvssocsasion | oeencoes icon [tora CK “28 — 4! . > PATE EME FON gcc ac kak kin Cinse n wbcne edu pacts cdauesas giueenescsa coeanar 1 2004E00R0 |rsesesees | eoearees sesneneccosscessenersscsencsssscecsasessesessssans RE Oe FI i voc u cis cn cdnxs cansncs scenssenckbebnivesasenetenseiansuse pee [teteeeneeeelseerenees Mountings Fe ei oc vic vis vives OWI: wantin sbcee sine | teeeeeeees aeaeeiie | sebheeneneaéh er assensenenedonionseatennssabee stbonsaneesses Mountings. .........++.- 5 a a Fe ici ink ndcs Lp enkensdowalvansioexs , . | } Metal Vault, UE ee A ee ee ea, paler neuen renee iéesauawen |-seeeeees bay tee eeeeereeesens tee eeeeeeerseerereeses ( Metal Vault, Style Bl aa dae meabe bdenkes SUScaRe ae ensh USE redaes Ek 4s E PEADSEREES SOROS 902 | | , Fi 7 Bor Mattress.... 0 | Age.....2. . LOS: ema... (A POYR vcigintnee Bow Mattress. ......c0s00+.0 Silhtinpkennsnavacdushasnobehseccnvenseasentacsens® | senepersaalessxens TV AbO crates VA | | 4 a 4 Burial Robe NO en ee ik eaiecivnsasens Lacsitltsialceigavas (OOO LOT Me. fee ante, Otcupation A-# Lf w Bisel) TEGOG dh cascsacindsednccsencss* Shs a:sié wadia'gs cancel kaa bameeanaueeestsoe FS\loo Color, CLOotK: Pee on | << — | if CLEUBELUREK) Fo | «. . re Slipper: | Single, Marrigd, Widow, ee ae aes ONE vis ccsnctcccsvecsievenxis Prs .... Gloves. LLP % bee ..2.%..)9..52. | Single, Marriec HH yj i aes . (9 . es y ee. | Birthplace ............0.. Thee gc reel. Rs eo désasiats ig costed ea eeec nies eeees Doz. Chairs..... SOs aie (oie cibeeh EIS Cae | oe | Birthplace ..4 “AAW Rikki eh | | | ie ; | } ‘ oe Personal Attandance and Assistants ...........000.cccccececcecenes bes ene | Laat PUGOD Of PODUMONCE 0... 0cc2ceseesesseesesssees Personal Attandance and Assistants ........csccceccosscsscceccsccecers | seeecccece|sosceoees | Last SOD OF VORUMNOE oka tien cconshesvness caceceesses cans sts 4 3s. | | | ie ; : ; J ; ie : Drapery Candelabra aA BS Soi ace | sessed eevee . | How long resident of this State DY CGOTY 2000. exesseas. Camdalabra. .......s0«.+9: CATR iso ssscs irae | sashes | pescause | How long resident of thie State.........0.00:+. cesevescssvesnonsssdeesensss | ' | | | j ; Pedestals | TY ESS ae ae anes COREY Mice (Bite rtegeecni! peer | Husband's Name Pe ee aa ere iets cases POM cee ee ee nae ae caras ate: | Husband’ s INO it so pikecsiore he au ater | Father’s Name...7 ae wes... |Father’s Name...¥.! cess; Ht CASH EXPENDITURES. | CASH EXPENDITURES. | ” i‘ seguareinbes Sees | Country of Birth sessssces [esreeeees | Country of Birth . o ° e 1 ENN er UNE SS LCT GS iso lg okey asd ciate ed Sa eS Be SAN EaT eR eeEeE bis eee | Mother’s Name... DCO DPM coon na std ss ocnncessnsxacsnccensnvsivosesnesecntensenncsesestces | sstsaedecnlssacseows | Mother’ s Name. Oo” 1 ; 1B Soe AEM ees soso sepees eee Be Sa te | Country of Birth....@), NN ae Acsestn | «(Nan ONHARHEReanEnananTenanees MAN, CS UNES (ii geee cic sats ee Liisenttes | Country of Birth......0..00. ee Se ease | : ; te FUE Oee EE Me Ie GRD cect RCTRE a en PS che SPV nn GET Reena ty |e mr (eeinca ee Physician ...... 39 ce DMM is pis ones hats ars up da ceed sa ceus 5465p cated neat cies ante) ote iaes sid das Silas. (ncacunwivesth dea vaesssuneeeeeaaeeet hi snieess sees 4] 1 Pa ries fe ns pasate ne sheet dole Sere es seh ee le Cause of Death .7... YOY Ose. Sik Meh cesanVabiiors eed SAREAEELAEonks cbidsonkennbenesseobxecsatmeneiinesnentiiinee | aisiadadl damstnnces ee Ae Dealer ees po 2 | Ht} suisetnasentsbbndiperiivnsved ensesecevduciarotessccecasavesresieceoiecscanvenorcon vere | coocsceoAscccscees | emmmmmmmmnmnssiisiimmmntepenienmsmnisitimaiiiNtiapansmmmaiiinnege scien _-—eomnnsuaenvansunsesnnensnnsnnnenaienennrerssenesanssngenstansnnerteoacssnnssseenisstt | sxnane sere oe Hi hie ieee meee 2 eo 8 Opes iacsesnced Gyles hcseueeks Ordered by f XA, Sectrres sei Gro titeppere stead Ap fOr taasanaaeanennenee PI GB ois vis asiesisssccnssseeeee Gloves..... hes sal conseee. | Ordered by.... | { F | ; Funeral Notices...... ‘ /f PURO POCO. 50 ciscssacsesscccnscersdcrssccconccenesenes<sntenensenteonsi Ls 1 Set oekaki cat ee ee ee eee Charge tf/ alanis tei ai TOE) soem sates Ea or ehvscinerser care sseantanrenentsntangheioetiibes i | Large Y 0s | HE Rhea binenb isi orn bke cas ins bo eek eens soa vies unuene eeu saveknctsewsees | useccsi. Ol: eeeekss | When r ahr ley hag. oes oe f. cove cvccnceueenecsenecceceseeeeeececnsoceoesonceteercsscesscovececeeseeesosescesooess | seeece sseeeess | When rendered... one |—— = mde Re area fe eee are RECEIVED ON ACCOUNT. | j ne RECEIVED ON ACCOUNT. { aces Syeiaes, Acres re oes.) Me cap pepe pee ae bere MeL punt eye eesbarcnasuned a eee een es ceweeeee = } ; Cleryyman........... CLOT GYMNAM acne cncssensenesonciecasescnsesscesovsverssccuscenscenesessiesseseee | asonvaseeshenseeses fred NE (tp be Ap hae | ik le C? | OMEN goa Pese rise sci els e ie eae ee ain SOLON. ..esccevseeeseereesersenesnneessseneneecersencestsesneneeeneaeeegenes gop dap tecobeels ikanee oi teats et Wiis eeeei as ee a ee ee Quartette, Soloist...............000. Quartette, Solotet........sccrcsiesressesssssseese NPP INMD css cscs svgiecsoscee | Savedeosas|iusenas ¢ | sivenscriues seen aoerceeens | Bas | patra «| eeeensr oe meine vite eneeesenivittteie eatin aa ee DROIT ONE TIO Bion 0 erncscesscesnyend vhssiceps ciivenisesacnsiveis eusaes aoe EPPOIU ONG FIO Bs ins sseninsissiexsesecnssences vauiesbasentose:saveerenserines | yineavecss Peete ses hats I CIE sian sekiassVicsenssiidddcxekinrsss) | j POM CTTIUG shicinctunsoscsetanvensxantcxoseyas TAMMIE, oo dirceesenisucnee | scsscicss ne i oe st et I occ cscalitcaescssiskthcoeiaaiaaaiiats Ist sce: Seite ae codes da : 5 erececes | eeeeeceseeesivovesevesl.o ; Lene S cuksllls 9 00 ude 0 00000000 00006s tl soe ees es rt SOSSERAEN TOP RED ES Cass |teeeeeeee i i ERA TORE SL 7 CARIOUS tO TE PMR De ee ae 3 lo 0 | \s Wes \/ Hearse...... 0 IAM Keer SZ Weve ccasedanvert ents vesasanh LY10 0 | | sever ebPeclecceseees oehnves aay vee we? sesaphpocveseyssaeresreeyss eoeeve res fia aan oe hg CRESTS? PORTCRE TOME Cee Sere eT eee eee were rnl eeeeeeeoe t ec iacsrucsiicricansss ysis eek eae | |- ‘ at | WONT vv ccics nites iasbemerohiiees naa ‘i f soseesecefecesneens | « FAD Lah Aaghe Sorerrsossoversereseerers terseees|ensecenneelsnesenaansevtencnnarennnesunnnonensaanan a i | | | Be ba Adlai a ae teal | | ae 1 tone i Telegrams Transportation Expenses COeeeeeee sees teeeeeeee COO OORT EROS ER OOOO REET SEH EE EEE ST HEOOEEEH OOOH HEHE EEE E EH HEHE ES Amount of Bill.....cccccereeeeerereers | seeee ee tenneeneeereee sees eeeneeeeeeenneneele aauul Pannell of. MWAihO_[Newid dr BL ce ie Funeral of ._ a M/ ely, May ah, Kg beclesy Date of Funeral - a ae — roca suitor Z-M, ' Date of Funeral eee BL [ Pe Hour_-2272.. > Se es ee Removing Remains sonaphhrcesccneresteccerenes oa Cvaccessnsa/. en ; i i Date of Death ; ‘. Bakes ; { PANINI isk 55o65) cccccascnodenapaeencehachstensseeenees fi OG since vee MOA nvhd.| Place of Death Shaving and Layjng Out.... : | Casket No Date of Bare. } ee Simeeicinls iat oadleetid sheave Sahel aaa an | Date of Burial Metal Inner Casket WOMENS TREAT UR sn cecccncarciscdss rics itesncnsacscnenossnccssesaa ee x i peneetes | Where Interred | Handles No.........ssceserserecssenscnssenecsscnssersasenserensaneaseseuaseres Grave or Lot No ( POM oss cscvese cpg Creed tt EE iiss ivsiaciseiantenen Section. ....-.008. cee | Outside Case, Pine, Chestnut, Oak, Mahogany............-..-++ Location of Grave . , rs Outside Case, Pine, Chestnut, Oak, Mahogany ~—_ of Grave Lining and Pillow Set No. ......:ssssessccssersssenneessceeenersneeeseees : E “WW Lining and Pillow Set No Metal Lined Box Metal Lined Box Mountings.........+-- Dip URTEAOE: senses ccndscs << FIORGIAB: pocesscesescecee OMANe sc iigeeces Mea AE I oe ree org ceed ce ae ee ; Metal Vault, Style Poe NIE ORR coo soos oe saan tap A pses soe sss cadens supe asacanensne ganateaeace creesfeesfege Months,i........... DAYS cccseote Box Mattress Burial Robe | : éeupation onan Burial Robe WRI, Solo sia ves bes vaseane Single, Ma Slippers Birthplace ‘aa eulictessse sas Doz. Chairs nF NENA IE DOE STE EN IOS a A ENE PST Ne DTT Personal Attandance and Assistants Last place of residence Drapery .....Candelabra... ~ How long resident of this State............. .....00.04 ‘ Drapery PUMPING... Soaectieie ss . LeU | : reenerareees Pedestals Lie 5 seoveeee (Other's Name. .i..%.+04-% ~ ‘ \ ” | f CASH. EXPENDITITRES : aD : ee i Country of Birth i<.,,. Interest Withdrawals Deposits Balance Door Dre , 6 pp cama A Fa ao f tuk Su | | Mother’s Name | Country of Bi ae | Physician [oornps qaepet eo tate —— Flowers.. | Physician .. (4 ne Cause of Death Cause of Death ‘aa : Et te Neo ee aaa NS <n eSTO EOE AED RECEIVED ON 4 JCOUNT. oOo Clergyma1 — Sexton Quartette, Delivering Opening G Quartette, Soloist........c.ccccses ca /....Organi. Delivering Box to....... Opening Grave Vault Charge Hearse. ad ALL : b CRIN. ch p55 cicerb a baecorsnncdkiouneaite ee r eeeeeceeeeeeeeeeeseeeesserreee AOR POOOESTESEO SOOO OOOO OOO RO SE EES Beeeeedes® ae ne eer nCr cere rT TRIS 8 aS Teen mee ne See ween er NT Sree waarmee Deere Nr ceatOLET Dok Sa ee a * - Sa " ate Reoseedge Peovseses. Amount Of Bill......ceeeveres ‘ We ee iiashes Cvevrccccece POCPOCO DOES rerecosceeseceeseeeeseeeece 298 Funeral of Date of Funeral_— TUG FB aoc aiinss cece ca cccseseseses psuleveeesuaketumasecssceus TNO via kckciicccciass aindccdsccsecciashecssanesebssnecancbusanasuasuones aes Ube DIR ON, oo i cin isssnnissetnkcs sacosacntreneasiacnscsaases Casket No......9..4 Metal Inner Casket............0.00+ CORIO 00... cisees I oii eicsdsdireendasclle se anes Outside Case, Pine, Chestnut, Oak, Mahogany.............+-++- | Lining and Pillow Set No......c:cccserccsscescccsscsecseessencetensceeees | a Be FIN ss aig das coda ss bacenven thes caiareacasoeceqeese rss | Mountings..........-. PIOMGAGE so ccaccares PRE: oie secs iss | TBE VEE I ova vais jacob <n 9 ta ra vspenseesFea ns bed Sen eteen sent ese es Zor Mattress. ......goensconecen(\oereecseccccnsccancsccsvecccecsaveceoeesees | Burial Robe . PAC syesasest Lid apart u totes saiuleee (eine nioe | Slippers....... De ery eee cae A ace PAE, CII occas cepecersave sceduvexceeni tess Personal Attandance and Assistants ............ -« COMGIEE, ..i.... Drapery ....Candelabra..... Pedestals Pe treg So eM cou ret Cee ls ees CASH EXPENDITURES. CAR e nee eee EEO HOE eee OEE ees Oss HOO OOOOH EOE OES OES EE SOS OS ESOS SEES OSE EE eees CP vies ve ness siesscin ss cticabanes cs \icaviaesasastarueneveiesieieinices so ho oc csp cop bv caso oes eis bascadin eo eens Quartette, Soloist Delivering Box to RP SOON ones sncenssciveesnsevuiessovikecscs Vault Charges.......... gorveresesesesesvenanssnesenens Hearse.. TAs Seen eee eee eee ee SOOO HEEE REESE FSET OSTEO SEES HEHE ene ee eee eeeeseeeneeeeD Peer eee eee eee OOOO OOO E Heo ESSE eeeees 00600000 00SSSSSS 000000 OSH SS CHOOT OOOO OOOO OOTOOONSEEO SS eeseeeDeDesOeEs Coles sceeeeeoeCS eee eee COO e errr ee eee Hee eeSOO SOOO OOOO SS OLOOOSO OSES OER EEsCETeEeneneececcesocescees eesecceceseereereseseeocsoeresoeseeeeee SHOTS OOEESESEO OTE T EO EE ERS Sreneeees Seees eens COCO O eee re eeseees Birthplace ...N-AAY, ; Husband’s Name ‘ A, era Se Father’s Name/.. Jf ee | Country of Birth, : evececce |eeccccess POE TINE on ca eos oe gues daca eee cand sang peas baa leebee cle Ree, Joe tote Mother’s Name...... ~ Charge to peelvckss esonasaes PE OT PU inns coke wn cc ons scab iaer ns cdc eds vasesirsses> f ee acd ne ee — sas see eaeeearerenedyosboveses eecrecee e SOOO meee eel ewe meee | cows eee eee ee Hee eH ORs THREES OTE EE SOOe seeebeeeeererelesceceeseeneees SOP R ee COOH OOO RETO eee EEE One OEOe EEE SESE eereeeeesseets . | Last place of residench-F-“-¥ . | How long residen this State Gountry ef Bartabs. ss. DeetT eirce cs cstecnstesssesssess spe OPM isso yop ccc iy cinan ent. oie eieeyenieteeticeees Ee 2 ied ar alee ROE orerE nr ED Foren | RECEIVED ON ACCOUNT. Funeral of Date of Funeral___— Metat Inner Casket..............+++- Copper..........+ Se cas Fata Ng oc ck vos vic snSise dn os sczessuhavescascocnsobpossnsnseqaeuneese’ Outside Case, Pine, Chestnut, Oak, Mahogany..........0.+++++ Lining an2 Pillow Set No......0.cccceressceeccecesenacceseeenscensns ences Atal FA FR 5 ois cass cess p4 venta vannacccrssceteeatacn eaepossessnenesses Mountings.........-.... ».» HANd|Ee8.......0000000000- FA cassia Metal Vault, Style......... Ses ae a ore ess Bow Mattress .........00-.0sceseseeccccccscessceces Behl TROBE oinnccscicpsosdacccsscvncccoecencndauscecsevanssescseeiecvenansescess NONE scsi cert neces PM ie rsccesiciss sa irarstie ss Personal Attandance and Assistants ..............0..0055 Drapery........... ¢---Candelavra........0..00+ CURA ee Pedestals....... ileus Ae ee ee ites sete reetee teens Locapfion of Gra | Date of Death .. cif fe | | Place wae é QexywW Single, Marrie Diels Or tices ae Ligst olan of TOUR «cai ae iettiieninins buena How long resident of this State Husband’s Name ......,.,...--- ( Charge to .... ..| When rendered... CA eEs Ch plea R eos ca eonhv an eed eae a ain se See RECEIVED ON ACCOUNT. Quartette, Sowiasl. oo. v.cccsovssersavsoresseoess CPI oo 555s vce lakeate | svudeaunns 1:5 4ees = Lcaphcaceser il ca teaki ales erdaeciie nicesneuaiiwesespaeies cession ee Daas FE Wii ive csi vis cai cscs da acer eden ered consgsersanneae Bike T Gidsaebaes | PL gerd cea esbed cecteses teen es: Giiscienelicis ere | | CPI TAIN ven secacseceivescciccisncisesyeri ENO i setshecsericxiues | Varttlt CHANGES. 00060 .-sccrssvessscevcrcsccsnccccersescnserenseossoeveseresses Hearse... COGEAGD.....7.. Kes csvistsecesniye® ORR e eee Ree e OOO Oe OEE EEE HEE EERE HOE EERE OEE EH EEE HEHEHE SEES OHO O ERS EE EHS H HL OEEED TIN avciicccascdcken si vescessineenes FIN iscsi tries erinsnieds Transportation Expenses . TORO Cee Oe eee ORE He eee ee EEE ee EEE OEE EEE EEEEOH SH EEO EOE EEE SOOEES SEES FEO CORRE eRe HOE OEE E EE OOOH HEHEHE SESH EEE TEETH EEE EEE EEEEE EEE H HEE ee eEeEee THEO ERROR EHO E EERE! RHR E Hee ROE EO EEE SEES EEEE EEE OEEEEE EE EERE EERE EEE Hee tees PPPS re CORRE I TOR eR RENEE RS oy ee geme tee a= ig aR SNR Sonatina oe aati Paha Sauna ee pergens Flatten ee ee ae AD een a : a \ : i j { 4 } ‘ { q } i : q { if a & {fh a } rr ie allantois ee mR ane ree ee ON po) of Date of Funeral_ / Removing Remains......cccccccccccseese- ‘ieneiensoukedl pnbheataseineinnineba | MINA Fisiscko iiss ick ccabinsnasactea aumanaanannl Metal Inner Casket FRAMES INO occcocasssccsescnncensseanssnseshnansesescooscensasensageenanescesss Outside Case, Pine, Chestnut, Oak, Mahogany.........0e0..+0+ Dining GG FAO BAC ING, vsacensnvenksscdetecacckencsactsesacsenccs BiG) LANGE BOW. csexesccevatcccnecene Moumntiings........c.00.0: 0+» ELANAIEB, scccocccscccccess PON: ciacirssndess, EREGE. VGALE, GaOUCN sac cnsacciaeassinsuecsssshonneunentnsiedsnsseacsnsenorssess Boe MGttr ese. ...cccsccessssess oo OCCSOOO OR OSSEOOSES OOOOH ETE E HOHE DOOE EEE es rs Bu rial Robe tee eeereeeeseeesesoosos FOOOOROROOS EE SODEORO ESE OEE HSSESEE EEE EeHEeE® GHATTIOU Ms 55, cs ccshcaccntenconsser Personal Attandance and Assistants .......cccccccccccccsesccccseceess: DYADOTY «ic ccivies: cade Candelabra...........-..-Candles, POR oso seu caiik cicveckas candace’ ea ses esd CasH EXPENDITURES. BOO PPI i voices case babes conecnshteubackeekssc0ssvesebgecteseissaaun si FlOwWer a... cede coosecohettcc¥eceWe SEER ORE OREO OE HEHEHE EEE O EERO EEE ES ESE ESESOUE OEE O SEES EEE eee eee eee Pee eCCIOOOCee TC ise eri tT Pere rerer errr TT rrr rer errr eer rertr TTT TT eee eeee SRR HEH HOHE HEE Re eH HER OH) HOES, OOOH EHO OEESE TOSS EEE SHS EE EES SHOES OEOH EE Eee CN hisiciksssicddsnrecsces sebudes sua peenseeedausdenelccndsevkinelsenonibess Sexton POMS R OOO eee OHO Hee eee sere eeeeecenees Peer eer rrr eres TOP wr ewe wee teneee eee eeeee Delivering Boz to.,... ODONING GTBVE KE scecseeesssccecscccvessscsceees Vault a I cect reesence sexacenne geinsenase renee saree 0... Rte 5 i CSP & Riko. peineens COPE eee HOR EH SELES TEESE HOSE EEE SOSOOEOE HOHE eH ees HOE OES OEs OSES SeeeSeesereeesee® PPP rer) SPO Ree eseresereeceoee® See PO OPOOOeSeeeeeeeeeeoeeos seeeeees Seeeeeeeessereresesere Seeeeeeereeererewaeeeeerere Seeeecesersereesecereneee seve Seb eeeee Seeecenes Amount of Bill.....cccsceeeeeesonees sikeasintiaeiess at a i * Z porcine | Location of Grave .......,/ ~sssss1.., Months Birthplace &AIAHAKT, V Husband’s Nam How long resident % this State KK Soins ie ; | ; ces|eereseses | Father’s Name. ~. Country of Birth ..... ¥** Mother’s Name.. = ; Country of Birth...<. Physician ... A. TY OrYd.: KY... ee icaksyans Ct Bic os co a eua kee nenstaeut ees Charge to .. cn. | | e ens We UNE WN ioc occ sca ahinn cae dizis cd Wereseasbavevnenerervesses | RECEIVED ON ACCOUNT. ereeee ee eereeetleseseeees veeeceeeeee POOR eee ele meee eres | ween e eee eee eee H Seren THERE HORE eee eeee em Ie esCNe Jd MLYB...scceerees peg N aces tes Oe vain sins Occupation Neogg oS Funeral of Date of Funeral____- 2f A TOES. cin has nacedconnuasnnstncsssaesseinkectadsscaneansasees NS iiss iy, cis aac osassesdis aun asalonsesehssssdieiinisesissiaeias Be ee aac acsccnn vv scesnceassabseacanaseisedareiseiss CRE PB isisins tancckancacsevsctecatensesicssts BIOs ck sccstacesisanchicvene Metat Inner Casket..............0++- COMMEl.......000088 RE cect FR NOs isn och ins ccnvessccsouncsamonseqsesssdcnseshipeeessveatensees’ Outside Case, Pine, Chestnut, Oak, Mahogany...........+++++++ Lining and Pillay Set No. ....c0.ccccecserovesccrenscesscsccenererennerees Rl attel TAM FROG sick cas cvckicnstae cae passers cdiaven tea saziests esa nnese ons Mountings........c0006 ++» Hanadles,......serereceees PN go iivieraesess Metal Vault, Stile. ...ccccccccccecsscscccscvarssesesccssesssssensescoesensens Box Mattress .........-. «Save lds vavawatdnsduaseeieabasacesdsnssiniguieanhesoune Bisrial RODE .s.cccosvecesccccnsosesscaccseconscscescevessssesessnserscoccconecs IONE 5 iccaccacssscksccienres ....Candelabra..... Drapery. .....s0++ se viasesnss i cess Clergyman I cocss cao uceuctadsccoscuccdssxncecuchsabisavuneepensttecnonsissbepsenses Cer tette, BOOttbicss ss cccisesvecevesccnseevses Daten tad That Bovis oneinke es isin dacs esecvees vsessasecivontsess isedtes Sues OVEntng GAVE ..rcececcrcsrerssccrccvosereseverss Val’ CRAPGOG, vapge soesscercsrcsencersesssoveesess Reeve Tt ‘ Mace Thow te peesestessessavenbes COIN bis Gi ccecinesaccvasueseessase TRIE chi wiiiienenunnn Transportation Hapenses . OO ERO Oe ROO ROE ROE EERE OHHH EOE HEHE THEE ESET HESS EEEEEE EHH H HOE HEHE EES PPP eee eer rere tee eeeeeces| seeeesere Ce OF TE Oi ii kisses See cccicnciicseee TAGs OF GIO. a iinvn cvac cess id Gains crocsessidtasine te ererenaesee erat MMMM VS Single, Married, Widow, Widower..............s.0ecseeeee MAE RMON 655i sissies niSeivihcc seas Last place of residence .... How long resident of this State Husband’s Name ............. EROS PRGINO Ss vos ccssncscisncoes Country of Birth ON GDB ono rticvensetiasediiers tans so aes CANN Al TOSPGN 5d ciaeaie, uy avinsas is che cncpaepvexss¥ncesnes No 255 2d gs cgbcisic neue casspncee rea cheascines tea Gai COE Of DBR assis ens Ordered bY .........cccc0000: CE OO acc cca tie ssbusncescnaes When rendered... RECEIVED ON ACCOUNT. eee PCC See eee Ceee Irie reer r rr Teri iri eee eee eee eer se eeeeees se eee ere OOOSOHO EOE SH HOO EEE E ETHOS OHO OSOEEHI EHH H SOOO OES SOOO eee eee eee ee eens OOo Cree ee ee ee OOS EOEOOEOTEESEH HE EHESHFES HIE HHEOHHOEH EH nH H HEHE ES eeeeeer) eeereeerl wee ORO ROEE HREM OE EEE TEETH SHEE HOE E HEHE Pete rene eeebereeeeereleeee weeeeeeeres, eeeeweeeeeonle eeeneneee eat 702, of Date of Funeral. Removing Nemains BNA voscenkia<canesdcs cisssaeasuianesaniapnnens wp deh, + hh Ah eee § pare ee ce PN RE FG FINE os avccccsscuvaconsunccucessscdcescdacabancssis’ | caeuscedseclssantcios | Place of Funera, | Veg Z. seateeene Date of Burial... s.: ee eos paerne ls LA bepaed 4 ee r | BRE TU 2. osc. ck ccauddcnsurannadsssibhds sake debuussssabneciainescudsadsas 1 scishencnidingis canes | Grave Be RA Rig. 6 ooo oes ions oy Section Casket No Metal Inner Casket...........e«-- CODOOR soc ccsiciens Zine Outside Case, Pine, Chestnut, Oak, Mahogany... Tamim oF Gees. ee TAngAG Ge PUL Bel IO. ccccaccscsiccvckenscabsctensaesasnasasees OT AO iO cs cccccnvdceacectedas sacdenceeusatedoensencuarsataricessxe) Mountings.......ceseeee- ++» HANES. ..0000 gsenenasas PUB e sikcess sess Metal Vault, Style.......-. eoageuisusiniasnee oe eacss weseseswaiennet> FeO DIATE GRR: «so vccenacescnscecsess OS S60F CS SOO SOOSES OOOOEO CSO O SEES HB ESHEETS HET Hs TRIAL FEO8 . ccssciseeseess ... Occupation Pe ics ivikcecackans rrigd, Widow, Widower.. Drapery | How long resident of this State PRMMORILN oo 5, ve eheecavwaiuecanyccsaente | Husband's INOGTAB ocicsici Bis mo | Father’s Name. /1..,4.7..7 CASH EXPENDITURES. | Cou ntry of Birth . | Mother’s Name | | Copmtrel oF Depa -osoc ok soe eee ete eeowecasasc cones BIOOE EP IANES, six wacko sd ac saccackens ¢sbineeeessooshssubbedandancisunaxeoess ' PAE o2i5 ss cchidiac inl eta al | Physician CoN AP TO ee ae | Ordered by Funeral Notices.......s... Clergyman Ns sod yui's us ch catvakeacadebovsiaivane aoe Quartette, Soloist.. Delivering Bow tye) @.. Opening ened as 2 JD nian lg Vault Charges...........0. Me cicticevsasiaesee 70 Hearse!.%..44,.2 Peter eeeececeesere® ern Sees coeseccese eeereceee Seeeereeeereeroseoeeeores Amount of Bill........seeeeeee-eevegei Funeral of Date of Funeral__— Removing Remains Embalming | Shaving and Laying Out..... ied ams acces up eakUinsuas kok anes oe Casket No. Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pilluw Set No Metal Lined Box. Mountings........-s0008 Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants .............606000000 Candelabra..... Drapery Pedestals Quartette, & Delivering Box to CRONE GIGUE inci ssseccvessersisssccees Se Lining Vault Charges.........:++saege ghixeiviccosaseressstes ei vedenecies neuen’ Hearse 1d Weed Cea oo Coaches.. Teleyrams Transportation Expenses os as ad * fecher bts! me __ 303] Hour.._.// Ge. M. t cskeancu | Place of Death | boise |..eee see | Place of Funeral h d Eph Recholaa_/ Last plane BT FORE 5s cde ir eg . | How long resident oe a0 Rs @ Dowd cites Husband’s None Country of Birth .) Mother’s NameU Country of Birth Physician . Cause of Death /, Charge to ......% a ees é. a gg reer RECEIVED ON ACC 1QUN _— toad ia ee Me ee eee ee ee aes ean RS SRE OOD ria abn nA ame En a cece et ag entender mp een i aeeenieniiaiaeibetmesatdeiicna “ninebiaaaiieed ETE LTTE 304 Funeral of Date of Funeral_— Removing Remains.........00«- OEIC OO LP ER OPE RIEL OC DE AR OTD SPE ST ETM Shaving and Layi Casket No....&.4 Lex ee Size Metal Inner Casket PAR POO: vik saccasta tise cs dakasisunisaia Outside Case, Pine, Chestnut, Oak, Mahogany.......+00+ TA GR POW Bab TiO. siinccssasvasctacdcaccavcavssncnevensesscce PED FANECR LIOR «cscs chussiacdspcayenensces ceassemenestedscnneacsessscesices MOUNEAAB sc cas evsecscts- ove TIAA IM: cceccotesscsssees Plate Box Mattress Reet sets a sthiiseiaabatasesiads ¢oissacee ost) Metal Vault, Style.........0 sas asaieasnioke jenduoebuases U, Os cuuebseevseene® Burial Robe .... Asa Slippers Personal Attandance and Assistants Drapery BOE 4 5 shes cd shane sche ssccus ines BB a ciksiscice the CasH EXPENDITURES. Quartette, Soloist IAD GODS cciveceisnessesiccisessnxavesenians Lining Vault Charge v Pe ereecosecsenes SOP Ooeseeeesrsosseonneee eseeeeseeesereoeseeee . Se eeeesesocesece ‘Vebbbbbaaahtiiite ta rrrrit itr Tir ry) ini .. Months.. LS Occupation. . oad wl Widow, Wi oC,” Birthplace Last place of residence How long resident of this S Husband’s Name¥ Father’s Name. Country of Birth..... Physician ../¥..X.... MMAR Gr TPO os oeg re sb cctassenana eee cers Ordered “* ze Tet € TOO PUNGOTOE oe i al ee ; RECEIVED ON ACCOUNT. AE OD rs ws sca civv cases Bee pace vis Funeral of Date of Funeral Removing Remains.......7...