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Funeral Register 1925-1928
390 Funeral of Date of Funeral_— Funeral of Date of Funeral__— 2 NY ER DP SSEREDI IE ne Removing Remaine.....ccccccccccccecer scat acl icaaec ea cenek ies st 2 : 7 : rong Removing — FAMINE <cunckcn ais xodscscocesnanses bascckhadgadantoabanabaebaasestanense’ Bbk , | "| lorena J Reehrcrenses sersesvenssasessessneszenuny Embalming -.... sc fhrisc..l Shaving and Laying Out... nar a aa eR Postaeltnstioestindetow/scienntiiie eas tisneneasstietiueirenansssstnine, sessBeeasssatarsst et Stanun ate “ om a me Sac aia eli achat ieee mide nanos so Sestrencennamnenene a see ae Fe ee os odanceah «. .aldinadhadnanametne Shaving and adil Out.. - reseeeeeee| ! 2 oo | , : Casket atta ahs | Date OF GE cvs Bere ae osc aa é oe “i w/- Where Interred a Handles No....cccccecercssscccscecccccccsccccccccccccccccovecescooooorccossces: | scceseeeces pe bea or Lot No Section.. setae Metat Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.......ccccccreees | sees “ae : i a | Be OT: vssune | Outside Case, Pine, Chestnut, Oak, Mahogany |. tog oom LANUNG ANd £ULlLow we Oy .cncsecccnccrscccceccccesecesseveeenecsseneseses ete ci ates ccria id eeaseseegecesenes ea : . 4% Lining and Pillow Set No ot -u-18 4 PIbt) TAO FOF ccncissevichasseccnnsndecscscavcusencssadacaesacseisnieaben?: Sis phe bist ort | Le eC ROE PaiRSERE see Metal Lined Bow..........cccscscsseeccerscsssccccanecascscrsceasesroscscesaerss napendsapaeiiinnens a Mountings ta : | ' — Mountings........-..0+. «-- Handles. ......+00000000++ Plate Natal Vault, Stile cc ccccccccnaccocvessescnsscanansssavecnssecncsapsanscanseay> | icsedessere|-de->-200 [8 “ i d ! Metal Vault, Style Box Mattress ccecccesccocccsoooncosces mreneee | Ag Days i : ‘ DYB...00see0ace Box Mattress ...f.cceccerscccesecececcnecenevoenene Burial Robe ook fet See cies. a 4 j : : pe J : | . = ...O06 aucceibeessa Burial Robe etd Occupation @& be rcccccscshoofecccersovccbeses | Orr sec mp | Sine, ae sagen | Slippers . Single, Married, Widow, tills Fe oe | Birthplace .....( Birthplace Last place of residence € Personal Attandance and Assistants .........ccescersueseee centres PUPCTY .veseceere ose COMMELADTG....0...0.0000 Candles How long resident of this State! Husband’s Name . ar noes PedeseGie cc scccccsecne csesenss Father’s Name Country of Birth Door Dressing. ..ccccccrcece : ‘ sdddenbe's <60canccecanwasucousennennne § Door Dressing | Mother's Name... | ‘ cee poueeawtoas Roo sc daa Vides umokauh dun iasadenernaes Country of Birth........ Tipe OE cs Ales | Physic AGM 6 Baccasel ee (S Oty hhibarc . Cause of Death Country of Birth | Physician vesssesoeese lowers Cause of Death | a = ie ) : | | = Ordered by Th (Ad ocaceeeeeee Porters ‘loves Ordered by Charge to . COE BD iiicok eecsivvines ( cick eduuanvakeseoarsvect=™> lar | y When rendered... ae | When rendered et ae t °RCEIVED ON — RECEIVED ON ACCOUNT. wees oh ait BK Clergyman A Sexton Quartette, Soloist... i a ca x es | Quartette, Soloist Delivering Box to | | dae Delivering Box to Opening Grave ..recccccrrcr.scoscccrcsssccceesees Lining | | aaa Ovening Grave Vault ree . en | cece EF Vault Charges... ....000++ pbnovserecocsannnorsesivessteausersanense WL ) : : | a NU ree | j Hearse a Moe sg oie | 1% Joo! a covnpglass ces ceeneseegepe @etecese 2 Deeb celscceseses | secenececes Concha. ieee ee [de W a enone } wae } | cece ee eene ees saeee eee sereeeeeeeeeee see eEeesernwarawereneaesases éeeeetawierensts TelegrumM....ce.s0+r0e seceseecceese eecees TINE sic daccacedsccsvess Transportation Eapenses......... encemmoteinsoocesees cesenevennenreveenes Seerenesereeseee eoeee eee eeeeeeee weer eeeeeee eeeeewreere . Amount of Bill.......s0rrsereeseereeerors Doencoonesnesseni 1 y 2 ‘ seeeeerc, seeeeeeererereeseeeerererts Hee e eR eee, ” seni iinit . . se 7 397, | uneral ol t 4 ¥ } / | date of | uneral / ae -f Jo / rs | lour a . ‘A , ‘ . (Crd of te, HTK Atte 4 ae 1h) Mio yo (Vaere Aw A ( funeral ol Date of buneral 1 feonst Date af Doath |, ( 46 . / rv. ; Kemoving Hemeutina fete of Lhowth hi 4 | I lunee af 1 ge /) if Vi) Gem “4 ft invpoandd pity Chat lave of F eed having and lewigg Cut ‘ Mle ff / “eeu erence iia Mahal’ ( | nD : , | | (toruy Me v0 CA Pivotal Ep male. gr. |i): men werne w Psaw Fray koe. oe (foodoo Mate of Ruriat fu C4 Jie /) } PO Cterawman | f Copper Tine Where Interred 4 0 @ A et Bi ve owes fhete af Purialt Metal finer Conket Clapper fie Where Interred ldnetve te fat Na Seed deny ; sntlon (dreeve cn Laat thel h Mitheomony Tan tiny mw (irae aly so I kV GJ fo Cane, Mine, Choatnut, Ouk, Mahogany ar (dren nu ane Pilhww Set No ff ‘f fined Nias Tlitnllon llate ’ \ ; Cl ao 7 a Qealse/ ' ingen ve ’ P ‘] Veewlt, Style °1@ beep oy | lb, ne mihe....9 " rer plus / SD) tit ce re () oo | suey awetders Hae ‘ ! ‘ ; bute fy Mee, Ao a ‘ | r ‘ she fi , , Coon purtion Men tdlivvon Stongsle Marelad Where, Wibirpeceny ro Shippera fen dfevpee LG rr rie Gedo, Wiiloswees fAf fhe Chelea Piethytioe he a “0 t4stiae (“g@ : ‘ ' g hia Lain th plewe “ F (hitiva (fF ah vy af wl taf fs ' Awolationta Litat pluve of residence ( 4 7 Tlindlea 4 tl Atlundanoe wand Aasnintunte Laat place CVenloliebene nebl va ” @ PS ; . rete Condes How lony reoatdont af thin Stadt C4 4 ff ; | f , f t cndelatwead ('“ or flow long reat Miuy Miunlinl'’s Name te A, | J tls fing Muthor'na Numeo ~ va / C4 OU Cast Poerpaxnrernme / Cwuntey af bketh ( ( were ez the ‘ } , Cami Te rmarerrtinems | ; onnery ; f ‘ c , Mothor'n Name Cs Abe ceed (Of of th #4 eli 464 ITiumturnel’ hather'n Misther'a Cmte od bbieth TALLAA : Phiusmde tiene , Mhynies (tenme of Lleuth liuttora und tego | f ‘ Chvdonod by i : ; th 7, ; whera nme ‘ pm (tpiteped by tf 1! Weepape te i it Nations : t Chupge to Sree eee When rondered ee ere er MF Te ner 7 some ee nese ee RECRIVED ON ACCOUNT RECKIVED ON ACCOUNT ; / % inure ie fl s/h / ag le ¢ ¢ ft srerlon : ! j Ws Ze D ia ph. | | + - a; ' CJucrtett C4 Bike i ( ) é ¥ 4 | , Oruuntat + pyr | i ; ; ' ’ j deoliein (hr giunin Polivering Mie r } vy “ : , } ' rent diuw ba Opening Clrmve / ining vs a é Viewlt f huriues , j YW thargen Tee rer spy vals ‘ . ye i } *, ) a ’ fe : , 7 rity On Codd Ph... /, Conchea \ a #e \ J 9 Oya 4 ,? ; j ray Cdvinwe a ee ne Telourama Telephone Telephone Proneportation lependsa ortition hh t pennies eee ee en OOCCR ee eReOOReee ee ed ees seen eeeeeeeae ‘ TSOORCOOCCENS COONCEEE Sead ede, See Rea, TEORSCOROROENS TN CE iii eee eee hoow ( ii : ' Arment af Hit CCST E Ree ae EE oe eeee ee Cece aeaditicin 391 Funeral of Date of fe Removing Remains Kmbalming BR CA EM CWB. vicenneciniccssccnctseneienss ‘ckeeeahieenen : Casket No Metal ] Handles Outside Case, Pine, Cheatnut, Oak, Mahogany.....+...ee-++ Lining and Pillow Set No....c.vsseeceses Metal Lined Bow, Mountings.....0.00008.. «» Handles Metal Vault, Styla......c.cce Box Mattress pesaebbaneneeenensacnscoergessnes BUPIGL TEODG ...000nss0essaasscacen Glovea... vievikeee BE, CR aia csckccdencbsseticitsiciescess Personal Attandance and Assistants Drapery ..Candelabra.,..........-0..- Ca Pedestals ; sts Sa IM Cash EXPENDITURES. eee eee eeeeeeesenaseeeee svensaua PNR <i icchtaessca ssi eneeinesensianes UU TONS 5s ok scik sc cecneasn Funeral Notices ee Soe re shane Ws | Date of Death jctapehiesetsesirases | Place of Death.. 2. — ‘i a } | E ies | Place of Funeral. RT ON iia os a 50k aes 614 ss 5s ahd ska ’ | Date POEs sand cekdcdiaceink cn | | Where Interred.. | Nesssdecta Grave or Lot No is ae Section. | | Location 0) Grave ; t . .. Yeara 4 Months Color, 0 bAe Single, Mygried, Widow, Widower ,.7? Occupation | s | Birthplace . Kae , Laat place of residence , | How long resident of thia State...... | Husband's Name lita | Father's Name ke ue = i¢ ‘ountry of Birth . Aes | Mother's Name Country of Birth | Physician Cause of Death Ordered by Charge to Funeral of Date of Funeral. - Removing Remains iembalming Shaving and Laying Out....... sibapusdectctesiays pn CA Casket No. wthtan ize Metat Inner Caaket............. Handle NO.scvevscreseessess Outside Case, Pine, Chestnut, Oak, Mahogany..... Lining and Pillw Set No Metal Lined Box Mountinga.......- Flandlea. ...+..+055: Plate Metal Vault, Style.. hor Mattresa Lurial Robe ippers Doz. Chaira ruonal Attandance and Aasiatantas ipery ; . . Candelabra Candlea, i’ deatala youu Rug Cash EXPENDITURES. lioor Dreamng llowera ..Portera and......5. Funeral Notices... Jttrw fein. Ce ole, &o-Lk.... aaa four caves | O80 OF DOGAR . osc:00: - ‘Sees As Oo |, | Place of Death. Aidit “a e ' Vd | | Place of une ral.. i ‘lerguman | Date of Burial... | Where Interred Grave or Lot No.... Location of Grave ....... ee 7 ,, Z ! Yeara ; Months aa Days, Z| Se QO, Color ty ¢. ,. Ad, te. | | Si ingle, Married, Widow, Widower eee. 7a CO. Ae Ceoupation | Laust place af reside oe | How long resident of thia State | Huaband’ a Name hikes oe" oe xs Name Chait CL 4. Country of Birth ype TA | Mother's Name CAI NAL | | Country of Birth. 7 SOARS 1 Wee J ” Me Mx Physician wv... SIA Cause of Death Ordered by £4,.%.0 Ma Of CALA r Ba Charge to re A os tee pre cot al een When rendered When rendered 7 j | i ; a me ae Se eee er ee eee Clergyman Sexton Quartette, S Delivering Box to Opening Grave ...... Vault Chargea.... eaves Me... ees Coaches ererere seenerenereee PERO REESE SOE EE SOE ORO EHH HORE HOO ERB OE eee seeeevoeases COR EOPOR NESSES EH OEOOED STREET EEE H HO eee He ReeeeeebeNe SOeeReHoeHeeererenees Seeeeeee Ceeeeeeeeeewereoesee Amount of Bil RECEIVED ON ACCOUNT. erguman... orrton (Juartetle, Soiowit... Delivering Box to Ovening Grave Vault Chargea Hlearae a » Coachea Teleyrama. Transportation Lapenses AMOUNE Of BU. cscseseeserreees . Organit laning JT Wleadhe bed COOPER E NERO EE ee ee eee ee Peete eters aH ET TLE LLL enegeoorrserewenvognoene i. RECEIVED ON ACCOUNT. COOPER eee REPRE EER R ROHR TE ORTHO HERR Ee Seaanaicingaeone tea ee eee 39h Funeral of Date of Funeral. Removing Remain... <£/F TID ois vencs sc cscdsccccnicacss | Place of Funeral “..| Clergyman Shaving and Laying oO nia gs ya he Casket No.. Where Interred Grave or Lot No | Metal Inner Casket BREE ING sss cts sca niehssicecse aero ee Caaihg Ie | Date of Death . Zi eb SE etic Lae :- | Place of Death... /~F = leat” Mase 7 | GB. thu b Funeral of ...._ {24 - Date of F uneral__ tiie te Sanaa hb Caskets trsees wins cA OPWOMh,.. 25.) ay iter Outside Case, Pine, Chestnut, Oak, Mahogany | Locati of Grave | | ry “ PIrc EO OU POW TE FIN, isisnicctisvstteincidaninelaniticin os WICTAL TANGER BOR cocci viaccdeasnccastvccecsésesic hevaeas Mountings PE AUOB sss ssccvecdsi seen Ota V OUD BUM, sccacksscivecscc csadisck isis 8 POOCCe SLO CeOODOE EECOES Box Mattress ereritit yy Bur “ial Pebe Bauch aessaked Ads AL SASS SUPPERS... ccscrecusve scevcccosecs | — oa | Husb nda’s Nam Sillnneeeddanteubbibneanieesesinesessveeeenissecectseeneseacen! : nana it Magy Ate, SPP ee CCewereeeeesecesee Se Cees ceeseeeecouesoe® RECEIVED ON ACCOUNT. Outside Case, Pine, Chestnut, Oak, ining and Pillow Set No etal Lined Box......... oz. Chairs | geile Personal Attandance Gnd ABsistants..........cccccc0.cscccssssccsesessss wep |Drapery Candles. .... PMNTCSUEN Cy se iatseesc sinus ioeatntis Rug CASH EXPENDITURES. Clergyman Sexton ya rtette, Soloist ~f ivering Box to Opening Grave PPP PP PPP) See ener ewweereoeenele TOPO OHO e OH ee eens eeeeeees Lee. sis. cette FIGEE, 5 kcustiuc Single, Married, Widow, oe Birthplace FF ..|Father’s Name. j | | . | Country of Birth Mother’s Name. 4 Country of Birth...€.... KR Par teeth eens 1 ALS. Physician Cause of Death ............. 2 / eed | ident te. a2. OD... Ripon Be coc icvvsncesseveies Charge to . | When rendered............... SOOM OH ORR OER O Cee eee e eels ae a ee er eet cette Sienna cee Penton cee —— 2 ee agen: Funeral of Mediu flache ; Date of Funeral ag 7 A a a i re a ag | Embalming | Shaving and COV ti Se eeaa iA oe fF is De cavicar., ae | 399 M. eeced Macerve€. Ate “ay Hour... - het: he. 2.2. Date of pa gl ha ahead 2S whaevaebayetsaneuie MPM akin ois eis essdcckeceicccies cl d siekancheteseandneel 4a & pe ine of Death.. Pog bien nuh bsakuneahones sacsuebnebnia oe Funeral of... Date of Funeral Pi ‘ | trrsseeeeeeleoaweres Shaving and Laying Out Casket No....@.\w. oF AL / ot ( bod hac teste (Ttvad..| siteveenees |oseeeeees Clergyman....K4LY¢..§ Casket Noww.:......» ae se (cpt ae Date of Burial og cestseseingy | totennteeetnnecncenseeennnnnnennsseesssstenennseiestaghnenssseggaessees | : Metal InneNCbsked. tas gn eS bree Veh. | «+snsseens ‘ecgenecs Where Interred <&* Pe Aeuthihe Metal Inner Casket.................. Coppep..* aie Gine......f i sere eee AOE FRM oie ee ee ps eee PI IN is eo ae es cs cca coves | ore | ievaseen: Grave or Lot No............ iis it hits i i at a Bee ee ae | ae | Gren tem aig os iar ; Outside Case, Pine, Chestnut, Oak, Mahogany.................. | Ble | pais Location ) Grave Outside Case, Pine, Chestnut-Oak, Mahogany.....-..cccceees | sseeeseees | pe UoM, EOUDION OF CUMS siccotcssi vies ieee ee os I! Lining and Piytow Set No ig Ber OE Fi rt NG ois oils ois se hs ce | Fee wenn gre tee saa Wi akdascsisiee ee ; Metal Lined Boxf... ers open. Metal Lined Boz....... ital ems tie Ciisakone ee een ee os eta Fee ec iile sg te Mountings. ....770.%... «ys PADI os cvs cesccc ss PRCRIID: «oc kc co vanecce es PU ce Se SSR ee Oil ae Metal Vault, Style............4... | Ny PA iii sssiaoeni deaivbicidaAicoesre se | sain | 945 Pals Saeed ibleneia da eddesdrinanieie ini onal Bow Mattreas...c...cc0cccceccd Reis days eee cc ei ee a oY ees. Years...... a. Months i 4 nee Box Ee Os 5 eae o— ee, sesteeeeesee | ceeeeens | te A ge Years MOROME ..cichcs5i PR icin RR ee Ng con ee i te es Ge as | Sevekinucas aoe coo... Ag bsuieekiveasacs Occupation oy WAh/~ Burial Robe ~ sree Q. Pp. acl ax eeecsecast lial 4 ao Color OUI ON 5 os vs scansnvasssevcies MITA oss, a Pre........ ..Gloves......... | pieeiagse | ee | Simote Mewile Widow, Widower. .0....0........ccccccecsccoossse BUDDING co.sei isdavsssscakcen Prs. IE ee ee: poe Single, Married, Widow, Widower..... .........ccccccccecescesessens POR CO NAFR o occa statac evs ces eo es a | Birthplace ita C pd eet ass cap biaeesavackaeitcaeeiee PRM ROWE koa: kissd acnwees ae Hae oS | Birthplace aasithpeetonsssy seseathecdsssevsseeubharaneansavesewensescass saeeian Personal Attandance and Assistants .............. A eee eee spasteees Last place of residence ..7......'...6............ Personal Attandance and Assistants ........0.0.0cccccoccoccececocesece | cesceceece | paaeuapal eo PEIOO GS VOMIT oes iss Ke Drapery Candelabra...............Candles Pan fees | How long resident of this State~.......... DPAGOPY. «2 snsevessseves Candelabra..............-CAMMe8, ....00...0cc0e | cesereeees | seeeeees | How long resident of this Staten...) css eens eCateet Pedestals...........6.... eal ee | Besa Husband’s Name FMB ivisdieeccssinschcnascccead Piss Gea elets i ia eos | tec etusbond” s Nome ....! A Z Tee (ete hp Jape > 3 oma oe Father’s Name. oe | .| Father's Name... ke. “a Lhd Lean bilan; GS CASH EXPENDITURES gc. : { ease aiacepoitescs us Ree RE 9 1R Sided a By I vise cids seo cinoees es Baa a ereuipie teleeteas Country of Birth ENN hs hiss Fis ee secabssiocsi heapinaos sdaeshasecc | pase Mother’s Name...... ££ ACCRA MIU ooo ccccvsvnvnvesven DOO? DresBing....e.eeseeervrsscsrsseeseserenseeeserensesesensenenseaessesees J tterereeee | erenasees poe NAME... seesecserersereeseissseseene cosesneaneneensenceceneneeen eck rae ies PUR lcbe bust ee Country of Birt) pikenseneudsspeiens pic sives sia MANS <ieseecisspshi ee esi ea nrerntliteres SEINE BIR occ cisies aie, eo a ee oe Phesician...... br Volo <i Ie sins thannsavnia sisskueiphntenniavinssenniiesvencoviCeluaagpessiaies | eeseeseee, beter FRR Sn snniossannsnitivasssrusainceveteaipindes eoihc iti) Oe ec ct eS Cause of Death. ila vsvsessesses GEi seh aicceuiinass 41 sehaisies Adee paseo tes Vo eee so oe Cause of Death ............. binalegeeiecas a a re at et oo = woos catvabennh Coasaitsvuniniapass rhenseanbessbenvsshibeivien t4usseospestsdvbsenvsiencehis | 2c4;iec,4odeccc sc rl A, f , Pee i ee er ena eet 2 fj 7 — eee is. POTTS GHG 00..s0ns-eusiverssseeseessesANMBsssssvesee | .........|...... (Ordena whl (tales, aealay.| DLAC J accerree fh cocrssascesscee oot OFEEVBE OND......cccrecccressccsccesses+- GLOVES +P aksesstainel obguscss | ne nOpeeh pkgs citi a a a os Chane te Weg Lo fea alte Mes EE FI as cssscshcserarivssnsstansdasentonsebiemnibisnetassibiceesss | ase | pe Charge to ! } SI of (mera am ee ee Pee home tn oe iis cinisiiicd otasniaheadncesinasibdde pues (es je mat, € Fe ee ee al = GOL bes sensesserediveatuusess craedabeesal es sussiavee eibaaiaraicisiosccki Lt) ised cd, RECEIVED ON ACCOUNT at i /« O7.. MAMPI, sche tisiunseesiaes isis sunicecsieushesssa0ei edad caccsaccdl cee, “4 af “a eX. EIS thy Keach J. CMT A@.| | ee iid re a I achisiietan intelaien blagnaeasuunisbendehessesussucanininliiiiesia meen sice Uc |rseeseees | sesewevseesslssssssers csenesesnavanenansnessacessenenenseeeees [sereseneeees | ecu Quartette, Soloist. .......c.ce.ceccccoecce..... OD oe te a Quartetic, Soloist... ...cccccevessesseserrevsss IID cn arviavGisseses | ccc | sebies | sseeesseness|stsssenes coosesenssesenusessnnesssnsscssesessnees ie : Sane TN Ripiciiiiitinicncncs cass I icc oes sou coueranbncdii ot cd ong lcaie ae Opening Grave Vault Charges Hearse vipa suesn sii ehdtestddesce ccc, SEO RHE REED NORE E ODOC EO EEO R Ee Hee eee eneeneseetesence Se ne et ee eRe ONE SURE COSOREONSCRTUS SER CSEEEERLE GCE Obes cece CeCe COC eOeseseeeeecconncerersoeoee ht het en ee OeEWE SVEN UMNO LER EAu uusddiees sack uucuis enna ae omer Tere Sere te Fenner teen ters Seroneebet rere Genre esindeenvibesessauics OOO e eee e RR RtEe HEHE HHESEEET OEEESESES ERCP OOOD OOO eters nes CORSO EERE EEE E EEE R EERE EET SHE HERERO OR OOe CPPCC OSC COCRSCSOEOOOS ceeees NPP CIE sis cccechavccescesesesdsaveesseve Vault Charges PROUD Gscciic end tokens ad TAH O eee eee eee ee eee DOES SE DOE STOUT OEEESEE OES OS HOKE eee EE eee es eeeeeceeeeeeeeceees MOS UES SP OTEED ON SUODESONSEOY See Se ESO CES ETE HENS ERSNSseeeceseseuibussseuedeceses b40cs Peeeeees oe eoeeer* 1 SEPP OO RECO eee ee HEE HEHE OEE Eee eEOEEE HH eeele SHEHeHeee sevescerens soeeeens eoncerecseccceoooescoeoeesscsssssssesceecsesessesseeeess eeseesesosestvecsetes soeneveccccesocesecsescesoscseccssseees socssececeereeses ee Ma MS ae sensesés) sandeneg verssennonsncenoorsenneeeinel of Bill Amount of Bill........... eeeveerevesecsocsccese FOOSE TET HOC C COE Eee eeeeeee: wie) 400 Funeral of. ¢}O<< Funeral of a2... Date of Funtral__ se — Hour_3 Pay ll Date of F iat Removing Remains Embalmi | > | : pvaiming gh td.. CTs vr cansgeasseuiassaness | Place of Death | Place of Funeral.. Metal Inner Casket.. ; oe | rr PLALA Ceres Metal Inner Casket Handles No CW OF Ti Nb Section....:.....: ssamteshn Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.................. I. Location of Grave sia caecce Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No | | 3 Lining and Pillow Set No Metal Lined Box Metal Lined Box Mountings........... 8 Pace Mountings Metal Vault, Style.... : ae : . s Metal Vault, Style Box Mattress Burial Robe ; : : ; Color : Occupation aa i ‘ryeg, Widow, Widower..... . Slippers 8 aan | Single, Ae Riviericissune ueeddeasassenschssceassesnesners Doz. Chairs | Birthplace . aktsa Co ' <...... sre eevseseovene ie : | | | z | . ; Personal Atlandance and Assistants eran yas ee | Last place of residence Welrenche, -N, a Personal Attandance and Assistants ............... sissseeeslsereneeee | Last place of residence Drapery haath ce ee era ce . coisa Drapery Candelabra... ee se .... | How long resident of this State............. Pedestals foe Pu WEG Name ...B<- : aie Pedestals i cose | Husband's Name Ar, AD | > et ee r . ° .| father’s Name...... Unrdbr Ad vw i jai sss | Mather’s Name s | Country of Birth .. Country of Birth .... .| Mother’s Name. | Mother's Name. | Country of Birth....,... Country of Birth.......... svat ‘ | neg tle. : Mowe om | Physician ae E. oe of Death | | ioceusiertca ..Portera and.... . | | Ordered by | Funeral Notices | Charge to . When rendered....... RECEIVED ON ACCOUNT. Clergyman Sexton Wr TTS, BOLO: 6. oi scvessccceosssssassneses Organist Delivering Box to Opening Grave Vault Charges e Beas: FOE CE iiss sesccnrsvesessinssacis ee, RAR fe | . ee Hearse Coaches... POCO OLEH eeeseeee Oneeereseeoeeeres . PPP eerorerscorocooeccecoeooceoeoosoecesooooecesoseocoece C000 eeeeeeee anes Amount of Pill...... tececcecccerecseccoccoccees eeeeeeeneeee eeeree Tee ee SOCOM O OOO OT COS OLe eee ees SOPOT OOS e eee wees seeee tenet eweee a ma teal a 462: | ithe een LA ae ~~ sic fale ss ee ee Date of Funeral La Bn nn Hour_9 <M | Date of Funeral ae a ne KEE ee ee nae | Date of Death.... iL 4? - Place of Deuth...... 272 Place of Funerai.. Rea vesene seeks few ek donno. Date of Burial... nS peobvcsaniecaes Where Interred. 2a * Y - | le . * OF TD Pi ovis 8 DOCHON, «0 .cdcivescac en BRONUEME CEE PN oo oss icy sno sue seuss cnwesen Section ee | cieeitieentmetiten ee Se seeianeths sendin aiieiaaes Outside Case, Pine, Chestnut, Oak, Mahogany.................. eee Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No ‘ Lining and Pillow Set No Metal Lined Box | Metal Lined Box Mountings.............. ... Handles Metal Vault, Style ved DO YB ss. sccssve Box Mattress | | 2.2. | Color Occupation dere | Burial Robe | IE css iad” Fe ns ee | | Single, Married, Widow, Widower... MAW <u COO sas ecicccavce ck | Single, Married, Widow, Widower... ee Chee | | Birthplace “ OD cists nivalis ie Doz. Chairs Personal Attandance and Assistcnts | Last place of residence ~~ ola IE Et SARI TF AT ARCS. Personal Attandance and Assistants Drapery ae Drapery....ccccccecocee Candelabra ano | How long resident of this State i | s L Pedestals 0st Z a Pedestals Husband’s Name | | arses ee abene ee mrt —. Country of Door Dressing Mother's Name ecieiecu steers Palms Country of Birth............ Physician Flowers. Cause of Death CLEC Ordered by Charge to When rendered RECEIVED. N ACCOUNT. - a 2 ee Sn ee Ee ee toeeeeeevereccerecseneseceesoseees POCOSEOO ODEO REO E Eee eeeeeees Peeeeeecees Ss i i eveuscesveteusercececonenece viele POOR tere eeneeee phi hhh haat ttt ttt tty erecee seeeeeers * tof Bill...» FOO e ene eeeeeeeeeeeeeeenne PPP OOOROR Sete Hee en eeEeeeeenenene eeeeeeeeee 401 Funeral of . acim ae _ 7 ~ ———. weak Funeral of... Date of Funeral polite — ZVO/fY Date of Funeral! ee Sa ML ST, ES | Date of Death.....& Place of Deuth.. K+ Place of Funeral,,./ |Cleroyman hy aaa Date of Burial Where Interred Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.................. | ton Outside Case, Pine, Chestnut, Oak, Mahogany.....-............ Lining and Pillow Set No r | Lining and Pillow Set No 1997S Wh Metal Lined Box / Polk, Metal Lined Box s 7 0 Mountings.............. . PROMEEC Plate yf POUR 5 cscicccksc.,. RIE oss Plate Metal Vault, Style. ae | Metal Vault, Style iaivecinaid deeinas |S eseeges BY AO TOTP RNR ons issscsneinne sresticreererarestongecoredXe is oweeessaensecce- 4 iat ; sssssdages Box Mattress ADRs 0s ee ROMER cc. POR ricensskas SS LS Re ae | Burial Robe ......... helen potters rnenetens LV: <<) : CLL Burial Robe COlOr....;. Slippers ' ay z te ANs... ‘... | St i Ee ela ee BE oicaciscksas cach siete Pig: Gloves Mesitanesecui pi ivcisc susie Doz. Chairs _dacswasetteeenetes | Birthplace Personal Attandance and Assistants i a PE icici ! | PIPOOPY ic usins orien . at How long resident of this State........ hey. CO cence Drapery , sete ecaecaes | How long resident of this State FOGCNGIE 5s ciidsvcexs See - . Pedestals g. | Husband’s ~ eee } | Father’s Name | | Country OF THD, ©... ccccssss | Mother’s Name Mother’s Name..../ Country of A ei, i IAN LIA ooo cceceevecds LO ry OOOO eee eee ‘ eee pe wh Kees * [Yh | Puen Iver ew OME NG i. i hconicse as fe... Charge to saa38 I BG sik is op siesen asst. e | When rendered | When rendered | RECEIVED ON ACCOUNT. i Soeajinanasreceeeeamtstacs oe pees: ee a aT Toles eptewaseeseeCeeeeseecee ome (ad 3,49 +o tgs reeecertbeMectees oot 1 7] | aon p: Pal : J J Bye Be OOeeeres vee HM ue \ . Coparcioreeepeeetcorany woreetagar | 2G eoecees eoceccosseccece eer ceece Ose eeseeveveeecoeveonceceevscsecccecseecs Yay. Bet ( ee. aleve. Medic Mtr cccscssssecoce Ba ay SPOOR Sener eeeHer eee eeeeeereraeee ongopeseesesooeroonenoooeooccees Gesereccs . Peter eecesene SOT eee eeeeereenee COPOOO Ce Coe renee eeeeneens Ooneeeseeeeeoooees POCHCOHR SO OOREDO EOE E CEOS Eee He @eecese SOOO O Oe OOOOH Cee eeeOeeeeSeeeeseseseEeeeeseseeeeoeeee Fee tee eee eeee OO eee RET ee eee ore’ Aj a Hi | Pai i} | : areedimesemerienetnenenenenee ei a EE ae eS | 406 | Funeral of. Date of Funeral Sharing and Casket No. JRA Outside Case, Pine, Chestnut, Oak, Mahogany.................. ets tee Ianing and Pillow Set No. Metal Lined Box.. Mountings.......... Metal Vault, Style Box Mattress Burial Robe TUDOR Eo os cose ccss Personal Attandance and Assistants ......... Drapery ....Candelabra Pedal: ocvsenscc ss Clergyman e Sexton Quartette, Soloist Delivering Box to Opening Grave ...°%<.7- Vault > Hearse. OY v Meee eeeee e Cri2 . 2 Fes eeee IE CRs SS CEO O SOOT HOES EO OOO ROO OO ELE OE Oe Ee eeseeesesesueeuenetese SO OSPeS SCO ERON COONS OSDeS COR eeeses PESPRUSS ES DRE HE STEN IVE SEV OER INTO ESRC HOE ERNEST NibSNSbbebeetecenbas ii: Seen eeeeeeneereeeeeeeeee ser evereeeesee Tynrern eeeeeOONS HOSONEN OSES ORNAbeneehe eevee. CORR eee eee HES OSES ERR EEE EHH ener gy gndies ibassaibabes dee ME ke ee Lesaisaas BPLESS SACO EDS 4 HEROD DDO 45060545 000 000s0cincccs tenner eeeenees j CARERSA SRS OSEOSEDREHOED 2655600000 DEROdEhEE ADSL SEE hs OH 0s s0000 THERES OR CLISSONSOPOOERENSSOOGNDODEDHE 69080556400 bdSdbn‘es 00% Last place of residence .............-................ | How long resident of this State. EAB 0 NORE 6.5. <o-o65s os oieccosncsseoosecessss., ; | PT OENOI B INGIIE oso oes von sone sccooeesescc. | Country of Birth TOGUREIS NI e COMM OC TEWER os esis eSksids ices PRIEHORS ie ieee | | NINO ON 50635 6did os vocisevsciassi ive i | ENR OD 065052 aekleis Sree | When rendered.........0..0c0sec0s00. ; RECEIVED ON ACCOUNT. svnseonensneecnnsssensncunsssonnnnnsnsonennetsnscensga@@anneseeses sain es | tL gdb event FOCOROO CHOSE HOHE OSE E oO EEE EEEE eee PPOOOP CO Ce Dee eeerereesereEeeeeneEeerlsneneerere® oe penee® PPPOCOORO DOSE eH ee EE se EEE EERE ee EH EEE Hs eeeeeeee® eoeeet sfececcccooces|seeee® seseeeee SPO ROOTES OO eee EERO OEE EEO EEE EE EE® 7 or eeeeeee . aoone?” , Funeral of. Date of Funeral ae ere SS Ae _ 22 DSM ONY a Outside Case, Pine, Chestnut, Oak, Mahogany.....-........0++- Lining and Pillow Set No Metal Lined Box Mountings.............. ... Handles MOU VOM, BONE 6 vescossisecsanns <céstngivsven wé pant FO BEPC, oss nntecnsnsonsnesesevebieiiess Draper y......csesecoces POD cco o koe aeahs civiceicte sdk chseos SOCCC eee eeeoees Se eee eeeeeesoreeseeeeees POPP CO OHO R OTOH S eH ese eseeeeees POOR Cee ee eeeeeeses eeeeeee senecees POCOCOOOCOOCDE CEOS OERCESOOEETOS Seeeeees Seesesees I sisi cisiiniiiiciiniiemaicndiiitiniiai as. POO C eee eee eeseeess Penner eres eeeeeeesere | Grave or Lot No........0s+..0. ee Se Keekeucanxel wae tunes Location of Grave aia gilt aes cs Months... 2%. OOP I ii anees Occupation Color.....L } i | Single, i Widow, Widower ( | Birthplace Z.. | Last place of residence How long resident of this State............. web bender dlivsnsenks Charge to ........ stntaecanegt ies inde caseanialee seanenes | When rendered.. RECEIVED ON ACCOUNT. | FORE OOOH Hee) CHER EHH) OREO OO EEE EOE COREE EEE EH EES eweeeeee i a a ieee een agen e o eceiee ee ne aaa ae eee PRE ~ t anata inccnension ie niente aati ecnee eanenaae it ] 408 7 | mui) | Funeral of . UE Date of Funeral_— Funeral of A fat co kf fd _ a mi Date of Funeral J senile 3 eines I FINI cc. -snicissirsnstasicgcics seecusnseuiaad tuducunelia ie D ceaseless ; | Embalming ......... eaneesendssseeeSenessonsehesnesneoesaensrasoaennsentes | seeeeeeeees paseegeehs i a i | , piieima | Sikiee of Death — : GRE CSOr Cee i 1 Shaving and ying na J : Ti : : i ; Casket No. AFA DEAC. : : Metal Inner Casket.................. Bee + sosduenseaaautes sonmMocgsstnoiesesas ectastersoamscgill th Metal Inner Casket.................. Copper... Os societal) | ndinincatasuceusa Oy OPN Foo edocs ee Casket No..%. avecaras Pier cxbbenilsieeendaace PB saSiesscevaveerceic te 22. PII os cise utd oniacceasobuuisienetdaeannncdeSeiuabicis Saeean een | | Date of Burial. <4. hho 1 CORPOSODS PLERONSOE DOSOORESDDOOD OSD EOSSSES SES ESDERSEHOESDORSO DR OEeEDeoEeseeeeeeeneees | cocceceeces| seeenees Outside Case, Pine, Chestnut, Oak, Mahogany.................. Py hesia es i Outside Case, Pine, Chestnut, Oak, Mahogany.....-....0.csesc0 | -sseeeeees Fescepeess | SACL OF GOADE oie co eee ape yee een ae ae tetteeeenes PT SIRI Re ae Geet hecntesttaghant aereupsnsad castle ages ia PAL NE TUONO AE NG. ovoonssanstciics ce ictbladnvs ze pparrasee y I Ns oececcinoreniassnsiansienianemie nies ivedeididccsanctiocd PAM NGe eat can lavenstan ashen abteialdeckicaialamiceuaae ace DET PANGS FEO: occu ceckcctis cise silicuseests a All ee | i) | Mountings............ ia POM ia sera cchucee, PRO es: Hexisise cay eons soneunseaskesysscuiesiusasicns PE OWRIUNIR «indies snnss-0ve EEOMGUGBS scstcssesiienescs PUM. oxide sviusns | edsae tans | conse thei | Meo+eesnawsenne sacey yt iF | TF I hi retin ee ee aca a ‘ OLED A A cies ssucsep eleoeesses ave eee stennsserelossensnss | oetreeeeenneges , | i } | TOM IIE ons Sac eceeescaluteehescss veces | Box Mattress | | SOUR iis caves Vf i} | {| PN POOR 6555s Sys vases ince dns ikueailoadsdansiecs tas i yeucaueccaesacss FEUPGE TOW sc hss s cacasstanweuecccssasevicosesates¥skscadsacussssiciss tacos: ‘ Cee eta ee eeeeneee HN | | POTN colonic ds eased is PPR icecss: se OUOR a ciccon occu | SIS rove sia boxdsaessaceasate Pe a OUR cide caesesse Pact kacuess | seesatees Single, Married, ea Widower Feiass saan sicxeaeeneea cs teeeeece en : rE | wcvulicucdille « extiecesviate i TR oe ciciceilck 5 |-seseeene | Birthplace £6 “#422 eee Seep eed ns PRE RIES so ccki oe ssesseeseslecesssees | Birthplace ... C44: Prt er. fn } ' | i | . , (2 f | i Personal Attandance and Assistants ................se0..0000......... Last place of residence LUTCR he stdeeseson|ccvececes | CUSHEO E40 54OR FEST SET Co tac esee | Seovue | : . 1 ate | ye | i tri Drapery tesssse... Candelabra yap ss OPINED 5 cee 5 pee buitecie: | How long resident oy State, fmt: he A. sie IY sis cacivseceusns MON nai wn vib css COPINOBG ss ase ccna cvase | ancderess Pa: | 200 long resident of tite Sila oie os occ scce Sele ee | i j Z Z | j 4 | ; i | | i i 1H] Pedestals..........0.000..... MR Salueiua ee Ae | Husband’s Name ote aee | ess. | Father's Name se eeeceoenecere | | PO oo Personal Attandance and Assistant ............c0..ccssceececeseceeeee | sececnaees aves PE EE I oi coisicieineiass satanic eee i ; | Husband’s Name f2, iy 7 Ne MORMON og oye wea tay cere oye hairs c MME cols kak cucuand Cagney Gaveebeeld: ckdiwlasa. [corte Name .}..., yatenei loony porrersers af ensssanessecssnas cals | essa. | Father's Name,J....2.-0-, _ (tr dau leat ae as | | / oF >) | J 7 ‘Cc ) } ; | Country of Birth Seg RLA. & A : : ae Pg | i 7 ” 1 * pc as SOR ee a | Mother’s Name...Z/44 rhe. Lahey WY O7 ey er 7 | Counters of BGOth.....0 i. LL% LR eek & Ae eee Hy : PUOWETE...0.rersesrscsenenrerncersrnersooossssnenensssesssersessssesessesssveeses | cosseeese.deceeses.. PRYPCIANR ...0..0...rsserserecrsssersenencessesssnscsssesesscssssssssssessensagss —— OOWMBsarvceraseseorvenceserveeserorssensssaresecsevensrovsssarensoresnsensenees | cessseese, ae | Physician ............. DAC ena ag es cee ee ree green ae oe | ; FE : Sthetestebanh stehoiseseostsonnnbsnterteennieonseneeterenbitieoarsesesesseneses vesnon | gc... ie Case of Death ..........cccccccscccsccccsssccccesessessccssssceateasenenensense «SN MNNRDRRRORRURETeteneneeeeeeeteneeessenessnereesecsnsecneneesessesnsesssenesronees | syesseeees ios SSRONRI OF TNE ce cies ee a cn ae a 4 | i: . ei Fi # Se wn) pr te Pr eet MEAS CSaCtHSERERES D9 F eeu SseurhbinseHsedeaseseserebesr'| psyye se! tos! ee ——————————— — = : | ad ; | ; ME -. thadenssesieiny ss RACNO TD Foe ssiscidiaven hii. Gloves........... te ieee Ordered by CLer& eee em ee er erm nT G inertes een ROE DD Poet serein toa ereecotnenat tien aang | : i Fu neral Notices ‘SPS RA ETS Sd NOV OON EEDA NON SRE USN Ebel BONES ESS 0n6h5sNexeukedces | Charge to my Lo ee seen | ” oe en OO On see i ae + Laren eee OPT PF MA ss Sarensredkabascaueue kivakcnessvincen<acs : was ee veues xs ; : Se i UMAPEFAY PRN AH EFAS 9s ve bews'tceads Vensuiawssbeabseeuwentsyedseusecske6eieboe easel ecci ice Sees oe 4 | When I iy A ie eh Beans a. oe eraieng se: a. a he ee ee 4 ; a ye let en er a | nee enn eiineteen — | RECEIVED COU ; EE: < - CCAH INGA HAuhK625 cbanpeanneukaapnashussoesdvieniopotaressbenes.conioscoccclis.c ea XCEIVED ON ACCOUNT. : i RECEIVED ON ACCOUNT. aa) cialis iatsieecie : if Clergyman PN abibiicts snvssecnnt nisainnndetneuiesabspszeaécdavexessdesceieticcecsc.... ee ee rr en tn en RN ta OE ENONENOOEUSSSUS RNS LONEEN LEN EEE ii kidkens sf HHH OP POP OSeeereereseroreeseeeeeeeeres® Oe CORCCO DOO COC OOOO COS LODEDLEDS FEE OO OTOL OOOO EE See eee ee eseeres tee ee sent ee aS NY den iiebenb inet Eki 0 ee UB eee ie CeIn. kOe hs ae CORN RONNG NOREEN NCRaG seunéubecheuvnsNenbesuaesseedbeoiaebereeketbu Per erececcecenns oeeee seeeeees POCOOOO OHO H Ooo ee eee EeEeEeeEeeeri eee ° COMO Oe ee rereeeeseseeneeens seceeueeesoseonoce OCOD OOO COD OLOSCCC COSC CC eecees, eeeeee SPCR MOT OT OS ROO e ee ee Ee eEe Eee Eesere|saeeeeeeee® TORRE OHHH) HORE Eee) CHROOT EERE HEE O SOHO OEE EEE HEHEHE ES seeeeeenaeeeeeeeoneeeeeseeeeeeseeeeeeeeeeeser ee eeeeeeeneenenens soseseecs oess,,, * } seeeee POOOHOOOPOOS Cer ererereeeeEeESeEeeEe: Js Amount of Bill. ......ccccreceererves » EEE Sabie , ; ‘ Amount of Bill eeeeeseeses SOROS ORO EHO OOOE POO Les eseeseeeeees | Ee POO e ete eneseeees eeeeee eeeeerese SOCOC RCD EROS SEES EH EE EEE eee ores . | SO EPPOOO SOOT ee een eEeeeeeeeseeeeeeeeeeesele Seeeeee 410 Funeral of Metal Inner Casket.................. Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Laning and Pillow Set No. Metal Lined Bor. Mountings Metal Vault, Style Box Mattress Burial Robe . Slippers Persona! Attandance and Assistants Drapery ....Candelabra ..Candles. SORES ice CASH EXPENDITURES. Clergyman Sexton Quartette, Soloist... ...........cccccceeceeees, CH QGMAME «ooinsciscccsscese, Delivering Box to Opening Grave Vault Charges Hearse ff Coac hea Dy. I POCO MORRO ete eeeeees Tri T elie Date of Burial..4/ “VY. % Where Interred. Tet = i & |saeeesees | Grave IE Pr ibisssiissicictisces ss faite ect? Occupation. | Single’ Married, ate Widower , | Birthplace .........., Vv hhe Ag. stow long resident of this State.. | Husband’s Name .../... . Father’s Name.. ieee of Birth | Physician Pe eeereeereoeere LV SOCPOMO MSDE Reese re EEE EEE Ee EEEEe: CUO ee ee eet oneeeeseeseneeeee Funeral of Date of Funeral Metat Inner Casket.................. Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillw Set No Metal Lined Box. Mouniings........:..... ... Handles Metal Vault, Style Box Mattress Burial Robe SUDPONE 5.ccsccscsocens Personal Attandance and Assistants Drapery................Candeiabra..... Pedestals Clergyman Sexton Quartette, Soloist ERIE TOG Woes iscscvenevsescess sacesecs tevnasesisecaccall .. Opening Grave ........ ~ 2 | Where Interred | Grave or Lot No hisaseas ‘aaa of Gravg ) “ : | Color el eo PALA: A 7 | How long resident of this State. | SPeatineedt” s Name. cen .| Country of Birth | Mother’s Name | Physician . Cause of Death ............cccccccccccsees or JE ie Tharge wl When rendered..... RECEIVED ON ACCOUNT eeeeee OO COP CO TORE EHH ETH HHH HEH ee STP OR Che ee ee eno eee Leweeee A ala : | | 413 sconce ais. Date of Funeral one Alee /r fr sinister Removing Remains : : } zim | Date of Death... ERS. UPL. BORO vescsic soccseee | Sere ° oe ee Ta TRO SeeGGSEECUREROS 6 66050000 b00ec : ic Metal Inner Casket PRGHUGA IN Gis canachssienseciscsisitecssbuieussicses Sesaaseegenesnsves’ |ahaasecears WON TIE iio ides ie ches need Section Outside Case, Pine, Chestnut, Oak, Mahogany........0000ses++ | sccssesseeelsoocesss, | Location oj Grave ....... } BAG CHE FAHOME TIE DOM; cons ssschisaeneitbsacdnssdidlaibaseiseidiine 12s. apn Be AKI Be i a ee Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Boz. | cE a aad ig OR EET em eat oR Se tPiddssans iuceetecse MO sey y sa ce Mo NEINIS. .oeeee , Mountings.............. ... Handles Metal Vault, Style... 5G esrritieaes LES Tae TEP ce es seen .|Age...2.. Years...4..2.. Months... < Metal Vault, Style Box Mattress .............++. sf ireeeneeneneeeeenesesenesecsescsnececesneseecees E U LLOUG ...c0sssnccsccerercvccscocscooscscesccccsoccesccsccscccesccccesces: £20,008 Color Occupation, YO Cored p Burial Robe .....c00.000.- Fe Bee WD. ee a... ; “.| Color Occupation: UOTE sna sccetsicdaconecacs Seed Tbsevscuicesapeke Gloves | | Single, Married, Widow, Widower € ewe | ieee. 5 Prs... | | Single, Mavi Widow, Widower | Birthplace | Last place Of residence V hecnacceet £0.08: Personal Attandance and Assistants ......................... ..... | How long resident of this State 5 ssegfhvervaresee Drapery................Candelabra me ‘ How long resident of t Osis as ste ii cdecrigthcsidae | tid home eS A hed AC Pedestals Husband’s Name , , he dao, — Father’s Name.(Z(K4Z. OES MLE EE sins Father’s Nam Mi. 25; dee Ce. Country of Birth oo FeeeQe hk SO icin oe Country of Birth (a : | Mother’s Name..44Céty,, (ELE 4 CY, Mother’s Name Ordered by , 1 } J | wawkeaavas Lssceeeaes Charge 6 .............00.. When rendered. RECEIVED ON ACCOUNT. Clergyman Sexton A. Delivering Box to....... Opening Grave ...... SEDC SSSE SS SoOESEDOOOSEOOLSODECODCCS LCC SDE SEO ECCECCCCEeeececCeeeS POC eereereercosons Telegrams ecccceccccccos Oe ececerscosce erees i Transportation Expenses............ Masteiies dentinibebriecsies PPOCOSS CO eee ecesesoesos LL AT oo ** +] PEPER eRe]. COO e He eee eT OOE OP SESS HERERO OEE HEHEHE e Amount ef Pins terrane a | eT wre: POCO lemma i shed ‘ Ay 4] _F Funeral of Date of Funeral _/2 — ° 72... —_— oo .. _ Removing Remains........c.ccccoccccesencesee TOO gi ieee ieee ~ SABRE A 6 EE A i oy te Ez sas saacaneasnae eines te, giao eee Pata Oe ING, oop ck Outside Case, Pine, Chestnut, Oak, Mahogany ¢ Se MSE BUD issicces: tunis iseielliilaniakemeiiiaammm tac peenene Gloves Door Dressing Flows TS : f 4 | \ a 13g AT rf tr H ? i. ; ee i: teeter ics: FOPPINE WIE oi ideoskiccicceseack Funeral Notices. .......00000s0scesecess Metal Vault, Style.... Met hat 0 LLL A renee If ro. Ee EER epee aay coy sscenbeges otc euee te ies debasensssss Date of Burial..... bP ArRececcccm.... ees Where Interred L. ee Grave or Lot No | | | <amsneensis cakiesess | Location of Grave Age.. é Years ...