HomeMy WebLinkAboutCemBK1901to1907pg116,117-007101
on OF FUNERAL%
116 Kbkwv — _---- F FUNERAL.
ut=��L.f... ___•� RECORD O AL. R
o - -
`-�-� Date.. .1.(.... .......
_ .
Ilia \ No
ante of - ' ,Marne �tjjsed_j -�!�� u'`� - -
N
Charge to Charge to-- -- -- -- - —
price of Casket or Coffin - ---- --
given bU-�— " given b____-_._._..._ ____----
Order � Metallic Lining Order ✓ - _-- ------- - I Price of Casket or Coffin $
How secured-- " Outside Box $ow secured ___. -- -- -- „ Metallic Lining
Funeral " Grave Vault `� Outside Box •
Date of Date of Funeral..---- tQ--.1-�%D�- ._.... -
-- -- �' Burial Robe
Services at-� -- _.._..._ 4. ---...
Grave Vault
Funeral Burial Slippers and Hose Funeral Services Burial Robe .
Services -'- _-c!',��.1�1..._.
Tuna of Funeral `', Fune� Services --�rr Burial Slippers and Hose
__.._..__ ErnbalrningBody (with .........................._. _. ..... Time of
- Washing and Dressing �1 �-t . _.._.._.. _ _........._ (with........._.._..._..____.___...F7ui
Clergyman '' EmG�lming
Clerjyman�- > N� n Dressing
.
-_. Shaving 6 Playsician.�-1.... ......_---_..._//IU2l._ Washing ring a in9
Certifying Playsician.-----` C<rtifytns _ Shaving .
---- Keeping Body on Ice ,
Burial Certifteate__--- p 9 Number of Burial Certif Bate ......... Keeping Keeping Body on Ice
Number of Disinfecting Rooms
,�..........._ Disinfecting Rooms
Cause of Deatlt_ Use of Catafalque and Drapery Cause of Dectth ��i
t—_-- Qd Use of Catafalque and Drapery
" Folding Chairs , Date of Deat7a -- "- •� Folding Chairs
Deatic''
Date of _ - • ,
the Deceased � " Candelabrum Occupation of t e Deceased.��G `� Candelabrum
Occupation of Candles t t . . . . . . .
Single orrlfarried__-- = Religion ��✓ �- Single or Tarried. y1.tjRelision ' Candles
Days. Gloves Years, _ �llonth . .................. Days. es
rllont)cs, __L--- U f1Q'ed..._J_. i_� , , . . . . . .
/L s .
a s o't' .
Aged Years, �- - Crape
`�--- - Crape
Body to be shipped to - Number of Carriages .............................. C$ __. Body to be slaapped to Number of Carriages..._...__..._._...... C� ............._.
. Hearse HSize and Style of Casket or Coffin..._._.._-.-.------ Hearse .
Size and Style of Casket or COS'& Wagon Deliveries......__............ -____..-._.___ .............
Wagon Deliveries ................_. ..... _................ _ -- ----
_.._-------- Death Notices in__._...._...........Newspapers .
Death Notices
in................. ._....Newspapers • --_-.----.-.----........-..._....------_.__.__.
,Manufactured by_....___.._._.___.__.___ -' t8amesatNewepape.-
ganufactured by-________--- • • • • ' '
._................................ Flowers
(Names'lNewgpanere) _ _ Metallic Lining'- _- -_ • .
.Metallic Lining Flowers Outlay for Lot
Outlay for Lot Outside Box _._.. '------^ Opening Grave
Outside Box /�( !/ Cernetery.
Opening Grave Ltterment at_ .L£�t--�-4-�-�•-' Lining Grave •
........Section No•_
Interment at —Cemetery. Lining Grave Lot or-(x'rfL�✓V�o•-----� '-�� -- Shipping Charges, prepaid
'1 Removal Charges
Lot or9reaue-JW.-- _..._._Section No•� _- Shipping.Charges, prepaid i. _—_.__._......._...___. _...
. Cremation Charges
i• Removal Charges
.
12, Cremation Charges 3, -... ..V
.............
-'- -
_..._ _-
Total Footing of Bill
By Amount Paid in Advance
G. $
Total Footing of Bill
�' By Amount Pa:d in Advance
........._...._.____. _
(Migram of Leta Balance '
Designate all Graces in Lot with numbers (1, 2, 3, A, etc.), and mark,
space for this Funeral with a cross (+)•
' , , ' ' Designato place forMonument with a small square those
C- ...... or below.
IDltgtim of Lott
Designate all Graves in Lot with numbers (1 2 3 •t etc.)and mark Use space to the right of Diagram for the names of thoso buried in Lot. Entered into Ledger, pag
space for this Funeral with a cross (d ), Balance _ ----
Designate place for 110nument with a small square (p). ^t0 — _ .._. ..... ... --
Usespacc to the rightof Diagram for the names of those buried in Lot. Or .. Y
.. I .. B Cash __......
I Entered intoLedger, page.........~.._......._.. � - . .I`ro Fune al Charges._, .__..__Total. $ ._...._\...._ ___ _.... ._. .� .. �G
ntf,/�,4_---U�t?%l��e�i,,✓i fin!__
- -- __ 20 Funeral chmges_____`Totaf, I
- - --� --- �1......_._....._
3y Cash-----__--
1
...... .............. ..... __.._...__.__.- ^ ......_. I'....._..•....[- ...... I......__.../1I_.__.-•f/ __-_..-._...._-_............_. _.._......__...__..
e./ �,r 1900,
compiled fly F- ✓. FEINE'ATAN, Ate., 1n rho Y'