RECORD OF FUNERAL
~~~~~~~~~~
No. 87
Date: April 14, 1912
Name of Deceased: There is no name on here...kc
Charge to: Falls Co.
Order Given by: Judge Hunnicutt
How Secured:
Date of Funeral: April 14, 1912
Place of Death: Convict Farm
Funeral Services at:
Time of Funeral Service:
Clergyman:
Certifying Physician:
His Residence:
Number of Burial Certificate:
Cause of Death:
Date of Death:
Occupation of the Deceased:
Single or Married:
Religion:
Aged:
Body to be shipped to:
Size and Style of Casket or Coffin: # a 6-3
Manufactured by:
Metallic Lining:
Outside Box:
Number of Handles:
Interment at: Eloise, Texas
Lot or Grave No. 77450
Section No. 413105
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: $4.00
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: Express and Deliverly: $.70
Lining Grave:
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Chg Page 127
Total Footing of Bill: $10.70 $10.00
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: $10.70
By Cash: May 17, 1912 Falls Co. $10.70
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