°°% 0% at Embalming Shaving and Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings Metal Vault, Style Box Mattress ...... grlanuesescarsueuteheanss CLOT QUINN. 0s o0rcseccveccssssscscesvacsonessssesnoseccisssessececeusvenseuceses Sexton Quariette, Soloist Delivering Box to CPI CHAGIIE aicicexssticasseasrasicoacnnscions Lining Vault Charges Hearse Coaches.. Transportation Single, sel Widow, Widower Birthplace Last place of residence How long resident of this State. Husband’s Name ................. Father’s Name Country of Birth Mother’s Name oo ce : 4: Sars App hte REC RIVED ON ACCOUNT. Bs, + Peeves 308 | of Sis cae dE TV: Q eke ee bey iy; [Af : Removing RemMatns.........ccccccccccccarcoccce-sserecceessevecscooonscoss awh 2M. Date of Death ..: na LL, ce. 7 Y. aoe Date of Funeral TNO ois scctedhccnskccanctacnsunans Shaving and Layi L | Casket No....™..: oe ecceneeeoconeeeeseseoosooosesesesss | geeesceee Gal eeeesecee See Re ae e : : ce . ORO e eee eH ee eee EHH OEE S OEE EE HE SEE SS EEEESEETSSOSESOOSOSSEEE HESEEOEEO SEES SESE EES Metal Inner Casket.......0..0..00+ CODDE nc cscessées TNO. sinkcsses: Wis pacaceuieoseeeess Metat Inner Casket Copper... .cs.sess: Wg tN ee ee PPMMELCR INOiicscncactsscnestocescudeccecstansectececeteneeedscossbenncssenesases <a veacuneas ls taennea® Grave or Lot No ey i a se scsssunimans devemeasataonveciniien | oneaenlabaaeneenas Pian ne Tek Wp cs ae Outside Case, Pine, Chestnut, Oak, Mahogany.......+.+0+-+++ ésceberehatinessecacn FA SN Bn eo Outside Case, Pine, Chestnut, Oak, Mahogany...........::0006 | cseeereees|seeeeeees T OOREIO OF GVRUG oiess dass itis eee Lining and Pillow Set No........ccese+0 cesscoebes eas seas Seackbenurcecee | Sepdvsucdeslesacececs Pacssihusecesuasnis sccpuditetaee pelican eee i Lining and Pillow Set No.........000.e0+00 Bae Ao AS 45 cab OU Rb Ha Gee M ERIN aaa SGA Uane 1a ica a UVR LS CATO: Goa Metal Lined Boa.......sccsccscceccccoscoscsecees scaboabbenuasnebscnscassontes | aeauecaenitcasslans | stetseee seseeseeseceesessnseessseseeneneaneneesanensnees | Metal Lined Bot.........cccccccccessscccessecescseesecessssecsessececsnncerses [tetteensens]|teenenees | ceeeeeee ee oneeraeteneeceeteaeeseeasentreresnanees seaeoheas Mountings...rccceseccees: eee FEMMES vi csncakaccsneses PE csksscisccsin Sete |-seeseeee Tosh eei Aenea uid e sea ote te ches eee | Mountings.........-100+ ++ a Pg eh re ine eas b oi cacnseele boenep tees seaniseiachsaccdsss enecesl asc DERGE VOL, TIE. c sencscccacecsencincbeoaes’ ‘eicedenhunaacossubatieesinexe Da a is eee eens ary veneees Bow Mattress .........02-esssscssscccccrccccccccceesenevcccesscessacccsecesres | sensesenes cash eeies Age...j./4. sie MONON conn chcvaes Months Be TI OTOVGER: scccceccnenncshscssecnbodondenasaebosdbueuesssosenss Pkadasauieees ty Burial Robe..... FES age anton BOT 6 cs saccscacneccsasnccesseses BE, ape sesh : Single, rn hts * - ROS fo Slippers ...... Dieialessie Bs OE ce aicc dt Os Single, Married, Widow, Widower sssvisssihsdaasionstiinesssannesllttil: TOMI inssasnnsininsen tovieianyinsenséss 1 <oxreccy gia. YA osc en ee Bho. mee, | se ee iene | Birthplace seensnl (Akg Adbebhe PIERS goss cases t a LK Personal Attandance and Assistants ......-.cccscccccesssseceoceecceees | ceccccesesleceeeeee. | Last place of residence ..... 7M AKAHAUCGK KA... Koes | Personal Attandance and Assistants .............cccccsesceccereeseee | seneeaneeeleeeeeeens DiGi ied Of VANE io co iicscnvsexsdcdun cds yee ths ae | Draper y.....s.00 oe CONGCIADIA...-.ccccse-coe CANALES, ...cc0.ceccc0ee | cccescesea] ceeeee.. | How long resident of this State...2......c.ccccseccceccccc cccccseeesseesee 1 DY PTY... seccevesce se COMMCLADI A, .. 6.04005 -+/ COMME... 0.e cescene | coreeeeee el eeeeeeee Flow long Pasi GF C68 ERLE i esas hive enessdasaens Pedestals.........ssesreseeccereccensererLeUerrovecersversessecesererseensees | seseessecelecseeeees | ALUBOONE'S NAME «0... poeeecceeese. TGP AD cgsrrestnnenn | ECUBUMUB. «vveeeverereceececee sereeeeeeEWl soveescreceassecs sececasseresers | cescascscaseeeeeee es A FEB os sho ohh ose wire rots nee pevicueeee arian MEIN BTM ois ic caies co coos Cocotte i casenes ese ae eae i Ssucea EEE OME. &, Siecle Ka ee SORA ph Ghndcoddan401GGSRORUREIE AUUNINE Kes eeubcocennbes ccundbebebseebvewnimesesheenes | ccekcecdcalinevsiies (COMI OF OPER... a,;< ry of (. DOWNIE cc cacne vctscsecsesiesss vavencaceicseneueuahsehenentveniasisaiennociiess: | paladins... VEN Sasoedgaassosascsenesesenapeneaceegtssseeseernevsasceessesoenauenesevecooses esses |... ,.,550: 1 ee oe Cause of Death aa. : ; / teh } = wheter eer rere se ener see eee seers see eas eee ee BESS SSE EEEE SHE SE Hasse esSOESOESSEEEEE® | sen eenenee seeeesees =a = Sa gf = =< - a i. ‘ Sectecvcahivi aes POPE WAG Giciiciass ii stems aa | Ordered by AY Y Meee. tt Seen oppromnrmmrer. f) | eerenneet ss ons Ordered (tl lew Wea Peta! rex -— ee a i FE FOE cin va dscns nacevennceseaccacstevececonesess aaah seeuekease vbr aoe Pte Charge Be Tapeh ei See ee ee seo tee he ee es eee cia... ites peaee Le COGIG GO ou csicsccsccscvecstoneseecsccusscauarsaveuacveqerete? : eee oe Sst... poeecess | O ecveccccsecess cece cece esr Oe eee ree eer seserreeeeseesssecesccceseecerocoreeceoeoooees | eeanusees See When rendered baad Te eT ee STAR MUTE: Dera teey sR Ne AOR PPRE ON EE AOR, Livesv ties: When rendered 7 gers arses PS OF ON ooo ss sinick ciao dicen | j i Funeral Notices........0 See ae RECEIVED ON ACCOUNT. CLOT GYMGMN,. cccrcnsacsesesccccvscsctercccasocescevecsesesseeccsescoessesceesecens e. e. & 600 NOON ics eid nee ae vit ca catag ia wag cae eek eeschacesi ca sakentines SIs Gccircuken sud sciui veecvanevcasscunsaidsassscsvaus cans wussenserlicaninnsicis 4, Pee a Quartetle, Soloist... sicecrecsssorsssevecseses OVINE a5 sn ciscesccccess eats : | 492 Quartettc, Soloist........0-.+-r-rsrreseerrerees OT GARtsh.........00:-+00++. | ee, Delivering Box to Clecce Cl eee ee weer ee eeserseeservesesersesesserery® Delivering Box t0......Mecccccccccess Loubiscapekiapconsensne : : © O COCO eee eens Pewee wee eee see eeeees Pe ere a ee weeeeenee o e BE IY neeelitee i Sicmenonererreronenors an, ; Lodi eens i Onening Grave ......0..0.Jucs: STTTT ccsccsceveees Lining. f. Cee. ¥ [see eeeeeeeoeeeeesoasesseaceaseeseseesees® coeeeeseeere I tiniiiciinvseciicininiverivestincecciadaieneiaesisicns | | ‘ Vault ceereemeneseffegsreneemeoeeee Zegeg ge: Vault Char ges.....seeeeseevsesereerereescecsessensrenenananneneeeeeet ea eesealeceeaenes cacebelianesie | cesosecesuscennecsssnennsnsecanececsnness|acennnenes — ¢ Race: ones K sevctmdeVeacesesce obec cece desl 86 been ees] ror ecececese eee SOS SSO EEESOSOSOCCS LCS SESeSsiceooesenere® ee COIs i rg eae ame ne eee, See Ree eee ee CMO ROS a Tree eerie hy mnne ARR eee eee eee eee eee eR EOE EOE NEO H SEH OEE E OEHHA OOOH EES H ESHEETS EEE EOE EE SER EEES oeneneeee Coe ercerelsecceeccs | ceveeseceess| Seeeeverl sere seer OOOO Ores seseseseeeseossseeseeess|soosssenee?® FCO O Ree e eee eee Eee OOH EERE EE HEHEHE HORSES EES OE SEES eeleceseeoe® Poe e ree eselscecccens | sevsessseess|seeeesesslee essere seeeeseesesesse esse sesesesseseserissesseeee® Telegrams. ......+-+++ eeserecsvecseescoess SRRAPROID. .cscccccereresesecens Pee ok Se Sia a ease oe f TelegT GING: .occecsveseesevossccnceseseseves FOIE. civsensctecctseesseses Peeevecseslscccecess | cecceceseees st ee se Peele cece eres eee see ses eseeeseereseeseseesener? Transportation Eapenses............0.+ einsaniuiauittiin ecmmeseceressee | acon | Transportation Bapenses..... ......sseseessserseersrenvanearenensenes TNE e ee ROH OREO RE HEE HH SEE E EEE SOR EEEEE EEO EEEEEEE THERE HEE O ERED OSES OHEe Ser ereesetlccccesess | ceseescreceslsseeeeseslse cee e eee eeeersescccsessssesecensesesesessisssseserrert|® S FORO O Rees eRe OOOO OEE EE EE ESOP HSER EE HES EE EEE E EE OEEEEEE HEHE Hi eee eeenee eeeeeees eee See reece esrlneeeeeees | cecceeseseesl ees Seeesl Hees ee eee ees see seers SHHHEresEssssEeeees® isd SUINN IONE I RR Ra a a a ah seececccccslecccccccs | cecccccceceslececceces[eOteeceesceceseeeesecaseccces e e s e s c e s n o e r s i s o s c s e r e r s e s ) ® POPP eee eneeee PPP PPP ee PPT ITT Tre iri ri ttt trier iit OORP OOO Ee Ceeeeeeee eeee seeeececesoese Amount of Bill......seseeee-s . SO 0eee rece esceceseeee’ ann, SO Pee eee eee HOHE e weet ee eee eee eeeeeeee® 5 : : 0) sewer eenee Cee eeneene Cereeereee Ceeeeeneeeee POOR COOH e rere reeees + leweeee® SOO ee Reem eeeeeeeees Leese see e eee e eee eee RE ee eee eee ener e reser ee HH eee Eee ET eeeeHouees + eeevencee [oor nROR EE tee ern ere Pape eR areas cde SON 308 Funeral of Date of Funeral Co 3 eee TU A a iiss TAGE avn vancicsavachencsersnensesssses Removing Remains...... Shaving and Laying Out..........c.006 DIRE IG ncsiacas cds tanenskcasanesncarasuaeeesa size Metal Inner Casket.......200+00000e+COPPCT 0. eevee UMC eresseeeees Branded INO. sciseccssscevesaccscesancecsvons Outside Case, Pine, Chestnut, Oak, Mahogany.......+++« Lining and Pillow Set No........sccccccccccosccccceseseese REBEL TER FIO, 6c scasvcceessossectsdascaassthesteccssansvenanncke MOURTANGB si ccessecessre sss eee eeereersenss Metal Vault, Style peeonecses ecccoccoceccoe eccccccccccoccocce ‘eecebsosccooosess | Bore Matty 60.....ccccsscesceesvesce scbechusienepnne saechecseseesncn ceens Burial Robe .......-ccccesese ae coccs schevenass Gloves.......+-. IR oss caisncosenacensazen en cccenecscserceresccncceceesecedt tae NTUUEE Geenenavensccsesesereee seseesessssess mee erereeseeenscescseeesesecesesers DY ODETY....<c0008s:--050 WP MBCIR os chs ccnsnecsacasiness aneueane ON oo ee oa a cal aeeaa es caer aeesenereee CasH EXPENDITURES. Cleryrman ye .py.seceerereceserseceeshecseasscessencescessnsesseesenerroasesees® BORO. vcesiecdeseses Quartette, Soloist Delivering Box to Opening Grave ......00. weeecee sence eeeccceseeseseoeeeeese eoees - aa eeeeeeee seeeee eee Peeeweeereeereceeseseeeeeeeeseeees | oe eeeceeeerceseeeeee® e siete’ LOD evens | EEO OS DMO 0 s0lics occas ac cesscsarces Place of Death...6.-OA-4¥..%..: A Place of Funeral... 64.0 Peewereseee|eereeeres Cee eee emer ere rerseresneesseeerh ee cc cece er slscecccces | * ttt ttt Pee eee sseaseees eer eueeesese sess eee re Seeeseeseseses ee ccc cece tar er cna | THOHPRE CORSO OHO OO OOOO EE SE HEHE een eee es SEER eOeawr errs aeeeees Country of Birth . Mother’s Name, y Country of Birthyy Physician Cause of Deat. CPTI ONE ci cvicevacevciseusinesvess Cec eeeceesieceaccses | oeeseeserees| SHH OPHli vee vee sees e esses Sees es esses esesssenere® seeereererleweeeeens | ceeeeeeeeeenlerenneeee peccccescceleccceeces | cecceeccesesieceeeeses|POSerererrececeesonessenesesseseeseserees® ——) Pee MORO e eee eee eee ete eee ester eee eeeeneenee renee eeeeeeseeeeeers Pt eeeeeee EU iss cicccces ca dsaviccass siasexecitentesssces® Funeral of Date of Funeral__— 309 i I la Shaving and Laying Out..........c.cccccocccssoes hd Casket No........0+ a dene eee ee Ree eee REFEREE EOS COREE EOS E EEO EE EEE S EOE HEHE SH ESSEHES SESE SER E EEE ESSE EE EES Metat Inner Casket.................-COPDEP........00+ Va I coos seveecsicsesccchvevsiensscensnessnscconesscancovssnsnceguasnts Outside Case, Pine, Chestnut, Oak, Muhogany...........-.++++ Lining and Pillow Set No Meateel Tie Feo oie vccscssvecscsscssesaunoacsseencass ceverencesssse Mountings..........2+.+ - . Handles Metal Vault, Style Box Mattress Burial Robe CQ); ‘ersonal Attandance and Assistants ..............060:ceccee es FILET sc cntaeninkse Pe destals oe ee oghawabe ipa sata sear es cae CASH EXPENDITURES. POOF TION vc anciienesdassacanasetnesss Seats sign thuateebowaueteceness Seto ecadideu ce eouese re WETIER yc acs ci caccuccsdeos UeGiee sree hal eere sees Tat cosy se REELS CL Lt Co sia yeaa weaned Coober FSRRGS NES ESE SLO TAIOS CLEP QAYINAN, oo orscovesvecsscsensuscosconccsssecseseconssssseccseesenss WOLLON,. ccvnnvvccceccvcenseescoscessosceveguecsccscesseusscesvesesseeveswseeteens , PME coc ckcsssscncisaersusassaes Organist . Quartette, DRONE TEA Weis avcic casetensedacsne nevasenavoneseess CCIE GIG oc coecceky vas escckveuessesacceesss TOE, os catdixvenssecns Vault Charges N Hlearse..J 2..¥% Ret ask siiokisstsisues sen cseass Transportation Expenses See eeeeeeelewweeeene call. Grr. ko [PF Wac¥eccersdocbaccelgensecscvecenseceseseeues Where Interred. { nk. VALLEY Nar. NW gc cuececialads | Grave or Lot No..cicsscsisscssecees Beceem 2 Single, ve idow, Widower. pie a We Last place of residence .... Birthplace How long resident of this State Husband’s mel e: Father’s Name Country of Birth . Mother’s Name © FeO J Ordered by Charge to... | When rendered... RECEIVED ON ACCOUNT. eee eee eee ere ee eeeseesl see eee ee eOS OSS ESO ESOT OOS TE EEOEOESHE SHEET HSE eHOOOOEH vereneee seep eweeeees! Ceeeeeeel coeeeenenee® SOOPER EHH EEE E HEHE HEHEHE Here / - i, Fishin dlonsveniedaiieonessnitipins isin eevee coeceeeis abe ee aa a te A NAR aye an ee ae = = — o osm eiblind Sblchtvo hc saiaciallileiabiaiaiiiaanedpapetanniantcnitniriramemmeit es Sti nn Rg gh A T= TALE At - eee eee ae : . Saeeasneeennen nan oruunnnStanD ang Nn SONNEI SISSIES SuSIINSSINS On USNS SSO eae case eet eectneeeaanenaeeestain emetic idee ohamamina aiding — uneral 0 -. Mabel Gyspn 311 | oan ae 2M: M: Funeral of Date of Funeral_— on nn en = BL Removing Remains.....cc.ccccrcscccseen-socccerccencconcssoccescsvennscose | seessesceselsosecvees | Date of Death i , Fr epi PONMINIRciii choc ks5sakdedcoesesssnscoiniascsasanpcesnesesanons Se 1 i i cshcccs isu sdctusit die csteastiealiesnsiaiens tN ned ee | Wane 5 eds is sci sa sadue neve snkebcdsassiatasescacseuaeeanavesdanscae eee ree Shaving and Laying Out.......ssrversesesererreresresseseoresesr es: Sheil MNS TI CEs oceicntcsvnssnsseaessannnuavabssvsvensssase| occ saguhguslenoe? coh Casket No.........0000K- TPotnwevecerserensoes ze Coakiat NO. ccccss dh sataeacs tee ptne+os Ti oe es ae : i i| H ME cssccssscsssssessssseconssensensesnscnscnnennsansonsensooesonrasoeccenssscenseses ; [> | : i ee ee _— Metat Inner Casket.............+00++ COMER. <sccssnsess AMO... ..sersere | ceonsresens|occnaseas where aia Ser. Re _ Aer g Bie eS i dles Ne eccunenenes : 7 i Handles N0,....+......0svereseerenreseseesesreerescsooocsocscaooosenees rare ee ‘Sandia Oy icici acseins i gia a sue See aT UREEMER Ad Ghd ada seenbakinsduaaxee | <hereneeek> iccanasee | Grave ion 2 ot Ne. ccs ee renee Rete ce i Outside Case, Pine, Chestnut, Oak, Mahogany... Outside Case, Pine, Chestnut, Oak, Mahogany..........+.:-2:+ | sereereeees | Shewaexes SiidBi OF GHG ak hike if fog 3 oN, . } Lining and Pillow Set No....01.+.s00-serseerssrerseerensersnscooes Lining and Pillow Set No. ....0..sssecceoseessecceeconercersenescesenees | oe pais ee Ble E Sia cs Un assss'aveccioeses vias was Eeeace ee tat easaal ace ee oe) ae ae it Metal Lined Bow......sccscccccccccccscevcccsccccsscsscescsccccccccccsscess | Bh EN gio iin gp canassasrcacstrcarnaiin Se veer re ear caste cates | Peete Gui gals vk vcdadetiasetssnalonseseo gaat ees aman 18} : | | Mountings........ecc0ee «+ HANES, ...rcsceresereeee PRE i eecviiiss reticence [seresseee | Mountings.....0----00-- «-» HONEIES.......000000.0+- PUB i cc tee Beslecesnnens | eosessevensnanecensessecssessssessesssansesennenensessennees Tet Metal Vault, Style....-crnerncsversessees cae a Leola one Motel Vail SIG. oasis ccsccccseccs ses sencscscaccocnsusscas roncsomagenonne | sanenseses | seeceee | seesvece 7 Oc ssnaesdvabewessatunancheeiencauness feietas DAB sie 4 Mattress ....ccccccc.sscccccsccscoccsccccscsccsccccccsccncssccecescescceess | eseccnsccelscesevers | Missile WAIN a as sect dadsatnnbaeenieds ses sentonenicapesegea ech Encrannteese oe | Color...[ 8" A «39 2° 9° ocousatioa...” eee 4 Box Mattress....... eeeereceeeeece Caceres ccccocceese coeeeesscsesecracesssesrerss j Burial Robe BAA Slippers seer ce reeewesrsoreesseserseseeee Personal Attandance and Assistants ...........0..0fsccceeetleeecessee | teeeeewees Li ssceeses Last place of residence .... 7c sakseheierivaiee Ani eaeeee DPADCP Us 6sccecsc0:<0cC COMO sc n-ceaveresens Candles. .... GARG << <1 Gonechin cscs cakes scans eR te casaenssaecsoass so sseuccuxeatss Draped. cee Candelabra............... CORI a hss iscsi How long resident ea. de eens ec vane eee eee Pedegeaescscccccapancern sass sas a Wee ia esetreescatevanes ee | Pea Husband’s Name hdr Father’s Name.. : SIO DB ee as sas nsixctsin ice aaa es Country of Birth Country of Birt Mother’s Name Ea S. Fete stats ieee WRN 55) uta ea aap ie mepaceniceie anna Pouaeine lcosurecs Mother’s Name............... CEPA rente renee inna : : ’ epee rer enen vane ne nner EES ee ee pai ee eens Neree eet ree aay qe TD ee Bee Ska Ges ht ask Vaae see POUMA .......0cvesererccccccarscenssososcoseseeseses | cecccceses|ssesesses | COMMEPY OF Birth... Seterscs coQhentesteccesce Otten scnnesersse See eave tat es | PRR vices ckssusnceasesicieciorvsieeteoies eas Sar phe «3 , oo? pes A tevestert cecwwvetens BE ZL LOWER SB. ccccccceccerecscccccercesnesesseeenteseseeseressensensseesensensss See00® | oosesesens| seensenee PINS OE IE acs se ace hie spccon seu csechcvatapeveukescoess ceaeaal Sabue dees Sacsseubuusuad ssuinpnchegnsss Co4heGUbeneeeeuneaesaesrraceNGhesleeetn 1960s: | lesnieusais Ce renea CORRE RRR EH HERE H Ree HORE EOE O EEO EE ESS H SEE OSHESE EEE E TEES THEE EE OHSU EEO EEH OED ESEEES eneeatiiesssmie es POVEGES CHE sc ccackes cissconconsvenssuscs Or COUMrnthaeseses Ordered by . ssa cla Guess atl a SG ce siiascenae APIs sk eens) haku ccc n y ; Pr eeneea TR goo parca ces ges pic scdsaasieeesisvnseasnuxs capeusereebanone | | iGccsuyccl asaernee Charge t9/....... ees ' / | ; + | | Funeral Notices * : Leeisennnss | ee Charge to .<......\. 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LEE RA IR ELT ee i poder Erarveenvels | jones sionanian ghceeeesecerers | | - ——" 7 | | | 5 . ° | | ah eghccvoccccccessegoorss | a | pneusbexecdsceceu® 4 WUOPEREE, IOGIEIE. ois sn0ssesccsenccsoenssvens CHIE 5 cle ccteness ERIE, | OIDs vas sccsecavsncsotunsaesaters COINS viasiyennnctiees ely feelere Delivering Bow t0.......ccccsresceeses saouheneesdnasehevecqpeebersounenes seeds a Be een Deliwertns Bit Wis cinch acaccnnuus: Meret ae ete Pie eleiees aes Be Anetta ne Racusaess ee as Nfoceeserseopesessensensenesnenseses giveeesrs | | | Et ieee Opening Grave POOP R eee el eee eeee | teens eeeeee Heeeeeeerles SPOON CIPS o vvckseascacsscsceoxsccess shaken sR se cvvevsecceceseaee | sconsenstelivesouses | e0iees t00s peleulseuentias an Vault Cha yes..1); oon dete Nn cone ceuceieesaeete Ns ues | avons] soseessnsdhveresesescveninevesens sis Rea Hearse Tp L Sr siseecceeetybessecsos Nee yehpyeveniesvasiaxeoesi § cou L5|00 | ata oe i pansasesboceniensgaeuuesensteeee | Coaches.. Vr PERVERT CSS Veer eee eee Sere ve > 720 POPS eee Bij eo Ay om ey ge ka a2 Oe PPP Pe CoCCCTOCTOCCT Oe TT TTT Tree r ee ree rrr ii Tir rr ir eee ee errr rer ORO e OOOO ORE EERE EERE EHH OOS EEE EEE EEE DEER HES EE ESE EH OREO OEE ESE ORL DEED ROTC ise cicadas tecaticiessscanene NIE, cis cd siestisisnenees B aaicas Be i a pg ae (Agee ce ge se ee eae S VRIIUIITI TINIE... 0scsecsovansssesieasubenntinnessiateont eit oy, eh gh ee as canes in sae nN ANN iii alain ace aie a (GB oo is Ea ee Sy eee ay i ee RS dls Ee nee ea eee ee eee ten Re RENE een EOS | feet Me TTS T SSP eee ee eee eeeerersereeeee sense eee esses ee eeeeeessseeereeesSessOOOeOrsOOS | seerenesesiseveseees | sesescecrees| ievee CERO R Rela eee E ee | eee ee Hee ELT HEHE H Hoe eee EHOOO eee ee eee eee eee SHEE HEHREH EHH! HEHEHE HESS aragcteebelesvadesee Lesuvesvesses lsasvunnws|eneswsseGebesscssverbouaseduvevsausossniujvenesesswtes| | | OER R ee Oe eee OO OER EEE E EERE SESE EEE ESSE EEE EEEE EE ET HEHEHE EEE HEE EEE ERD le weeeeeer| eee ee eee seer eee e ees Hee eee EHH EHO HH EHEFEH Hee ee OOOOH vareeees eocecesse seesssecooeeerooooes a soeeeeeleneee dp ehiok bb GEANKCEOECESE 1 0 UNG LEEES SEK-06 00000195 S0SONSOENSERECENES CoH Hee REN TOEETERD ESS <FrSererrrn™™ | SPOOR NOOR E RO Es CRO ee Hee HEHEHE OEE EEE OEE ES OTHERS EES EEOEEEEEH ESS HEHE EES seccccesrccscscooresoeresee? Veet eee eeeleweeeenne TTI eeececccesecscesoressoeses® . , o are * eee . Oe 0 eee, oOo batten sobe Amount of Bill......000 seeooneounee 20022 ia Funeral of ee aq ee ts Pree F a a a te L if te ~ hf te of Funeral — PIG vic ccnadcsecdss0ss00nvcursapenscanebcuoooneedeaesonbeenenansbesens Place of Death... AcOr , : | Place of Death bet acgpyclke ZC Chic ~ Shaving and Laying Out ieee | vee peda sessencsess|-ceee-oeo | F4Q08 OF JuNOraL = + oath ype ane Seen cht an ares Casket No..N....... cp eakukgedacenceabanssae Pe Niiakcnsecases ceases ae8 fosth Seb ade : ; Cle ‘ césabgdpcas|paseaseae | CAMO | Date of Burial. «. Metal Inner Casket 1 ‘i Where Interred. S226 EAI neocons. a i | | Where Interred....C¥- PRA GERM oo cciscsisirisrcsvenve Handles No Jecti Grave or Lot No 5 | Certain OF Tat NO. cca ccccccsscvecesscsstarseeest Section | mee Outside Case, Pine, Chestnut, Oak, Mahogany. ...ccccccccceeces | sercescssceleccscoeee | ; ‘ , Y |-s+s+e+ | Location py Grave ......+.+. Location of Grave Tenn Gti PUG BAe IOs: icscccccacessnsatascaxcassocsnbuaeannavencssads | ssareessuesicccs acne | iiaeesess eee Metal Lined Bott......s.ssscscccseccscscosccvccenvssocencesconesescceses Di uDIN BS oo is sci sas ane TANd166, sccrcoceses eae Metal Vault; SUNG .c.cecssncevetecsssaan eenecnnsen etal Lined Box lountings.............. «.. Handles etal Vault, Style vencccccvee AONARB ss ccccc0e SS AIR cssasdase Boat Mater C0 iccsccctserovevessece sprtenecennnecpasanecensseecossces "Boe Matt ress....cccsccoecccsscesseseconsccesenesenecsonsssscsees pe Sin crea Burial Robe Makes sagfoonsnsnantreannnse be Occupation. . / YBMettad,, : ae Color BPE: inci iveskacvsveaissenans r | | Single, Married, Widow, Wa ; | Single, Married, Widou Widower | Birthplace ge : | Birthplace ' eetapseensraar temeeirabnciarnrt snore opeaeienpenenne ~enianiagnteienenee-onerseeeresisipngmnnn-aiatiaga anes taiaiatier air reit Personal Attandance and Assistants sescesesecleseeeee.. | Last place of residence Eee | Last place of residence Drapery Sasracsoasecsenk OMeE Ale ; ong rest j ..| oe e. OER sree Draneny Poigiers testes | How long resident 9 Pehl ood ci skcdon socacacss vinsatsacIU lta cuatabveeseseda secsancestsinss 7 i | Husband’s Name// cesisi i prreerevneees Dedostalg | Husband s Names | Father’s Namé CasH EXPENDITURES. Country of Birth . 1 Door Dressing. ...cc.cce | | WAS. <5 cugeuunonceureungencusenduseiiecicriiriatcacacubeioneeasecces ; | Mother’s Name.............+++ | | can seein ; | | Country Of Birds. ccccccroseccenvsecsavecsscanccssessseonesseecsases woasouaes Pissairercerentsee | snenseeig EOWONE, oc scsssrscesncnseccccnabbsonveseahsenssboenscbeqneseccooeenaeressnges Se J | | | ; : | Cause of Death | i Physician woe ae eer were We hey 'Clergyman | j | j | i eee eden eas coon ‘ V7 JE? P?....| papunesnenassisuuabennaauaelieri kann abacesss a . Sexton Quartette, Soloist OU OU ONE TEE BOs sccchsapcscecccecs sucecevsecesosiahes ‘ — Delivering Box to Opening Grave ......0 500 peeebabisasbues Lining ¥@ Shh | « POpening Grave oS. ant : ett teint vovuseusbencioninees scoosce|eeses , ITAVE ..cvvee plenctndeasanessserenveeuns Ec ccaneeets os cesel | Vault Charrgesys..).....se0ee0es aaa | Coaches... ; Hee eee eeeeeseeonasoees SPOOR SOMOS Here nese eeeEeEeeeeseseoeeere ecceccccece TAPP OCOCOOR OOO S Sees seeeseseesosseeoe eeccee eeeececeeeeoeeereoee® eee ee ete ce nana Se CRORE E ef ES = Ae AES Sree ee-araen—rereese=oeeewnenpensrers arent. mn Se a a i hit teases ed 314 Funeral of. Date of Funeral / Outside Case, Pine, Chestnut, Oak, Mahogany Iining and Pillow Set No Metal Lined Box Mountings............ Metal Vault, Style. Box Mattress Burial ce Uh Th buries CHIE 6 555s ans io seni PVR ks SION 5h er Tee weeeeeeeD02. Chairs Personal Attandance and Assistants Drapery... Candelabra ... Candles. ...... Pedestals. 