Name of Deceased Infant Bergman
Record Number Number 37
Place of Birth
Date June 6 (no year stated)
Place of Death W. Third St.
Date June 6 (no year stated)
Age at Death
Cause of Death
Sex
Color
Social Status
Occupation
Name of Father Lawrence Bergman
Name of Mother
Nativity
Physician Dr. Wiley
Time of Funeral
Services
Interment at Green Park
Burial Date June 7 (no year stated)
Minister in Charge
Assisted By
Obituary By
Pall Bearers
Choir
Desc. Of Furnishings; Casket No.
Make of Casket
Style of Casket
Handles No.
Make
Style of Handles
Robe or Suit
Lining
Name Plate
Charge To
Address
Lot No.
Owner Name
Section
Division
Additional Information
Name of Deceased Infant Bergman
Record Number Number 37
Place of Birth
Date June 6 (no year stated)
Place of Death W. Third St.
Date June 6 (no year stated)
Age at Death
Cause of Death
Sex
Color
Social Status
Occupation
Name of Father Lawrence Bergman
Name of Mother
Nativity
Physician Dr. Wiley
Time of Funeral
Services
Interment at Green Park
Burial Date June 7 (no year stated)
Minister in Charge
Assisted By
Obituary By
Pall Bearers
Choir
Desc. Of Furnishings; Casket No.
Make of Casket
Style of Casket
Handles No.
Make
Style of Handles
Robe or Suit
Lining
Name Plate
Charge To
Address
Lot No.
Owner Name
Section
Division
Additional Information
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