RECORD OF FUNERAL
~~~~~~~~~~
No. 88
Date: April 19, 1912
Name of Deceased: Louise Fountaine
Charge to: J. C. Fountaine
Order Given by:
How Secured:
Date of Funeral: April 20, 1912
Place of Death: Marlin
Funeral Services at:
Time of Funeral Service:
Clergyman:
Certifying Physician: Allen
His Residence:
Number of Burial Certificate:
Cause of Death:
Date of Death: April 19, 1912 9 am
Occupation of the Deceased:
Single or Married: Infant
Religion:
Aged: 1 Month
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. 80775
Section No. 416430
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: $22.00
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: 3
Carriages: $11.50
Notices: 2.25 paid JMK 4/4
Paid Johnson for Grave
Hearse: $10.00
Wagon Deliveries:
Death Notices in Newspapers:
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave: $2.50
Lining Grave:
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Total Footing of Bill: $33.??
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: $49.50
Flaw $5.00
By Cash: April 20, 1912 $54.50
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