1a dD. . RSSENEE LSM ERE SRATASAENEESREOCRECEROSNS 5 606u G0 S8 SUR OUEES S060 UA 6 $0 4400554006000. 160 60 COCO OE SECO EOE SOO OE EOEREEEE TOOe DL ee eseeeeseseeeeeeeeeeeeeee COOOCe Fee ceeeeseeeoeseesoceceoce SUTEEVINS VECHAHET SSS COUETTOCECI ESC FehStEtT eHeaseinceeeNecesen se SOOO teem eee eeees see ee eeeees HOLOT ERY SHHESEH ODO ROCESS DER TES SSEETTND SeCNSSOLOC RL TSESLERceecs SOOO Cee eeeeeesescees Pewee eeee Peewee wrens. ebb be eae Lit ti ttt tT a Tt ‘Obbdbbdbbdhddddde Didi TT TTT Tere OO ROO ree een eer eemsacereee eres seeeeeeneessseese Date of Burial.......Z..... -| Where Interred... Grave or Lot No Seer eeresesseveseeeeSecesenses ———en Pane of LE_Ml Date of Funeral_Z, Locgtion of Grave Bei 4 | enceeesean[tseeteese | 609088959 086s ebb RE nent eese es 006 Ele sesepen¢ Peak sins scksae Occu |. .912.2., | color AK, K tion, ALK | | Deca a See | Single, wea Widower... wy ¢ " a st | Birthplace CLE Co. | | | ie Pies els ee ee | Last place of residence Ma i : 7, 7! ARLE 7 t RECEIVED ON ACCOUNT. CO OOO HOC C OOOOH eer eeHeeee seeeee TO | cover eeeeeral se eeeeees| see eee OOOCOeeereseeesecccceeceeceeeses SHPO Pee Serle eeeeeess | seeeeeeseees|seseesess Fe] Hee Pe eee eeeeeOtororereneeereeeeseeEeeere® SFOS OOOO RETR OREO ele eee eee eee eee eeeEeeeeeeereseoeseeeseeeeele Pah Fife — - fo . Sama eS a cue Date of Death had. . tbc ee if. LE PRR oo oie ay Sk Fos cat ceed dean oe Sila re of Death... eg Aa an. LEE A Asse s nia a Ten Mii sarees aces io | Place of Funeral.,.£< fC LE tes He RE Po pec ccvea se csdecasns taccus ei cateots si BR oo seescshscscssiass cua | ieccisss Clergyman. lech... —tesren Sey beans PPro, Sse oe ek a a eet ys 7 | od segs | Date of Burial....&..' Metal Inner Casket.................. CORNER: <<.6scc.s ek L cenbereet | aos | Where Interred. &5Z*—<“~t-? WY Ce the AAS FROME IO. cress senscncvncatcsnrssnnssaavnnseosonsisossssscncncvensteveqesses | sasasneesss | vhnneaes | Grave OO a Se A veins cei : Outside Case, Pine, Chestnut, Oak, Mahogany.....-....csccccee | seeseeeees | arenes. _—- I ois 55 vss dbavess co ecnkssssevisinsearcene vores iad ' | Lining and Pillow Set No..........++. Cease iecas sted eet cess onk Ftc ee ee me ie ES ES EATER OPEL IES OEE aE TS POPE ERR mae Re ye eee | Sesnoevacd sad dane ceesseicsGie ere tee ee i} | RE OUMTURTIR visescdcsctas sss DUCDMLIOR: cvcicecacscoctans PRIS cas cits rss aid senses | unvecuss | ss "aves ébbannen aesdncenbanye see sscgessesisbesseieecoasiiad } | FE Ty I hiansesisectiasacicibtieinlaveetionianeaiemacs | euissises Fase: eoantee oes ieA tet Ao tee reeer sAwtapaeeseeer es eseees : . : Te iit was scsinsantciean ss ethaninwcated asta eae pisivenvgAnianniee A ge of . Years | Te seis ssa dren esa itissicss a kees danas sdan sede iesncsaknedoenasiccsee(pcieveee: | ae Color iat NIB eso siencccsucsactssiecess re at ee as Fae oer ' Single, Married, Widew, Widower te Bei ce Secs sea i hissisatiinncieea’ ro ieee t acco | cians | Birthplace ..... Aik. GB Md... evtinsnsasesans | Personal Attandance and Assistants ..........0....ccsssesscscsssecees | sesseceees bce | Last place of residence ..... nee be. Serer Ag sovedeers Dra pery..ccccscecsoeeee Candelabra............... CH i Re | Bsa | How long resident of this State.......~ lee Keo aaa = it POGGMLE ck ee Rig. fours to ere eae pe | Husband’s Name bt : 3 ae arn |Father’s Name... 4& Hh oii scienipni nan ee Country of Birth ; peshsesenssvex cexcu:sstshyev4s sneveasoiaveie; Useess caeeseeesedees ..... | Mother’s Name. << seeteesyheversaseeeegs weceusnaseseeenaeeeceaaeases 48 PEN aos ocd even veins sie ecee ee Pe ee | Country of Birth,,..,..,,... fs ae e ee es i ' Wierthcnieecineevontaaeucheravaer cheeisieuneunyiar:swrenyesiauriabenconder Paco. 2 ee | Physician sean ae. Sher fete, i : | | g | Reeabetatsnncunebesdsavecesebucceces lavervel chs Sclasive eee aru et Lh os ee + CRPELEOOETESESES ORGS SPR SOSOASENGRRORESESUODESs CONN OSE SEREEH ONS TS oc ik cs li seasseus SSSSS OLSON ARORORESESEDS SCOOT SSS OC EOED ODEN STEED CONDE ae 9S 0ss0enes OND ECSNERRESeSSCRSHSO | ciéccuc. cal cidececes RPTONES ATES S CASEDESSD SHOROLOGH DENG DEN SERNSHLO” F08890809S 44088 | Uceseeneeslecnenues Hearse. of “ Mase. ° ; Jo Coach ee Fe AD ee ee ds De phe eet tees eee eee eeseeeeeeeee =< POSSESS ESS SSE Le LeECERETeSESECOSSS EL DUR TOO IN 4 + 00s 0eeenscecees cess OOOO rere esececces wT Te Oe Uta OOSUSCN SSH SUE NHS 60 ws 588 t50806004-60000008 55d b6: 66650 Seeeees sees Ht ee NO SOSSSSGRSOSOSESSO VERS sERESeNSS+UEEE CESSES eESSEEeENeseseseseetsices er er errr COOP eC ooe Creer ceceneens cosecece POR eeeeees neneceseeeesesevevererovoseencnsesoeeeesscoeteseesese cocesees cece POP occereccessecoreveeeeseeesoecs: 316 Funeral of . eel eus Vueger QGobewele Metal Inner Casket 1 I Handles No | Outside Case, Pine, Chestnut, Oak, Mahogany...........c0...02 | ceccssseeeslecesceees OANA FROM) OE IND 662s corsa oie vancen ibe voadoccechinscio We Scssaies RE AINO I 6555) fo0s das es be sesi cass aint es | sseasenees | iapiatte Hil Mountings.........0.0.. «5. HONMES.....0.seccceceees PN) cece ts | Sie | Sokenkees bid Metal Vault, Style............ Mh.agion Ei See lees ee cea | 210.2 RRO NIE oes 555s eo etek eke ruses ea | | Personal Attandance and Assistants .... Date of Funeral 4 ay, - | Date of Death Place of Deut. secheetee Quartette, Soloist they ie osuvehiuneeecenabiee sss OPGQMHIAE. ..6..0.cc0sseeccss | Delivering Box to Opening Grave Vault Charges. eT even Te | SOMME EVRUSTOORE LS £69 OS SEONEOHRSEES DEOREN UES SCUREN ED weelenssaene OEE re et eet ne erent Rene TO COINS CIOS NEL CONE NAN ene Ut TbLeE WES beNseenesecies SPCC COO Cs De rece reese ceeece OS SBOC CORE SOSCCCCDESOMT Lc occecee ee ene wena ESL OD BANNERS ORNS bk bE Eber ;iebcs HATOPEES SOFESAMATEDHSHON CODES STONSCTS CONST SOHO OLED SeECiEdeaseeeeses OOOO eee eeeseseens Sere eee eeeleseweeree | og * Ott eeeeee rs Physician Tt eee eleeosevers | seseeeceessslseeseeees cancpravecsssinleneventstcsseel seks ¥cceseentsereeeeull ns acc artes | Mother’s Name............. Bessie aan : lc vountry of Bir. etssnevanasecesensacnnetscenssstnessesensesassonesaseuseseseesessrsssseoesses <eores | ..00...... | .seeveee. | Cause of Death Str at COOSA SAAN SDSS URERSERE ESSERE TERMS RANG Meer Vee bSoheayestues CUkiereeapie-t 1 6604¢ acti ied ao. a <== pesaseaverdec eae PAWTOTE OR oe OO. isis A Ae ea: Ordered » We ra FM INNING ci vcsnnnsyeitrsivaisvinteonrsskssbeitegeareaisacblacdaicat Le: ot Charge to When rendered me i “Pn 20- 72 nai : rae - oe sreeenavue iveneceteees cHct7 Jebvsnacugubes revibecssaasseactessasceser: OOOO Oe Te Hee OC HOO Oe | seems eresesiH sees ees! s Hee e OOOO OOOO COE O OE OOOOOEOO SE OES Oe eEeErsiseseeeeeesesie® | THEO P Pewee rl sees wees nee rene s MOO OOOOOer ee eeeseess essere eeess+iseesetesses eee eeerelereewaees eee eeeeeeleseeeneee Grave or Lot No sVANohodMARGRSGADREAAE SEED MANES¥eneies cos DI OUPDINM, oasis snsiacs: xe Slippers ; | ae , Drapery 5 Swen any UPMCORION ieee. ss: Candles...... fingers wales eee | How long resident of this State. ace 7 a Draper y....sseveeee POMBE: 605 iidiniicng Na te or Freee Ere [ieee ere suaane Name arene EE ey ere scone see Pedestals......... COLPETSV CCRT AACEVSCCCESEER GC EheCe SUC RCR Ses 068% Sexton Vault Charges. TOPCO Oe eee oeeoeeeOreerEeeere eeevee Fee OOEHOOCe re reereroeseeeeeeeee POPC Cee ee eeseeeees eeeeeee SOCORRO OTOS HOSE O SE Tee OSE K OEE Ee sES SOPOT SMOSH R EOE OE EE SES SES Eee eEseeeseeeele Funeral of... Date of F uneral Metal Inner Casket.................. Copper..........+. 4 Where Interred. QaK. -sanattell- baxéiabsasansieessnieidasn, Section... ..cssssue | Handles No...... Location of Grave .... CROP O CERES HOHE eee eee eee eee se eees eee Hee HEE Eee eee Eeeee sie OY Gre ge Bice sissssssececesene, | Outside Case, Pine, Chestnut, Oak, Mahogany.....-.........++ bheshebesbiaetavartielsaccchsss Da CE FON LE Foi ici cet as tasks Deslvanetyens Mebiseinscsascateeee MI GTAL LAMM TRE Soccer tr ee hea /} Sbiaes Doz. Ns vescneceayeads ete dean cases casi CONIC ANAIER, 5c sass eens ., ieieeeaenana aie Sbebsb cseceusssssne sesso WOW ee varesenccsnc ta sctiesregseess ee Na gubianauhevsouscasssetels ssusicunecccvaveseresnestsisenieaeys Recerca | Contr of Bath... Fs, Mh 8 Go. Ba. i i : (TO? | Physician......... nek mee iaeavas 1 ne ae | Peisiee lc vause of Death ................. 1 annie ee | “Gee 2; | S suvedvactap ceresers | Ordered by .¥iwz...8...%4.. ea tw ae EOE See pa ceduaheavcepesesiseatsscserseauisncessveseasusbeusveecnsvess |. lc. 5 | Bens | When rendered Clergyman......... Delivering Box to Opening Grave .. TORCH O OOO RC OOO OR EC OOOH O OED OS RSE EOO SOO C ORO OT EOE CODEEES SES EC CCECeCOCeeCS MUS PSRCETSSES CER ERE ESSERE SESS ESEES8 650000600005 60 005005400 be lt 65bbe 6 ebenterceeveacee POR e enn eeeneeeeeeeene POC eee eee seeceses NUUSESORSASESE SH 9OS90E SHES COS8NES O60 cecnTeeseseHseH teres cusET: v000% Place of Death..4 “Z&-A-ECKACL OO AY A 7 Ae - | Place of Fu Clergyman. 4Q FAL Date of Burial......&2 a (Leap sussiiees cnet iccicees seproregd SR RR ETE ee ERE aeRO ea tind CSS0SD6esbs5ESehs SEN sOES> seseenHeEneroetonseusenNencebacee \ HOC een eresseesecesceeseeteuene eee eee eee tere eeeee seeeeeereeeeronnee i ata be Se aes a Se Eee vaya ere ere eee eee ee = 318 Funeral of. Date of Funeral 9a Personal Attandance and Assistants.../......... Drapery se: Candelabra.. Pedestals Clergyman Sexton Gwartetin, Bolotel............ecccececserccessess: Organist er Cee RGAVOAI ENP NNCUN ULE Seendeievads + Spe gh Dee inet |b wacwane bi sliaptas es: | Opening Grave ....80.7.......ccssecsesseceess.. coud mee fa..909 oO OT Coaches... yl Coan PESSHEAEDO NSD SRC ESSUESSSSSASEHESS UES NEDS Posy siatUebuEnsyencekeese< POPC COCO Coe CC OO DCEO ees Cceee SVCRRART SMES T NEA TEP ES IRE SED IENTISHON + > 1860 EC tN SeirernNaeceedenpenens OO Pen eer eeeeeseees eeenee POOR M ORO E RE HEHE EHEEY COHOOEEET OOORR OEE OEE eee Cee ee eeeeenneeenes SOROS OD ODODE FEO ODO ODODS OO SS COC CDCCEC CeCe ees Peeeeseeee see eerar ys o | Mother’s Name! Where Interred. QL Grave or Lot No .. | Husband’s Name ....,.., | .. | Father’s sisastil | Country of Birth Country of Birth. </ Cause of Death Lf Hee 2 Physician.......é\- ly dt Have Rs execs aes hae Pray . | Charge to .| When rendered eee ee eee melee ewenens Fee ee eeeeeel seeeeeeeliene RECEIVED ON ACCOUNT. se eeeeeesees COCO R OTOH eee eH E OH eee a CTP O COOH es wR OS ee eles eee OOOO OOO EOE OOO OS OOOO OOOO EOE E SEE Es Et lsessseeseses{e® weeeeee SSP PPOPOOPOR ee eeeeeeerceeeeeeeeeeesereeeesiseneeseeesrrl® o .000ee COP O ree ee eeeleereeeeee Hour_./4°.° A— M. Removing Remains PM ona ooo cs iv csganivnc dae bseicsselacascikssdbicek : It 2.2 2 Shaving and Layi Boa cc occdcncadepaceeie cescseebinswae ek sseeesegees|-coneceee | Place of Funeral... A073... GAA, re eee Sree | Caaket NO... .ssccBo de kit iieoRdenvecissnenss Mecca Ona. | CUP. dis idicdncbonctecoc cokes: j sic eee i cehdead ObdREASAESEAESARREOEMNEDE SE RATS OA40 <uhewad d00eix6s 504s 6000445660400 5004000Rk Tc sesnsens | DES Ji SS Ores i PO ee alae D. Metal Inner Casket.................. CONGO oo crscccess PMc sick eee | hades | Where Interred...... ZL 2 fox. - ef a SJ. fhe. gol” : Be asa p05 ki bs sak ood bakescs 150 ok ka daa pha Fs [a | peseneane | Covad or Lal No. en. ONO iiss scones ' : Outside Case, Pine, Chestnut, Oak, Mahogany..... Salgsebeies | seseesees okie | Location OF MOG oo odasckdiditniniec el ee ' GEM Ne NE nonin boats anc s nc cons cuaaeeaeer dense | sons iexescit: seeshuce [ea bkuesecssiaaseoebicseue ee ; ; ‘ it iar ER Egos azn ens sac taten ns nnvessucstensavsendecion | useaeeceses|: +asexens| \assean osesccsashecs te sagnces onan eetesanes de Geaeeeiad ae ah PIMA ss ccessieense: ssc REMUS coctsesinsaseesss OR reece essen aeacors [rsenenses | s1¢rsneeresrenaracansssesennacnenensenensnsenonnosasagsenss iy | te APIA VME ROM 5 Foon cs oss co «ce iae cease isch eiecasviveatecenagiesea loaner ise [reeeeeses | **aaesnesnnenncanevenaesesonsonssesenreasessneasennssusnese ik Bhat BENG ine von bsevincedcansaconcnetuesess 00201 osu es , | Age.......&... Years, bpeesantses DIME soca: DOE. es 7 , . sah AIL | eo ie Burial robe (78! a ae ores Cal aes ses Color CAZRAAN LE. -s QORMIOTIOM e580 eee IID ooon cs saccnecneescise ans Mad 4) acetes OER cea as acct I | wiatetens | Single, Marriec , Widow, — piece ~~ iekeleeethtl ae ) i PN Co sicicccsa sents ecteriemsedenctes I nica Eicsnisns | Birthplace ...4<! Kee Perera aeic eos Pic oss uscvcuicconaies || ae ited eesitstese aesecesaees it ! | * } pel i Personal Attandance and Assistants .................s0ccccossseseeees | ceeceeeees |stseeeees |Last place of residence .......5 Sc... sc raiican SaReeeae Drapery......sseseevses Candelabra............4.. CE 6s At Bee Pe | How long resident of this State... abet tne i | : FOUND cco ccs ih busiis $4100 cb¥eseessesi8 DR oops oockri esis ees say Le be ace Husband’s Name ..... © prssia eek ses eeeusteeeoes ee veseseeeenaceneenans ; ap Pe ee | Father’s Nan 28 POEL oe s >, NDITURES. | . | ay ee | Country of Birth . . { NMR EN ass coe crc ses as sited as lesine eee ee ee ee | Mother’s Name. | : r i ' POPP Pree eee errr rrr errr re reererreer errr reer eeeeer ere SHERROD ewe eee OOH Oe HEOEO OEE EE EEESEOESHEOEEOEEEO OE PEOEEE ESSE SEE EOES SHEE EOE OHEEteses POPC Pee eee eee ese rer eres ree EEe SO EOes SOROS OOROOES OEE OLE ESE CODES E Ese Eeeereeeerecoeccocece | POCO O SHEE HEHE EOE SHOES TESS OOS E Hee eee EE eee EEE Eeeeeeeseeseserenecee | Quartette, Soloist... .....cccccccecceseceeceeee Organist Delivering Box to Opening Grave ..rccccrccccccccccssccsssccecesooes ROD io ciniiivisersccies Fe RR iii dicosiccntaniodysscxccce oe fe ‘ Hearse..{/.*. vieees I Ke Cher ats oe ane Coaches TOOT e OO eee eee eee eee OOO OEE OO OOOO OSE OOOEOEOEO TEESE eee eereeeeseeeeereereeeecocece COCCP SOLS SHS SOF ESOS 550009000 06000050550S68500 00000500850 Ces ecereerooeeeeeesco.cctes SOP oCevoereceesoccooosececceeosls Mh CUO IIMUIIUS. ccc ssecccccesecvecececs sen tee eee PRINS SPROUL GRU RESUNS SENET EE SUNEENLEb Ne9bG5N: Hin kbcbbbekeERse<ichcee Ter) NRL NOetS OSES DNSGRSTEARDRL NOOR openeheoUNbsEse;EEESEbNseseNs barns edebeeseics eeeeerree eeeeeee SOOCC CCS eee eeeeeeeee POCO OOO OTOH OEE eee ee eeeeeens COSCO SOC CO LEED OEE ES Leeseres eeeeeesee Hisense eee | Ordered by ...... } | | Charge to CVT cree ee Mor wereervcccsssssecesccevenesgheccccccsececesesevece 320 Funeral of .. W4 . : Se Funeral of Date of Funeral if tii te es Date of Funeral Removing Remains | Date of Death ......ipeomene A SOL FE ving Rema 84 -RAN Date of o oath Sli Embalming Sr a nie ead 2Sfeal Place of Death... | pes | Shaving and Laying Out. ........00..cccsescscoseseess Place of Funeral Casket No in | n| Date of Burial...“ Faee...t To ag, Metal Inner Casket sls 13s RA cs Sea nnam Paashunacsacctegened a . . i ) 1 Atha Handles No Handles No Outside Case, Pine, Chestnut, Oak, Mahogany cay Outside Case, Pine, Chestnut, Oak, 1 Lining and Pillow Set No | : Lining and Pillow Set No Metal Lined Boz..... Sevier erik Metal Lined Box Mountings...... oe Ree brs ha eae Ue ees Mountings....c0cceccee. o++ Metal Vault, Style.. ; aa PCa nl eal) An. | OD. : a Metal Vault, Style Box Mattress Calor. Ar. Es eae iaeaansnnsess Occupation 6 Burial Robe lwaatantt = Widowe: | Birthplace (‘a Afaetea C Slippers Doz. Chairs CRONE ais hai wes eeeeerveeeserereesresereseses Personal Attandance and Assistants .......0...0....00-ccceeeeseeeneees | iden Personal Attandance and Assistants ...........0.:.sscccsecssssesneess | Last place of residence Drapery .... Candelabra ..... Candles. ..... eae Drapery Candelabra..............- Candles, .........0.+00¢ | How long resident of this State SRR ER EEE ae ener rn re rene Pedestals PR a ta eo ne Pedestals vesesesses|sseeseess | Husband’s Name; | oss y a | Father's Name... 4 Sans = Le Fieve rhea C CASH EXPENDITURES. Ke ‘ountry of Birth .. | | Mother’ s Name | Country of Birth Phusician Stace inane tes Gs eat =-eeeteren on ers all on ss Re a tc a a Ca edt Sie ae Cause of Death . Phen. Hawt | Onrderedd 09 Lf. ccoveccccnsssccsndenncccsncnctsssusseentsssaeeesvesens R Charge to .. i‘ WhOW TORMETOM. ......65.0cccc0csnere00s : RECEIVED ON 1 ACCOUNT. ClEr TY MAN. .0.00.ssersrscccsccncersccteceserccseesseecssceseussovevasesessensees Sexton Quartette, Soloist dani. Vag Cisrtetis, SOUse. 5. «. ccccocesecvensecccvessss Organist 4 ilps | Delivering Box to | “3 fy : P ty Delivering Box to Opening Grave ......6 zs ee Lining Lf eC cue : i~@u } GONG GHBUG vcisiscserssccissecentecorsssesees Lining ge NN nase s sk spe a ddd ssinscga snd choadoumn Xe hw os | 6 00. | \ x ; Aer e meee Pete eee eee Oe em ee hee ree eemes ee eeeee seegherererrercsrs | Pecereceresisccegecers . oerlewweeeee Peet eeesessseceteceeeereeeee Soe eee eee COP OOOMS OER EeED ED eee OEE SETEEEEe seeteeeeelseeeeweeensecenaneeaeeonse lic eeeeeeere 322 aes Funeral of JpauFt | tall 5] Date of Funeral_/— Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.............0.+++ | pious taming and Pillow Set NO. ...06010s002 00000 pieehapaednevinieee et Metal Lined Box Mountings............ Metal Vault, Style................ a PN 1 5s, « anabkede cs onccdesssnae oy oueko as ene as eee aceusdaess NTE FOR cess sci sav acdsscous cxidsadasscccscedsceadscsses lakes iabcccesiesss Pe Sis occ cctv seca cs ee Doz. Chairs... Persona! Attandance and Assistants Candelabra Drapery Pedestals Clergyman Sexton Delivering Box to 4 a TOV Anes Country of Birth/. a | Mother’ s Name....... | Country of Birth Physician Cause of Death Ne ois Fen asia o is sha ots racevies sss Charge to | WHOM VORDOTO. ......05.ceccecssscessss RECEIVED ON ACCOUNT weeee] eeeeeeeel eeeee SOOO OOOO Cer eeneeeeeeeeseereeeene® Funeral of. Date of F uneral Removing Remains Embalaming ....ccrcccsccsccssscesecescecscscecvceees signe cas ; Shaving and Laying Out Casket No. Were 2 Keen E bbrgiee Beene c coups eaaas Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings. .cocececsoees s+ Metal Vault, Style Box Mattress Burial Rode ...cccsccccccccessoccssccrccceseccesscccsnscrenesssses Feces as Slippers Diez, CHOI B <n siessecsssinreses as snaweusceses mee eeeoerreeeeeseseseoersrereeee Personal Attandance and Assistants ...........1.00-csseceeceereneees 53 Drapery Candelabra.. Candles....... Pedestals Cler Gyn. .eccscsccccscercccecenececesencecscccescececeseecsceeecenecssa cannes | OGIO: sicciscacovnsaveussencevecuscsocanevasenscesecs cosssrevesneseasogeesnss Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse Coaches Telegrams Telephone.. Transportation TAOpenaed::.....0.:ssecvsesseveccsessavsssvsessencevevssees « Date of Death | Place of Death oo | RAPE OF TIDE ING cccc cs scscccsnvsccccsansernved a Beogeenres Location of Grave esis. 28, EMS css eean ( — 1 A Occupation... ‘ . Marr. Birthplace | Last place of residence . | Hose long resident of this State | Husband's Name _| Father’s Name Aenea hp 6G, He eer ees (Os tor Bh ha Ic fountry of Birth tid | Mother’s Name... ALY \c Jountry of AL. | Physician | Cause of Death | | : aa. Ordered by Mex 44, | | Chiderge | eee | When render, d. hf fo RECEIVED ON ACCOUNT, serene eneee Aiea oniiemasalasraietatnsliindons woxahicbeaaa cosealeaanenanpnenndalamtapie ea dregiiny aie tide aaah odpaea edie renee or phere fete ponimcticecn tli 7ore OORT ATE D AE | : HH | ee et oe ne iS nlite See ea tea Pe Mees abet te raven MER re ee a DOA | SD sana Funeral of — JA I Date of Funeral_— tiv a ae Removing Remains Embaiming en NR On sks ccscncscnsdapondosannbooscnst nccaesene CN FO. Biv ccisinace eke bee tes as ieiasasd Size Metal Inner Casket...... Handles No Outside Case, Lining and Pillow Set No Metal Lined Box. Mountings..... Metal Vault, Style.. i REO oooh occia so nssinsbnrsshsesdscansanabae beisescsasassscpepnenesse+>* Burial Robe .. Slippers ...10z. Chairs... ttandance and Assistants ..... Candelabra PEIN, cisiceh kee vecasase ie. ; hotexige ; */ CCT OREED, THOIIME oe) kek cccccnencescvevessvess ain es ag 7 Delivering Box to Opening Grave .... Lining RD ives cieccsss erste risers ee seo Hearee....%......K%.°“.44 eo ie he a ay, ) Coaches A1& ke Ba = | Husband’ s Name ee | “| sean shee ae a | ke “ah, Aé Fa [Gree OF LOE INO. .ccscsvarsssccesese Z. Siseess Section......... | Location of Grave “oy 4 c ed hey [ont te) G | Single, Married, es Widower. oa | Bi rthplace | | Last place of residence BS | How long resident of this State yy > Beare te os | Country of Birth ...... _.| Father's Name..... or Ce yur elie: | Mothe r’s Name.. | Country of Birth | Ph ysician | Cause of Death 4 afer eeseeeeesveveeeeeesers Funeral of Date of Funeral = rs ae a— } Eombalming ...ccccoeccccesnnescesesensacsnccecneneseecesenasesnaanonsssenensees Shaving and Laying Out...... aaa nes Casket She A itcseciesensscianconid Metal Inner Casket Handles No....ccescccoserssssorecsssssssvccnserasessnsncsesnasnoonsonssannaeon® Outside Case, Pine, Chestnut, Oak, Mahogany.....---. siaapies Lining and Pillow Set No Metal Lined Box Mountings....ce-sceeess <0 Metal Vault, Style Box Mattress Burial Robe SUippers...cccccoseserserseeeseees ig 2 ne Doo. CROATS.......ccesesecerssccocerserseoeees Personal Attandance and Assistants Drapery Candelahra..... Pedestals CASH EXPENDITURES. D007 Dressing..ccccescsccorseserersrecessserscncasenssssnsavensearacaseassans | seseeeees Clerqgyman SextOn...ccccccscccccocescccsseveccvescsccscoscesccscscccocscsooeseseesseoees : Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse Coaches Transportation Expenses..........csccessecseeensessessersenneensneeesees . POPP OOH OOOO EOD e re reeeneee COOH ee Ree weet renee Size. tla ess eeauees a. Months.. Occupation _| Single, Married, Widow, Widower..... ; _| Birthplace .... | Last place of residence ....... _| How long resident of this State Husband’s Name _|Father’s Na no 4 Feds tA | ¢ c ..|Country of Birth .....£ 1 | Mother’s Name.‘ AYE a ee Country of Birth Ey LS TABME Ss cssthees print ert eres eevnnnm earnest se ieee : See : ne ne 32 Funeral of Mees A Cee, f Mar ae e+ Dole Gee Funeral of Date of Funeral__— {tr __ aa Date of Funeral__— | Date of Death .. Sebel ane a PS i“ | Date of Burial Metal Inner Casket..................€ PINE sence _— Interred dles N Handles No Sete FEB 5 isnnsirnicinnsnsinnserssssinnanensvnansesrsnnpsassctenceoconnameets Outside Case, Pine, Chestnut, Outside Case, Pine, Chestnut, Oak, Mahogany rae ee A OE: IY TE BID. masons snnesnensasenssnnsonnninonnennscncens Lining and Pillow Set No......0.++sesereensecssesneserneneneereenseeees Metal Lined Box Metal Lined Box Mountings......... : Mountings........0s2005 «++ Metal Vault, Style Metal Vault, Style Box Mattress......,: sjosevenesseesesnsesscmperessceeces i Burial Robe ka. a ere A MY Cbd Box Mattress Occupation | Burial Robe Slappers...........-0000 Y8...... ..Gloves..... m4 Married, Widow, Widower. = ; -sSescscnntees Slippers _.....Glove | Single, Married, Widow, be oe ceceee eel MEAN... , ; »/ a CO, Doz. Chairs... | Birthplace .! i - Oy ee eee ..-cucsesssdOR. Chat ; | Birthplace ss ee er eee On ee ee Personal Attandance and Assistants ............0.0..0-cc0000 ES | Last place of residence .. a C “4 eee Personal Attandance and Assistants ............ e ; | | Last place of residence . terre Drapery Candelabra .Candles. ies .| How long resident of this State ALL tn is a Drapery...............Candelabra..... ..Can os | How long resident of this State Pedestals PU nen ..... | Husband’s Name .,«.. Paces onsen PRIS oi. sicstecnnte. eis 6. +> Ruy | Husband’s Name, .|Father’s Name TF - ‘ Le 7) —7 | | Father’s Name\}* | .. | Country of Birth Door Dressing : Bs | te Nic ‘ : ' Fe a ess es Pen cA gh whaigenes cosJivtens | | Mother's Name. | Country of Birth.... - - peg of Death ....... ieaaiats | | Cause of Death | Cause of Death, ...........ceccccccereeessmeees ) ; 3 i = Pe nn } ens | Ordered by .,X....: Z ¢ | Ordered by ‘ Charge to .