RECORD OF FUNERAL
~~~~~~~~~~
No. 25
Date: 1912
Name of Deceased: Mrs. J. B. Cottes (or Catters)
Charge to:
Order Given by:
How Secured:
Date of Funeral: Feby 9,1912
Place of Death:
Funeral Services at: Residence
Time of Funeral Service: 3:30
Clergyman: Nevins
Certifying Physician: Dr. Rice
His Residence: Marlin
Number of Burial Certificate:
Cause of Death:
Date of Death: Feby 8, 1912
Occupation of the Deceased:
Single or Married:
Religion:
Aged: 59 Years 5 Months 28 Days
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. 159925
Section No. 32130
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: $85.00
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: 2
Carriages: $8.00 each
Hearse: $10.00
Wagon Deliveries:
Death Notices in Newspapers: $2.25 paid 3/5
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave: $5.00
Lining Grave:
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Total Footing of Bill: $95.00
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: $110.25
By Cash: Feby 14, 1912
Paid for grave 2/17 credit on page 13
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