| Color Meta $E5ID. | Single, Married, Widow, Widower... Jae fe rt vss | Birthplace i s.. | Last place of residence | Father’s Name | | esuseaaes aes | Country of Birth, | oO, STO © | Mother’s Name | | Country of Birth Cause of Death ae sonia Amount of Bill.........cccrereseees Funeral! of Date of Funeral. Removing Remains I iid i i in oi al oem Shaving an yt Casket No.. ug los Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box. Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants .............0.00.ccc0000. 00. Drapery Pedestals Quartette, Soloist Delivering Box to Opening Wiis: ee ic uauneaees eines Vault Charges............. go? ; Hearse... 12 — asus HOM licens is he rc Date of Death | Nba .0..| Place of Dea . | Date of Burial Where Interred - Ce weene ae. ee Single, Married, Birthplace eo! Last place of residence How long resident of this State... | Husband’s Name ...., Father’s Name - Country of Birth Mother’s Name Charge to | When rendered. | | RECEIVED ON ACCOUNT. wen senienetRiletededieaat ee came neem tee ne een tS eR IIES am aon oT AA as Hehe _ ms n 416 Funeral of Date of Funeral__ a ren eemepemone Removing Remains WINN cooks cd cccatescan ees Shaving and Laying OB ie 2 Casket No...... Tay. saseeeks eee We ssschesttheetbek ess. hoe heaee 2 — Metal Inner Casket POR ING ase Outside Case, Pine, Chestnut, Oak, Mahogany...............-: . EAS ONE PULONG BAP Ts ckes sch cin csabesdescaisiccssdecheasschauicnkce BCU PANG BOG vr cig svi snbaakesviokcchiins Mountings....ccccocccee ese Handles,...... Metal Vault, Style oe B Mattress se eeeeececrcess Burt BOG ccivceiccascaccace Personal Attandance and Assistants ene Senne nanan PIR ae AER eee he mEpRpM enn I ‘rl pe ry Pedestals)... ..ccsecacooe, Stevsersenccoces Senn yeeuneE Recon oe ey ap epeamm i Ck ctsenessciiies snitsicnnsinewiiliakinuidisaSiineaccie ec - Sskbueest POCO SOCECOL CRE SOEee COSC eececocccses re if ae Hl i + 4 a)» Pit 7 af f M0 eecececeeccsccsccccs | p Lg Amount of Bill.........0+0+ eeeeeens ates ¥ Date of Burial..... AAC Where Interred | Last place of residence .<~ | How long resident of this State Husband’s Name Father’s Name Country of Bi , Mother’s Name | Country of Birth...,.... Physician Ay Cause of Death Charge to When rendered RECEIVED ON ACCOUNT. Funeral of Date of Funeral. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillcw Set No Metal Lined Boz. TA OUMTIADS. oi scccics is Personal Attandance and Assistants Drapery...............Candelabra Pedestals Clergyman Quartette, Soloist ~* Delivering Box to..4 ae | | AS)... Prace of Dedth. # | | Place of Funeral / 13-0 6.0. Clergyman | Date of Burial... | Where I nterrgd | | Grave or Lot No Age... ar ach JO | Color RL eae Single, viaay Widow, Widower Birthplace ./! ‘ g ~-yrsi etemae feees tti~eoet ae natant eetentiiantseermnte--cemehstionann iene When rendered... RECEIVED ON ACCOUNT. on he By La MBE 2 of Peete reeeeerlereooeered reece anna cee 8 Auache Funeral of ewe LT Date of Funeral. f. Funeral of W Date of Funeral____ ieee iack ee ‘ Removing Remains........ccccccoccecses hisenimal iniicebeaeeanens aan MIME isch 0s si c60 csi cad sanneeievscsscane dione Shaving and Laying Out............ceccccscce ecansdcoussiuieal eo dainies ENE nsec cases acs PBs istic ae Metal Inner Casket.......0.scesceces Copper.......cces TAM Es, PEE PV cs sd nana nisedd nds sessPusassinasesicsacesvasaea eee CHR Cont, PEIN, CRA, COE, SENNA nado |store Outside Case, Pine, Chestnut, Oak, Mahogany.................. | ssseesse+e: nee TINE so siccsenscsicsen. ce ee Lining and Pillow Set No <a Deal FAV P08. on Mibededsbekelered ia so 5-l seadbnnas ke iieedeeees 4 sneeseee PEE Eran bbekeehod whhasiewes Metal Lined Box. adc LK ee a eee | | Mountings stew eereeeneee see Handles..... seeesseoccoes Mountings ee aes ants A os Dk Re ieee Bri ao see $EUSDSEDERGRONNEEOOS4EO on cuennyonetekinsndkkaedeeabebeeiins Metal Vault, Style cecorcccccecceecsoos cccccces Ooendeonseghesercocesesocecseccs j L cteneueuaiee pani, ebunbabeccss +ieadieca ante Metal Vault, Style DRA ee eae | sl a eee ar ieee Ps sbie wena shineshtatuaiei Rl dasiesccciccc blast ae | o fs ‘ fewve LOATS......77... .. Months..... Z LIDYB....csseeees PIO A NNNE oo 5575 ooo cts es vce kc scabies i Cied cess eh cies Ri Riheioseen. | | Age... /.... .. Years... Months A La Geeks Days EE TOO sikvsisascntiaieibiinabsniiiabaninieilt cae Nia Ne 4 eo gees eS Se Oeoapiitiin. JP Ler. * OOD cise sixupinantcniziinecen aaeemiaii’ Gloves ; | og, Widow, ee ctbigegenenes Lining and Pillow Set No. ..cccsscosesscseceeseses iosirk chebbanevinesiees ct Mattress.... HOP OSOS ES OOOH Eee HO OEOOSS SS OOOOOSSOD OOOODOs Coeesess Oeccccecessss i Bee Bite, iB iaccnsadh cesiniesecsns oO sesrfsed|escceses | Birthplace IUCR ELEL OD A! Personal Attandance and Assistants... = hetisiasiniansacd 2 Pipedbecced Riagesava | Last IIE sei i sss reap Personal Attandance and Assistants .............0...0.066. ccc... | eeeesesee ae | Last place of residence ... i ee, eee DVADETY 6 sccscens oa eveppntaceviE | gulbtiasck ets | How resident of this State............. a oe DOGGY os ccc cic ses ORMOAOV i Candles....... | How long resident of this State.. | a O GE : | ° Piso ois vanetsbs siesta ess siel | odsdansci as Hus 8 Name ig To sseeesesneens Pedestals , hitb OTe Sere Hee e eee ee ene mee eee eemesene J bee lagi tal eels Father’s Name ait lise lee Country of Birt j POOP DYGRBIAY <ccintcerssesestaconsetnacas +) i irene | eiseesone Mother’s Name Door Dressing peepeelintaeicicsieka sauna (| See Bee Country of Bir A GE ceeeteeeeeececescencannannnen lj 7 IM sein rents acess aut ae ee eee es DP COPR oy ce sd cssaciviskcieusseesein a hc ae wore [Poe seceeees ee | Physician ...0™., Grosse Morevesenes eae beobdbencateceniuanesiaseisu tte iene TRU i i PAADEEL — SURSSRSOREES RRO ed O56 076 ons aE pS WORVESE + 0095 ens 6x sHbNEEEOES A Ub do Fuekeb ooo On.coduS Dnkke Seeeeceeeeseseresesseceecesessnsenensncassseaenecesscsscenscecerecenecsccsccesssscees Poo | | Peer eecieul es POPtNre ONE eoiarcd ss ccc CUNMEE secciicecs Pct MM ca Gi ine 3 ee Bo oy as i a ee icaiats ah a ae Ordered eee Rc eae cea. seateenee| ceeeeee: | i F loti Funeral Notices......ccccccccccccece Peaeseeecerencecceecscesssseccereeeeeces Po De ee Seed ea Me Sy cote ew eto Lo) ce Aaa re ; POEL I ROOR 5 ih rose cee Leis esi a ee ee ne | Gea faeces Charge to ... | . qed bh auesuestncWessabeaenescbeoceeaveeionel dseecsessceesccececsssecssecsceeeecesseses | hee < puaneneenele ; seneaaneuaseaeensevauneunnseeseseeserssseesesnaessereseegerenssonseseneseeasesesenss | eseessees seveseees | When rendered.. 4 ME re cai Be cca alad ae oP ead rittseeeeeeensseeseesesssereeseeesnersesessssscesessessreseesensscsssccosesereess | oo oe | | ues Ge a eee aoe | | — FORM e eee eee eres ere sesesseereseee SOPH POOH HH SHE OHSOHE ESOS OS EEO EE ES ESOS EEOebESEeES $6008060S Si dosekeus t a — = _ = mr |rseeseeee| i | Ns oi isin ei eae peteeenr iis | eae MINN biseis ps vchhiiesasbcneheden/ntienbietbbeionaenaiackeiowics peueveuebeatsies Vault Charges 0060000000 00000080 cceer cs c05ccn cee sceeeseceeee secnesesees | | ee Bee Vault Charges ee eee ee pn Ske 5 ener eect eae | , WAY HeNSLL Map Liney L cacviessasratiaesuccatl soksutaerisisanel eat ialereeees tes | iis - cent cei ante | fmt Bear nanan REN EUENAiecskglaLAvehupeeu ds dls eieeiis oaiy deniaeoiTeeneaseUIeaieSi oes | | | Searels ERNE sbsicidonséssuhermemansesicsssnhbanssecetecsnecsseeiseaubuensbaoicaiec: | De ale a eo Sih | evaveaes Coaches.. eR BEPC EOE CROCE Hea CIO COSCO OEE H SORE HSOSOE ESSE OEE EE EERE SOS EE SOON HOSEL arenes sneneesereceone eee rea TT ik Wea GA GE Sick pan aU caged ccc ak ha gaa ces ct a a ia : Bee ae a a ig UR a stelle bulsiy daimreiecetonieiieisistiecsic devewvevesorensseves Pr a a Me ia oes tape Cl i a SOSSHTS SS Se ceccesee | Seve Heeeeee] 0006000) 5664045S50500S SSCS S OO SCO COS OO Ce SO COS CCF Seeeeesceeseseee ! Acct — TERPR PRN ORO USS URS CROSS GRCEE SESS HESESSSEES SHOES SFr 01E0b88E0 0b beedeenetes ° Jeeeweeenee sr | LRNOSRMDSS SE RSIE SOSH SPER ENN SEOSEEEEEH ONS yeebbeanbs CU seneeOeeedeseceiocceces eeeeeres eee OOP OO HOO R eee eeseee | sone eeeeeees Y Rae cane oe A i A i acl Nar cc Me a he Mata ooo TOMO OEE eee ee eee | Meee eH HOSE HEHE SHEE ETH O OEE EEE HEE ee OEE eee Ee Eee eseeeHeeEertlste® | he | ssscesseeeee| seseescs| ceeseeseeeces Coe rccececeescceceseeeseees: 0 = - Seeereeer! soveeees| ceseeeeee TILT Te Terr Tet TT Trees ~ A . Amount of Bill.......00+ erie eee: Samet ca kN Bd 00s aesleoucaminmiaemne re ee te eeanes ae err en CheenaeuES seseeee deees st Leeeerreeverelreenertorteeeerereeee ties, eeee ee COPORR POS SOOROOEHES L edee seereHele Hn eeeeeELeneeeeeereeeeneseseeed tenseseeeseseeeseers . See 420 Funeral of Date of Funeral Removing Remains........ccccoee NN ines sido cscs bncaceosineaadinscceee aut ee Shaving and Laying Out Casket No Metal Inner Casket..........c.cecess Copper MEP UM TOR Oc. dasscockvnke xivcsukcasaceckia Outside Case, Pine, Chestnut, Oak, Mahogany...ccccccccesccess |secoscscees OOOO EO HOECEOO” RHORSOOOS SS SOLSOSESENROOENE | Oe eeeresees | Location 0) Grave NF NE caste ceeasereicnc SO <iseeakeees Funeral of Date of F a ___faey 7 bf re " _ Whig. Lactow a : Outside Case, Pine, Chestnut, Oak, Makogany | Date of Burial...../ | Where Interred. LO Grave or Lot No Bini and Fulow Bab 10s scssassonsactsactsestpansacsantivdaveseete ceaas 1 icc Lining and Pillow Set No Metal Lined Box PeQtdd LANOM TOR. ics icesetvacsascsaneatesenaien jesciikasbhensshubeensenaparndd [4thtanees) Mountings 7 . Metal Vault, Style. hart Box Mattress Mountings....... REE FULL: POUR cv ocn ss sup saci dasesasdebaadaueiens hccsds dcddaiacas Af Box Mattress.....ccccse 88 OOOO C OSCE SEOOUOEED BOOEEE PEPE TAG oo re os sped ners ena eees nates neers s eee es, Single, Marrs 'B irthplace Be | Last place of residence ‘Ia °o POO EOIT is cnvicvacvscsnanctaaneone | Last place of residence ............ss0000600 cecee. : Personal Attandance and Assistants ....................... Personal Attandance and Assistants .......ccccccoeccscooee viet CMU cs onsen ckarnec MOOR in cncncinsicecs Pedestals. ........sc0es besete oe Scere rg POE oak wvivecsiv sissies | How long resident of.this,State. GL | How long resident of this State ee aQd oe | Husband’s Name ' Pedestals | Husband’s Name: fp :. Kae rc | Father’s Name { DPAPETY. ...0000+00:0+2s5 CONAMGDTE........0.0....C Draper y....cccccce | Father’s Name... f. Aetee- CasH EXPENDITURES. Country of Bixth Door Dressing...“ teesee. | Physician rae | Cause of Death Ordered by . \4 343A aed tsgseeee Charge to ... When rendered... AM Rs ease ee ase tase es RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. Clergyman Clergyman Sexton Sexton Delivering Box 10. flserereecessees es Opening Grave i iinsisiisne sev’ POC COCO OHO RS OsOeree TelOPROne....2.ceccesoeseecesees g Telephone Telegrams iii RAN si cctiectla incase tity a ad ie FT codes SPOOR CCO DES eeeses Se Ceweceesescecooscoes See CO eeOeecocooce See ceeserccsooroee® eereece . Eee jeoeeeres Snececees 0 ; , wal er * Amount Of Bill........eeceveveeees bbb itil nd a i; - a 2 | 9 | — of Da —_ oh heeg pola: MMayectt/ Date of Funeral NT TOON iii iiss caniscenniieaineabbinsinanieimimeiauieds Imbalming .. neceneseenssbunehesnsansatnen cess Shaving and Laying ra seccesescee Casket No a Metal Inner Casket Da N ER P00: oc oon ks cscccas osdosdccansdasdacasscansouensauvana ciecahiekpiascoes ee Outside Case, Pine, Chestnut, Oak, Mahogany....ccccoccccseess | Tilia Ged PUG BOE 06s sonic cctciscccasiessuncacenssesseanveasisionce ARATE FO OR is aioe cane saseeuab eames Mountings Metal Vault, Style / Box Mattress 77 Burial Robe ....! fib ESE ee Sliz ppers. Drapery Pedestals CasH EXPENDITURES. BIGOT TP MUNG sores tscnsackskssectes caeaseies 1bs leh eibeadsananousniniees \ Flowers SP AONRTEE TNOULORE: vs. schenassssksbeaneheieawialasaeenaatnassiassess beiaveass AL NC UK DONS Ce PUNE css vesscekcerscesnieccues Delivering Box LO. -eseesrygn@heees * a . * Opening Grave ......3 Pei ic octevsonsssncececeeses Lini Vault Cha Hearse € w i Date of Burial..X@L244... | Where Interre #O0COCC OO CSCC OOSES BOOT OOS Cohesers Oe eeeeererees Amount of Bill........000 cy ebb htt tit a Country of Birt ‘ Mother’s Name.. Funeral of Date of F a | ‘ Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pill«w Set No Metal Lined Boz. MOI iia) 5s PE RB 5 hi cccacess Plate Metal Vault, Style Box Mattress z. Chairs Personal Attandance and Assistants ....................... Dr POry.......00sie-+ Pedestals NE I os os vei ves sakas cassacides cs (MOUOR Geico. PGS AN i ee ; Clergyman Sexton SI Ne oiiioisesssidicisssaninsdecncas Vault Charges Hearse..... RNIN te et cick col eeeeee POOP eter wen eeeee Finns Dea Hour... Birthplace ...~ Last place of residence How long resident of this State.. . | Husband’s Name Father’s Name Country of Birt Mother’s Name | Ordered DE Siriitaey sera eles | Chios me When rendered... nish ellaaaae Fetes, whee 424 ) 7 Funeral of a ee : ae | Hess ak Wa. eng 425 rae rer a SX ee pei 3 i _ SL San a_i / onrennesesersocceceenannnsess Pate siae ca ae si: ; i bag of Death Place of Death.........scfh-Gusssrrsec Neco OLA. fore, : Embaiming “i 2..| Place of Death | Pa of Funera eee | Clergyman oie me ae ie a Handles No Pecacesaecsiacis Outside Case, Pine, Chestnut, Oak, Mahoganiy............-0.-: Be ow Lining and Pillow Set No........cccccssese sieucaxe aie cacusapneueanns cane ee Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Blatal LANGE FOG vc hsiivccsacecilecicess gasseascsasien acess: iicsea ness lcakeschees eait Cassi tie : MOUNTIAIGE. .vecesseccves-s0s I OURTONGR vcasessecacss Metal Vault, Style pinks tushdiuud be cdesnievabbebiiedeciiaksieasets Bou Mattress se eeceocccccccsccccs © COOP vege cccceecesccooce Pau wy | PUPAL RODE csscccscsdesactvcctsadadessseieses ssscaieeslecis<siaestisteccssvesss | ccupation.. | Burial Robe ..........¥ | | Slippers BS aca Personal Attundance and Assistants .........cce000.. ‘ DPABOTE.. 5 ocseseacee ves Candelabra POISE. so scecsseveccencs Ge eae Rug. es eer tee SS: CasH EXPENDITURES. Poa Country of Birth ....., : A | |... Country of Birth sas a Mother’s Name | Door Dressing Mother’s Name Country Of Barthh..icicccccce Fock Sr ideo tttre | Flowers Charge to By ee PRO oss ooo eas es RECEIVED ON ACCOUNT. Vault Char Hearse...., : Coaches See ereeeeeeeeseeeeseessesees SOCOM OTERO SOOO HH De eereseeeeeeres Pee sescecescoes Seeeeeeecereseeee POSS Here ree eeesereroeee OOo Cre eeeoresssecceses Telegrams........+++ quetaieetseives Seeesescoocoosos seeeseene SOPPOOC ODORS Dore eneescoeeeeeseeeesoosooSe® Seececcceccescesesseosseseeseseee® SPOOSCSSSS Ceesocees Sacsesces mmm} OPPO ee eee eeee eer ceeseereeeeeeeeeeeeesyececceseeeeeseeceseesoeee seeeeeee ones Amount of Bill........ SCOP OOOSOSOROS OSes eeeeeee , PRR! MRP : * A ad ON iii ii eeeeee eeeeeee tteeeene ee eegeeeeeevese Loe 425 Funeral of... Date of Funeral Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings.........++ : Metal Vault, Style. Box Mattress Burial Robey. [KCAL ete t. ; PTE Boos iscccistsaiccae, PPR sc h a Gloves Doz. Chairs... Personal Attandance and Assistants Drapery................Candelabra OMA ico: areas. SOOO e rece eeee eee er eeeeesseeserereeereeHee ree | a cept, Clergyman. Mangers ~ Date of Burial Where Interred.@ Ordered by .: Charge to L FHM WOU ccs go casera vicicin evs cede tiackows RECEIVED ON ACCOUNT. seeeeeroerees POCO CORO S EOE HEHE eH Eee POCCCHOS EHO OSES EOE EERE DEH E HS Oh ceeeeeeeeeneoereeerereceeeneereneee® eres easceoees | Funeral of. A Date of Funeral__ 2 = 49~ f2- Shaving and Laying Out Casket No. Outside Case, Pine, Chestnut, Oak, Mahogany.....-.......000++ Lining and Pillow Set No Metal Lined Box Mountings....... Metal Vault, Style Box Mattress Drapery Pedestals POOOOOOOE HH OE HOE Ee SORE EOEHs OEEEEEEEEOOEHOOED OOESSOEES ODENSE SOO ESER SEES eteebeesees SOOO MOOT ORO COO E TER EE eee OEEEED ESS SES ES EEEESEEOOSEEEOEESEREOHOS Seeeeees Peer ennee Amount of Bill. TOPO EO OOO E OOOOH OHS EEE OOOO EES Eee eeeeeneee POOH OOOO eee ereeees rd ---» | Date of Death | AORN TROON 6 issiiiscsissdctbeisesstntcdctiins _, VS | . . . . | Single, Married, Widow, Widower me Birthplace | How long resident of this State | Hi usband’s {O oe ene rene eennenee sete eeneeeleeeewenee se eeeoerl weee ORS COHORT OSES EE EET EL EE HERERO EE ES POOREST TET HET E TORO EEHEEHOEEEHR ESTE EHO H ELS Sere eeeee | hace OF DE re rr oniks kv iviahvas nesvasaniabeaaaeeaeld Aone e en eeeeeereeeeeeeaee Po ee Occupation..... SITS . 3 # 4 Bi +e ry Fy ‘4 1] | i HH i 428 Fi uneral of. Maas Lalla, ducli~. Date of Funeral es LA-yb6- __ Hour Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings Metal Vault, Style Box Mattress Personal Attandance and Assistants Drapery Candelabra Pedestals Delivering Box to Opening Grave Vault Charges yo SOSCe HESS LCOS EES EeE LOE SH LEE SSOEFSS—O>OOOIICOS SOHC eS ee eee eeecees Peeeeeeeeos Amount of Bill...... Date of Death .....2.=..2-.4$..- Place of Death... ee Date of Burial Where Interred a pee eeeeeeeeseseneeeseeeessessecss Occupation... Last place of residence How long resident of this State anaes Arve, Melee, Father’s Name. SP OPOP OOOO eC ee ee eee eee HEHEHE H EEE HEE EES SPO OO OOOO OHOOEOS OHO eE EE Hee EOE EHEEHES ve, TTPO OHS OCOOOT OSES OOO EEE E HEHE EEE EER EE EH sree eeee Days Single, Married, Widow, Widower... /7e-a-2<<0t S[ Tee Oe HOC O COO ORO rer eeeeEeeeeeeeEeeeeee® Peete eeneeee, 7 Funeral of ... Heth. fallgrsy be aire Date of F’ woand Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings...... Metal Vault, Style Box Mattress Burial Robe . Slippers Sstadinessskusis eeeacie ass eas Doz. Chairs wae Delivering Box to Opening Grave oF Geeeteerereeeos SOROS OT OREE HEHE H FORE E RHEE EOE RHEE EUS R HOES KEHOE OEE Eee eeee COOPO ODO RHEL EES OEE OE SENY COSER DEES OEEOEORS EOTONESSOHOROEED ODOR SEO SESS Sees besesees ibbhbbbebeeeeeITII TIT ITittiit itt tt it iti i Tir ir Titi ity COOPERS OH Hee eree iiccnriiinneancinminliait evessiemmaeies shies bi | Date of Death Ptece of Death.. AE, VIN irae a, | How long resident of this State | Husband's Name ‘ather’s NineiiindiMacn: i. dimers rs sheeeeeeree FOO O eee ee eee rene eesennee steer eweeeneee Ase EL ee eeeeeeeeer FORO O OOO COMER eH OF ee eeeeeeee seeeeeeee SOPOT REO HEPEETEOET ERE E HOO O HE HTs Bene beeee 430 ane Funeral of . — Ww Ohi, Seco ab Konag. ; Date of Funeral. ntl VO. ao Pie. //, ku. M Date of Funeral fd awrite ia SF reer ee Removing Remains Embalming Shaving and Laying Out Casket No.. Gf Sep op eels Metal Inner Casket.................. Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box TAOUNTINGS. «0 60cc0cece.s 00s PRONMUEB. coc. sccceececcass I Metal Vault, Style. Box Mattress Burial Robe OF oi. sos ccs ivaececeusee Pe iis Gloves Pe een Doz. Chairs Personal Attandance and Assistants Drapery .-sseve... Candelabra Pedestals Delivering Box to Opening Grave Vault Charges Hearse. ’ Date of Burial....! ‘ CLG 20... ae Where Interred... LLY, its. hve Grave or Lot No tte eee ereseccccces Single, Marri, Widow, Widower.............. Birthplace .. : Last place of residence , How long resident of this State Qte Ofc) Husband’s Name Meek Y, Father’s Name... ; Country of Birth Physician.......... Ry AA Cause of Death Ordered by . Jf Charge to‘ | When rendered Se noveasoesooocoooooooooooleceetesS e6bbeceee os RECEIVED ON ACCOUNT. -eeeeee Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No...........s0.s0008 oe i cues og Metal Lined Box DI OUDINI cscsisociesc.<sc EEOMMNOB, ccs ca sissccesscs Plate Metal Vault, Style Box Mattress et Burial Robe Mes acd: fsa Ab bean. BLBR... Slippers ; Bo ee Riess tail ev icwsiescuaae TAS: 20 ii os tres tesa Drapery Pedestals COUEE sg oicsvcces Funeral Notices.......... seossks cash inineeneseeesieaen) pies CeMaNGea vc ss i SOOOOE OOS SHEE HEE EOE EOOEENs OEE EEeEeeeeHOsEseees POOR OH OO HEE OOO EHO EE ERODED OSE EESESEENOSOEESEES EES ESE ESeeESe i iiiiititinitiiteanliii initia teeweneene COOPER eee ew ene +» | Date of Death s..| Place of Death ; Lr ae L a ES. Cont... | | Single, Married, Widow, Widower | irthelane va | | Last place of residence | Husband’s Name | Father’s Name.. {ta : Country of Birth Mother’s Name. fA. Country of Birth. ~ Cause of Death Pies ee uaate a amen en Occupation... Physician... >. (0... Vuctrohee + eeeeneene 432 Funeral of — | Daie of “uneral 433 | Funeral of earns bherrnn. Om thang a a Date of Funeral a AR kl a ee ek 26 TE OI ih i ee i ee jive heh... lt as initia be i i il ‘ Hi HE | Bimbrabeming sonore scsssocssesensnssessensssnsnnceettinnnnnssesenssesn cad GALt... i ie eg eu: Pes of Di. ANd meth... QL. stn hile | ) shdstachostesnenssssricorsesssepss silane | MMMM UNA TANIMIRI GOIR ccs cvesscancosnnsssansussconmsssézoncesssatll Jalusctas 4 coescen neti Miia co ee ALE Casket No..... ff 09. ARE A FOOL 7 Lad. ai 7! 2 on 2. | ; ] Casket No.. we _— Ricthissnwatas Piicccctintanwanie (ic ATMA icc cskciclunde plciaessbcinsetaciceiiess Vea aes ae en seeeeees SMI OF PRONE asic ssiccstsintss Wares lee ee SHOR O OOO SHOR EES EH EHO SESE RE OEE OOOH EES OES EEE EESEEEEEDHOHOT Hs rEEeeeesesenreseessseses|! eeneeeseues Metal Inner Casket.................. , seecesnasans | cosennnnnn Metal Inner Casket......... 0.0000... CORR... 000000006 DOM... s+ <ciesee Se I ii ii ee decanted i SE DOR ran sirctativkcttininin inaratisnviessishsvbansuvgorergitabiatein | seeeeceoees DOOUIOMN. ...0c0ccc. wauntcus MI ag eae onde gs kd cn icac cue casas seccuicek anda eet Pte |seseeeess |Gra Ee Ae Beis iba bi i Outside Case, Pine, Chestnut, Oak, Mahogany...............-.. [sesseeeeees|oeseeeens PO TE IY sisted scecwneibbibcloesevssesisinccscuicaccatlel Outside Case, Pine, Chestnut, Oak, Mahogany.....-......0.c00. | sseeeeees ee | Location OP iii citi ect cee iF | pevakies Hs susacevsn ve showtien leesaatstahciesiudennied tabeciskacecics, | Re Nn ee secs anaaciasceare gens Lea |steeeeees | sashtnanebiat henbnsersesensnteuscuneeeienssaonsiawadanuedions + t : ; ; Metal Lined Box SLENGA SENOS SEMEDE Kg Nae TS baa ROSS SedCE ID WES Lod vxd er oe ee a ee | seeeeeces | PPERESSS SURRERALECERERGUNAD RED ORSEAAG AU ONE REE cKU eR Osb dase Metal Lined Box enitegs Be ea Reena ae el eaekeeees pSeeenene peng ye pnet eng esberrecntnene na tents men pan es | I I a cies RIOUMTIIGR. ..4.s005000< +: < PEOMOICB) csc ccdesesecedes PUM, sa i3 1s oa cceskekaun iieeteiian Lis repee StAaghenstshenvanetesucgeeceroredse ey 6. ee Mountings.............. ... Handles........0...000-+- ee ee Laide enced sho ssessbuniuakubprusid<cpcisnesscpeselinessseenboclaiicas / sadnanehs [SOPSrORAGNG OD Secu chasnantcdeseschbedneseiinbtba tarcsnnstsy Meial ee PRIN os coca sabes cise ack sassacsdeevienes ee ee Os ee | ! 4 | 4 ’ i | ME I NN oo oasis se deleviiueocl, wl eo } Hh i PR IO 5 ssid tvcsnkincreldnehsicinerisintavesascdebociwuldceaisbccest ane oe SS eickscareeied Le eee Months........... DGY8 ines Bete MINI oils scam ccs oc ok pha sd ccs’ snsa Cad RdeAGe sata ee Koebsshn deed sacs : ] PRES | } | | if iy Wy Burial Robe ....... Oneloy Ie. Mee Gcasatetee eee icw ear ee 1 O2...| Color nttee wees eneneessseceneseeeecesenses Occupation... ans eae PE TE cis ce causa indehciteivestassenseascee ee Seen sa es ces eecaaee noe DI piscveslacssaxamceionts kuvekaweents CR ia scctstncsssssonnions Tat} a ’ ; ma qh, PO es eccs ovo tee in i PO esc, ER ds (er aes Leatics | Single, Married, Widow, Widower......... ’ sss ess ee IE i ivi accdianccsss cents. cs PHB oi ccc ska Or oe kee ae Single, Married, Widow, Widower. .... ......ccccccccceccoeccecoccone a a cS j ? Of z ° e | i ip ase fe eta MOE ATAU i airtel a, een ee oo eee oe Birthplace .......0#6= ete. OI tall de Gran eie eel eaauersiai ee i a at [seteeeees PRN ooo oss cade ices asesiee ee eee | ' Personal Attandance and Assistants ....................... fice. | eeniass ere Last place of residence : +i / 1 Drapery ......Candelabra.. ..... Candles. ...... Tce an Ree How, long resident of this State i if iba i 1 Pedestals niCueeoee ay sn tn Vid ARMM ks Si gannny oamcdeivda bak asa eA anid | nas Name 44 ti | 1 i } | Be / iW Sil re ae | Father’s Name i i CaSH EXPENDITURES i i Lee ess | Country of Birth .... ie | Ae! i | if in| “i ; \} ae | | i i t ieciitines ccisstinigag OO TTT fe, Metre i ai CIUIG Foo ee ee Aes Funeral Notices........0s00-ss000 seeeee eo eeereeseevors SO0p 55 ¥en erONDONOOTNS Do casencselsoserens’ Charge to ke) ; When rendered rei Mo bge: € i NarAt? SENSRAS Titae beat Ae sexhen ook WAsECRsdUEN hod Suen nse scdeeee conegeaceee ins Gl L apessecss<[o-csuseess | FY OID POMEMIINE sc ccceioca6aceesblbicooos hevcecbs dvs sisaee eee ee eee ee Pea ere ae aii iablat aca } | . — a paises RECEIVED ON ACCOUNT "eh | suehaddensiansebicenvaeeaNldnsesuptsssatushouberssr soayhsciued tiavvanndeeencieese ccs | trereeeeesl pheseeses | RECEIVED ON ACCOUNT. | eeieipeenns , | RE Si Re erie ID geese ect mit: Quartette, Soloist Delivering Box to Opening Grave He OOPOSOSe ree eeeeeeereeereseeeeereeee® seeeee SOCCOOCO CORO He REE EE ESE EDEEEECaEEe weeeoecccsccccccecesccoccceceeesee C0CRCC CC CCe coscesece ceceees OOOO POOL O OE SC ee een eee eee reDEeEESEenOSeeEesesoeseceseoooesooreS eeeeeeee Amount of Bill....,... Feet een nee roses SNE DD iii crnivressniineenernsimiinitiriinneenciiitiiii ici * i} SEE IESE 434 Funeral of... Date of Funeral_ Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, M Lining and Pillow Set No Metal Lined Box Mountings. ......60..0.. . Handles. Metal Vault, Style. FOP MAG OEE oc isiiss coc viscose y Renkssse seen ckau hn asaca ee sessaravcrnasfhtOR. CHORE Personal Attandance h nd Assistants Drapery .esesee.. Candelabra Pedestale........0scd... Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave Vault Char, Hearse..... eeeee COPPLOCOO COLL OCOD COLESE LOSES ECCCODES SHOP Ree e RHE REESE EH REESE OE EEe eee °. os Tia- sles Ova/Caaek. (faa / ; LEK ] L726 oe { Last place of residence ./ ~~ **4£@ pate : V How long resident of this State Husband’s Name Mother’s Name... °7...* =" Pe ean atC PUTS ast hciis Ordered by Charge to When rendered 1 j } | | | j | | | | | | | | | | | | | | | | ( } | | see . Seen eeeereesleeesere Mescesseceveceseeghle SOOO O TOO OOOO ORE DOCH OEE HEHE EE EES SOPRCOSe ree seeeeeeeoeeseeereseeresees SOCCCOOOS COLE e Hore ee HeE EEE SEHEES® FOO OOCOO CROSS THe DOSER E RESO EOE REESE EES sreretprcnee seeeeeee Funeral ... wee Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Se Metal Lined Box DROME iniicesisc ss: sc PEORNOR. casscccccescccene Plate Metal Vault, Style Boe Maras... :sseessesis-<0 AE BME corsicsrssnctaistic te eee owe Slippers peek seueesnckes esneesgrie aa) Doz. Chairs Personal Attandance and Assistants ...........0..0-cceeeeececeueceeees Date of Burial....... Where Interred... AG, wer fh cncrtrrenes ie. | Grave or Lot No Location of Grave | Last place of residence | How long resident of this State | Husband’s Name © | Father’s Name.. Country of Bx | Ordered by ra _~ Charge to -.| When rendered RECEIVED ON ACCOUNT. ern co — | 436 Funeral of .72-4.~—-__F#e+ a. GLE e os Date of F wy ee Hour___ Removing Remains , seared | Date of Death z 2 Embalming oe POOP rT eee, ‘ ca f seseee | Place of Death... Shaving and Laying Out ; 2S hy ere RLF Shaving and Laying Out A spbeceasnsl coveecins] Oe oe d ati, Bought. STEM eee eee e eee Cast No. bce a Casket NoLIHNY. 9G... $id. 9, Mall Md . a Date of Burial Metal Inner Caskeet.................. Copper i 2 sana ee, ee ’ 5 Wh Interred... rr Scan Grave or Lot No Section Handles No NOs ccss oes ee PERE ieee i i aaatiertess score Outside Case, Pine, Chestnut, Oak, Mahogany ma or Hest , Oak, (Mahoga yy Pm y Lining and Pillow Set No : | Sining and Pillow Sat No..f Ge es pet MT Metal Lined Box : Metal Lined Box Mountings............ v3 z y Moe” a dlae STATEMENT Metal Vault, Style ‘ . Met >= Box Mattress ys Box HicRory, N. C., od ees lori Shiz Cates arth. ot rried, Widow, Widower... Mo — ; IN ACCOUNT wirt Personal Attandance and Assistants : 2 ,, a cpa | Pen 4. W. S] [ FORD of residence Drapery Candelabra FURNITURE DEALER AND FUNERAL DIRECTOR resident of this State oa , a Phones: Store 99; Residence 43 Ma a. Pedestals................ Rug 3 Nam hart4hea. : oe . Name ee Father’s Name..../ wa ends oes nies Vame. Pt 0 Pray. Ub Country of Birth J ‘ : aw \ f Birth ... Mother’s Name..<@/t - r ae y : ee f Birth... eam... £ Cite....! "7 cm im “Arete aioe eat some Meee ematiannemees aumieemereneene Charge to 44 When rendered. ./ — oat ACCOUNT o RECEIVED ON ACCOUNT. A Mie POOP POOP eeereseeoeoeeeseee eeeeereeses OOCC OSes seeeeeecees stesenewwdggepetonnd vely POMOC OOOH HEED EE OR EHO OE HER e eee eeEr eens 4 SFO OPOOOOOOEO CELE FORE H EH EEE EEE EHH HEE Es : e 7 \ SOOROHC OO OHS ee eee eee EeeeHe steeeptereheoeoeosece PPOOOOE OOOH ETOH O Eee ee eee eeees - . eocsgacqooos OOO e eee Cent eeeereseeeseeees oa FORA ROOOOOOOO TOD SOO E ESE HE HERO EERO HESS COO esacesenes SOO RE THE EMH OOOO SEHEEDECECEEEOEOOEE ESSE EEE HPCE TO OOOOH OT COCO HOR ee EEE ERB EERE EEE. / Amount of Bill.......0000+ POOR OOE OOH er ee reas : bcbineaces ef eben beauenenisionabuaiaiaiindsécevevevodedecideds Sebedeces eee Amount Of BIB L......0scsrsereessserecescereees . sovcceseocedeosoooss steer serene pours er on revere -¢otearmeree cesese Ceapaaeea eeeeeeene SORE RETR REE ERE REE HE RHEE SERS OEFEFESER ESO ESOS : A - 436 : Funeral of Jaho— Fiearaor fl ae Funeral of Ae2r Jaw Wath. Ltr Date of Fétheral ~— ithe calle Date of Funeral ~ 26 2S Removing Remains ’ Date of Death . : Date of Death 4 I ihe Sconintn cman Waa Place of Deuth...,2&. ; 2S.1Q2..| Proce of Death Shaving and Laying Out Shaving and Laying Out eeaeeeeece| sees Casket No. Cthad a ; | fH... ° os Casket NoLIHNY. $5... §eid. Gs hieth, Me Metal Inner Casket.................. Copper inc. | ; Fst J Secti Pe FO i sok isk bnddsdkchee ss seed sesees _ PENRO OP TE TI i vscsencnenssnvedsaninassécasl ection Outside Case, Pine, Chestnut, Oak, Mahogany Outside Case, Pine, Chestnut, Oak, Mahoga por f. | |Location of Grave Lining and Pillow Set No ; Lining and Pillow Set No.. i. Metal Lined Box Metal Lined Bov........... dd / Mountings.............. . pS ‘ Mountings A Handles eee : Metal Vault, Style | Metal Vault, Style /. eee j. Box Mattress Box Mattress Burial Robe ‘ Occupation....... Slippers Single, Married, Widow, Widower idee Slippers Birthplace .“tlerty€é a aie ae cbs bite eee . weashcniesrasiss dibseteentas aes Doz. Chairs Personal Attandance and Assistants | How long resident of this State | Husband's Name MAY F452... AM NOM AAM Drapery................Candelabra ; Page ae eee kedeaone seen) | ery Pedestals ee i) 8s Naméé AA. "Pedestals Father’s Name.... . ' . ; . Country of Birth .. Dtcerorten... fey haves Country of Birth eae y ee , | Mother’s Namedgliaadek.. franc. LE east 5 | Mother’s Name Physician .. Me i a SAS eseal i seat Cause of Death ear wlyor = pons . | | ) | oti — Gl es essai isaadaiiiada shag ; PONG sisiiescss | os Y\-- . : 1 [ A {] AY ‘ Funeral Notices............ sd etvaebinuune sas beeieen bale ioc CRON 0 ssc cstniee es vee yok. RECEIVED ON ACCOUNT. 1 Coe. 7 a i Su SE PE Co eeeeeereereeeesere eeeeeeees oo OOPOPOSOR eee ereeeneeeeeeeeereeeeeresers ‘. COCs Cee ceeeee eee eeeenee nar gitney* ont FOO OCC O ROR OHO Oe Hee en eee nenereeeeeceeeee PROSSER ESSER ESE Lee EEO E He EEE HE ° - \ SOOO O COR Sees eeeeeeeeeeene seeeeptonehenseees eeeeee POP OOOM OOO E ODER EHO S See eee eeeeeee SPO Oe eeeeeeoereesereseeeeeoeeee eeecereee SPOR OR OTTO REDO Dee een eee EAEEEeOOOEEeOESESEEEEs SEER eeESeeeeeeeeS Oeeeeeee wees Asmonint Of BU L....ssesssssseecsssesserssseees TESS OCO ROOT Oe ee Reese neeeeeeeeeeesesereeeeneeHeeeenarele Se esc ne kM els ee inf & bd i tog if L% 438 Reid Teoee.. . Date of Funeral Kemoving Remains Embalming Shaving and Laying Out Casket No.... Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Personal Attandance and Assistants Drapery ... Candelabra Pedestals PE NOM scciccnistsccheestlbi iedobctnic hu ki Clergyman Sexton Delivering Box to Opening Grave ......... i daWanvd thbes ebebdatskenis Lining SORE en ene e eee nerereeeeeee eee see ree OOOO SOOOEOE Oe OO>>eEneenneees wesencens y FORO FORO tee ees ...-Candles....... Pee eewes seated: CHA Clergyman.b (F@.:... | Birthplace .: Last place of residence | How long resident of this State............. . Husband’s Name Charge io When rendered RECEIVED ON ACCOUNT. Tee RPOOOHS OOo roeceeseroeeereeeeeeeeese® it - aeor ad eeceeeese L eeeees SOCOM OOOTOS ES OEE EOS R OEE EES E ee EEEH esse Eeeeee Funeral of Date of Funeral. ’y S|, 9 | v | oat NERS. | Place of Death...... Shaving and ms Out ~ F Me E Casket No... Jacl. LE... Outside Case, Pine, Chestnut, Oak, Mahogany PAM ONE PUlOW S08 NO. fosiccncacc cee oe PT COME B08. oi ikaisicsciccne os Mountings.............. ... Handles Metal Vauit, Style Bow Mattress ....4....9....-+01:0egfpeterers seteeeneeeresesecensey eeeeceecees ], 0 Burial Robe ...2.. AAK&. Leh Slippers es Neate Doz. Chairs Personal Attandance and Assistants ...........6..0600cccccce cecces eee DVOONG 5 ccicicssn Zs. A aa Candles. Pedestals Clergyman Sexton Re, ik coca bnkcac tnccvascsmnasad Organist......... RE I i insisiinns sscncics acteeecebiaennazensmdiviabiiaad iis ODONING GrBUE «..00sesessececiecseses tt ccaveaes Lining Q Vault BM LL ; 4 Hearse : fe tye “ee A che veererevessssereeecerecs ay clo. ea ae eete TNE is Date of Death @ a ~~ | | Grave or Lot No bet esese | Location of Grave . | Bi rthplace 1 | Last place of residence .. - — long resident of thig State | Husband’s Name Ordered by Charge to ceseeeee | When rendered..... SPORE NOOO EROS ERE E OR EeEEeEEeEEee SOOO Heel eee e OOO CEH OOOO eee eeeeeeeeeeeeeeeereeee teh reweeenleseweser heseeweroterers.. ste eeteeerereersceeeeenscls sooseeere sr ea vee cirerennnenehranideseiietemmenabmer naehianeemap ties erence arene aemepiaaeeenaniseanatienn: 440 Date of Funeral — | J. .P0O | Date of Death emovin Re TOG CIEG. oc coscscccncchanedsooscoccecse eevee > g . ooee ooee . j R 4 * . Embalming - . a praciens . ' - UL . Embalming | Place of Death. te. Shaving and La ae Ct. ae g vi Shaving and Laying Out Pac of Funeral. Abscrakey..8 Casket No....Z.. a 0... Lee Bs nese OE : ¥ . oa : Casket No. Clergyman Metal Inner Casket an 0. oec isésneenesg sek Handles No Outside Case, Pine, Chestnut, Oak, Mahogany | Location oj Grav eee ir ter Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No | | oO 1 — ee sae i Lining and Pillow Set No OO ENON POW so chico le ec biibebaindesecacecsaxe Wl daWenasokaclinsacnens 8 ° M Lined Box cpcnag ck ie ‘46 mya ves Metal Lined Box a eeneayersnrestons apsuanenaee on an eee ac ert e - See eer ncaa ERR Mountings. ..cccccocecse-ese ; Mowuntings........0.000. « ; Metal Vault, Style ; 4 Metal Vault, Style OE EI sais oasis snus ts Gaah pun adde sdaceks yeh iesdsiseviiseeersiakiness Box Mattress......se0. > a > . a a f . PE NN i ss su snchilaspsteinanladaiaiia ieee kocace beinthaeenkiens | © Burial Robe Occupation....... ....ccccceee. oe, ‘saben aa adie Slippers . Single, Married, Widow, Widower | Birthplace Co : Se Sp Uoyadace” \aualcives mace Doz. Chairs Birthplace C0GF e240 6006 6 us bee 1560 sO es 6 Obs 0s cces > } Personal Attandance and Assistants | ide oa Personal Attandance and Assistants ................. Drapery sruesdsas 11615: INES a. tease ce . | How long resident of this State DYOPETY....ccosecee- 000 Husband’s Name ............ Redestals S, PO a a Pather’s NQM0....<icciseceicsccces. Country of Birth Country of Birth .. MOONY SD INOUNG 5 os hick ee | Mother’ s Name.. Country of Birth Physician Ordered by Wrdeens rh Para Cho a Charge San. 4 cee ) | When rendered... RECEIVED ON ACCOUNT. A : He i} Ht 4 I igo cones clad eh ta lan deo ai oahes guinesi (hNGET a RaNOARNE) Sexton Lea ee Sse oo Quartette, Soloist Delivering Box to......... Bee TE 08 ai, tec cs Opening Grave ..... Miehdeessearsepebinixeuesoncn Vault Charges... PTI CII bin ssesas Sa ochbeniaccosiesteatinies Lining Vault Charges he dhe ——— / . | 1 Hearse. (04 UX. Ay, KEAN. ican eras Kip Coaches.. See eeeeeeeseeseeenses » POPC COCO OCS L eC REeH ees «- Telephone... +000 ee eeeeegetene Seeeeeeeserereoeoee PPP Aot ee eeeee * 1 SETTER tee eneeewone Lh ewenreeereneleneresone eee Amount Of Bill. ..-rcveorrersees rr sencsiniameennseeilisibiiieeiiiilh aii a 447 | Lefer fohex Funeral of Date of Funeral___ Removing Remains I Outside Case, Pine, Chestnut, Oak, Mahogany...... ang and Pulow SAb NO. osisiscoccecivaceccxcacesnccca DCE TAO POG oa) ot ne aoe qenbintasian Mountings Me tal Vault, Style eeoerecnesaereeress ences eevccee POeeeeensees coseccansesenses | E00 DIALING. osc ccseasaescseisince Pecccccccccccccoocccosececsccesreccccccceess: Burial Robe sas 0h0ns sh Okhad badd san ebnsbupnecusededcbunhacs soivkesi BON DAIER oiicccdisusiuinasan Pre Quartette, Soloist Delivering Box - Telephone...... eeeeunsseeber ers SOC CODES SOC eSeneee 4 . ° ? y SOS OS SSeS SE SECS E SERS OE See o wneees epecedoccecos . POP e C00seeeee mm creed CPPCC OCS Cet eeeenene 3 | | | | TOPO CC ORO ROC OSSeecereeeesoee | Birthplace ..47. © ASAE SH Ie Last place of residence How long resident of this State. “** “ of : Husband’s Name Father’s Name Country of Birth Kau aut -F “e Mother’s Name fea bx or Funeral of ........ Date of Funeral__— 2m “ 25/76 iets Da Fanuc Gurr zz es Shaving and Laying Out. Casket no Pet. Gags NEv Lett Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box. MOUNEINDE...0.0.0000000 00 Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants .................-....... Drapery................Candelabra..... Pedestals URINE NG iia citi kccpiv ses n indicates ..Gloves PII ON aio sca cn chinese ka Clergyman Sexton OE, CIE: 6 ohscdin css tscnnsivcseanl STOUT TIE BO ok oss opis acdincessSlasesss¥titiiecendicnca, POI FOIE ois ok siescetacsecesbisaxs Varetlé CRArG00. 000+ 5005050050 Hearse... St <7, Coaches... POOR e ee ee em eeee eeeeoe OOOO Cees eeeeeeee PPT ere ry | Location of Grave | she Oe ¥ | How long resident Le State. Husband’s Name ...¢. +4 Father’s Name Country of Birth . Mother’s Name Ordered by Charge to .... | When rendered... RECEIVED ON ACCOUNT. SOOO renee leet eeeeneden TOROT OOH e, LeeEMHOROOEOeOEereerererte Heneting ae ka Mea ts 44“ Funeral of ton Dee Date of Funeral. —«¢ — ~— 2 ¢. Mow 40 247 OI TENE isi ie ea canna MANNE Siipcissccnce cco shenehesanbssabanbnbnbiathesiaens Shaving and Laying Out Casket No. 4. PCOMIOR PIO ibe cee ae oes Outside Case, Pine, Chestnut, Oak, Mahogamny........eccccooee: |cccesseeeesl... Lining and Pillow Set No........00 onesies Metal Lined Box MOUNTS. -c0evecveseee- aes Handles. ......0000020002. Plate HOO COOOOOOOOOOEROOOE OOOO SS CODEDEEESESEES Metal Vault, Style.....cccccccce 8.....44.... Months Occupation Khar rl IousthoT | Single, Married, Widow, Widower. Box Mattress eoreccccccecccocooooccsccscsse coco BUTTE! PROD occ dccesscncosssces DOP oo icc pak aes Country of Bi | Mother’s Name | Country of Birth... A.». ew. ot a : Physician Le Leelee ; Cause of Death Charge to | When rendered ols 3 be lp Ree AM... UL eereerecceerese Amount of Bill....... Pee eP ee sereeeeeeeooosccttesoeecenney | eso 445 lg ia MS as Funeral of ap Loch Ramee Date of Furferal_ Removing Remains | Date of Death } a | ee FO cc | AAd..