RECORD OF FUNERAL
~~~~~~~~~~
No. 46
Date: March 4, 1912
Name of Deceased: Eva Tisdole (maybe Tisdale - see NOTE below)
Charge to: W. D. Kysur (maybe Kyser - see NOTE below)
Order Given by: Allen Tisdole (maybe Tisdale - see NOTE below)
How Secured:
Date of Funeral: March 4, 1912
Place of Death:
Funeral Services at:
Time of Funeral Service:
Clergyman:
Certifying Physician: None
His Residence:
Number of Burial Certificate:
Cause of Death:
Date of Death: March 4, 1912 5am
Occupation of the Deceased:
Single or Married:
Religion:
Aged: 2 Months
Body to be shipped to:
Size and Style of Casket or Coffin: 2 - 3 #3/4
Manufactured by:
Metallic Lining:
Outside Box:
Number of Handles:
Interment at: Marlin Cemetery
Lot or Grave No.
Section No. 247.50
1. 227360
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: $10.00
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: $10.00
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total:
By Cash: March 9, 1912 $5.00
March 23, 1912 $2.50
April 6, 1912 $2.50
PAID
NOTE - We believe "Tisdole" should maybe read "Tisdale" and "Kysur" should maybe
read "Kyser" -- when researching, be sure to check out these 2 possible names.
kc & lsc.
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc