RECORD OF FUNERAL
~~~~~~~~~~
No. 61
Date: March 18, 1912
Name of Deceased: Minnie Williams
Charge to: Falls Co. & Teddy Peebles
Order Given by:
How Secured:
Date of Funeral: March 18, 1912
Place of Death: Marlin
Funeral Services at:
Time of Funeral Service:
Clergyman:
Certifying Physician: Dr. Shaw
His Residence:
Number of Burial Certificate:
Cause of Death:
Date of Death: March 7, 1912 7 pm
Occupation of the Deceased:
Single or Married:
Religion:
Aged: 40 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. 93555
Section No. 296215
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: $6.00
Price of Metallic Lining:
Price of Outside Box:
Price of Grave Vault:
Price of Burial Robe: $2.50
Price of Burial Slippers and Hose: $.35
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:
Crape:
Number of Carriages:
Carriages:
Hearse:
Wagon Deliveries: Wagon $3.00
Death Notices in Newspapers:
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave: $3.00
Lining Grave:
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Page 127 paid Johnson for grave May 13, 1912
Total Footing of Bill: $14.85 $11.85
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: Falls Co. to pay $6.00
Teddy Pebbles bal.
By Cash: April 4, 1912 less 10% $8.00
May 17, 1912 Falls Co. $6.00
Disc. $
.85
$14.85
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