| Charge to ... When rendered............... “ek ens | When rendered RECEIVED ON ACCOUNT RECEIVED ON ACCOUNT. werent meat CLO GYINAN «0200050008. if | } Clergyman ee ee a a EE ee Cee Sextonm®.. a! ‘ fem ) he . ee Sexton Quartette, Soloist Delivering Box to.....\..... Opening Grave .....79,- ; | | ‘ Ovening Grave Vault Charges....... | ; } ‘ ’ Vault Charges Hearse... 4. OWS | Hearse Coaches Ly ; eeu ee ee } ) > \ : Coaches.. DOE sc ccasvassrnessesexesexs Transportation Expenses Amount of Bill......... sebeeneeseees vocevereseveresessesseonesonessesieenetnn oF wee ree tee eeeeeeeen, vee Senne ee ene eee eeenee 9 hd ree : 3 | - - —— | Funeral of ate of Funeral— sia | — Date of Funeral__— Remaving Remains........cbescsccspseertescee== 2 . a Removing Remains Embalming Rm # aa | 4 he : : Eommbalening ...c.c00.s.cccsscvsssseessssscesennssnccenenssnasansonsonaersessnse| ++ A> BE... | | Place of Death Shaving and Laying Out........c0..Jret 4 pac n ,, = 2 af uneral Se fore’ ‘soi Shaving and Laying Out.....sccssecsesersesessereenenanennnenens cess | Sai ad aati! | Place of Funeral a Se i sccminbcielecnines |..csece Spry re (ate | Casket No 7 | Date Of Burial.......cesscsseesene sesseereetbeseees $ Neal Catena Metal Inner Casket y } : | be Ok RAr chy” see Metat Inner Casket........--.-.+0++ Copper ia Je . Sania Mii ivccinssavensnnvansandcereosesasetsyornseneerengneenerere eT shanenbne ss [eeeeeees | Grave or Lot No Out side " se, Pi t . GR ost rut, O rk, fahogany k M ho Locat ui m of Grav € i ne est? c 4 i eee me eee eet ereeeeeewerenesessure Outside Case, Pine, Chestnut, Oa > a Riss ccecesco eels A 4 Lin i Lig ana Pill Ww Set N Dec cwew ee sereee sees ew ser eeeeses eeeOFOeSeneayeneeres ’ : P | bs ere Vey oa eee 4 . — i Lining and illow Set NNO, « ccssesccvcesccsvencesesacegsoscesessse* eeceeees | Metal Lin 7 Boz. Mountings. ....---se005 0 eee Metal Varlt, Stryle....-cocccccscscsescesccccscvsccsocssvnsesssesnsceseesesess ride ; i Ror Vattress , 3 Bowe Matt ress......ccccocsseresessecccevcccs ge eee ea cea as | Ag s,..... ..... Months. ce 2 Days.. ... Occupation N@ eatin cl sirens cept ntaei a it | Birthplace ... EOPMAR AN. A. Are dee oe A ‘©. | Last place of residence ...... RI Personal 3 . wan vs . . Ee : ers 7 . é ee eb Cae ue nes sseaet ox 8% a i — + > } . . Draper p eee de this Sta - Drapery oe | How long resident of this State......2 I Prenevccececcrcrrsseteeeeess + | ms, Teco omental tiertetaiineaeees Husband’s Name .........-- ~ Pedestal.........ssesesosseresse CasH EXPENDITURES. ge vo vA . 3 PIAS... cs ccsscuscvcsgbevees ae Case Of Death .....ccscsccccccrscserscssneecsnseseses , | : 4 iM i 4 AB: Shen ae es ieee eae errr — ae lage — 7 5 | & r big es Porters and CHOOEE sccsenesis syyereets . ” | ae — Charge to Charge to pe | When rendered \ | | .. | When rendered...... | RECEIVED ON ACCOUNT | Quartette, Soloist Quartette, Soloist.........-se-ceceereeeeee eevee Organist .. NINA TOE eis csecccvisescavesieds-cannonnssosvseersncossnteseieienes/ sais | | . Delivering Box “an deceeserneceee aunsaneeseessen ens 3 a ia | eesedee Opening Grave Se. csvanentesihe Ling Go Opening Grave ...cccrrecsersccseccenseoeesseseers Lining Vault Charges Vault Charges... Hearse Coaches Teleyrams Transportation Expenses eeececoereereseeeete SOOO er een eee ERE HE EEe Amount of Bill.. . si : Pete eeecee Cece eeererecerecccecseue L 00900008 ‘7 : > re 300 SA) Funeral of (1h) LE Ce Le oa ry vt , oe ‘“ -| Funeral of Date of Funeral____ . ail pst Wr] seis ¢Y bess ct Ge Oe ; ‘ ‘ics L tee aot r oT ; Date of Death um 331 | Mw bovis: ina Date of F ungpal pd { Removing Remains ate Ld 4 Gees ew ak lh Embalming ................ Embalming Place of Death... “yy Shaving and Laying “ Shaving and a Place of Funerg}...~. Casket No. bec Beatie i Metat Inner Casket..............0.5 Copper QANAL’ES INO Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillw Set No Outside Case, Pine, Chestnut, Oak, Mahogany........+. Lining and Pillow Set No....cc..cecoccosce Mitta TANG B08. occ ivi, snanes Metal Lined Boz... MOURNE. os cccescereee- oss Handles. Metal Vault, DOO ose crr ict cice ie eects MOUNDUIOE, dcccecseseses a0» Metal Vault, Style WA OE AERTOD, | va scdhceus0ss45, svadicbaseuuiewir hina Box Mattress UNM EE POO oi aeckseSacdin<xsiincane Burial Robe | v ecertcase ae aera ee Single, ori Widow, Widower ps NOs MOI. si niniss sosaceeiaivects eee Birthplace ...47: (sey fis Le lec eas Personal Attandance and Assistants ot ‘ sss | /ersonal Attandance and Assistants ................... Last place of residence Slippers =~ ene Reet. parent ateeemehetermate cas eemgmt eb eget eee Drapery 2 , | Flow t seeeeeeeeessees | seeeeeeses) sseeeee. | OW long resident “2 cise S| DIGGOPE. verse res. wear un eee Fe sus How long resident of this State.. as Pedestals a | Husband’ 8s Name PRR ees Husband's Name . Lee ero | Father’s Name ‘other’ . Cash EXPENDITURES. me... rcccec ieee niche LAO & LUUIND ss inc ccs <xees | Country of Birth ... = i Country of Birth ... Door Dressing AY © COLOR OO DODE SSCS SEEDS OS OC CCCR HODES TE CeCeEDsecesasceeesesocecese | } er’ : | | Moth 4 8 Name. eek Me K oe " | . a - N ; seeereeee CP eee eeernsesreesces | } | Ti sirt u ] aims eeeees G nt U of E Pins: . I towers, FFP er eeeeeesee essere seemassesssendesceuntts ws. ‘ | Physician .. j x eae ae ER ES Naa See ea a eae a a a a ee en ae Porters and.............. Funeral PRR so ihc Ce sien ° . oe ieee | , ‘ l ’ ¢ Coceee ecereons Charge to When rendered RECEIVED ON “ta y. 16 a /, Ld cee Clergyman “Te ) | UE FF i [2 / CLO QWINN sicsrictsssvesesseescseiacegeascenees Sexton } | | Aes sexton (/uartette, Soloist Delivering Box to a fn Delivering Box to Opening Grave ..... int | REaesvessiGeheses sscoseoe LANING veces 5 Ovening Grave .......04..4.. Peon were reeasese see FPOCOOO COCO e rec cecee ceneceoonoossoccoce eeeesereee EOE TOOETEOOESE HET ED HOOEOSOSe oH ereeesens SOC OC OSC eee eseeeses oe Seeeeeoereeeeeseeee Seeeerereeeeeeoree i SOOO ee COeeneeee Beeee Amount of Bill..... : : aa ite ee SPO POOP Cee Hewes * ah SOOT OTRDT Oe meh ee OEE RO ROONROe Et ey. aes te 7 sees ed 332 Funeral of. / Date of F nol a eaten ___—.. Four Removing Remains.........0 COW MMORReeees ceeserosen eneere PUN asta iiss e vseadkakcsaseete SHS AOSSMSSHSS SESE SOSESseEeeeer> | oe Shaving and Laying _ eee Casket No.. po Heshise, Metal Inner Casket IO NO, os) ey cease cpccatueeeee Lining and Pillow Set No. secccsictnscacevsapsresssass Metal Lined Box PIOUNIINGE: ve sionsvocese<-+o2 LEONE sconseresassencer Plate REOEAE VSL, BPMN: js cocctsensisneesesnneiangabe pssibsasbsecdssssviasanssetea FEO BO MIOP IME: sins casesdsssososersstebobesameuabbaanbaabacciectkes iS dcascasesss Bits FROBG ccccisicssacove Slippers Drapery PO 0 oss css sbbhie enisdvieexsdasdsa POETS. FI OWOORS: occaciciystcs skcisdedeiisiassivasseciviies ClergyMan....osssce0e» , Sexton Quartette, Soloist... PE, CE OD DOs os iriesartibesbinsse cnedeitaaserxninsets sisesiveceuieesin sas Opening Grave Vault Charge ; Hearse..@.. _ Als ey ve Grr a A i vo ¢ (en SFOs ee Cone reaseeoeressebes Aeeerereee se reas eeeeseeeeeee errors eeOOONOeeeeeeeeseneeeseesessenwecesesscecsoccces eeeceee eeeeeeee eeeeee seeceesereees eeeeeecesceeeeeeeeee Seeceseeseeseeerereee® one Amount of Bill......-..++ POPP ROE OOOH OODOeOLeeneeeseneee Ce ehereeeeeennes or) a | Place of Death PL 2u | Date of Death MGCL su ae He | Gm) | edt dw el CORL 2114- Clergyman....... Date of Burial . | Cree a Tb NOs eos opel nnekac reall BACHOW. ce sscicecse cae. Outside Case, Pine, Chestnut, Oak, Mahoganyy...cccccoccecceces sccsesceees De eas OREEON OF COMBINE ion occoheeckisavessas eons IL bg Months 2, Occupation./4 4 ag idow, Widower........., Years.. | Country of Birth | Mother’e Name | Country of Bi nee | Physician ee ERO O PO MEEPE REP ETEL Heer eee reer e ee ee en ee eee e ee eee ere e Renee Funeral of Date of Funeral__<* Removing Remains Embalming Shaving and Laying Casket nag poofoceoas. A Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Boz... Personal Attandance and Assistants ......... ccc: ce cteen ees pete eset Drapery....cccers ....Candelabra..... Pedestals | Father’s Name CHOWN. ves sxcs (v4 Weseuail PIO. occ cs cncinsccecesenenavesnbencneeseanenseis Clergy Man. ...eecceece{e-{JegeMeeporseprehelsovcceresseerersressessanes Sexton Quartette, Soloist........ i anauncpnneciennee Organist........... Delivering Box to Onening Grave ....sccereeres icoesubsenunessaunys Lining... Vault Charges Hearse... Coaches.. Teleyrams Transportation Expenses Date of Death | Place of Death © tnabesege tr. etl narsstohagigiaciaie t cca, oy ay | | oe Bec ieue Months..... / /....Days seems ees. ie. d / f _ Q Last place of residence thane Ce a2 PC Le fs sa Page Ba Mey veh, a How long resident G4. State.. Husband’s Name .. Country of —o Mother’s Name Country of Birth Physician... MN Puc en Pe, Ag. re, alee oe Cental OF DY 5 55s isso scpic pices tc fh ; -| Charge to....... When rendered... sceeeetererrereeeeeneenate 4 cnet \ \ a REE IRE EDIE re a aE AEC ART ARI AR RA a Bm Re ynen a eon a a meng fe ee ee 30" Funeral of Date of Funeral___ of ff . * . | " Removing Remain nnn kesh nnn Embalming pasieabihsasdcidaakoienukia Shaving and Layi: i Casket No......4.1. Lee | | | Metal Inner Casket......... y i | | WRAY COREE ino ssscccs ec Copper | Where Interred Handles No..... Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No........00.00.e0s. Location of Grave Metal Lined Box Metal Vault, Style Box Mattress.......... PUPTA TROBE vncecssivisncccoiz + OPO POPOSS OOS OOOSOOOS OOOO OES Hees eeee OO ee eeeereens POCCR OL EMO DOSES SEESEESOOES TING oe oe Prs. | How long resident of this State | Husband’s Name ees [-seeeeees Country of Oy | Physician A | | | | Cause of Death Clergyman Sexton Delivering IDE cccnivrctininnnissens sasdecece sins Opening Grave ....... a Seer eee eeoreeeeeeseeeeere ‘© S800 0008 coeeesces posereenorossecooscessoceccesener | or Oo SOMO e eee eeeeees oe | Grave WR A iG Section 335 42. ae “eC Ces 2V Jz 7 Date cf Death oe reccend capes Pec cceppeegheccngeccesedecepecssecccccescesssescece | Lod. eae AW = : , Funeral of... Lhe la /lacencaun Date of Funeral___— igi Ic Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box MMOUNtiNgs....secsescees i Metal Vault, Style Box Mattress Burial Robe Single, Married, Widow, Widower..............ccccccecccceueceuee : t Slippers Birthplace ............ ( Personal Attandance and Assistants ..........06.00ccccceceeecceeeecees Last place of re: sidence > cps + ie”? | How long resident of thig’State., MeL buy ie EV ODOIY. cos catessic0 Husband’s Name Father’s Name Country of Birth Pedestals Mother’s Name TT, Oki ax. me Ordered by Charge to When rendered..... @uartette, Soloist Delivering Box to Ovening Grave Vault a. Hearse Coaches $0000 00s > seneeeeseee See o6s teeres | aii Le eS. els Ss, sia ieidineaiaeam namin aeanatiee ee ine NC SEINE a earns - enero 2: -wawagnee ee Te oaieiieteenieeinnudiaditssahoeaee, deca — os Ea ee a ee caer ne ne on oy Funeral of Date of Funeral_ Removing Remains.........esesee vieesholsi nsec | Embalming ......... Metal Inner Casket Handles No Outside Case, Pine, Chestnut, f L - Co Lied, iC A eee sl . Vae 4 af 2 J = WH ( Nig £ Lf, vas edad - oe Where Interred.......¢2./ Th i ition ING: ttt eeeeneeeeesenes sees DOCHION. ce .cceseee eld... : Oak, Mahogany winletseds |:+e+e0+e. | Location 07 Grave | | Lining and Pillow Set Oi insasexies Metal Vault, Bites. ccccccccceccecs. sence Ceeeeoeceevecese Box Mattress........ paiseassnues geesnsnasce sbbeebentbbensecsaessse cs Surial Robe SE EG ie a itdisititniethetsanciea st CHRP sss cndesacctpeteicsadal Prs. Personal Attandance and Assistants Draper y,.....coccce. ase Delivering Box to...... Opening Grave ...... pence: 8 Name/ | Country of Birth / Cds | Mother’s Name | Country of Birth..... | Physician ———————=== Ordered by . Me. Ogle) e oe Make Charge to | When rendered eee SPCC C Cee oeeeeeees sstrnntonsnnnene DIS SOOO ee eee deer eeeees Funeral of Date of F uneral____ Removing RemMatns........cccccccrsscceeses Embalming Shaving and Casket No, Metat Inner Casket............0+-++- Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Di elal DAMME TA ics seas sees ees erences) . Handles Mountings....sc.seses0. « Metal Vault, Style... Box Mattress Burial ROve .......0cceserersssesenscserreeeeeeeeeceseseensngeteneseseeessseeees Personal Attandance and Assistants ..............0.. 00000. Candelabra...... ........Candles...... Drapery Lisueawcdase Nee ..Porters and Funeral Notices Cle Quartette, Soloist.e<..... LOU OY Se TIONG GB cs <i sansnnasivecerdsgnareces veieieos 4 roo Opening Grave ....2< Months... ou Days.. Occupation Kasey Sey a | vw | Single, Married, Widow, Widower Yh eek. hn. T&. ie | Last place of residence ..,. | Birthplace ae | tes long resident of this State | | Husband’s | (0 ¥/ | Father’s’ Name...... | Country of Birth | Mother’s Name | Country of Byrthc.... | / | Physician ou of Déath Cees, Ox vy, Ra . ereeeeseees genes eueta Lp a, eere PAG fA hone 7 [Ce Leed’ Fa.SD. ony i = _— LY / J ° yrdered by an he kf Meeks, aie Pa SeeOPOPOOOOOTOES OO ESDOOENs Sees eeunn , sdeiiaraiagiins scenes soe 308 Funeral of Date of Funeral Removing Remains fo Sea ene) One ‘ Shaving We a ee ee Casket No,vR&E&. leg J leh PEI OR NG ou idsienasseccscedtavsackcs Outside Case, Pine, Chestnut, Oak, Mahogany.......... Lining and Pillow Set No.......-csece.cocscsseeeees OE TUITE TO aside at sees Mountings............. Me ema ‘ Metal Vault, Style.. 24 secseensas suseevuncenpere:eskics 300 Mattress. ....<ecccas 000 feervecceccocccooccccoccccoescccccscce cece MORPTAE FOO onic ae Mc tee Tete ti cnentccnseneersiicnsinssecc: et Personcl Attandance and Assistants Drapery.........0+ «:..Candelabra Pedestals Funeral Notices............. Clergyman Sexton Quartette, Soloist.............ccccccceesees Delivering Boz to....... presrespeceres /% $ LOO s Opening Grave Vault Charges, Oe Seoeescsoeccecos Mageseeseeesessesee POMS OSS OOO e es eesesonsce eeeeeees seer eeeeee SOCCCCCes teseeeees | Amount of Bil. Se eeeeeoenoseeee ~ PPOS PONCE OSE SE SECC CCCerneEe Country of Birth i Physician RECEIVED ON ACCOUNT. SS He <j J/Lf HEL een Funeral of Date of Funeral___ Removing Remains | | MINS ashi acs os Sa askake no dsc eka Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pilliw Set No Metal Lined Box FI OWADUIIES cinsceessess , Metal Vault, Style Box Mattress Personal Attandance and Assistants .........0.0.0000 ccc cc cee es Drapery................Candelabra PF OGPNIIB ood inccen eile ao cee .. Porters and Funeral Notices Clergyman Sexton Quartette, Soloist Delivering Box to <SPAN CHUN i chases hsp csisv iss tabesnnsirs Lining Pi ae ele aati, Hearse... .... to Def a Beets Td os cetl teers bers areas | \ Coaches a. Qk... Place of Death...... : | Place of Funeral = a 2.2. | Clergyman | Date of Burial | | Where Interred | Last place of residence .. Po ata Father’s Name PTTL... SOOPOROPOORas, eoou ree orrerrerensees , id ~ ow gs ine ote ent of this in : jucevakaneeas Husband’ s Ne ee ba org. Qos stein ieeatadneinaeiameaiinainae sac tide menage nnn aici Actes wt pehcdareerterahdiirien a: -semrreneeiniaene siesta 340 Funeral of Date of Funeral- / Removing Remains........... “ JL shieianoanssisehesaannbebadianniat | | Date of Death ..‘ Fhe aac oicknes cde cise | ; Place of Death Shaving and,Laying Out Casket nofh a ; J Metal Inner Casket |rteeereee Where Interred Handles No |reeeeeees | Grave WO WON wiles bees incessaieies Section Outside Case, Pine, Chestnut, Oak, Mahogany...........0...-.: Lining and Pillow Set No........cecccccesce pccsinsuanscaaes eieelieeiasce Metal Vault, Stijle.....ccccconrccacereccsescesoe peuabsnineiacavaseasetsiins ; Box Mattress.......0 Burial 7 Ch orien is ces SP OPSSCOe SO SEHOOEEEE COREE H EE HEH eee Hm OEee eee eeee $ Color ER Occupation .Prs NE, SO ie acc chests csk ck PMOIET BS sss5a<csisiescahecs Personal Atitandance and Assistants Drapery | How long resident of this State Pedestals PD a clacctibilibatiniivhwatsetpadigh | slpecdecas Sea | Husband’s Name . | Father’s Name. “7¢ CasH EXPENDITURES. /, | Country of Biftth BOE LP MIPUINE once ssh cg Shc eed ok tai ei iadyeeee ia oe oe es | Mother’s Name P eee | | Cowntry of B Flowers ed eee Ff ah E ( | ict Ssssssetheeseceeevserevcecacserssssssnscsnsenssessschfosssessnroeerseess | 0... | | Physician | | Cause of Death | 1 | | | Charge to : When rendered Clergyman Sexton i ‘a “~ OOCCSCOSe Coeseeces eeeecoeseer a ceraceccoeces sete ds +s 90g ye) cae oeoerneey —! WIV Lede Lhe Ak T Hour... _ JOutside Case, Pine. LAning and Pillow S.* No Se aaises eskieincs (i ae 0... Years.... Pt i Months../ a etal Lined Box OUNLINGS. 0004... Metal Vault, Styl: ‘ox Mattress......... wrial Robe ..... ippers sis Lo legit UME oycssserstaneata Te RIOR cise vacccanadns nenteaesctestenss® | PPersomal Attandance and Assistants soc COMUICLAONGE. ...50-.00000- .Candles....... Door Dressing .. Porters and Funeral Notices |Vault Charges \Hearse FORRES EOE EOE TOE OEEE eH eee HEHE THEE EEEEE SEH RHE O Ee .. Wlowers....... Wee LAR uv Ka wi 00 oso Lapa eae neh basa naa ma ae snus aa ty ead eee Se nRnSET SS | eseeeeeees _| HushandZ 1 : : CZ fof V Date OF DOdthe .aca<ceAdssteosnghaonsssonass Porenrerenenes X és Rorck en Place of Death........5 B 7 Place of Funeral ,,- .mpeereee = lew. a re | Grave or Lot No.. Location of Grave . = 4 is Oo ht avenues aa A@ - \ Occupation~ Months. ...c00s.04 a Sh tfre Ce ar F Widow, Widows Psaae AREBRLLELON, sidence . | Last place of r How lang egpsident of thas ¢ a SLR ener Father’s Name... _| Country of Birth p Mothe r’s Name Country of Birth....4 Fekeres | Physician ...........ffereee | Cause of Death ! LL bée é. eav Lo. Days... Neereeree nied wosncsnin nsisenglelapnannabditdinaaatioreanremnitinemdlincceneaec. Sa ee in Wa Sd enn nee os Funeral of Leer Ue Date of Funeral ) " ine y) a : f : Y) hi DkM be Mell fn ee Wi, _ ae C Sey ; Le = 2L Date of Funeral TOPO OO meee eee eee eeeeeeseeseeeseeeeseeeesesssess| ssveseceser|seeetroee Metal Inner Casket.................. CONNOR isi NE ck voces Cece tuaeees i kazkecs | [rresesees| Where Interred.~.......L.. yrrrretereeecens uy . TR ai cece vey sscas ais xvncus inca: oaxce ina ve cious sessshensaseeanies pee reas | sseeeeees FIN OP EAE 0G sos che siigin veisenice fect CCIM sisecicccs Outside Case, Pine, Chestnut, Oak, Mahogany Outside Case, Pine, Chestnut, Oak, Mahogany.....-.....ceccsee | ssceeeeeee:|ecnseeees | Location of Grave PAONG GA FIMO BOUND: ous i ccscccestcvesescesccausvecassaisensneesscvs es ; A OAs Aiite FEUD SAE V0: ciscin soi ssh ve vsnase-vasancsavanoecasebecesescs | ooesrsnss Ses P ccisMatiteecitemniddeen ne ee : MN a | ecco ee a ees genie eee | Mountings. . Handles hepa tnaebe dress : . ates | DE OUBOONTR iss cdcseee 0x4 PL OMQUCBs oc conccccsnesssss Be ose ee | shassesay | -*075+0s605seeosseubieosmashebacecensyssaenssinssniveiacsts : Metal Vault, Sty tlre u te E coeeelereabet=. | = Oth VOM, BEAK so ccsccecsensnss+sssscegestasarieas saevecsusyes puasesieriy [tress I aeab eo . - tts te eeeeeanseecesceessesceeceeeanes cess esteeee it Box Mattress................ ae ras ’ ; oo peek AGeM, \ Wt NM 0 oy ga a aaa cy da ge REE cic iain bas seusaiw cunenane dase l sdases ie . | Age...: ny Marys... Months..... ace PIB esis vik 4 UNE acct coves ee eo eo esis od J Secs ovene ee CEPUWACEL BOOUM soa5s x nsicnvnch en dng s bund eok oie vovek «kad aavisoiak aueasi SEE \ cour Lssdh arenes dats COMMER ER Corecess Occupation... / GUE oc scsnecninececcexcesad Pe ia eee | a sactaece co Gust ipM: DOOII o6i od oxo cuecsanss kh PE oss vasexes ooo peceesis asses 0s | ye | Single, Married, Widow, Widower... ciasauees serseseesspteeeecene } ee Mei es ie | Birthplace Hautha EE jorreenee sessesengonnans [Po seeseeneseseeeneseeseneesseses DO UE Sse cesalers ere cs [sreteeees iets CO‘ BLL. CoE ai Ie nies | | Personal Attandance and Assistant, .....0.....6666.ovceosccec.cc.. | occ, co | Last place of residence Moy cr0wuy Me Personal Attandance and Assistants ..............ccccscseececcsncecees | cecccecaee ae | Last et PTI 6 citasiescnesd aminniieomeananens 4 | Bax Rf ae ay ey lan posse epee iris eee ea eee LE cade Husbayfa’s Name : 7 —~ Ler aA ated SCM” F pogostals seccsneee coosesseesesces | coceseesee|seeoesees | AMCOING 8 Name , ee, Jee On (ew ee pec fogs cerrnsnceosnconcvoeretansnnasanee I ite ehien ses besaheensie eeamenn ci vemesebaasl ee | oe Father's Namek Ly YAH ve @ J COLL 9 | | Father’s Name. b, aoe a cc as ‘a —— a a .. Rug / - | L | | ae . ¥ } a Se VYnto ORR “te Drapery....-..- anc. CONGAGIVG 0255... AOONMNRR sess ds a ee | How resident of thi, starcLh acer a SENG... DPA ora scsecavnced Candelabra....... Sasi CARS 8 es GAG sc we | How long resident of this State. — / Ve. ) Country of Birth . Dee chk sds ee oho 4 ghd ve eed dev vous juaneaneeeeeneias Se Sees eee Mother’s Name va | When rendered <<< .cccccocccccocococccccccccccccssssensssssunsnmsanennlg UUTUDSUIOOSOOONONONONONSRORONNRNRERONNCCNRCRNNERTNEseessresessennesenesesessonnes b eremeicr ests TNT H Ree Hee eee eee ORES SESESSEOE TOS EEOOEEE SE ESOEO OOS ES! HOS EEE HOSES EEE O EEE EEE EEO eeEeeeces See = RECEIVED ON ACCOUNT. : PHSSPSA ORAS SED SRESES SL SO CSRS DRE SSO RESON S SEL EETHAEDeoDEEdES NON SEeESEESEHTse© | ceseeuesdels ové cic: Oe: a1 eoeceseoorccececcesseceeN ss JUICY ceseseengeecescoes | sesseeees: Delivering Box to TERA UIN ERY UCRTORESRN D SOEREST EEE RES EERS EEE EGED’ SUSCEOEEED -O009 1 Sepeenseests cecenncs t sicnenteteltt eee NIN INE 6 ooo do cars cc esiccsissisksaiesuc Lining SOO ee eee eee teeeeee +O Cee eee els emeeeees | eeseee TN a blcittetinarssiatsdicesabiomsahs mcaceesiesed sic. NO URI occ) eee Hearse... Vy pti g errr rr so a . Hearse....... g (loveces __— Coaches eer ay ae pitt EC MIE | de ; iit .. 0.02. 34’ Funeral of é ee : — pa cates eect teeter na ee | Funeral ot o AM 6 mete ——— Date of Funeral__ pager : a ee g in Date of F uneral SE, 7 hale - : Removing Remains........ *s eh ender i. o | Date of Death .. oe ee Removing Remains Embalming Place of Death. Banta te Embalming Shaving and Laying Out.......ccccccesereseceerercsenennennpeanensanssres| cosenneeens Place of Fu: . Cove rt, ~ | Shaving and Laying Out ‘ “s j / Casket No ze | ...5O -2...| Clergyman. ; Brekke Casket No Stan | Clergyman... en aasnnenane eee: m3 Date of Burial / : } | Date of Burial Where Interred (4 : ae hk, fw, f 4 2 . , INC... 20.0: iste at ceseeees| Where Interred Handles No ot Ot esses | Grave or Lot No.......ssesseesersereeeees Section Outside Case, Pine, Lining and Pillow Set No......0::ssseresevenssseresesscwnnnensennan cess cedcaseevatvencbenes | eatseneet caan Metal Lined Box ses enseneeesenes | . Metal Limed Bon......ccccssccsscneccoecssoscenceenrasonccnonsecansesesess Mountings Hx» | Mowntings....0..ss002+ «+ Handles........0esse0++ Plate... Metal Vault, Style. sabes seeeeas . Metal Vault, Style.......s.sssssesssssesesseessseseneesenessnevenecanerees seosssaseefereacesss | * ; | a | x‘ FE > » iV 2 os ... Months.... Dea: ce Bow Mattreas.....-cccccosscesssrsneesevssesesssssancneoeessnrsescrasasnreereees | _| Age.. ee | ee nthe TY DAM cen SReees, BB. vivensscre OOCHDORON.« Occupation. . Burial Robe : A a a Slippers 3 Gloves ENING ss citesasveeirennecveecOk Single, te Widow, Widower... Doz. Chairs... Personal Attandance and Assistants . eee ie I. pee Personal Attandance and Assistants ........---. : = Drapery Candelabra Ca ndles Drapery Candelabra. canes nenewne ( ‘andles. <s90es os | | How long resident of th i State.. : | i ii > | Husband’s Nan Pedestals Se, ee | Husband’ s See th a: : Pedestals...cccrcccceceressessesersersorees Rug . un ume ‘ | Father's Name.. 4 KF ‘ather’s Name ; Z CASH EXPENDITURES. K 3 | Counting of Birth . ‘ountry of Birth . | Mother’ 5s Nowe. OO ena Miaxtncesovasenses ..|Mother’s Name. nee free ( | : 4 i : ss ee ‘alms. ; | Jountry of = faegea Behe (B |Country of Births........ | } y aie | ; ; sere | Ph sician | Physician LEX - ; sdinele ysicic | / i it a | Cause of Dew tharge €0 .......