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HomeMy WebLinkAboutCemBK1901to1907pg8,9-0016�,�[U�1ERAL. RECORDRECORD OF FUNFRAL. -_ IIJIZI D ��'..____-........79 No. fro. 1 11 Name of the Deceased .-._._------- -- --- -IV'ame of tlae Deceased_..__=.� Charge to a to-------_- - -- - liven by_-------'�- - Price of Casket or Coffin , Order,, ' $ �. Order Seven by ....... " Metallic Lining j Price of Casket or Coffin . i7ow secured_•-- outside Box Flow secured-.------ --- " Metallic Lining . - id Date of Funeral____---- Grave Yault Funeral... ..-.- - - --- Outside Box Date of Funeral Services at ____------- « Burial Robe ,-.__.._ • • • ' , Grave Vault I --- Funeral Services at .................____ Burial Robe - l! Burial Slippers and Hose Time of Funeral Services ___..-- o Funeral Services _...._._.._ ____..._. EmbalmingBody(wit�t.............................................Fkfid) _me f Burial Slippers and Hose Clergyman._ __--- -- Washing and Dressing Clergyman ----------- - -" `-'- - EmbalmingBody(u/ith........................................... Flu Washing and Dress ing Csrlifying Shaving . . ' Cortifytns _......__.... Shaving Number of Burial Certtfteate-_.-.__.._-.--- Keeping Body on Ice . Burial Certifzeate._.....__...___-_.__-_ . Deatla----- ---- - Number of Keeping Body on Ice Cause of Disinfecting Rooms fcccse o _ _ Deatla.... - -• ---- --- Disinfecting Rooms Date of Deatla Use of Catafalque and Drapery C'! FoldingChairs , __„- -....- Use of Catafalque and Drapery _ Date of Deatla " Folding Chairs Occupation of the Deceased of Candelabrum Occupation of the Deceased_...— �` Candelabrum . . Single or Married Religion Candles , Single or Married ............... .-.__. Religginon .___._..__-------- _ Candles ,Aged Years, Months, Days.. Gloves vas -- - _Days. Gloves Crape.Ag'ed....__------.._...----Y'ears, ..................... .11lol:tTzs, ......... Body to be sltipped to _ Crape Number of Carriages .......... _..................... n $...................... Body to be shipped to------- Number of Carriages ....... _..._.___.._....©$............ Size and Style of Casket or Cofn Hearse . ' - Size and Style of Casket or G'ofj'in... _.._-....-.- Hearse . Wagon Deliveries ......................._........................... .......... Wagon Deliveries...................... _ -- Bath Notices in...._ ....................Newspapers — Death Notices in_._..__ -_._..Newspapers . Jlfanufactured by ..................................... Metallic Lining (Names of Newspapers ) Flowers . . . . . Outside Box _ Outlay for Lot Interment at___ --_-_----____-- Opening Grave . Lot or Grave No. Lining Grave . . . . . _..'..S�ee�tion No•_ _____ Shipping Charges, prepaid . Removal Charges . . , . Cremation Changes . . . . $. --- 4. — — (Diagram of Mt .. By Amount P - - - - Des; aid in Advance Designate all a Graves in Lot With numbers (1, 2, 3, 4, etc,) and mark specs for this Funeral with a cross (}), Designate place for Monument Balance Usespacc to then with a small square rightof Diagram for the names of those buried in Lot. Entered into Ledger, page ...... _...... ..............or below. r] —_— Cha ges— �— �� _------- ----- � --- I By Cash._ _- ... Manufactured by_ .............. _.___._...__.___. - —•—�'----�� (flames of NnaespapeOl _.. .. ,Metallic Lining Flowers -- .._..._- --- - Outlay for Lot Outside Box Opening Grave Interment at-...___-_....._..__..-- ----.Cemetery. Lining Grave -- Lot or Grave No. ._.:.�-�-. -Section Shipping Charges, prepaid _. .............. Removatl Cha aion C lrges . -•-- _. ><. Cremarges -, •a. s j 4 _._ &• _...__.__ _.._......... ... Total Footing of Bill By Amount PaLd in Advance (Diagram of Lot.) Balance ' Designate all Graves in Lot with numbers (1, 2, 3, 4, etc.), and mark space for this Funeral with a cross (• . j Designate place for Monument with a small square (a) • or below' Ledger, page ...._... I Use apace to the right of Diagram for the names of those buried inLot. Entered into Ledg p g — Zq- fiJ;�Ju �11 Compllty .___—_ ........... 6 i -�—•�..�._._ _ _ FEINEMAN. St.Louls, '- Mo., In Lhc Year 1900. Charg.s__...._..._..Total, $i....... _....... _. _....... _.........................._._............... _- FEINEhfAN, SL Lo:'is, r'fa, /n the Year 1000 ComFltcrt by F. J.. E