RECORD OF FUNERAL
~~~~~~~~~~
No. 84
Date: April 9, 1912
Name of Deceased: Alex Robinson
Charge to: A. E. Sinniter (Very hard to read....may not be right kc)
Order Given by: J. B. Billingsley
How Secured:
Date of Funeral: April 9, 1912
Place of Death: Billingsley Farm
Funeral Services at:
Time of Funeral Service:
Clergyman:
Certifying Physician: None
His Residence:
Number of Burial Certificate:
Cause of Death: Dropsy
Date of Death: April 8, 1912 8 pm
Occupation of the Deceased: Farmer
Single or Married:
Religion:
Aged:
Body to be shipped to:
Size and Style of Casket or Coffin: 6-3 B6
Manufactured by:
Metallic Lining:
Outside Box:
Number of Handles:
Interment at: Billingsley Farm
Lot or Grave No. 65950
Section No. 401605
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: $25.00
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:
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:
Total Footing of Bill: $25.00
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total:
By Cash: May 7, 1912 $25.00
PAID
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