+. ” ie F | When rendered | When TENGETE........0000ceee RECEIVED ON ACCOUNT RECEIVED ON ACCOUNT. Clergymai Clergyman q t s on exto oexton Quartette, Soloist... Cerartathe, Soloidd.oiiccscsscsssssescsscoversees Organist .. duartette, So ~ : : Deliveri , Delivering Box to. Delivering Box to , Opening Grave Opening Grave ...#... ae Vault Charges... Mee. Oud ntact APO e ee es Harm. 1.. Coaches | | | Coac. ches. y Aeyocee, | 2 Vault Charges.....,... Telegrams Transportation Expenses ql { 346 Funeral of Date of Funeral_— ae Ll. LULL «he Hour___ Outside Case, Pine, Chestnut, Oak, Mahogany EANENG GATE Fat) Gab INO. ooacasvanestseneedsscocesecnsrensesecncdsecses | Metal Lined Bor... Mountings............ Metal Vault, Style Box Mattress Burial Robe UUIDOT BE. oosescicecscccseccvcesnsved VS .....Doz, Chairs e Personal Attandance and Assistants Drapery Candelabra Pedestals Gr eae vebwecesvececcrnecerscenceseseserececnecescesesseseess | “Ada F AR . [ ¥ ) Porters a Funeral Nofices Quartette, Soloist Delivering Box to Opening Grave ......... Biatescssiccnssscesesneiss Lining Vault Charges Hearse Transporta tion Expenses eee ceeererccesece & O00 es eeeeecrccecceeceesoccce a 5 agrees cccebeocccvccccccccs secon veeee sees ee reeeeesereneee sereeeeener | ry y soreerh| cocese ye Location of Grave (Ob 2 26/ Years..... tf Rt Months.../~. Occupation: | |Singlé, Married, Widow, Widower... | Birthplace aS A ; | Last place of residence | How long resident of this State.. Husband’s Name apgescces sete | Father's Name... 72 | Country of Birth | Mother’s Name.. | Country of Birth 7 ‘ ——or SS Ordered by Ager Pr Charge to ieee LF | When rendered... - ee te i RECEIVED ON ACCOUNT. 4 j\ | ¢ =i ny , | : é i. | bP ICL Alrdeeso Wt irensnletSetreretsHevevere. cos Nope, y G/ Xt! See OOo Rew OHO ET eeEeeHee + eee OOO Orereseees Coe eeeesoeeeererenere PPP eer SOOO Seer eee eeeCeeeeeee AW oon SHOE OOHO OO Ce DERE ee ORE ERE eeeEeeee: tere Leveerseeeeeedeeteersscleseseesereseseseeeseeteree Funeral of a Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings.............. ... Handles PEE TN I ia id sinc steals bocnded Spon dhuaiooadianssigenales Box Mattress Burial Robe Slippers a cx Hiab Ciba possnunuvecna teers iis Doz. Chairs Personal Attandance and Assistants Drapery Pedestals AON oss ses isrteencd batescssetiieissdasssaessstian seesnksonen venus sees Sexton } Date of Death ..~~ 1 Place of Death | | Place of Funeral Date of Burial....... | Where Interred | .. Months...... --.fp.-Days SL Occupation“: oO ve e . oe ye pe .| Single, Married, Widow, Widower | Birthplace seks ceKe oes Lely, | Last place of residence Keeetet | How long resident of this State.. | Husband’s Name : ee | Father’s Name, | | Country of Birth .. Me aeskee cua tiee | Mother’s Name...... UV | Ordered by ‘ciate to ......@. RECEIVED ON ACCOUNY. : oo When rendered. «29. seen ee eeeeee ! el PEPE ETE E TET R EEE ETE OE SHEE ERE H EY ie ASP OOEO MOOT ETE HTS ESER EERO SESH EHHO OHO HCHLD BbieNl AG Boer SR ee ene SORE aL ee ase - rd ) — —————— 7 ss sgroteee Se a . | Charge to ee ee eee | PV A PON oe ee i PNSMARE Fe EU NAS oawss Ga's0s yak eakpure(s bs cone eG Euesisaes s50U¥6s4 99) 0a eek RECEIVED ON ACCOUNT. So ee Clergyman Sexton CPUGT TEE, Solotst...........csccscecsvccseseecee Organist MP: | a. - ial AMMAE [had Meee Sb) runerai or. Lf file ——- oe foe 2 fea // woe Date of F uneral___ = 2 4%. Serene : a —~ die f 7 . A : - A Place of Deuth......A-24L9 za Dhan. i RN IT TN TI acai ceckccdciesndtn pad hisisicmestidincsccs | sssbinanii ieee Place of Funeral..0. “SA Qe" [S9 & Lg nei | Casket No...... YA AAG Be edisisscccae PG ce licshsceseinsose ee LA OW}: ++ | Clergyman....... 444) 2F 4c LALA Ee | | TA8) 0 |) tateseeaeeessesenseeneasessaseeeeessnsessssseeserssteessessesssssseesessonaserees | coaseeaeees | ctbeads Date of Burial... 5h cgLesceches one MYYTESs ss . | , > Y j Metal Inner Casket.................. Copper.........++. ME acl cei Where Interred... < Mh alidanaow h : | | v PEGRGIER INO, «ccc inssccsccss Scdndashabendaus \abeen daub nus sue e (ois condi ee essaeee eC: | sessncese Grave or TM oe Sectio Outside Case, Pine, Chestnut, Oak, Mahogany.................. Pease: ae SRNR OF CI cooisiccssdeces cikiesss.. Taming amd Pillow Seb No. o.c0cc hc Bsvccscoccssicisedescicansecacdeccénles MES males Pi Anak... SKE Zr a1 ies 16 f r FE NINE Toes sce ali Send cod one a eee A Mountings............ Handles. PUNE ioe ae sce Vis edad Ass ee BCE NO 5 eck so ay ony Seana ee ae BOOMs AUR GPIMMIR cic 525 scons seasckus xanecosssstaspsiescastaunit hess BRE TI soos pas ioube cri ee. | Color Secale rae o DRANG ices cnxayes ss Occupation... ¥ 0 /-Wy Slippers....c.c.000.+. Pes HOU. cnseecereese: by eee cave | Single, Married, he doce Gs” sai GIO ONTO ee ee Po ees Ree | Birthplace Se ieee li fvsscstsesti ea Coy er gh Personal Attandance and Assistant |............0....cccccescocaccovec. | ceoceeccecleocoscces | Last place of residence ..... : Fea ar ee pees } A Drapery jesess MMOMOOTS...- On iG eee | How long resident of this State. QR ON a, Patents ok PRED a cas sap sune re eee eter ee La ee | Husband’s Name (+) hides ees OA css ee ete | Father’s Name..,4°“4 CASH EXPENDITURES. / pein ee | Country of Birth/ . Delivering Box to Opening Graye FE SR aise entnigessesnnsenenastnerinsveniemensenictectontsosetans | somssastid gsssciss| elscsresi,, ies diLc. (eo? rai Hearse..... CL RIL CCLS sev oesHneenuvehiniscntnoieisunsessasnesies | co, z ee PSCC OS erie weeecees | sasereresenelseeseeeesiseeeeseeeseseseresegecereceeeseSeccceess EAT HSESH OR PRESSE SEUSS bE CN COREE SeHieednessedaleses SRO OO eee eH OO HOO OO eee eee eeeneeenens connate etal hilar lala tO Ceeeenee Seneoeerereeseneseseeeeeseseeeeseeeeseeeereseeeeeeecensecccscescscceeens See eereeereseeresaeseesseeeeerareeeereee “ / 7 , Paadd Ee 4 < ea Date of Funeral ee L vs Pe ee | WOES TORII iiss | WEI ook shc ca ocscans onsssceassasntkc eases dedccc ass y Shaving and paying ” ar | i Casket No, ..Q605<.0....foscsoo do Seared san it 4 sasbishaticislaianils wtubeapshavaiicen de Goi guns esi a | Date of Burial..< ~*~ & fe. ee | ; Metal Inner Casket.................. Copper............ Ts hare ae ae | Where Interred. Stuufa sat Wi Knee) Hae | y OI ss cosiencassssrnseis someone aio aaa aus | 8 [Grave or Lot Nos.essessssssesesseesnsed ee } | Outside Case, Pine, Chestnst, Oak, Mahogany.cx-scsesvoe| ooo ging arn We Bah WE ID iscssvansircigesiccarainsends tates ceusaccne, | iene dein. Se a ee, i , " ite i ee bio pill inte icsa eee l| | i VIOURIINGE: ciccesssscies 4c. EXOMUOR. <cccnssscecsecast PU oer asceaess ee eee | | Metal Vault, Style......<2-.cesses00-.00 bees igh a feet ka Fi Pails binaries ee | i | Box Mattress..{1....0.+. pieces ie | Ages...f.. f. Years...... / ... Months..... F..,-Days hageidasescs \ | ! Burial Ro Day ae. Color LKR» fae Occupation. “4 faak (-O-<_ e ‘ PH ITIOI o<sccsas<oreinessasessou Nisseases: | oars Single, Marrigdg Widow, Widower...;. soo guegeeeeeeneeneen . icin | | i messsesatcnaee Wig terrence ot EROE EES opis ici ie, ps | Birthplace ...<. aTaevrke oO rey a_@ Oe, eacisatus ' : Personal Attandance and Assistants ................ccscsecceccuncececs | secceeees cee a place of residence ..../'......0se000c2 ieiwasveemeise Mrnemenaes | f . DYGGIIE vse vinircriees Candelabra..............- COMME eae aa | aioe | How long resident of this State.. Aan « ae, | yy POONA, visi iss envvne «<5 20ce.ccesssre0s TO soos oe eek eed ai | Husband's Name Tight oc aineme nis Leanne sindtds (accsesd ae : i Rees | Father's Name fo a E SOCOM Ree Heme rarer eee OEE eee OEE eH HEHE EEE HE EEE ESOS en eeSaeseese COO OCC OO HOODOO DEL EEE eee eee EE SEESOSEEs EHO EEOEs OEE e OEE ES EEE EE eee eeeeseeeee eee | | ae a f — aa PIII E A oc icp sacs censsccsanes vesses MIOUEE: canacess ss | ee sess. | Ordered by MITA ON cst FUNIPEE OMG. «21: -scsevniacienccecensontensrerintsstvatonsisvestaseptenses | evivesscds es args as fortes Cc Toye coe See f ee Ax ae AA Satu ss nssstn neeesesod sauunboes su6isuses beuebbedesensotysenss dossssecisesscaveacinesseasee | cost. lelsiccc.. | When rendered tee a eweresccssevesesess ewes Sd JULI «oc cccwecegescccue Delivering Box to Opening Grave Vault Charges. i i ntarenincetenensnsany erseousenens pevesnanuginneasssqgacaens ¢ fiw se p~Ae-vowwe, LD, LSA aovateergaprnsreneesensnnegienseos Coaches. pa ae D ccscccstaies i SS: Dae ie ee Bae SUCVORSH SS SOS ROCESESE CEOS OREO OS DSCR RODE RTOS ODODE T ED Sees 56 cesesTeeECCeSeeCeESces cece POOe eer ereeeeee OSSPLESVOSOD ESO TOS DEC OS CSS SEOD EO DESENTD CHS eSoCCOESTSEROeSeCOeeseeses: c¥ees Oeceee oe SCOPOOVOS CCC SES SOODDESEOLSLOOS FEELEC DEE CECOEOEECODeoEOONeOSSCCereceeeeeeece PP OROH OOS OHO OOO TOR ERE E EOE es eeeeoeees: CPPCC ooeesonccceeueccececes. POCO O Oe eee OOOO ee ee eeeeeeseeee: SOOM Oe Meare ee ese re HOee OED OEE EEEHEsseens Seneteeses sees | eeeeee 2 oe © | eeveeeeess|scocces © ] Ceeeeeeoes!. coccceces | seevereece FEC R HOSE HOE OOET HL HOSES DEERE Tee eee SE TeSSEEMECSSOOSESESSSs| seeeeeeseseleecseuee” SERRE e eee EERO OOO eee eee ee eeEeeeeee tli all | | 350 | Funeral of. Aeraeuucek = ep Date of Funeral MEX Nv L Ear Lah: t tia c ei ff Pe eeesseeceeere LC Ck ti] V4 Ee, Or eee eeeresesenes Coeenes Place of Deuth 2 Ye#_ & bef2 t b< - Olean’ Be, Yi aa Bins PI FPO ois ones stdcacnkinieccscsscsnsscassnscieeekscssscions | Date of Death Mek a ZY MUNIN Soo Seuss asics ees b visiseceues | aceubscns | te eran CE I ON sci ie Place of Funeral. .7* © I asics asieedeeiaclinsec cesses BE Sie ha | Mcuadeeea Clergyman............ SaRERAECHAANGUA SHO RADSREEDORDRGEOEDSALSAOARET RDAs PR ROOLEvseRbES Su) cAER © 50500000099" Lee aces: | obanews et eee of aa... ..... Metal Inner Casket,.............<:: COMMON. .c..c0.0 TOMO oi ccass cee trsteseees seeseeeee | Where wince A NPN a po aoe eek ee eres an gen eee eeu es ae | veeneebas PE OF TOE ND. nce kck Section vaasicinie ee Outside Case, Pine, Chestnut, Oak, Mahogany...............+.. [+ hee ue: EVES EAONMION OF GHG oho cet icici vine i | fe 8 + o . ! | Qe nu hee Yi Edonitgy tend Pith Bat NNO... ses.ccisessecscssassesssassuveniassecenssnees = bisa ccctin ieee © Fhe 7%.......... j Metal Lined Box Mountings............ ¢ PEOMMN OB isi cies ccvagnans Peta a lnckeatesaes avewssque | Metal Vault, Style... | Box Mattress........... Seated suaueaeceot eis an ceedkessinenices Sey oa cat en wals | TIE BOND wiv ves vas cos cs oa ladon reus¥abecthalasain eee aeee eens OTE ois cea PR cies Gloves Personal Attandance and Assistants . Drapery soorerees COnGELADrA.. .....Candles. Pedestais.. a Sa, Rug SOSNSERER REPEC CP EP SRECRSH CARES DOTS OE REESERR SD Set ee ERR SEH ECETCONENSeSeeteH | iy ycsssousslikeeckeaed SINT TTT eaten Tee Can eee eee AEFOCCeT CLKOREORSSOCTSESE ES WS TUSERND COT VOPERINE A BESE.| 424.4505 uly lyases SNE SH TREE NT CEMNEARESOPERSRR EES ERES GS CEUSUF SESS 60939905 FENULONEFENA EE CKRE UND MEEARSOOR Lc 55 uci ys lavasecaus eee eee rceeseerecasscepececcesecceoeececes SHES S SUS SES HEY O88 50990000600 H060000 9504055000660 0 010s 0000s RR ets e eee s SNHOSSS STE SSOSES SOUS SCOCSCHDLODLe ECU ENNIO vccusscescscsces POR Omen eeeeeeeeenes TSOP eee eeeeeeesseesoee Hee eee eee eee een eee ess eee HOES eOeOeseeeennsnennsacerage SaeeeeenerEPeREr et sere er ener Ty NrT Trot Trees Verne eet ete eG CNONGECESbReESbeRe sees ebences + Sen eeeen ee eee eee ee eee eee ee eee ee eee Hees eee eereneeeecenssrecsccens uc ta ga lanai Me ial eal ead a Radial etna lcatae tet Te POC CTO CET E Oe OSE Eeees COoeeeees ceeccees Pe ewe eeeees | Age... ZZ... Years.....: A | Color Lorkile Single, Married, Widow, Widorter ree Months. Bf arses Occupation. 4°.’ | : f) ) ‘O) “Hh & | Birthplace ....AI-<hkLE. OD TV ~ How long resident of this Husband’s Name .......... Father’s Name............. Physician ....., Wee ivetssees * ( om Cent | | When rendered.............. iS Pe Pee eee eerer Pee eoeeeeeeeeerees eeeeee See ceeeeeeeeees Last place of residence ...........csseceeeccccceees BOAO... isis. OUI GF OOO ooo oe ee vires TA ee ee aes, OMEN OF Incas sank seesvn ices ase : Q oS. Je cle. 7 OQ [ave Pee e mere eeeeeressesessgwgeres - ob _ ae Lae € ttn~ GOS 08 aie as sc es Seaebiveisiaeee CSN ED ieee chs dae insets RECEIVED ON ACCOUNT. Cause of Death ..~~<* beculo tes (Yer feos Pisce SOOO SHER R HES HE tee eeeeeele © i 351 Funeral of fe & f noaf-_ Lry. ae ee A wa Date of Funeral Leh /b Zz Zi os iNet. 2 Removing Remains..............0...+. heeded Date of Death. < LE. CK. / bf g- lot f. MLA. Ff sereeeecens seesceees | SLAMME OF SL/R... TTL. JPJ> sesscegeves eeee x | TRI acs os ccs csc ea Na ag .|seveseees Place of Death, Leiden be, Ad ace ged Hebe : Giana tell EN Oi os ood seine, 2 ..- | Place of Funeral)... cit | pone ne em errenniala subsacanesal eceesukie ansieer piesa Casket er ee Sasheasesks[seseccsss | CAROUGE Kaw. Mee sesso Ay iN I isis cscs elea.| |, Mud, 2 Hy Metal Inner Casket..............4... Copper............ PE sions F saneerads pa | Where Interred.. L Brlg “Cha. ia sie | oe I Fi xisck cep A ieee ah iss a eae Rios eens | Grave ie a a ~ oe i i Outside Case, Pine, Chestnut, Oak, Mahogany.....-.......-000+ | 200002 [sensors EI I ivi cscanssensincresilhcis sinensis ae / 3 /. PIG EE FOS Even ooo ck ccs pone knke do hss vk [csteteees | seesesees La th LLC / Ef aM GRY PE FON ia, a gk ee Sieau [coavevanen| conse es Mh ee ¢ Date of Burial....& 2 CA /e see rsersdowscesosees euseee des A Bbsresrengemessssesssesesreeseee tee BMOUNTINGE...000000ss000 ++« FLOMMICB. vonesccesscceeess FU sa Fee Re pashli gteey teeter uaa re | | TIVE, SION ota sip spe anise od paaee hcesccup vested Meuse eis ae Wales Te ava ts poucis bs acssheses odessa ‘ | FIOM ED I cca sce ig a Eade hes sss fee VAG. 8 he, MIB. vvcvcnssacee MONUNB:.....' ‘ 7 bia TOR aici | PT FOR asec codes ev eet eee pe casa ELE a as Color F Occupation BUDO: sccevessnkevvchanstsss PVRS ccc, poss pre MOOR rie Ces icant caxpicsvaleseaaaees | singh. Married, Widow, Widower... .......ccccccccsssessseessees ia We 7s * 2 wir etel Crea eae saesaicscae CO, SOME) hicicns Ae | Birthplace YekLeer Co 7\4£ SCHOOE COCO OSSD CRERERSSOSED A EEED HEC Os oo OCNECECEREODEN OS 006 000040000000 Personal Attandance and Assistants ...........0.c.scccocccccccsecesecs | seccecceccleccececes Last place of residence COO SOM Reser ehOCOCCnres CeeeEseeeeerees SOeereeseeesere 80) | ee Candelahra............... WAU eo cask ccteyseed tisseeagh oesches | How long resident of this State Pedant... 5sccckess occa PON ees a ee rhe pee | Husband’ s Name ..<;. ilies: ee Lo rae phd «ss oer : | ates. | suse. | Father's Nome. ages E— wot init ie ee Byte | Country Of Birth peasy... r ones oteggeneceneeents @ nll seineue 4 ROOT TIME 60s sra5 oan os eee st ira sea cca dan ebs ck nekbueiel ce | Mother’s Name SAMA Mh omg Brie ret ea rs saaisasueshs | HW essnctheardvesutevs tnteeseess PUR Sri ania | Country of Birth A*¥eLeece @ ra © OOO eee Rees ene enn ena nreeeeneesseeens POPC eee ere Pee Oeeeeeee SOOOSOOEOLOCOERHOO SCO OODOOEDOS HOCCOD EE DL CSREES eCeDoeeEreeeCES | eecccccccc|coecececs ee a SP OC OP Or oor ee Feeeereeeeseeee es Ose eHeeeeeoeseresisecesserevarsicsesesese Sexton OOOO e EO OOO Oe DOES EE SORES E ESE EE OSE EEE EH eure ee eee HEE eeeaeeeeesebeeesssene | ce NU ANMEP SOOO OCS | SOR RIVCRO OFT OTS >) eee esesceeesrensesotennereoseesescenesneslecveceeadteal NEE? Ns #EORDOEOSE DSS OE COSS SERENE Te Eee PSF SeCOTETSENEHESS | ectesnenelscceces + | cueetce meet, A TOPE OHO R ROH OHHH HOHE OER HEE HEHEHE HOHE SEH EE SEES SO OEEOEEEED So ee eee ee ees "TEPER COC eee eee eee eee EE OSES OOO OE OOO OO OOEEU SEES SEES SEES EE Es OO EOOeEeE SEES esesee tee eee ee OSC CROCCO OS OOOO OOO OO OTERO OOS OOOS ODE ES SEES OEE eee rer eeeeeseeeeneeeee.eeeee seersersccesecesccesesesesccceces & CLOPILOME. .... sc ccesscsncucccece VU a OtPRSOUSSNESES CHOSE OETONEENS CONN CIEE Es PeeceNeersdeeseetenDE hones) ebes OOOOH CORO OOOOH OEE EEE EE OEE EE EEO OEE EH Eeeeseeeereuee SPCC OO OOO R OREO ee EEE EOE EEE EEeeeee SOP OC OOH OCO TODD OOOO Ser sceseeeeee POOP COTO ee eeesseeee => 352 ee te ese ccdecgbocccccccesescescegetscseeeeereses MUI ekiksiovccsesceesscl = sn baa. BERET Gis chescsciaskianice | Country of Birth.. ide ns faa FUN PE 0 Bcc . | Cause of Death Cert ere Ordered by & Praeteo ita ae Charge to . 4 MMV | When rendered.......s<O\ OY ir. vars. 0. ieee ete wener ' BN RN BB sie sci coh civasbic icc ee Rieinesitlemes, | ub oy It] ae rons eve sssesesesnseveseee Laing {VOed, LY. Opening Grave seencevecceeceesccesceserssesenes & CLODNMONE,........ PPP PPT SORE O HEHEHE EEO EEE EEE HORE O HOES EOE E Ee eee eens pn aan ee i ai tai alate ee SPP COOOM eee e eee eereeeeeeeEeeeEse® OOOO eee eeeeeens SHOE RHO O Oe els CemwEe ee | cece eee eeneelseeeeeeesiseeeee SPOOR COCO CORSO ree ee EHeeEe 09 000000000000000000 cnessoneseeecososeccecs oorfecene® eee | ce eeeeeeeee el Peceeeeesiteteee POPP OOSOTOS COS ORES OEE REESE EEE HEHE see eEeee eosee Sennen eee eee tee eee OOHeSOOe OOO POOOOOOITOOOeee sesessens oy eeeeeeerlioee SPCR EOOH OTERO Ce eee eee eeeEEeeHeeEEEe: eeeeveeneoue SOHO M OOO ee es seres seers SPHTOO RESET OHSS OLE ORO Ee HS eRe ee OHOeEE EE EE OEE SEE eneeeeEeeele Seeeeeee® “ Sunes al af i J i: aah Dice vk £ete Baa, wer x Cia - a, Date of Funeral___* «@¢ @K.. 2</ ov a, ; NE TRIN gop issu sassincdnacioaneeecctasicnsesien oa | ical caabnasaens Date of Death elem 224 ae. Ma aa a eA a a | 4S 62 | Place of Death. Lehluee fe - ted oe Shaving and Laying Och ie cctcre sale ees, Ai ie ee ie | piace ee Place of Funerc 1 fewsdke ite sties Shes ees Casket No...4...I4 LAC? plegiaiee SUZ6...serecrserseseeresees| Asolo cexeee ica ric, Gale indee Geeta le ee | Aan Date of Buriat, CK 26 ar ae Metal Inner Casket............ Copper PAN i Sines oa ae Where Interred, 2 flee go X ae i PROMI FO, ois cries sr ctais Vesta se i psavebelieea sel ceuev ital Oeieeeie, earn ee oe PNP TIE INDivoisidosedocivcsaccesecsss ccd Section f : Outside Case, Pine, Chestnut, Oak, Mahogany...............-.. | leeswueees | belveaats I GOOG aaiiitsiresesnsessrsassedsesenssnescoisinacaieieae | | Tite td Pai Be IG; css do coecsoekae oko aa Ginds bvekas las sscnecenes iiceeese tas Wi hi ois ’ | EE LIE I gos ac gadee das buss beg eeeat es Gees dav seve | isVernease | Periessetlibsue ees edieeck BB CSI Gy x tineesians : Mountings............ TOMMIOR, icsicceusise: PR alii | sreteeeeees | ikea ea 4 Capa Nd EA Vapadeasesgapunehesds aacieeesiessiss , | Metal Vault, Style........ Te ee ne teeeluksel peilecsl (eaerenteueepenpeete, cere.) ecko) | ne Box Mattress. SB ciate | i snkisnkihinicuancemete 1G) sell go en, | | | 1h I oer ees PE CUE osisiids Geireeees Raa Single Married, Widow, Widower, ciceateeseeescesssseeennnnnnnn | Ber ete er (OOH: GHOIID, viv cisncseessvsuetincntiaen t aetsctura a Birthplace Ate @ sr. in <O ee /\ 3 : Personal Attandance and Assistants ............ | teeessevce|secnsceds | AUCGMU QULAOB GF TORIGONOE ............scccsersescsecce , Drapery Candelabra CAR. | bas deal ears | How long resident of this State ee i Pedestals................ FOG cs Ah ee cia. te ee oe Sieiaiaaibte Nom A ebPL 3. ote. mie 7 meted lee] | ee ee ee ee | eens Father’s Name.74 £44, 1 He see 0 ban. Si | PONT TATOO ipsa ih ntacisicteyspsreseissteveded covincasbdinciiiveaslaven ke Vesela ul, Mother’s Name 72-& os. 353 Cie Lige pee 44] KD e.< ii sncseiiiiilieill Date of Funeral_4/ 4 ee aay Ae..22. ff ~ TEMG THOU i isis ie eh ee. piided Eck ceudavansteanmaabe Date of Death LY (A Seca d é i ey pecuaek al 2 ML an. PUI bitch caticsipss chide ii aecd ek ls ase oe ca | Place of Death....... LE Ath ee ee Valin dee |} Shaving and Laying Out. hse .| Place of F ‘wneral.. ie “Ly, x ewer Lous 0h/ Casket No.. Pima | Clergyman scnpiinuitati al anensg Wi tiaics mrt cease | Date of Burial..... fk. . Metal Inner Casket.................. “ | Where Interred Te On oh i eer el Ln | Grav i ee ee ii es , Outside Case, Pine, Chestnut, Oak, Mahogany........0...-.---- catkins | aman a lala acc na ices ee PE Lining and Pillow Set No...........+- 5 aces Ot ae oe ee born! Look 13 186) | Metal Lined Box : PA ONION ss iains nies onan ds SR OMEUIORS siincecnnece ace a’ PU es et cea oe ieee TES FF ons ah es sed ee ie ote Boe MARGE: ....:r0c0ce.eeees potkeea tesvesoetTereneeeeeneenecesnegserersersees | canseneens baseiacs Burial Robe ....ssss++s — ee a ave TNE. oie ce HONOR ee Hee eee ee seeresereeeeses DrQpery......ccccccoces PORUNMIAR., «i ¢cavc0astse seit PORE OTOH O HO HHH OOOO EOE HOSE TEESE EOE ES OEE Hee eu ens edereeee TTPO HORS OLEH THOSE ETE HOO OOO ETO OHITOO OOO SE DEE EETEEOHEEH EE eeeeseeereseeeesebeesess TTT PERO O OO OEE EE OOOEE SEH E SE CEEEEO OD SEHOEO OES OST HOUEOE EE SEOOOES OS ESOS EEE eesenes Pe eerese Gd Teredessssssccesscessscspmesebe ded sevcesecsceederesrenceen HOO ae ee ereeeererepengsaseees Delivering Box to. ~2LAKY Opening Grave Vee eee eer sere ee eee ee eee e eee eH EEE EEE Eee SEH EEEOOEE ED OE ee eee eeeee | POC OCCT SOOO OOS EOOODOER ODO EHO EROS ETOH HEE eSeeHEEH ODO SEES HO OES OOO ECO bOOCes "TETAS ORE COE eOO OEE EERE OES OEE EHO SHS OOS O TEE EOEE SESE EEE ES ESSE OES EHOUEHOSSeseee Coeeooveccaveccsoeccoscocoveccoes B CUO RWOGees ccccceccceceseccsccece Pere enerereceee *UCPCLEUSOES CODEN OL OEL CODD NSENTOHODNSSL OSs poCseESSeEOeTeeHEESeeseHensceces COCO OUOOD EH OOE SEES e ODEO EOE Ee OOOO EEE Hee eseeeeeeseees Coe ee OOOO COns Cones eons eeereneEseeeeooesseoneeeeeoeeeseeseseeeceeeeees Soeeeeeeoreeooounseneeeoreoooooossoeerceseoeosoeeoeeceees 7 STOP OR Cee Per eneeR eee wee eee C Mother’s Nam a ae en RD NNN SETAE SENS aan ere % s wats a Rea ountry of B The mee eee ere esneeesesereeereesarsaneenes STAN H ORE Renee Cee ereerereseneeeesueeeene _— TORO e ee) CRORE Ree ee OOOO eee eee eee test eeee tee eeee ai iad Teen eee teneeeeee “eereroesesiaa ot if ~ ape cnt te le deneneesadinnnsta Soa een eee eee 351 Funeral of ae CVV Bee ee it Ceo Date of Funeral __. <““// / 7. lita | Hour_____ | Date of Death... 4 if 3% | Flees of Death. cpl Med hit : - | Place of Fu’ fie o Ay er Clergyman. /‘: ! ; Date of Burial... -| Where Interred Handles No . CAE OF E08 D6 ni Section.......... Outside Case, Pine, Chestnut, Oak, Mahogany . | Location of Grawe .......6..000.. | | 4g “14 Lining and Pillow Set No.........c0ccccsescesscoscees svawess Savenececiacs | Metal Lined Box Mountings. Metal Vault, Style Box Mattress . , s a oe : a : _ Burial Robe : : Ovcupation.& cule. Vv Slippers.. Gloves at Single, Married, ae Widower... Personal Attandance and Assistants Drapery veseeee...Candelabra Lae 25 How long resident of this State.. Pedestala, ......0.00cces MY . | Husband’s Name .. | Father’s Name | Country of Birth | Mother’s Name | Country of Birth, ee Cause of Death Ordered by %<"..: Lae ceuaee cscs cng s vest Joep WC Clergyman Sexton Opening Grave ......77 fee Lining Z Vault Charges Hearse SOP POCMMeeeeeereeeroeneeeseeeeeeres | a CO eeeeeeeenereeereeeceneeesseseee® : Funeral of = Yn. Faas pee Kheave, = Date of Funeral oe Vy EE PQ eae eee Shaving and Laying Out Casket noi L BAL casnunate stant arsc . Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Laning and Pillow Set No Metal Lined Boz. MOUMDINOE. .oo.5cc005 ccs Metal Vauit, Style Box Mattress Burial Robe Slippers as 7 Kotter | Single, Marri 2. CAAS....0ccc0c00. ala Birthplace .. C244, he Personal Attandance and Assistants Last place of residence SOIT. oacniics ce Pedestals CASH EXPENDITURES. LOOP TIP GRMN 66s icciasctsess Ordered by a KC; Charge to . When rendered... Clergyman Sexton PCT CTEG TIONING oss sv ccdvccauoicecsivessadlcs PPI oo. ca veas sence “OV Liu Mh tera ar Vault cree i / Hearse 7s [\ RRL L Coachea.. Se esee seen Seceecee POR e Ce Rete ele tee eeeeel OPOOROOTM ETCH ee, pee eeeeeereeee ore SOOO ee eeeeee! teeeeeerl oe PPP ee Pod . Are eo? . Mo fo Of a Funeral of - We kh lhe NT? See pies Date of Funeral. ie Removing Remains MUNN Soi ee Shaving and Laying Out Casket No Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany....sccccccccceees | scccecececs Lining and Pillow Set No. ME TANOR BOe PAtOE VOGUE Bee ic. ccncescncacrcane ccaneeneka Bot MOL ORE: isc sccsisensns S88 POCO Oe OO OSSOOOOOO OOROOEs Heer eeres Oe ereeesserns Why -¥ Burial Robe ......