|20.. | Place of Death... A=. | | | Where Interred | | Grave or Lot No | Location of Grave | Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box. Metal Vault, Style.. Box Mattress Burial Robe Slippers Drapery Pedestals Country of Birth....... Zeer Ce Charge to WA, €...08., When rendered.. Delivering Box to Opening Grave ....cescereerere ovesevecs AAMING WR IN vay scence cchesuvecscupvevscyssbeactieiciessseaasasasiass a Hearse... YY... LO Rear nn Mee Me Foo sssnseence sees cies INE 550i cs cuas cats seneecan ies SOOO SE ORDO eee ee eee eneeeee Foe] COO ee Ore e eee OOOO ereeeeeeeerereneeeeeeees 3.3 ’ 446 Funeral of RO Mannyean Pl eS ——— ————~ | Funeral of Mare Pract on Date of Funeral... ©. s02. » « ; piety Hour_42._ Date of Funeral___ Femoving Fematine.....cccoccescacccosoareccces scnhhninniben ‘ i : ' - . Date of Death........ i eiissss As RNIN ces icc a ieee ‘ ; . . ‘ f Death hic. aii ee hii ai ee PS { . . serene dene fewGeowess | lace Of Death. .... SPREE P& OD. cece ccccusccssesssccecccesececenecaes Shaving and Laying Out i a _— i Shaving and Laying Out...c...cccccccoccece ’ sc es is | Place of Funeral....¥. AAas? (lei. a prtieercenseseesresenennececs sossenggaee]canersese | Casket No. tdrcerker.. OA: Mer tn......Size...Vf Uf 0 oA) ALA sia rene \ Casket No... fh lidewd We vernsise ye eaenee oars ee ‘ Bek | Clergyman... RaAtes......se1e.... DAT hee e8 mecepuacespescen’ | | | ” | Date of Burial...sJ | Where Interred PINION ieee eg ki ae iee eas sane a sstatespoiwece mmdles Ne seseesmiae Siucle iy Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.........00 rasa papesvseneseussdauseseosiacecsic ae ; ate as ae Lining and Pillow Set No Mi tal Lined PROB ob snsasacescresteccctese es OOROOC COOOL OOOeeeeeereesenes HEHE DEES esl teeeenees © seee0 ° i fooNE aye ret er en ta cane One seae th Mea PRGeSe RE REReaeeasys TREE FG oi ak as Mountings.............. ... Handles brrste ses erreteee aes 1 ies Metal Vault, Style peeoo ice Un Aes... 0. Years... /f/1.. Months...2%..S— Days Bos Mattress | Color Personal Attandance and Assistants How long resident of this State Drapery................Candelabra..... _--) 2 . . EaSbani’s Name stnthehae.. West COVA Pedestals lather’s Name : — Country of Birth Mother’s Name Gloves Ordered by ...2..+ aot. FUE, TNO caskets ee ss Clergyman Sexton Quartette, Soloist Delivering Box to.......c..cscccecce Delivering Box to.......... re? Cy , eecees 5 : a et i ce tl Opening Grave ....ccec0.ee. ieasecesse ee CIN FIR ois cavencc ol hcxccansacacevexons -LAMANG J Misses ses eoveehe Vault Charges Via Hearse... Coachea.. PCOS Cee eeceese Ate se emeeeewceseccssees reneinneneiteA aT i Bill.... . 7 i et / Amount of seceeeeces eee OO ones Oeeeesee re secossene’ A " ® fe. eter Aeeerveeseorleatocsse ele eeeeneenenenes, peegnnenneseenen eee Peeeteeeees re [i a * | Date of Funeral ene Mar —~ / & ff 7 é. i 448 | . Fuge of Mae. Was Leclatane — te. ._ eC _ Af Poe. us! oF (en . e2- / : Removing Remains........cccccccccocese itches : SOL 7 . Seeleoreeeafelorerereesereesere tag trenen | Date of Death ...% LL - iat [7 fii bg Ea | c PINOY scisnesiihcncasnncsseniippaipdabianiemmaataea ss tS Ei J ‘ ¥ TK A... bt t ‘ | ’ | Place of Death CPL Aleen oe atte send | Place of Fre Metat Inner Casket } | | Where Interred PA ACG AD I Oy ce csi csscs tate ohcenesenaseasesity ih eeeteswtiei ioe ison i ttterteesseeeeneeee | ~=Handles No | Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany........cccecceees |eccosesees, C P Ches Gok wake | Outside Case, Pine, tnut, Oak, gany PONE GUE POR DOE DR csncensiinonssisnaseisisilansannsinnaiiiabiiniane: \cacegcth co 8 ) 4 | Gitta chine Ga egbanahnaneys pentane cs ee.g ee | Lining and Pillow Set No ROOT IN iii irs edi ddlineeneicdiaduien d= (ada Rsekeone, Seesenensaess . | AAASEOSOR NS AENESEDON REL RKODSS 6 ckbRER OES Metal Lined Box TAO ooo sees sce Handles Metal Vault, Style Box Mattress PE TROUG oss ce cite uvesdead iy itesisctecste eas hbsedascskiac 1 ees ; s meet cs ~ | Bu Slippers .......00..¥. Pe ebeagers PO beelvavecs OME. cick ccics ’ / posse dineuiees Occupation... Af Ltd hte fog a Single, Married, Widow, Widower Sanaseies oe | Birthplace i Me | Last place of residence AZ NRA Mv? F ssa 4 Personal Attandance and Assistants .........0.0.0..ccccccsces caeeeces LN ee ee eee | How long resident of this State : cagsttseeneees Drapery........... ....Candelabra........ Metlna's Nome Peper ROME Podestinl...-.....cssscssscs-se sesesee Father’s Name... te ss rete. Country of Birth .......... 42: Mother’s Namef f OF Bg Sag RUT RgRE Fp re 0 er As Per Om Country of Birth..........: t5 sccosseealeall Country of wa AJAX Physician .... oS LW ALK wconteeee Physician r Sf. Cause of Death ‘ CasH EXPENDITURES. Ordered by «| Charge to ............. TE SEN EET When rendered Clergyman Sexton Delivering Box to Ovening Grave LAINE «Tis axcccci ie Vault RI ooh ei su ens haes cdderes ps cnsicntveibintociisaiiainoshaneees . Hearse... : . CR ee i: ion Expenses Transportation Expenses........... seeeeeeeneeeseses ee eeveeeerseeseeeseses Seeeeeecescecoeesee® ‘ ous Amount of Bill.......00+. Ce ee One eee eoeeees se sesessene \ ° teeenee . * hi : 450 Funeral of Mus Puedes Date of Funeral Removing Remains.....c..ccccccccoccecene Geeeceuabea pauesoseabauanee a Embalming ......... +80 POORe MOO RESOD OS OCOD SESS OES BOEeees Handles No Outside Case, Emig Gd Pillow Seb NO: vincescenconcesicecccdask: seccesebsensneusss Metal Lined Boz......... MOURTRGS. cn cicésienis osei Handles....... Metal Vall, Stl0.ccocccsecssesss pi bhskeheneensesanetkat Be ee Mattress seeeseees Corccscesese Secceeccececoserecoes Prt) BOD ois iiss scescse sec seenkeccenvcaesvcsned Gloves......... POCOT COMM OOOO CORO O ROS SEE SEH reeEEE® UDOT Sc icsssscccdeciackecs ee eereeercononee eeecesensoces See Sooo See rereseeroesoees SOOO Owe ees erneesesceseses SOP ererereereosocess sseseee Telephone SOOO Oee Cee ee sesesen Se Ceeeeseeeseoceoeoees Pine, Chestnut, Oak, Mahogany..........0.....-. Seeeereereceveseee Amount of Bill........ Py POC eeeecceees ieee ta Country of Birth . a. - Mother’s Nenad: bean ll tod Country of Birth........ X% 0 ceut Physician ...& Cause of Death Funeral of Date of Funeral___- 451 conic Removing seman Map acTs Ne Che qe Shaving and,Laying Out Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillcw Set No Metal Lined Boz. Mountings Metal Vault, Style Box Mattress . Chet ‘aot Burial Robe Slippers Personal Attandance and Assistants ....................... Drapery........... ....Candelabra p Pedestals Clergyman Sexton PME EE ED, RMN bas 5: backscdenwousskestace say ROI TION B55 ici css, fokesesdsdautata eee eck gk Opening Grave ......cccrcereceee .. Lining | TNE ES 55s itesdassedinns edie ceciees cies peivibwaciie ot Hearse - 2/ > jt py, / F ree Ree etch Keser # ie ee Single, Married, Widow, Widgwer Birthplace Leth. ges a e Last place of residence ....... Statey... a i, Husbapid’ s7Name resident VS, —— Fatker’s Name Country of Birth ....a .... | Mother’s Name Her eatnspeceeces Country of Birth Physician Ordered by : weg + “Hes ehh sy — fiver ay @: K (alive eee ft Meelis, ; rendered. Pe «metho 2e0%% +S PPHOOOS COTE HOSED COO OROOE OEE E EHH E HEHE Ee * Seeeeeeeneee 452 J | F Funeral of eee Kank es Seer inl dd So yt hy, ved). 2. ae Date of Ps ie AG ————— =) Jew Biswas a _M. Date of ial ae 4 cians iS wise oi scenic Rite, re Tihs aise iss csscnntacdsacioataoneas i : O- Y i ienlisieclessieinen | NE OF Daal Ce Me oe ie : , ' ; Pr ooo, cs spasncuceoudesmensasha cacedneessinkaaeeseas = seegheeoMageste eed vtetdl,.. ALA. Embalming . | Place of Death... NcPo~eee O00 ee gb eeeeeeess | | Shaving and Laying Out Bre ee gs | Place of Funeral | | Clergyman Date of Burial | Metal Inner Casket i we a ine | Where Interred... AAA. SA ‘ BAe TVG, sa venice dancsadn sscascobpasacaceastencsecceserengunasetapentaseanesss (ssacieacses y - 0 i Grue OF Dot io eo ccses ss ccceecrnscane Section Outside Case, Pine, Chestnut, Oak, Mahogany..........00+++++ i OR hci ee Dutsi ine, stnut, Oak, 1 gan. [EMORUION GF GYAUE cod icsiissini Aces ta sesstassas es pesncesiaswiesass Lining and Pillow Set No.....0...sccesees DEOL TARO BOS oon sss cas ck asacaesincesies Mountings... By | | OUNTINGS. ...06 Metal Vault, Stina fed Chen etal Vault, Style Box Mattress....... eoveccercoesess vinaianet a | Age . Lea ee ov Mattress.......- paicrcnactssssuains lus oqueuens sanssaststsessh eras ionnases Color BENGE TROON scassniveuseadaveesehesbscbucdoeaberstnessesschisieness BR een aca chase oeseninsaeees cs .Oceupation Te I no ic oe res Pees ae Gloves | Single, Married, Widow, Widower EM SIO con ns svbaacccdccinvindabecvussvess | 4 oo peel eae i | Birth WE os cs cncaiePesaiskp kk dees uc ee ee Personal Attandance and Assistants | i 2 aren i poke saneas pavineses Last place of residence } How long resident of this State Drapery . Candelabra...-.....0.-+- PME RNOEEN 2. cos sivacdtbockeeciccn tic Gskcies seca rc pail eae oc Cash EXPENDITURES. : ; ; | Country of Birth AEA Ss Mother’s Name.. Lhar €- a v 4G NALPRE om ESEAS TNO TI VOORIET occas. nos kasciennevescoseeausenneees ict vacsasbaathonsbecaticsss ) , : | Country of Birth Country of Birth lows | Physician Ma, oH. xe a abn eT ee etek eas : | iG 2 t CRG OF TS oe nes pores Cause of Death | Ordered by | Charge to , When rendered When rendered santana Ce te eae RECEIVED ON ACCOUNT. ade. SPOT inssvisnsnscssarnepeerisensenseseraseogsosenseorssil Rave sat | a te Sea Uupoe __.., Pexton artette, Soloist ; OPES FON Bick iiss sen ssecnisse ivendosdessa veces scene ansneauies vests Dper ing Grave i oiiinnissisnbiphinlatibicnscnececiviocsiniginiesebrcebeneiia’ 7 \ , | uae Vault Charges % Pat sf fo 0 eierauys aoe [oe SOMO ore. ees sre eee ee ad spon tdnul a aint h eevee iG RID Oooo ies cscansantavensietssdevesesertaoss : Coaches Telephone. .......sc00000 prseees Telegrams. ........++ ereeecececeecesescees SURGING. scvoicttnsensanniinese eveeeet _Wransportation Expenses........ cseseneeeanennenaecnecesseeeeneeegpennees « Transportation Eapenses............. erntebensesnsis ehsebuesebeisbceseene seeceseseseereee eeeeeeee seeeeeeeee POOM+ OOOH OEE OEOEMOREES EEE EOEEE ES eeeeeee a acaba PEM a i kh alibi daiiiis scecececeeseecseeses Amount of Bill. COeew ew eereeooeseeoroeseeessccescey I73 O° eovecset® mount of Bill se eeeeeces See eweensecesesoorsoees Saal y) 454 Funeral of... “2214-2 + ii Date of F uneral____€/f2 f2.fe° Removing Remains........2....-ccocevereeesersnsenennsesessererersaseceees ] ; 1h OG I ia es etait | Date of Death He hele. ise 6. ba i | Place of Death. Re Riri caacae Kn. eae - Date of F wet ee. + re Hour LL. f.M. TN iia cis ch canlasdwencdsaasdie a dnansasiaesancaas osullen tah: tet iedhos veonenstTMGEDsseenani ane orp ag, Re ee NEN ETT! (Ee lobunsbans i PRMD PGND CONE: oc ccissonnecacvetsacasscieicehadibiapuuasiaossies nanephciestedesnessessonsessesessescssssptceeent §©6GOMMOUN GUND LONG OUD..........c0rccscccesssccnnceseaseesecvsecenescee,.e se veers | Place of Funeral... Sy ftrAecatg) Senen tbe IER t TH ie | | te eeeereeee - Casket Nofatcpet Si... SMBS ecooooee Size UL Qreeerreereoes Ke. |X. 0 PAK.. MA Migetrsc...¥ EE SMI Dias oaecasnissncaclacnicsecanciacd HO isa necectcencelccanii gti Saale Metal Inner Casket.......00..0000++ Copper... i PRS tyunalf, Metal Inner Casket.......cccccees Copper... ....o..-. Fine... esssiee | ssseosees ae | Ae FRU. nnees. cathe = 7 | | | TaN cscs scans c casas ens caesas vacates eesde SL sae I is Section. .....c000c4ereunel) Ha abso te ied su¢csndssciseessdcsien¥ tt ioni cs oth eee | Neveu | Sele OF LOE lO vnnkevesstiaiiacksvussncs si vac 3 a. | \ & Outside Case, Pine, Chestnut, Oak, Mahogany..............+++. ftebsneness LON Of GAVE oss. 000. pesssusteennsosinassovnsessscssscenscieeeaa Outside Case, Pine, Chestnut, Oak, Mahogany.....-.....0.c004 | cseeseeee: |-veseeese ENE OF GI ons iisiiiiesinanscinuanee a i 1 eat | Lining and Pillow Set No......0-ssssessecsenserereeeessesseneseannneneees EMG La ferp eb ceseesececrereeseereeees Re I RII SE inside cai ccduioctcns ea ean eutoae raiigiaates Sacunia. Stacie iishaas Aes els clad dontuesimingbct oie aia dal : is i CHAD PAMME PIE occ dike sin can tated eve at a soccceee popocdeocsecs mo dhbrearauabaheeksissciccsks re ee aos i a eee Renal ces onpenant corsa os ee asa ee sae ot a ak sc akcacoe | late , Kyoto rececssecrccsecseeseesserees Mountings.............. ... Handles.......00..cceee0e Ps core eno os odd ssc, Se f a Mountings............ a as ERR oo ieniscaescz cs I AIT) | Metal Vault, Style.. hers... eee bere 2... Red, relic | ETM) O2.| f Bee pleccceesceeesssescseseetnnnsssseeeee | i ope Witte... ... Days Bow Mattress......ccvveessssorersssvrerssseressssccsssersresssrsensnensssesees | sasssesese|sessaes «| AQCroescseesseece VOUPB. ccsecscesces MOMRB.o..c.cccccecccDOYB.cccccceeces ; ) | oss | Beles Occupatiorkoal Male TP sg ccs sss ss es 7.13.0 ARN iniiann eae DOOUPIIIIOR os kane stad Prs NTO a gee Livers | Single, Married, Widow, Widower..... .........cccccccessseceseesees Box Mattress...........- elt ee kk Se Se | Burial Robe .. iL ROONE oie cin in Pv8 i AG). MOB. cos hee ccc, hs ge cS es - ae re i ; Oo ee ee BE I CIIG 05s sncsvssseeseresecievrrmecsie: & oa “NE. Dee eakpue et actuate eo By iii ics nic a | ciceaves | Birthplace Pea SsSNt bvaeekedtevisrtter oe ee ne | | a I hereon l Atlandance and A saiBtanle iciccciccccscccasccvecicicaticeiss | catedeedan | eta Laat Gane Of VONMONOE ... AEM osc snecssesscessenseis vernnvscsnill Personal Aitandance and Assistants .........06.....ccscesceceseseeeee | ceesseeens | ee cninas ae er WN iio ie et Ra ee } / } ne Dr aperry.......ccss00000 Candelabra...............Candles....... ree eit cale, | eel How long resident of this State,...........9. _ DVRTY .osssceseswisss Candelabra............+.: COMIN eisai excite | seeeneee i Tow long resident of this State............... ccccssssssssessssesecssseees I | ee ee Se es ee be HushitfesName Ketly FQ ery Oh PO iiiietaell icc: MO risk aia ak ee | ie | Husband's BNE scp scavihdisdisccntlaemehaleeee ae ee 1 1 ee ae ee | ees Father’e pane be 7. % b NS oy. oe 5 ne od ac eee nacih i Gav eee ee es | Father’s MU Shor ee cS Vel gk sae Foie ae ne oa |! f CASH EXPENDITURES. Cash EXPENDITURES. Country of Birth . FI & : 1A he vane J NE TI aieice sttiesinnpientnicknesieisekenia sh thcantbeeniteerinaies tied 1 aassccscks |nenseses | PT I 2) isi, catescsaeslde ne ee | ate “ c0(G » K im. 8 piibeenae eect ee PRU rosa c 5 es tensicsssscorine ouigeoseenes | eee | Country of Birth Te parecer eMe ence enweneeeen ee Sea - ) if ee |...e.0e.. | Country of Birth ......0.9 DRKRASMK Ba. WAM scscsxeei seesssees [essaeeses : | Ordered by . CMI Oo ss cas When rendered...............6+ Peer ee ace as RECEIVED ON ACCOUNT. OOP OC ee eoeseereeeesssesereeeere slecccccoooer® POPC ORO SESE re eeeeeeeseneeeeTeereT|+® Seeeves So OOO eee eee eeeeeeens SPOR eee ee eeeeeeerereresesseesesoeueoete aeeeeee eee eeeeeree eeeerees eeesesece Ceeteorretereseees ie ee ree NODDED OG OREC eee Bat man SMM 6) ii i a ee Si a I a see eeweeee eeseeetecrerces eeeeeee eeeeeeerersleene® eeeeee , FOO e ee eeneresoene PORN M Oe eee SO Heo eEET Teen eEeeS COOCOO CEES Seen rres eee aeeeececen ses ceneeeeenens eee eee eee Peer OOeeeereeeeeereneeeeeenees woesecces OO eeeees POMOC OC OOOH Orereeeeeeeee OOOO eee eneees fone. Amount of Bill....... ‘ FOO e eee eeeeeenenees ’ j <3 +R eeee eereeele sen eeeerineneeene 455 | 3 Funeral of. gee en | os Posal eo } Y Date of Funeral__ we Ht / ¥O- ie aca rae Removing Remains MUN sa sr ak ae Place of Death.....0.7 PA OeTARDWOs bestel scene sss sais Shaving and Laying Out Ped eee... fe... Casket No TE I43.9.0:0:.. dasaces' Size... .ufz, ; fo Q...\8M.. | Date of Burial Where Interred Outside Case, Pine, Chestnut, Oak, Mahogany acecerckaanidaeul cece Outside Case, Pine, Chestnut, Oak, Mahogany EWA CO POU Re PV, ovcicck ccna ccs dctucoiacs ia pissusucscaasscncntis . Lining and Pillow Set No Metal Lined Box | st . Metal Lined Box Mountings.............. ... Handles Metal Vault, Style -« | Bow Mattress ; ' ge oe ccuss WROD A ee PR ok 5, Occupation. . x meee is. Burial Robe 7 PO SOOO cis iccenses Occupation | Single, Married,7V Mountings............ Metal Vault, Style. Box Mattress Slippers aves Vaxusiadussausceree aoeeil Doz. Chairs Last place of residence ... : visetsenee | Personal Attandance and Assistants Drapery.......... baat . How LY L “Oo. this State Drapery......cecess e POON soos etatee ee Husband’s Name OG feck, in ae, ai: Pedestals.........0. Ree eee Rug Father’s Name. 67 S; separates Country of Birth Mother’s Name * . . | | | Country of Birth Country of Birth. Physician Physician a “Ree Cause of Death d a il i | t i Charge to =< EOD TONGATOD | css cascrensusderccies ae RECEIVED ON ACCOUNT. Wiartette, Solotatc.:..occcccsscsssescocecssese Organist ONEOE, BOC 5. os scsi hikksc caccadveniad Organist Delivering Box to Delivering Box to Opgiiiey Grave a Vault Charges. Opening Grave Hearse..... Coaches 3 Transportation Expenses eeeee OOo etree ences OOOOH OOOOH OEE OOOO ESE EEE EELS EEO HEEOeO EE ESeeeees Hee COO eO OHO eROe Here EEeESeeeeeeEe weeeees effeccsccnneserecensoocssscsccsscsscssoesiveseossoreeeler =| SOSH SOOO DOO e rere EeeeeeeeoeDere>| + ee ee enone SOO Oe ewe eneeeeeesooee eeeee POCO OOO e eee eens re © eeeeeeeee See Reeser eeeeeeeerene eaeeeeeeee 458 - | Funeral of __.._-““2adien. Am : ne ay ae fA re Date of Funeral__— —— —-—— i. i 8 ie a mee Le iceneieleenamman air eRcccele secon se ° R . | : a * ° ! | Removing Remains , , Date of Death hn Se Te Be Sn ee cae eel a «| oefht tlle» | hadobades ere ° AN LOM. Plate of Death... Pht NN OIE TIE Cis lcixctda tassinssinagcnrcnntrontormanics having and Laying weneeasensenesessensacsseceseceserssesssdesesessasssnesaaiecs steseseeees| seescees | Place of Funeral 1Lad.o2 | Clerayman.}... Dn. She bectme UA Ls oer peeueien Date of Burial Where Interred | | | Grave or Lot No ore Metal Inner Casket..............++.+ Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany eb deesaviaksecessse sbedesedsescs icc Outside Case, Pine, Chestnut, Oak, Mahogany serine Mi Bie Ss ae 2 Lining and Pillow Set No Lining and Pillow Set No Metal Lined Box |. age Mountings.............. ... Handles : : ins PAOD. onsesscsuneaun tesdsneaeess eae | dade Me NICEO Ricesnsdeass Metal Vault, eh 0 seta setae ok ate : .- 1|Q.@Q.. ches ah ae Metal Vault, Style lecdo.c. Pe AIM oun ecceauseeidisc dene Le = : | Age... e.&... Years..... . Months PO ee OCCUDAEION, 06.5055. oscccscccanscos Burial Robe 1a. LE. Color : Occupation | Metal Lined Box Box Mattress Burial Robe ..........0.. é Single, Married, Widow, Widower saneseeees Slippers Be niece | Single, Married, Widow, Widower Slippers Birthplace bse. tee TEAM CHAS... Px 90. cca nines Doz. Chairs Personal Attandance and Assistants | Last place of residence Last place of residence How long resident of this State DROP Y ..5 oc cocece.e CONGEIGING.....005.s0cce0s Candles......... How lang resident of this State..,.. eae | | hegre Lathe. FCW IARI. vssvssseie | | Husband’s Name ,P#- Ws os ese cco 3 Name. a Father’s Name.. t&Z PL OL oe ccceees Country of Birth Door Dressing Mother’s Name puhhendeeetasaseneensapeosect PRIN ssc xeciAseunsionssvxsedexsieasiiiees tases Country of Birth WMI erste Ih rel ere dns ssc sssessicepiicsa tess i cicss ceived eee ee Physician Ac... seen a Cause of Death / QAM Gloves........... MOVIL INOTIONE Sooo iniseciiabesas iusisee ees i\ eveee piuweee awev ines \ ai alate. Penne <td “|e seen ee eer etoceseesoneees eeecee eeeeereeers SHCOOOOO COOH O HOE ee ee EEE EE EE ee ReOe SOOO ROSE TES SEES eH OEE eH Hee E EE EE FEEe ee sg fa hel ecmnsran [oe cracls: tuple ol oc tacoma a Ll ee ee Amount of Bill.....-+-000000s IIE ssn ponvanesiitibdipevseenneecvenenen «Whe ooo mennevees ‘ re emsy *. 460 ee a hel & aR ee ao a 7. hla Ce — 7 Funeral of. Date of Funeral o ‘ i —— Date of Funeral Removing Remains INE sisi iaicsvcssasic asddsaccdiadenspeienipamennianiseedadeseieasiss EAA k he. eg, CE y , ty pa tongs Len AOC OR Place of Funeral..: Titec x Ce a Oe pee ee Mae. Gas, Shaving an Casket No Metal Inner Casket.................. Copper | Where Interred PPE OF BOB NG. oc ck esekkicticccd Section Handles No | keceeseeat Outside Case, Pine, Chestnut, Oak, Mahogany Outside Case, Pine, Chestnut, Oak, Mahogany.....- Location of Grave Lining and Pillow Set No Metal Lined Box Ta iay e F ORO SOE IG ocho chs oe aia edocs Metal Lined Box Mountings.............. ... Handles Metci Vault, Style Box Mattress YOUNG. si 7. sos OMERE os... AB iscoases Burial Robe Color... Colina adk_.. .Occupation | Single, Married, Widow, Widower PUDOPE ooccccsinesiesissasitiazs Pg es eral oelsa wat taces ce vaaetia ae Doz. Chairs | Birthpla Personal Attandance and Assistants Personal Attandance and Assistants Drapery FIO oe osiedelaee cstavehecncc ous Drapery................Candelabra.. Pedestals “ | | . See 30.40 3 | Mother’s Name. PA CAcacnant Rane MOS An } Mother’s Name nt eae hee . Country of Birth...... Aa > | . CHIE AE TN io os an ii Aideeesccvenil dered by PRIS Ne cask tener setts ana ee ninsars seveeeeenenes , | eae er | . Charge to ABM IA. KLe | When rendered Quartette, Soloist Delivering Box to Opening Grave Vault Charges Hearse seteee Seeeecerereerebereseeeerroceroeseserriseeereeerre” 5 | ’ ay thd pl ea seeeeeeeeoeeee eeeneee sees eeeeenee CPOs enone esooesenee ial sili ili coscnsicianiiaiie oa? ok dial eeeeee atnwotabinns - Funeral of... Date of Funeral Embalming Shaving and Laying Out Casket No Metal Inner Casket ae comnnetnmiencnraeeeee ee eae. enn = ed ala ee Lining and Pillow Set No Metal Lined Box Mountings............ MOtAL VOU; BONG: oi casccass cccseccvescwend Algae. ss iccss BOO AUALOVUMD 525 ince ee iki i sees Personal Attandance and Assistants Drapery ......Candelabra.. Oe ¢ Pedestals Clergyman Sexton Delivering Box to Opening Grave Vault Charges. Hearse SooeSoCOOSONLCS SOLELOCEL CenneCOLDOSCOSeCCTS We ROR dc cco 2s 5 acca ass +n 'secasscek dennieded caceeeete eee es Outside Case, Pine, Chestnut, Oak, Mahogany...............-.: Date of Burial.............6 Where Interred Occupation... Single, Married, Widow, Widower Birthplace How long resident of this State Husband’s Name Father’s Name Country of Birth Mother’s Name Country of Birth Physician RECEIVED ON ACCOUNT. PIPPI Fee eeeeesereeeee OOOO OO COEOOOO OOS e eee ES EEE TER eeEEeeee: Funlof_Alar.ek_ Date of Funeral Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings..........00.. « . Handles Metal Vault, Style Box Mattress Burial Robe Slippers mieesacadessaesaisi starses ie Doz. Chairs WRG CR ibis ea sesickcbaesbickes Gloves....0s0000: Funeral Notices..........0 Vault Charges Hearse e|-:ee+-ee | Place of Funeral ie hoa ‘“ | Clergyman Husband’s Name .|Father’s Name Country of Birth . 1 | | Mother’s Name................... = 9 i sssseeee | Country of Birth tl | | Physician ........ Cause of Death | Ordered by | Cher e ti TOPCO Oe eeeeweweees Lewes coeeeeehine aaa seewereee OEE OOOH OHO TORO O RRR He semaine ps ms renga ve 464 Funeral of area. Date of Funeral_— Removing Remains Embalming Shaving and Laying Out Casket No.... Metal Inner Casket.... PII TNO ook oss sa soa lees re ceceecsde ss seis tks ss Outside Case, Pine, Chestnut, Oak, Mahogany.................. Lining and Pillow Set No Metal Lined Boz.... Mountings. Metal Vault, Style BEMIS, oo aes y oases sussdes PPB iiscci Doz. Chairs. Personal Attandance and Assistants Drapery ...12... Candelabra Pedestals Opening Grave ..... Patasceteetetis set ics sees Edutneliiaadesien. eeeeececeees Seen ene eeeererereeereneneee CPPOCOO OOOO DOLEOOE SE RCCS ceeeececs Amount of Bil...... aie Date of Death........... Place of Death..... | Place of Funeral Date of Burial Where Interred a. POOR OHSE OOH R OREO EEE H HEHEHE EH EH EHE® Funeral of Aves Date of F send Shaving and Laying Out Casket Noherecth. : Metal Inner Casket..................C Handles No Outside Case, Pine, Chestniit, We a Fane ak NO 5 isis co scons asuenoinasicacdassacescvace sess, Metal Lined Box Mountings.............. ... Metal Vault, Style Box Mattress Burial Robe Slippers Uvcissisabetresectecios yeaa pana Doz. Personal Attandance and Assistants Drapery Candelabra... Pedestals ae sel | Date OW PO co cccsics.:, 6 AD sek ties ‘. Place of Death.. es | I¥- Years......4 ] . Months...... f 2-..Days bade ce ice onnson MOOMDOTION. 00550. Single, Married, Widow, Widower | Birthpla "e | Last place of residence ............sc0s0.... | How long resident of this State | Husband’s Name | Ilr , .| Father’s Name ; ountry of Birth Date of Funeral__ Removing Remains Embalming .............. Metal Inner Casket.... Se ne Handles No Lining and Pillow Set No. Metal Lined Box... Mountings.. Metal Vault, Style ee ee ee Be Burial Robe Slippers aoe ance and Assistants Candelabra Rug ( tame n ai ails ita aii 7 ae nee a * Sexton es Vault Charges.. Hearse eee eee eee eee eres ea eseeee eee ees rHeeeeee SOCCOO TOTO OO ree ee eeeee Amount of Bill......... iii Funeral of is a Outside Case, Pine, Chestnut, Oak, Mahogany ie, Core... «s,s. CASH EXPENDITURES. Settee ica Last place of residence | How long resident of this State.. . | Husband’s INGE oe cecgucnsconss Pater s Name P | Ordered by <2]. c | | Charge to Funeral of .. Eart_ JtuLe Date of Funeral. ___7- > Handies No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Boz. Mountings...... eens : Metal Vault, Style Box Mattress Personal Attandance and Assistants Drapery................Candelabra..... Pedestals.. Clergyman PI 55 5 pcs bos sea decan lsd sks osddoda tne eee el Quartette, Soioist............... Organist . Delivering Box to Ovening Grave Vault Charges Hearse —o Coaches... Teleyrams Transportation Expenses Date of Death |Place of Death... Paar Sua aes | Date of Burial....... Tr. ce ices Ne Me ee | Where Interred WAAR Bre. sesceceees. Q0Cupation Last place of residence . | j | | } | s Name (“4-44 ie s Name.. Sie mn | | | Country of Bith -. Mother’s Name. a Ses aa | Charge to .. | ier ; | When rendered RECEIVED ON A AUNT. CO COPECO Hees eeneeee CeCe eeeereeee eee eee Le eee neeeeleneeee 90068S0c0. 000 eeeeeereeeereee weeeeneel oT eae ve ME MR nek ree nee x eae IT eee ee ae ra es? 1 } ere ee ry if MH a i | fi | i : , ; r i 4 Sar omen ere 468 Funeral of Date of Fu a Removing Remains OND OE LOE NE Shaving and Laying Out Casket No Handies No Outside Case, Pine, Chestnut, Oak, Mahogamzy........cccccooees | coseccccecelecceess.. Lining and Pillow Set No.......ce0c «OPO OOe eee eeereeseeeeesoreeoreces AMEE FANON TOG S655 2ccesciccducnsccbesecbeg ee as deseisiviccea MOUNLINGS.»0<0cercesees+ ass Hand les......seeseeeceeee PLAC. ..00000: pe, ai ie |oseseeees | Date of Burial... fad ‘ Where Interred’ | Grave or Lot No...... si wood pee Section } | Oe eeeseeees | Metal Vault, Stile. .svasesesrsitsisarenintbascabeater. RbpRRAaE HU 1010.0. | | 302 Jd lattress seeeceece Oecccecvacce Cotsen ccveccoecescoscoesscsecess @eeeces ~ Purtal Robe q.......:.ccdvielyMaedibensrerssscsnsessesescesainas Slippers Personal Attandance and Assistants Drapery Pedestals Delivering Box iP idicibenietninanbianed-seumbenekickudianicsuenibicie Opening Grave ....... bicscsceceinansswisssuvacen Semen Telegrams...... deeseee sesbsbevenesoeeenses Telephone...... ececceccees Transportation Fapenses.............00 ercceescccccecs seeesereccsescncees Seeeeresseseseoe eeeeeses seeseeeeee *OSeS SOOO S SCS Ces eeeceeee Occupation. | Single, Married, Widow, Widower ! | How long resident of this State ofa Name Meade a... | Father’s Name. Leaokuf F Country of Bi Pe ceeits | Mother’s Na EEE IID ook ethene ae Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. ..........s00s0008 Pept Is Metal Lined Box Mountings Metal Vault, Style PI I hoo ok nes dees Personal Attandance and Assistants ...........6.6.0.00ccc0c0 cues DIVOOIE | 60 ivaceesce Pedestals Citi ccensdersicdevin sa riaseuscteseneediss He racic. RIMMING, pics cecutbhacs canvneseeeuvisrsbeveceeeceunysise sini scdeveiesicsaciniil, j Quartette, Soloist Delivering Box to Opening Grave Vault Charges......... Heaves... 10...Al 4 CARIN 5 5. ecdsesssasassvnn ceeds Teleyrams Transportation Expenses... RS. SO HErreeeerone Leeeerseonseelereeenee | Date of Death y 7 --$.. | Place of Death.. Place of Funeral Ak / Charge to // 4 When re veeeetee Sa 469 Hour M. eae gee pare eet ee as oe ereeeenenan tet & Pe err a a Sees RECEIVED ON ACCO Pe eee ae | 470 a | _ , Vi Meny bile CL a Gahse Loch Clo 471 Funeral of eoucee Ros nae * YK. Pe — i Date of Funeral_______ me eo ee Date of Funeral. 7 Kee ¥ Lf ie / GC sineitecticia lus = an | ; a ae aa ts ccsiuccrs Ieiuasoios bNaiCn aie: tamale 4/9726 7 @ger Be ie aad | Bes2Q) Place of Dear ek eg e4, Lier’, ach Spauke, Prernn Ee ee Oe nremmemetennconnnrreeomprE ste nienbeenrnnsssaistontventoneaarean J SAVING ANA Laying OUt...........eerccsersvcessssscsenccenscessee cess Deeg ee tag akee Place of Funerpl binn sagaaepegeasssd de ibvesnschasshouen Size..Gfle.2.3.% pehpre ee laseas | a ikesas \clernmant hy LUE / drg ed “eG , I sssericecenseteisiag @.2.| Date of Burial...... LEG Ure nanos Keg || eri DANG). gecesi ety cic | Where pein: At MO es He | seecueeehhelscnessase | Grave OP SI DD. oi vescrdines csssnrincco eee ee PN aii saccia gk chdcecics suica dass cai Metal Inner Casket............scses COO as ccedsceis VA. BEIGE IO. ics siuicaeacacociiascio iesnidssissiaidsabiasadavessnaasiiaei pee els SOT H HOOT eee Hee DESEO HEHE E EEE EEE EE EEE eure EE EHESEOHIE SORE EHEEY Outside Case, Pine, Chestnut, Oak, Mahogany.......cccoccceees | secoceceees Outside Case, Pine, Chestnut, Oak, Mahogany PoRERERTRgemeNe pte omy | sidesebas Zaoui of CNG oii ee ee EAI ONE FUCAD BOE IN. 5 oid cc soni satu cies skinesds dencessessens sae F cateccece | seesiene | pias Gi OTe oe aks sisesckecetasadeins oie | TAMING ONE PilOW Bel D0. vsiccicconcnscetcessacsecsesicccsenscecene q OLE TANGLE THOE «is 5's ivcnuinscasutanssdccdetscansiabanipiniisianciileecss i gatas ae ah senate te te ee c nate AM ASSP Be PI OUITTIIE: csacesvsekase: és EEAMEUM nrccseciacesscss PME cists ve caea, (idaseescees scavenecs | Seakeaes Mownblnge.......cccscos 0+: —“_ . * Ml ae, Bee Po Asi { POE FE, Ni ciscceccctnusiavnsedapiaeusibinidnidiindiae.ccnsemasbarksoes I a i ae Fear eer | sspbenssecassens st aeeeeeeeenees fbrvrrrenenererceesenenees | A, ; . EEO GIO GER, cc ccsnceeusesvas **eeeeececovcosccsoooceooercerceesroceees Ti a ii a caren at oc i Ges a OL, oa poses | Age Soe ph /Years.: 4 Bis Monthe....7.7.....Daye pa ie adv | ea ly? Burial RObE ....0ersrerrverrere ht, Peeters eee SPE TID ov ec ccsscosssenitiiiats sniusenietane Hibisabcineciviassaassiaiiens Pisstnddiiias \ veneers OIE PR ccs Cntantinndataal ieee Ht OTE: sii vninskeviarkccasieniee as anntwiustel FTO asa crsederh ones. Chairs Lil Lore $ hk PLS oO OOO EECEOREEO SHER EOS SESE SEES E Sees ASSESS ALRE AES ERSERERGAS SES MON OT OHNO AOCOREREESE) SECS HOON REO EE Oe 1 cencnnueDaleeeReanee [MEO MR Whi) clas on as EET CUTS w45 fe tsanbas5sudeKseenelskkcus o<0nccucuusessice Personal Attandance and Assistants ................. cee eats cae Pal Last place of residence ... Ca rcy luguho A e | Drapery............ CONG MAING 00555. i cicuss Candles. ...... Sera eee | seein ow,long resident of thi, Bi sedas a | Husband’s Name . a PNR 50 cs pees ei eee en ene —— Nene Le Eke. OF COR eee ee eee reer eeseeeesseeeses peters Father’s Name......<€& A reriassla ee Spy sactenerestathaeee feuereie ¢ uoaeavess besivters Country of Birth Z....,«: give BOGE EPPING ossacbe cscs sides Gs skask cash cna Ha a ea eee Mother’s ean LPN. NON oot sons sicex site ni ctiisisssyies sf) one cheatin tee ee MOMS NOME, occu ok :, scckad ’ eeeee geerteyes : | o ~ Cengh aac a higsiies eee seskee Gum upiasacisviausses aU axes ccsusies Srevekedesnaineaesusdaueenssae F appagidanl cost Country of Birth....... (Kaew , , saesare G age aes J a cf : 4 1S elie lat eee oie oe a Physician ....... hy Gute Shp qhh Country of Birth’... seebeveis Country of Birth. PN isch tiuibiabicoadii iil eitiaacdaciedtheaadiiee icc a co8 ea oat Bisse ay [sesso es i ee Ri eunenee fen pcos | Reb ines Reno enrol “n nae “4 thet &4. 1k “G ane | oes Cause of Death Ler hese, — frthog ee KG iviads hese daveurai cae ka res sneegeevenssncsesscencsesssesessensenes sees | sensssees Lietenes RE SII i cidthicvcesmnicctiiGihsicmnlie este: Son eeeneeeecrecsneesereeecrseseeesreeseesenvenseennrpessceceseeseseneceeseceeseeecess |, | imines cnrmeeemernss - sliailind $0000000000600000000000066 0 seeeeeeees Ast... BA wats PET owses ee erent ne = ieeessens ae . dar : oy en G oO (i pisesisscoiecn ts POPCOTE UNG vu, sncteicescceasseseeenssss:ChOMEBevestscces secesceec|ceeseee.. | Ordered by .. OT... a Pees oi cseccigaty naeetttOE ON snesckspecteee cok DOES sis ee, ACHOWBR hss cvsees oe Ordered p42, CLs oka Maa Cle | / : er ; (J ‘4 . Ke / vm be Funeral Notionh,.0<..tiN0t.0ceroeocenctesesvonsssssesssssesesvovsees | | feesiak Charge to wf Po é nok ere ’ —_.,, KAOK TTOL In Wy e. : P FMI TOR aiiin ices chtecvavksassonscesioasuanetevsaten capeesinieniie aw. | ores Charge to (lb Clore Crake,» asi et ae koe GB | sae } ithae\skdevsis siesateartohsinchlomekendmaiabenebestbeiasbaaabiausbebabbeterkimicas ae ee vendoret, Pb a jensen} bevdrscsnsesnscsnsnecees DL Setetevesenevesseseneesersossssseesanecssssneasatensacssaecesesseseanensessesseseerss | sesessesesfesseeneee | WhOM GOMDOTCd oe peepee g pppeccccccee. a oc sg Pc csnsnsntnnesnnietssuststntetasesenn eal tS cc ee a ee ey ee ee eee | rns | RECEIVED ON ACCOUNT. eee? RECEIVED ON ACCOUNT. | ; Al J subegeannwerssesanssosnsnauennes. ‘suuwosepevesonesenresonsneansetosssencessnseenes | seessresedlcsoseecs, Clergyman CLOT GNIIN s o5 ves ivcesecsnassisbrencvcsebeyersousvveraiseccksuiasishestesapeecedl |. PP sandtittainsvextaseiencesinscnosianeeaselsitanobesbsnibbabeainsbicaaseevence | SELON sorssereereevseverercsesseessseessncenenearenneensennennessenssenanes ties | ‘ Quartetie, Solotat.......cocccvcocsccccecccoeces OP QGIIEE ...nccceacersscas Quartette, SOLOS. ........sececeeeeeeereenes PT ONE BIO Ce ccsecscesssessncses:ecncsrenviveessesnssembseeevenion sine Delivering Bow t0......seeecersses seeseenereenecneesccstsecnee Opening Grave ..ccceccorsesssvorceccseccseseseees FAMINE.» .ninrrervesereses Opening Grave... ; TLE CRGCIIE: ii vcigigsiesiceecciensss oe xeesinis Res iiavavicess anes F NRNE ENR oe satis iaaddnensiss thle ia tes Hearse..... ‘ Ticsienncleteied \ Mors, etre inieaeres eS | P eet ae Hearse > " LR Nth tun Sethe Coaches.......... 000000000000 0000000000 000000000000 000000 00005000000 s neeececescocecosoocoeoteeeeocece THERE O RETO ROR EEO ERE EET EHH ET EOE E EOD EHOH ESE EEE ESE EES SESH EEE E Ee eee eEeeeHeseneee Transportation Brrpen09........ssssssessecds, WIL, AWA SOOO OMe e ere a eee OHO eH eee OEE OEE OEEEH OEE EEee seen sensesienes FORO O OC ee Hee ere COO eOEEOOOE OD ESOOOO EH EOE HEC EOEO EE OO NEDSS OS HeEsseseseeseeee Tote ewenresese SP COCOTOREs SOO er en es OOOCOOOOE SOD SOLOS OOEEES SOE O SOE SEOOSS ESSE Sissons Seeeeeserererosee * Seeeeeeooeeeereres eeseee . Amount of Bill. .....sseevseesessvee soseseeeeeeecessssnnnnene avs af : de Ammen L Blbrevrrrererrerrnerornnermnemnnnrennsa 2.1. I. itt Disiaiiles sneer saemnrnn a nor ceeenaeaeeneneeeaaaal _ ' 472 4 Funeral of nt ™ A PAE —— ee - | Funeral of. Date of Funeral__— —— ne sa Sa | Date of Funeral. | Removing Remain,.....cecrccccccccccccere shicamiieini aii ameudesenan eink i : Li y ‘ ) } 4 Date of Death ‘F BEINN oc cabicbbiscsasis havesanebancociosapasduaeianebibeuaseadendioines | aececctaie Weeds MER seeets4es6ssatssdpesseees f ” : ‘a | 5 | ( s lets i ) sevseesseCeensnssansesneannes f ++» | Place of Death CA Ce o. Shaving and Laying Out TL OM o date Ieee ae MeL. snccsseee . | » Keb hode O-~ Casket No 7 f StAeebatesenetanonseeneaMMasnssetenenesessersnnsacersdronegnasevnusnessseshefiesesse| connsasiacs] sbsnesss | Date of Burial Metal Inner Casket | ibis ahead (cman intaiia ae, | i | Where Interred TO INS, ics vis csccinsianscteanuvensbian’ Outside Case, Pine, Chestnut, Oak, Mahogany....cccccccceeeees | sesessceees Outside Case, Pine, Chestnut, Oak, Mahogany Bini CE FI OOO INO) vxca cacncacecanbegans carcaacccdosnestnaccosense |idsevsacass | : | Lining and Pillow Set No Metal Lined Box Mountings.....-.-+-0.+ Ha edisasiskeecic (asset, Mountings.........00-.. . ; Metal Vault, Style... KAN, Sebbcbebed. or) . | Metal Vault, Style AJ if ~8 ib hal ck Fc tate Rig weo tal Reritd OP 0 lo Box Mattress o a“ 1 Braye FN, FOUR saiussceccccnka satuinaniavaoceasssbanunnebans’ auaree COLON 5, ME sts onssacias Occupation... / Tt , V BLOONS. cs ok ccacecccies . | Wed Ups Widower A RI ciiiieetscnsyileorersonsies | | Birthplace (4 f, ¥ Personal Attandance and Assistants ......-.ccccglecseseseseeseeeeeees . | Last MOR OF POMUOIOE os occ ochickaversins Wosdocsess sper es* ; Personal Attandance and Assistants ...............06..c00c.0 cae | How long resident ii. ees, cseseegeeeee FP Drapery......0....+...Candelabra How long resident of this State.. Husband’s Name 104... MimhteA... fore Pedestals ee a ‘ Ffasband’s Name ..,5.. Bric sera: “Py 3" Father’s Name . ow Keo _L a av& pony Laika | Father’s Name. o | Country of By RIOT ERD sh sn ices isvantacxssiessicceamant £5, sdeeieeuesck ee GC iecseaeies Belinea Mother’s Nua | Country of Birth Country of Birth Physician ...2V. Charge to .... When rendered... RECEIVED ON ACCOUNT. Clergyman Sexton Quartette, Soloist Delivering Bow tOccccocse i se ee = ree a ed hth a an! | | a Delivering Box WO rnenorasmsersprescers mae og } Opening Grave ......ccccSessdcsssssssecessecees LANING hee sth. Boe ait gead Opening Grave aa ssesecese seosneeeses vininf Og. esevee eeeccces eoovccecoesosossseres eeeeeeeereeere eeeoee . - Amount of Bill........oreeeeroey +O OOOOOOeeeseeessceceneee: i TARO Ree eee eeeeee beer eewnewele Me wen ee eh SOO OR eRe Ree ee eeeeee par EEErE ———— = as aa EE Te | 4/6 Myo Many CAMacxie Barc Funeral of Nl eae boca = Date of Funeral Lf ee rom. bee 8 Ze Oy. 475 Funeral of... os ne es ane sical UI aa a M. . Date of Funerai___ ee ae nm src PERT SHMMOITINR ss ccekssasnanccnccenstuhesonasdiddaadssasasnabsorseiies Linksisskansheoussabes - NOUN 55 cic ssnhnaneignasshanbaneaaanebasesmumeamassaieniel oe LL... PI IOR DIO. ciicccccineute sascedeccceiacvacrcsnssncsusubsdebansunianssssasenoass besiee eendehiseakeens Outside Case, Pine, Chestnut, Oak, Mahogany...cccccccccsecoes | soscccscecs|scosecees Outside Case, Pine, Chestnut, Oak, Mahogany { Eien de Pilea Sat NO oes asda ck vik hckcscbeeknce RU OEAL TANG, FO ci cassis csccuwaackakennsaceiatcade seins te thbcdsdabadioes’ [POO tama eae eae ‘seo | Metal Lined Box | | Montings..ccccsevesess-s ors. iiicvenedganbe PN Seccdlesihaces | seers es ees d 1 Metal Vault, Style : A PAGO eee er eeeerececerees eeeeceeceseesesoseseseeieneseeeesereeres: | seecerescefosnasens Lining and Pillow Set No........0ccccssese Wisco dae datsabaneaneseieeste \cclare ewes eee Mountings..........00.. 