HomeMy WebLinkAboutCemBK1901to1907pg80,81-0052�� FUNERAL„
IZF CORD _
Date_...��!1�_�L
Name of lice Diseased_ _ _._----------
t �-
Cliarge to_ --- _
--'"- I Price of Casket or Coffin $
Order given by Meta tic Lining ,
Moto secured _ " Outside Box ,
Date of Funeral p Grave Vault .
_ (3 _ "
Funeral Services at Burial Robe .
- ---- - " Burial Slipper's and Hose
Time of Funeral Services EmbalmingBody(with. ....................................F1ufd)
Clergyman ^ Washing and Dressing .
Ph sician _--- -- - "--- - Shaving
C arlifying Y
Burial C rti ate Keeping Body on Ice
e
Number of q Disinfecting Rooms
Cause of Death II �� Use of Catafalque andDr•apely .
Date of Death_'s�—} Folding Chairs
�
Occupation of the Deceased ' ` Candelabrum
Religion Candles
Single or ,,carried Gloves
.4ged_ )-L_--Years, _ �(� -: Months -Days.—Days. Crape .
Body to be skipped to Number of Carriages ............. ..... .... ...... .._ G $....... ....--
Size and Style of Casket or Cofn Hearse .
Wagon Deliveries ....................... __........__._._
Death Notices in...........................Newspapers .
Manufactured by ....................................
(Names of Newspapers)
Afetallie Lining Flowers
Outside Box Outlay for Lot
Interment at t _Cemetery. Opening Grave
Lining Grave
Lot or No._li-..-_-SeetionNo•.._lrkv _.._ Shipping Charges, prepaid
1 • _ Removal Charges • • • ' '
:1 o y Cremation Charges , • , , ,
__.._.._-.--................................ .
__
s.
�zt;Il
RECORD OF FUNERAL. 8^
Narrle Of the Deceased____ --- --
Charge gto_--
ivenby -- - --..-.._._----- _ --...._._._...._.... I
orders F
9 ul secured._-•-------_
o Funerab_ �IfOE-
Date f /� /� /
Funeral Services at .�LJ�4 _ . Time of I' --
+uneral Services 2 Q{� ` -L ---
-_.. _
Clergyman
C,rtifYi7i
g Py
ia sician ... .. __/ F.:a� ...�-•_r--....--
,Number of Burial C ti cate.......... ______•----- ..----
/ r
Death--1 �I(
Cause of
Death ,.1
Date of -
Occupation of
the Deceased �f
Religion LI:4.ti
Sill.gle or Harried.
years, Aged �- .../...(.......i.t.__._._Days.
_.... Jlonths,..
Body to be shipped
Size and Style of Casket or Cofj'cim.._.---.-----------
Date " Z-�-_1_7._...... 19,4
I
i
rice of Casket or Coffin
Metallic Lining . . •
Outside Box • • • • • - -
Grave Vault
,• Burial Robe -
" Burial Slippers and Hose II -- • -
?mbalmingBody (with..... _ ..............................__ old)
Washing and Dressing _._.
5having . . . . . . I - _-
Keeping Body on Ice • • ---
Disinfecting Rooms • • -
Use of Catafalque 4nd Drapery -- —
Folding Chairs .
" Candelabrum • • • • ' -
Candles. . . . . . . .
Gloves . . . . . . I
Crape
Number of Carriages ._............ ... _....__.@$........... _..... _ Hearse. , • • • • --
Wagon Deliveries _.................
Death Notices in ........ ............. ._.. NewsPaPffs •
--
.-...........__... _
'11aaufaetured by_. am ss of\erspapers)
Rowers
,41etallie Lining------- ---
Outlay for Lot
Outside Box Opening Grave -
/ r _._Cemetery'
Interment at_ Lining Grave _
__{ r Shipping Charges, prepaid
Lot or Grave No. Section No•
'
J Removal Charges
�' Cremation Charges .
..........
b._.._.................... ........_......
.._...__..._.___--Total Footing of Bill
_ By Amount Pad in Advance
ryi anagram of Lot.) Balance
(n(agram of Lot.) I.15y Amount .Paid in Aavanec Designate all Graces in Lot with numbers (1, 24
, 3, ) ate.), and mark
Designate all Graves in Lot with number, (1, 2, 3, 4, etc.), and mark `T'" c J for this Funeral with a cross W
space for this Funeral or be ow.
De,i a into Ledger, Page._......___.._.--
Da,i W)lh II ere6, W. Cse pace to the righted Diagram �for the names of thou buriedinLot. Entered
gnato place for blonument Balance
_ U to the right of Diagram for the small
sot hose buried inLot. or below'
square(p), _ _ B Cash-._._ __._.._._.._._.-- $
Total ....... _._n..
Entered into Led Ledger, a e... - l� _. __._...._.._. `fo Funeral Chaves_..........__.. /.. ......��
9 page
— 20 Funeral Cha es r
_.,�,/ /L � � � L.__'_ _: I --_._._I_._..__.._. I___ IBv Cash___.__.--._.._.._ I
_--
. _- .......... _ __ I ..........
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.._.__.........
..._.._._.... ............ ..._..._.
F. J, FElNEAIAN. St-Louts,to the Ye:,r 190
Compiled by
-- .... _............... _.
�ompped by F J. FE1NE �...
MAN, SL Louts, Mo., iri file year 1000.