-..0cese PR PIIOPS co in desvasscsascnastouens | | When rendered POCO DESCOSESS SEES Transportation Eopenses.......... Cececccccccccccccces edoccccccccocecccces . . Seerccseoeessene an ° a) ee eae Months..... Dee. hi lirs (Guede Occupation we: CUE W thi 3 La fei, Birthplace id ec casvats RECEIVED ON ACCOUNT. OOF Re Cee eeeeeee Amount of Bill........0ceeeese-* = AF Re ch, Funeral of Date of Funeral. Mk * . ) fF f a A ae Hour Handles No... Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No........ccccecseees Gisideasaespiasthecdeievsssees Metal Lined Box. MOUntinge...ccc.cecec.s . Handles Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants « ss CONMELADIG. 5. <60060.550 LVAQOOY 50 kssiss Pedestals Clerg Sexton. Witness esisdhs cabs sradunewetecesieseinivuasesnowe i 7 Cian WIT TNE ER, CEN os vin ca cccnccacesncaciaaceid Or Delivering Bow t0....0...0c0+sg:es00+s Neo a bl cn SPITS CHOON osc 5 0805 0c ici sandevcis viacis Lin - 30-27- Wy RAF fo ey eter tee Meine AGO, sdeeee csedldher Tut | Date of Death ...&... 4 2 A Mother’s Name..“<~- oaheeeuveusestinvesacts Country of Birth.........n. .. mr Riysician a ¥ A Cause of Death Ordered by Charge to When rendered... a3 \».REGEIVED ON ACCOUNT. SHH el HORE Oe RTE OOO Eee ee eeE FEE eee eeBeHEeEs Al vo % re SletiaPndiie 2 dae tres eee | 358 es | Funeral of... [Tho [hor Date of Funeral_— Of 359 et = eo eh het wake a eo a Hour f iF a M. Funeral of ...... Date of Funeral____ | pee PERS | Date of Death......5& i: | POOOIMTIAG 6 sscsaie; 00:010cixseahensstsusaspenessousdamabotancssoiassenesiss | sdonketsindesatsbnas Place of Death.... snaemie sescdhewasskskaia ihewti. 2 ° N00 0 l . a s Embalming .............. cesetetenensenssessnacsesessensesereneanesasenaenasecs | seavaat LN fsesnesess | Place of Death.... 334A ; MTT OE FMI OME ooo ccaxsnkesecsstssaciea.-sccsiensoes.co ss | pun rebecéastieehesia Place of Punerar eA, Men 3G a , ; Nee WO ice a Pa os veka ccncassancen ca | seabsescakdteasoulecs Clergyman.............0e. isis tease pen eencnsesets cans Casket nO rfc. fee PN Siu a Bs i. a “se 17 * mnnerenrnenennenensnces |onpean neste Daie of Burial... ffct...2 sven Oeste 902. OV pkhirr (Been). | nseee| Dato of Buriat. V7 { ele - - | : | Metal Inner Casket.........c.ccccses Copper see debeeken PAM os | seeareenves wa ekeeee Where Interred Sitter Ceiad Copper pai cies RS ie ig Dia iiss Sihiioail POON TEOUAGUNE..sssssaissenseiakccccnanesssnaetacsicecsadanseassnasane’s Neinsadunihenedsdssdvabekbuhhydanénabsensteesnawasisecens ip sveidaes iscdiexasd ee of Death .* PIERS cere eee e ew ee eee as casaccscerereerererneeeerereessieeeeee a yetecrccsecedes j | / j : NAT Fn a eal: aed Oe re Section | | | RAtOSSESehaeeaense ess . PI ATINO EIN ia soe op cosas ccd kn a ac | iheaseuae ne or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany...ccccccccccceess | sesscsceces Esccceaks | Location 0) Grave free er rn re ae sar eine TT ee cen ane ment EeeRe East eai se: *2000 048088 s¢sesseeueneennys Outside Case, Pine, Chestnut, Oak, Mahogany..........0.....+. Vechiccsa sys Dintig Gil Pilih 6b ING, ics cacsntendsidschescivacdecviatsbaasabetsanis "eh sessheas : TAA ONE TUGAD SOE IO. osc 53s scansidide tosesGe8 ca saasvendisciauieoe | hee i ie TATE TaGA FAN POR ORS GREE CEUAGALD COOLER LSE ULES Rieko ecu: Metal Lined Boz. Moumntings........ccccce-ose FIR vincinssisncies Pa aoe eas i | H COSSOOOSS | SOOOHOS 099099 00000605 060000000600000006006 600 0K0es- 000000006 f ae ee ee ners | 4 Mountings....... sins nis AMIN ins coicconccess UN olin tencic: nee Fe aks aeecveeseescneeneenncennentneeeennennes | a | | Metal Vall, Style. ecrcosssosess eoreces socccee eioussesnacosencnsonesseuscens | iaceteexses . sa ceeo ee | **tttereeeeccescesesesecccerensssceecescerecoece: ss santas Metal Vault, Style................0..ccccccccscccceee Sapa scale para sn y ieS Aes Boe | phe. fe CAME RKtb sa gAEU Aus nha de sessuveaddssindscuss it j i | OUR TROD TSOD <2. cacacucssssscuctsc 1ctsniicnnatanbantannsacstoiecees tiie: | Bo Mattress. .....cscecesoessssssovcsoncevononeonsescsscgsscsscccsesescsssesess | ssassssses|sanseee pt Oe cues Years.............. Months..... Dike ic ce Box Mativess ...... eee ee mde nar ee a | Age aahe OE ion iat ea Muito Days.......... ; | RUPE, FeOee ascites ck eascaavasetnacsn rack stereceees seseeees | Color Ce a Occupation Soeteeeeeeeenees PRRPRE FOOO a. cine dente edns cas sdassdeasSiecea seh veh. QR... Color We d6ss ss an snstag@ccessecesesexesss( OOM POLION ROPER sons sacascncssiesisinssseal’ Mibeeceenases eee ROE Soave erieeg oe Single, Married, Widow, Widower..... cteeeeeeseenens CI ict cireectdineccerivs ects. is ee sossassnsssneeees | Stngle, Married, Widow, Widower \ i he bey _ } re | | 2 ae oe a fc DF Syn apsepacucecs<ssnevenssusersuasese FO, COD wricscstanliceiiensneiiensciiinbsions + occ conccckcccsccen: MIO cnicusali circ Anel wr ase eaeale cvs = Geeetansaeebss Bs SIN ois Sasoseses caespeindtarasiencm Flesey sca | cseeewes ald 2 atie Se A I (4.3 Personal Attandance and Assistants .........cceccsssssecessseseeses scscseece. a | Last place of residence esgaeaeauensueeeascss'sens pager into 4 cea Personal Attandance and Assistants ...........0..¢...00600-. avenneaeelisssacess:| MAR PRIOR OF VOMOONEE 6 ee | | | PPVODOTY ccs sceveee: 5c CMAUBDT OD on a<ncsceccics OOIOl sneesevessccees | adecccn..| ccc... | How long resident of this State................. eaabeeevees Drapery................Candelabra............... Candles. ...... 5a ae Lae. | How long resident of this State.. PBN skis ecxssrncceniessccesisace OM oes ore teeta es eco oie od Pee | Husband’s Name .......0....ccccccccseeseeesees Cee eee Pedestals aa | areas Husband’s Name ...,:2........... Sects seen Wr aiciigen | 4 ‘O) ( aw vuieast: 5 sassy: RUAN MMIII oir cveous vcathssasiavsusueasousiesths aan ae Father’s Name... 3. OF: Sat so ~ | ssitittheh talib tadiidnipdiedn taetiasndlinaamtnamameaene tee ccc re ETN TA CasH EXPENDITURES. eerisnaee Lscconennc] CMMIODPIE GS TIOVUNS «ooo ococcvccncdcccescsdscvcnedsedckoveichss ages sivestces [ovssecess | COMMENY OF Birth . ‘ | EOE DE sccinsstnicrniemnbnnnnticaediandbaacvcseastinbbiteadammiatasiee) saci... | esse RRA © DUNO oc 5 so eos bach Seasweaaases a caee ieee DIOOT TIBI oes ok oc, cds eed Pa aakuneodon cetaheasaraisaceesi eel eee | Sunes Mother’s Name | } OT etevessaas aaxiee | Country Ps) color ar ten a el ce vieeuenateas gs Rey etaceote ie oes sce eu Se oe hisveaves eaeueasusoere | ot ee Country of Birth LARTER cri PUP Pc ccc ec cel has emcees cumesccese tssescneecseceseecccesececee —— RRR OOO SEO EEE E SEES OSEEES SESS ESSER EEEEMs Seenroreeeesseeeseseeseei tes | pon Le bees SE PS icine higher nn ATR bait einai wxcoeseeanees stteeeeeesseecececsceseccsenessesceecceneneesssssssecseeessssseees ersees | sesseceess|eseececes | RYSICION POOP T OHHH EEE HE HEE EER SEES ESSE SEOES EES ESS SEO OEESOS ESE OSC OSES EEE Se EOOOE OES SCO SEEeesees Se eneeeees|seveesees = . Sastees Seete% oe eresceee eecececes Ce ececeseee ee re So seecewceseerens woh UEUTD CI socsscevesssscsosscccscceses ss (TLOUES. cccccccces oot sasasainee Ne dsitnces a Ds ccaae cae acecn cca sanssasdscsdscpeuiattnsss cons vedes sites ous coreneres . [ tanescnnas eee Charge to...... errereeeeeeeesessereeseresesegeesereeonereeeoesouseeosoooreneseoonesesesoececesoeece | ||| — ———————————— } ee Wy ite ee i shaves sccecescnsicen Attneerseaeeeeessesaedsnsaseasnenseeesconansvosecssssseeswsseeaccasovesesossseseses | caseesess, ssoseeeee | When rendered... | | eee eeeee a : P eee eseeee case sAsstiee onibibs na seceudetersavatavinebeceseversinmesettesuacecenaceseis | mae ae RECEIVED ON ACCOUNT. | | | | —— ~ — — - ce a Clergyman nn eee S{C@OS Seas | SOMO UIE S9+ | 1UNSON OST eCeUeS SONS ON SCHED Save diet ten SMMENGaebeLess|xreafscsteeslc reves cus OOO asses insavevsaterevansbsnisberesreveevessidienswituvensssenssesesvirsees | aesopsesectseceess.. 1eccc.ctc 1... Quartetta, Solotst...............ccccscceresces Organist Delivering Box to NPN CVT eisai bic olds tnssdcasdossceses EATING: sistcecetnisveses sti iatccin iscsi Gane écscea esa Hearse.. Coaches... eeeeee SOC OCOS COS OOH CEES wi UNE t TREES SSCS UIE SOH0440 066400 + 6506046009 45:04 0 51 6c 6008 beeen cto seeckae eee eeeecee CO OCO POR Oe ee eeecreecesooeecesoesessooeS® teeeererl. ceeeeeeee FOOOMTO MOCO OOH E TEL CHE O ee EEE eHEe CORSO eS Oe eceeeene ee eeee ee Ce ee svegeee * a 360 Funeral of = Date of Funeral. Removing Remains........00 pistes dada licinaiead | Date of Death ... <b face TUAORNTNG sc snkcescicecsdscdsace Res | Place of Death..... [G2 her) Pa | eahassee | Place of Funer, ‘ Shaving and Laying Out........../csesccerees y socee he coc seeeeensasensannenesnthnsnnnnsenantnnnanafonventonensrscosennnnecooeeeeee a oe Date of Buridl.../.% j | | eeseeaeas jseseseeee| Where Interred....© Metal Inner Casket.......0.c.ecese0s CODOOP can vusssincs Zine...... Ha ndle Ss No eee eee eer ere r reer reir irri rari rrr ii rit iii rr tire terre Outside Case, Pine, Chestnut, Oak, Mahogamy.........e.c..+--: Lining and Pillow Set No | Location 07 Grave OOOO OOOO EH OOO OORs CEE OEOE HOE OOOO EOE EE OE SES ES , Metal Lined Box COOH R ORO O OREO OOK OOOO ESTOS EE EOS SOOEE HORE ERSOSEESO EEE EEGOEeees FEEEEHHH EH SeeEeneee » 17 . > F502 WAC V GOR. ocxccssanecicsein .. Months......¢ i~ ¢ Single, Ma rrted, Widow, Widower. ies esses. | Birthplace 7&2 4 y sccidkebeasognieaRUEeeGAe cn apensanshelss laececasstelavouss . | Age.. A Years.....d.. BOUT ILE TLODG 5, cosssinnsvceutecicasisekune Color shi pantbaenndaensesaseneaee ..Oceupatioy Slippe TS. coccsccccscoccccesoscoess Personal Attandance and Assistants ........cccceccccscccsoseccoesceess cccoseeee. | Fee | Last place of residence ..... Ce ) Drapery.........00- oe CANGCIADIA...-.....00-000 | How long resident of this state / 222. a ; BAIS cocci sentences re A Sttuavessvounesessushbuewsstentss | ecedseaces | eS: | Husband’s Name Dyce setteseeteeeeeee HP ace | ee | Father’s wame. oe chef 2 L ft | i | Country of Birth yf Be Mesa fe ' SOO Ree rem eesemencseesesuseseeeeeees ee ee ee PPPOE OOS OSH OEE EEEE SEES OSEOEOOEH HEHE EEO LOE OE Ee See een eeeenns | { sf t . Sie ene bee | Country of Birth. %h tak, HOPPE EE SOE C OEE ES EEO OOOOE OOO THOSE EE EEOOESONs BOE eens sees neeeereeseseesess POSSOT CODED OHO D SOD see SEE SH OOCEODEESS EOC OE SOOT OD OOS OOOO ODOC ROS COOSECe SOOO‘ CeseCceee TTPO OO EET OE HOO TEE EEO SOOO TOES SEES SEES SESE eee seeereees seoreccceisevecceoe | NTULE IO UD .cccccccesscccccess ceeeecccevececceeWesseveesees OPPO OHS O OOOO OOO ECELOOSS OS OOOOOOEE OS 90050 OOO CET OOO SOOO CECE LOO OOS CEE eS eee eseses OO erase eeleeeeseees lo eesereerccesebeceseseess | | : P eg rrr partie + | daselostetesieen Opening Grave ....ccccec GA ccdiascceses. 90000 9000OO SOO 0800 100000050000 0000000 0000000 000eneeees cece ee beeceeecess COPS SEL SSDS TORSO OO OOOD OES OOEOOSIOS SCS BE00s 0000001 censerencenoeseooeeeeotgesiccee eeeeeeee: Fe Ooo eee eeeleceeenees eee eeeeee eee eeeeeeleeceesees eeeeen eee se ceeeeeeeeeeeeeeeeeeeeseeeeeeee eoereeseeeneccsecees SOCSSSC ODES ee CeseesesoS Seeeeeee eeereceese SOOO RO ee eleeeeeeeee eeerecceccessoesoes Amount of BIR. --revewnvorsnooes eer vv A eroakdy Ne ¢ PMP ARS RED PES YOST OD OEOE LOD 00600506 002650400 60 hs seice 7 Se ercecenahe lahdsech & ale Sa fe a eee [seesesnee PPM OO TE NG a vicsscsecssinssissesoscssss.0Gbion. } | r Eaeba ia Ge brulee | Mother’s Name... LREELR? ax e+ : cd nesseceescephes , ee m. 5 | a ae geen | testes leeeeee es | ceeeseeeeees|eeeeeees |rttteteseseeeeesceszesereneeneneneesens Se IE Bo eile alias tasnenecetnit icant Eck lea PSA AMIR AS oN Funeral of eo ae Date of Funeral oe x Fd 2°> - A PN SD ciaisis es ktshad Vhdaxeatbnaistisacast ice No Bo” Date of Death ... Gf. FB (IM:.....2:3 peaked Ett. i | Place of Death....../, 5A DLKK Ch... Qavevsens Mgreressevengtens z Outside Case. Pine, Chestnut, Oak, Mahogany...............+.- Lining Metal Lined Boz. MMOWRTINGS...6 cc cccccses +s FIQNMUGB, os cesecevecoieces Plate Metal Vault, Style............. Box Mattress PP OOO 6 ses ks i as caret eras alos ore eet EL ey | Saar | Color.. LOT i. bixecencswap evs Occupation.............. SER ics alec sess PB oo oscicie iy oss OR oe sad.2- suse saach | yer | Single, Married, Widow, Widower. ..............ccccesesesceedcceses Peer ee CRONE sasssssedssteeses | Birthplace nn MA eee Se Te eet ete | Personal Attandunce and Assistants .........0...60cc.cccecce ceccccess | eeeeceeeee Ee Last place of residence ....... Drapery.......... Pedental., «.<.c0ccstesenses f @uartette, Soloist Delivering Bh to Ovening Pee ees eseees COSC ESOSR LEDS CRESERECCEDEHOSESC SS EC ECO DOTES SEEHeEKEseS Nn | Wee SSPWCCCESSUES SSDS CHORSTRDE NSN SHORT SO SbObS SES EbESShusechesis cece SENSSONS® SHCCLECSEOONSERETS DOSS DEEES SHER ES SSE OR OEE CCtE Eee e0sc0ece TOPO e ee reeeeesercereeeoeeeeeeereeeeesoeeoos “fh x bh : lp LN, LAL MLE wees Dies ikens ef} e5hs000sgharcudis cignscaueaeeen s0eeeeerererccesscescvcceneeeercevecccccencecesccccescassccesescccccscecses| sccunscecs. hckeeta | Date of pe ng rere. Be ae cca ? 7 vtteeeeeees Sissies Where Interred..... Over beng Kita eZ | | and Pilliuw Set No es OPER ORES eH HE KOE E HOES E OEE OES OE EOE SOHO USES EEE HS HEE eeeeeetns acne th MMMRCRIIML: «sca id cavekes | ....Candelabra..... How long resident of this State Husband’s Name ..,,...........4 Coe e reer eseereees eeeeereeeeeeese | seseccceselsesesecoe aieeniidhinimednetd non katie meee ee Father’s Name O= seecesee- jeoesceees | SPUUIUET YF OF DOUTUIL Loo geccccccccccees Country of Birth........> dy « eetvenena [see GRE geet Ok | Ordered by ricdeseu cele cesseuuk Charge to .. When rendered... ETARETSESUSPLOENY ELCER SEED 9 SAYERS © 59S ENON RRS RONSON EMNENS SRMbEETEREKES F Gyaeceascs tedwoneces PO OOS SEH HHO TON 6 0500.06 660 000000506 000000000 600 00s 0000s snebisteeboeeece CPOE i siicisciccss Pog eie cen oa st aes PP Pee Pee eee ee tere eee ee eee eee eee ree SUOOOCOD COCO TORS EEDECODD CERO OOCODE DD EOOSOESOeeceereROneeEeeeseeSeeseceee Hee eee seeeseuseeede Lee We se eveesleseeneescleseneeeseneees,, eeeeOPOCT RHC Owes eee eeele Keen 362 Funeral of Date of Funeral. Removing Remains Shaving and Laying Out Casket No..‘ Handles No.. Mountings Box Mattress Burial Rode .0.ccecavcesess ee enw ee etre . en eT TEN Rey Drapery Pedestals Vault Chares.. sakes eis.) BOONE. .srvisscespososecse anveneee Lining and Pillow Set No... Metal Vault, Stayle.....cccccccccccee ‘sibs I FANON sins iiibecsvcdsccumasanses Outside Case, Pine, Chestnut, Oak, Mahogany eeeecsccsecceos OOo cece sees see SeSOeeeeeserseene MCE EARCR ElOF cs oloskssoneesevecocaianscasn COC SOS SOOCCOOSSOEOEO HO OLeCes SOCOCOS SOOO AETOEOOODEREOE OOS SEEEEOesoere Oe ee eee eee eee eee eee ee eee eeeeee Peeeeseecses eee ceceoecoes Seeeeeeseeceroee SPO OCOSOS CO SeeeCeeeCeseee eeeeenes seereeee Amount of Bill........0000 OP OOSSOSEDOS Seeoseons seesecees * POO ORO OOOR Ore Seeeeeeneee’ ? Kf x a “ieee . ¥ ele Beiiincskmepes Piace of Death .. Months.. Occupation a Seelat Soca Sie | Single, Married, Widow, Widower | Birthplace How long resident of this State | Husband’s Name l. ellnivvarigerssannsenernagheown Father’s Name...0%.2.2% ; Commie af Bath... fo cscs Mother’s Name [Bh Tt e' Country of Birth easy assaiine : Cause of Death Flat Ler 4 -€ ate Oe eccecens Ais ae Days eccccceecess S Funeral of Date of Funeral. Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings Metal Vault, Style Box Mattress Slippers Eisrets ware revi ie4e ets Doz. Chairs Personal Attandance and Assistants Drapery................Candelabra..... Pedestals Weis eke pees CNG. .i ois er ee ae ineral Notices Delivering Box to...... Opening Grave Hearse y | Date of Death | “0 / fp 4 ) | Place of Death... tee deucen ‘tay one 49 Place of Funeral wee 2..| Clergynxan | Oats of Burial rer reget creer rr te reer bh nr ew “ eA ‘ Last place of residence .... How long resident of this State.. < Husband’s Name | Father’s Name “ht x J) te Aha oe Country of Birth . Mother’s Na nef Country of Birth... - Physician K ; CO, Charge to | When rendered... RECEI VED oo ACCOUNT. sete ee enter eneee dn hiniieeidetne nee ee iii ilk eat aha eee eee ana ate y ale Ai einai PMs atacset oe ee ae Picea 22° psa 36/ AY 4 A xy Funeral of Date of Funeral_ i Aeaceed. x \ x C < CLA “A EO Removing Remains...... seeeeecenscooere PANNA 6 oiissasiciciasscsstseo SOOO reese [OCS E NOOR SOS RS OOO OSE CBOE OHeeees Shaving and Laying Out...........: pubanmtcnkeawesivessskeoass Casket Mp CECE... ee bnkesebekulecsnes scueue® Fs Metal Inner Casket.......cesecccoces CODDOR ios cccsctes FANO oo 00000000 ar LNO,g cunccnvaccccvereccceccesscseserosessesenss eecces eeeecceevoresccesees: Handles Outside Case, Pine, Chestnut, Oak, Mahoganzyy.......seceeeeeee Lining Gnd Pillow Set INO. ccccscccavsesscsseessscase pavapeecaeseaneacssase ABU) TAG TIO oss ccccdscnicusncapanceksaucbebmiseesebacccsssiescessacise eee ee eee ee eee eee ee Seer eer rr irre ri iceri rit Ti rrr i Tir rir r Tree rrr Terr TT reer Quartette, Soloist....... Coseeecccccseeeoeseeees PUMP AP IIS TIGR. S055 voes seis bak ckcuavs <accevaddscecdsccaived Opening Grave .. ‘ gubedeveseccesscccsvecesosscsens S00 vases eResHeseseses eveedqeccsceesooserces i cscicncnbinnntiinerininanilioe GUM. rss aclu css Transportation Eapenses......... seccevecsccosseeees es evcscsocecesececccs eeeesececees sees seececes seeseeeres seeeeeeereesoooreree 7g eee ft if Ceesececcelscesseses Ceeeee ee omecseeses BIGUNGINGE ciniccsissssinacs TT coc sa nuaa nce, CUR isc ass scsks (cp ccccooves | ianca aden |. 0400 sosens nda vanerasee<asercspsscscilesiascsebatdadineces ; J Tetal Vault, Style.... OO neeerrenees coccceeeceoeoeceseecos coense BObCSCSKSS: | Usdndecécalsscassinase | <SS5809 60600005 fee wweweeeernesaseesserenseseees pcdveeseve ‘ x AW Bow Mattress. ..«0s.00 héasicuetsenn secccccccccccooccccoceseseseees mesesneses ae Bs | .. Months... 7 J WEY Bs scssesases [ ‘ POUOPUEL FLOUR <<. cccc< ca nnnceccdccensnasascssaneacsunvapadi sees sesauibuetsusass ..Occupation VOUT. i POT occ os doakocvesesacnnede WB. cosceccecus SOON lal rer arlene li etn aeak Single, Married, Widow, Widower........ hy an Bee ati aaa De Co cncececkinscacnecnes i Personal Attandance and Assistants scqince ise nienesieass Be we 1 *& VRE sie nes OAT aos ccgseneo RARE oe ccuwssccehess .| How long resident of this State.........../ i kt nee P OUPBULAS, iiss sceseees pase enetectesseeees WOMET: << cnunauvurore<pgksesacsy tre | caisiouiss CaS | PASRODGINEEE 0 PV CIOB cos cos cks i ceces occ oiak Pir isnss Siena Father’s Name CasH EXPENDITURES. } Country of Birth .. > Door Dressing....... susuncsessnesbacessesc eeenekelsssapesseceesaouseces 990509 KacVivccess Pike Mother’s Name.. f } | Se ete a Palms svcccvesencoscesSphooccernSieficcccessss* | sesseseses|ocscehons | COUNETY OF Biri eters / - | | 4 ¢ } | POOF Gs sc ccucc ccm cscs cayglfeRncvecscepelly nccceonsosens i kiissseeeess ice ee BN Fe Oa. a, 5 Er is | Sr oa. ni ekes aT. cccsuncns Me BO ceases te Sdosesisadeusescauess | 5... a liscostees Cause of De A | COCO dre Pe errors secseseeeseeenseses fae coc dnggescccssccscccccccass secereseesesscesones eee eo ca ate 0 7 — = i baaphvatssi esses Porters and..},i24.- ip acgaievas scsi MMW MMwenaselves | 0060 a 30% CMR A ee oor conve canes seeeeesenees O lg | j Funeral Notives......c.coveeeeh Gocabyig iced osvsesceee seSteccreece wenseee fo pte ae CRON ooo as eis sakes ec ies seer eee Av x | wot macstssstisesessascvensenecersessaseshnamertscesesssssesensnesesensnceneensies | weaseessesfecseesees | When rendered. ....ccceevsreessinneeneennerees eee ove Srabhisesseabatansavéutancebeseetesdesscsusssciberelansstsesseaesesevensseoneees Lic oJ EEO RECRIVED ON ACCOUNT. Sete eeeeeee! concerns! weeeeeeenee POOR Meee ene eee eeeeseeeseeees® ES SE a ae Ae Funeral of Date of Funeral____- ae oC +. Ties Dena FOAINE 55s vio vss kes ek ee ga Embalming SGUID OE EMG ONE ioc oa ss ceieddicss oc OE oo see asses Size POUR DG ances sn ees ctssncrs sete asspaves esi is iass tase Atle fen Outside Case, Pine, Chestnut, Oak, Mahogany................- ERE, FU ICR SAE IYO. 65 vn vcsciescacseessissice dadeksint ke dec Metal Lined Box. TE OUMTANOE ivccccccsives ois Metal Vault, Stale.......... 2.0.0: Ge open Ne sa Ngee aL ou Box Mattress Burial Robe SOMO R ROR eer CEH eee TOO ee Hee HESS OSES EEE HEE Hee oweeeeeeeseeseses OPE essa desks ae Perel Gee ees Personal Attandance and Assistants Drapery................Candelabra..... TF CACME os ace cn OP I cos ol scr ees i eg i ae Suh secuvancbauesiactbuees PR iy eoeieees ee ee ROEM ete nncekn essen dnuans ysneenessteeeres cases contac | COCCRCOCEO CEOS DCROTODL CES EDE SEES ODOC HHS EDE OES EOE OR COC CECE Shee sccceeroceecececteees } eS bistereievatel OPTS CE 6.5 Sonc cig bis scigcins GOERS os Bes OF | c FUnCtAL NOOR. <0.0scsesccssceeseaee ee ae be ede te, maeree a hue. i eegpnces flee Cean s--s-seeeqecncenseD secsresecscosonsonsenes pee p—2 pa Soe v " Pf Peer eereeerecerereeees: seeeveeeesscseesesesee gh oe dbbuer tc Kibo h ens ss vee TN is ccedecitin cists ieee snnevutwetssd sl dsieeeecletcx Sebetas T ciewcen Ak + sexton sSi5paSSN9dS4498S004sh'sb0sbsbscdesereebebncessescusessesegibees tesusoscncs= | ouics.ce, MAINO, SRI oo cds ces ovecds ores Organist /..” meee eee j Delivering Box to Ve" OS “a. + : ~ qy f Opening Gfave ........ i ea Lining/ 2-0 ericaats : Vault Charges........000s0s<00-s bins cucd brie reaG ey cta fsidpactind wucshoassl “ I sesh a iokaiia ota galas Cash he | . ree Coaches.. a See ia ee eae di | A¥0966 00006 000400000000060000) DOs CeENSoescesnesueeclges ceeetsceeseseseuess Be eres PO sii ne aoa ROU, Sociks ins cccedcacheres Transportation DMN Se Sele iea e SOP Ce 199088 COOODCODCOSOS EC OOOOSECOS CLO TECOODOO COCO SCESC See 0° 900000000 000N6000* 06060000006 HCCC CORS HOSE SOOT COREE EEE HO DEE OES eee Sees eeens S890 02 Gehbeseneceemones CLMOSSPOSOS CR SOSOOS LOO OSES EE EEONOOECES HODSSESSL CbeEess 1 bss oescbeiRgiaa dell | Age Years Months...............Days ee ee ee TR so cionsesdiidsininenrcisssa nn. eens jseeseeeee | Stmgle Married, Widow, Widower......................... Se ia sins dae Raa | sexlasasisfeondonhes NM MPEIMIMIN scsi oe eke ae npbeare | Cause of Death | Date of Death | ee neeceene ; Birthplace .. ‘Last place of residence . | How long resident of this State Husband’s Name | Father’s Name..................... | Cou ntry of Birth | Mother’s NN a oa Pa ere eae ee Country of Birth.. PSS aie | Ordered by . | Charge to . When rendered RECEIVED ON ACCOU CRSS CONS S | CCEOESOTOTE =| 1COR ORG 0+) > 00009001000 000060004 Ob 008th 00606600 bn40+1n0ne¥Ss oles eeeeweee SOHO H HHO eee Hee HEHE ERE HEE EES .2 © eoewwee sere i . Se OO eww eweel eeeeeeee nee POS SOO eee ee ene ee HE tee eeeetewee, 1 gramme a ges et aes ae see Na Neen ee NI TORE 365 a. To A Hlebun x Funeral of a emer ——— Funeral of. Date of Funeral iN Of > ___— aay ee Q- J oadteed “at Pe | Ca aa 7 a Pemovi ) ins neccoccocancccseenconnsnonsessccsoooonqnceses Date of Death ....., Lh. . . Removing Remains....sseeereanese of 4 seals ees Removing Remains , 7 Paneer oe Place of Death 2 «er ANAL... BmDOUNGiad ..acevecssssscecssoccncrnesscosesesncsennnesseseccsoncresssenccesos 12 * * 4 j } — oe oO SS — caus comnts’ = , Shaving and Laying Out | Place Of Frurnerdl.....c.cecccccscrencescssssseasecsaenareeeneeseegeeseersnseanes ; ~ 4 - ‘ ' Casket No. ....ctesceccececcccccbicosecccccccngone | oeccecerers Ceanleed Dita cavcccacansepesenecs ee i eee cea c ca cause seen’ Metal Inner Casket Blamillen No..visescsresnessasesssesancononnnas ssoonsosonspnocsonoooonsocssonses | 0000000726" |. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.....+seesesse se avekaeepseunie gecnuadiniene Mountings Mountings......