HomeMy WebLinkAboutCemBK1901to1907pg84,85-005411
jzgco) OF FUNERAL RECORD OF FUNERAL,
S11 I -
Date..
tl,o
Deceased e Of the
of the Deco --------- 1711
A'allie 1� ------- price of Casket oi, Coffin large,
Charge 10 ive7l, by
G Price of Casket or Coffin . . . . $ -
Metallic Lining -der
order given, by 41 outside Box 9w secured Metallic Lining . . . .
Outside Box - t
goic scoured 41 Grave Vault I
,to of Fane Grave Vault . . . . .
Date of 17aneral- at Burial Robe Ineral Services at ---- - - Burial Robe . . . . .
a .. . ....... 'd Burial Slippers and Hose . . .... ....... ..... . . 44
Funeral Services of funeral Services Burial Slippers and Hose I
--------
Time Funeral Services Ernbaltning&d�) (with ...................................... .. 7716 EmbalmingBody (with .. .. . .... .... .............. ......... Ruid)',
lite Washing and Dressing' �erffYmaa ------- Washing and Dressing . . . . .
Clergyman .,,f p7bysician . ............
Shaving !rtifyr, 0 Shaving
C, pjjysicia�n
.r1ifyinj Keeping Body oil Ice Unt6er of Buri(d Certificate_.._...._._ Keeping Body on Ice
0-
W Cort in Disinfecting Rooms
,Number of Burial Disinfecting Rooms of Death,_ ......
U f Cj t f I ae and Drapery .. ....
Cause of Death, Use of Catafalque and Drapery se, o a ji�i dqaairs
44 Folding Chairs Ite of F i:g . . . . . ....... ....
Date of Death Candelabrum !cupation of tile Deceased— 40 Candelabrum . . . .
d
Occupation of the Decease Religion Candles . . . . .
, h elision Candles ligle or garried .............. Gloves•
Single or garried I? Gloves ths . ......... .. . --Days.
ths 9 �_Days- fed. - Years, Crape . . . .
Yew, Mon Crape C. )dy to be s7bipped to_—�__ Number of Carriages $ .......... . .......... - - -- -----
Body to be shipped to__-� Number of Carriages of Casket or Coffin Hearse
Size and Style Of Casket or Coffin, Hearse and Style Wagon Deliveries ... ......... ... ..
.
Death Notices in .............._._..Newspapers .......
Wagon Deliveries.._.. . ............ ..... .
in... ewspapers: ---- - ------ -----------------
. ............ ... ... . N 't Newspapers
Death Notices (filitfactured - - ------- (Names
. . ...... . ...... Rowers -
iraltufactured by_-__(Namesu[Ntw1s11p'a'p'e*rs; etallic Lining --� j outlay for Lot
Flowers Uside Box
iretallic Lining outlay for Lot Opening Grave
Outside Box Opening Grave terment at -.---a -.-Cemetel'y' Lining Grave ......
Interment at j �k_Cemetery- it or Grave see Shipping Charges, prepaid
J! LC5 Lining Grave Rernovat Cbarges
Lot or Grave No shipping Charges, Prepaid Cremation Charges
0.6section Jya��
__1 .......... . ...........................................
1Wmova
Cremation Charges
.. ... . ..... .... !i . ...............
.............. .... ......
3
. ............ . .......
- ....... .....
......... .
4. . ........
........ .. . ... ........... ...
5. . ..... ........ j
.. .......
6. Total Footing of Bill (Dia�r.1111 of Lut.) and mark
ance Designate all Graves in Lot with numbers (1, 2,3A etc-),
By Amount Fad !It Adv 0o for this Funeral with across (+) -
(IN'Smat Of mt.) De4ignatc place for Monument with a small square W. Lot.
De,ipate all Graves in Lot with numbers (1, 2,3, 4, etc.), and mark Balance UR SPace to the right of Diagram for the names of those buried in
51,aec for this Funeral with a cross (+). -----------
b,lov,
Designate Place for Monument with & small square (13). or
Use spam to the rilihtof Dialrieca for the names Of those buried in Lot. Entered into Ledger page .............. ..... ......... 1779 7Funerat Charges---_ ... . ...... .
. . ........
. ... .. ..... . ........
�To'nerat Claw x0fal, $ I 1Bv Cash ......... . . .....
N %
Total Footing of Bill - - * ' *
By Amount Paid in Advance - ,
Balance
Entered into Ledger, Page or below-
------------ -- --- -- $
�sh I A)
. . .... . ......... ...... . .. ..........
. . ......... ........
. ..... . ...... ....
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.... ........
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. ................. ........ .. .. . .............. ....... ......... b F. J. FEINEAIAN, J1 0, 1,, 1,v year 1-100.
compiled
compiled
by F"J'FEINEMAN, St. Louis, Mo., In U10 YOOr 1000