RECORD OF FUNERAL
~~~~~~~~~~
No. 57
Date: March 12, 1912
Name of Deceased: Joseph Moore
Charge to: Mary Moore
Order Given by:
How Secured:
Date of Funeral: March 13, 1912
Place of Death: S of Marlin
Funeral Services at:
Time of Funeral Service:
Clergyman:
Certifying Physician:
His Residence:
Number of Burial Certificate:
Cause of Death:
Date of Death: March 11, 1912
Occupation of the Deceased:
Single or Married: Married
Religion:
Aged: 74 Years
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. 77585
Section No. 280245
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: & Robe: $13.95
Price of Metallic Lining:
Price of Outside Box:
Price of Grave Vault:
Price of Burial Robe:
Price of Burial Slippers and Hose:
Engraving Plate:
Embalming Body:
Washing and Dressing:
Shaving:
Keeping Body on Ice:
Disinfecting Rooms:
Use of Catafalque and Drapery:
Use of Folding Chairs:
Use of Candelabrum:
Candles:
Gloves: Wagon: $5.00
Crape:
Number of Carriages:
Carriages:
Hearse:
Wagon Deliveries:
Death Notices in Newspapers:
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave:
Lining Grave:
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
B. J. Mathis to pay $1.00
Mary Moore to pay $3.70
Total Footing of Bill: $18.95
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total:
By Cash: March 12, 1912 $9.75
March 13, 1912 By Cash on Wagon $1.25
April 5, 1912 By Cash
$3.50
April 10, 1912 B. J. Mathis $1.00
September 28, 1912 By Cash $3.00
September 28, 1912 By Cash $ .45
$18.95
PAID
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