-0.ce00s ++ Metal Vault, Style... Metal Vault, Style Bowe Matt ress......scccoessssssesssceecccencccoqccoosocoooscossercseserrereees Box Mattress IRE ins ih cam Sera Seema cacon nee aE aes eat Ras is anneal ea ~ ... Occupation er Burial Robe . Burial Robe ...c0.-sseevecersescssesereceecsossorocs Widowe © ® —_—~ lower oskedinaeee Slippers 9 3 | Single, Married, Widow, Widower Slippers | Birthplace ons een | Last place of residence : orsonal Attandance and Assistants ..........c0cccceesesenee ceeeenees | Last place of residence Ae Drapery | How long resident of this State... A eo UPEPY...ecee.e. oe COndelabra...........0€ : se ‘ | How long resident of this Stat snes nf tagebe ne ein ere compete stores0ag } Z + Padiagtale....scssccsoveceessrassecesacessssd¥ Ol sssees} | Husband's Name ....-= wenerecnanees Pedestals eo ARN oe | bah Name » po: ah | Father’s Name | Father’s Namé. | Country of Birth .. | Country of Birth | | Mothe r’s Name Mother’s Name... 07. | Country of Birth..... a } _| Ordered by .......0..4.. | Charge to. lH "hen rendered RECEIVED ON ACCOUNT. ergyman Sexton... ; Cuccrtelte, Setetal, 55 <.csicvessesecsvcetasn sesh Quartette, Soloist ee eenerer ‘ - Delivering Box to Delivering Box to g Bo Opening Grave ......00 oskynl ubuinmeanbisevanel’ Vault Charges.. Opentng GAVE ...cvccressevececerocvessevorsases eeecccceccnsvenenessese® eoenee eeceeess soeseeeee® eeseveeer eeveeseseesoeoors® evccccecoseseeseccoese® ‘ hi \ ; ¥ 5 TT, . eereeser tatiana 80280962 erererenee ee a oo - Toomer en eetene * Foeweaggnsoeseceerertay, , ewrnee Amount of Bill....---eeeesevers : steeeeneeseseeeeesene | von -—— connanvabes sagfand ove. a ALOE 7 30 2, (/ Lic. fk 6 ee oy ) ce Funeral of - £ i & = [detach or ZF Seaioae — a Oe Funeral of sie aes SO ai ee, LLOVE 1—. Y eo. sis Date of Funeral a tt Hour fe Joa Date of Funeral —_ / — capita Me | ‘ “4 3 ¢ Y P . ‘ 4 4 . cisiciibiaes Bn ivcsaccsseisinensasiecusaesanpeenuaannionn = | sssegeee dy ate REE ERD wei caontestpete senasresornsrscerensieliSih iat | Removing Remasins..........seseosssee-serescessssceenssssesseccsenssesees | sssencesee: seeeeeens Date of Death LLRE 24/2 0 stseeeseeresen paperersseeee - L : | ? C ' 741 i TOMEI Goce nckskacectccsacecdaneveusnncueees sowefecepareerores | TX +++ | Place of Death...........00000+. Be | OCU nnsscavescarsaasninessaneseanansenssesnncsesdoscoesenesed beanansaeel cass 75\0..0..| Place of Death... ; | PURO OF PRROTEE. as coese-seccssevsscsssnsssnesteossinsssagel Bacay GE EI CME aia oon css co cesecicneccecdsasesesaccce ; cual | Po Beil eee § Wart a Cnbat No.6 Of OW 7 cc eeseseks zg PGI. 2.0200scrarerassnsersencsecrsessasseoenensansoncces a 1g DATA OF BMP. ono inccsecesescecs .oss Fa vassini asters Wiemeee MIMO | 2.215 tusinocedennguueuanecaneetes aeiss ergs selaiarer nen aes cavseie tee s a Seitesd | Date of Burial... KXeeae! Yoo Saale or eri ie Where Interred ceusencenes TARR DO.* 4105200050000 .9 55 8tpeuasteneeepen aareyT ‘Metal Inner Casket Copper Zine... ieee Where Interred C - fee 2 dg Shaving and Layi AGP AT leoscecfecceseces | | ba . ye poikeueaie Soe cE OE POs sank cdacse cise scds Sada badedi anes sescedeenvasisasdtivsuceusses |intsesesateels nvesenk IPUUE OF DO8 INO. 20 oosaksceccunvesssactedsn soe tibasuskive To) t sOutside Case, Pine, Chestnut, Oak, Mahogany. .csc:ssescsccece | soseseeses+| ssesoesss Location of Grave | 4J | iste ie UN i ii peer a fJtrw Ke 217 £56 { «8000000000 eer eee e ees cece eee ee CO SOPOOOOOOOOOOCSES §—recccscerer|soeseeeee | seerereeeeere cases reseseesecesocseseceees SEP ie RR iri nee ere ey te cs Se Ti vis saenewas Pee A Ea es aaah pe POUNDER. 6c concneniaes axe PEON Bc vesncseseversers BMI ee hcp eke Noscase aoe bce Tica Fikes tr pan shae ae aks svcd tenia aati daee eaeceedpeeese® eovscoenece eT ithe i eo adc tees eee ee ee ee «| tte eeeeeeeeeeeeees A aeenereereeeesceceeccnceeesereecseeseece ; B ! Robe wi UL se eu aed ee saind aneasesudh nach asuuakecdatsterisdueubecesteso [sensi eae AI seep latviss ein blasace is OCOUPANION. .....secersersererseeeee Burial Robe ek AM Cad: ‘ ‘OO © | Color - & Othe eee ree e ee eee ee Seu HEE SESE EEO HSEO EEE HH Hae E eH ESC eesasesauraes | seeeneeees Seeeeees pigubnuacsuniser ces ughcssuasseris \ ceseiaeisie een BIB Sa ciceisieecs BOG sss scvens MONE, cnn PO si ssinis Box Mattress...... esc ccisaan Reptile ere ce geur onc cee aan rt ore a wieaacs | Age....2 - Yenrs...S2.. ... Months.. {% LPO scasecce Gta MODE co cose as ee | Single, Married, Widow, Widow sansesanhniseaeion aD ere Pe eo, Dan he or cook TErsccccccecese PULP POTS . .veccccccescocesscesesecss incline Aa cctaliecioceinicoes powell ce ee | Birthplace .......ccccccesessseeessee: ia ee We ce is roves senntesns enn .-Candelabra...-.-ssee-ee Capi ee acces Bie a | How long resident of this State hr Argonne F EOE, 20S st Seek CELA io 55, setts OS Hk ke pec eae | How long resident of this State J F jeecaceee sddupohuedacenensayecie | ste opis; |cah isis. 1 ee ee A PRE ons vcnstavencsss 6S ee sea tineee etc A OCCETLID Ss vcencnantabsoe sus ctvenaancessoks ee fal ed eee ea en | Husband’s Name (Lite JO-V Ch £a_— a eeeetneetinote aemeemeeee een ean Sn eee aan ne aa eee ee vess{eeeeesee. | Pather’s Name...,2s.— CA Lez g C hace ” ames i e / per Pca eee: | Country of Birth .. Mother’s Name..... Mr cK Steere aPa near eee e ane e eee eee eee Mee sees esse eees esses eeseee® POOP R Oe meee e eraser eer eee eRe HORSE EERE SESEE ESSE EOS EEESEE SEE ESO SESS | coenencees seeeeeees eee os cocte ies cuaasciasistecans PUR eo casks ae ee feasts Country of “oy Galee spaniel een y | a ¢ FE UNE 50k ica eape es ae ee aide ea eae Rhie hele Bb aaa Petia Md At OTS. ah ies rey PRRs sates 1s panensdenencd vans seneswatensen vagsisentangsqaieais seuseieciecsisataecsa eerie | Ree |..eeee.e. | Cause of Death nedcoednce4 its NE MINER siisucqeedGsbclvkintn sts OME, ci ecx: NONE FIA socnsssursusstircensinensveresessnsscoberese psediseespuaavins 1 | ; 7 | : icsceeneseees mesevseeeressceoes sac re ee ee Pe VVUTS ees eereererereees eoeseseeseceees H | wndance Gnd Assistants .....c-coccccscccrscesessccscsccsces | caseccsses poe | Last place of residence .......... Le. ? Personal A tiremltand aaa AMBION oc ooooscciccks casks ik vkkcenacll wodetis celal ctciacac | Last place of residence v ‘ { Foe MUP OO «cco cccctceccevcctvessovssostecessnns+serconereamenterm ne at) NERO O HOO e HE OOOH OSE THOT EO OSES OEOOEEEH ORES ESE EEE OE HES E EEO EEE O EEE SES Eeeeeee WRG POWMIIOE cinsis ss cicccce scene eee | | _ Se oe aie $$ = COE tee A Hee eee eee eS ROOOE OOO SOOEE SOOO ES THEO OLOO EOE OOOH TSE ESSE SEE EDHIOOEEEES SEES | seeeeescnsiseeenecs RECEIVED ON ACCOUNT. 3 | | ener Clergyman SPCR eee eeresesesessceseceseserecececs ceseseseccedeces ' f ? Fo eRe ere ee rc a hs cy, a renin. ori. cal aenekeuluee lle hadeke cxkeccebutus sore . | Sexton : j | aqetane PO bs eeeeeereeeeeccnveneseaeeeaaenaesessessassnrennsesennsennenats Wiseeeeeeseese. | sexceesees |seseceeee | sheevege dee ‘ “vy elivering Box to.......+. OO nett ce ne eens cue W NGotere bivene 5 nh &.. Recs | ass y PONG GING Sor avsckcd echicconacdotts Lining O22... Opening Grave .....% 2 cerrreces Sones Vault Charges. TAPCO ROO HOR ee eee E Hee ee eee tenn ee nee Hearse...V...../, St, SeteeeseesssssagPeeveseensaneoseseeseenseceeeses , es SS ee ee ae ere ee Chath a or ; 0 FIRE OE a ee aE ORO 660k 6 bb 0h peeebeeneues b056006.04500000% 6¥0Ks¥e¥ eked en ceuse rover eeeeeeeeeres GT TTT SOO ee eee eee eee eee Oe EOE OOOO TEES SECON EEE EOE EEE EES EEE Ss Ob eeE EEE OSOEECeCeS COPS Rae eee eee eee eee eee eee eee eeee ees eeeeeseecessseeeseeed Funeral of . S. Ye eee a — eee ) Yer, Date of Funeral_— | , isan it Kanviad / Removing Remains ; | Date of Death NN oe eacucecs ne eaabeboea seinen: | Place of Death Shaving and pie | : Cos eeslaane “ & TE NE FE ONE oa hoes cctkcnanencdheanabasdaste Gecdatonins Casket No ; | Casket No.....7..4ZA82 | | Date of Burial Metal Inner Casket I coh seve enes | Where Interred. .....7Z2c...cc0000+ Lee ceeeesiaess Prsnisacieate shea Metal Inner Casket.................. Copper : CPI OF DBO IB oc li cescncccsasics ae pe jevaipeds shes ieotins Handles No | sistss ssssseeen | Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.............+++++ Outside Case, Pine, Chestnut, Oak, Mahogany Location of Grave ...¢¢ fD OCF Lining and Pillow Set No. .........s0.0se000 Scceiextanawreesbaneecs sane Lining und Pillow Set No... Metal Lined Boz... Metal Lined Box Mountings.............. ... Handles Mounting PGE 5 Oe ME eile ei eee Lon Metal Vault, Style ee CORP 500 <5 skin oanascesnacdssbecwseuneeceu can: <0 sisnsssvas covneesasis Daye Box Mattress Te coca os cscs savas eae Nie seeps nee eae eae eee oe seve esa Occupation...... Burial Robe ; Goowgntion Errno arr ee Slippers s HOMO. . ocivesccvtesss: Single, Married, Widow, Widower soceceereeesesa, OUppere Birthplace Last place of residence Last place of residence scbvs seneeuheee . | How long resident of this State Personal Attandance and Assistants ...........0....ccccccecceceeceess DARONY . ciicaiciae ss Candelabra - | How long resident of this State i iesinee OTapery POUGHIS, 5c. ccseseesss ss aren oe { FIM 8 ONS oi a kbc eee Pedestals nT ne ee enn i FUN BIOS oe ce 3 ee Feeilweer vines ssn salhue Father’s Name Country of Birth POR isi seta eave eee ONE vss occas ais ee Country of Birth Physician BIOUON NE oe etanersak : Door Dressing ieeosect egseeeenio eta TAME Aci a ee Flowers | : | Mother’s Name A | Count Physician Cause of Death Cause of Death ota Porters and | — by CN OO oo cies io scpchs bs es eas a Taine > Funeral Notices Charge to When rendered. .........ccccccccccessees ; eens co - ‘CELVE ACOTT RECEIVED ON ACCOUNT. RECEIVED ON, ACCOUNT. bl CM oii a alstihas chiro Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Chargeg....... gecdeteegacseneennesocensndesenoniuanenee sonesenssnssess Hearse.. TAer MA Sevan hance ein kss 1s pes cis ein decd | Coaches Iso cssdiivsiassoseptnericciecssaaviess fi 2 bho ¢ Gy Hearse Pei Scceceeus PPTTTTT Tit COPMOOOOS COO DOOLSe OeNELETESEESeroeneceedes - SOROS Cee Reet eeeeeereeeneeaneerelereereee® Sees eee eee reeeeeeee SSO OOS ODSOOEEDO CL OOOOS DoCTDCEee deceeeess FORPOSSOC Cee ERE rE EEE EEE EET EH BEEF: FFP CPOCOT OREO Srereees eeeeeee - ‘ teeeeenee Henne ee eeeeeweenee TOO RO ROTH RHEE ES EH HEHEHE ee Eee SHeeeele oF seeeeee eeee eereeeels 3/2 Funeral of Date of Funeral Removing Remains Embalming Shaving and Eats ( Casket No Jopper TENN MGs cs teh tire her ee tui an ary ge ery le wae Sau caaded | en Outside Case, LANG CE PUTO GRE ND). acces snocesdecavasaceincresssestvecdaanessess Metal Lined Box Mountings............ Handles Bieta Vall, BONG... .0ccc.scccee Box Mattress a uluheheks sehesycoudeseredsuuneseseeasyecueassetieanses Burial Robe Slippers Personal Attandance and Assistants Drapery ...Candelabra Pedestals CASH EXPENDITURES. Clergyman Sexton Opening Grave Vault Charges........./.....-.00f NGioresincinvetven hear « Hearse.. CRA. 2K... a Coaches eeeeeee Settee ee eereeeeeeeeeeree FOPHERHAEOEOTEH ESOT TOO CS eee eee OCC C Cees ete ees Pine, Chestnut, O60, BIAROOGH ccc ccicccascscces | scvevacees Date of Death Place of Death Place of Funeral.. . | Last place of residence . | How long resident of this State.. | HE usband’s Name .| Father’s Name Ordered by Charge to | When rendered. SOOTHER OOOO Cee eee EEO ee HEHEHE eEEe ene re coe jseoeeet® Funeral of | Date of F ed. af Handles No Outside Case, Pine, Chestnut, Oak, Lining and Pillow Set No Metal Lined Box PIOUNDTNIB. <onevesesoves due Metal Vault, Style Box Mattress Pers Drapery Pedestals Vault Charges a y7- | Clergyman........43 | | tote ewenene | 1 Ry. sean tare? a ee | | | vo Dae of Burial......34 Jase nue iterred O Where * | Grave OPIOE INO isos aha dase ac Section = en Color Sing Ma rried, e idow, Widower | Birthplace | : Country of Birth ..,.. Mother’s Name OPO e ee tween eeenee Fen ee eee rer eeeere rene ele J Occupation “. a 3/4 Funeral of... Date of Funeral ——i | Funezal of “ Pa Date of F add ia _M.- | Gines ~/7. -Wy 107 gw i Daceacenscasenadotinnt, Seem f° mma RN 8 ee Po oN Date of Death | - | Embalming «....+.... Ke | Place of Death _ | T OMe KE pg Mate bcseupamy | EMMbAL MING ..ervnne.eseerccarevereecosenrones dees Shaving and Laying Ott. fogd Oa ra eine ae ne | aa seaeesees Place —- Lh?.22. thd = | S ng and Laying Out G5: -| Pac of Funer a eres 5 oa Casket No...¥7 Toe ee: i... rGtahollss eee ee Clergyman..........-sapse oat Ge WA. [oreeeeee | TTY MAN..-rerrserserpicderarerereessesansscersereerssesssessscsessersavenes,,, | COBREE IOMBporsssge§ecresncnncercssnrseesnpesgee Pe ieee ccsen Meese d| Clergyman Pianas di vob usees aceguieneil a. GUE ths eW ee ee Sst acas Date of Burial... = [*v ieee nee Naas Eis wh encna cause ccr ine rete Wes Miikka teed oan el zea Date of Burial Metal Inner Casket.................. COWDEN... isciikss Zine | | -| Where anette asd bhUCL sssceclll Metal Inner Casket................-. COPD? .....c000ce-LIMCroscnsevcese | sovseceees Be | Where Interre INN Pose candela [ soctneuenes | ea OU OR De ING ic ee NI 5 isc eam IN kit the aca peeestshckainanrininersixysouaniansastareih Drea | eae | Grave or Lot No AS a Outside Case, Pine, Chestnut, Oak, Mahogany.................. ns Outside Case, Pine, Chestnut, Oak, Mahogany.....-..cccccsccee | cseeereees oe Suiiaiis of Grav Catal, eck pevcica Ginga cians Lining and Pillow Set No.......-ssse-sesseeeesessersereenseneneeneees — | Lining and Pillow Set No......1.ssssccssseesessesseneees cdcerakiec bina ome Fsalaccigeaaee Ly 6-1 § bo pushes PORES EMME TIO. cones snvensssnnssarsessnetsaventienvanbve venetensasuveasans | teteeeenee: | ceteenaes UU IN aoe aaa iciacscreacas Pe | 6 We ites. cavihisnchransioustnilankets Mountings............ + aac PN OMRIOMIE, 30h en caccees PIE os sisi | npr ea | Mountings.............. ... Handles | 44 fee Pp Fate enneceeeneseseeeseeeeeeseseesensees MOL. VM Neo ooo ess ose cause na cous coee-wccakaseneoasoe. | pease edienlcecsalen; ‘. il Wa i |: a. ee uahwsa ssn casecsvaasseasdseseiuussseiccscees | PRS aD i cn oper osilas i sncpsSecn tance Sy ess ead eee anos | omy be | 2 11. DQY8.....0000. | Box Mattress be ears...) Ste Months..... IL ne Datys....-5-.y¢ | PRE foe .t Se Galera ct | Cee oa | Color eaisuaee OL ae Occupation.. weep Ural FlO08 «.icséccoglosesscstee Pirates tesa cee eie sancctauecsteccssecans | is MevRcslttse thes. | OMT... eee, eee Pvekcerasnectenes Occupation, SAT incites “9 : —e | MOOR somes ste s Pr a LE ee | eae as | ee | Single, Ma yed, Widow, Widower........6/..00.06.cccccccceeceesesee BNE Se ee a Ne ere Ce £)., ? eae een, Same me |roaeesees Single, Marragd, i cteetsenecsssansessecesesecoeenes EOE, COD, 5x scverinesssenesise siaveemnensic co se ey ATALAGD.. rc -..... a ere i iccssik wuss amen ee | Claes | Birthplace re | | | Personal Attandance and Assistants ...........0.6..c0cccceceececsees | pay tUbaaay | ueaeae | Last place Of TesidenCe ............cccesccccccoseeseee. cone evaveccssseenean Pevaomal AUiaOmed GH A MSTSIAIED oo icesccccs<cehccosecessonnders | sasseoecex | ee Las place of residence | 4 Drapery .......Candelabra. ...Candles....... ee | erent aes | How long resident of this State............. ...... ann OTODRVY. tscscavecs »---Candelabra............+. Camadles, ............206| cseesseres | neato | How long resident of this State “ viseeeeeeees | ie j FOUUSIGNG soos os cin ca sece . FO A aes ae | Husband? ’s Name FOUN reg cs heh es o oseitcendevnnecis POs caves voxssescesa oitioeaid “ses | aes | Husband’s Name. 7 fe Fey esl sGuplbebteay ivoire ten eee eee y Es ta a ee | eee | Father’s Name.~.~.. 2. ek i capasees Feitonsess aise of Birth .. See esis edniuonis | Mother’ s Name../. << ce Sak pinnate eo Gene ey Oa ee seveeeee | Country of a OOO PC CeCe POCO eer eeeses ese ee eee eese EEE eHs eee EeEeEeH HH SSEEESEEES ute enneeeeeesteseees CHEPOLSOROEDSE ESHA EN Set ee wee Ce OH PESOS SD ELSA CHESS SOD EO 65 +4 LIU OY SSHCOUSSE FT Cicvccnccs] sucnvens | We MOET WOO OM CNS SOME CHES es 0540005060608 F00 bs MNS ebebenss é50ehe ee e500546 15660 beaeue Heer e rere cece es ees cess sees eee sees: eee Clergyman te ctse ees i a ee Sezt0msererserereererrerrrnereenrreerrerorrenensnrenrntsseel Boa : SA Tenrees OPIN, CIR on. i csccetrsecnerncnssccece SMM RT osccusenteree POPC CO eee weeeeses | seers esere seeeerasesccsssssccssscscees se dees shSUIUIU ceceuscceseeeseeeee © cee ce Ce Varult CRANGOS. ....n.01.000se000000ehfees fh apassssveseronsgsnpessioressesars: | sous ssecerfscnsinees | exsoveesoers|sonesees er SUNT EU 0S Coes eRsasaniesonsesv ones cuseda ova iesengenianoieds Roe, PAov yc(ee2. tea Mar sits-n sn snys ed rvisnernesesnasansshdinnosepesnssetpntisenivenibinantent cigs MEME: ce en rr er Le Hearse... he eee ee snes eebiaiide me COR sa sel cssscesees gS ere padi bareblabevmetksceedcie ca 5 —— eee wereeeer eke deme obese AM ew eeenns seneeenene® MANNDSNUSSSESECSONOSNESSESAbeSbvivsesesLasqessisereneestenssepeveces f. DROMMEE .* 4 Rue 1 Wk) MN ea A LE ss eweni ben tepetanesomvapenpndaee ver ten Tbeushetuetesisorvedsureseseesouawebbvesneebass | (siaccc coh. Ee pie re te Teena eee SOR EOS Shes aPC OREN S URAwROO NN eben E . CUr EMME ic. A. (Maa MER MR sn. ices Osis Sh ie ESREEAIANESSN ENTS SARS UR SCS UEREESTEAHERSI DDE OS sibarSELeesisesssinedicccig FU... ee ee ae a ree. Rk | #8 RGSS cep een end ann unaNeapeEeseerbetedebbedensinst¥ssus\ncecgiebeduneiuaco.acses iii icierhiceiisaaheicisenies i a TelOGTAMs....rersevervescrcsseesesescsceves TOCPRONG.....cecevesesoeeesoess | cessese ox ‘ \ Transportation Expenses............0....ccceccccscsssassesssesecseeesees a e _| Transportation EXPenses............0.00. Mer ee Ta Seepreenee i ies einaldistshuailbbbisinbibibininisciaa. : Ceeeeees weneesesceceseceaceccoesssorers ce oe sf onites hig ii Si a a ir hare ockcce. 2. s wenpecenyny Oooo ee eeeeeerereree . * \ ‘ Shadi ikeaee siehoniiawbbinidendieiianas cs t : ee inion sGicialilibid ss sinsaiialiaaiill Mea hah "SP are 376 Funeral of. Date of Funeral_— ePeeeeeeeenececereee Ree oe ei Trib hishaccddsbibuhondsons eet «Lcceeabu tees Semen Gd Tari CE isa Sa sbcikcniccase ws eee | aeceageind eer Ue I ce ei ie sss sack os yacesdnnsseemee BR si catissivisc cs eee becve: | ass Metal Inner Casket.................. COMME? .....ccccsice es ion as PUAN ge ae Bs ae a ye re a ese iia Mountings............ eetal Vasil, Style. ......0.c506s Box Mattress. eneeteseseQpepeeeducenscceeereeeeeesennansesesesce seneneesers Burial Robe bg yh Slippers....... Ly. e Ripreareeee Prs.. Cote ei kk Sara tee, siveseeodDOR. Chiro Personal Attandance and Assistants Drapery ....2...Candelabra. . Pedestals f Peeeee ies sae ikaees POTUING CI aicvs cnc ensinsccsecssizices»CHOOM$.<......... Funeral Notices.....)4 REESE RUBEN, Seale ame sisal seccenen ssa Vik 2 sose ght wa atte ee ae SPUIUTOLER, TIOUASE. .... ...00s00%serescevecesdeses Organist Delivering Box to CII TID vss oxic: ccsceessiceiseasncdecss, WAY caestensierseasss Vault Charges / Hearse....... SINE, 54515004 ois voids reuaiwaes bets ise lliwcKiL SPURERS SHADES SASORV SRN OSERN ETCH H 99500400 0805 or neThenseeess shes sededncenenesesenaciaes COOCR LOSS OOH OOS OOO OO OOOO OOORD LOCO DEOL OT EET OL eeeeeneeeeseeeseseeseceeee VAST MORSPE NORTE SHEDS hese eCRbOChetesEEeLbeneseees RIVA PTERESENESED CHEESY EON YSNSES SOT SONTOOS TSONS SES U SSL s¥NUeNSseeesnbertwersscseuseed( Tvs Nee OCROUOUOSCCRERD RE eee eseedabias See rere ee ereeeeeeeseeeeees seeeeeee #000000000 C00 00S 0ED COO SLC CC rE CEeeeseCceecs oeeeeeeee eeeeeneee eeeeeeeereeee eo eeeeeeereeereseeres SOPCCCS Coeeeeenes sesccees, Amount of Bill, .....ccsserseeeeee OOOO Ce eeeeseees | PPPOMOORORPORODOR OCOD O CS EO CC ODO DEL Se; ODDD ReSeEeees enscecoee SOULORES CORRODE OD ORODOEESEES DODO FESR SEDO O Ce ORs eee Rsesesse Peeeeererccvens | Seeeeserserlassesenne | *POPSOOSeeeeeee reccenreresgescceseeesccececonssovceeccccoese Occupation Single, Married, Widow, Widower.... Birthplace How long resident of this State Husband’s Name Father’s Name Country of Birth Mother’s Name Physician Cause of Death "78 66) RON WONG 55.5.5 RECEIVED ON ACCOUNT. POOH O COO COOLS CODEC Edo ooreeseseeeessceccccces COMORES I TIDE so ciscticssohoeises si Shes cavence CGE oe i ew ws RN eee ai tetra peers dais ee heeeeeoee Peeeeee reece seeeereeesee eeeeeee SPOT OOO SCC eee Ee ee eee EEE EEO He EEe: SOLHO ROTO ROO ee rere ee Heres ee eeEeeeeeeOHeeeeeee © eeeeeeere Funeral of Date of Funeral — Metal Inner Casket................+. Copper............ Bien oes PE oss yes skda se sikas sac ceane anes ciceocsucisacrssacovncheosatavene Outside Case, Pine, Chestnut, Oxk, Mahogany.....-........0++ Aad Gk FUGA BRE INO go os cise sinsnenssudaih pacdsdebuconedeseanseviceses WUCUAE TANG TI cscs ccscken cies ccckas ticki ocsusanesies ciccanesonersssi0beass MERIT. on eins vss snsn: 20s EOI, sho svi aexiae savas PO cccccssedassas PED Fits eta og bas ok os es eases yea eect Boe RE MIIIMI soca bois ssciicscta pe chincsadcascsvucceusesese> ssetessas es EID FEO ics sah vssiaenisannechs ciotisesaevceessonese das cyieeneees toes BUSING: ics once ss desdssctsaasnce PRS coc Gloves...... peituedaeiirsereis cite PDE, CRA cays ects aes Personal Attandance and Assistants ............ccccceseecseceseveces DrGQQGty,. c<csvcncaccnss COMMING oss casseeves CORMUIAR. . 0 cas cecehisee POUMOIAR, «sks best techn se eels TOME: ia ovscass ipisape venieiesioa ess SRO eee ROL ROLE EEO OOO EOE SHOE EOC HOO OTROS SORES EEE RH HUE HREM HEHEHE EOE EEEHEEH EEO EEE OES CHOP OO eRe OER OO SORE H TEESE ESTES OTOH HHO TOESESEES HORE OE HOES OEE E SHO SHEER HES EHO ES II og nas veces avinceusasecutieenaseivavissus a teenies ONIN bs asec k setae) inc nk ani cacbiakscaiepaaican ea UCONN, TRIN oo. cc casas odececesacaconent TI IE BRN icin igo citcsad eh encioied sinisavksiis hie eas COOPITIN TIIIE oii cis ccdsiesiiexisassincerseess WME CN aiid sth s pti iota cisivacitauassscceien ea Hearse TPO R RO Ree EHR HEE OES HEE EE HERE SE EROS ERSTE IEE EEEE EEE SEE HEHEHE EOEEOEH ES HEED TTT OER ROO eee ROE EOE S EERE SHES EEE OHS ESOEEEEE EEE HESS EEE EE EEE OE OEME EEE EEE EEEEe HOO Re ee wee we see meeeeseeeeeneeees Peer eeweeeeee COP OO OOOO SOOO OE EET OH OOOO EEO SEES SESE HEHE EN OSES CEO EEEEEHEE HESS! HEEES seeeeeee SOOPOR OOOH OOO OOOOOO OOS ES eee renee HE HOEOEEEES OS EEE eseeee® : I i i i . Date of Death Libel sbatesauenshesuaeeteneensssngnien 5 eae Ne | Place of Dewi. ...00cenz , w.| seecee- | Place of Funeral a | 1 Sesktecauaes Ls <Neahane | A smMiNG MMIROIMD 'sisuc0ss th Meco yall scts ki cces Gs \dendanoedeasahace) ese 1 F020. i ae Lp eoceees | Date of Burial.‘ a ' oh eas pees: | Where Interred...” Ve | ie | | | 7 aidewiemamiic rakes : Sete iii sinuses HEC Mattel cicesnssaiees hee Bere | Birthplace sinsanciaiiaessseorea ce Sec. enero aus place of residence ae aes | ........| How long resident of this State. Se ee ne | Husband’s Name ,.9....0..0..05 | Father’s Name Country of Bi y, pie est ete eee Mother’s Name../.~.4 Country of Birth......4 4 PTIIAR ois oe cisstinciccisis Cause of Death . Charge to .... : : ‘seid Oe picts iti ys ie sc eacess | When rendered..| A asd th} ecdt abe ~ ~ a tF aera RECEIVED ON ACCOUNT. gm cae rete eemein aR asemsnem se -aearetan ene eae ~etinetataynentmsecmareninapreni te eererereseces Biers eeerevecsees #4 | Cee e neon eee ene neneR 3/8 Funeral of. Date of Funeral Removing Remains Embalming tae CE FMI COMES iis ccvcnwanseccncedas cocosrcopseutacneecesshoattt Casket No Metal Inner Casket.............:066 CONDE... csc ile a ea Handles No Outside Case, Pine, Chestnut, Oak, Mahogany............+++++: Lining and Pillow Set No....... wens ceeh a, beat Aaya canon as Metal Lined Box Mountings.........