04. Metal Vault, Style Box Mattress ......... Box OE i Seseccccre ccccceceeses onus Ped 4 a de | Color esr rea gprs Occupation... Burial Robe .........4 BG a ncaccescsesnnsanssnsabin PR iccinvenininnced i iicsisiinscertin | sidecases: | Goescunas | Single, Married, Widow, Widower............... inssessssosiens <I Slippers iiss aarhisaniineceuincnis i TE ceesinittinionnns aie ee ‘Birthplace .... (ware & ie ne Sec te ie pasndsbewns cetaretne se RE CRO so ib oek cask eked Personal Attandance and Assistants ......-.cccccocccscscoccccsccseses | ccsceceee Pea tepgs | SAAR DUO GF CUMIAONOD. «oink ace sonceesuevictivasexensssies ance a DPOBOTY, icinsecse- 008 Candelabra...-.....0.-- PE Rieke ee RMON soc. sccessecesoesitice ecenecesen UN ss a ae ce ae oe ee oe, How long resident as aaa MB: y eg sy = & 8 & > = eS } LIPO sc nascdave sax Candelabra..............: COMIOB, 0.505 css ckeee ee : ..-.... | Flow long a Stgfe.. .. rey PR Bc MAES a9 kos 2a ei sac vo kivsicaksdidacs Late | Does, st Husband’s Nam a ed ee. eer | Father’s Name....44-2.%: : Peace 2 Husband’s Name /\ | soevccce: [eeccccoes | UUM YF UF SPOT WS secgpecccsccensscccePerecggccrcces cccecccceccccccsccnass seereccecoiseoosocos | IU IEOE FY SPOT Wie. ccccccccee cocvnsceseseePocceecceceucesevecensccscelese ot divenis tadahtsu snes coneerevanvstvesvion spseshvdtssckersiapiessiesisss¢esssliveel Sealy | he | oa a Cause of Death ail CAL fe eee UO Ce eee he eee Freer ere reer rener sees erases eer eseetenas / Pe EPI MEINE oss va sasicossccisnsssdslacs: Gloves........... Ordered by percertuiriesscuut POTCITE AE vs csccoxisnacevacnien PROOF FV OUUINE << éccesessceckssgevacssnaiounous /f i viceeects TeTOCTRTOM Tira astaviwscochoesciseso: sasaae cenegeuacees tttteeeereeesecaseeeereceaeccenesessseaneeess seeneeereeeesens Bs eile levenesies Charge to ...... i mrt gate oman lap e rm erento? Pe Ae ok Aa Gai ait a csesesni EE +-Abeninee ainEI pal ennNecapnsaecgsbeonatespnipiahnidandeaeacnbieisersvuaeintins LT sopic.s:, ane When rendered... Ie oieiatee | | —— } | === - = | hee RECEIVED ON ACCOUNT. t © | awww eeeeeelereeeeees RECEIVED ON ACCOUNT. Clergyman Sexton SRR eee eee OOO ERs HE mee DEH Eee OE EOE e HESS EEE EE HE OE EEE EHtn eee ee eeEeeeeere Ve Ce iis oes sc A canting esses i: : i A ee as Hearse Jt ' | | tO ecw wee ba beac rem ee nner eee ee ee ee eee eee tare OOOOSOEE OO eaeeensenese TTR ORR EO ee eH e EERE HEE E ES OEEE EE EEE EEE EES EEEEEE EE EOE EERE ESSE OO EEE SHEE ES OEEee SHORE O Oe Oe OREO aE HEHE EEE HOO EEE ES HEE ES SOE eeweeee AOE EP OOOO Care me eee Eee R EHO EEE HEHEHE! He wueueee TOTO Oe eee ee ee OOee OOOOH EEE OEREOEEH EHH HOHEESO EEO OEOOEOESEEess weeeeeenes SOOO C eee EeeHe PPP Bee sees eo se ee ee Pe ree nnn 476 ‘| Funeral of Poot Funal “/ Funeral of 79 eh rane _ _ Date of Funeral me ees - a ot os - Removing Remains.......ssecesee sesknconsanuenseaan ieccsn sidkiaceibanabe | wuscansaace FOTO iokcsncsedcccccaccssdsidccenandsternnssesdocsiasabaansannbaaseuebens Lace | TERING CTE EI CONE on biceciccsccecenseqesnedsccscpnesacsanecess as: | seeeeeeeees Casket Me... Te PME, cok cnscoa vad dna eecncscivccckcbcassaesaane | sos0 PTTTTTTITET IIIT er ry Metat Inner Casket.................. COP se oncnsss WONG onan ener’ voorracinss seteeeeee | OE PIE hiicinestcecsdiccncciscrsindanslcsedesioe ee rhe Metal Inner Casket.........s000000 COPPEP 2. sss0000s0 ne cabhbos wie PRORAIIE PON oo da cscs exces cas scacuscciise ae ee ee | aevieees PaO wa ON i eee Handles No........ssece0s ‘i Outside Case, Pine, Chestnut, Oak, Mahogany.......s.cee+++++ Outside Case, Pine, Chestnut, Oak, Mahogamy.............:c0. | soe: oeees PI NI oi bocicl ssc chica ocak nen Geena Lining and Pillow Set No,...0.-0ece-seeee er eceeneesees ceeeeeeeeeeeeeres seseeseeees ‘ I NE I «Sens siininncinctedacssediata case eossinstacss Ly csiedsia tenuous EN ide RN ciwivecdeda fa rai essed agentes der sdsgn ds Pe ees Feed sd ke WEL TAN TROD: scx iciscndschacasnseas sescdecsisdavantethsasanssexscanacnes 1] DECANE. ns cicico ssi 5-0: nt ONE vedesetsntsstesss PUR cites Gistias etic ee esse i Mountings.............. ... | | ee | | her LY m2 | Metal Vault, Style........00 hadentihaiinaiiiadaineinaamiananenenias Se iii i ie a sce tee Dea | sss sensi sMgitesch scat tab sincnsoestnies vonnonsneks | | Box Mattress.......00 ie apeabinnscsustussbaatbaessensecss Se aee oe: Birt RE sins Ae eg | Age Cees Years......2... Months... 2. Ditae. | Reet i Sa Sy eae mri ee PPAR, OOM or creas cts caste tha, co asa nesdcest eee | seeaiis | Color jtenkaiewsaibeaveyeounersknoaseinesss Occupation....... 0.00000. | ilk cackeeRacuieia Gloves......... POE nk DR icicstsecrnl NR ecnaecsss a8 Gababieian | nies | Single, Married, Widow, Widower. .....00.....cccscsesssccscssssceess BP MOE ios sodcinsisens oe ae | Birthplace eect : B Prius dese ausevecek ucts caeeeemins Personal Attandance and Assistants ...........0....00c0c0000 sees Sail mcaeveresiteeeeanest | Last place of residence ................-. cehesaevebesebibsaey wosiesssensenes DERBY, «. ves 15 010.5 SNE. oo cesce ses (AION cist eee | eae | How long resident of this State. Dea oie Se ee } i | | Iq Drapery....sesss0e. 0 Candelabrer...-....000-04: Candles. ....00.0....00 Pedestals... ...<sises« ete ere Ms oc ae ee ee et ae Husband’s Name .............. | POGORIOD...s cccsccxsases Sccvccdeacsuapaveae PON co es ccndesieasvasusinanssesiiee | Aeicc reas | | Husband’s Name Pather’s Nae. Janie ash serorage hares ne EC ee eet eee cena ee yee Ce tr Nee Nand aR Sede Father’s Name,<fp..:f4'4-... 9 PATCR- 4 Case EXPENDITURES. } aie lv dessa Country of Bi a CasH EXPENDITURES. ; CT cae ans ie a ye t DIODE DIVWGING osviccrniasicdencstaciate tischinasdxiss bn ee “ q, RE ie tare eee ene: PME sos bissceieberassssiscesien ake : D y . . de MIME Rid encanaseect wide tasst bus psuasack eines s ts seein cet ee SL ee HMONG Fi hs videaecth oie OUT cecinnitn icin tots icdows tds cs 6 Palies Qn Tian NYGICION, «0.000000, Levee leone tten Mn e ' | Flower LY ero eos Physician TAO EPPA vocensnesuiseuubis sineaisicnieiesss siavin hivastabpevens ti easell ats oe iets Mother’s Name..#4 ee ee PM rscss setae ee te ee Pee Country of Birth t cia e ree eee eee ee este eas eee een py Fh hagabeecccceh¥ee vcced. | seseseeses[esenneens sie cians dheecll dothcatolinta cite en ener Lessee | | peel nicl erie ) hes ee ga nr aac lca fo Lia a “FF A ZF = : | : Ordered OM 6 Tea Meee. scavcevsereMRU Ul. *#+*exeaceensis. es PONE MON on i incesssclssecassssses <s Gloves......... 7 Iisleree ees | Ordered by Rf MPRA CRA mm, Charge-to~..! X44. é : Seba agupeT sli RAK. eR as FG TON 550050 suenspsrainvanconnventebeneorenvess iamssiscoeoae Rais ad ale | Charge ions ae eae When rendered | V <coluucsdeesie. nee i RVERU Se RbbEGaD A Ata we UE ese NERD EARS CU ONdE Sug uueEhEATNaw eR Lig tdak oto nonce Dee oe ee oe When rendered mt... " . a NIN oy rks Reece sid ns sensei ts | ao BE shubeschuadiwtauycssssepeussoiulcsieds pest etuedbethelrae ia ae vaesatsa ed eenasi rere peseee | uncetein cer sande es e Ua esicipik sceccinlenncvatpiedipabisaenatsinbicessstiecs antaboes-f kgiceisss ici - | | | Oe CMO Ossi ctka cece teases pncsnacderacbethuacaaslyndiedediesiens ious becdasns 3 2 j | ssateayeeelissuanses | vesevenens | i SUrTOe, BOUIa gos caiccsccsscccscoccece ces Organist D waeeeenisdl webu a 1anetcnana es I Ni ii fi ia cid oe i a cues area { | OF SN IG cc secd casos savnsasnsoscvecsevs MANO ccskanececessanen ce cate fie esaeee Vault Charges........ canton dasdabexkpinenauesdanes euvenelyanteeaeets sedis celeeadas | serves Hearse... Gath Gtk kd ae AEs na Neda ean MAE Kaa xd to SOR A ene ca | toa | SSE re Coaches.. es a ks ; fit peleaieiee | foo aay | i| i i A ee | hE. Poeoevsncealial pli glalabiseivsindssstieaeieltiisticineminiameeniyioiinnieeheinn | cg EE ; il DRE isi oi as ioe PID: vaicecsetistnicoises a.) eee Dae alco | Transportation Eepensees......eeeeeeseiwiteeec vteveneno Transportation Expenses 1400 06600606008) 00060000b080 sb Cee eeRces OE i ciedorsbbasces ous See i tgs 2 i igasee as ee | | oe i Ss sasstenaci wees i ike Calin ke a | EE “Ti ‘Seittrtese ceteteotinnromnnenssesooiernstiervenvetvensschneurvecerssnenetente f senssasiaadtisblanect .casidiac s i} tees ii oe eae comes ch teat ene ene M CORR RTP RUR RIOR RNCRSeEMnINtuNuEseiirn: T .ssvesninibiiiihieiey sf otiiiebennehiadaciniiiMeitlk GabMaeasiaNtabibiaiaiaiiaks iris Mccann i | eeree | | a ee Ny ea: MMMM ui al ae ame kk TUPI sei daanbiieiddovibsbiibode etntbbbnninaaues Sisimidiniat i iicaia A ga SR a ae | Yo Amount 7 oo Amount of Bill.....-.eeeeeesee-sees *e0Peeeerreseecececsone’ \ oO . oa a of Bill + Peeereceee Ceeveevescccccess CeCe rcccesecceees Cee eeeneenens eeeee Laie 7 ling A bhdibkvoeenesbesnenmnniibasecibesintiens:cuasisenelne ne : oes - Funeral of Date of Funeral_— FLOM FEOUNE ok sicescccccseceencasnnnsecnensscanennescensnssnanunccane NGS i. ii skin xk ddcaxacddeecustnsssncoessbecnsusensisiouensseaneneaes Shaving and Laying Out Casket No Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogamnzy..........00-++++ Lining and Pillow Set No. ...ccccoccesceccceccosssscesscccsescscesoscoses |; BGO EAB, TOM, sasncevenccsnssncnssavniciscebuambeessaneecensassoaeiens Mountings... secoscess- .+e SIONGLB ccscsarecesenscns Plate DAT VG. Oy coiecsviconiecsaasohecpscsumasacusbecersse Fore MGI ORR. vc cacncdensscsnsaccdsncnseecsuuntanbaabbeseeesescn>s edacnees vances PUP ULE TLD cscdcussceveses sgoupaeonncenassssacanabenssncssunconaun OPE iis sasisvasiaaveenseuaes PVM icc scssina vex Gloves......... Drapery PORT oo cases ede vad icicnscacocscte CASH EXPENDITURES. IOC TPP, a has eeacnnks ch ob cserh a andes ss nk aero \ | Date of Death Place of Death Birthplace , | Last place of residence } How long resident of this State Husband’s Name ..,.,.4.. Father’s Name Country of Birth NR OF I ogo ooo ks ese cdi es saoaseacens ree BN oe iss cinieiseies PNA soe a gg ey ee ea soe ‘ Funeral of Raymond Yas Liew pe 3 ees” PS ee MGOUNE ON EMME OE oo oc ecichccccecccn ci i Bach are ok a Casket No Outside Case, Pine, Chestnut, Oak, Mahogany TAWIRG OE FOI SAO NO occ ckdcnsaciieeccssibice cic ciwiesvieceaces TOOT TOME RE ooo Sonics cided davasieeaelaoesstos ect kong ss REGUS 550s sise5 8 Handles Metal Vault, Style. Chan, ee Box Mattress Burial Robe SERGE 5 ocscccnsscenis ice PES kasigenzs OOM tai ies TICE NOON 5s vcsacnonteasiciitiavaivienss ‘ Personal Attandance and Assistants Drapery................Candelabra..... Pedestals ence Place of Funeral. | Where Interred | Grave or Lot No | site, Married, Widow, | Birthplace 5s Last place of residence Husband’s Name... Father’s Name Country of Birt | Mother’s Name Country of Birth....8.- { How long resident of this State.. Cr er ce eee : OE ai caine a cis ece is ceu cious eh ceeeeeeasuss Charge to Charge to ... When rendered When rendered... ee er ere RECEIVED ON ACCOUNT. Meh hle. Mag. afte eons ge Cleroomon sexton ’. Quartette, Soloist Delivering Box tO.-sererereeneseree Opening Grave Vault Charges | Jee Vault “— Hearse 5 a arenes Coaches ... SCOOCC ON COD eSeeeeS eecceseesosereoeere seeeeccescecscooceseseoeeer POOR eRe eee serene a 480 ~ _— Funeral of Date of Funeral Oda a Lh. —— ]Fyneral of... oe * —_—___—§Howr_«/ AS Date of Funeral Removing Remains........ccccose er ee eee OOO PPCRO OO COOSOO CES ES SOE ees OOO inci os cea ce incctnia becece ©eee Shaving and Laying Out.............c0- POR ewereeerseseseerons Casket No. \A4 Metal Inner Casket POR PU Dccscccccaccaissasiaveceiaciacnunas Outside Case, Pine, Chestnut, Oak, Mahogany................- BOR MAGTVONB, «0 c0ccedneascssece Burial Rove ........+ i iscciiassinnsiitoben OD DOIBissscineineccussuasvoas FRc caceseses cncaeisek es CORONPB i ccissons Bie oracealennssd scons ete © 600000000000 800s CO0008 | } Drapery POUGRUGIE i occ cinsscace Ci ei sorta ia teise italy Orie ene ee Sexton tf Delivering Bow to.......cccccccce Opening Grave ......0 Dinunevepebinsbiesesccaiere NR ci: coiancscssietaae SOCRC COS eee sess Transportation Expenses seereceeseceeee OCCM eee eresesese Soeceerescecccesese errrtritt tt rn SOSCOSS CeO eSeeeseseceos eenesces sosceeaees eeeceeeerceeeserees Lining and Pillow Set NO. ..sesersercerscccensscccsesesssseecesoooes cores paiea tees eters eu Tits tees creas | eeeeaeee | Birthplace Father’s Name Mother’s Name 44 Country of ‘Birth | Physician ..¢-tc’....X2 ¢ | , Saat | i fas susdaeds tile bebo, x snsohcgs cai ae eas nalibiaieed Lo a ies Outside Case, Pine, Chestnut, Oak, Mahogany rear ining and Pillow Set No ' Metal Lined Box OUNLLNGS. ..sccsceseees +». Landles, etal Vault, Style Box Mattress......eocess nk O1.20.0. Date of Death . 27 AA this cccccc 8 A122. | Place of Deaths } | Place of Funeral joe eeereee | ', Years.......2..... Montha....4./... PS Fo cikvaek ae eR j y |Father’s Name. <4" irt | Cou ntry of B | \ try of Birt | Physician ...,. oa va A Cause of Det Cause of Death Ordered by Charge to TOPO COMI. hai oocxeiikecode ai clei nsecnatenss RECEIVED ON ACCOUNT. A..0.... Gastlaes | Del ivering Box to Open NN MPN eoocca bi cecictoasie ces iccsss tices Lini eeeeeee Pte ee er eee eee eee ee ree » aap fasteniiniaiedanane Se ae ctcmsticeamntics ee 482 Funeral of. Date of Funeral j 1 Ragusa: eset | Date of Death .. catalina |... 2S 122. Shaving and Laying Out.. Removing Remains Embalming Metal Inner Casket.................. Copper............ Handles No Outside Case, Pine, Chestnut, Oak, PN ig es A eR ae Location of Grape oo a eeuseess Lining and Pillow Set No Pe PROG OR ig i Mountings Metal Vault, Style Box Mattress..........,4 (J Burial Robe Slippers Personal Attandance and Assistants |Last place of residence . sow long resident of fhis ‘State Husband’s Name | Father’s Name. Country of Biyth Mother’s Drapery .. Candelabra Pedestals.. Ps sk ee ee CASH EXPENDITURES. Country of Birth. fo Physician Clergyman Sexton TORE, THNONNE a Sosa Organist Delivering Box to Opening Grave Vault Charge: Yo & Coaches... Hearse le eeeeerereeeseseeeeeeeesereneses eeeereresele soesseeee be ooerr Removing Remains - | Date of Death i ie Neca ecacueeaaes ietbieaes | Place of Death... Shaving and Laying Out...2......ccccccccsssssesseceseceeesecececs.... / ieee we: Casket No i Place of Funeral - | Clergyman | Dest ot Berta. Ga Milk. Mics cis ae | Where Interred. Qak <4 ere stesseees | Grave or Lot No............ cekacedevanccsas eee Metal Inner Casket Handles No Location of Grave Occupation... = Married, Widow, Ss | Birthplace a y W: 7 r.. Personal Attandance and Assistants .......................... eee | Last place of residence Drapery Pedestals | Cause of Death j ..| Ordered by | Charge to .... | When rendered RECEIVED ON ACCOUNT, Clergyman Sexton Quartetia, Solotet... ..6ccccccccccceseosesscs . Organist Delivering Box to Opening Grave Vault Charges Hearse 484 Funeral of. Date of Funeral Se ak, Removing Remains Eombalaming «22. .ecce ccc cccceeseceecececececasceeceseseeeececeeesoneoeossenesess Shaving and Laying Out......ccccccceseseereeeeseeeesennseeneeseeeeeesees Casket No §tammerm....-: o ic A le AB cssscossinecies | Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany........--+..+0++ Lining and Pillow Set No.......::seessssesseeeeecseenenecnnenesceees Metal Lined Box Mountings..........+ Metal Vault, Style.......... Bose Mattregs.......cececscccscccsvenvenserserencenesseccaccccnccesacseeseseres Burial Robe ......ccccccccccccececscsccccevvcccscecccocsresescccccseesessensones SISDUETS coi ssccnccneesss neni FE ici cisis cae SOBOR oii gks anne Doz. Chairs... Personal Attandance and Assistants _Candelabra Drape ry Pedestals Hearse. “ a Coaches.. Telegrams TVANSDOTIGON BOPONOES. «0.5.50 .0cescreseesessecersesccseeenesconssoens a sence Reet Rete PORE ESCH TE EH THE EEE HTH TORT OEEOEE EE EESOREEES OS EEESY Cees Amount of Bi ee Teeeeerrereooee eee eee rete eee eeeeteresneene .. | Clergyman Where Interred.. Grave or Lot No Location of Grave M. J FO. ea cineebaskacd 4.eb AY} ++» Date of Burial... K92.0.0. der Zee BOR vse LK, GH ee Years Last place of residence ............0e1++04. Fe esa eae is How long resident of this State... 0.0.2.1. -_mepennetes:: Husband’s Name Father’s Name Country of Birth Mother’s Name. Le l eeageeeeeeoarereerereerrrereres . / eh eeeererseesseseresaseseeee Se i ane . senee See teen eeeeeeeeseesearerseeeereererels ee NN ieee | Funeral of Yar _f Gore << Creve, Lauria eile Pee NS CIN CIE ovina bs nvr hac stes<chaesvacenasnianectncscanse Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box MowntingS........2.++.+ « Se Ps oon cecvenss FIBER os ntais RiaaE VUE, BOB coo coon ces cestccesisiceconenencccnnsoceesssastyraccnonerenes Box Mattress Burial Robe Slippers Doz. Chairs...... pysseniys savin caeieriewee? maeeeeeereesensearerrereerserere Personal Attandance and Assistants ..........c0ccecseereeceeseeees : Drapery CE i axes Pedestals Clergyman Sexton Quartette, Soloist... ...cccccccccscscccccecsees Organist Delivering Box to Opening Grave ...ceccccrseceeees csibecvevionssaes Lining Vault Charges Hearse Amount of Bill..........00000 seneveccereresorersrecesssversesaveseseorsosneet NN ier oe cr sascha chabucasihieakeoakiniclaanakias nates i) \adcackaanctenoniaasa Casket No Kone nstch ». Stotrytcten Size... AS popsvecukaces jcc A. jo Date of Death ..... L..Q2.m... ; | Place of Death...... amin “Ee — sé Piace of Funeral | Clergyman | Date of Burial. ave sciecat | Where Interred peas OF TiG6 ING. 5 onic vencsesoeissacores 1. Section Location of Grave Last place of residence ..... | How long resident of this State oF. as | Husband’s Name ..| Father’s —7 4423 ae — é - ) | Country of Birth . Cn Re Bote GRR ; } : = i . NO ttn | Physician } | | Cause of Death _.| Ordered by | Charge to... When rendered RECEIVED ON ACCOUNT. i ect eeeeeee eeeeweeeeeaee eeee rr eeeeeeeleeeterre 486 Funeral of Date of Funeral_— Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No RO CAIN eer oo oo 2 iv ee siaeese Gini cc ek ee ee Mountings............ + EU 6 oc css cvvnvavcace F Metal Vault, Style. Box Mattress..... | Age... Years...... - \Color...... Warbabha, Ps | .sses| Single, Married, Widow, Widower... VV sssseee | Birthplace Me ae |Last place of residence en How long resident of this State surial Robe Occupation Slippers Personal Attandance and Assistants................ Beers Drapery Candelabra... ...... Candles. .. edestals | Father’s Name Mother’s Na c | Country OS BOA... cscs cdl Charge to -.| When rendered Vault Charges Hearse.... Coaches... RECEIVED ON ACCOUNT. F uneral YA*~°4 Date of Funeral Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings.............. ... Handles.................. PRAD «visas estnnc Metal Vault, Style Box Mattress Burial Robe ....Y... 4 Personal Attandance and Assistants Drapery Candelabra..... Pedestals PE RAUAR ss cred oe rere ey t etna Sead ad Delivering Box to Opening Grave V, | s>-+++ | Place of Funeral salapetlliblans : | AZO. Ceomman Rats. et i o | Age... 2. Years. e A t > : Z ; Color THLE ier tee EU Occupation... e pia eten treat Mother’s Name. | j | j Se tae jveveseeee | Country of Birth FAO) Physician Cause of Death ween es eeewemees a ii : Be Bs fi ‘) q oes a ef 488 , Funeral of. ArarLK or Lichen ao ne ———— Funeral of . Dias Oe OE FE icici ——_—— all Date of Funeral Removing Remains Date of Death 4 | j ai t+esee | Place of Deuth....Perag. I stcenasesesssesesseesessssesesensazames, Embalming wdeok..|.P.82..| Place of Death....P<A BRE IRET INS ats oeckhaciiceciiciscio ee b Place of Funeral... As. re | Place of Funeral..the- ‘ 2 BET WC weet eos c ces ccc cc twe less a ; : 4.24. OQ. iad Wiki, Sin, anal | Date of Burial...J.42.:..3.{. 2 5 p, | Where Interred... Q2>48. 1 Fe re. 5 wel dcunisutsaiseuus | Grave or Lot No Section Outside Case, Pine, Chestnut, Oak, Mahogany i -osieeeeie, | sien Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Lining and Pillow Set No Metal Lined Box Metal Lined Box Mountings Bon | Age..oI7O.. Years Mite Jt Ag | ee : | . Burial Rohe sae. 02. | Color wen dG Occupation MAA EAML Ree y is Color....... Occupation... j j | Slippers... = Pree ees. Mea Lv. | Single, Married, Widow, Widower vie 8......... ARPT Ove: ..'8.Q., | Single, Married, Widow, Widower..... ........... } ? - | 5 D Tr p re pe Ah the sc0 — J . 3/eQ. | Birthplace MFO RN 2 Ckia wens CF | | sonal Attandance and Assistants | | Personal Attandance and Assistants | Last place of residence o5 pee rte Me Candelabra seed teseeee | Drapery a | How long resident of this State.. Rug.. q | Pedestals Co oh ee lisse . | Husband’s Name y Nae -_ | Father’s Name PorbeAtrens.| AW. When. WiAhetshccS | Country of Birth 4 - re ee te 2 Ses acl ids Mieme LE pe ip iet taco Ti ene san ae seal eee | Country of Birth Were Qaen5 Daan... (2): peut r ‘ | ‘ : at aie. = | Mother’s Name £& . & 5: Dian San. Mit censtnailtaatals seis thosicaseciscisas.. 1.3 SS, | Mother’ s Nowe anand.) Pe ‘ TONY RNS alti | ; | : a ee or os Ph f- ; 7 A | Country of Birth a 8 | Country of Birth O38: RNS... 088 Fee iersscs Nai s Neoes SE anne cates anata | | Physician jens | | Physician | | L sevesesasslisventars | Charge to ...... | | When rendered.. Prerigerneercemmeneen RECEIVED ON ACCOUNT. Quartette, Soloist..............ccccccesessosess Organist Delivering Box to aA ee PES Opening Grave ... ining fof : Sc Lining. Toeaed Fog RP ey eee j " seee < as ri | ' n ~/ : j Vault Charges...... Leet | | | lf |. ras /. Ey ae j | i | j a“ Hearse. ¥ A. CerarseSherf Coaches TP OP OOOO ee erereeeseeeeereeeeeeerene SOOO OTO CORSO OOO eee ee eeEeeeeeEe POCO tees eeeees SOO Cone eeens weeeeseee seeeeces SHPO ROCCO MOTOS eee reneereeerereeeeeEes: Pirhebisvrideiadctivbeectees rte een weeeeene es $OOO eee ereleeeeeeess seueo eer orerneseene esse Coane et nc ama ee enetidsnin ine A OR SN I Scale mm 5 ce peer ee. 490 Funeral of . Date of Funeral__ZZ _Hour_a 2 | Date Oo Dm ......... PS Tc re AQ..| Place of Deuth... a QE. Cleroyman Ss. £- rcrepraacen F ehdesecss ctsakeas PE oes a Si 7s Where Interred.. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Drapery at nie Candelabra Pede stals RECEIVED ¢ ON ACCOUNT. Clergyman Sexton SOOO C reer eeseccess SOO Ce eee eeseeeee POC Cee eee eeeees Pe eeereeoers SOO C eee eeseeee ee eeeeeoee . Funeral of Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings..........0... ... Metal Vault, Style Box Mattress Personal Attandance and Assistants Drapery Pedestals Vault Charges Hearse... J. od Coaches POCO Seer ececocccececccconce seeeeeene eee rer et Ty POOR ORO eeeeeeeeeseesene: OOOO Coot eerseseees Oeeeseseeee CPCOC OOOO SCOOSOOLE COC CDOCOOCCTOOESe eecceees ceseceses Amount of Bill.......... bbbiies (erecnieees |reseeeeee | Grave or Lot No...... bcc ieaaneend ca vienias ee ee Years...... ry * +e Beer tA Be..........Occupation.. | Single, Married, Widow, Widower | Birthplace | Last place of residence ...............0. How long resident of this State | Husband’s Name .| Father’s Name.. Portes Country of Birth | Mother’s Name ascent cuusiieinio a a i tannin i nnn tana iia. imei retest tctieattacstinaaesitni 490 Funeral of... Date of Funera Removing Remains |: | | Embalming Shaving and Laying Out............ pies eabntlascciagace eccisieictvc Metal Inner Casket.................. Copper..... Handles No 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 ... Drapery Pedestals (Etna chkes ane . | Date Oe DMR rae Siac | Bal 20. Sees of Death... ene Place of Funeral csaisnude, oman, OR Oe i Re oy Where Interred.. | Ta Grave or Lot No ace Location of Grave LEB | | Father’s Name Ease seeee te seeeiie | Country of Birth | S Me. le P| Mother’s Name. Jae Clergyman Sexton [esseneees Country of Birth.. SPORE TOS DOO O OSES Ee EEE ee eee eeses Phas Sete ee eeeers! coeesesel.soeee SPOR OH OOOO CoS er eeteEeEeeeoeeeeeeS ‘ Lining and Pillow Set No.......... Metal Lined Box Mountings...... Metal Vault, Style Box Mattress Burial Robe Slippers Migs tdenssssssenbhivesceusosssas Doz. Chairs Personal Attandance and Assistants Drapery Pedestals CASH EXPENDITURES. PEM koh 8 ee Section Location of Grave oak Jecupation. . | Single, Married, Widow, Widower. | Birthplace ........... ' | How long resident of this State | Husband’s Name TE ND stenttirie ccica cisisicieoaes ikdae de koe eence ot oe eee | Mother’s Name..................... Delivering Box to Opening Grave Vault Charges Hearse... J. Ad. Coaches | Ordered by . Charge to... WW hen rendered... RECEIVED ON ACCOUNT. 492 ee gq LA _ ae qi r aa Funeral of —— = a fe _ a ee ee Br ee ee PT att Funeral of Seamer, a _ KO 2 6 es Die of Feiietl LO 6 aie CL ufl>s/oo__ | PTR UO ci ge ak Sousa lassecsens | Date of Death fhe > biebshbenedNideeesi sess sip abe. senor nc oe RT steseerees|seeeeeeee | Date of Death...4/./..—.. Embalming ........... sesnbusksbenabucssueabace se cbiud ccabeee a ee Pee | shecinnea Place of Deuth. W.. a, cau ne Tr UO ET APROPOS Ee Ge ROTTER | sieencee? pane Place of Death........<222>> ren in OO ci | ee | aaaeane POND PN 0c ene snsncescitictninsesenistsssssessinsanescs PN OT NE BN ics inc cnenciccinetéssoiocecccesc ccc | vipiecuaael Ee | Place of Funeral Ne cic eee a 2. PIN ss esiccecscsecteccn sh aS ibicanate Gray ARs Btn linn NE hp ct By saionggeniaa Casket — bacecalscsessaaes A 3.0.100. ied siednaaveenssaeans\scsivaagasiedcierike iene ee Bchinnes ekassaeenvenenay shi swubuihbaseesisdes Seelbsie seed ciées elise ce a ents Bibs Date of Burial. AN foreleef YR oereeeeore safshvecewkouhin sanensesexretintnatitennonnesins cibnrsavnncestecenoasrnastssanentsbnniyyentatasieal oe peace | Date MIA ee Wiens casei ee Metal Inner Caskei ................. So S'S ieainrenea | chieesaas Where Interred Metal Inner Casket................ Copper............ eu es es (On WE i ee Handles No...........0.++. MORE RAT ens SOAMAG ALAS ORERAEAA RRS AC atan sens esseedauees perstesertyy | peneeeeey Grave or Lot No caer OO i ee sisi ra OF Tint Nikos ce Outside Case, Pine, Chestnut, Oak, Mahogany.................. bcusageree | pies SOO TINE Siocilcheccccseusbicsace pv taeaey ae Outside Case, Pine, Chestnut, Oak, RIGNOGGAY oie iss | ossessees ae Een OF ANU oe aiiivis nisi ee Sihanliiay Weel Pillai Gah Pi ooo sic cnsece cic. csc Daca | ee oo ple aes a ( SiN Pe OO i ee IE OI NR iii ees se als cigianees SSASseRE GRaEdOAN GN pDS ND REGS Vagsiekb¥xEdbONUdaiecskkocs ccs, I I Oa i recnsey sce icacratied pis oacoikigiedhs |soseotesiod andouids Haesdine wasasedidosusilaoniads ccc Hh 1] : Mountings............ PIO oa css PIG sick edna MASOaNe NS SSUAbIAAAEKAS un iAp SESS SeancoxNcheaosbesdesacséc: Mountings........00000. 66. HON €8.0000..0000000... Be) oan oe Sees . sasidau | ria sats Kodedeaa ame NUSAae gene vida ees sex Geena. | i | Metal Vault, Style. ax s. oe a Pasawelsviskscselets sale } 5 | © oO CvANOne tee hGN DSS euseeobenseue spas ease soe) sisinakicccsscec. * , TE iter SANE eters sate ilodenenkaeakice wae Shine hee ee bane iAbNERS SUS aee eet) ) i Pe INI foc ciihauvessciieeeciardee are go a ee fe cies foi eal mi. ie Months.............. Dai ME ails icsited ria ipetsenienaiddidy cnc scidsinpceitioc Pkccc. 1 Ss i cies ih PPE PEED fe osdehnisss seuss tee ee | eo es | PE sh elie aves sxe POCUPOOUDIB occ 5 a IPN ea sites ae eget Seon Cone ae ee fi Slippers......... ieee PO oases Rive devas | stiiteages | sino | Single Married, Widow, Widower.............................. I ssiisstissiasiccacsnie: Pee: WOR onnice. oF cies | peices | Single, Married, Widow, Widower i; ll MN RRS eek ieee Br ae po I aie oe. a oun aee dicuresce suesese sean aas ys ee EG itinaeseatectess ia | ects | Birthplace tovssessatvatere¢sresn0tensevessssonys bvgeanesweusssees-cesievatanyene i } \ | Personal Attandance and Assistants ..................0.00............ ee Sueeaes OURO III oii Personal Attandance and Assistants ......................... Peer ie amen tee | Sees ee | Last place of residence Drapery .-seeee...Candelabra.... +» AMOR, co ee ae | How long resident of this State Ecxies reabeny Gace oade ts) c: ics does Drapery.....cccosccocce Candelabra...............Candles....... Birt eee | Pee | How long resident of this State.. Pedestals.......ccccseree.. POE ie ee ee oe | uses ee hes se ae POO Goa PN ticticteland ae es ae | Husband’s Name . | iii ees hee oe Oe | Father’s Name.... tiie le ‘gues Pe FI oho ccc. ; ieee | Casu Bxrewormumes, | ae ph aE: | PN OO a i esiencicou ssterrsns chess havuonsyseenissheseadoesaaibenas | ccs... ane | etree ONMIU, on svn Shs 6444p 44s doy so A¥ oxo biuses;coes 4) Fe asheclek ieee 7. Door Dressing......... Savinnshsuentenenesdagreskedeuhwsesicssionerisauiaieeele| 2 .i.sc.c.. ae | Mother’s News. at a ot PN io rtnes tate tchcteesicacs yo) ne | | Brink ir saease Tata tee ek paca ee Os ieee le ae 4 dt RN etter reriesa ae tchaafonciensen NN seh cia naisids aed sarees boaaivesesbosic. solbecsckosiés a “ita sng EE ALE I OLA EE arte os Byer ees er uh NN Tg pethexsess ee etas fGerinelon exteonvske cukeetowazsenedeceevayiaciiaisocessissso | Roe ae Goals sos teneanaaennestis snesiinaneertnesonsavinhetredrieeseuwvanoansonseielapueteiuiebe~ | jaigcs as Acadamy: HOMME EMRE «coc... c.: eebederwiceaei lea ROVIOTS CUA 0 ook <coetssscacec. ee st eeeeeeeeeereenes SMe TMMOR pests seine, seh, FEE Biss satiate sis cerns ibhiedtiencike vce AVSCESOYDI SE sera svn babbswaveNG Neda bnsnabahddynduciiedsesiciwiscsics ccoccck, os sses esnips sceceusturauapeincsesuesbenbesssacswasede)suieveciese ; i UI ernie ficulties | ane| cf 4 ‘PEt hoc...) fa, ciishysicer nee n e Waitt ie iia tes Se oe Quartette, Soloitt.............s..eversssersases I ie scttinctcieieeid sintrnin: Lies teh gee ee po tre Quartette, Soloist Delivering Bow t0....0.......0000.... sadekeveebibssnissi cause. | | eae Pens Taek cee oe | oe Delivering Box to Opening Grave .......0...0.0., i... Lining {Lend fer. we | i re ee , Opening Grave ... NE hs vabesiesiessstnthisseccdesarss cl ieee se ee ee VOUS CRIN. «000. 000enstinreeses ‘ gs it ee eo Rostaeusssinabd sacaicakshapeueeedcriel sis th lo Oo Coaches... (tiie ees Fe ao “ CO Otte eeleeeeenene FPPC OOO C Cea sere eeeeseeeeereseeeeseeeeoes 494 Funeral of _ usv~ Date of Funeral Hour____ Removing Remains Embalming Metal Inner Casket.... Handle No... ba AA kA Outside Case, Pine, Chestnut, Oak, Mahogany Away ne PU Bat INO ice snhaesasechiae dicecedacosksohocsoessiasccn. Metal Lined Bor. Mountings Metal Vault, Style Box ! Attandance and Assistants Candelabra Clergyman Sexton Vault Charges o Hearse Pepevevereererresoocceecesecss > pales ho <2. Occupation........ Single, Married, Widow, Widower Birthplace How long resident of this State... Husband’s Name Father’s Name Funeral of Date of Funeral. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pilliw Set No Metal Lined Box. Mountings.............. . : Metal Vault, Style Box Mattress Personal Attandance and Assistants ... Drapery................Candelabra Pedestals Clergyman Sexton NE I ois tase danas tics wichentienintiheriscurs ee Opening Grave Vault Charges Hearse... 4. Coaches... | Where Interred | Grave or Lot No Charge to ............. | | When rendered.. Mahe er eee et ee womens Loewe reeeneeebes RECEIVED ON ACCOUNT. 496 Funeral of Fora ee Ptr fetraraciay O ee a Date of Funeral___/ 2 aa Removing Remains Embalming Shaving and Laying Out Casket No.. Pn | | Where Interred Metal Inner Casket TO ia vccs cesta ai seca ae ae | Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany..... Lining and Pillow Set No Metal Lined Box Mountings... Metal Vault, Style...ff. F708 MAP ORD: «os ccecbdsiassaiacn “T/7 ARbadasenbbnben bbNNEETESES.c6s5o.6ccdscs ccs Free epee aoe Burial Robe .....c..06 $080 06neebecesonsesenensessetescecsccccsceceeecccescce.. Color BUDNETS...0<c0<c0ecess ° Last place of residence ....... .| How long resident of this State... pete ey sik a) | Husband’s Name . Ye, A. Bact Gb , | Father 8 Name... e 4 7 | lo ountry of Birth ........ rece Na . Ce Moths Nam i¢ Jountry of Birth. Delivering Box to..... a eo / y Opening Grave .....: ce a Liningyestch lbs, Vault Charges... Hearse.... SORE ROSES ETTORE OSES EOE OOD SO ESOS SEES ee erenes OCR ee Oe eee eeeeseeeeeoesr OOOC COS beeeeeees VWhhbbbtddttt Tn BS, J ° © +e P OOOO OOS Oe eee eee ey Funeral of . naa Oda, AxXinsswinot- Date of Funeral. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box. Mountings. .........0055 5. Metal Vault, Style Box Mattress Occupation.... Burial Robe 1 Slippers .. single, Married, Widow, Widower PAU cRa tages eesiuebepee mee sicn Doz. ae pom al nee Personal Attandance and Assistants Pie Candles. ...... | ce Candelabra..... Lereeeey foals long resident of this State Drapery Pedestals | Husband’s Name ... | Y i ’ y |Father’s Name Country of Birth Mother’s Name j | Country of Birth. Physician Cane OF DOU o66.56.50060050......, | Ordered by Clergyman Sexton Quartetle, Solotet............ccccccccssceccssecl Delivering Box to.. Vault Charges Hearse... . CORON cc csisescious, eee eee eweeel weeenene ePIC TIP Tir rrr tit Tt ttre 74 <o COOH Hee eeeeeew bene Leese sereeeetee Peeeeeeleveereeterenes.. sees 498 Funeral of Date of Faiperal. . \ Removing Romaine 5 MESS 5 BB Recs : : Embalming ................ bécheeeedialanniabs saakcn: Shaving and Laying Out............ eal Casket No. a eeeree Metal Inner Casket r ee A cchcoaiopspin (OS AOE SE SOUR esdibawbakh kedanecas Voici. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set Pi Oietsctisesiatiatg xe ee oo Metal Lined Bis incertae ek Mountings Metal Vault, UME ccncccsscceis Bow Mattress.........00c...000. Burial Robe .. piessdudnhes cébescseaeuscacaieke Personal Attandance and Assistants Drapery ..Candelabra Pedestals Clergyman Sexton Quartette, Soloist.............ccccococoosess., Organist Delivering Box Tictveenssenieibnihiis cpiesdantasasesiees. = Opening Grave bv INOnSbLSASnet bas tubixerscicess: oO eeeeercoscescces Se O* Sebo reeeeoooscecoeee Cpeseeeo eoeseeseosooosoosossoseecece Seeeccese seceee SOC eee eH Seeseeeseseseeeee® ee SPeCeeeee Sescceces aa Peeeeees Sa | Place of Funer | Single, Married, Widow, | Mother’s Nam& | Country of Birth... oo | Physician | Cause of Death | | | | Charge to | Ordened whhesete , Funeral of... Date of F unerl, , a How Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box. Personal Attandance and Assistants .. Drapery................Candelabra...............Candles. .... Pedestals Funeral Notices Delivering Box to Onening Grave Vault Charges 2? Hearse.. CRAM ‘ Vx ha hs itr Coaches.. Porters ANA........0.000- ps sii Date of Death ........ hint fae. | oases | Place of Death..... soak Ecce | Place of Faneel Grave or Lot No | | | Location of Grave PON6 ck. Months...... Po Days... E | Color reas ee ag eee MCOUPOANION 5.6. ssc | Single. Married, Widow, Widower Birthplace | Last place of residence How long resident of this State... Husband’s Name ............... Father’s Na mé, | ' Sr eB he ep bnlcieseeesehdae | When rendered... + eeeeel eewnene POEM EMOOM eee OHH HHO Ee HEE eee EEe Tee OT eee POOMOO ener, Cee e OOH OOOOH O OH OeeE Ewe rene oe eeee eee Teneo eemmn eee SRR Pee ee ss tie Poe eae = 500 Funeral of Date of Funeral. Removing Remains PONIES siecle iitaees ee Shaving and Laying Out Casket No. ®. ni Dra PE INOR Geren anaes a Outside Case, Pine, Chestnut, Oak, Mahogany RA CE PUG TIE IIR ciiesicrsstsiesoniotsincninsacnackcriiedeincn Metal Lined A eee waa Mountings.........0«.. ... Handles. Metal Vault, Style Bon MaUrega. scciciecséececsscc BATTAL FOO kk casdkcscciastacsecs DIARCNY..ccicecscs Pedestals. CasH EXPENDITURES. Door Dre SSING... Ode ee cccccccscccccccceccocece Clergyman Sexton Quartettc, Soloist... ......cc.cccccococseeee Organist Delivering Box WW) dhanbhbloesttedsones sieieksavcedicscccck. , TSP SO Oe OReSseressoese POOP OC SODeLeeee “ SPOS Oe Cee eseecoes. rece eeeceeee See erereesuseee How _ 4/2 bomen 3 | Single, we | Birthplace a @ €E | Last place of residence LA Mh borer A. : AC L. A ‘ fe: a A ca eke. - Country of Birth | Mother’s Name..... Marz wih ak! Country of | Physician | Cause of Death Funeral of. Date of Funeral_ Outside Case, Pine, Chestnut, Oak, Mahogany. Lining and Pillow Set No Metal Lined Box DOU ooo Ga dices Metal Vault, Style Box Mattress surial Robe .... Slippers esse coer sean eyes ter, Doz. Chairs Personal Attandance and Assistants............... Drapery. ......Candelabra Pedestals Delivering Box to Ovening Grave ......cceccecceess Vault Charges...... Laxsesseete tenures sal ciseensuduaveresincvn Hearse..... Coaches..... ~ COCDSOLOROORSEDS | FESO RH ERdbOl DORR SCOs as sx RNR: is vasca seus eeecsee ) | Where Interred. Lk AK KMaANA Grave or Lot No Location of Grave . Months GRO ce vicagsn Occupation & Muda ee i wee | Single, Married,, Widow, Widower si spaneesicnisanes ee) ; | Birthplace ....L: A, g | How long resident of oe QLe- Lef Hustband’s Name ..... os h Father’s Name Country of Birth | Physician Cate ( Ly ooo Lieads of Death .{... | OI mee / | \. V{ | Ordered by . ZC freagp ha Melee or Charge to ... es oh ae a When rendered RECEIVED ON ACCOUNT. AYO? 502 Funeral of Ze Date of Funeral. ZL Removing Remains......c.c.0. UNDONE icc ke Shaving and Laying Out Casket No.. WAtz ace: WENT Laeeses 0c ZEsasesccccccecesceseseces | sos cat AR. Clergyman?{.4, CAT ssw seneceas Va ee Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Box Mattress sescececese Pirial Robes. a Slippe rs Personal Attandance and Assistants Drapery cenekareos Pedestals CasH EXPENDITURES. Door tTORUONG 5s satvediniricsscee hbo Clergyman Sexton TUNE vc iacisesscaceenesee tonto 38 ute LG” 7. Qe A - eee eeeeeeeseeerene eeeceee eeereeorese Amount Of Bill......ccccccesseseeseevere ‘ *eeeee j “[wsees| Date of Death outed heszciyln | Place of Death. AV. =: kectcnnches> , i is Oo fea ( seserceves eee Date of Burial...../..2<....22.3 | Where Interred. fH | POO OF EOE ING. ices scniccc seuss: J Section... [inxreedes | Location 07 Grave .. Months....7 2. Occeupation(AA. sievccvece seseeeee. | Stngle, Married, Widow, Widower | Birthplace. LCez | Last place of residence | Father’s Name.. Mother’s Name. Meencs € | Cause of Death . | oat ; Ordered by | Country of Bir LY. SO? M., | Charge to pal.» bor ERR reso2 0000 YY | 4 --| When rendered... A¥42/2-77442t-Y lee sss RECEIVED ON ACCOUNT. Funeral of Date of Funeral_ oA MOURTINGE. vicc0.c0cei0; « PE OROIOR. cs onssaressescses Plate Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants............ Drapery... ....Candelabra...... PONE oa oven Clergyman Sexton WPUEPUBEES, SSOCOENE. «5. is sccivesecccscnceccaseese Organist .. Delivering Bow to........0..-.. Ovening Grave Vault Charges Hearse.. CN oes ees Ka L£ Date of Death ff: | Place of Death | Place of Funerah. , | Clergyman ta 7 MASS | Date of Burial...... 7s < ‘ | Where intorves. AL, Lf | Grave or Lot No | Location of Grave | Age... es Fo é a ee 2ars..... 3 ae Months.../f......,.Days BAhhtle Hees Hee Occupation fel. ad. ~ - Single, Married, Widow, Widower. Birthplace .. 2 é AL LL 2. Last place of residence . | How long resident of this State. | Husband’s Name ; } Father’s Name.... ke Country of Birth Mother’s Name 1 2 ‘. | Country of Birth........ is seans rigs sie Nes us | Phaseieiass ON, Le - L CLE | Charge to .... | When rendered RECEIVED ON ACCOU vey N Ae 904 Funeral of Date of Funeral en neta eran = in cn. eS eu Removing Remains Embalming Shaving and Laying PE AMOAR TiO ooo 5s asked chee is Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No........cceseccses ei asieisseessceaiasicateeec... Mountings Metal Vault, Style BOD TUTOR ios iccscnsicsicicscss POPC OC OO OOOO OOR SOOEOOs Ce reeercgceeresereres Burial Robe .......0.cseese pastennssnndsuneehseoncsbbeneascessiees Personal Attandance and Assistants Drapery Pedestals. .. Porters 7 y, . ltuneral Notices.......... Clerqyman Seaton SOO eeeeneseseossees POCCC CO Oe Cees eeee COCOOO OR OS ee eeeeeesees SOSeeeeerecceesoesseeeeeees Seeeececseeeeoerere Amount of Bill. ser eeeeereeee ee ee ee | Date of a Place of Death | Mother’: C | Country of —— ssuree Teeteeeee | Physician .... MF | Cause of Death | Ordered by | Charge to When rendered RECEIVED | ON ACCOUNT. Funeral of Date of Funeral___/, Handles No. Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillcw Set No Metal Lined Boz. Mountings.............. . Metal Vault, Style Bou Mattress store Env Ke sun wkend ba cenadeeasee ae Burial Robe . SONNE i ee es Pi ee oz. Chairs Drapery edestals POUND CHOIG e555, civics csenictisitheaviscevenk Lining Vault Char seeivesetiesceenils Hearse... “Jo oe Coaches.. eeaees lors —— a ic lergyman Date of Burial.. | Where Interred Soci see e ” — ihre Cees ELL 4 seseecs see '......... | Last place of residence . | | How ng gesident of this State rs Btn, ee Welleanes o | Father’s Name. el, fh Country of Birth panes | Mother’s Name. | | Country of Birth. ea tt. Z os Shey. sen Jause of Death 5 Meade i c = Jf 506 Date of Funerai_ Funeral Ara Eines Goa Pmel dilawely Removing Remains POUND Sick Shaving and os Out Casket No.. ‘Ha Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Bow......cccccccoss Mountings Metal Vault, Style......c..ceocececesee pcicuuhanekasis BOD MAUrORR. ..<cciaviecsineveessace Burial Robe .. enecesescsesees Door Dressing. ROSANORRbasERbKe babs sheNbeCeaes Funeral IN OULOUR sas ccekacs. Clergyman........ wenshencecace Sexton Delivering Box to SIE GPRM ccsrececsvererscscsessriecssessess Lining... Vault Charges Hearse Vilenext. ca, Laenal: far Coaches OP POCOOreeeereeeccoocoe—ocooceceoece #8 SOOO CO ESOS OEOOOS TOTES ROO OOOS eS eeseeneens Peecececccoss Pe eereresoee eeeescee seeeeeeeneoer SEP Seer eee eee eereneeee eee * ee ° seeceeeeseee bbbbbbbet itt Tn ee |-ssseeeee | Date of Death. | peunieee Date of Burial | POG OF L008 NB. iccsscssscvisesscecesscs....f Section... | | Location 0) Grave aie of Birth | Ph ysician | Cause of Death | lym TU SOO ener eeeees Fo | Date of Death | 261 A2. | Place of Death.... WP... j | Hoadlee Ne | paieae | Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box. Personal Attandance and Assistants................. Drapery........... ....Candelabra..... Pedestals CASH EXPENDITURES. eaeeseead Location of Grave Single, Married, Widow, .| Birthplace .. . | How long resident of this State iC ountry of Birth hinge tig, ’ he Door Dressing....#. Aah... ... Palms Clergyman. Sexton (uartetie, Soloist Delivering Box to Ovening Grave .4.%....... TE Nias veda ati tehesasaiiescventoeinanes Hearse. (. AERA ALKA Coaches.......... renin | Grave or Lot No , AO... OO .. Months...2an.©... Days.. Last place of residence Husband’s Name Stee eR Father’s Nene. Gea = Pa Na, C Mother’s Name. as. kon bere te ara lh | Country of Birth... 2. abel ; &... Physician i. Charge to ... | When rendered RECEIVED ON ACCOUNT. PEEP OOOOOC CH ee... Coen ee Oeeeeteeeereeerreeels Ceeneeeee Ff ity lh ct ee Funeral of Date of Funeral— VE q Removing ReMains......rcecceresceeess Embalming Shaving and Metal I Handle 8 Ne Outside Case, Pine, Lining and Pillow Set DD: ceussniaune Ovcccvegcceoes covesecee eee Mountings...ccrcceses Metal Vault, Style L& Box Mattress.......20« Burial Robe ...ccc-srceccccrece qr; Slippers. Personal Attandance and Assistants ......+.+ eek ececease ; .--e- Candles, . Candelabra...-...+ Clerqyman Sexton Quartette, Delivering Box to Opening Grave Wesel CRAPGOR: reve cevccossvnesovevsessssccesess Hearse. . & Pinu Ceaches Telegrams. ..scsssessseseseees Sevececoesees Transportation Expenses........... eececeseeree® pesecereeseooore PPCRCOT RH OED HO ee Oe Hererersedeereronesecees eeeeeee eeeces ceeccovoseeosose ay Peeeeeeecoses eeceeoeerere® eevee eeceeeees oe seeesesesese eercccccccoocvorererere eeeeecece eeleeteseeeeeescssecesvene’ | | | | | j } | | | eS ong q Funeral of 450 Op} 7.0 4 Removing Remains ALIS, Lalu, Eimbaliming ......00cccccssseceseetennsetesseneasenrensgueneanasan ene sensnenees | . Months... a GY bessypheesiss Occupation. Widower. it. ble, LE« COURO OF DIGGS 6c cuussccosces bupiosavarcomasensye> ‘ Charge t be \ hen rendered.. Shaving ong Laying Out. > ‘ tan ___ Hour eidenbaas eI | Place of Death Place of Funeral \ i, 4 e . A t i 1 sche tps: Yet Med No sek 14e\. 4.3 nh v.¥Y NS Legere] Neseeeete|sebeeee¥@ Clergyman Metal Inner Casket Blandles No....:..s0soccscossesscssscscssccenensnaesonscconeccnssnnrossnssnnaes® \Outside Case, Pine, Chestnut, ¢ Male, Mahogany. ....--0ss.s0s0e- } Metal Lined Box Mountings...+.- |Box Me Burial Personal Attandance and Assistants ...........+ Candles. Candelaira...... 0.09 CASH EXPENDITURES. 4 POTKEYS AND ....ccceseseneceeceeenss H.-Gloves.... aeaes Funeral Notices......++. a cceucea seusiae¥s cuedichwusbccrconse<* ; Clerayn C |Quar cette, Soloist Delivering Box to Opening Grave ...d..s777 L epunwktsksvecuseeeny os i Vault Charges.. Hearse Coache 8 POE i ccs iit Telephone.. \Transportation Expenses ..... sc gaaketabasbeusapis cases suonseeeeuenen \Lining and Pillow Set No......+--++++ ccgued Die ey ry rea ee | Pate of Buriat Where Interred.. Grave or Lot No. Location of Grave eee DAU. ..0.5 Single, Married, Widow, or | Birthplace he MO MN Eo Ei Mecevecs needs stabertesss on ; | Last place of residence .| How long resident of this State Husband’s Name | Father’s Name | Country of Birth . Mother’s Name i Yountry of Birth | Physician | ‘ause of Death .. Fae. Ordered by | *harge to When rendered eesti tnienenenat denna Sen eerammereese er SERGE NORE 510 Funeral of Date of Funeral_ re | Casket No....J........ + Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Lining and Pillow Set No Metal Lined Bor.... Mountings Handles Metal Vault, Style Box | | Burial Robe Slippers bisivsic aunts eee tle ities Ai os | © } Doz. Chairs Personal Attandance and Assistants Drapery Candelabra ..Candles. ....... Pedestals CASH EXPENDITURES, Door Dre S81 r Clergyman Sexton. Quartette, Soloist Delivering Box to Opening Grave Vault Charges............... Hearse..... Coaches Recor nee eeeeeereeesereseeoore SP PPOC OC OOSes ceeeccees Cecccee Seen eeeeenenenee seeeeeeren Shee eRe eeeecnns } | | ‘ bangs ‘nx tColor st AQ. | Birtrptace .| Single, Married, : Re ne ese Mietecice | Last place of residence | How long resident_of this State ht 4 be /) py ; | staat? 8 Name . | Father’ 8s Name Country of Birth | Mother’ 3s Name | | Physician | Countr y of Birth Tel SPP OP OC Oree OOS esercecesoreeeeeeoeoeeees: TOPO eeeeee COCO OR OO Mee eee eeeeeonoereeooroeoeooeeeeeeeeeeoocoss + eeeeenere Puneelof 3 A/S Cp Date of Funeral = 7: Lining and Pillow Set No...cc.............. ee Metal Lined Box Mountings...... Metal Vault, Style Box Mattress Clergyman Sexton Delivering Box to POM CIE isis torr rch sennessacsse Vault Charges Hearse Coaches COMPOS DSO SESDOSELO Lee renEseEseSeeseeOsooeCooSeSoceses eeeee Date of Death «| Place of Death | | Clergyman | | Date of Burial. «<<. Where Interred Color . Occupation... | Single, Married, Widow, Widower..... e | Birthplace nae | How long resident of this State | Husband’s Name | Father’s Name Country of Birth | Mother’ s Name. ME isesssy | Country of Birth... | Physician | Charge to . | When rendered... RECEIVED ON ACCOUNT. Se e0ereeeeee Lacee ie ? . of .72e4 ar hassssbles. ae Pn Removing Remains Embalming ..... Metal Inner Casket.... Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box TROIOR oo esse ce Metal Vault, Style. Personal Attandance and Assistants Drapery................Candelabra Ped stals Vault Charges Hearse Occupation.. atest ee | Single, Married, Widow, Widower Birtplac MATER Ix 5. he 4 Pana ce | Last place of residence Pei ce ce | How long resident of this State Husband’s Name | Father’s Name. 34. Country of Birth Funeral of Date of Funeral Cutside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box Mountings...... Metal Vault, Style Box Mattress Personal Attandance and Assistants Drapery Pedestals GIMUTANAR, FRAUD: 5. 5 acacciccdccinesuncdcen Organist Delivering Box to Opening Grave Vault Charges Hearse. > ao shec tes towel Nr cdet tines FUCA oes scsssenscesseees Coaches Telegrams Transportation Expenses Date of Death . ‘Place of Death... Sen teceeee cae Pe tace of Funeral lee! Clergyman . : Date of Burial | Where Interred . | ities OF DOE NG ell Section Location of Grave as esc. Occupation aX ling Widow, Widower .. | Birthplace ‘iw GCL i... aa sae ee |.eseeeees | Last place of residence . | } he ue | How long resident of this State | pee ae ler aes | Husband’ s Name | | Paner 8 Name, Mas = Sen ce | —~ ae of Birth (AKA, ‘ Kn sn Ca Oras oo OQ. “ff. | Physician . MoI » Aa. OANA Artin are Co. fl: Fence en eas Se Oe a bean a serene, Se ee ocmsensnceens ween see O14 Ree Sa of 7 Alaecl Kt Made Date of Funeral_._ Metal Inner Casket... ee Copper. vance ORO.., Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box Mountings...... : PION eo es Plate Metal Vault, Style CLorte Co ILA), Rox Mattress Burial Robe Slippers pauaa pots shes ROMRea ty le 20 ee Doz. Chairs............ Personal Attandance and Assistants Drapery .... Candelabra Candles Pedestals. aie Rug... Rese en lei ater taaes Re tee oe MN hagas Orta eancceteisevscdealvsinslins a. i wenice cise dee ONUOTOE ORE... ccc. oecceeeeecet fh LOVES, .....000.. Funeral Notices POSSKANS UeNAREEE TE SANS ENeSEN Gx RS sawsxii eG ce oot ce ire Sere cadre Me ANTS #88 sN a eedonaSesbeneesuevenewdneedbeienesoiéesiecc cui. ‘ TPN 5 05cissassveesveesersetesensesssetecsicMyccccc: hoe ae TONG, MGI. ... .. srverrerecoecsrerszcere: OV GOMUEE 0 ososessaceeseaes ITE HIE Boos ovicsssevseseriiesseececes:.... Opening Grave Vault Charge PP er ee ren) SPSSHSA SES bak Moneta wren tne sevelscinvecu: SERRE OEe FORO TEH EEE EHE EEE EO OEE ESEOSEE HOHE eee eee nny Joo ° 2: Clergyman..... f UW x aie (ARC EHEURORUOENG DONG Web dis 60 Gs Ig ingle, Marriéa Widow, | Birthplace . Maggs ee ee et | Father’s Name ... | Country of Birth . | Mother’s Name | Country of Birth Date of Funeral___“ UL wd -——-nceeeeeesstenenenninnaenei agp tl Funeral of waaay pe Pisacn Benrcs Ako. i aaa eee __Hour. Mountings.............. ... Handles.................. Psi iks NE, WI orissisi ntinctivtinvnd capa ho a I siivencio Seni coaleen ee GO IN cichissceniicea ila ciate ao BNE icsiscosccavecacace eee W Bsc resscas0icc CODER: RIS ee OG GR «ieee A f j Personal Attandance and Assistants Ke A4~ ALK @, TIVO sa vcicciweae Candelabra.............. Candles. ...... POR ei re Rug... PNNIIEE TOWING 5 vis sckicasdnsinecesccdisccakics Be ire a sisesstine iss vxn nnnnivelsiaiastsnisiuier ovcnbidides cecuceeecsciei ok. ios iste Vault Charges Hearse mete eu MWRSRUSEROESSN GSE U EN COh eS CC EEEE SNES OFESTCNNs b40s 000s ereTeeeseeseverbesecuss WINES PENPOOO ODOC SLED EDOCTECESDO CEs cnDEEENOL SD EELeCETESHOSCOeeS recess beosenseue oo Hee ween eet Heb eeeees | Last place of resi : How ‘ij resident of this State.. When rendered RECEIVED ON ACCOUNT. po a) ore beh Gace Funeral of KL her 7 MRE. PB ACOIVAM Ce areeecr Feneel 7 _ A Cu | PN RN cies F accseasneneruabeaael | Date of Death Embaiming ... pi chesabhanectiviiexieraGi ee TARR. Place of Deuth....!' - re Seabcadnse ied ehUMlkissahie csi ives cc sttsseeses|sceeeceee | Place of Funeral lsecassecséssanenonssarnsel A i80,.6¢,) 07, 8e,. Clergyman PER (an Sn AST ASPHRAS AOA OREREREDS STDS Daa Sa RED Sy HERES ECs 4 chs ehegSpeabeadiadSENT ccc y.o go Date of Burial... 44h. Che. ag 4. Se una Metal Inner Casket..................Copper Zine baud nenbesikdss oseacvens | Where Interred........ faathe tds, .w, PEN is ier cragnce hee er tae Peiotxesieas eee | Grave or Lot No.............. f ee is hes Section. Outside Case, Pine, Chestnut, Oak, Mahogany ieebsdseaes | tigcsics | Location of Grave po, Sekbsdascciavevviccs: j | ” Lining and Pillow Set No , pee ea ea vl sasuoeviee eee es oe ae ate oe ’ v7: g-~ sy 9 Metal Lined Boa vaeiee CROP AESEE REE HAAG ddEE Vee ERIE o Leese ic bocca resapade [£47 [fe - | | f i7* Mountings Handles... vine POO. 56. ; | Ee: 99 Oa eseeeees seistbiiedaaniemusccnidisecince saeuncthg Metal \ ault, Style wes peer a) ead ss se : ee eo Ae ee . ae NEARS AAS8 oS 540 kaLLEDI + S941 40osnGs oe Pres enekia 7 ee ' alee nla Box Mattregs..........cceeosceo0e aallbele, Ie rane. ee a JN v AO8. dl Kose Years, .....7=: . Months.....-. .., Mite. ene aa iS a a - / Color.... 442 UAL Slippers Prs Gloves..... ee | | : “ { Doz. Chairs sastlesbasgvies a deiee, fe / . © || Birthplace cree LK BAA, @ ‘ Al ¢ | } artes oe prec age Last place of residence Milde KEL... Personal Attandance and Assistants | > ) Drapery Candelabra OMe aes eo eee a | How long resident of this State... Hee vee | | - ) ' Pedesta Octane a .......| Husband’s Name ..\: ve OM ee: errr | 2 ‘OV s) J | Father’s Name CL: LLY CLLE € ease CASH EXPENDITURES. 7 pes lisss tere | Country of Birth Barts eeeseeeng CASE lls Rithelinsoboemsssactsessuecereheesi easiness |... .seseeee | Mother’s Name. la. Sis Cini pe reebabr es aeete adic Pesto ee ean cae | Country of Birth. Capa GH prrssseee oh sti | Physician Ayr TRDLL LC of oveecees Af. / | i. ReAWan tis oes¥ Cee niotiankcee a, peVieV bis eexbssibibeds iiescio ake gos ee ans | Cause of Deatf/ fi SPER SEAE TORT RdNSLinoEi cise iG ok Neate = ft? eetectise soso OVI0TS Gnd.............. oosneenssnsses POUR, sisi... On ae Spee ‘edie be } ' weeeee -+. | Charge to Funeral Notice: eet $5kass5cbbsdeed stad ieueene | ese When rendered ai RECEIVED ON ACCOUNT. Trier f4 FFA} IM ccs ve scceseciselirenteveveleesstessvevovdsiescs..c: Sexton Quartette, Soloist... ...........ceccccooooeess, Organist Delivering Box to Opening Grave Vault Charges Hearse 7 i A Vv YCOL, | i¥8U URNS NAGS320) bkdeRIREdo ac Coaches POSOREEE HEGEETUES SOT ROSS EREDSSONESONN ESTES ESHSRS SyNeHENi tbr uSbaréineossin SOCORRO ORR eRe RTE R HORE ER EEE HEE HEE Ee SOC OOOCOO OOO OOO Cer et eeeseses Oeeeeeee Amount Of Bill. ..ccccceerreereeceees PPP OOC OC OOo er eeeerereeseroessseeeeeoeeecels Coesereeereee, Occupation eter Gly. 3 U Removing Remains Embalming . Tetra ret tt peeReR CPEPTOREDESGRORESEADAY RUS CEH RREEDELEREES Sehas u cukkb ba Koec ik ee Mountings..... Metal Vault, Style Box Mattress Burial Robe Slippers......... eeeasa SereMaENee eee Doz. Chairs. Lining and Pillow Set No Outside Case, Pine, Chestnut, Oak, Mahogany Metal Lined Box asssecess sss AEOMEIEB,,.. sblisabicaiésedves Prs. Funeral of . Ys. J Borer. ce Nill £ Married, Date of Funeral Personal Attandance and Assistants Drapery......... Pedestals reew bes Candelabra i epeesdeueicieacsd Porters and.........-.... Funeral Notices teeeeseeeee Cree eeneeeeeeeees 0 COUR, « scsscccs SPS PETS EDO SS INOS 9 OEOEONS9 SER 9SE0SS 95909 000000000001 1400. 64608900450000 2000050000600 Vault Charges... esse en Fiearse OL AA. Qe ee TE. cescceccvess Coachea.... RNID os gs csescceekcs nat ANNA CN a ReVURESUDEDERS TERY 8 tE SGU ROG0N 849008004689. ¢4en8EN Ode eUNN ONES FIdieel éoxs eeeee . . POOR OOo eee eeeeeesesseeeeers PIPPI PPT errr eee ery POCO HOO e eee eee ee eeeenns COWPORE DESO O LOC CODEN r cn sEereroseeeeoesesceeCece eeeeee sence Amount of Bill... SOPOT ORO e ee OHO eee ee eweeeeees COOP e Howe ee eeeeeerereeeenion | eonesrese |seeeeee : When rendere d a ee ane aeeane Date of Death .. Baht. ae. Ee. SM: eroees Place of Death... a — - Posse i . ; 2: f? .. | Hushband’s Name — OIA AAS ; : : Father’s Name WwW KALBA me hs a . a | Mother’s Name ..| Country of Birth. Pvehdescoksls tipesees | Physician .... i - — of Death | Ordered by .. 1 ..| Charge to . s Ay Ce. a | | j Lsseceasninsl bexnenas | Date of Burial...2-...5./ isp Womeeis ee af ia | | ‘ peed (esesesbouslvassnnens Where Interred. Pictatane en hergsa. Baar bX. | } -| Grave or Lot No........... 5 tRUON coo hos | } : hed PAbbbdeb ed cosbavesd I OF ise Oe ee ee sLottertttstesseeesssenssseessssnsnens seuss jevebeaas IS Ay Years... Months PR iui oO AM oss alee ek ria es ( jccupation | a steeds Single, Married, Widow, Widower..... .. , oC : / Pitenistvectaseaa Birtholace , 232Medl CMD. igs ea } | j ! SPiwaeedlotaesakes | Last place of residence . saz | | | : peer a : How long resident of this State | RECEIVED ON ACCOI INT. TOPO OORT C tees OH e Hee eeee He ee eens! TOE EO EERO eee eee eee eee H eee EH HERES ~~ | 518 Funeral of 4 At+.44 q. AX. aan — wana Funeral of Date of Fuyeral wee -- Date of Funeral Removing Remaina.............. hbscesdoad ee ae oe Removing Remains cena nna ae ee TE Enhal ‘ oF ‘ . t { tJ nbalming ‘sinus Embalming ......026...... ger 2 & £ eoneee | Place of Death | } | Place of Fu nergf $0). QD. Clergyman kav ‘I: | Date of Burial fx. 2 Hs 3 Metal Inner Casket Handles No....... Seale sestege ey le site hui oned Pua ele see PIE OF Tb NO ociccvcrss Section : a Handles No Outside Case, Pine, Chestnut, Oak, Mahogany | jenn Outside Case, Pine, Chestnut, Oak, Mahogany.................. Lining and Pillow Set No....... Lining and Pillow Set No Metal Lined Boz ® Gee aps s Metal Lined Box Mountings Handles Plate...... . . Mountings.............. ... Handles 9 | Metal Vault, Style é a, * S. ME LActea pte ieee | &. A } oe t Metal Vault, style Qaadr.| / l PP . 4 , | ~) / Box Mattress lbs Mec sioner... WATTS ccesseseeeso | coseeshe diss .Q. seeeses Montha... Day Box Mattress ws LS. Daye... ft OAH, 7 “ .; , Burial ntti cl. ddeiasiees ‘eri rae Aviteuten caus ‘ ; Occupation is Burial Robe ‘ es ... Occupation Slippers 8 Gloves........ Single, Married, Widow, Widower. J , Slippers poi V8. loves ’ | Single, Married, Widow, Widower cies ay Doz. Chairs... ipheus cee ire EQ. | Birthplace Puch @.H. © 5 waked ences sehen duceeeiiies seaside Doz. Chairs.....4&<. iaeeet 2212.8... Birthplace .. bl. ORL ct | Last place of residence Personal Attandance and Assistants....................... ea | Last place of residence Personal Attandance and Assistants Drapery Candelabra .Candles, soecs | How long resident of this State IP ODOTY «0s essescseseces Candelabra... oveves- CONQUER, . «0.00 ‘ avast ios .| How long resident of thia State Pedestal tug _ | RaabpcB Nam\ adrsta, 37d | 1 4Ate FIRING iissistetetc cncsicccess: Peal seseslsseseeees | Husband's Name ...,.... = ) J enety : ‘ : 4, Un op | ather’s Name ; Father's Name..44/._ ek eke CL 5 CASH EXPENDITURES CASH EXPENDITURES. | | Country of Birt a 2 ; — ae Door Dressing... dg. CY taf. asi sees das af. Of... | Mother’s Naume.. SALO~ racers . Door Dransing. 0 ..: ee ri... Mother's Name, $ yn J DV / 7 | a S a tees ser t epaesice ; | Country of Birth. | SF" Palms.... i | ¢ ‘ountry of Birth. BY» f ... | Physician .. siveviee Physician | | ; fee yas iseesa .| Cause of Death | 1 | Porters and............. weg. | 2. | Ordered by | Funeral Notice ee cayenne stevnees | Charge to | | When rendered.. RECEIVED ON ACCOUNT. Clergyman Clergyman........... Sexton Sexton Quartette, Soloist... Quartette, Soloist... .................. Delivering Box to Delivering Box to Opening Grave Vault Charges wee Telegrams Transportation Kxpenses SPOOSHEDO OS DOS CCHS RSEDSCNEs cOpDDeOSeOESSeOOeCesonscess seeeeeee eee WOPELPOOOD LOS CCO DOTTED EEOECCORODSOCOORSREDE SOEs eCCOeesCesees HOPPERS EERO ERED ESHER EEEEEE EEE FEEEEEOSOSEOEEOES OSC H OE see se eee ay CORO tees eee Amount Of Bill. .....ccccersrevee aaah eee tility * ; 518 Funeral of Date of Fugeral — Removing Remains.........c.ceccceceeecsecseeccsenenneenseseneessensences Se ee ie. Shaving and Laying Out........ccceccccscsserccceecasorcosessncassorse| sosssssnnes ‘4 Casket No Chef Reis =. B. tiaviaeees Size. x oe hac cap eapasieecea és e.. Embalming Metal Inner Casket................+ CODDE? «ccs as Tassie oneness Peels ND, ccc scscaccanscincstedccasnnacessccessecsdeoncnscnneasanssaccanens | vsrseseeees Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.......::sssercscsensereestnersenenensensennneess Uesgiassejan Me ee FI Foi os sak vnc bid boa bev avpasn oad ievs teense Mountings.........-- BN voi saich ccs an FUR ccna Metal Vault, Style . . Ana... XN Avery ieee pe 4 Box Mattress.. QO % AcAAMNMO.. Maik Cobban. tds. ean aoe ad | Burial Robe Slippers. s ec sR Ecc esate Personal Attandance and ASsistants ........0...0cc cesses ceesenees Drapery................Candelabra.... i axe COMMS as Pedestals. ; _ Rug CASH EXPENDITURES. Telegrams Transportation Expenses | Date of Death ........0b.c07. Place of Death....... ) Date of Burial... Where Interred. Grave or Lot No Location of Grave cog > AARA| Father’s Name 1 Country of Birt Mother’s Name.. Coum ry of Birth..... 2S - Physician CAE OT SI oie ake vey atin sds ; .| Ordered by Charge to When rendered. .......ccccccsecesvees RECEIVED ON ACCOUNT. Funeral of 519 | He. M. a) oe four... Date of Funeral Shaving and Laying Out Casket No cease 0..&..4. Mountings... Metal Vault, dat wag Box Mattress : Burial Robe BOI ca css ccscaniecsces xsreas Prs....... Doz. Chairs merece sere eee ee rsaseeseeeseeer Personal Attandance and Assistants ..........6..00-0c00e Candles. ...... Quartetie, Soloist Delivering Bow t0...cccccsceccssecevsesenscovcevorseneveessses “5: Opening Grave Lint Vault Charges Hearse COR oc is cucavets cas cersaeess ; SOMO OO HOO HOEOE HOS eee eare eee eeeeeene Cee ereereeees +++ | Place of we 750 |, lac le a Sea. | Clergyman | Date of nae — ns Ny ciissasicovsebeayeoaeeeaied , er ® | Whew Irs Occupation.... | Single, Married, Widow, OF ive kerccrsissusss | Birthplace ..... fo! b5s COLO ... Bon Bde aa Last place of residence | How long resident of this State | Husband’e NONE sis ges; | Father’s Name.. hy, | Country of Birth | iain of if ea ie Py. £ OC): * | PASGIOION rites os Be. Tas / | | Cause of Death ...... ih feted ns hel Funeral of _ 4 eS ee L.02.........Ch..M, | Date of Fiheral— Funeral of - Date of Funeral_ Date of Death pce ankcdseheaieasacd a on Bev. Removing Remains Place of Death.... $4 hehehe, LY, ENN ge Embalming ........... Shaving and Laying Out.....ccccccceeererernerernnessrerenseeeees reset Place of Fu Casket no Heh, MOF Ah,...... size ee eea cacasceueseceaian Te oe . y Massa ize, S9fs 224 leo. a | | sgbeasas | Date of Buriai Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Metal Inner Casket..........-..+0+++ COMDET sic Bach dg NG «cases cicnsavncavsscs=enensssonscunsnnsensvasauaveaneresstenteents® evi e Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No......:::sssescssseeccessseeecesctennetsnnnenenes Lining and Pillow Set No Metal Lined Boz. Metal Lined Box Mounting3s.......+-+++ Mountings Metal Vault, Style.... : hw Ed | Metal Vault, Style : ie I. | Lys Box Mattress . hb Ty Sade: bide. «aie Pee en | See Bow Mattress.......-.eee qiecsececenececccceseessenscenacnenesse seesnaaneees Occupatio Burial Robe . Cr BO en rrecs. a net re err areg ey reer COOK. css5 Miss scivicescsusen’ Occupation.. Single, Married, Widow, Widower singe Moro Wi, Wwe rieler sii cses Slippers ciel OBEN esse rkskstenn es ee | MRED. cc. ya ceiacess ens ees j Birthplace — ae el Cor.n.Uh Upeecreeiaee | Bi rthplace Personal Attandance and Assistants Last place of residence Pe TB eeesese ‘ Personal Attandance a nd Assistants Last place of residence ..Candelabra..... .| How long resident of this State. Drapery -..e... Candelabra vis OOIMARE. cs | How long resident OF thie SUC........0..420 000000 ius DPGBETY <5 ss5s0 505-9 Pedestals : MAME ia eee Sie se sa a evacaeeanan ees | Husband's Name ieyiaes PE vais cn nan tdeson rcp ssces eo .. Rug d’s Name tA oe s Name CASH EXPENDITURES. CASH EXPENDITURES. | Country of Birth.. PRYGICION ..001..20esescersnersavnicecoscssonsensescerses Physician 7 Cause of Death Cause of Death Ordered by Ordered bY .....0c0..0000 : Charge to .... Charge to | When rendered When rendered.. RECEIVED ON ACCOUNT Clergyman Sexton Quartette, Soloist........ceccccecereesesersess Organist Quartette, Soloist. .......ceccecerereeeveesesens Delivering Box to Delivering Box to | | yo Opening Grave a Onening Grave aes ceicaees Vault Charges, : Vault Charges Hearse q Desa ieee RE Hearse] KARAS AW Coaches Coaches Telegrams Teleyrams Transportation Expenses Transportation Expenses Seeseeses renee cgtecss, sovececoceegiocecseeeonsene Seaeenney shape aie at || B22, of or Ven € Date of Funeral_ to eerie tate Funeral of Akar. Ree Date of Fu rere Ee ny Removing Remains. ........cccccoscecocane speksnadhalensbeabbbhuseieciccic osecagtessseeieees E 4 . " r tertheceseceeeees A... ae Removing Remains f NINO cree ceetnhiabbieebabbebhnsedecibenss Shaving and LayingQut Casket No../# RON cele auch Widcala xen toebedes | Place of Death Nia Size HOSP PSEDSbeetna Sey hae sa aed Gécknssabeiloivbseccs |c1 “ergyman. o® SStIN NADH OPARERSS ah SUANAOe SSR SOS EGE ENER Oh EANeDRubGess KeKhectb4séoe540 cook. ciscckk jctteeeeees ool of NA i BB re Ap siabspseakaawaanetasaverescee Metal Inner Casket.......0...0.000. Metai Inner Casket.................. Copper............ PS iui ee | Where Interred OR IDs ocr eee a een pinekes Outside Case, Pine, Chestnut, Oak, Mahogany Har Vern s Tne ROPRSESSAYESOSRISS SERER Slop ins Outside Case, Pine, Chestnut, Oak Mahogany.................. : | F . sche : nut, . | ritttsteeee|seeeees ‘mae OF CINE cibstcvivexcciaarseeondc cigs Goin ee , Lining and Pillow Set No. oe eeereeeremrcccccceseeroeencecceecesees | secscsscssclsceeescce | aie | + Li id Pillow Set N i ining an Bie OE VO ssn ecsi tual cdeuce gine ar ee ee en ata f PaNAeDiaNsasa hav bbe pseaneusesanedswsteveseselocselcds ck { ad Metal Lined IPO catia ia area has fieass a DAEOtRI® RGSSERS SSR OS SASS OA Oh Sbstanedehiehnnsuwencecicosies Metal Lined B e ane Deeg ong peat h ta ee are i aneh bases Fehessssee t inseues shuneeseedeets nSANIRES Shae AaaKs ¢peeebaeicdekvekecns MOURA GR os ncesesesss: +10 SOM sssansenenrneions DO eiitisicts ected aoe eative ct Poviassspusks i cheeticci ieee ; Mountings.............. . ROB os cdcccescs PW viascs cartes buvsnuiiieanaposaencs Lansiaciaaeewnecesbiseebibiadsieldebicl. a heseies chee 7D 9p, petea tet iecect, | fe ME och oss acitaavacs sessile Pe |-seseeees [Spd saneitllen dah aienvebiacesanveliis bi ierkanstc ere Months | Box Mattress.......6< Bile wales idiiinitessieniin WebebiaanicllS 1 Uiarcsatihe ci ven) A ‘ ee ( Aji +} ac. seco a | Omens Je » Yeprs...... 4%... Months........... DAYB. .5.0.yoeoe, IM a cs esiainass3<be von toress teebbeiasiaeuhoglonsiiiansa siomiiencsoc4 cc oo oe | A968 ...3.:. . « Years.............. Monthe...... nsstee AMO cared Occupation ch ob yeese/— . Color ; ) =f ALLEL AL ee ie i. Single, Marri ; | aa | eee Pre. Gloves ere Fy UII acess coc eLineun cree Slippers ......... wacsascavaeraes PNR ee) pn os Ben | Single, Married, Widow, Widower...........0..000........ i] Burial ROBE .ssooesforssssene Gy Rs. sesssuees Lege an pane eeere ri as WO Pi rivrtttsvctsnced Andbevese | ac ae | Birthplace Pitacthllinaditne.. Ce. Wn. e:. Saas PE FOE a snncieiits deitiiailidiadticeibicectaneidamainnitsiniinsiasenscs Vicon Mc... OY OPOOOOECOS COO DCC OE Deer eeeereeeeesees ise it ii | KMttigvle, NC | | Personal Attandance and Assistants .............0csssssesesseeeeees ccs... [steresee | Last place of residence .. hiner YKREL Se Personal Attandance and Assistants...........................| ce |Last ines th tuatens ou hese castles. -_ S Drapery.....s.s0.. ...Candelabra... sskduabiias | rapery Candelabra...-.......-0. OB. vsneenisccndis | osc... Eel nisi How resident of this State... Drapery................Candelabra...............Candles..... busta Wi canis tas Ab ree; || How long resident of this State. ..0.0...... 6..cccccceseeeeceeeecoesccee., cites os : TTR sivscanstitnbaceisessinarsnsasin PD sochalitiacnbiint aetnarewveies | shanteciadksanccce. | Name PUNE oo St oe SND oko sce es Pog | Husband's Name ... | Shite iit | Father's Name | | } Father’s Name. We ; CASH EXPENDITURES. | peng re | re oe v b sveviess cal imiatap of Birth Door Dr eaR Ry -nrcarsseonssssece ssonsvesreccstummsnnvsscessscssaestncessunents | srrteeeees | eensens | Mother’s Name..... PEOAALKRY am SPOT GMI 0 see vennasssnshenbesasnsnsdsnsinn. cass video pwn sienna | OR | slo, | . : PARSE PETRA E RARER ONES ER ESS POUIND........covrsovenserasovasnessesscecesooees e+: | seeeseeeee | eee | Country of Birth... | ttaenennessnesenectesenennes RM gear cuscaistece een es aes | eee | Country of Birth I TIEN, os siancasessiverannennsntnenetasrosheseeninssiaseniininseebesasseematy | os... ee, | Physician ../\~Y. * OL NLT AC KD O ee, Ps ish tiote irvevbnesden saveaes sivas uddes chines cds ehgaaidn ce ee: adel "hy 3 | ti De | Cetenntng 6h tS ee etiam ternwvnnenpeircsensnoinveoty | Y) iaeaseic 5E acre ilsgciegitllie legacies. suis | bs cet ssesseee. | Crnsine of Death ee ee eae : Pe ee varie ant I richer I cbr) kee Sukie ccs OM os BP OTRINT CNG ccvsenk cess OOO 5 ices cen eet ae | Ordered aes rman areas oes POMET EE IVR oo. diy ccc sstie ss ieckks bak ese evs’: voneaunsenn sees oie poo | charge to ee ee ee aa ee ee a ee lees RECEIVED ON ACCOUNT SSPPMMNI + coscesestananonsnnsnnnnnnnewonsousseaneniutannessssnsesssaninere RIO IU as ivenekcecsivsntesisecausyteubVsyensessisdsibicsassas culkin, TN tai nina nceaviyrssivniis pepsidens ntsbebineseaasissiotssiaicen cas... i nit 5 RN, Pcie CE Quartette, Soloist NE NW Dicsseisvsinitienine mssenesisessverstsnceceerdueerss uc. Delivering Box to........ 4 RI SION so ttctibinnntiscchtchaesiner ico: IIR certian sinscaiecs Opening Grave ....cccccccecccccocececeee. | 1 Be RD ox nessctivetieieiicbecsiospesedsedsdiccsaseceeccc.ces cL eS Sn oh Siete cee eae Ree ee ini] aeaen Renan \ FR casi cinuesseseversasinessiesrsensssenessavecsconesuacasoncnjes beevbiatiees a ee ia | CODER... 1.0s0ersreerrernconvraseesssseeessseevesneesereseeconecoeeessareness., Coaches....... a 5 $ 3 . : Transportation DOPENE...........0nernseneenssusssesessnsoreseserensesce ee ne 5 ‘ Seeereeeeees sesceeeseeeeeeerseors DT ar ARR hina eeeed eee wer atte) S9@CSSSECERGORSESERSNYS 26900400S eEOSLONDES ESTERS ENS reEensseccDeesceseRceces eeeeeees soese cooee eae SNANSSEY SECSUSSEES CORNSE OOD ONS TES SST SHUTS HOLES SON vEsOSEbOnteeeKeesesen<ssesiseeesa seeeeeceresere seeee oe “SOCCSOOOLSTES DOSS PERS S EES LECT EL ss sR EDEESEES LOSES ESOC ODSEeECHUeeLOsOLESeses coesees © eeee. seeesccecs : | p24, of | | ve | Magy : es uner. Date of Funeral__ Date of Funeral___ Os ooo oh ee Outside Case, Pine, Chestnut, Oak, Mahogany. ..cccosececceess: ptpsecd ats Outside C P Ches k tside Case, Pine, tnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Lining and Pillow Set TOA \ciikibiaalicabbiaiecicansiibintnatae tate a: pivaedineds |: cecase MN EN iii a inieiiouska ATOUNTINTE...00cecececes+ees Handles....... Metal Vault, Style.........ccs.ees bt udhbbahh AdadanbaaG ideas iacdsideecdsuaisi Mountings Metal Vault, Style Bi me Mattress cevccecce Oe ccescoccree 00000000 CO CCS COCESEs seeeeeeces i Box Mattress Burial PLODE sss kas secessseiseesiecsta eo ee Pee eee kasanes | f , ; ve noe Burial Robe PSION 0h ccd cvscosccceckeasicis tS | Single, Marri oe Slippers Biren place | Birthplace .. Last place of residence , 7) pices | How long resident of this State | _" ; vege aS ee -e eadar Seno enone scle oat ape nd | Husband's Name | Father’s NameVAf, fos he tice ee ae | Father’s Namk Peanated, Q. Country of Birth (... bcos 5 sox MIECer tit Nets ss ragfes nits. : " county vin | Mother’s Name.. bed : : si : : a | Mottor® s Name.. | 7 Oe mite CABG Country of Birth. ee res M. 2, Ordered by Funeral ROR scin i a sonsensecsaces OF) ree | When rendered. | RECEIVED ON ACCOUNT. C eV Oe wk Sexton ee aN 0 oe Delivering Box to ; / ; ‘<i 4, v | : . _ os ” Opening Grave cece WReeel NW Mec | cccvccvecs | |} Onening Grave .........°8.......2 esvcansd 4.. Lining VEAh: eaten " ig Vault Charges tide etereaeieeena LE REE’ ee at Hearse... . MNO 554), 05k cee i nabseanaans pliniiaadieememaeace ede SSFP CCR eeeeeres sess SOC CDOC Oe eesooneeee eeeeeeee seereeee oe 5 OT RTO f+ nt iat amet See eee eeeeereeseee aa os CORPO eee ee! eee eeeerl weeee SORE OOO Oe He ee eee H ESE eee EHeeeeees | Amount of Bill.......ccecceceseeceee Vbbtbihtbeett Tn ty sereweeeee Lewserseeererlienwccerates ee emer ie Heme Or ) Funeral of _ ~~ | Funeral of Litas Jloipiete Lhigbhue (Ndwiadrn nine Date of Funeral. $f ifn Date of Funeral_ fp Lite. we cia Li i- M. Removing Remains LAT? — of ; 7 : : Removing Remains 1 | Date of Death .. Ba balensed 6 occccccecesccocessssccvendoccncesconsenccenscoces sbencesssess | coakkiets gee tastes ; bs g Embalming | Plae ¢ of Death.’. Shaving and Laying Out.. ks sepukanaepieussabs osacasecectenaeccies pieetsine ) cae OTST eL SERTTOSTITSTO?, oo sores Shaving and Laying Out Casket No. Hay (Ot... ize hihik i Clergyman.. ee A CLT. ° | Casket No.. Pett ka. hischeaeeee | S is 3 | Date of Peri. rbhag 2 pak | Date of Burial Where Interred. POs isssstici OR TN CORE... his ccs Copper... inc... |. | Where Interred I, 8 l Sbeesenoceeees | eeocseseses , 2 YY, a Handles No. ..scccssescccseccecccnecenencnccossenseccosesescoosans Section... Handles No Outside Case, Pine, Chestnut, Oak, Mahogany i pee Outside Case, Pine, Chestnut, Oak, Mahogany _ 1) i ; - ; Lining and Pillow Set No........20cc0-seeee pccbacersesannecesenen shnihaas ot. aa cay Siteibi wie Pillay G8 B80, os sisscinnccensosssinesosassennsaysbebucssee Metal Lined Bor.....ccccccccccccscccccccccccccccccsccccveccccsscccosccses sone: | ssobes Metal Lined Boz. Mountings. .c.ccscessess ... Handles... eccoccesceese Plate Mountings.....0..00000. «. a - Pd Metal Vault, ee ad ie Php -| apapes ne e Metal Vault, Style i } co ; Bow Mattregs....... ities J ; as Montha..../F..... Days. .ccsseee Box Mattress ’ aoe anr ts (a haves ees oeree SOS de See e Fe HOSES OOS TESs : B , Burial Rabe ......+..00ceress6e Gaga Lib Seeudecvenys: | 2.12... | Col Occupation. a ee hinted Burial Robe . Sues tees : Coler..., ae ye ies ee Occupation. der FO 5s 5kiksie CO acs diate Married, Widow, Widower.................6.0.. DE, CMG cccisctiasasertasnerecrendaaves ene Tee . os Die CM eo, oes cet avs ssd casts Be Lkek Ca. ~~ e. Pee: : Personal Attandance and Assistants ...........60.666. eeeeee ee , Last place of residence toes . aoe ; SUD DOM as cavaxcesseantnantone Pres | P idow, Widower. | Slippers . Birthplace i Drapery | How, long } i Drapery................Candelabra..... .| How long resident of this Stats edestals Log cavabkapenanves abaeannanteeess I. | Husband’s Name ,f.447. cll Gh .-4-. rf PORGAGIA sc.5 05 .scetenss tae wees... | Husband’s Name ...., Bee Pelsiistacleteas cs a Father’s Name ; é i | Father’s Name... Cash EXPENDITURES. HL é- Country of Birth .. ° F 7 seeesenes | Mother’ 8 name Lm. kd NIE L 4. MN 8st | Mother’s Name...‘ ZA fete $ | Country of Big EEE, Spore. ie : na ‘alms posal K vountry of Birth,. ici i f. er a ‘lowers ; | Phasteian.. ee Ky A Country of Birth Physician Cause of Death Cause of Death eprage Png LEM hbo! HOO: vxcicas uy 4 ae “ey Au Pela ; ¢ Ordered by Charge to : : | Charge to i } } dt When rendered... WER FORMANCE. occiisccsosccciscescercsscsevnerdevsvcsnssarsvessess RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. eG Clergyman........6 @ hy Gvareawsr fore fPricreopien Clergyman ‘ ; 4 | s va Liaattes veeeeee Le 14 better Sexton PON | os cacronvvsacecneans ee as bad skkvELECTETH: Laks vanewekcnistekeueebewass wl Quartette, S TPT ONPENE TIGD Wisi ccsccteccavereciee seces Quartette, Soloist Organist . Delivering Box to Opening Grave .....04 Onening Grave Vault Charges........ gressesseesensacaseeevansnavanesenenss , Hearse Hearse... ¥ ¥EA KES Pi fics tidestiinesiscsvitnses sransecnnneneie iat Coaches Telegrams Transportation HLxpenses eeeaness seaseseecereessoees eeesscneseeeeoseseceeonoers © eeeeeeeed ane eee eee POO eOeeereeeeeeeHeeeeeereree Seeseseeeeeeesonererrs Amount of Bill......000++ ie ; L ° ° ; eee eee teehee eeeee wbeeewweereronees. er 4 FOOD a o , ea / oe ~ Funeral of LETS eatin eed Med - Cad ns ———___ Funeral of . “7 Mam} Trac ie ad: Date of Funeral__ ~ : te ae ee oo Date of Funer, es aaa th Ve, f/f SEORAUENE TOORIND ss ccdckinbaictckssexssstaidnedanatangasaccammusiaaniancas | eeeeeeseees Setbiaebe | Date of Death .. KEK KE | < f - Ade <2 PUIG bss cics ioc cconsic ths soakba tasccndaseneaseueen eoeteioen | | Place of Death....../ <4 bl Teh ae : \Place of Funeral. 1.5 Smet ’ , ‘i ~ / a : } | | Date of Burial ‘ : | Date of Burial : a ; | it — Metal Inner Casket } Where Interred web eedes, ace wot hh Onn ce les PL, es A hee eae Where Interred / a : ERO ING. cc 1ss scvue seb can cubebessabeesecisccekestdstnent ise | Grave or Lot No WMO OF EOE M6. osccsccsvcsicccs Section Outside Case, Pine, Chestnut, Oale, Mahogatty...cccccccccsseess | cesssesscas|esseasese | Location oj Grave Outside Case, Pine, Chestnut, Oak, Mahogany | Location of Grave Lining and Pillow Set No........ccsccvees enbescckeeseeen eondeeetsccersece | vecessinias Lining and Pillow Set No Weta Lined Bak. oi iciciisiskisctisen dciksdhbydeds pibesadacnasenucc | iseseseeees Metal Lined Box. Metal Vault, Style Box Mattress | | | Single, Married, Widow, Widower | Birthplace rE . Chai | Birthplace hid: | | Last place of residence ..... Me 4. _ Personal Attandance and Assistants DrAPery.ccccccccee case ele she | ........| How long resident 7 i Drapery Candelabra..... HORORUALG 5s sc ses ecsseeusibateeis-nksceen PUD s.csesee py elo secwetisss | Husband’ s Name . fy. ieee Pedestals | | Father’s Name.{/ Country of Birth _- Mother’s Name Country of Birth CasH EXPENDITURES. PUONWETE.... .ss:s0rcessvassssesgitenverssenescepnilies sve y . | Physician obec as POPEOVE DAG socsccteveasssceceveceevecss CHOOS it — | . cyan var eiltaabaeeea Charge to .\A)- sseduxhwaliawbaeens | When rendered Funeral Notices.......... When rendered RECEIVED ON ACCOUNT. RECEIVED ON ACCOUNT. Clergyman Sexton Delivering Box to RIN IOS vs evicvicstnasiccsescsvsesksinicacnds POE ss cinstlnkicceisics -ittemtere- amr see -aaerawae-apepepreonaieomnn Vault Charges RO ei cc ea ceuyuets eegieee cic. iteisgekiesinea aes beviaiens Hearee............. Coaches Coaches.. Soe eee eeeeeseeeoeseees we OOO OOOO OOOO ceecceceeceneronrosoeccoecoe® SOPOCOS Cee eeeeeeeseseee seeeeces seeseee eee Seeeeeoerceceeseese® ae ereneeenn eats ee ans aeaeme oe eo } COO CO COCO OO ORE SEe eee eeeneee’ SHER AOOCR TOSCO e ee, pee ee Oeeeeeeeeereswew ety DoU Funeral of Date of Funeral. Removing Remains.........0 Embalming ...ccccceccccces of bax sll f Mm. beet WW tree —__Hour_* COM Meemeeeses Sooo eee eeeese OU OPPO eCowreneresseeseeeooere TN Ne ee Outside Case, Pine, Ches Lining and Pillow Set No tnut, Oak, Mahogany OOO EP OOO Cer eee eee eseessoeeeseeeee Pe eeeeeeerees BIGIGE VG, BIO. <..csccksiccsecorecsecsons ‘id needies kileddboasuebiavese BOD BGUHVONG, «occ descacecossacs Burial Robe .........06 oS OPPS CS OO RESTOSESS DESORE SS Serrerressees COOOSSOSOEEHOREES /SOSORO DOSES ESEECEs WIEPE i cciccisiusicseens Personal Attandance and Assistants ............ Drape ry Pedes CasH Clergyman Sexton seereseeonees See eeeenerereerresece PROC CO es ereneeeone EXPENDITURES, FOO OOOO Oeweeereeseeee POO CCOC OS OOO eee eeee SPCC Ore Ree eeeeeoeeeeees See eereeeeoerereeeeee Amount of Bill.......c00sesees TORS oto ee Months......... | Color Occupation... | Single, Married, Widow, Widower | Birthplace Last place of residence ..............4 How long resident of this State..,.|. Husband’s Name | Father’s Name..... | Country of Birth ., S chaaanes | Mother’s Name | Country of Birth | Physician eancetinnnnenen | [5 OM) Funeral of Date of Funeral_ Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Boz. PROMI AOG: ssc 5: ee FRA istics Metal Vault, Style Box Mattress Burial Robe Slippers . Personal Attandance and Assistants Drapery...............Candelabra...............Candles....... BP PHN isi Porters and......... iia ..Gloves......... Funeral Notices.... Clergyman Sexton NPRPTE, GRU 05s a. cavéanssesscccsecsaccces Organist . Delivering Box to........0.... Opening Grave .......00.00005 : Vault Charges Hearse.....]. Coachea.... Telegrams Transportation Expenses Date of Death .| Place of Death | Place of Funeral....*@ yas d Clergyman | Grave or Lot No | Location of Grave /..........2.. | é A <7 | Single, Married, Widow, Widower | Birthplace ae, | Last place of residence . | | . | How long resident of this Stat, os Lec thauwti. » ( aus ‘of Death | Z, te 4d p y | Ordered by MoH ULBALLL. . Charge tp a. Samu x ¥ oh When renderell... 7 ' RECEIVED ON ACCOUNT. z ta 5 g / 94 A rs (let |F Ae A x Qasr. SOOPER H MORO TERETE EEE H CHEE O HEHE a eo = es | Funeral of ioe ORA>A OF rey U) att Date of Funeral__ piatental ——— 2h M. [Dat of Faun I I iii ieiaiiialii inci iii haseviee clea! wae Witeteeeeeecseeeessesarseys,,,, |emoving Remains PIN io roemeccccccencccccesocceess | cecdesMees| Whect ees es Nissans ea! | Bnbalming a. shaaeannnsenseeedarsenecancnescsncescssscoensonsctovanacesel .. aM " Shaving and Laying Out | BE SRAM ‘Shaving and Laying Casket No 34. sW4.tets ae srteeehe feerwsrrtighs MAAK, TFs cssesssessses,, COSKet No Handi POs ci sexsisaeuidiaciiinaomusasebinocitis cas Finscauwadecbocticns | seteecenees , Risse ier erie Meg Sestion.... Outside Case, Pine, Chestnut, Oak, Mahogany. .......cceeeecees | onceceeeee ; Outside Case, Pine, Chestnut, Oal:, Mah gant | Saude of Grave PONE ON FTI TA sicaciciisdiceinicccdaniiieieiiddanieitebis To. biaioaden Nesetheusnnesadseubasisai ves Cole st Lining and Pillow Set No. | PE IE TE cin nasheeds cones baiebluuaillbdadkhcscanninadtcnaidicas toediadeccebscics ccs (cn ished sa cida hb dishabinsaharvniacesess Metal Lined Box PU OMMETNGIE. sok eseacns? oie TION cianicsacencasecs Plate | | OUNEINGS. .o.cecceceee. os. Metal Vault, Style..sovvssssssseee | ion! e fetal Vault, Style Box Mattress 09000000 COCOOOSOCODO Sc esesescanee PIUTEOR FOOD, «<i sghs denen oh RNIDOY RE. oincnscassiv erie | Last place of residence ........ eat ela | How long resident of this State “ape 4 | ro long resident of this State... pe etes | en | Husband's Name Scie Teas ' incre |. | Husband’s Name enreeuiee iKinas Father’s Name LAL Uf. 5 dA, | Father’s Name on Pd eee Country of Birth ee A.....55 Door Dressing Q. | Mother's NamfAC 4 RGAE. 4 penne of Birth r Bi ,. +O OSS HSER CHES ES Os eeecennewseseevccensonescses | socuscecestocccocces | IC ountry of Birth.. | | 2, Flowers | Physician Cater of Death j ene OY ee is i ee series ee Fumeral Notices......ccccccoccesce senccesbagdsesesovericess lati teeta en chien pening Grave Vault Charges 5 ee ee. Te Vault Charges........ Hearse..7%... Chet “4 ; Hearse Coaches Transportation Expenses ee ee eeeneeesceseces Oe eeewesene See eeeroecoscccccce se ee seecceceesooooe POOP Cee eeocees eeeeseee eeeeseeeee eoee seco Amount of Bill...... — por - ee ee | 534 Funeral of Ht2- Wathen Date of Funeral_— a Removing Remains MII oseich sick ta eieicees ase kc Shaving and Laying Out Casket No PE Or i eA vic Oe Outside Case, Pine, Chestnut, Oak, Mahogany................+. EAM ONE FULD UE NO. iiss connec vevtsaracosanenceniansdcatiouserees Metal Lined Boz.... Mountings............ Metal Vault, Style................. FA ee EERE 62 ok Vc) pice <astexa ec nnsieuieard eo bexuesueisdn etic Burial Robe Slippers. Doz, CROAYS: .occccsccccees Personal Attandance and Assistants Drapery ....Candelabra Pedestals seeeeeeeeeseeerer Sete eeeeer eeneeesee SOPOOOESO CESSECCL SC CCECCRCCSeCECETeS eeeeecceee eeeeeroee eeeeeeeeeeeer hhh ahah hati iit TTT tt Poeeeee OO Oe eeeeees POR assccae GlOvES....6.00ccccc..0.| Date of Death oneal le MP. fae - | Place of Death.... Aaa >... Orde~ed by Charge to | When rendered RECEIVED ON ACCOUNT. a2. [Bap Conk STEP O CORR Oe eee eee eeeeeEeeeeEe Hees eeeeseeeesele saeeeee® Pd Funeral of... == © Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Personal Attandance and Assistants DNGBOE os ccviccivnces Pedestals Delivering Box to Opening Grave Vault Charges Hearse ee Date of Death 2). lee. | Pace of Death... 2S errcveect.c >, Place of Funeral.. may ~ | Where Interred. Mm orn Un Ce cexerbs none | Craps Or BO NG. <<. icencccs Seescel Section | | ROOT OE i asics RM iia occu fe gee ao - - Single Married, Widow, Widower | Birthplace ae f. al ces EOL | Husband’s Name | Father’s Name. MACHA. 535 Funeral of. Date of Funeral__— 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 TROUT sinks iiss 3s PIB, wi sikevicdsecs Plate Metal Vault, Style Box Mattress Personal Attandance and Assistants . Drapery................Candelabra. Pedestals GUATERIES, SOLO. ios occesescecicsescoceeee, Organist Delivering Box to RNID COTWUE ives cesicicerceiierrtietis. cc Lining Vault Charges Hearse POO eee eer eeeoeees Seeeereeneeeeeeeeee ORO e eee EEE AES ORESO OOO >OLO DS ORO SEE eee eeeeees POOR Oe ee Oe eeeees Amount of Bill. .....csseess00e Ate. ee . 7 ae itv MS ase Ske | _ Foaks Date of Death Place of Deuth Location of Grave ......... boo tbeeedseabastebaness3icss gop BE: a Occupation L Single, Married, Widow, Widower | Birthplace LAL Cf. Country of Birth........ 27°45, £ 4B AS OOF Sasi Charge to When rendered RECEIVED ON ACCOUNT. seeeeeee PPP eee SOOO TOPO ere eeeresesesereereeeeeerere oeoer eelee + POCO CC Oe er OOOH ee eeees Oooo ee weer lessee eeeee eeeocesees FOOPTOS COO e HERO ew Ere eee ee eeseerieneeeuEee® SPP OS CROSSES OHSS EO eee EEO eee eEeeeEEEe: Funeral of _ Vue. dare Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box - Ot ee eeeeeees OOM eee eee eee eres eeeesereeeeeseeeees 037 erased OO icin tae bis) seek ee of Funeral. Pmhed A 5 ek... brs. 4 ii aise: | phot. Waa baieeahawiablabiddnbes viniideiedubics ~ Age.... (o. ©. Years......<.... Months | Occupation | Single, ieee, Widow, Widower | Birthplace MA Been Last place of residence | How long resident of this State Husband’s Name . | Father’s Name.... Country of Birth Mother’s Name Country of Birth. Ana SOTO OHO e eee R TERS HERE OOH RES Funeral of. Date of Funeral yy — | Funeral of aa dba sass a a. CM Date of Funeral POPONAOOO 6090600900 00000080000006400000 0000 080000000006000 se60ccecce canseeenesonaseen ba sesscaseretasssessusenessseesesunssténssbsncnassivsossessoeesssenl o.<...... t sdesaens | Date of Burial....S.m..1.M atc : | it te Metal Inner Casket.................. Copper............ BANG ves scsesaces pe ee | Gomes | Where Interred.. 8 Larrea, Chinn an | PRR eect ia er | Siacakenbealastdecnas on pace ut * reepereereerens Bcc: igen PO seta i ie eee | owe or Lat Da.............. OM ac oe a . f | Outside Case, Pine, Chestnut, Oak, Mahogany................. | phercdeans dlavisivay) Location of €rave en Outside Case, Pine, Chestnut, Oak, Mahogany...........0.c002 | -eseceees [steeeeees Location of Grave re I IE I FN oasis nce his esassssarnindcens: saath 3 Taming amd Pillow Set No.....0s.csssovseecssssnsssnssnnnnsnnesssse TR I I Sen a ia eee Metal Lined Box PPO O OOOO OOOO OEE er eeE ree eerereOeEeec eeeserseesereseeseres | POeeeeeees SEAGRERES | PORERRED CRAERSE OOS? Sh 00 bbERS6 90005000 000604006606600b0R000% DEON OINOG oasis voces. 5 5 PROB ns eae secs F Mountings. .......0.000. «.. Handles.........0ccccee0e TU visces<css oes Ussasersinibinonanseh'| *beshnssdests dinadsashcusdeipisodgnisonsuisunigoecciiceséias Fe VO Ns ee aia eee I sir cana cl a a ue | at apes PoP eae nn ienricr, CAPRA TSPENSCRREOSS as ShENY PADS TOR CONOR cars des secu ved bnvaeyeess ss basi lack jsdieclesecce es Pi ssn ihs anit DAIS, «6 cciscnce PF I as hcobihinnsiasnisutsis ssc caciddanen istediensedeeséclntesel cous ee ‘ Age...@. i ne DEOMEAG, «ccc scccc sass ERMC, 15 sien, PII 5d inaeinenaincictece ice i oe | | Color reagan Pit iss iessueevecseersaet Occupation . iii lisshisicvienincccs Wee ascten I ais cincueccii serstaecns | nienihes | Single, Married, Widow, Widower Pesaro eed antes he coewebeantsncsoeu Ll sackcscc.. fo. | Birthplace E Personal Attandance and Assistants COCO OC COe Serre ccerceeeeeereeesess | sesesccceelecceccece Drapery................Candelabra..... aie aia et Ee ee PBONOEN on ocsccven te has hens PUI soccer isos shes TN cites aiaiee | Sa | Husband’s Name | SESSRSEFEROCURURARAEES AAD ORNS BARRE CEES CORwEO Se REE ONAN NN ES hoKEss 4904060000068 1C40e a ae “ ps eo Gust Sierras POPOONE CAG oo oi sisocdcdashecdssicsc ccs Cle sisuaassaclincsineaad Cann oy Masih ens Fcashenhe AMMEN. 30 Nacccccsa silo tt ceisiebiidacdiaisscieiaipluaeriocces RASGSA NE CLEGNNLNS Unsebsna Sind oRet eects suse eeceuesyns oniiissavacssasasTieteen ctl f Gusesssaav|ecercueda | IMRT RIO Go Ee ela Caries — | | | | } = te necereeneminhininimeeiaeeniaioninanitios cman «a “rttb ben esnsennseneenasanstnlnontabesdeoeabeintonennbboreaburisebipinexduiiecaiacss | isoassocde.scc.... Seeds Sepiciad geal tei, oe ReaeresiRtsssyssseny seniyenyasbaciserismussieecesheoadinsawerivicisecievetscoes sac) | ee RECEIVED ON ACCOUNT. | RECEIVED ON ACCOUNT. RSCEONSS94V SERPENT Sr enoeeeidanes cn steedeuus sausuersusevadeeveewesticubeesisauceccn ea Be saa cael ssi ice ett acca = C+0N0S0S OR ORTOEEE EOD Ss 434600000004 SO ee ee een A O09 eseeceelsceeenses | SEE iecniciaiea as se _ we | ; | | ' QUAVEIEE, BONIIE. 6. 55 < cesccesessccscacecesc. Organist Delivering Box t0..........ccccceseees Irom " a COPCORO COSCO ODODE OLES HODES OEH DOLCE DOO CCC TERe SesceeeCeR eens | | | phere | i Jelivering Box to ‘eeeccceereesescerescaee cosceesees oreo | sevccecces | RESSSRSS | VEFDRIANG4N S| Kn DRe9' xlvya ve Ue bude NG anateved ciedeccsc vacua | areheesie * =" | | | [ Opening Grave M I IN oes cokes tac Lining Pore enone eee teeseee Pe HI vais wists cnsescsescsivhiveesivesinecdhasidsccecscicdcccc..... . | | Vault Char ges.......reseseeerserssssssssssersseeeeessssnsnne snnneeeeeseee Hearse J PPMAT STS CSPECS OSs | 000065080000] 46s 0s 6404) 10050) 664 bbs 008 Oates 8066000006000 bi00esle cc ceeeeeees Pere ren ye vert ys sv test eeSOONN GAS OROUNVENL OLS OsceaNeuuuasSeekeebasdiec us ceeeeeeee TRemeueecepeeceeeess | vevsesecsecslsseseee Mle eveveeceeeMeveseessecesescccccscssccsceslecevsesess: Pee ee rn tr eave VEOR SUSI ONS ERS USNS US EOL Chen s bb Lad bekindsiiieasks ee i) enn Ce Ra ee Me ee ee og Be Sa athe Cet eerie SORE RP OMP ERAN Ovay El teeGk Cog LOT MMevaat Ligh MEE Oa ctl cia dis ea ee A Gey TNT ECON fC RROSEOEOES CEREOVSD 6 ¢hes eM eS Gh eue bee bebeeeesntercesbeebeeuseessicices + OOOO erro reesereceesses TTPO OOO eeeeeeeeeseeene ne ee Ne & SOPCCCRSNRAE- S20 WEROST UC eabe sete sbecanbei sisi ke SU Re THO OOOO OOOO HOE O TOO EEE OTE SE EEE HET EHH ls nee eenner® Poe eeeereseecececeee SE Orca ee Ne, cise Mallar acide Ma cea SAO OeltmUMlale TIL iaicschcelidthn ddetsshascasntiegiereidtniiaresiiseee.agi, sr TN RS GARR ii Malet alata als a a ee. et ee re ee CSCS ST OLS CSOSTCOS | sender cecoeclecosesess UT TOPO OOO eee ereeceeeeeseceeereeseeereness OOO seseenecescecccece SO eee eee ee eleweeeeeee LOCSCHOOO COLO re Oee Eee EEEeEeEHEeEHE® sees Sees eeeeeeereeeeeee Seeeeeer eeeeesereee PeeeCe eee eeeeees POPC Oreo eeeeees COP CCCCD ORS ESR CSEDCCeeccccees, WIT RNORANSSEVOSTSCTUS T oe epeeeNete ele bbdeeseteteneeees SOOO HOOS OOOO OSES ee eee Eee eerees POR eee ereeeees eee SPOR eee ee eeeeeereneseneenerereereeeeee OoEsERSS EO SSOECC CSE DESOdES eeeessece *eeeeeens TOPO Cee e eee een eereeeeeeeeeeeeeeeeeeee seeeeee OOOO RR ee weet eeeee SSOP O TORO OOO OOO De reeeeeneeeeeeneeeEeere: | Se eereeenrerrerrts eiaaaiaiaa iad crvaetlinidel ceripnl inlgesdihwoiehbeteinsntne n i i e s t l ee eeeeee ‘ re Amount of Bill... reer CoCo ee eworereccensess, eres eeeens OOOO O ORDO rere eeeeeeesereeeeneeeeeeeoeseeels oo I iii niiliessnisasiaains eee ee eeetene OCR Oeeneee Cee Coes Scceseeoogees | cree. eennesl sees eeeesisenvevescoesedbseces Prt ; “a Hi | Cie RNA. \ 540 el of by) often Carer Moa. nen roonans ie | Funeral of Binan, Waed, ei Bath Wl te __ eS i, oes. ey a ae ree. — Date of Funeral - abies te es a Date of Death ..CBete “~ Aone | Removi Date of Death . Cd Ae M8..9..0. Ree De 4 De Lan x rte: - wevriee i ‘ | ' i WN|.0 .Q..| |.Q2.. | Place of Death.. ea sree eterna | Date of Buriai.......: es... Metal Inner Casket........... ine Sith pipers cisi een Metal Inner Casket............. ee 2. ees Zine Where Interred... Qe Pdr atts | poneseess |CPOOB OF LOE NO .ossc6. sks Section | Handles No ieee oe Handles No Se NR ree eren ee . ° ’ ~ | ° ° | ° Outside Case, Pine, Chestnut, Oak, Mahogany... | isaesanceamaeiee Outside Case, Pine, Chestnut, Oak, Mahogany | Location of Grave Lining and Pillow Set No Lining and Pillow Set No Metal Lined Box Metal Lined Box Metal Vault, Style Box Mattress Burial Robe Slippers... Personal Attandance and Assistants Personal Attandance and Assistants Drapery wees... Candelabra DPADOTY ccs cscsses .... Candelabra Pedestals Pedestals | Country of Bi Mother’s Name Country of Birth.........: 4 tieeeeeeaee | Country of Birth Physician WMPTOITE, OLOINE:.«.. svcscvvesecsecactsccaces Organist Delivering Box to ae ber anes eee-ndes Opening Grave ..... Creator scschiestscnesss Lining hha... Vault Charges meet ger ce tetera tance ana aneeas SS esectaee ae “NPR eee eee ererereererereeeeeeeeeeeee Seen eeneeeeroeee PeSORONNSS OHNO SNES ESOENOH ENS OOSER SERS Hee SCCeteESeepesete Oden eeeeeeroreeeeereereseeeerese Seer ee eereeeeeeeeee SPORE EER EOEH EEE OOOOOOONOO OOOOH E Hees ee eeeny Peeereeee es SOHO OCC C eee ee ee eeEeeHeEeeEee: eaoe” -* TPP OPOO OOO Sere eeeeeeeeeeneeeseeeeeereeeeels seeeeeene Hee 547, Funeral of. Date of F “~? Removing Remains Embaiming Shaving and Laying Out......cccreeccreserseeseerees z Nin errno Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.........+++--+++: Lining and Pillow Set No Metal Lined Box Mountings.......+.++- Metal Vault, Style........,... Box Mattress... DE Ee sccac una vuraka vavdn snouts acesieesaaahasanewnces acaaneneenenes | Slippers Drapery POO OMIE oo cvc cca cesesn ccs Quartette, Soloist Delivering Box to Opening Grave Re i vii cay ieascceysanis eo es v9h 09 cease hee scence I wares bs vckvypsieceeusentiannnsnksinvaniecsesisss Abiseieias arenes MIN S05 sos ve svseis el Cuisi4 sib os cA ed es ‘ SOOO OTOH CRO ORS Oe Seeeeeeee cees Peet eeeeeee OOH O eee ee eeses MANS isi cko ces POR ss icnksstacess oo Date of Death Place of Death Place of Funeral. ..& Chinn. Date of Burial....... Where Interred. << Grave or Lot No Location of Grave | [ iw.. | Age... 2A. oh DEY e.. cccsstice 4.2 | color OccupationZ <& erin’ Single, Married, Widow, Widower tes. Rath fF le neta Birthplace Last place of residence How long resident of this State............. .c.c0000+ Husband’s Name Father’s Name. ZL. Y= Country of Birth Ordered by nhs = 7 a Y seeeeeeceres Po eeeerereereeeeerereererrees SeeO POC CHeseereeesesereoreeeeTee ereeees seeeenee COeCeOCO HORE r eee TEE een FOee sseseseeses SERED SOS ee eseeeeeeeseeeeree® eeeee oe SOO OOOOR ORO e ESE EOE RESET ERE H ES ESEROR OOH ORELS Funeral of AW) Whe tase — ses Date of Funeral Outside Case, Pine, Chestnut, Oak, Lining and Pillow Set No..........++0-+008+ icc esha a eee eee ee Metal Lined Box Mountings...... Mitel Veh: ROM cciovsiccs ska seessascasseeciacaenicten OG isieesibis Bow Mattress....... is aaeiiaienlibcasdie wnelen ‘ Burial Robe Slippers Doz. Chairs wesw reer erereeweeseaseresrerseee Seaton Quartette, Soloist Delivering Box to Opening Grave .......006¢ Al ae Transportation Excpenses..........ccccssccesssscccsserecssssccessescesees « Peeeereaseeeeees POCO Cee eee eee eee OTE EE HOOT OS OEE HEHE EOE SOO E EEE OEEHOEHS Hesse ee SAAS ESSE ESRD OEE RE EEN! SESH EE RES ESESEHESE SESE SESE OS SESSESS SS ESE ESE ees tees SOOM ee eee ereereeteee SOCH OREO RSET OHEEHE SESE E DESERET OEE Ee Amount of Bill........ See eee ee se eeeneeenerees secceceee | Place of Death... . | Place of Pain AVAT: el Toe. |cteroyman. LR AA: || Age... Years.. aie Months.. te Saas “| eR. | Color | Last place of residence | | How long resident of this State | Husband’s Name Cause of Death | Ordered by | Charge to oo | Whom POndered............ccseererccseseermrsnrsesesecscessasneecseseses ie RECEIVED ON ACCOUNT. se ee meee ee wee enanoeee ee dee iceera at ananeel ieee teeta nena eaaed RENNER TREES SIE SITET sn voS nS lala — ee eer ne a aces | 644 | ) | | Yella | Funeral of Lele a sacate AL. Z | a ee Haul Mu here ¢ CEM Reg od ie alae Date of Funeral__# fk. Orcs R — . neve enti ow } Date of Funeral. _._' 4. l/s VV Lf 17/77 ___Hour cisiioapeuiiaiaiiiaads / ste Oe | Place of Funeral. /“¥ t free of Burt Y ul Where Interred...3J... “be. (2-@@G ven odisaaeeiacallll Metat Inner Casket................. Copper i Where Interred Grave or Lot No sss tessa [Lt Handles No Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany.................. svrsttsssesenne || Outside Case, Pine, Chestnut, Oak, Mahogany [rseeseees | Senile of Grave | Lining and Pillow Set No Lining and Pillow Set No | Metal Lined Box.... “sf | Metal Lined Box. 56st AB. ssvedvatnan Occupation..... | Single, Married, Widow, Widower Birthplace . Aectlehee. ; @ Po ieevace. a | Last place of residence sasjiveesihens Personal Attandance and Assistants .............................. : se oe Drapery .esue...Candelabra ... Candles. ...... | How long resident of this State............ Drapery.......0....0..COMAGHADNG...........0.0. Candles. ...... How long resident of this State. Pedestals... ; i Husband’s Name | Pedestals Husband’s Name . |ather’s Name. JOB Ue LM bepewnrte || Father’s Name Country of Birth Ze o@l C Late Mother’s Name Country of Birth Physician ae. 624. LE: LS Be a cat ye Cause of Death .| Charge to . When rendered When rendered... RECEIVED ON ACCOUNT. Clergyman Sexton Quartette, Soloist Delivering Box to Opening Grave PE Ce aii cidscipsenitidsinctcinaecssieddvbiunsdacenbosiaasvades Juae. oe. Hearse... RN ooo e cic eka * obnserdncsiooees ee cceccee er a eeeeeeees mmueweee PeNeESees SesCbeseseseteseees seeeeee bbb hhh eae ttt titi titi itil) bb bbb bbe bee TT TTT Tet eeeeee Ppibbbbhbbhhhbheebed Iii tii t ttt tii TOON OTTER ET HR e ee HH eRe O HO OOOO OOOH... seep OOOOH OOF e eee eels seen eeeee Vee 7 SPPCCR OOO S SOC eroCerOCoDOHooeeneereecoecceerovecoocele cece eeeee 6 245) of Wro- Naeem —o ne heb, Date of Funeral_ se. ae ey | Removing Remains.........ccccccocesesaseasess abies athe venbnbadbidebunke Embalming SeDORRs i en ececen tonnasnnne seescoessonnonaneesestossononsecese Place of Funeral &.. | Clergyman...... Metal Inner Casket...........0...0«. Copper Handles Piss cehtiiysiskssdsasaobeisareieddssceee us Outside Case, Pine, Chestnut, Oak, POMOC oie lon eal Lining and Pillow Set Di sitacidbdabiinigglinshe ie Matal Listed Bok.......ssccsseonesssnereceseons Mou ntings...cccccccccee eee Metal Vault, Style.....ccccese. seer evccessscccccccccccsssesesccccocescssees: | cesssssseslseesesees | Box Mattress.......0.. eaanreataare eoocccccccosoonce cccccescccccess | ee : Days Burial CHORE vcs nsiaaei Caiaiiensiipaiaslabibientibtirmmpeisstaucessesa i... ee et Occupation... POUT rol tee PVG icsadescciecs Gloves......... | Single, Married, Widow, Widower | Birthplace Ciergyman Sexton Quartette, Soloist Delivering Box to...... a— Opening Grave SOOO Peeseeseceoss oe eeeeeescons SOeseesene POC OR OC OS ees enseese POPC COC Ceres eceecescece eeeeeeee oe eecoee p°ere*eeencccsecocccccceee: Funeral of... Date of Funeral 7@ /¢- 2 7 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 Drapery Pedestals Clergyman Sexton Quartette, Soloist............ Delivering Box to Opening Grave Vault Charges Hearse Coaches. . ili Was sw 847 ciadamaiig a Peis | Clergyman. ie ies | seseeeee | Date of Burial.....Z.Q.n..2. Sar. Where Interred.. spac tik ar |oseseeees | Grave or Lot No Country of Birth Yo — Mother’s Name.../MeBhas. Riichanobaom Country of Birth.......... My, a Ordered ae lla... ili a | Charge to .... | When rendered... RECEIVED ON ACCOUNT Heese ee weeeel weeeeeee OOOO ROOFER eres eeereeeneHeeeeHes PE Heme eee e eee eer er eter eeeeeeeeeer,, (eee OOeeeeeeeeeeens eeewerde eee weeee 548 Funeral of a ——— i | Funeral of ...04~+= Ges neers ks alee ee ro ae aes. ec - Date of Funeral___ erat 5. 5 . Mae 4a 4 4 Sec. Seeneee } SEERA biatits as iS A Removing Remains Embalming | Place of Death... f : | Shaving and Laying Out pa _— of Funeral Casket No seecereees picdusnpesasqasnanassaee | Date of Burial... | Date of Burial....L2omuhe Metal Inner Casket.........sseese00 Copper : Where Interred. .€e-frna2’ Clerc i: ae i | | Where Interred | Grave or Lot No Handles No...cscerecccrvcccccccces soe as aeabaabaneeeaken’ | wedeskintar a Grave or Lot No Handles No eeeereree tside Case, Pine rs i ceeaunuaabasnete (ssi ; , Outside Case, Pine, Chestnut, Oak, Mahogany | stnneennaat . | Qutside Case, Pine, Chestnut, Oak, Mahogany Location of Grave Lining and Pillow Set No.......-.ccccsscscessccesseeseeeees : SE ee ee ae er Lining and Pillow Set No Mstal Liam’ Boa Fe erg eernrmeren nena tien Metal Lined Bow...........cc00ce00 ibaa eeee Mountings. ......ceseees sox FIQHRLEB: ssincacinssanesee F000 | ; Mountings.......-.++0++ + . Handles pra eee ; . as = PF ren 4 | Metal Vault, Style.....000« cesies cvesenanenseasentints . Metal Vault, Style Box Mattress Years.......« 4... Months.....2 -{J...Days.... sees ] 30a Mattress AS. Be eteee Burial ls. I scssapessoneita unlatabaeailanich eetiacetiiae tas TE MOE ire oscaciensstchnrcessvinosse Occupation..... Burial Robe | Single, Married, Widow, Widower = | Slippers | Birthplace | Last place of residence ..... Last place of Tesdence ..........ccceseccovevissseseceeses ; Personal Attandance and Assistants How long resident of this State..............0000000006 Drapery........... «...Candelabra..... How long resident of this State... See wiedie: Married, Widow, Widower............ccssereeeesseessesenenes SUDPETS ..xeccessssees Birthplace ee er DYQDEFY:«...nsscaser aoe Husband’s Name Pedestals ieanceeustouaes Oeesscedoncenssenss Rug ‘ Husband’s Name e Pedestals : Soap ert seks - We Father’s Nome Be. LRA. ag RMR RG occ odes das svinbedersesseneosnsctetoricsi CasH EXPENDITURES. | Country of Birth ; ' Country of Birth Mother’s Name Mother’s Name../¥&4-4eav7 Country of Birth Physician .. of eeriis3 Cause of Death Seer eescererereeeseeseeee sarees | _| Ordered by Charge to ...... | When rendered... When render ed...........ccccccecccccccecccnsceccecercavenensssesss a ; } | } 5 4 Clergymen. x pancenesusnenee Wi cdbisccsveness = Qann ss ; - ; Clergyman Sexton | \f/ r J | x / | NORE, gon ncuscscssessebeessnvsnecnecnssoseususeynesévensedscenseueeseogeRsenwers 1 exeqneeyes even ee | : oeveeee | } Quartette, Soloist gani ee L£) os | ¥ | = loc eceeeee | Delivering Box to........ccccece Lining. te Opening Grave Vault Charges... fl Sr ecco Meret nee dpiststasetek Hearse... - le Sc Pe erereresccross PPP rity Se Ceeereeeesroereseeee@ 0 ble ae soti a 00 seereresece “V e 0 4 ~y “~ A Ye WA. t ; V0 eeseecere ow * Amount Ff Bill.....--s-eseeeeee-s eer \f3 @. Amount of Bill Ree ee ae een re meeereeeeeeeee renee? eyor peace neeeeetbeteecesesleceeepeereree capeeeeeseresetorsewereels seneennee ial a Seseeereee Resets eeeeeeOeeeeoeeerorreerrrere eeereree Ld om 550 , Funeral of . a OTT Pope eee. ee ee Date of Funeral i . — rales _ Date of Funeral. rar. TOUR TB iis i ia 7 | : “ “7 : Asensaesesigie | Date of Death ......... Ll-.5 Seis 7 pbndesnsucuecekasissaeeon DOMINATED itunes eg te oe senkabeanbsstbins bcdsixe ‘ ( . ‘ | Place of Death Shaving and Laying Out.......cccc.cescee Casket No.. 4... Darn, Date of Buri | | ate of Burial a Oe | Date of Burial...... $.L- Where Interr ; | D- adtrrmrssk, | — ator see secweenes Where Interred........: ben AAA: ieee Prt Pinsiaspest canes | | Grave or Lot No Han lle F AVO, acccccncssesecessoceseesoscce CORO HOO eee ee eee HORE Neeee ee eeeseere oe eee oe | C ‘ave o Lot Ni . . . Pe reeeeseee! eeeee mr rr oO | Handles NO Outside Case, Pine, Chestnut, Oak, Mahogany.......0000000.... np Pp Che aoe aie | Outside Case, Pine, stnut, Oak, Mahogany Lining and Pillow Set Pi sxeisecisikiee Bi ees, ee athe etstiati eee 4 Pe ae Lining and Pillow Set No..........s00..000 pisiesersssertietiseasvsiseees Metal Lined PAO es se sree shia ccieien isha keine baieeiiccs sce vase PRESS | FEhbR OSes hsleeeKeonse | aanatees sadbeseecence | WATS SARNAS Fath eo EST SAE ROAD Sali kkdk eck. Metal Lined Box. Moumtings...cccrccccsce oss Handles. ‘ BE OMOE i ssiccnce cis «0s SERNOD, le sce ek ¥ Metal Vault, Style ; 5 ; Metal Vault, Style Bon MGUreee. .iteccsvnesecasecs Age ; i ati (US. .eevsvagens Box Mattress Se Color... UL) seaneasavvanCekieaeteced Occupation. Np hinackK Se Burial Robe eersaekachebhaw en Slippers ale ees itnlbeataensec ee. Cee | Last place of residence i Personal Attandance and Assistants | | How long resident | Drapery Candelabra............... Candles. ..... i | Husband’ Name“Z ‘uu’ 9 Pedestals eu Husband’s Name . | How long resident of this State : | Father’s Name... Father’s Nan | é c Country of Bé 7 Mother’s Name... i aa 4 I i | Ase ee ee : | Charge to ...... When rendered RECEIVED ON ACCOUNT. J L, tessend Delivering Box to We vivcenaske xaes Onening Grave Ah Siadadacscsechenshehabscrny Lining thf Zen WW IIE, 5 «cieevissnvinsdeisssadceusiaamiaasiibis Hearse af Coaches.... Delivering Box Recs (ihivaseavbcdeiascecesec Opening Grave ........ dishes viabesesauuekesaces Lining Pee PO CCC CCeCCOeesccescces POO eee reeercoencee eeccccccce 00 9000 000000 COCO OO LOCOS CODSESOOS LECCE CEC eeeTececcees Peescesccces Ceerevecene SOP OOS EH So eeHoe ee Serer eeeF u hil & iB it if a he ' ! 552 Funeral of f K mie io eS ey ae fy Date of Funeral fidiy/ Hour M..- | , en Removing Rematne....cccccococscosssess-00 sisiileilpicianiiiiisints™ cabeiies ieee | Date of Death .\... ee [i fed cvinaissenisasiile td an Embal ming ..cccccocccrcccccccreesecvoceoces pnnenebiebiaeansaan | aol. 00. Place of Death... <. Y SALLE as ie Shaving and Laying Out. ..cccccccccresevevevsccecerecseeseeernaneness aa seca | Place of Funeral..... ohishetMe..hs A “bcs be i Casket No. QA» 2: Deas ceabes Size. de... penscaniniiea 2A, .. Clergyman.....04. (Mo i cachets ed nsalls f oe soc cuaccuas kun beusacacad 140ehdh shanesucnudauaedesbaeh abegssnnaesetsacsrsey assent sessseees| Date OF DUGG ciccsletataha AL, of CE oc: Metal Taner Casket... .cccccccceceeees COPPCP... .cereeees ZUM. ws cereseres | coneseesees fraseeoass | Where Interred. .........: ChE 4 ee oh, Handles Noy..ccccccseccsecvccscseccesccovoscccveseese suseiue pdubabadeoeaanterss leashnnanens | seevecees NE Fe Pt isk) ckadacicncussacaceeesen Section....... Outside Case, Pine, Chestnut, Oak, Mahogant)...rcereesessseres | serrererees | es PE SOPLAAh OF COPUOR i vs veve neces conerseckssictund cosadesenscees Lining and Pillow Set No..ccoccresssssenseeessssnnnenccnnonanersoneresees sessece sess | sca uckas (asesatauae eis eceanscakivanchoaveonas pees ' Matal Lined Bow, ....cccccscseccese sgvedasuanennpeemenndansebupanensccnseageces | S008 ¢ceess pclae De ee ee Mountings. .cscccccevess ++ HONA€B, covccorrvereovers PE isceaissicesny aati visasialstatneane | seeeeseeeeeteeceresseceeereeesnenenenssaaaaasaesasanssenees Metal Vault, Style......00 cs suesepadesnnbecebanqaisdsausacrecesees | ccvonctess sees a AbhaEpENGe AeA beRRseRERNAeeescsnshacorssceneneaens chs) bueeees } [tew-Adattress.. ian eit te Mbit. ver. QB, | Age... Years Montha..... _ = Burial Tobe ...cccccceccccescvccccccvccccoveescnccesencssssssesaeecerersrseeses ee Color. ft (L44€. Occupation. <. : if, \ BDA D ci cckivvcinnxconsesdenenss Pi Giccesssccnvanss a is vascisess | hasassaeeviseasscees | Single, Married, Widow, Widower......... fossa ch eet dene Doe. CRA 8 iccsciassssee . Sereiess ....... | Birthplacs ee AM iA OP ccesani dt satae tent ns Personal Attandance and Assistants ......-cccccesesenmsenereernenenes eee ee | Last place of residence ......... Dr per tf.ccccovecee eee CONGOAWIA,..-sesse0ereee IR isi icscssise | adn i .. | How long resident of this State... [0056 cs | vires... cca bcsecacaksiaxsensesviaee FE ciscciasccinsaera ewaesenaeens ane ee | Husband's I nd ay ears aga y tear tavesvspal brig | Father's Name....dSbySbbu ke ELIE Casn EXPENDITURES. ad ese sannk [rsseseee | Country of Birth Ye eee ! Door DV asing.ceccoccscccrsccecsesesseceeasaccnansresssesseccnananenassvoeners | seeceanees Seen, | Mother's Name.“ (4EKAAK AAA _ ae Palms inciichseeaeubessacene soanees vas | boar ..| Country of Birth.... MH ee lete Rhoerih hei sg ettev bert i RUAN. cccsscvcccntncdesubatecescaresesnsneedesnescrvasssceancacsecensouserals ce PAMIOON 6.065.008 Ses 19 bed Were ~ : i Bas cay ddad cea Gea Gakdd Add waantat as nuebe ean babaedhirith Cov tRRetC MEI Giese Ee Cause of Death 6 SAS a healbeeiccins a eae Ramen i) hea a | ..Portera and.. % wk. Bonnnict’ HOVE sc vavsevuse 4/0 QO | Ordered OF ccs cacucesasasprveceaieiactacaanensuvaes Funeral Notices......ccse00- | j seweersres | sessseeces|esseoooee | | AOS BO oi asc const nvenseeseisscasessseses } sdavahetonpoudavnesaunesdcdebenntsdssqacentaseusvenbennnenseueanpen as jsvesees When rendered.. pat r ee eee ROSE EEE EEEE SE SERESREEEE HEHEHE EEN ERODES EE EE SESE REE SHOHS eens | ae ee RECEIVED ON ACCOUNT CPAs cs ca cdeccibavisarisssedsetebars senansovivadueusssversscranterarts | gisetines a (Posed AF 2RCOU Eo ccccicncdncccsunseencaceuauacndddsbasateo testeucenencnsnenets ee ee oo Quartette, Soloist... ...ceccoccsrsrsesesesses CINE acc ctttenteicees ee a e Dealtverttig Bom to.ccccrcccrecscsseseee scececeveres he tert. Opening Grave pM iis sade) Lining. Ka. soe Laff. Waals CHAIIUG: ic csecsessgsesvsvesees Hearee,.....++ PoossssseSKaibresWhe® Dove Revi wil dacrveverevsesesvesssees COONS. vsrsevvssevereecscsccesesescossscsvensssesscess Seneeecevesassnarieees cece rere vee eeeseeeererereeserereesesseusessooseserens seeereenreee eeseccee sesevecooscooereses eeee seeeee oe eecccesessccccoooscooooooes? : aeeeeee FI aaa aac POCTCOCES SOE E eee Amount of Bill...» ; Doyo One hati? o/ Vley as. i. iv fog Funeral of Date of Funeral_ emcctemamarenencn wiccccspencmccnie e Removing Remains.....cseccsererrrneeennnenserersnnerennscrerers ueel sii toe Date of Death .. AG Vk ee A sssasagoeaane 7 ah. KowabOlNUnd osvsvesvescssssssesvsnvesensnonenenesnnsncansssnncsensaenenesecseoe] caccenenas:[eovensens | Place of Death.. “eaietes Ce of The eli i Shaving and Laying Out......cceeeseeeeeeeeceerneentenenesereres é congo i, of Fit onesies cb biniughunnsmnc_ea Calcot NO..cccccesssesssecsessscacececesoensesoes TERE. ciseencavacceces |. “mn.. | : |Clergyman Vii hl then. 0 bi Aa } 1 dia pu bebibasuneanonennasiocenesubeniennitaneutaonaneaeet ened Ot) cxaiey iv kay HRteE* | Date of Burial tw. 1¢/ UR B Metat Inner Caaket............000+ Copper Zine bist Rca Where Interred...) Key mdesy,.. a tt acsevenvint .| Grave or Lot No.....++ Outside Case, Pine, Chestnut, Oak, Mahogany..... | tienes Location of Grave gb. Lining and Pillaw Set No......- ea a eleitsss eas ue ae kaa? ptt buaxcevics Metal Lined Box. | Ae lel cistrase) i as Mountings. ....+.- Handles. Plate | Jie Ribe et aes Metal Vault, Style.. ; i cectiusscdcavseatas eee gicapace Bos Mater eee .....csccesssseesssneeseescnnnsevovcesssenernensnscee seeess | siuievaslwaensens ‘ Burial ROWE .c.cscssssceeserssssescnsoeccosenssonsesseceeeaes | Sirians Color De oe Slippers Pra GOVE, « .sccse | ss yeaseeua Doge | Single, Married, Widow, | | Ad Doz. Chairs.. “ | Burthplace Personal Attandance and Aasistants .. Drapery Candelabra Candles. i, ___ Hour & ee te haw: o } Sears vcunsvss| lh place of residence ©. ™ a < L922. +7 , ' i a | : , Rance macnn saree coe é Months... Se Days..ch.-. Occupation,. Nfl cede: aut Widower. ce Frccderweten covegneassacees | How long resident of thas State boa a3 / }’-destala....... PRG ccocsicsesccsecen suoaseuessssene | serenees o vexsaass | Husband's Name .. Wo 4 ri | , , r 4 a ee passa cestrankveas Father's Name. a _ 7 Cash EXPENDITURES. ” pies tesa .. | Country of Birth . } | | : E / ; A adi Door Dr egaing...cccecsvecreseseesae ede ee | Mother’s Name Of So. i i | | } j 4 “sf Palms a | Country of Birth “a ae Ae i \ . /. « € CL 44.24 PIOWEONB.ccccccecccsenseccsencscccsecssssconencsaoaesees D pescecsscultestacns | Physician OP ysccet cian fee 94 , / Pe scaicuaanenuass ee ees sseeneees | COMBE Of DOOR 0555006 | pene > — , LiL / J <2? » Porters And ccc ¢.,.Gloves..... sadecnst eet | Ordered oY gvccccee te " : Vv ; se Funeral Notices.. t pleereskrieaeenis | Charge to scubinsdegaeeedcdieesvesnevesvss33ee0e08 65 | veceese | When rendered eeeeenereee } | RECEIVED ON ACCOUNT. sau ‘2 a } | | ‘ ¢ 2 be eee | dh 21 Coop, Coherence LIE EM. cae amb . ccccnbucavenccnsssousnonasassecetsesssoseeeens eect (cl wc acaseces beaut abens oe 4-4 4 2 oJ. | | | —- ah (duartette, Soloist. ......cccccccceceeeesererenres Organist ...... | | a ~f) ’ St. . | teesenss 5 t f | 4 191 Delivering Bow to...... ‘ Onening Grave oo. Vault Charges. ..cccccccerervervevess Hearse Ki. hes .4A H ; i Coachea ; suse aca cakapebepnssedussuseebes OU CeauOuteeaeet? : TeleyTQMs...cccccrsevsrarsvvcossrseseacees Ti i | Transportation Lapenses SHOR OR eee eee ee eee reees eeeeeeeesseesereoeweneeeene® esaeee eeeseeeeeeeeeererononeerer® eeewee en eee eeeerererrres eeeee seseeaee eeeeeeeerererenereesers A poe of. Mans Namen. ai Date of Funeral Removing Remains....cccccccorccecceses ntheagennananhaneabnidenait eaasneae Embalming ......++. Oe BE TE Fe CN ovis sn sca canckescnccudnedescncccacdeonosoucvsce PPrrerrireerrrrrreerrrrii iii ie) PO ee rereaseeerorsserseeseresueeareeseress Metal Inner Casket....ccccecccceeees CODDCP oos.c..ceceeeZINCneoee Dee BNO: cc scan usncsvadasssdsucasasdedaiens eaaneniae ee ia igen Outside Case, Pine, Chestnut, Oak, Mahogany....0...scee+e++ Lining and Pillow Set No.....0..ccceerses sce ecguewanesesatane DEGTAL TAGE B08 i cvesecressedscenenvnnvas pia ciiisseds saecechbssauacsbiceasss PI UATINGB cissesseccese-o0e PARAM sci sascsdaséveses Plate. Metal Vault, Style........00 pstebibssesncelatcabadsoebenssdcoetatssunanusies Box Mattress.......00- seapakepese eerecescceccnecovecsoeoerete sees eaeisoninese PRUE TCO OW cui can ssikinsd tbenabasensiatenteetiabiantgtstassabsesisuicassesan Drapery Podesta les, ccisvccesees Funeral Notices......cceve» CLEP HY RLAI I ag > 3002 s00 >: sawesetesuenens Sexton Quartette, Soloist Delivering Box to Opening Grave .....00 spbnksisetewessexist iene’ Lining Vault Charges ea cs sien caneatusbasinssikiyiciviclasseene ipecevansuees FeO MOO eOe tee eeeeersone FPO Oe SeeHeneeoeseeseseeed eeeereee seeceececees eee eee eee eeetesereres bbbdebibh atti Teen Grave or Lot No | Location of Grave | | Color Occupation......... ; | Single, Married, Widow, Widower | Birthplace MA epost ls... NC : | Last place of residence | How long resident of this State FA I oc ccos ws io nad baud buwedeesscegeanes ; Ordered tr OAs eA os | Charge to Funeral of | Date of Funeral___ Removing Remains NN oa croak cs ccc 0dskonsacesundcunccnssnennboasonnunesanvateyenes Shaving and Laying Out Casket No.oX.....ce.a05s: SP BT EE. Size Metat Inner Casket..............0.+ Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No RARE FAO TOR coi ss vkcnevcsndn sadecdstsonstmesesnensssceansadseveneers Mountings......c2s000+ + . Handles Moatal Viitllt, S016 oi... 00ccccccsve.csssegoncoscesennsecsssecsnesneves+ess ' NC Q2L : Bor Mattress .....0.c.90--sbensescsccncccovnersesenscnssecscenectsscaccensens Burial Robe Slippers Personal Attandance and Assistants .............-. Drapery Candelabra...............Candles. ..... POURMMIIIG yoo ccccevesstsey sevens Door Dressing are seers Palms Flowers Clergy man....ccccsecscceccescrecesenseseneneseeaseaescecssareeseesanss ee eenens Sa | SOUtON . ccccesvcvencccccccccccnscsessscccccscecsesecesscesecseseessescoseescessecs ; Quartette, Soloist.... Organist.... Delivering Box to Opening Grave ....cccccccerecsecsesceeserscnceres Lining Vault Charges.......-. saseglssveneeerseeseesanensaaaeenseeseeneeeeens / Hearse... ¢ CIO cada areca exeaee ences Teleyrams Transportation Expenses .. Amount of Bill... aia ie cial eat iia iit 7 Date of Death (21...) Place of Death | Place of Funeral ‘ YC 1.2.2 | CIOP IIA. noni ecscesvensinsvennsscerecsscssay sine shea ae AOvV 2 B74; | Date OF Berta 5.0. Sirres ceesenca tS sostaahesPovesndonansensesequneess sen “" oe Se. | Grave or Lot No | Location of Grave .......cssccccsseseceseeeeneneneasennescesessenaaaeaneannnns | | | coal em a er — *O, Occupatio areseads Laveses Mbawhatbandesssveres Single, Marvied, Widow, Widower A Birthplace Oe Oi Be Beep oes a ravi Cts Last place of residence .&<:. CM hin prey A.A: Saute nen a How lang resident of thi State... 05.0 .... ce cccccceeeqereereeeeeeTT Tee JL g iy . » f. iLL Nome FE »... PRM ALY Father’s Name | Country of Birth Mother’s Name Country of Birth Physician Cause of Death Ordered by Charge to .... ..