HomeMy WebLinkAboutCemBK1901to1907pg144,145-0085OD OF FUNERAL
RF,Co
S
Date.7!.�..._•.�
Deceased
Name of the '-
e to,- ---- _ Casket or Coffin \
Chang --_ _- I Price of S
Order given by Metallic Lining
Sow secured Outside Box
-- .. (,rave Vault •
Date of Funeral - .. Burial Robe
Funeral Services at .. Burial Slippers and Hose
Time of Funeral Servic / EmbalmingBody(with................. .... ._... ._........ ._F7c;,l�
Certifying --
Number of Burial Cerliflc e
Cause of Death, -
Date of Death
Occupation of the Deceased /'
-------
Single or ,1{farrie Religion �Days.
Agel�-Years, j Months, ..t�.--
Body to be shipped to -"-
Sine and Style of Casket or COP'
Washing and ress[ng .
Shaving
Keeping Body on Ice
Disinfecting Roorns
Use of Catafalque and Drapery .
04 Folding Chairs
if Candelabrum
Candles
Gloves
Crape
Number of g C $...._
Carrie es _ .................. .
Hearse
Wagon Deliveries . ... ..... . ... . _............... ........
----
Death Notices in ..... ............... ....Newspapers .
Aranufactured by_ _--------- -- -- tNaoaeyu[ Newspapers l
hfetallie Lining Flowers ;
Outlay for Lot
Outside Box- Opening Grave
Interment at -._Cemetery. Lining Grave
Lot or Grave No. _f P • _..... -.Section NO-_d1W Shipping Charges, prepaid
1 Removal Cbarges
Cremation Charges
8.
4.
G,
RECORD OF FUNERAL..
xante of tTce Deceased �� 'l'� - --
C11arge
Order given• by .---__..__.___-__�� Price of Casket or Coffin
How secured----- Metallic Lining .`/ _._..._........._ .
+uneral.._.._��.L►_ 1- --.. •` Outside Box . . . . __.._...._. _..._ _
Date of r " Grave Vault
Funeral Services at _. _ ,. Burial Robe .
Funeral Services .-LIL—L, f.r
Time of 11 Burial Slippers and Hose � ----- ---�
f to tJ_'!2................. _._......._.. EmbalmingBody(with _.___._.... ...... .............._.._Fluid)
.__.._....----.....
Clergyman i /f
z<!C �( �r !�?�� _ �.._.__ Washin and Dressing -- -
s physician .1:-..=.._._. - �1(__!!_. 9
Cortifytn,. y Shaving . . . . . . . . -- -
Burial Certifi.eate........ __ Keeping Body on Ice
Number of // �--- %�/
G`;...•..L.r�=G�.a.!...t _._ Disinfecting Rooms -
Callse of Death,__._.-J _.lyz:..4L<.� -
Use of Cata falque and Drapery
Date of Death •� Folding Chairs . . . . .
`
Occupation of the Deceased _ Candelabrum � Sill, le or 1�arraed._'...La.Et _k_RelLjj on _.:_ -- Candles
Gloves . . . . . __--
Years, ...J.._....... .Alonths, ._.. ri.._.__Days. Crape .
Body to be shipped to -- -
Number of Carriages ...... ...................... ._c ....................... _........
Si�_e and Style of Casket or CofJin.......... Hearse . .
Wagon Deliveries ......__...........--------_...._--------
--------- -..._..._
Death Notices m...... ._..._..._...._ ewspapers _-
Afatrufactured by
(Sames Ol NeeeVapere ) _-._—
Metallic Lining%_. _ ' '
----•--__-_-- ewers
Outlay for Lot • • • • • •
Outside Box ._ - Opening Grave -----
/�� Cemetery. -- -.... _.........
Interment at_ j - -•--�yL�------- x Lining Grave .
,..........Section No•_�__ -- Shipping Charges, prepaid
Lot or Grave No.-. ._............. _
1 Removal Charges
_.
........._...__._-....._.......__. Cremation Charges .
..._.........................................
-..
3
4. ........._......._._.._............___--_...._.--._. -_._•__----•-..._..._._--..._•--• P
f
�.
Total Footing of Bill
By Amount Pa>d in Advance
g, Total Footing of Bill Miagram of Lot-)
Designate all Graves in Lot with numbers (1, 2, 3, 4, etc.), and mark
By Amount Fa;d in Advance sf.ace for this Funeral with a cross (+•
(Dia;nm of Lot.) De ignite place for Monument with a small square (a) •
Designate all Graves in Lot with numbers (1 2 3 4 etc.) and mark Balance Use space to the right of Diagram for the names of those buried inLot.
space for this Funeral with a cross ' ' ' ' I —
esignate place for Monument with a small equate (p).
Use space to the right of Diagram for the names of those buried in Lot. --
Entered into Ledger, page f
... ...........
---- .__ 176 Funeral charges —__. Total, 3 .... Cash---•---'-'�^�
_y
By
....................... _.....__ ..._.__.............._.' ....___ --
-_----- -.-..._._---
_....__...._ _--- ......._.._.-.. _._..- .....................
Compiled by F. J. FEINEMAN, St. Louis Ma, In tho year I000•
Balance • • • .
a ..............._..... or below.
� Entered into Ledger, page _9
�By Cash _ .
............ J .. i / w_ wit