-.. Metal Vault, Style... BE TE REPO ov vincsn0csc ccd cssvensdennkevice -eoeaeeeuewaates ssetcsebecsaueneank TOA RODE oss sik can duc nsnkns bxeudeecs dane sduntsesvesen sass izes ianedes©s ik euaeas Slippers... (EOE: NYS is osckisicd eee Personal Attandance and Assistants . Drapery................Candelabra Pedestals Delivering Box to ; sia Opening Grave ...... goo Fecmeasisadseakuees Lining.. IN? eeeeeeseeseeneeesreesereres PUTT T TT ee Amount Of Bill.......000eseesvereres Beveeccceeseesenuvers Date of Death... Place of Deuth.\../....0%.escccss0000 eee CO, Place of Funeral.. Date of Burial Where Interred... SAPLTCRK —& IR inci 05. Grave or Lot No ..| How long resident of this State.......$<——f-- Husband’s Name Father’s Name., ( Country of Bi | Mother’s Name Country of Birth.......: rs I ar ea cos Le ba ven ad ccd ecaciven ees Ordered by SETI BG. ooo vccstasiaccetasersesivonseucxecense When rendered. AS. bi J. oe RECEIVED ON ACCOUNT. SOOO PROTO ESOS OE SHS EHE REO EE TEES Ee sesseseeesceasele Funeral of... The Date of Funeral a _ hoe Zo A Removing Remains Embalming Shaving and Laying Out Casket No Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings...... Box I Burial Robe SUDDOVR: ciccpasesssessananeoeenass Prs. A os ove sccesc sean visctnten? : Drapery Pedestals Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave eeeee OPO er eeenes OO Oot eeens Seeeeeee SOOOOHOCED HEHEHE TE EOEOEEEE ESE HOSED OEE HEE ES Ce eee eeereeecerese OOo See ee eee Bee ee ese PPP ere POCO Cee eeeene eeee — >- | Date OF TROBE siissccnces =. Ml: eco huuneeeennee , ; cere ene ees ese eeeseesesesereseeseeees por eseeseseres ; = ; Months... ey PMAME viiics ssxden Single, Married, Widow, Birthplace a Boe iit hc becscaweia aus ausunesaenenscrchans . | Charge to S | 380 | wow | 381 Funeral of AOA Maciel oo <n Coe ot “Theowsg seu Date of a Lee) 3 anne Date of Funeral If. said Hour_¢ieo (- M. Removing Remains , te : = Jo .| Da of Death .. Pee Doce sreeeceedbdes , | Date of Death I oe eee | 2 Place of Death: woos haregencecon AAA lmi < ns of Death... Shaving and Laying Out : : Shavi: d Laying Out | AS m1 KG ving an ying Casket No i seg Casket Ni | ‘as 0 | Where Inierred pepe OP EAE NG... ce A .Section Outside Case, Pine, Chestnut, Oak, Mahogany.................. Outside Case, Pine, Chestnut, Oak, Mahogany............... “a | Location of Grave . SIG AE ENA TARO NI oa dps sacs seeks ee ; Lining and Pillow Set No Metal Lined Box CUNOB. cisccccises prea Miccseesev secs , i Mounting Handles : MOUNTIMOE, vissisccsneces sc Metal Vault, Style.... | . ~ Metal Vault, Style Box Mattress | g A Pianet ela sssike Box Mattress Burial Robe AI oc. Occupation............ccs00e. | Burial Robe Occupation.-. Slippers teeteeeeeeeeeeeG | le, rns Widower... ssoisccecguveliemiaet QUMMIIN << acccusappestiiet Prs. .++++..Glove | Single, Married, Widow, Widower. Birthplace Se Se net eee Doz. Chairs : | Birthplace pragnal nce A eof ote } } > | , Personal Attandance and Assistants ; Personal Attandance and Assistants | Last place of residence ........ Pm REED A C- Drapery ...se...Candelabra De sn Saket ) vis State - cate Drapery st | How long resident of this State....: oof | | } \ j Por oo Fas By | - f f 5 | ba Pedestals... tug i LStrcescUivoistsrik ce Me cee ca Pedestals ae usband’s Name | \ | | sia aie heittece es eidneetath Ceeemteteaatenionad. conse ee NEY: Father’s Name. AAAS T= | ; x) \ . |Father’s Name Country of Bir Country of Birth | Mother’s Name Mother’s Name ‘ psinekenesese co gras <a — Flowers....\.. h.- pcaseaes: iieeeceeel isphsninss 7 Raion eas edkhesbocccoccsscvco Ms hf \ a Lo sb ‘ Conererceccerceecccessaeahsecseeseteeederessserspersceseseeces cies by .4~. i Be Meus. WE ee ol Ay cciiys see Porters and s....\...focscsecsessresesees Gloves........... | | .... | Ordered by Funeral Notices........ ab cercccce: 4 becevereceeveseseces LOCOCO rscccescreonccces | ( ‘harge ee a ee ; Wi "hen rendered > - 55 : : | eneeeee Ll Q. R.. Cae RECEIVED ON ACCOUN Quartette, Soloist......... Delivering Box to Opening Grave ........ Vault Charges | _.. | Vault Charges Hearse SP OPOOOOE OC ere e CO EEE OSE E RO HeeEEES: PERRO ERE Ree eee ee eneeEe er eeeeeees en ee re re cg Be Ml oti ee Ob Se | Aine iad miididcteiaia daca teerseee eeceecceee eeeeee Stee erereescees STROSS MOONEE EO OED ER SOE EEE HOHE HEE BONS Pe eee i | rn Sane eeeeeees| Se eeeeee| eeeeeeeeeee® Poem ewer renee eeeeeeeaes Amount Of Bill. .....ccccerseseecesseees ea Annet Bam Recor aa | aes Terr cee eenetenhe> 2 Sine baad’ © kts akenbedhbeoreiiill | HPO OOCRe Meee ee eeeeneeeee SAPO He eH ew eH eeeele eeeeee y ! SORE O OS Hee ROR ESHER EERE ESOS HEHE FES EEO ES IESOORS OS OOOO SHEN OO CLO R eRe eee eererenereseeesoeereeceseserecesels 382 Lf “a , Funeral of si cocandiata Date of Funeral oe ra = ea eee emcee \ Date of Funeral___— | Date of Death | Place of Death | Place of Funeral { a > Fs apcgscgppeasieosbabgnnnvonbantnioticacrvpesissuneasoetaneinccauanee ciselfuisdb shinee [Date of Burial as gs 2 BO by Metal Inner Casket...............44. Copper od... , ‘ Sinks tikes Cade ; | Where Interred Lt AGS De IN ois oo oc ooo eins a coca bev ven based tanta cateaeie l Handles No | Grave or Lot No [53h Lining and Pillow Set No eee eats! Outside Case, Pine, Chestnut, Oak, Mahogany............. pean | ae Grave ae 1 Outside Case, Pine, Chestnut, Oak, Mahogany ; ‘knelt OF I visccdsnsis stiches ee ee f ce Lining and Pillow Set No Metal Lined B etal Lined Box | \| Metal Lined Box Mountings........+. - lles ‘ i . ee ——— | Mountings.............. ... Handles Metal Vault, Style......... om etal Vault, Style Metal Vault, Style DIE irises caer ee es »2 Mattress eeneateersts | * teeeees Box Mattress PRTG LOOM ss, send isak ose cccveate nclavauasnceapenccenceueenenecesscedavaksecd Occupation. ii eee Burial Robe Occupation wT "y, * * . POTN gress 'scnncdasuiessesnes PPR a ae ae ed has Single, Married, Widow, Widower . wine li ; UBS 6 Single, Married, Widow, Widower | q rs | ¥+—-Leoe @ (Bhakahke A_@ Last place of residence *~../... FUME TRI eT heer eta ceta ct cai canisavanneeias NE ago. , 5 sisiaeice tne. Birthplace Birthplace . Personal Attandance and Assistants ..........0.cecssccesscchssseecoses | Last place of residence . Ginna Personal Attandance and Assistants ...........0.cccccseeee ee eee eee ees Drapery)................Candelabra aoe How long resident of this State Pedestals iticteaee D Husband’s Name ed rae ee ese at Husband's Name ..f.).......0.0.++ soy eghe dexs eras vias iene EVO .|Father’s Name Drapery .sesee... Candelabra...............Candles, ...}........... | cc | How long resident of this State father’s Name Country of Birth + he Cette free Country of Birth TRING focis in ere eG Cause of Death Orderea. by Charge to Charge to | When rendered When rendered... . RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. CLOT GYNUAN. ..02050000006 pekSiinigttsvasesie Pee u ar iiers tascr us con ulars ¥esoiees : Sexton Quartette, Soloist Delivering Bow t0....+.cccesesessssesecccevessseevccvesseesecssesceses eeee 7 ae res Ovening Grave ss aap Vault Charges....pey.+++++ bere Hearse..... 12,724 elesey f AW Coaches.. Teleyrams Transportation Expenses... COCO O HOHE OEE REO EHOEEe + Fe eee POOP R Cee COeHeeeeeEeeneee OEE HEH et eeeceeeee SOC C ROE OOOO HE Ree eee Ceeeseseseconecs ASRS eee eee teee eee eee eee areas eeeeeeaeasesleseenetene FRR eO OOO Ee OSTEER SESS EEEOHEHE EHS E HEH EHS seeeeeeserereeeeroes eneeeeeerenree SOC ee eeeee seeee 1 PPPvereririr mrrtiiie ere Amount of Biil....... lietahespbinnsebumaneiaeniesiicsinee oonepenstieinil nhs seeeerereeere she eeeeetereccesesereaeseeeeseers eeeeeereeeele sesereeee OOPPAREPPOSCCl0,,, eo deoeoessooosseseneroots soenneeann Loonmes ) rg ¥/f ty, ° se 2/7 a < rl La fbresek- Olgpde.. Bwag/ ce ¢ /) Date of Funeral____ ee Oe ee i i mat 3841 Q Y cs : | ' Funeral of flout Aun Licnshed | : 7 > tte Fun / #2 “Wi a. } Removing Remains.......ccccccccccccece saeakiichibaine etascinnenneas sbhenis NON oii os ee ee eereere i S S 8 >= & =. : 4 S > ERA x | Q “! 5 ° ~ : > 3 & y } a y Seee CROCS ee | SAD OF BPCMMMb. cccccccceseccesscccyeoscereesbecsgescnsssteseeeeresessesssseseses Shaving and Laying Out...... pechsaieseanhaceabuacssaenseassnasaueees snes Se idetases hil cuas trae: | Place OF PIE osviico 5 ceccccascteveciciseras eect ns neal ei | a /}, () | > J iH Casket No..¥....., tee Vau lt sir0 ee ieee Ie of Oe. Laitinen Pion. ley LOC. <eere Pe | ‘ 7 | x ree eeereeceneeeesseeeeewe ne cesseseoeeeensoncevecesccsccncccesccscsssaccccccccscesss| sennecceces os of Pea. Bae 4 Porites aeons mei) ri | | Where Interred DMee@kea g Cee i i Metal Inner Casket.......0...00000s CODD a cosercees Pe scsisseesss t vaceuae eerie Where Interred... seosseeee | Gre Lee WA... ecti : | Ie OP Oe ieee sds asc SOOO sss ccsccv dc ee RO cg oe ee eee ee ee Seas tig | Grave DP 108 2A Gis See Section, .....0000¢ / entrees PS AOLEE NG i teiastias at ese uh an | : | Outside Case, Pine, Chestnut, Oak, Mahogany........cccccoeees | occcese... Seraceues | Lo ti cation 0) Grave RULSUSAR EOSIN KAS Se0ue sedeesennsatsrcetsagedéstmei Outside Case, Pine, Chestnut, Oak, SAAD i i kis tos sisiudecs ation Or ebeebaacaeuduaceeueusnssapesaeusessisetsisekiseeakebaieneens | F , Fe. oF 4 PNG OT, PULA Sab IG. cic cabs cas ccccses: cxcccesécccckes brathehswenss (esheets : PAG angerene PP PEEe yet Peg SURES OAD DU ERIA EAT RAERH RAND ; EN TE ROR EEE IOs 555g cad baivenkass scakuckaveasco ik vkdiassstkac (ese Eee PP a Poncehenidacistes Me MO iss tices’ 5 Fl MAUL TANGER TROD sic co ccs cecsvacieedcscackccs. cs Wh wes eeuentnsaabehesseen)aes | t40405ks4501<sdedsee BE eraseees seek fe SEENEE Oe Meet nt eer meen eR Cates j MEER FARMS BOP ice USES dn es oS eee PI OUMIIIOTG. cnc nccoeceresas EIB vokoiciscecawaces WIA i csndiic clock sisiscts Ene rane ae ; | * a tes ibeaaaacldaay ama | Mountings..........+... PEON OMB a actin ss PAB oc skease bedeasere / | , | ; sJep To 1 c-a_f oe | “Lf Casket No...4:1. 2:0. Ris bebe sehuhabadpsceseocaaa BRS eae ss ee oO? | Clergyman : Metal Vault, St, WM cis vadvesacaseckavekas Cerescccsocese Coccerecccccccceccsess: | os ébesuceeeee . , és | PO ccocsccccevcssccessocscvccsccccesccccoscescceccsoccsccccce: | cesccecsce joteeeeeee | ¢eerereceeccccccecccesees s+} ai ps apaloes th eieeecare ea Metal Vault, Style be te Sasa teeta tteMM ed eT A es ant ik vt Se Ieee ra cate oseceeecs 73 tO OSCR SS Doe see secre rescceneesecesesoeeeese ' ve 2 } | | | pp € : Be TAR ng rae tet ncn toned Pel Ree dls ceca niece} | Age My ih wabknaeiKaewat car pperect er id POO sie aces Yeprdihy - Months..... Dail. isis: Box Mattress ..03.......,--- pists laiatics ips canechpsiacnsahicasra vesteadser orl iceucass ee | Age....7 cx. Fegre..coxccz —7... Months....L 1. er. TPE ccc ‘ | ! Urval £.00€ Stee eewereececeeeeeeers | eeeesenes l ciausere | Color nile vaasaxpee ied Vanek sau star .....-Occupation ieee Burial Robe GYrtg)..psbede, (7 y te KAISER aes TARE. Y Clo oO. | Color LOK Visexen provewens SEOUPETION TE cic en : BU SUD PELE. .....scessersssnssccsseses Pi coinscss Gloves... | Si “ied, Widow. Wi / ae Ai i | ers 8 WN hisdrtieidine) oe | Single, Married, Widow, RN de Slippers ....... sevegf Ne eee PN ise vivanbices NE nec ON er | suhaessas Single, Married, Widow, Seagal Be a } : EES RE A SEES ee ee ROO GIO sciiorsttec tesa cscce | By i : ) E fe ey HiT | CREEVB......vevrsesveserseoressossenssess: | cosceneee. |rstsseees Re satiric i eae ages lS ee eee POt. CAGE Bi as st bireacescs Birthplace Reve & lidht: Smit di sccsccaea ie i HET Personal Attanda: utente: | | | bE} ' | tf rson Aandance ANd Assistants ......-.cccccerccrscesscceceees Saat | doseunsa ce panic Last place of residence ............cc000c06 «.... oa soueeeatans Personal Attandance and A8sistants .......0...0ccccccccccece cuceccsec | sanececees eee oe VOI 5 insistence = HTT E Draper yy...c..s0e » eCande, , | , ‘a i | | rapery --Candelabra...........-00 I iiesieseixccsss'| Scaics,.. | eeesese oe long resident of this State............. ... she beavibien Drapery................Candelabra...............Candles...... eel epese | ery ae | How long resident of this State oe St oS esas |. a HY Pilea | di Hi edestals Vensivsecsaees ted PI xtrcitbeaiaad saapchavinds Fcc od Seep oth Husband’s Name .., Bre et eas Lhe eee FONG joa Ge. anNM oun boohtaeo ea ieeee ie obese Soe | ees RMON EVIE eects ins asia eee ee ee | ri OU pe. Father’s Name UW lnom-as¥. Father’s Ni ( too Le) a4frer, Bs Ak eK : | ey i i IE UMM ala a ee ey Se Rn ARES OREN ETS sage wee Mebane hele ODO eee eee ee wenee SSE rere ra cgi aN Sy fe SP ae gies beg > ie AO) oe! tO Ih ieee tas any ie AE MR ar Ma go rea AB Pe es [eeeccseee Vath « N Ponca Fdevas avhea pathos saedeeesaudcievca: calecscrckasii an , I Cash EXPENDITURES. os CASH EXPENDITURES eben Je a? : rey a! a peek ee Gg og ets Cer a CPR hee eat | seeeeeeee Country of Birth ...... YX hoee Co psig xe bic colsiei ate SPORT MCS ZR ot AER ean es eck yes Mears | Peceeeces Country of Birth ay Oring Sects an A os Peas 33 ee i ~ ‘ ay , j 7 BE door "e8si . r an ? J : : Door Dressing...cswcovsserssonrevesssnsoesonsconssvesensreneeneseessescencans | aeeneiesas pices Mother’s Name @#15 MAL, Mdeercttsecocso page © DOOF SIMMIAE co escicossscennasesiseres Merk chat paw sarcvevce Mtea etre peisteay tas ea hess tions Mother’s Name 4 La / Ete CLf feeb, feast eo ae | BB irteeeceseeeessesseneenenns chen b secninerat | eaten Country of Birth....,.. oa Ku V0 20 Vo ea /\e seeennnnnne 0 seeseeeanenenanecenseneneey PRMNE isesckcicentavieni ee tae. a paeasaens Country of Birth......... i sean Kavce G- fe .. ee a. oe Dasa a i MIVOT Dix si ives heusssneens beestuebeusesvesabeoueuesiesver¥ibesseckccksenk ck | seseenees | gta ols Physician .............. PI fePAbeA. ee niece PUWOPR: sievcccs occ ‘ CMA, OF Ue es sessvectkbubetesvikssG adele aceite - 20. Physicia kc ef Nag Qn, ee . i : sentereeenseesaseereesensenecnacsssecasanssessssenseacsnscasonnssosessossnsosevoowes | ......4.,, oe Cause of Death ..(.../...., Ger LRown Pin Pe emer Ter toe Pee cone ee nye ane Peary se bie bles obsices Sets eis eee Ra eee Cause of, ae Asst, Pn te -e Dy Nar eT 8 ee ntatneMM@ASSe8 94 GRCGESYSSECNSNDOGE SG CESAN GEASS DEOL eCReeanANOESESIEOOCES | 2 | oe See — eee i CPPCC Ceo Se ESOC ee reEe DoE ne eeeerecesensegPeeee eeeeecoseeeceersscencssceneeeeeccocece | | mee Seas - ss i \sasyedaee bisiessks i Petseratteseee sONOINE CRE oss ies los cc ce aia oo FOB srccerenes | meee RINE I NEA res Aen re od ks ies eee PE NE os ohsoe sso coke oie COMME ccs 5 | .eseccoess|-coseeee. | Ordered by l4(27, 0 0/ MAAR — ies a ocaale Funeral Notices...... : 72s | : le Ch ck A | € Notices tteeeeesereeseseceeseeereeee | | a arte a os at ae PUNE DORs hase i Ss cin fas .| Charge to .... aie A ee re, © ec. } SEE. * "Teresa tosasessesonesesssneseessenpeessoonsecsosavenonsstscnebepecctonenssenencess | jo | ee IN oS coy Se eeu. Cause na¥a AuaWasER ANSE KESs 41) ersbanehas 5/40 sb ¥seevs eh dhs CON: Ged banedI NSS LaL eG pauses cecil eeeewes When rendered 4 j i poe | seems om ances 00 Tet erneeareerstteneeseen pri cety he vac cevesernisUurusebesnaissies | cssseesee ieee | RECEIVED ON ACCOUNT. cf | @eweereees , OMNES 5430960) coc gkecs oc sands ccoecueneeeees ins es ee i SA nt tr Tent e tats OPEREM ean mn RneRnCe enneonebabiedherieMienton yaoi cB ols. accis a oman =a TRANSVERSE RARER SOT ENE ENS RES CHES $< SHES ED AVN ERY CCDS OHNE S CUSEbSRUETECS Sens ORK OCENS OSS — : = = | SrIIDL is ertidebiicinsialid srvetsretsathemacniakei ic oe Bee ia | T-78\4 4 . by Che cc A | AS, ra CIPRO vino odb keh 0a) cicta isis exes Foavnsskuanveneunseecsek cbs ssieseuin | fj ! A - wal a | ; 5 aii i | | | j 3 EF erent ieemetnsenesnnrtyeernmaicnowentin vies | conse 3 alien V ies asc aeuae | Opening Grave ....Q......55 BAMatehscsove TING sccnincinneccnneeie OO Fe Ottis icssakeemaaaaal ee re ce Vaud? CRAP GD. ..0+rrrvvssosernnesererssssesnnoersssersonsnsssnesssseeetses: | sossssesed sooossssc | ....[ Vault ae ARI WuseseatVbistivLse tee ICES ie | | | te ee nn | POURS Has vaneae L serecen seven [TT TT TT ET! peewee enneeesesee eres eMeressseeeeees | Awe s j ; i Se j a. 7 ee Tenet FLOOT OO .»10+000r0erververvrevvezonssreessessasessensconsoncanesnecenconensenceneee: | Hearse.. 7. Ko... 2 sik erect oe Col crontihn on oesieses heh v 10.0" L : 0 ( p SOOO geese | eee eeeeees PESTER gt een eee eee eee ge) e : a Coechee2] fasts Q, Keitessccd Qe WA try. Reassnnt ae ‘] J 0 Coaches 2 ala csied Dia catia Sd sei og ilk ee eo ee aed % i ckadaie ae siete. aciaiaivladicns | Be RR reg re ar ee kf, Rs steneansensieuseideorlpvennentennerst esissosausvennipin icionjsddapelens otaislanonss ; | Telegram. ..cce.csserorcesvererserseseeeee TeLOphone....... I i | MUM icra oheiasiss ick Wisckincs E NNONE os ioais icdsiicctscsehs . ¢ . : Transportation Bapenses.............0. petebesecaese wuissieebalianeidien | LVONSDOTUGHON BWONGOE....... <....0000ecerceescesovesevesavecacecsegs “ 2) en Ne Fi ccacsg lh dacsaiee bicaccceiccct calla: i | oe | 1 i eeereeesoeee OSC CORSO TS OS OORCOO OSS seeeeeeeees ideas eal cisaesees Echuca i a se ieee dois). A el eget in. WESESRURINR GARD ESL EDL Simbad eis nbusdbeenes konEbebiNds Ceabedieieeseeneasbbieenedeucedl | sable nite siewwiloscl ire aera ener nometimertileiuas 4 | | ae ere Silent I kk a 6 SRNL nema biblimmie heen sks whumitnnielbeeiabisbdaeabial bibebaeeiisiciaicic.. i eecece SOPCCCOCs Seeeneces L Aveieabeiiaaseeies bree eM a i 1 i a lai MN Dg aa maul di buudddsdadedoaubnadebiecteeseseoebabals- shuak werhteeneiies Mcciemmeailaiiiaeeal! . sscciecbnekcabiiii ik avi Amount of BUTZ. .ccecdcrcecevecececes O0eereercesececseser oe sO OOO eeeeeseneeneesesereeeeeeeeesere Poeecee | cocesvececceleseeebers i We hO eRe FOCCCUO rT oe One ree eee er ae ee ee OO OO OSCORT ORNs COG enmL : seeeeeedes sereteceeeeMmoonetes, peng eeeeeeeeeeronnrererenls seenaunee 385 Funeral of Date of Funeral_ Yel ~~ d a a3 Cae / POPP OOOO SHOE ECEES HEOOSOOOREOO DOS FOODS OO OOODODOOCEEOOO OOCOOOSES cece esecececeececces OOO e eee eesereree Handl: 3 No Outside Case, Pine, Chestnut, Oak, Mahogany.........00..+--- Laning and Pillow Set No..c0ccccccoccsces Wit ES Metal : Metal Vault, Style.........ccccceee B © Wathroea , AVLOLELTV ESS. ce ccccccceccsccccccsee 20206 00 20808 OSe CO4C8 POUNTAL TOUR sc dcissncacacn siae ree rerereesereecseeesreeek F Besenasevaresesae DAIUED. saccscsescceesecs ee Personal Attandance and Assistants Adevewiesdees Drape Pi icspeccaees WeCSOSCOTESSSEEOD 0684 « 0070 1000000 sen WUE O40 C0SSheeenennens 6600000600006 + POP CCCOCOOOO OCOD OOOO EOOOS OOOO OSOOE SHOE ES es ser eeeeeceeeoneaecece a are THM ORR O HOO OES ESOC SESE OEE S SEseSEeeeseees WHS AAOP OR ORPROD ALT EREREOS © 8ODESOESO906 9860085000 SON SEN SOeSernhOONn0s4006006s4005006 vr hs RUSEESES SPREE SED SOSEORE TSH HMNNDTONS 100 8nShOS NES OSREESdS RENEE b SebEss bbbeee ess Kae Clergyman SPAS OLOCOED 1 ELETCS 9 65H000 O08 COU Es SSeS Ose SO ECO ROSES CED EHOSE CED DeSeses Sexton MHNSSNSL SOS OVARIES OS OSS EO OC CSS EUDSOESE OSS Sores cESeESeeSROReDeeeeecesonesse es Delivering Box to....cccccccccceee Opentng Grave .icccoccrressereccces Vault Charges..... SEPPORIPO TOPOS SCS SSSNST SS 900000050000 000000400000000000 6500006 Ftd eRSCe ss Tr re ne eee eoere So Peeecessoecceseoocese® eeeecccceseesee Pr POSCCOs Oreos eeeccesoocs ene eeeceeee Amount of Bill....0ssesessenees PIN TON a inscsckes i a IN ie os ekthandenpbanebabsbsabhasnaeibcia : Shaving and Laying OUt..-ersreeesarererenees Barcodes GeO cones. Casket No....... tL a2... apktinn Id Core ins i . j PY i. 2 4 iene Ss sbiiidicks | Date of Death Le aia ea | Zee. Place of Death Cun, ~ Kas mie Ceo PERSPESRER ROOTES HSS SESE HT ERDRES 6006 OESEOO0865009505006556000sc0ReeEREECODOS SOOKE 1 Oeeesesses ee eseeeeeliseenends eoeeeeenee ws eee nee oC PeMeocsevccesegbwecccncebsccscess 3 Date of Burial... Mtl, 2 *. See j teregebe POO ee eeeees Where Interred....,X< tes vane ... | Locatign oj IG esas areas ck aisiensiavheccimme | hae Bes — oon eecercceaks ) Years......0.. Aker. “ | Single, Married,,Widow, Widower....... (Mew ai Co. .. Months..... 7 | Color . | | Birthplace Last place of residence ............cs00..... ...... How long resident of this State Husband’s Name | Father’s Name | .| Country of Birth | Mother’s Name Covesessece | Country of Birth..... | Cause of Death | Wier gags. | LAPT ev | » RECEIVED os armen and Dae! ise Occupation. 0x, TAugy j ) | lw: Br ~ tee her Se. | Funeral of Date of Funeral____ ncaa iaetecmdaaiesd - Hour — ilies acs aaa le: Gaueg Ef PC S Tr ; TOE iirc ei a ie a ee a Date of Death ...:.2..... fl Seicmaciasseuaaes giygetsasess favravenssceneees Embalming ......... TERRE ORAL NE oe peepee eae Pee ae SITE 1K. C-. | Place Of Death.....2 i | Shaving and haying ey) .f) Cheese oe ye i b csdetapbacnicewesskan | eM of Funeral& by pepe ie Ye | | g. Casket No. ope Lb. “Opy saan ea PPI Ss ss scasasctnareysotse ibe st as | Clergyman....f/S4&&7 42. i ( a | ee Doo es howbat Auk i ; ; | Metal Inner Casket.................. Copper Handles No....... BN rs es SS ee ane Outside Case, Pine, Chestnut, Oak, Mahogany............00000+ | sees Teens | Lopation of Grave .............csssssrssscsrsosssssnensersacssosnsensneneness DANE CE PU ON Oi cia vc nadvndsisacevsccscahessassesekesinscteils PEGA, TRE ON ee si oe sa cee SA OUWNTUNOE: os vans coscccs ss FEOMAUB i naesscscccnercexs Pe oes eee Rg ee SA DG VON i eee | ene par. Se risddicad civeis sivaaseentiaiee aes Box Mattress ........... cones ep tperescafen bap en ene Jeoecrecees ry | Age ease & t., ¥e Bartel Hebe scsccccccaccsians Laan, (We dal Se oad eseneee Ly seias ssi | COLOR MA FI vce cisscensiceise Occupation 77 +4FAT CHBNOID asso ei tis ce Pe et CON ahs ee | aca | Sabagiaes Single, Marrs Jip Widower biesdthavastlcsbewel snags devant re Sree ae ae Divthglace 0 ...Seec nen? Le Me... bee ieee ie aan Personal Attandance and Assistants .....-.0.cccccccvtscesscevsessccsee | vnvesweves | phrseeies Last place of residence eet pis 22e, Se eseees POUT icici ck i OR sce: es CE i a chk | Sua How long resident of this State Chae ML Years Pemetale ois ss Ce WN reso eet es Peri iare Husband’s Name ....c,......... ; pico Ae Father’s Noma Bene tant Ale So ee | Reet Country of Birth sieseggeenees PEA see Dee ete AUP I oe as oy Rie ee re ad Mother’s Name...... Aix: ees Ma pe eeniecrss Sih ala eee San PE Ee ty eee ae ee a Country OSS AAA, eh OP FUOWEPB....0.c00000000 tevncgie tacattte es eyed evade seat sasaresecauxesiecesaatere | Goescee | saareet Physician... soMhu cst gdb Vey Ry neun gion cs dus seNemONAG oyUayeds Facbebibiseeea vax de ccalels ciara eeiensen ie Ges ae Cause of DeatKade— 2 Setvabeseieaseunes PRINS ONE vic vicrsccesisissascarensen 1 OUDE veeeeeeee | esau veeeeee. | Ordered 1yUie Glia Po DP MGINE, PEM 58s 5 4 saved ev iaxencaceuvee einen vunnsesysevens ogee es Charge to ............. | When rendered..... RECEIVED ON ACCOUNT. CEI os cova sees ssducacsecnsoasuansdins ceritincee : ROPE ONN Wai ricr ese can iciiaes) (ooh tuk wares saccades QUA), SOO. .0.0.ccccsesevecsees PPGIINE MS TIO WD, 5s oi crite bidkckcistcsarsecavinieniiess eae bites f dt } Opening Grave ........0ccerecee ning Vault Charg Hearse... TWN incicideiceescics \ Transportation Expenses \ 5 eee eOPOeeeeneeeeneneenneele He ee ee re ee a 388 Funeral of Date of Funeral_— eee Date of Burial... Where Interred PRONOLOD DIO is i scuccciassebasrsvleseieasiecpes eee ee ete Soa celeste seeeeccceselsceeseeee | Grave or Lot Baas ee Ree Outside Case, Pine, Chestnut, Oak, Mahogany | Location oj Grave . Lin ng 1) 1 Pillow Set INO ea ees he eeeecveseces ieee ce AR... LO ee Metal Lined WOR cco cack: cinsacdarcenitacsens eet eeccccccccccees Mountings PIE i oie, PAR Gis cs ey es | eee : 4 Metal Vault, Stale.....ccccccccvass cepenseabepaeaseerduceseu:ssecesusasecioas | Box Mattress........0 Burial Robe .....0..0e We esChcee Joos eis sennaneucssseaessiis-. ne ‘ ; Occupation i. ious Married, Widow, Wido Country of Bir | Physician COC OCOD COC RSC CeCe Seeeoeeroseccscsceed Seeceeeeceeeroee eeeeeeee sosscceees Funeral of... Date of Funeral. O72 4 ; : Leg 2afrs a Hour Rees SI cc aca ee Embalming Shaving and ao soe ea fe 2 / Casket No.....f.. 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