| When rendered RECEIVED ON ACCOUNT. sessshecewqeeeens Mert wa 556 Funeral of Date of Funeral_ PrP TENN aici aameanaans TNS acces ho oa Shaving and Laying Out.......ccccccsccoos Casket No Metal Inner Casket Handles NO... .ssecccssrserssercrreescsseeys pavenssciakessscas: pseshsek saduecide | Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany — 07 pone | / PMD OE FUND Bet NG ciscis sessetesccig tae ea ce TI OUNNANOB isccscosccsaciere PE GIOR sigaciitn cis cocac Plate Metal Vault, Stylle......ccccccccces aisnctaesbsineateces Box Mattress PRT ROUG scccesscvasinca RMON oc schtgi riguise st eee Country of Birth . | Physician Charge to When rendered Quartette, Soloist Delivering Bow to.......... Opening Grave . POCCe ROC e eee ones SPC eoereccscccesoes eee rececesosecooons SOMCOCe Deer eceeeesoses Seeeeeee eeeseeeees Seeeeenereccreeseesesoaseer Amount Of BIT... -wnsscornnnvornes Funeral of Date of Funeral Removing Remains Embalming Shaving and Laying Out wolgaroboctd Ae AA LAA nie «A. hd, AA. PEL Aly Outside Case, Pine, Chestnut, Oak, Mahogany ining and Pillow Set No,.....0....c0.0000s ‘ etal Lined Box lountings...... etal Vault, Style ow Mattress Personal Attandance and Assistants Drapery | Pedesta ls , Soloist beri ng Box to Dpening Grave a SPOOR OOOH eo eeoereeoeseeeeeeceseeeee PORCH OOO ete eeeene- v7 ~ | aa ors Niels aia iedeticueis i yc f W122 | Place of Death } ns Flee’ 8 Name... 4A. EX Fy Country of Birth Mother’s Name Ordered by Charge to | When rendered.................... RECEIVED ON ACCOUNT. eeuemerenmeememneienena naa Sree ee 58 Funeral of Date of Funeral_— - : 4¢ 2. Cn 4 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 FERGIE ooo ckskincs I Metal Vault, Style. aad... De MOUNTNGB. .......000005 Box Mattress Burial Robe Slippers Personal Attandance and Assistants .................... Drapery Candelabra.. Pedestals.. Delivering Box to Opening Grave Dissenters Lining Vault Charges Hearse. iat po Nei. a Merecs Ge SOA Biccavbas MIN aa duced viverareniesesesis ocuess ecddsoidec. eeeeee eeeeereee Oe eeeeeeer eenaeeree COOP O OOOO Ooo e eee er eeeeeeeeeeS Amount of Bill.......s00000 > 74.9 Capel Hour 244 fa _M, Date of Buriah...tidayklale Rife Losses Where Interred. (L62. Tih Grave or Lot No Single, Married, Widow, Widower Birthplace (We G41 Co * Last place of residence MLS eee How long resident of this State Husband’s Name Father’s Name Country of Birth Mother’s Name Country of Birth Physician eff / Wiaes Ob ba esaesaeee 1 fA SECO OOE DOCS OHO OE OEE EERO EEE EEE OEE EH eneeee eeeeeres SPP OOOO COO OOOOO eee reeeeeorereeseneeees:|! SOhe eee eeeeneerereeesereseseseneeeee eereceeeele Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No..........000...000 Wi véabackes toscusenasicescsss Metal Lined Box Metal Vault, Style Bose Mattress.......ccccccccoccsecoes Burial Robe Slippers malvsheuecebeckbussctcccccasaues Doz. Chairs Vault Charges | | weeeee De ceecceccecseMerccecevcecoooeeseecceeslssceccevess bh e honest eeeebeess | Hearse... Wo... Pecscteedlaeeroun ~ Coaches eee Fee eeeeeeeees POOR ee ens weeeeeeee POCO OO OE ESO e rere eeeees eee eneee SOOO mente eeeereeeees oe Of Death... erarretee ee Resecvesineneeneesensnnes ai | «| .s0e+-+e+ | Place of Funeral + | Date of Death ..... hs Ricinelis tens Color....... \ | Single, Married, Widow, Widower ¥ 2 ...... | Birthplace -- ertherlre fe. Leto VR Seevedisissevs opccecees tees Last place of residence ....) Yon et. SOn . | How long resident of this State " nip : Name .£ #3 F | Ordered by 9 f | Charge to | ..| When rendered | ——— ee eeeeee CURE P ETON HO OREO T ee RHR eR eee e Oe | 560 Funeral of a Date of Funeral o ee a oy : Ht Lit WV POW Aya On Coe _ —_._Hour____ Funeral of. === WA, CLAG Eg nas By ee Date of Funeral ‘call ye igs ieee MN ID sts ch can vets do oniddcsncsccaseasiecinsccssecie ; -&4..| Date of Death I I iti peidenn sss sncudiscsnieatellecitcisi damsel os ssacantie Date of Death ...6%... 0°70... PAIN ccsscnsincesisicnsnsciey Place of Deu I tS ie srasiiseticaiceaesieaiclea i Se a 8 ; seseeeee | | Place of Death... WA : : Shaving and Laying Out Place of Funeral. suit, shronpss, sc cap, th, CCT TR TN | i Place of Funeral.......,: , Casket No... pf: Clergyman.......:..2,.,...... TI i Sincssthnite aceite Size... Le f eittntisssivaxil. a Meeks Clergyman!.~“.°:.... bt JP ! 7 a. ane PRM soseassecsseeseveDbnceneasoassotes Date of Burial...4 jeabiieasssvasaircSRSeae: | Susielanpinlali laabebtdelinibetiistvees stailssecscbicsssuegoet cdc os --sess+ | Date of Burial... Metal Inner Casket.................. Copper............ PME cn cit een |tteteeeee Where Interred......: ath etslprhaekabesstfeeininasainvcavsaxsscipcbc aaa Metal Inner Casket.................. COpnii ie iiss Pasian aa | Where Interre d. LAA .- C KE OKA LMA, (i. RR sas ses ca hes sess ths cosh essed a ae rae OF TAW NO; sic J Section........... ee Me A ery — tam. ee a ee Crodtnn ; ; Outside Case, Pine, Chestnut, Oak, Mahogamny.............cc00. | -sseeeeees peso | Location FOU: ssiiuiscansives sonkiindsssssutesentbdbisesiisecels ell Outside Case, Pine, Chestnut, Oak, Mahogany..... rah suagivkes [usevereue ee -pisinansnrtes dh 9 cca TT ne En PMG IE FD RE NG ons cs cans ccench iosexapisesdecakiexse ses ts adil resi asin conssininclisadeic bead cet tea ieee de qd Lining and Pillow Set No.........c000.0000 fi neretoeen tet seis ssaanescse<: | -seestsses aoe | eaves Be (rhs si ueeunanssncbbesedeseaicaateen 41 ie Bee AO IO oy bre sacks ss as | ahensed)| vynaease, auseeceneecenpeossessuaeieael sails scccsc te. ideo dade eas acs Petcare: | eevee el sake EAE ish Aassscis cs ess aki Mountings nee <M in Ne ie FetCSORNERSAEERDbabsda ss eoebhensdesendadvaccheeddbcadbkckéss Mountings.............. ... Handles..... a Ne as a UI ste secede ee | Bae ; HADbSSSHER06 dsebansuseeendeed sawenseaksubascedbcucenac ces ie | a - Phasek i i a | Metal Vout, Siete... h..>.' rs | ca ee ' — - : , , —- / Box Mattress ( , Months.......... ,... Days, BowMatt7ess.......... J satel ay nbbbedbeeetaneeassaabesderkesssisiasseesexodkse | dcoua, LIL2. (AGEs hud — Es nae since Mit yaa Stas 12 |e if ety PINT NOE 5 ss cdi seoa ca snus te teen ke iva token ohs do ee Si cvenanbacs | cocesess | COUN. ....c8 Petree moastetiirssccesce Occupatio Bice ted.» ' teeters o : L cteck 1¢<,¢ 2olor ; POINT Rs xo pe tissdisivasiwis cd PM a less oleae GLOVES... eee | seessesees|eeceseeee | Single, Married, Widow,, Widow6?........... Personal Attandance and Assistants .... ONG 0060.05 seetteseeseerssesssssccss sesststeteeene | Personal Attandance and Assistants .........00....-ccccceccecccccccece | cceeeseee. [rseessoss | MMEOw PNUD OF TUMMIBINIR 5055 5050: ss cecsees ne 4 oscesseis se: pee Drapery ...s...Cande eres eo | sess. | How long resident of this State... Bo. coco. cccsssseeee PING is caccsseastes Candelabra............... COR ee | petians I fopg nesidnt af this NID 6. ooetr ets, eect Ire Pedestals FORGI fiic ire os RE eee ey te, ean) eran Aiko 8 ap piscine re ee CasH EXPENDITURES. # = #$/+| Sa > Door Dressing RO SR ices cs enicencucketancsra te sarin tdavepnentastneviapicaniiascence | ccc... lisevenses TEEN SAP Teen ERSENNS State MN HAE ES ponaeed Saves monwtmnetboninexbaveaeeneny 1 <lesecrajdisdvessac (OME I a es PR oe ee ae a ae Saag seta EOE ETS IE TS ET FUOWETE.o.sssessereerserrseerecnssssereeensssssssneecsieessssessessssssssessee | sesseeeee, hal SPCC OOSOO EOE EEE SESS EEE HEH OEE EEE EEE EEE HES EEE SEES EEE EEO EEE EEES | RissVersieiviberaniesastenvahaouslensustn sede Esiadysisecoieiei Te evilel ic eeeice. PaO ee ates é a = elas ton oy Porters and esevedacneonans-s0k OFRUNE GRE ....10000-2000n000000feghoress HOUR. ssesseens | ine. Funeral Notices Funeral Notices........... padsueedeei caivadeiesiaccnis AV ee ee | eae pe a ’ maeosetroniesetsarstearsessensessnsnenansantasoasnacecisnanhoieentusnetieanarsoeenes | sexesnsrssfoanseeney | SIGNI WAM EIEN MMR EMEE TED a TE onncssunesecassbussnnsirecssesinesesibnineninesasmioereranioransnoosesessecsos....cc..< snacbesstenebel | } | a a LAs RTESES HEENEAAORSASE SEO OSGNEAEN: S¥ARn ANE pNNeipasenehensbseasenebnenscasreineevenEl T Yksemiessl. joc. = ctchieeiiaeieraaieecs sicceeieeinsiaiiateciacerisiasiirniciguersiniit = f “PPASSEee tls asesenes | | | | | Cl I is rerrraiss eieicinnctemic i Bc oe ae feel cei aia se ctees te) i. ae PTR vescvssicansvsscsivcusssecsvscevessccssevcsessceesessesesecasoseesece ft yeeskdeses seevesess | svessosesess| ovece tere ies eee CTE DN issiiainiiiineeis e SI ercisrrancspcinshivciseensontsaesnmeninitebsisiuesssaastndiessasntioncsoees | secccc... ee es NFSRUSHSNCiesanduwns fa unedevaieeTli iad sanqaloansGieetaal told ees Lo Quartette, Soloist........eccccccsesecoeeeeses.. OME ice a Ee : QUOTES, SOOM, «6... cscsvsesersicccseveseoes PP cm vonssssirsvestes | seoiianersbeonsves s | ovestsinsesbasierconbcecsbobtccessdetects cles RN PE GN Wired ons sssantininravhtioachodees isadcesaeccscocaeaccey cz Deliveriég B0u t0....00..sveeseeesse-ssssereseevvsnsssiney senvagen soe | sessseeee [-seveazes | sesonrensovalsesneensel acsusesdensescwins rok ehewisleeeene: P-055e 5 GUS Ns Lh OV RdNani nes akesbenterenneveueuesersissberesisvees | | ONG CIGUG vescesessscssssssevsceccoecsseeses WIND ic boosie cities cds Opening Grave ...... sus camammmc ne Lining oes b ce T ssseedbaes Seeestte | senneneeee Vee | *eeeenererer|ssecseasleensnesseseeneresesssesosossesessosceee: PI iit iain cain eG — eee | - Met Rar g0m. ny vovssvnnssesrsrsrssrrvnenannnranen seceensesnneees| sovenetn frvsotvers | sntabsenenes|onveserse-oosnnseseafensssussssetanscsearseionsss asi | sssovenseess pevasWieul -ebbisi su baisilisssendisisiesansicientiaiiicccies 4 eS , BN cnt tts Sa rwrnsesnnisshieepssininshaiaihicesstabsbin gece ics | | Hearee..05...é.. Der tices esictioiclaacerscccaus! Lae. foxe Pei alee et s¥autieaedlediaiesis | ussepuees: vssseense]icensensenscnnczensansenssnnconscancasess [ecassessecesreeeeee I e eveebosessseveveveceessarseserece BN dict oretbivbieintbckessnssiessikciccic..k. | COGERED......<00rnrveresvseomereessossssereresssersenesrsacs severe avacesaneooeasy “a. } AO! si ohincralah wena Sse ddcbidy oaiiwicrshis ise opapRb AA leg Gnababbaplapia ois Aaclihaions | nr arr san] trhevarevecafeerinentel eo versnencsonetnestonsennnaventh ete Se ae Eood | | | yet lsese ahaa uaaiannddcmepinacnesbAtioeininsneniggeall a ae PR ad sesennasscennnnescvagnnvsssscs seesentsnvesssssensestssssesesssesstnecesesssaseseeees | | | sisesaneseenseessnnecaussessnsssssussesneesesssssessses sea csusetssssesns tenn | unifies ssi abies ieldidakeivehie NN csssiabsichnivnbeininbecerinins PD ossisiensticcbins css. | SD scadnessnrvinniviceseseiertissens TYPMHONG........serevnesnovenves | ssovee eifuscessens | csssverenece| ssoveeonsbrascotacessc, phe oe ye Sinaehanns:| is saeeseneus|inehouehsiihesbbubadsibesepsieesivesiaecunseceuces, Transportation Expenses .........sesecesesssssssccssscsssseseessessesees “ | | | Transportation Expenses.........., Rronsnevourmvevees vevrnvevsseevosenes 1 avevsnsees NAGVEIEGY J Caen veens nu] 4 hxbNbinIV\ Cede i uabyeoNeodesuabeconiceseiolin ck a Es 2 oe pian OM FE cc . COV S CCC SCCC CEES | cecedeeeseesleeeeeeees ETS ere ren Lee eT ReOURR Peery enn Sewn Eee Ser SENT eT TT TT) MEE Conte chee tt cts Tacos SG Rm ies Got eS Fey Aran Bae Ye ER eco Tose Be eT | Ly eae bc fot nn nae rn ame ree nent retin selena | *SOCCCOOSE Cio SOOO O Ce | eocceroDoorelecooeoeoeleoosoeS SOCOCOOH HORSES EOE See eeneeeeeere® se | r i ila ee serene Pee meee rose eeenereseseeeneee POO OOCOO eee rerereeeces i tala Sibelius heh eeeeeeee POSHHOOSOCOOOOSOOLCODODEOOSEDe eoDeceTe seccceces CUUMERENEEEEED | 62 s0000s000s| sovecess| coccececccecoocccocccecceeeoceeseoecscess Amount of Bill a sibel m | Fee ore en eee eee Tate REGO veesenete Boal lle gig e | il a 562 a Funeral of . Peis ef 5 eee —~~~—-—————-—e—, | Pyneral of wa re 2 me ae Date of Funeral Date of Funeral Date of Death Place of Death... fot he MEK. v Li lh ches We Lg Place of Funeral.,,. YES Ao ht A es - | Place of Funeral /ho. les Clergyman Date of Burial.. Metal Inner Casket.................. Copper RCI ss ae a peach cis oak Outside Case, Pine, Chestnut, Oak, Mahogany Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box Lining and Pillow Set No Metal Lined Box Mountings.............. ...E 8 Mountings PLONGIOB: diss rccsisceccs sn : . : gerene. - Metal Vault, Style. An. eek | a ge lentes Box Mattress Single, 7, Widow, Widower | Single, Married, Widow, Vilar ssabaslussuessrnent ince . l | Birthplace Birthplace .... 4 Last place of residence .../ aes Personal Attandance and Assistants Last place of residence Personal Attandance and Assistants y | How long resident of this State Drapery................Candelabra.... Drapery Pedestals 9g. aston Name Pedestals... Country of Birth Country of Birth .............. Mother’s Name. ! Mother’s Name Country of Birth ae tae When rendered RECEIVED ON ACCOUNT. Quagtetta, Soloist......: Delivering Box to Delivering Box to Opening Grave Vault Charges Vault Charges : Z / | Hearse... - ; Hearse... EMH. Coaches Opening Grave POC ROCE TOE OHO e eee eeeEeEeEeeees SOOO OOo ree eeeeeeEerereeeeeeee SOP RRR E EEO Oe eee eH eee Hee eee eee eee we: ee PRGA ee. Funeral of. Mt122 (re LH ae [i/ heater — Funeral of Wun Qa..a.da, Date of Funeral ——_—_—___— irtinen e Date of Funeral Removing Remains «sdbhsriAdiheset LE Ot Deaih : ‘. < 5 i i Date of Death dc Embalming Place of Deuth... a BERR ea sho bsscecessnsceseccacte i ah. - Place of Death... Shaving and Laying Out Place of Funeral.. Ad ; | | Date of Burial..../..4...££. Lege .. sa sceglagaaaaeel | Date of Burial Metal Inner Casket.........0........ Copper : | Where Interred... ARrhart liviseis sn, cee | L he Interred... he bre ORONO foot se | Grave or Lot No Outside Case, Pine, Chestnut, Oak, Mahogany................+. i Outside Case, Pine, Chestnut, Oak, Mahogany RE FE IE IG once ccsoencicanicsssserpsniscerevenvanicnerss .| ieee... Lining and Pillow Set No. Metal Lined Box a : Metal Lined Box PIOUTANGB 6s c0csc0cccss 4 AMIN ios sa eccc sees F | Mountings...... Metal Vault, Style. | Metal Vault, Style Box Mattress. ev Daye ici Box Mattress — . fj / vy “ Burial Robe v Le nena, Slippers Personal Atiandance and Assistants Drapery................Candelabra....... : ee eee How long resident — State Pedestals.........ssccececcccecsescese ee TRUE Husband’s Name . = sol ssi eae CCAM ci csani Country of Birth ........... Hf, e ; Country of Birth (AKAMA LAL Physician | | | heb ; ee eee een Charge to When rendered RECEIVED ON ACCOUNT. Delivering Box to Delivering Box to Opening Grave Vault Charges Opening Grave Vault Charges. | : Hearse aos en Hearse... .X0.. exSe Coaches POP OOHOSe ee oO eLOe eee eeeeEeCEEeD ereeeee SOCCCOOOO COOL OE EEO EOE HEH OEE HEE EEE® siesatilvinsen erent wouneeetececececs oxsuavienwbnduiebocs POO De eee e eeereecesces steeree teeccece COCR O ESO Sete sess eseee SOCOM HOS ETES HETERO EE OE SEE EEE EEE Hees eee Oromo eeeeeeereereeeeeees eovens ‘ POPC O ese eeeeeeseresesonees SPOCHO HCO R OOOOH OOOO ES Eee eeeeES SPH OHOOO SOC e oOo ee Eee eEeEeHeeEEEeee: Amount of Bill........... soseecreccecesooscoees See ee Cee eee eee eHereee SPOOR O HODES OSE E Eee eEOEEEeHESelS Beeeeeeee He i fit i v 4 i! i eS eee Oe eee eee eG ait TT 564 Funeral of... Date of Funer a cine Heh a. i. Ls Box Mattress INO MENON os ooicie 5 oskcs ca Gedayiis va cacsabacsacdeathedsszenseas | saeteaabassiuaetenees Date of Death ...<4..:..4 es fee iatetnaseseasscersoseserscusssassessc ll UN TIN ichce sais sesh.caabibcbaninnlabsaundecauiensieeildieilihicimede aoe eime es Place of Deuth. tol — PN I SE Dei isiccciirntasisbsaiecsnsteickdadssecmees wih cclicee. 2 Boies PUAO8 Of PROMO nnecserineesoessonessovecessscseesssesscsssersstonsaell Casket No. ACA Oy steneneasenenes S8Z0 oe ssseessreseseeeeneees i ec a Wisk t hea cals tienes pinata geass ssinpad peas baeisinnbadlig oetacaasatel | ssssseneeessecoooens | Date Qf Butriahs.ecsscssssssseseessesssssssseeeccccc... sao suiceea Metai Inner Casket.................: Copper........:... ZiMe...........4. stteeeeeees — OR TAU ss scsctionscseessvessnnsesseesessssssssniesann gah Og eoske esis seis | Serasuseee T eaer sad Grave OF Lot No..c0scscssccscececcsssss...... Bastion Outside Case, Pine, Chestnut, Oak, Mahogany...............+.. = liiexaecs SAT GUNN siicsiesin lhaiead Sescissiisicerivsssssivnaiea lien Bestia ME Pe SEE NO ono sskcaseccs sone va basoccccdecedueedeacsecases | earssatns|unaseeees | sane teste nrisaeuchoadasbsnesbarseveitbsetusrssooescedic.cc., Oe a as ee Cre oe be Ie . | ee liwssaesau'l gvyauees auasseucusay svbaeececi cc sessiveapicucss steteneeens Mountings............ Handles........0..c0000+. ie | Say | eee sata rt Aah Or SS... ee Ne Piece ees a eee | pessecigaa | Seidueees | a ee ehesans Burial Robe MN iss Sait coe) chained Mohn cisnss its AMD ad cocks ceckidc | aeckacd ccs. Personal Attandance and Assistants 7 onal IYO. sxcevtes eeenee Drapery ... Candelabra Candles Be Pe How long resident of this State.................... POUSIUI oooh occsercs POU Goss eves es Lvaieavaias Husband’s Name ........./2....0.00... ererecnees ines pas ee Father’s Name. Gf: et EON CASH EXPENDITURES ieee dpe A a as IE RIND sass ssnionsessasorttannosasnasinnsiineysnedunesemictanvads sive | aéséasce, Assess Mother’s iene. Motes Te des e ae 2. .d Mos Staseee ser tsucesatscesseentnas PALME ....--seseseersernrerncsrncsseessssneseneennee | Se ue COMMS IT TING cece kh Pets asicns caused insanstnnctinnciusaualsisibulsainsesccclb las: ae oe I edix Gaacsencigee Lette) da iis dad RURthnt Mnvhen aa iten seen sasebahn snares rsenevnenastésianredinpessessonteatenvnvereiess | 5)c6o:) cane UGS OF OER os ost ise sks, Te a ne wa EM SOUCENPOROESROSEESSSEGERE OS 0nn 046605050 04065000000% Quartette, Soloist pid we edaewekenshieiaieesckics --Organist Peewee rersenee hn VG CRAG. 00.2 .0s0+sr00rssonvssesnssensessssnsesenesenseosessvsnevecerees | sessesc | Ree al ELODIE... 000 sssssssrsresseseerereoreresssssasesssesessessssestorereceseecoeces, | Sa ad | PRs sks ds isesvbisesssiienvesssvcsserecedersccbecces ccc, | COO SOE DOH SOLEE SOOO OOOO ROC SELLE ODECreeeeoeeeseenseeseees Se ty nee AOU EDYTRURI ONGC OC RN SLi eisai en tntedasie yes cc RRR ROR OHHH eee eee eeeeeees Peer eereereee eeneeenneseoenceces CORREO E ERSTE OEE HHH OTOH OEE eae e eens SUSU HoVNerTenTeseeeseeueresseseresereseseoereertoorceseevee e s c e n s c c e s CORP e eer ereeeesecs COC L Eee SOHO L EHH EE OEHOOE OOOO OOIOLOL EOS RO HET O OL eseesesesceses POO Oe eee e ee eeeseseecs (eee eeweees Oooo wenene VeePoooeerelececeoers | coeseceeeces eeeeereeeee O0000000 000000 OSE HEPOOSOOOOOODOCES OO EER ESO COC OD CCOCS Cee eeeeeee Amount of Biill...... aii see ee enews POC OOo eee eee ceece, TOPE ER Rem E OOOO eee EEE ee eee OHO Eee e Hee eueeees CPPCC ooee | seccoceeseselsces eee eeeeelione TOON Eee eee meee eee een eee eee OEE Hass eeeenees TOO H eee OOO EO OOOO eee ere reese ees ereeeeeebessleneeseese Sete ewe eeeeroeeee TTT eee eee e eee eee te nee seer aeeesseeeeeeee® seeeeeee SOOO OOOOOOO OH ere ereee ee ereeeeeeeeee: Eee OCR ene ee eee reresesereeereseeeeeeenes seeeee SOOO OT EROS es Oe eee ere EEEee HOHE HEH seeeeee eee oe beoneee™” + seeeewene } | I i ssvenseens|sesnscees | Date Of Deaths 00.2. Lt Pein 2 Cosssercesscen CPM... I ah is nsiheeininliete ali 02. Place of Death... £* XleSerrrm... i Pe ivccsttivcictece co i fi ely dea» nse ROTO re : Casket No. sect ee gta Sie. OLB... ccrrccsenn 2S. lee. ee § Ml fn : FATIH a pein te capotenabilicinnicsaude ac | seororee | Date of Burial... soeestes ON csccus Outside Case, Pine, Chestnut, Oak, Mahogany Lining and | Metal Lined Box Mountings...... Metal Vault, iin Tikka t7 eee ocmees Box Mattress.......... OOO eee ereeesesees Ooeeeeeeesuesseres Coaches Te Re eee ee eeeeessees Date of Funeral Wee ee eee eeueeseese Delivering Box to Opening Grave Vault Charges... Hearse..~...: POPC ROO O OOO OE EEE E OOOO DERE SE ESET ee euserer eee eeeeeeeereserseece OPC e eer eeeeeeseseese Funerals €L2a, Cree Yan Ko PP PCCOOOOHOOOOOD BOO LE DOOD eer ener eecereeresereses ceeeeeeeeereoeeeeee® Pillow Set No | ae eee | ee eee | COLOPOSOSOODOOO SCHOOL EUS COsEDE COOH EOC OOE EEO EO OES RCO SOLED COC ECCOr Cee | sseccececoel: coeccece SOORORORSEDOCOeE CEH COK FOesrsceesnssecinss UI OOo enerebescesenbese | eiécesceescclecscoeece TORR ee ee eer meeneneeseereseeerenees Bet astiediislcis anaes aebeinbouaeed | | jsesiusuvay sates ensasendaqebesayeesaeiieliiest Vols. scs. cee | Physician .. P< Cause of Death Ordered by POOR OCT OEE ee OOOO OTE EE TEE EEE DOE EEO ORLOHOD + se eenueseeeeaees Charge to COC OO HHO O OHO O SOREL EEO O OEE OOOO EEE EH Ere reeeeereneseseseseeeers When rendered leseeecrea sieveaenes | | | Nn TERE NTE NAR ENS REPORTED OOPAUSRTTRGRESECON ESSENSE 1 i cndcnd acs ]00b0ned ss R EAL ESAS SAAS TERT SARA ESSSOESA ANAT ERKODREREONS ON ONS COCUSESDRSEUNES 1 saxcsaccest. 0... T | PPP teeesesisccccsces CPPCC EROS eee error e een eee eeeeereseennesseeereeseeeeeereeeeeeeersecs POPC Oe eran eeeeee eOeeeeeereeeeeeeeesseee Coestesers ee6e OPPCOSO SESS OSERSOOT OOOO COD DOCTORS CeResEOOESEEEeCELteeee: seeee CPOOOOHOOSODODOLSOs cEDEEEOOTOLODO DCO C OO CC OOS ES Cecerseceeeceece see eeewel wee Co eeeeereeeeeerereeerecesececes: Feteeee al Where Interred. aie | eee ceanh | Grave or Lot No Peiseccs | Location of Grave | How long resident of this State ashen s Name W m ayaecaies oe ‘ather’s Name.. -.. we . ene kee! jssseeeeee | Mother’s Name. LMea Country of Birth............ ECEIVED ON as. \eulatatitachahladachdarh: sulla thar due oe © 3 ‘ 50% wlbasghled Motua Lard larva ov Funeral of Date of F ad Hour___ Date of Det oes Place of Death... a Fs Shaving and Laying Out Casket No. NAM AD (he BUA Gs i ca vn pisc cnss sasvs hc aca sk cancun 0cbunees casas cuanboeneneaies Outside Case, Pine, Chestnut, Oak, Mahogany................-- Lining and Pillow Set No Metal Lined Box MOUNTAGE...ccrsevveses 60s Metal Vault, Style Box Mattress Single, Married, Widow, Widower Birthplace Persona! Attandance and Assistants . How long resident of this State Drapery... Candelabra..... ITusband’s Name PIE oa ovcexe is ece esses | er ‘ather’s Name. Eante. M.. Mave Me sla Country of Birth a Ae Vault Charges Hearse... Coaches SOOO ORS O HORE O ROE EEE EHEEE HEHE: eeeeee TP POCOOS Oe eeensoeeroneerereeeseentesee® COTO M CORSE Ee Hee ee eee EeeEeeeEEe SHPO HOHOE OOS OC EDO O EEE Ee EE eee He EO EE Eee: eeeeeeeees SOO CCP ee eee eeeeeeeeeeeeeele OC paliOn...6.0665 00s Lining and Pillow Set No...........c0..0000 Metal Lined Box Mowntings.......ccc0s0. 0. Personal Attandance and Assistants .........6.00.0.0ce0000--. 20. Drapery................Candelabra Pedestals z&e 0 | Date of Death ...... 2 A... p28 ote eae ee Oe: Oe BS Pe. Pc of Death... + Place of Funeral..... ho-Hoanslo - ’ a ee ee Clergyman Date of Burial....... J.-L. . i} | > eS g iAeaketnikashid ee Where tiered... teen the yd: ee Birthplace ee Last place of residence . (SxO—fh How long resident of this State.. Husband’s Name Country of Bir Mother’s Name.. Ordered to a. When rendere a rs SE Steet erro eg hte ony geyser gresenieestane. 2 ee Rae Sere ee ey sae St ~ SaARELO See PE NC | P19 of | i | | Date of Funeral. Removing Remains MUMDRND Sori Metal Inner Casket Handles No.. Outside Case, Pine, Chestnut, Oak, Mahogany Lanting and, Pillow S6t No, acecssccssescoccorsccesscescosss cigahaeatcues I I iii ns eee ccicenennnalintin cad Mountings Metal Vault, Style TOG HI OUR. <i sswkcakscscesciaces Cocereccccecceccccscesescscsscee Burial Robe ..... Personal Attandance and Assistants Drapery.........0 POMBE 665i cadceseaccs. Delivering Bow to........... Jaeenes Opening Grave POP ereesercrceces Oo eee eeeresoeceoscoe” POPCCOC Co eeeees Seeeecee eoccece Seeeeeees coesceces mn reer Oe Wh cc Section... baceagarees = ~- liad Grave | Det. Occupation.. od 4.2.2. | Sina Marries, Widow, Widower... l, Mother’s Name. Adah te Country of Birth..........6°2. 2A MOA A Pe, Funeral of . %< Date of F a. : Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box Mountings.............. ... Handles Metal Vault, Style, ES. bX LA Personal Atiandance and Assistants Drapery........... ....Candelabra..... Pedestals Clergyman Sexton I ids iicicckactscedeeen Bina eee Onvening Grave RE Date of Death | Place of Death..,.£2. hn 4 | Place of Funetél. fl y NE Occupation Single, Married, Widow, Widower 4100... | Birthplace Last nlace of residence How long resident of this State.. Husband’s Name SCOOP OP SCORE HORSE HEHE DERE EEE. tote eeeee wont POOH EOOEO ETH Cem e Oe EH HO OOOOOteeee.,. seep OOOH EOFOS CREE EHO E EERE © em sennerieeiceceoeenermene a aE if I] 572 | | Funeral of lta. IMI ELES Date of Funeral Removing Remains........cccccceccscecane ‘iecbenanii cnieoeanseuhnnnabeen NN a ace Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany...............-. Lining and Pillow Set No.........ccceses seikinckss seukshaveabetuns slacks REO TEG 5 usec sy chhcaesckce sas cas asduaveceluente Nieksencicnenc as DIOUPPIAGB rcs cesacavcss<ca<c EUCMUOCBs ccasesccssceecess Plate Blelal VaAill, BUG cccscsscsssececesoccs sshsbebassisnns Box Mattress BPE FOG visa scccscecesesian DEPION OE co sesacivsdaes Personal Attandance and Assistants .......... DY OPOTY vcccieinss<nis FOB ANS «ice cevests Clergyman Sexton Delivering Box to...... Opening Grave .....s0 ees eaneciuedbcseuscasess’ Lining Vault Charges Hearse SOC CROSSE seseoeesee CPCS OOS SeesesceseescesS Seeereserseseesoors seesnsssessesseessssesecerneey: | // (2°. +Saetoeevene | Single, Married, Widow, Widower | Birthplace veqae A £:s | Last place of residence Husband’s Name Father’s Name... daaacoarn. ff Eeda CEL t.. Country of Birth ................. x pepe tree Mother’s Name. “#4 AA : Funeral of... Si Date of Funeral. 973 eT __ snmaneni ey , 2 f MN Sil Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. ........c0cecceees SEE a ne oer eee ane Metal Lined Box Mountings.............. ... Metal Vault, Style Box Mattress Burial Robe Slippers Personal Attandance and Assistants Drapery............ ...Candelabra Pedestals MSUPTOIEE, TOLOURN, 5... ooassncckcnecscasessaced I sacri vcebsiviclac edd CRONIN CH QUG .ciscsrsnscseveusscseseressecees ... Lining Vault Charges..........rerespees Dish capaviessenieasianisbecresscassuaie Hearse... RAMMING ovo sock ons eusedehad ond nieians "bigs ened Monee Place ene BP, AR Dee cts sek Oe te y tie ae: Lt" Le¢ ae </ Last place of residence ............... Pivvsas ii becnsa aden ele How long resident of this State... Husband’s Name Father’s Name Charge to {/..........J.. esa cases vaste When rendered | 574 Funeral of Date of Funeral_— pe mee M: Removing Remains........ cdsaeceeaenbe \ceuarcagbianekeesbenensuanh pane Embal ming ..cccccecccccceceeceeseeececsecsscnocceroosscseceseovesocecscees Shaving and y lactind Out ee aes i as, ccc cngunasawacnuneees 7. Casket No... Metal Inner Casket Handles No.....s+.2:sscceccecscsseeccccosees Outside Case, Pine, Chestnut, Oak, Mahogany... Lining and Pillow Set No.....+0++0 Metal Lined Bor.....csccccccccccrcoccccevesvercccesooosecs Mountings. .cccsecoccese- eee FHandles.cccvsscoscseseess Pts talyaseiny eslioees Metal Vault, Style....-ccccccccccccercees sacha s dane ep ieeenstesuasns Bow Mattress. ....scceseeepaees Burial Robe Te. pe LLDDEOTS vs cssscsecorccssocecese Drapery TPO MIIA |, ssc daasie nesncesdesansbeavs / ; sseeveabeadis ClOr gy MON. ...-es000e peer duesvses pocsseecsevsvcceconecececcssccocoesess Sexton Quartette, Soloist Delivering Bow t0.......ccs-ccescesee sees a esse ieee CAB cos sig iixisscteegyevas peck cessenvhen ct biel apa ii Opening Grave .....s00000 Transportation Expenses eeeecceccee Oooo eeoeessrscecese deeeseccecocesscoes eeeeeeereee ereeeeeeees eevee SOP OsCOR SOO eLOOee ee wesceceoreres! | oeeeseseess SOc eee SOe eee ESOS OOOREOOSOOOOOT TOFS sesensseees eeeceese seeseseeee eecccccersercccsoocosoorse® HOP Oee OOP Ceres eeeeeeeneee Amount off BiIl......nscsevsesesscugatl Grave or Lot No Location ave ..... CRs tac ee eee occu eee hea I_-/S¢ 66 | Birthplace .§ | Last place of residence .. Cl, | How long resident of. 4 Husband’ s Sin Morr eer esa Father’s Country of Birth Cyakettlpon~*< Mother’s Name CO £ Country of Birth | Physician .... Mr E-KRi1«< 4 4 és Cause of Death Ordered by A Kesey CAGE EO ou cisaccensecvassreacentnavensntenesssctossnesceneess When rendered RECEIVED ON “ACCOUNT. ~ Funeral of Date of Funeral__— ——— Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pilicw Set No Metal Lined Box Mountings Metal Vault, Style Box Mattress we AKL Liha drts Burial Robe Slippers CLOT QM cs ccrccccccedescceesssecssovenss sua vensaveuessacsscapsesiicreeeuurits | Sexton Quartette, Soloist Delivering Box to Opening Grae ..scercrssersrcrcrscecencorseeeeees TROND ss ccrivsssscsnceses Vault Charges Hearse. <7... 6 keh re Ge occ seceeeeseseenes cceieaveeeunreeen Coaches Teleyrams Transportation Expenses .. Date of Death Place of Death Plave of Fu Grave or Lot No Location of Grave ......ccccccsscesecces sahaavaesiesssestunesiebacees parcel i How long resident of this State.. Husband’s Name yf eyes aree VG Father’s Name™ ALA. PMN gas iciicssrari ie ee es Cause of Death Charge to When rendered... RECEIVED ON ACCOUN ir BTR UE Kerley, Funeral of Date of Funeral Removing Remains......ceccccscccccscee pasbabasonmiealacahaniias ‘conbaaee | PRIN ooo icdckn' i). s eaademaiecscyemmncananmiee eee ek eek mceuriediy Mish, EA OME bovis oick < cainsnscbdcsinscdsbacess Casket No.. Metal Inner Casket PAGES TNO; cnnaccessccdcasensacsecassasces Outside Case, Pine, Chestnut, Oak, Mahogany........s-00-++-+: ssvsesnnenslseseasecs | Lining and Pillow Set No...... POLAT LAO E08 ici kacnacintcasionsen Sahianensbadscdaesesnheadhheashnweana | ¥400dse008) TOUGING vas inc essexs-ese Metal Vault, Style......c.cccce sidshs bocaeueasbendebandeasrsssesasasioosas< Box Mattress.......c0« Oeccccccces OOS Secce seer eeeee eeeoeoreccesors beaceeeuaneee ate oe Pee < tut ta taint PUPAL TODO .ciscnssesaoccdbascsonsereotttoneteewisesessats> Slippers ieee ae | Birthplace ...... Draper y....scoces PGS... ocessvecenn Delivering Box to...... COIN GIAO vvcncetosséssvcescccicosccs. osuos a UND xecssencaceussicccs Vault Por ALavy « a a Se Oe ee nee e ete E OEE OOSERHESESESEESOS SES OS OES SOP OOO sorececescerore SOOCOCOOO COOL SC Oseeers Telegrams. .......+++ esseccesesoeses covves TOLEPRONE.......cccccecesecceees Transportation Eapenses........... seen eeeeeceeeees toe eeceeesrescecssese ee eeereceseueerees Seeererccesosece eeeceees eoeeeseoee seri Mes sienna TTG 50. er er eee Lredoee Occupation..... eee | ee a | Single, sti Widow, widows a Funeral of. Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box. Personal Attandance and Assistants .............................. Drapery................Candelabra POGCIOUIG oo. cccs cccteice... . Clergyman Sexton Delivering Box to Opening Grave .......00.c0c000.s Vault Charges Hearse... RAS phe ter ices i: ) | O77 oo ee nme - ie. » | Place of Death.. ina of Puppet | Date of Burial... gece yet |steeenees | Where iienes 2 | Grave OF Te Pe as ”y | Location of Grave ROSE vac .... Months.2-.........Days : Kade ME... ...04...... Occupation owl of Birth .. | Mother’s Name Vt ety of Birth. Physician | Cause of Death | Ordered by 7] | Charge to When rendered DIBA? Set rerwewwwee Leeeereeee cena seen mrcreresrare ean Ene eel Oe Te a m a seams - RN TO A ae en fl eg oe = es ea 0/8 Funeral of Removing Remains........... iescseessinebeinss lininiaiaielimesiahlidal eeu PPI enovcdevecochsssecetsniaunn Shaving and Casket No. Metal Inner Casket TIORGES IN Giciccccicocacsssncsssesasesinsniaunes Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No...0ccccscccocccesscceces PEE MOE FEO sis i consccdscesunacnn absbstanesssnnatecsscccveasesecess Mountings..c.csercocses-sse FTIAE cisticsiasccsesies PUONG cose Metal Vault, Style COCOROSCOOHOES OS EES OSE L CEEoEEEE® Box Mattress......cccces ; ng * PUPAL FOOUG ss ceaivesasccscuanseabanses RO DPOAA Bnet © © OOCCCOC OS OOOOOOHOS OOSODOS OH ee EeesHesese Door Dressing. ...-« Flower. Clergyman Sexton Delivering Box to.....ccccccccccce Opening Grave Vault Charges Hearse at. nish ae Noel HA ee = LO i’ see Comeesvoeseseeereooooosessseeeses | oe Sr ceeereccroseesceses L V Bethe / at cinema. nel = Wee saplaee Ip | Husbands Name .. | Father’s Name.. Meike i eee ed parse | pee Contig of Birth | | RNR Oi oi occas cate ve sk asc ae cnn Lae sivasven ; RECEIVED ON ACCOUNT. Amount of Bill... When rendered..............00..000: Pt See ee ee ape ss Funeral of /7/ sro Yurboe Date of Funeral. ¢ Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No.. Metal Lined Box. Mountings Handles Metal Vault, Style... Lectrr. Seer. et Box Mattress Personal Attandance and Assistants VIII os isis cs cu cca Pedestals Clergyman Sexton Delivering Box to Ovening Grave Vault Charges , Hearn, Nabi siiiccc oeneieueue Hearse.. Coaches.. | Date of Death Place of Death... 40.0 2 rrr... on | Date of Burial Where Interred Ordered by CH ee When rendered..... RECEIVED ON ACCOUNT. seeeeees SECC O eee ee OOOO aeereneenereneneereeeess . all q neeerser reebeceeeseeslesereeeereeenns, ses geeeeeeeresesesenesnbeen 280, of . AU LR: 2 EE LIS Date of Funeral___J- f xo fx Sf Acre es ici — ot Stolen = yo.M. |Date of Funeral 6 , f oe So! ee ee | Removing Remains......rcecorseccsesenrseenee noeacascoescosoccqooqonsosss | Ermbaleming ......ceccscccecesecerencenccsececcesesocccsssooooooooosorossnseses Meta: Inner Casket Handles No.....secersreerercereneseasosovooes Outside Case, Pine, Chestnut, Oak, Mahogant..ccrcrcccccseess Be ee ae eg Lining and Pillow Set No.....»-cscccrssescesssrseosrsosnvonensnnnensnecs | senescence pieereeees Metal Lined Bos......sccrvsrscrerensersersccceae Mountings..ccccceeceeee eee Metal Vault, Style.....ccccccceoere oil icase eae eae anne Bow, Matt ress.......eeedossssreerenscncnsonocooocvononocerserseee* So cisesasse Burial Robe ...0..-cseescosssescvosnvccsnsegessoocnsasocseserononssesorers sees: Slip pers.......sscccoeccerecscvevee Prs. Doz. Chairs......02sfesrvecensoeeserees Draper y....crccccee Pedestals........sccccereces: FlOWETS...+.sceveverevcececcscsoveveasecsesese pceconesescesecooneccseoeteuneocess | Clergitman weeks sssesmeaacedersevivteeresersseeeneessesseeseoen geese sees > Sexton Quartette, Soloist Delivering Box to Opening Grave ..rcrecrssrerscsssecessccsssceeeees pesecess seesoooee® cocescoeccoccooosocoooorrs® ° eoccccccosooooessseee eee “a of Bill bace peccencecoeeree PPP COPRE SESE HE ET EH OORENES CORSE eenege ve) When rendered........-ccesccrrcsnnseenesteebee’ : e.. ree _ | Removing Remains Embalming Shaving and Laying Out | Casket No. Where Interred Metal Inner Casket scien No sestesesseesseeee [Handles No nn OF GLOVE .oneasevcnceiscecesecccanccsassesvccacecsassscsaseeccensenns tside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings. ..-+e-+++++-- ... Handles etal Vault, Style » Box Mattrress....-.ceccvecsssrsccsneessecsssscescanensanncnssszseseg seesseeseees Burial Robe Drapery Pede stals Father’s Name | Country of Birth | | Mother’s Name Country of Birth | Physician } Cause af DOath .....005<00++ ee Pe tee dena ceu ee ; i | eau . tf. 2: Mgr Charge to... ad ; ¥ | } ow vv * | RECEIVED ON ACCOUNT. |\Clergyman a , LROMOOAL . . c<vcocavcavediciccvaestecs¥essesesacnnenesssecscesonees ian : 1 _, \Quartette, Soloist Organist \Delivering Box to Opening Grave | WOeeeee Oeeeees +e semwenene Prrrrrirrry saeeceeneeneseeseee oeeee | Clergyman } | Date of Burial......... 49 | Where Interred..... f: + Grave or Lot No .| Location of Grave Last place of residence How long resident of this State | Husband's Name .......c.cccecccecencecesceesearccscvevcccceseeresenesesesenes | Father’s Name.. } | Country of Birth Mother’s Name... | Country Of BWI. ..6..... oc a eed a eeoe relate Oe ™ PRAM csc isccisineseie ; | Cause of Death | | | Charge to } | When rendered... RECEIVED ON ACCOUNT. 982 aL; | Funeral of (WU Whar a on Funeral of __. 2 Bae Heute bese. § an/ Date of Funeral cll Mt ea a | Mas ety § «+|seeeeeeee | Date of Death adel Shaving anc Laying Out Casket No... f..... QAI ssesceseeees UUM cc ses eects seumtina cha |? | Date of Burial.......$6.. z. Where Interred ZB ke. ee ine | Where Interred | | | | Grave or Lot No Metal Inner Casket.................. Copper Handles No Outside Case, Pine, Chestnut, Oak, Mahogany | Location of Grave Lining and Pillow Set No..........cs0...00 ‘ Metal Lined Box Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No es hE so ge a ea ase ; 1s Handles. .......--2.000- Plate ; Eenmers : Taree ogee Mountings.........000.. «0. HON €8...00...c000e0000- Plate Metal Vault, Style Box Mattress Burial Robe Single, Married, Widow, Widower Lists sssssssesen | Slippers Birthplace .Yeheee Co Te aE le Doz. Chairs Personal Attandance and Assistants Last place of residence ee SET eee 3 err ; Last place of residence i I “ | 2 Drapery iinet COMMADIIE ois aie ; aie eres | How long resident of this Statg............ ar ial POONRIS 5.05. vesesce <i eee Husband’s Name | Husband's Name SSG... E. 8 Wixtiicii ieee eek | | Mountings............ Metal Vault, Style....AA Box Mattress Father’s Name Paes é . Father’s Name..2-.. ‘\ “ ce ’ d | Country of rg o AAK. | Country of Birth Mother’s Name.......¥ £« | Mother’s Name Country of Birthic......... «KX Physician Charge to rn | Charge to When rendered OO PURINE es ea en ee eas : RECEIVED ON ACCOUNT. | RECEIVED ON ACCOUNT. aneepercscersesemeeres Quartette, Soloist..............0..... Pe tae 14 \7 ‘ Ps 7 Lew / Delivering Beet Wis cadtiiccis 20 SD + Mevrreeerconss wey . er... Lining /fSAR..... Delivering Box to AL&A pb ‘ } | . | / 20° 2 ” le | Opening Grave Se? Wash. noftrsne eh ND COG vas reine ixsveic cd dancsrviechace Lining Vault Charges... WOME CROTQOE, vies scesecesccseiccecss havi cvewuscnecsss casos bedanscineel cess : CLT r~0 , % oer | v- Queerty Hearse ast cccvvcccereereeerceeere POCO e Cero reseeereeerereeeererere SOCOM OCC COO S Ee Ooo er eEEEEEEeHeeeee COCO e CoRR eee eeeene eeeeee PO Cee eerereee Ceseeeeee SOOO ODES EOS eee OREsesereeeeee SOORS CRS H TEESE HEHE SHEESH SES SHE HESEEE OOOO OOS SECEDE OCeeeETeee POCPOC Oe eee eeees Amount of Bill........ SP eeeeeseeereenees Y y ‘ ee eeeeredes eee aeeeeet SP POOMOOOO Soe e DEST Ee eeeEeeEeEHOeEE: | 584 oe NES cisiacesnssc ecb uaipemaes ‘ane ) Date of Funeral____~ @ Raia: apr. aw of Date of Death 7 7 | Date of Death Place of Death % ast Q.2...| Place of Death......424 Removing Remains Embalming Shaving and Laying Out Casket No Metal Inner Casket 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 Box Mountings........0.0.. + Mountings...... Metal Vault, Style Box Mattress + < AAAYO..csccuee Burial Robe PI sy oo io saa beeen devas Prs Doz. Chairs Personal Attandance and Assistants . Drapery ...Candelabra , 3 | How long resident of this State PMMMNIE iiss ose Husband’s Name Country of Birth Mother’s Name Se - Ordered by .. 9 Gls : Celi. Pevrskkvaeisesciseckon i pian : : Charge to SS ae ee Ne icicle RECEIVED ON ACCOUNT. Telegrams Telephone STII TORII access icrvsniressereieciserssvidseasesssennses COCO RC Oe eee eee rere eeeeeeens Seeeesereeeeeseses seceseese POCO CCOH EOD E EH eee esse eesenees SOOO OO ETOR DODO E TERE E RESO E EEE HE EE EY seeeeeeee COMO OOo eee eee eesere eee res eeeeeeeeeeeeeeereeeereeeeeseooecoceoees seeeeeeee STOOP OTCCOPEFOS HOSE Eee eeseeeeeEereoeees:| Slee eeeeeereesesceeeeeeeesesenes ti i Funeral of... 7 a Date of Funeral Cag / of : £ nontlaaaca ne aa’ paella 7 haat Date of Death un LEK jail E126. an } i | Date of Death .. Place of Deuth if Imi Place of Death Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Ms | Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Lining and Pillow Set No Metal Lined Box Metal Lined Box MOUNLINGS...-.000000800 Mountings......... Metal Vault, Style MOE AE Sos 25a soe ceca Cheah kas ak IVD Oi ihc eevee bees reeeeracinoieis ee ee Y PR sik a ye Prs COMM Gee Single, Married, Widow, Widower | CO Co z. Chairs Personal Attandance and Assistants a How long resident of this State \ j ~ Pedestals.... ee ( Husband’s one ee , . | Husband’ s Name. A}. oe Q.. ; , sete ian | Father’s Name....77 Lana. jas Country of Birth .........0.0.c0.6 a..¥. Mother’s Name. Aton. PPPOE Y - 6 iicsiavcleees Candelabra.............