RECORD OF FUNERAL
~~~~~~~~~~
No. 50
Date: March 8, 1912
Name of Deceased: P. C. Byrne
Charge to:
Order Given by:
How Secured:
Date of Funeral: March 10, 1912 10 am
Place of Death: Marlin
Funeral Services at:
Time of Funeral Service:
Clergyman: Bergin or Bette
Certifying Physician: Dr. Rice
His Residence:
Number of Burial Certificate:
Cause of Death: Meningitis
Date of Death: March 8, 1912 10 am
Occupation of the Deceased: Merchant
Single or Married:
Religion:
Aged: 59 Years 1 Month 14 Days
Body to be shipped to:
Size and Style of Casket or Coffin:
Manufactured by:
Metallic Lining:
Outside Box:
Number of Handles:
Interment at: Marlin Cemetery
Lot or Grave No. 61915
Section No. 264525
1.
2.
3.
4.
5.
6.
Designate all Graves in Lot with Numbers (1,2,3,4,etc),and mark space for this
Funeral with a cross (+). Designate place for Monument with a small square.
Use space to the right of Diagram for namesof those buried in Lot.
Price of Casket or Coffin: $85.50
Price of Metallic Lining:
Price of Outside Box:
Price of Grave Vault:
Price of Burial Robe: $20.00
Price of Burial Slippers and Hose:
Engraving Plate:
Embalming Body: $25.00
Washing and Dressing:
Shaving:
Keeping Body on Ice:
Disinfecting Rooms:
Use of Catafalque and Drapery:
Use of Folding Chairs:
Use of Candelabrum:
Candles:
Gloves:
Crape:
Number of Carriages:
Carriages:
Hearse: $10.00
Wagon Deliveries:
Death Notices in Newspapers:
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave: $5.00
Lining Grave: $1.00
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Grave paid by credit at W. T. Palmer
Total Footing of Bill: $146.50
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: Charge to Palmer & Byrne Store
By Cash: K of P 3/4
$35.50
June 3, 1912 Palmer & Byrne Ck. $25.50
July 2, 1912 Palmer & Byrne 25.00 DDCC 8.85 $33.85
August 20, 1912 Palmer & Byrne $25.00
November 14, 18, 1912 DD Bill WTP $14.00
November 28, 1912 By Cash $ 7.65
$141.50
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
