RECORD OF FUNERAL
~~~~~~~~~~
No. 7
Date: January 24, 1912
Name of Deceased: J. B. Jones
Charge to: J. A. Phipps
Order Given by: J. A. Phipps
How Secured:
Date of Funeral: January 24, 1912
Place of Death: Galveston
Funeral Services at: Grave
Time of Funeral Service: 4:18 p.m.
Clergyman: Bergin
Certifying Physician:
His Residence:
Number of Burial Certificate:
Cause of Death:
Date of Death: January 23, 1912
Occupation of the Deceased:
Single or Married:
Religion:
Aged:
Body to be shipped to:
Size and Style of Casket or Coffin:
Manufactured by:
Metallic Lining:
Outside Box:
Number of Handles:
Interment at:
Lot or Grave No.
Section No. 940.10
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:
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: 4
Carriages: $15.00
Hearse: $10.00
Wagon Deliveries: $2.50
Death Notices in Newspapers: $2.25
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave: $5.00
Lining Grave: $1.50
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Total Footing of Bill: $14.00
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: Famin $11.00
Turyman (?) $ 4.00
J. A. Phipps Surrey $ 3.50 Paid
By Cash: J. A. Phipps $ 3.50
J. Burkey Jones January 30, 1912 $32.75
$36.25
Paid for Grave $5.00 February 3, 1912
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