+. COMM. 6.5. cccccecds How long resident of this State Ordered by fs Charge wT? « When rendered....... RII wis senceetsvnrhinnsssisrannvessiveeindassiavinceieiadibiaitenteieces | nn Not Sexton QUTIETE, DTMEIE, 5 ccicccexccreasdascctessec Organist.......ccccoceccses | Delivering Box to Opening Grave Vault Charges Hearse. FOP PO ETO T OOS O RRO s er eHEETeee CO POOS ee reeeeeeeereeeeeeeeeeEe® eeeerleceeseeeeertl® SOOO OO OSCE Ore Hee Eee ESE EEE EH EETEe SPOTS e CORO EHO Dene OREO Hee HEF Cee eeeeeeeneeee See anes nese renee eee OSES OOOOSOEeOOCCerDEeeneees oeeeeecee s POeeereeeesee ! Pee eeeeeeseee eeeceeeee CPCS R CORED ETO e EOE He eee eeeee OSSSCOC GEGOCCCCS FT een! cc cebseeseeel coeeses sl boeeebeoneoeenoss See eeeerreneeee eee Fe eeeeeeereeserees eeeeee | Amount of Bill a faa ee eeveetroe * . eee FOOe Cee w Otel ree eee elec e weet Peewee eeeeeee PROC eee eee e eee SOUPS e Pee Cee ereeeeseeenesereseeeereteeeeeeeeele 588 | J )| | Date of Funeral _ = —-———Hour_______. i OI ct Date of Death. LEE. as LAES... MEATS sciasahvikcs crises ay id ec a Place of Death... S£ALOFMES CZ: sseaseneeccensccveseenens Shaving and Laying Out........cccccceeeeeees eusatesuahsoubnenupnasesies| s¥iMbRAE Uisdens Place of Funeral..f+ | | | a Basic eo ee oo. a sia TI cons css ss! CNR DMR MOM oss ncsnsssines:érlllsinssssseoconevenenenensl ceases chiciassccsh@Midaies | | | has dakasinsiaaabeuneaeeia a siebddasbilkeli dine dadsondsvdduadiasben Cig ek a Date of Burial..../£ Metal Inner Casket.................. Copper........s00 PMO Re ae iaaseess Where Interred. | | Handles No........sesessveverserseeseereneeereesseesenssessenenseeasensenens SIE NN ec a a oe ovens A et eM Ss ees : Outside Case, Pine, Chestnut, Oak, Mahogany...............-.. On OE I sic isalelngidiaiisiastdicnbiesinvensiesanicaccagenme | Outside Case, Pine, Chestnut, Oak, Mahogamy.....-....ccccccce | ccccccccees|sceeeeese isi OF Ge Soe aes as skiers beebbaaie aie } Lining and Pillow Set No.......-.sssesccseseccessseecssssesessensesseses FTIR OI a sai swe Seka cli diuce gad RS coc [sa tiaeendnone ft + ial ; alt Ur OE ss Ab in ee ae Sas I airkiksscen i scat ncielectens co cantadein aks et as |-serseees ! | | i ME GUMPUNOE ei kicetcweds 6 FIGMEI ocicnec es PI he | BMormtings....cccseccees «0s HONGIES,....sscccceecesee PU ois esse ne a ey » | fy NT I NR snctias scssuaenrsnptinhedinenn nate ectasvesascioesisias: MN a idteeiab ches eared delete ts vesesicaaiiunial aauaaseaabaiolss | | | Be ON ss sleek Vast eunad cin io ninas sued acne incs a pee Box Mattress............. aeveeesvaseseasssncsnasescanececasesees Se eiiiser i , ; , 2 a | | BPMPTE TROD oo... senssnssvnvnsseeescsoesesseseansacectasdssuscassmnsecissseses Er i Sage J | | POUR oo. is fo anidicscvaveiseaes Ti GORGE 3 SES 8 ois Be ee A ae Oe eee ee | Single, Married, Widow, Widower..... ,....... sidy ouseoecisaties 5: | co - a > | | aera ac enter Doz. Chairs....... reteeecceseeereeeeesnseeees | secsseeeeslsseessees | DOrth place ... SEALE ILOSGG Or MEE | steeessessesesseeseeseseesseees RE hiticidhitininitiniicdner oe tas... | Birthplace ikcepesesee Danse tea. © ° Mt | | | Last plac ti Personal Attandance and Assistants .................ccccceceeceeeeses [acoeseene | AAU NGOS OF POMMONED ..........scssccveeesesssconsscersvees svsvsconenebons Personal Attandance and Assistants ...........0.0.-ccscscsecssseseee | ccsseseees | iseied OE OO LE VON os. ctonenionis: wivasvesevicics vanserssiaded 1 | , | . | | Drapery veecesess Candelabra.............4. CINE oe gl ees How long resident of this State............. ......00000......---cseesenane | Drapery... Candelabra............... Candles | How long resident of this State...........0... cccccscccssecesecccersssenee | : | . Gade wha | i POU GRRER ci. sa iedecienceh: Ss ba MEMO Succ ts yen oe el at ie ie neon Husband’s Name Husband's Name 4 m7! od CO Zeveee tereapererwees * i . j Pal iccas aus MH I scien ssccanesecelinebigeingisenssasvonen iiaent tesa Father’s Na ned. he EON EA. po he ae Pethd»o+220e | | CasH EXPENDITURES. he . ; : Country of Birth .............. We, 0 ice i Pveerss ca ve eees Country of Birth —s O ae | oxacsvcbe, fs Aexe APE LE MT NOT crs sekvcalinnscvisisetocdeesiatinet aves Co 0Cieaasad MeL Piet als he PN Biss isiieais sshd ibtardinikiticasiiavaiiecte eal Mother's Name JM MNEs sulle: soseseeesesererewnwe er eet | | | i ea eh a a as BN oo sdthsas os essen an els egies Country of Birth......... Country of Birth... cesses MS drens hee :° AY sg Gites acliaudisst ieee oa ce Physician.......... OY | Physician... WIA. Rec: ae DS / NES AI thaticisiia d hadashaca) Wig dlctysvonsivinescaseibceesovidieicansdativie cds [Leas coo ae SRP TO eh eB rns ig ccs cs bs cata deisondbpin nase svncntesncs et EAE TIE snscacircsanusancssniaccotbencoiiebiinivaiciecasinns i | seas coliasecieicieia ee === [NM M RMR P ee eesererenecevereseereeeeeneoeneeeeseusseenaseeeesaesarsreassansesseseeesees | cesesesencleceseceee (OEE SSS es === === seovesorsesasroeneneussssnsesbsvssunssvessssensscesesesscrsrenscssssnsseserssecssies | eacosescesdsoscees. a | j bo BES: pedhtaawiisivens POE GB oc sissesiiasisvnesseneincnk Gloves........... Pena os OndOrOd OY ...cesresssrsessorecensecsancanseossvcseoeeesensevesssereesenoosesestt | teteeeneneeneees Porters and......... seasteaeeeeeneeeenees GLOVES. Fee | cee ceeeees Pe PEO BY 2. -000srevevnrserossvesrosarsenssadsernenrsdascssesoencesseseanasenes | ‘ i Ae | NE, ROMs cote tahiti cries pisces Coa be ow aoe Nis Mia oe ea Sie Mees il safari Fumeral Notices.........010-+-0004 Pane CEC AH NIA PAP SS PR tEO ree PT TARTAR UPERCEST csasesas es ae CRINGE DD co ecevencsicsnaesecnrereses Witttessseeeeeeeeaeseseeeesercerseeeesoees i | | , . IS err bile she ial ialt bl sccsitie ay ed we et ea cae ee ae tgs Sate ea 86 a eed Pisskvaskusinrsdosasesiaioneens GUSEbAyesanbancrencsnavessbipciesessicniss vadbeecasetexesseess LED ee eke ib ites guhiti Mendes ua cane ee ee BEE ©. S00 n00 evseasnnissesnersvnvennitensensednbenqusedseoassusdsensssasinacteressooesons | acs... Leccuacs, ON ia | | a iG _ ;f | Be teal a ai ee a= | eran ora tas , ee ee | i ; | } = | Cheever cresccccceseceeoesecces cevecsesecceceeeeeeees seneeeeceececcoecococeeeccceccece | eeescecanslseebansns cian i RENE SBMPAAE Fes onessnnkssasvonanssereesnnsousrsesevaresvesonsnesvenniseninentbosesesves | eseesascuslidcicsces RECEIVED ON ACCOUNT. mts | ee as : sshsstnhanesneasenrenersnehosvossns asevisnaesséorensnsceasensoewaseasnrsnssensintents | ysesveserdlsgecs,. | coaeda ~ —=——= RE i ee ene ee nar eee ee | | oe { Te ieee ea | | oy Kew | jae CE sinecncsrevcsienncissvirscopetbigesstitesesrvaseessepesonetcesuveineia 1 kasiccsis. pe | sdeeteeestss [reonsunssfins phneottecboteoternevrenvessnssnsee [rreedenete pantie Er mre ttre Shen EUERAS EN SKANAA RD SAN SNES eSRERReeseniubebenebvtaniNaleNsObees | smieclicederverisT .ccijocccc Huck, |-Mesereghne tthe Wiersecssseecs . | | i | Sexton eae Nee er tee ee aeRO rete etter ne eatoonne t SH eRARePPSOPORSEIPUOPERCUST EY. | VASSEREESSL chanwean.) ¥00 seh SN easslCkavraUNeliassaes a iieeT ted Te ecceeereeseeess loeeeseveses sce aeans PI iiittvkn tisasAtentlapes ivabsncctauabsdidaiaiecice ndse aulecseecuc: Bef Peers een eh vee een ear eelar Nt i a ; | + Quartette, Soloist.........cssccecssssesesseeees Organist ......ssceeceee | Seber Ncarhes El tage aoe ea a cieaaeuiaaee cane CHOPIN, TANI, «nv aoroeeorrorssnrnncnvens Perera serenseeiete'| siieinte tages 5 elena cehtepers es orernreereeesavieee tira iists Wola oa | \ | | | | -ensenscessscnssseevesoons | ae | i POTN BN WD. os sisorsesscsveetenss sessenieeasenasivnsoisccessec... wate: cee | aise an ae a i al see ite Delivering Box aoe er rar a eet a eet? nee es hh eee ee oe a Oe rh ath Maeda ren a foe | senadivens [rsseeee [rristessssvesseenneennesneegesesssesneess| ; eee 4 i MIDIS GEOG oon scsseerssvecvenseassnasciessancs PNG ccensinwisnretises | ccs | cesnavens | sveewa ons Pleas Fi ojlednciacteeeassaiessunaletiiaeiales | secevnsones]evsenente Opening Grave .riserrseerseerseerererceesnes TAMING Ion sees ss sone i ae) Fe I a suss scsvwsnssessesetsossvesesososascisssinentaeanisssviogessees | ccsceacc. | sehiaa | pinnae aus Oe A ee i oe - Vault Charges HH by Hearse. $. LAM A NAPL E oo eccccssssssstsesseeeccccccc.....| La P0| eis ae elon tik fe | Au 4 ee Hearae. 2... " 4 Coaches. . |... etree os. TAA... ah. 2+ RAs Pmmvom peer gi cps a a A ieee ea =e = NUE oacccii esicoxaxivesiviies fexetocisnsse a od See Re ee er eee l Se er enn aOR IRMA iS eRe OOo! veeeneees us PObedaNSdOSHbENEES 4 UREN ONEES Lea eesneguens[reORetrs Tei seaius | pa FU eta ae a i Be a een ee eee ON Rat IR Cs ia a oe SY at ad a a tela ek. ee since A og Dae aa wih maets | scavacaie cmeages a aumamrauumaneaaaias i Transportation Bxpenses............ccecceccsccesssssessessssseceessece WOT sisiaosivcisedoies | J. ad Transportation Birpeno6s............ss1s-seeeseessssesssesessesessssnssn cedhileh. esonevecenseees dteseoecsecceeeseresosesossesoosscesess Mn rOnieviicsintieains Diels Rimi oe ae ii as Ape arte oro ete ee a Sen re aan enna enet mibemteeii elie | Pea eee reese eeereseee SOCOM OOS Cee neeeeseeeeens Cee OO eee sense neeenneens wees eeeeeeeeeeeseeeeeeneens eyeverere SOHHHSOSeeeosenEsenS: F pceeceeoees seeeeeese | besveeseeees | seecccess | TON e OOO Oe eee eee eee ee eee eee eee eeeeeeeerl © Peer eee rer ee eeeeeee SOOO Oe ereceeseeseeeeseneeses CORO H OOO TODO E EEO R OHO EES CORO RE Se eeeeeees Peet eneee APeneneneeeneeeeneeeeeeeeeee ener eeeeeseeOPOeeeeeeeneeeeneeenens seenccyey e see eeeeeeres! woeeeees SOS C OOO ORO OOOO OereeeeeereEeeeeeeEeEEe: \ es i ’ Amount of Bill.......00 pegiibnsoveseveniovee uit: Amount of Bill weeeece Soecrerceerecveccocovcccoescssecceces ebibeeneedeiiegiies Thee ee eeeneeeee seeeeee . SHES eeeeeereeeeeerereresesereeeeeeeeeteseseels oF Int ye-asoerenensteeeminagcmsnmiamenmrmemenanrenes en ae a Seas ante ‘ eee aT 590 shed Beri ak. Funeral of. 441A. eS 4 4 Date of Funeral vie. Removing Remains Embalming Shaving and Laying Out Casket No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings............ Metal Vault, Style......... Box Mattress Burial Robe SUADBOTS 6. ccssececesses Personal Attandance and Assistants Drapery ....Candelabra ... Candles. Pedestals Clergyman Sexton Quartette, Soloist... ......0...ccccccocsossces. Organist Delivering Box to Opening Grave Vault Charges Hearse Coaches e+ | Date of Death ..........44¢ os Date of Burial...... Bes $5s aa tA. sateen. Me KE ava Where Interred. ae. levis , Grave or Lot No Ordered by Charge to nexcidtee , LF When rendered............0..00.004.. C¢ AOR OOe eRe OO OEE E OLE OT HED OSOS OLS >IEL LC oe Sere seeeeeeees Peeenees Otero eee STOO TOMO e emer eeereeere eer eeeeeee yeeeeeeoeeee PPP eee SOOO POO OC eee ser eee reeeeeeeeeeeeeeees TPO ROO OOOO Ser erereeeeeeeeeeeeeeeee: ° ie ry County of FGA 5 Mt, oe — a sh ZA Funeral of Date of Funeral Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No. Metal Lined Box Mountings...... Metal Vauit, Style Box Mattress Burial Robe Slippers ecendabeuscveupidiciteaeas casas Doz. Chairs go? ; CObdLe CL aie ot Months......cf..... | How long resident Y | Husband’s Name .~ Father’s Name... Country of Birth .....4, Mother’s Name ‘| Ordered by Charge to “| When rendered | RECEIVED ON ACCOUNT. HRHO MORRO eee en eeeanee seeeeerecnaerele sehe 592 |e Funeral of Date of Funeral_— ve pnt. , thA/ hike é vey / ae tds dene ge _ — Shaving and Laying Out 4 pucassbadsissaincssincigas cacbceeii cen atte ee ee ial y 1. i ey ad U 4 g. - oe ‘ Casket No.....2% Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No Metal Lined Box Mountings............ Metal Vault, Style. Box Mattress Burial Robe Drapery Pedestals Vault Charges / Hearee.......... SOHO HHH ERE HH ERE ERE R EHR HEH TFET OPPO OM COO OOO e Se COb eee eeeeces COC eters wee eneee POPC C ee eeeeesene FOO OC eer emeens Where Interred. hw, -| Grave or Lot No How long resident of this State Husband’s Name .. Father’s Name Country of Birth Mother’s Name.. = SS - A W) 0 Kt pr ry - aida em, Ordered by .......Sec<. Paniecrtine ON A IE pe skscsesiversosoniaate seeee SPOOR COHOR OHO D eH ee ere ee rere eeeeEEe® SOPHO ROSE OO Cee OO Heese ETeEEeEeeree SPOOR SOOO S Ore ereeeeEeeeeeeeeeeeeee eocccesee beoe® TESCO Ree ORR eee neeeeeeeseeeeeneeeeeeseeeeeeele | Nw hy Funeral of... ‘+ Tsay Core hase eo sake “. Date of Funeral____ ny | Shuving and Laying Out Casket No.. 4h. heen Outside Case, Pine, Chestnut, Oak, Mahogany Lining and Pillow Set No..........cceseee00 . Metal Lined Boz... Slippers Personal Attandance and Assistants Drapery Pata ; How long resident of this Site. Pedestals Father’s Name CASH EXPENDITURES. Country of Birth KW BE LPO sings ns scanscudececinceis cased cine seendeus tuvesances ocak. ; Mother’s Name....... ih. thded } Country of Birth........... J stead )..| Ordered by Charge to When rendered... Clergyman NONE Sc: , ., cny ouckuacvasoeeses Organist....... Cerf oh Delivering Box to Sa A. Sor. VO cia I I oi corcisticshiis ass seniecserenss L ring Xba d Paes Vault Charges Hearee. .. 3... StL AP Gee oecceceeees Coaches... xB... Py eeeeeebeeeecserebees OOOO POHHH LL. oe - Husband's Name ...402..64......M4. Fete COROT Oe ROR eee eee Rid Mey ne hod Aone eee lle Date of Funeral Date of Funeral___ Thala es Lathe hha res, Shaving and poy Out Casket No ie Metal Inner Casket Handles No Outside Case, Pine, Chestnut, Oak, Mahogany.........+...- Outside Case, Pine, Chestnut, Oak, Mahogany , Lining and Pillow Set No Metal Lined Box PAM A PA OU SAE NG, 551 saves haassiedsicsuiseeccvduacaisacuecsesce tix Metal Lined Box Mountings..........000. 0. Metal Vault, Style Box Mattress Box Mattress. rrr errr rt itr Trt TTT Pree rity Oe ecccccecrss | ccccsccece I NO sivciiscacisicaiibiceiaibaeininis pacsonesee ° Slippers Personal Attandance and Assistants DOIG oo. cicesess Father's Name....€. lke, Sf od es COOGEE g CASH EXPENDITURES. j ' PPE IMU ioc ces ons onc 2 £4015 bce os ts ack conchae s Gas ec akieaiiae Country of Birth. AL eae & let ex 7p Physician .....4 a GS hives CS. ee ai Cause of Death i iby umes Ordered by Wi nee b eReanet PID BO Woiviisviscissisicsiccgeccs cs: Delivering Box to Opening Grave Ce Tr oss ck a ciivebecdcsenvins seiace Lining....... Vault Charges ieee oaks wha ici sd risa caedics ves iees (ELAS Coaches.. SPCCooCes Seecesees Sener eeeeeeedeeeeceeeeleneeeeeeweeeey, Met T i teeee Amount of Bill. ee cccccccconeseseeseeees eeeweseresessccessecconssese’ | '‘b ' | 598 ee ge as “| Penden iaagean ee re ~~ f-E — a O Sail en va E Removing Remainsa........... scbaseehiesiueiabindenbedpbibaibdcaiienauieka'l icscjcc Y ¢ R ing Ri ine : ee ; . emovr ema f RI. hoaragrtlema dotevacalMbasessk Pe ot sss Weta ie iescciaeentees vekebeuucaeuwiek Emtalmin: oe seeeesencnccccessesccssessesccscceecscceenscceccccocovoccsccccces | ces Maal mmr. Dy . ing . oe Mt hehe. oo, IIE hiss icc imac a aps Shavi WF aa sicticensnnserillonasiaiiilbchaaltiadsilaiiacls. es AL having and Laying Out cos|evnersene sg Shaving wad PE PM isis ui cccanibincebincadecsbsccce es Pilla: ke vétuedteseovesuss. whethesss Setesa tate (when Castes hy SPOCSORD OD SSOOREOO 9890900090000 05000005900509 000000008 000000000 000000000 000006005000% bee uekeay ad kee cine sssesss| Where Interred Te rns esters a Mm TRAP SmPRROMeET Trt eeRGSRAESS | OREReRat See tOsesnes TTR IRN CIRMNONNIE, <.eveemimes “0 Se ee Cre eg He RIOT T NSHUOIVOE. wee rcw ee ceeerenee WAOPPMOT, 2. cece eens | teeeeeeeerel|eeeesnees Grave or Lot No... ‘2 bess ca de hes Coabesacscs iii BIR Giri cil cisian inks sndnvnickepucbucih cigsasstapebualdubitacieedcnas Laveeakasss PAs | Grave or Lot Rei SOM sh vssseavessacsssansie i . Outside Case, Pine, Chestnut, Oak, Mahogamy.......ccccs0+ |sccessoccscloceeeeee. Pee Cikcatette Lee Piste Outside Case, Pine, Chestnut, Oak, Mahogany...............++. ae D;]7, | | . : Lining and Pillow Set No. ........0 senahphdueacsarsinsshestadhasiaverdd | als Re Wen ¥S hc saIRassneschekdhard siinascksccccealic Lining and Pillow Set No. ........csc0ceese ered ae ae eeenetee at Pe i re ee ee Se et oy ca ta Wietal Tied BoB ovis ccccicéssccsccecus hesebsbseebadbakeis ioccuhesesaxess Mountings. ..cso.ccoocss si RENE FONE, TR aicinscssvcisineneciniadituliaadababinutecttinda sabehanenes |. Pa eae eae athe ret area neeeeiacinie | A, MIM i ae Sh ee ak Box Mattress veccccooe Coccesececs #900000 00 0000 COOS SOEHEE tee secees © cecvccccesss | Burial Robe........ | Color. : setae E wh cose eceeeees Occupation. . Cecuagle | Buri . GAIT. 00 O88 9S FOSOOOOSE OOOOH OEEES OS SOOE SES BOs EEEe% Peeerceressococes | ieenesseses soeeeees ADO OTE Ss adisievciccccigraices hesdekenssscucsacs | | Single, anes, Widow, Widower iki o Bn na Botnet eke. asec ccus iaaeensennintintenin Fae | Bérthelece Pi ee Pie ae “Bez. Chairs........... ee i FY. ia on fn yi SOOO ee eee ewews ear eessereteeeones i ‘ Personal Attandance and Assistants .......... sxbshsqitenseasiareiio ier | siisssscs. erates | Last place of residence .. earl tehccic ole cee Personal Attandance and Assistant ..........66..c0ccccccccc.ceccc.cc. | eneececess Hades Lt Chie of Pen oS ee How long resident of this State.. gsaeatbeuis bey cee taaocaeee a seae Draper y....sccovee- see PLAOTC.20-vnerseorcoc AMER. coscoossssscess | ccssccon Drapery.........0..6... I io cis i pcchecs MAURIE so oscd scl ges d istiearel- ators | | ae PUR ss svsninctinetatascctsesgsiphod NM ciinmisiuniiigistdditidene | sc. saeleeeeeeese | Hedhand's —_ S : bodies PU ei sire er Se ee ee Husband’s Name ............000....0008 Father’s Name. CASH EXPENDITURES. PN AMO Seon ch casein ce aek vesteescs i csesivin ch i sdao i eatin CSREES ORL EDORSLN SS LAER UTF ST SF LVMMOW 5655566506080 s ddd 4b 6bs beeke oC oC aaa ie ata munee RT rr eet, A ee Ee rn URE AINS ESSE TARE SES MHENU SR ORURUAEEES GAY GESCNE SSE PED SANOR Ly charu eee taney asks fee ME EPMO 5 50h sd450 000 sna ca soso ects ink seen SESPESECOE SOR SSL NSO ENS OHS UNSEESSAS + BESSON ES SES OCOD SEDO CEN ods RS caeDN Se eOOETSTOS0ES | Jusevaneralibodewacs MORPER NS PRES NGS SO0 009 90560085 00GR80060860h00800000006060000000000000606 | Pee ew rene eoweeeees Be ee te OE sabe h per tiyir ened OR ss dincilinutnvayntibesiikghiectocetnneeoninessececistonl © A eeadphcestoiey MMR MMM cesrésiostoesssonanceonhe = AIMMIAssniccit Me MMM ee ay Re ee ee ee ee ee tn rh MeO RSENS OES IESE SOROSREGED ASRS ROR? ESA tAO RO EDL Cao Grs as Ieseuiyise sy CED ie to. yk oye ERENCE SLO NET TASTES SS EC OY Oe WF Rosé btn eb wses one 8 ONSN baa 5s o cobb bk es ekers beeeurdebesetses. exeutess a ee en eae ge renee PEN ERSR UAT CSS ACEOE SOAR STROSS ONEN STE WALA Ga ene Vae Sey ST ee MMO MMREIOMR 0005 sas'scc pcei eae vokde skeen COC C ere eeresseeeeeereeeeeeeeeeseesesees ssrseenssceseeenessesrsesenenseeeeeeereeeeses | sececccccaleccoveces Ce tere ei nee TU STUR TL Tenuate SSC CePA OGShen Cees YRORPOSNS 1) CERT OS ONS te caeeus <p 1 5 h0sgn CURE mee antes 3 0dr UEET ETUC Ts 0a PIOO EME 6 004 ces0veds si com onsite Se IIR vi cncliliiin ak snasstinpidisishcateiosatnisbinniaasiibaie cade oii ' Ta ces Oey rrr nC rrene eae mee aN rye Tc Tone Ne reel SS 9%, So RORRCSENGN SAP ETES TY | «Ree PLONE ECE SO4E9N ONE) CUES ET ELERE EES Ts94N0440e0% 00 10 0544 eeoaRoLreTTeeseeclctiie eaaL PIII ss chcrien rosscrasive soni vimssinibisandainssnohendibainsstebeiaiasasntesssce, Quartetie, Soloist NE: euhcoedoceeseciis POT BIG Bhevesceressacsersnniies sores Pierce ecese dos lsssccseeeess| seesesees Opening Grave ....... Webeenciseeuaawesstensieoeds Vault CROTGOO...0+s0vsrerervvessrrveseesnesernssensenssanessneestsesesss: | csseeesedd cc | | IE OD hs cocoa cecign ines ssesvcensieit eden teen acess uiveon nt Geaisbelee ce oabvageaeesieniate) : f. E ecavieuae: Hearse...... <. . Ui telccsstesvevenetsoceesescsteveonvestsecvevessees | A wl. oo ek” A ait eeee ee boas Ae ‘ihe ; Ae ee | SN sett ta tons bikas vanes ossas fnenineanse bes one, cane ondad ORME a ats psoas ne i LT TTT Ne ene MeOMeOCOSS 6 OCS USHD ENON SEH DehebnTgoeseCHehenDebinteeses Oe ewes etleseecces. Tn no LEONE hater Een O a Tn ty Wt Cte ates SOP URTEPOR VCR GC EES T rvieeCruataMetsees onlin s0s | EINO UNOS back xesbeahanbeoesesscibeitie real Ee Re ee nr Ten te eat cee ieee he wert Sve wN eee eTeVeRNGNCe: 2. stsecScce meen tebics 1 cv eineduataghtsseny son] tious VaebUaebes Ciekcoueesneeocs sual lieeiiiaenee Ee en ES per ee Cerner eat eee ay Tere RENN Tey Or USOSS NEAL | cam beGsy Veli bybudee | Vonsapusnessiy¥ven sti aluuge beet bi clabbereevee sensi medeessentan een ae POMOC ORD eee eeneseses SOC COOSC EDEL COs eeees CeCe ee es eelieesennes , © | paliwanbeues ereccceesrecccccccees eine SEATPRID osorescoverserenenronerrs assess Tle fiiia 1 ahesvbcossveusseeconseresstsesuyeyeeincl eT aE oeams Transportation Expenses.......... pinasaiibdiis: snidibateniesik | Transportation Expenses... ......ssessesseresevees saeealf seveaee | ccsessscncnssonsoveessssorenenseessseners|es > : (a tne eOe"S 2 souseseurwisyeaveres | covsesesversi bigeses dds ssseusbeebine rechouensuesatborsdbaneventdhibassletsel tien SATO SSSOSH ESSEC COCO CREDO ECOES me Peeeeteseere Caer rar rt ener EnAnEN ERT TRRIERORT HERR ORR PCN EMtThiL Start mNinsiutin E sepbuasbedtinbensios § ol sonumenaedd eobbcseulteséein cebuamebaaeeeesebeebceued vaMMiOI cnn: ak men Seeeeere seeeeeee VECTOR OO See leew eseens SePeCCEee Ceeeesees eeoeccce ° cee vaocteccenees brecessevecesleeeccesslscoeeseeoeses,, pessteeesorroseneons : ss fe ~ a | Flas Ff | H if i pe meee) | BRE } re} tt meek | gee ee ie Ty) Be He | : j j : A eee eee eee nt = jk 09% Funeral of . Date of Funeral. ___ Giurdley Lug e Removing Remains.........cccccccccece Or eeeeec maeenseensco $00 0OSO0 B00 SOC SS OS OCOSeRCOoes seeese POPE EO OOOEHOE SH EESESED OS SOOES POOH OOS OODOSSOCCCOOODOOOOSOSES Reveceoeeeseecenecsece PIQMEIOS ING, <5. csesicecivactseiiises Outside Case, Pine, Chestnut, Oak, Mahogany........0..0.---: PAM OME POW Bat INO. vccscccscebactssess cisseicsestcssdecn cece CCG TAME RO i socks vesicssteiesisaes cee Peeereccessesecoscseseeseoves | | Morintings....0.00000-4- +e LCM scocassereseeresee FUANBssccscvesscsces | socseneess abese | | L20|.0-0.1 Bom Materaee....s.secceocesssses Se TODD cases cusses es acaneke ONO ae ice oe Reais cuticeketces MB wii ncekiclieteci IIVODOTY so ssccienis ace ORE E ee. geese ee Oot teem nner eecaussesceeeseces PAINS LR OS ASL PRESORERD RSSEEDOEDEROORES SU CRHEREEEESVESSLRCSC RSs eseneneSeeebéasscsens | NEPSSNEMENORRODL ES DLC ORR EY COR DU RET OESSONHEOS ERE EOESEEES EES SESS CORSE SCeO HRSA Ce sic0e Ge CRENSTR ITER ORS ECROES OS OOE TES OS SEGEERUKHS-66 06.00 55040590008 6 55540000060000 500040000566 MAOOMMAM oss kcecdcss, a tiiisk ka rvcinntpesensieihsheninninvinsnies sebatwaiik diniaudaes SOP Reet eweeresones Delivering Bow t0........0cccccseccees sereee Opening Grave Re NII 5c cos 09 Sea viik ou bse sibs vu 0diccdkak Racaiwlnsc chucks. Hearse. .«. RAL... Yoo Sebvsecm en bene Coaches... ASR AAT. ei uli MS. Slot wenniks a SSP HA SE EH NTE TET ENT EDT ETE ROTSORER SSSR COSA OOObs sb ete senenbools cuter seeenenses ee reeeee r eecensessessenevcsccocessseosseeseseseessoencosesosscscoetnessssess guleenesctssesens ?) i davilblesvéudoubbbevivscaniesecs tee eeeeee SCeeeeeeesenee ion Expenses Transportation #000 se rsecceccnns cocscsceccccosossoccoceccece ° Seeeesceceeere oe Cec ooeoveneese scoose eee ° eeee POCCOCORMOOEESE | eoesseseses ** AM eeeeseesees Cveeeeeers Z SOE TMS SSS CESCAGERG 64 -004000E 00465506 200050 § EPMO GTI BD cisvsicveiteiescccscceck.: § II OE I oii ins sossecs oo. | ep MK /é-/f GF Cofeereveres | coccensccccesece NAN[T OAERSPRS | CPASSECRSNOSEPERGL READS E SNE S48 €8596605na 5) 0 5540 9r Oho ede lke aeeecreees eeeeeeeede feeeeweees tee eee ee” see eeeene see eeeees eee eceee eee eeene seeceesee seeecceee st eceeees Birthplace ..! tee eeerewenees Last place of residence See eeeereceeecescsceves SOOO OC Coders ees er euseessoersessesecces i’ ae | ot “¢ f 3 k + ! ace Be sesncacx’ : } hh FE NAF eee wee eeeeelens canes RECEIVED ON ACCOUNT. TUR e eee e eee we ese eeeeereereseeeeaeeeeese® TTPO ROR e eee eee wees seme asenreeeeeeeee® TTPO R POO ewe m eee eee Heese eeeneeeeeseseee® TTPO OOOO rere ener eeeerereeeseseseeees See eee PCa loco lee Mss eavccecessvessseeseesseseeseeeeeeeerseeseierearesse® sseeeceee PAGED Rae oek IA Boos eee Funeral of .WW\ne. Cope teiek © Mul para. Date of Funeral Metat Inner Casket.................. Copper............ PM PU oo ok as sai as sn cuss cx ses casgass inca sseces fas aauussaaceatansys Outside Case, Pine, Chestnut, Oak, Mahogany.............0..0 Titi GA PUI Set ING ss scds vavnsscnsnsevcisecavcsassceccssdeccsess ; POE AMD TRO 5s acs ore hea ces bln boone TEOUMTINOE 5c. 00eceis x06 TAOMONBB. <.5cchoceseccines Metal Vault, Style............ hea rci sax sci estates Box Mattress CORPO HOH OHHH HHH ORO OOO EOS SEE ES ESESEEHOEOHE EEE EEEHS BEE OEE ET EEe IIVGRONG osc siccas ccs -«« CONQELGDIG:....0..60060 Candles, ......:...sc0s0 PORE oii etecin ss: ere Rug Cet eee eee e eee eees weer eeseneesees Pes. I, | Place of Death...... TERE, SOCEI o5. ooo sak cn cpcssi vncssvend Organiat..............00 RN Fi 06 i siisin cc iksy i leila eee | wr | I IIE aicicsc trees sn cincctnsicecseens Lining.. dageef fo va OEE OIE evs scisiivexsenniic resics ef Atrens ESie: ssi. Hearse... , ae bce Can ca tiv bc gbey | cs laetie crt beebsdek aeaeine beers Coaches creel se sovvem reer. te POOR meee eee ee OOOH RESET EOE H EESTI LTTE HEHE OOO EOE EOE HEHEHE EHEC EEO HERR E ei eeeee TORE NE eee ue eee HORE EERE OE HHH EEEH REE EEEEEHEE SESE OEE OES OOOH EES SEOEE OOS ES Lu bee TOON ee HOMO OREO ne eee Ee OE OOO SEDER OEE HESOSEEEE SESE SESE EOS EOSH EEE E Ses teeuesenee | Date of Death .{. AA MER ok ee TORO H ERLE EEO EOE SEES ERORERE RETEST OE OE HO REO OE eeeereen® COOP OSO OS | COC e COED CeO EEO EEE DEE EOE SHEED DORE EOE SOEdecees Coeneeces [PPeCeonce | cocecsee 2 .cesrecresenseseescesesecencs cecececececeeesosese COMO CP Cee eRe sOrseDeaeEseoresererreeeeessseesesseseseeesesere Single, Mar#4éd, Wy Fe OOM. ..ssnhnsnnusnnsunivayotnin eens Meee... re NddsdPrame | Father’s Name... @<¢€atotd, A TCL Country of Birth o> f)- Mother’s Name... ©-44, as Oe | Country of Birth........ 227 ALA... CO) = Eo. FIG ON si 51S cec aks i erence ee ene eee lm he RO TO ooo ois keane eee ce nner aged When rendered..... | —— soa ss Pee ee RECEIVED ON ACCOUNT. ane oo LOL aed bay, een AL LD. | | ' | | Pak forint scenic pecatenieebareoinratnnnse iter miele a SOMO OO OSH e eee EEOHe | seer eeeeEEer| HEHE EHH HH eee EEE EE DOE OE TEDE OOOH SHOE HOEEOOEEHS une ueneneeesienesesees COCO R Oe SOL eOOOEOee | PEE OOO EEO E FOO EOO OH ree reeeeee eee ese eEEOeEe Ter OOSSOSOOS OSES su eneeeeeserieseeeeene OOOO OO OTH eee ee Hee | SeeeeeTHE EET! FEHEOEE | eee eee OE SOE OES OSOOOSOSOS OOOOH SHOES! vue eesneeeeslsceseeees Hee eeeererleewoeeres | weeeereeeee TROP OOOOH ele wee ew eee | eee OOH EOE CREME EHO H EHO EEE HEP OO OOS EEE EEO OEE E EEE EHESEHEE Ho eee eee OBESE ou uuenene Kt : 600 Funeral of . Removing Remains... Embalming CORR eee One m eee eee a eee eeneone rene ATTA NNN TR RN ESN A RTE Re te Date of F uneral Lege 000080000000 08 0808 6O09S0% BORN OEOS Oe + COSCO DE SEOR ESOS eee eee ereenscenese POPC OOO SEEOODEOESOSESOEH eH Eeeerereteneserees Cereseces *eeeeereceerecece POPOCPOSEDOCCODOOECCOSFOHSESes | Seeeeeees® Oeecerees teeeseses Kaba | SPOOCOD CORERS FOR OOOO RENDECE Cee ade censeneeEeebbesacssesbecce Metal Inner Casket.......0.ceccesees CODMEF bas ciscince ROB iis ee i 5 PT OMEIOR ION. sasacasstccceucssbinesd coacs eubsenashdassusenue ebbeushentsessaaves | saeesean sa ieleiasass i Outside Case, Pine, Chestnut, Oak, Mahogany.................: ed 1} i Lining and Pillow Set No........s0000++ covereveeceeesseccccecocescceees | sesesessenelesssecees i : NE FI iki sis conentsnsnenueiileabebiisasshesanesaeinianss | tocncesenselesseenees | | : Be ee Pl ORIAB as veseccctcccs sis sc s|eoseesees | i Ne CID, Ci sissies inccntionemseihalealieiidiatinsendeebiniencasiies | : | Box Mattress.......0 ebsceuess ey oecccccccccccccceecccccossecesess Sisusaksieces Soe | Peat easas | | SO TIE sein isch selaiiasiaipadltibinialianaibidianiaviediin: .| : , } | MOE cd pert PGi vcccitseocuts Mi oirkemtin lai | Bits a | BE sat ciasikasisiee Nc cicilitibiciridiitiprncortnniis | «ces ae | ; | Personal Attandance and Assistants ..........c.c0000 leche eecenes al decntharne | cesta | | } DY QDELY....00e0000:--00 Candelabra...........-00 MGB oooiactes sash | es | Seaeeaee | ry PEM cicisscitassbeitirescilcddasiaiad DD cicsctiectaitnitnssinaicasionviie | eienaisicek aur ee ee | f CasH EXPENDITURES. teas id Ca oe ee a ae ee eae cee POCO eO RRR OES OEE EEO HOOT ESE E ROSE EES Seeeeeeeeesereee SERCO eee Oe PHOS OS HEE HEHE DO SEES ESE EES Eee OOOOH eee eee reoeeseresee Pee eeeewocoesesocece PPO ew eres ereseceseeees POPC eooreeeeersceseeess seeeee SOCCC OS SOR ee eeee Fereeesees SPO CORE OO OOO CCCRCEe Amount of Bill. ...seeveevereneeneons btibtbbeee LL n How long resident of this State Husband’s Name LGA trtene. Se .. AO. ot Leathe Father’s Name Clergyman. . WAR 2.00.00... 60 BL Date of Burial..J..e...73: Where Interred. Riess co ae HON WEE Mn a Section....... OP COOEOOSOOOSS DR OCODEseCreeseeeoooeeeseccee Pee eeeeees COP PONS CO ODOL COED O ODOR DO DE LE seeseccoeeneees« OO re wee ees weeeeeees SOCEPLOP CREREEA OSE LAR EOD CHORE NES FOES CAR OLAGANEASSbEEESAR Ks Teeeeceece ™s A Sogf = Twhery—] ' | | | Ag * Funeral of... Date of Funeral vu. OOP OOOO OO OOOOEOOe SOLOS OOD OO SOO DOSED ROO OO LOS DE rEs eee SE OEDOEE Oe ceeneeedsceeeeceeecee PRI TN Oi gak scoooal es cose ivasivcc aa, ees Outside Case, Pine, Chestnut, Oak, Mahogany.................. Lining and Pillow Set No........c0ceecesees a icisriseeie ate ne Pe I IO yikes posthoc sees Mountings............+. Metal Vault, Style.....-—“e*— Box Mattress CORR OR THEE HEMT H OSE OSE OEE OEE E OO EEESS SEES S ESOS DEES ES HEHE HEHE ene FORME O ROO MEMO HOSE EOE EERE EEE E OOO EOE E EEE eeee ese Oeeeeeeeeueseres Personal Attandance and Assistants DY QO 555 sie 0 ie HOOMACUIOT G5 5.5. hésisnss Pedestals COOP C ere eee ee Hee eH eee rH eee er ESO EE HH COOOOOS See esensveeeeeseseees coseee seeeeneee CORO e eee eee eee eee eens HHO EEE HEED! HOOSOEOSS OS EE OEE EE een erasseeesessess seuss | POOP O ROR RE Se EOE ee ee meee HEH EEH OEE e ue H OEE EEE SEO ODEEEEOE EEE EE scenes eeeseeeeeeseeee CCP e ree ee reer eee ere ree eOe eee ETeEeser SHH HHOHE EHO SOEEEeesseeereeseeseeeeereccoses Perec eer ee reereerr rr rrr yee ee TTT eeeererrrrrrrrrr rr TTT Teer rr rer Tr ry Tree ree rr rere OOOO REPO O HEHEHE EE EE EET EEE SE REO OOOH OOS ODE DEE DED eeesers seesenees ORR REET OR HHO HOHE HE NHR ee eee HOO UR OES OES REE ESE EE EEE HEEL HEE HO OE EMEE tees Quartette, Soloist............... Lene whesiauiaed Organist.. j 1 Pe IE OE chin vihtvcsvnestion igsrtuercaeeaint auc iinigs bak Ey NN iis sacs sa csetuacea ences tebivess Lining + eee weer eee soeeeee Peer eee eee eT OC OT OCe re rer rerrerre errr irre rr retiree reer rere errr eee ere Tre Tere es TORE Oe ee eee EOE OE OE OEE EEE E EHH ESSE EEE OEE E OEE E OHHH HEHE EEE E HEE EE EE EEE EE ESS Teleyrams Transportation Hapenses....... ......cesseesssesssessevsesseessoeesees Soeeeees TTF MORO e ee ee ee meee eee Eee E OEE EEO OSEEEEE SEES SHOES TEES SEOE EE inne tteneeneece eee ereeeee POO ee eee eee eee sew ees Ose e see OEE OSOOR SLOSS ODES OO EEEOE DOSE CESS EE EHseceerecs POO OR Heer eee eenene See ee ee eeee PHOTO RCH eee teens eoees seeeeeees ee eeenaee .| Ordered by < Climate, UA 0%. es NA Cee eer eee rene Mer eeeserereeseresesesees ee Peace acess seueene TMT eR ROH ATO Ree ee eRe E ees eeeeeeeseeeses POO COS ET Ee. Ce eseeerend CRO MOOR OEE TERETE OE EERE OEE E EE EE SEES ESE EEE EE ESEEEEe® COOP COCO ea OD DOPOD eeerece ee roeeneEeeeene seeeeses: eoeeeeese SHPO HOD Os CORO OH HOO ers erererrereeeneeeeseereeseneereeeeee SOOM OOO COOH Oe eee HO OSO REE COE OEE EDS ereeeesreeeeeernsss oeeeses How long resident of this State........ .... .. Hig Name A2K <f LA reg, bass, aca eee Country of Birth....57.... .esess. Ad. - : PFT eee rererseseeneseenerennene Charge to When rendered..... 2 | SOOM O ROO ee me eee ee | cee e ee beens Hee w eee eH NEE EE EE ET EEE OE NEON HTT EE EET EEO H HEHE EEE Y see heweereeeeres RECEIVED ON ACCOUNT. eee ee OOO eel cre eseee Fel eee eee eee eee OOOO eres eee ee eeeeeeeeeewars tote eeeee! PTEROOOOC OO ee... eee RO ORRS OTOH Oe SO res Om 4 % eh Funeral of Hee -_ li/<+ (eH ae Date of Funeral CS fe Hour__ Fs Removing Remains.........+: jnieliiaicianicssiilibiniesiitipsalii Jsssveeeee | Date of Death .....Q2.<7,... 6 oR ee MNO I sitet a ae ws. |Date of Death... <A... /. ily gee I iinissssciicicicnn cineca acl as ane 2 : moatming ‘A PE isi bcs a 2 Tow. | Place of Death....... |e: ssgidecmneseinee Gol ea eee ; ‘ | : waa, 2 SO IIE I oes sisnsscnesngnnncehtsndsitiashicseccccdbcdh cs... ks. [eseonesae ba of Funeral...... : sakabhaiadeecererseniecniets Ai Shee ne Of: 2.22 | ie CORRIE FIG, Seer tiheks nsec baccccclesscciaes ROMs OU Niiscissiesece Ab.2..|. 22. ay cicke seeete c sane Date of id. ee ee Metat Inner Casket.................. COOMIE 6 oS icc ANG eer ce eae | Where Interred Moher. of? _ coring amid. Soma CB sic ii COMI Nee i ne PI gees a on, | PERO R TEER HOE OE Oe TOTES SORES EEO ES HOSE SS EOS OOO SSOEeS POCPCC CORES Sesecenereeruesesesens FERAEESAD ELUSAEED EASA ERASERS ROAR CSOOOCORGAR DD O2 DUO EAadS SOR Shee DE daneedde¥een004e 0D diahesaecc. r | PLONNES TOs 21 caicisssicesaeapeseat Riese cists es Le . | ieee ors: tipig MM RIM r ‘nner mentee Mica et TTPO MOO HOLE eR OO ROM ee He Eee ee EEE ese eee HE MESES OEE EEEEEEare Outside Case, Pine, Chestnut, Oak, Mahogany................-. |srssseeeneelovseeeees | Location of Grave vosccessssssssesssssesesssssesssesseececcc... | Outside Case, Pine, Chestnut, Oak Mahogany Laning and Pillow Set No. .iccisesssncareccacsioccsaseses bie ; | , SR I Pe OE ies vas cise datbehcveiniasdacs soiensdessiccivcs Hinwe baled | see shenbiiariescisestebsceis seaesiecceeten es ce Re Ns Ee °F | TEMES TSE INS SSR ORS eR RRNRND AREhEREExSRNE ERD DShuanneRNNes EI MIN ir bi sibs ateaiscrnicedsdisibamallciiauaak. eae Ero ania | seeeeeee eesenee tugeeeececencenenaeeeeentsesssceaeceseneees MOUNTING. hesiscevenas<cns PT cintiniinianian Se ili <eiinias: | ainscuav dsehinsded can elebaadaeas ete raldeite venice sss eke ve Mountings.............. «.. Seale Plate i ion id ecicetuok te asda ee sensenses | srtetereseestesconscascnscnssnsssecsessessuneansstssssesees Re ce cain fontaine codohede disease Saale Metal Vault, Style........0. jnbennnehsdeedeunenanaheshGadeaessbueuueosasasscs od ies od 6.5 b ise Be RUIN 5 hoo eS o0s es eseias oa siocd ease isle ec eave Years......@..... Months... Fcc xsi idea Box Mattress........00 neues ‘iheiieacehniialitinsienscersuiiinsniitcs Voge lacks ice ener WO ccs, Months............... Days EEE FOOD... snssaviicsitnpiaaiaainsliaiiiaimnbintinasisithabails mnbiziiieds Vecuies. cedccbi: | Color de ednieains sais txnaguee scoop senivs -Occupation........... +-sseese eRe ee, oe ee a a nas seas POE eich etes ola OID isis icdetesovetiiscw ire ri ial Wiis iiss Fic oa | Single, Married, Widow, Widower... | Bless leak alate ae CO icnnt Ome reeeer ceeeeeces eas | TVS se oe eW sobs dave diaseedsFicls cay oceseec tee anata nmaempnliniinionttin ati Eepend eet | | Personal Attandance and Assistants ........0 Kasvsics peasscasee ees fic. ee aeenk CME UOT PUI on. tisiisasin scasssdsiasccess. «.cccanad Personal Attandamce and Assistants .........0.60c0ccccccccsccacesccoce | anccecececlevsoesces Det et I Drapery.....ss0s ....Candelabra...... eapannsis MMMM co yestsoss ess flags | seseeees How long resident of this State........................... benseneea Drapery.........0..0 ...Candelabra............... RFI a 1 albedo How long resident of this State......0...... cocccccccscecscescsscesesenees | Mies Name nel Pedestals Rug Husband’s Name ....2.:.2.:. Cahhive Me Ve SE nee ah Ws Sune er et tie APRN e IRE SIAR AGI ARR NSS Fea resr ress s-vo ois as vekoM MMMM. 56 cus50s45 dh pud oss racle 546s vo uD IG Ak «cone aes iooa ee Eek a ee IE PI ios ee... AOR Lon Sage Peay alkene Nadie Coke ROR aie Cate acon ech kk Stu ie a ears Country of Birth ..... (I2Ax. Hirasawa eas ‘ Pop BOON Eiri ctctinentbuceisininseee weeececccesessceccncccccscccesesecs t cieesssva | bags sic ssi evscbebia LUNE TI iss i ens prs mienscnsaiateta ts tic cenia cay osnenisbauebilbgidddtaowe 1 xapeaidieieacd. ca Mother’s Name... fC2AAAR.,../,\ 224 occas beiiiecicetaitdiscvictaele IF I vcsinsccnsataheepevadde Retinol siueceeiek ac duc 5 <etsceietissiniasis OMIM Se oe a J crssesseceseeeeeseceeessseesPOUIMNB.cscescscecssenssssersssscesesssssssasecesceee | cescanseesfesseerene | ComnETY RA... ere FONE ich sinssaniiniseeaiidibbiesisntnssialibicsiceiiisitbeii tei is ae | bese NR ne oS ie ee ee. sane a EAOMOB a cecserenisenienss ons osnsgivetonones vvttinabassonvessisiavntauble’ daktie | ssessees Le coiesce, Physician ..., fate. fle Reethieg.. ieee « ( f ocercccccecceccccccccs secees | | Ne OER oO eh CeKMGeE TN, 49 °S SURG SE DUO S ES aUbSN SESS oes nee4scneses Jenceronsedhebbekundhonesapveenesabeeses seine eee ee ae oe of Death Ravehsabeia tees cuedin tices RETEREAT USS OR SUS TEREST ERE SESREOES SAORI NOSRODEL HSS SOS bDeDRbEh ESS sNeNetecaubantaeeenee 4d .. -.. 4 St (ict SRG ce cee | ae Wis | | kia bie kerbicerises ins OPUS CHE conc ccécerdcisvecinceee Biss VOOR escstaiss | em Ordered by ie vetealbusvdnesern te RON MU Ses sccincksckasacs dks oe titinccal sssesees | Ordered be ieiaica ni Se | ERS ENNIO TSEACRA NH roRen ouberaba eweesonnonenbinnelnenenerinebeninivninlintiesowiien | od WA PU i ee a ed ho ts Tt teense ea eeeeressseeeeerrerseenssenne reset ee eeennereneeaeneeseeeee tener sesvousceeens DT eee a oN yee eee tee a oe ENEPORT SOE Fc aieaie Aecie ken pee ONO Fe RS I i aes SOHO emo e me see ere nseeeeerereeres! eee resneeens oer ce RECEIVED ON ACCOUNT. RUT nse VuSUtSESSNNES CSSOS* COUNT) FESONELEDS44 65000 0 RsauEhbNREEEDEOSs CekbeNbbeSss cee AIR i rpiecesavis ics insti renebetaskessieisliieibitininadiaats oak: WOON sola bcs cosissevedevodsessusslincnnccceohae Lac : Delivering Box to.......s00..ccsccss. . A Cin tt iets Opening Grave ....... Dil sicntndeasibiincicieal Lining...... eSETTTi ce eee SITIO, stv cihcincrasinccbiidbtnnescdsndedcacedanikciniccstcisbia<c.. Hearse.~k.. 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' a How long resident of this State................... | Husband’ s TE sir stesitnctesssinsrssiggbinsorvoriness | Father's 8 Name..,f..<.. e ee: G ELLY | Sf | Country PIO isishoccduices 4 ee es ja Name.. thee, fe a ark. ie ee a. ae 4 | ‘Siang 1 a | SAIN OE DN ioe ods eis ordered by Joe eee 9 Bee PBA ss seest t ; , fe A, bi Charge to ..(.€t-x- Men oe OX fa 4 ..| When rendered inti x or *PPORPORSPOOPOR SEER OSDOD DOS OLERO CC EOODSeCOR OOO SOSESeCOcCeene Days As.rount of Bill........0+« oPereoeevcccoesoooosescccesessese: od lecovecccscer|seecseee® S009 00S 58000] 6 090 OME 1s) 0066600000 050800 06 bene es 6n6e sees shee etlecoceoeeeee Pg State of North Carolia Department of Archives and history Ralergh ie target filmed reduc= filmed, they were mic vanne and film approved, Db; NCDAGH