RECORD OF FUNERAL
~~~~~~~~~~
No. 83
Date: April 7, 1912
Name of Deceased: Miss Mattie Ward
Charge to:
Order Given by: Judge Scott
How Secured:
Date of Funeral: April 7, 1912
Place of Death: Marlin
Funeral Services at: Residence
Time of Funeral Service: 4:30
Clergyman:
Certifying Physician:
His Residence:
Number of Burial Certificate:
Cause of Death: Meningitis
Date of Death: April 6, 1912
Occupation of the Deceased:
Single or Married: Single
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: Marlin Cemetery
Lot or Grave No. 63450
Section No. 399105
1.
2.
3.
4. Sand Paid $2.25
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: $250.00
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: $25.00
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
3 Seat Rig: 1 @ $4.00
3 Surreys: $10.50
Bus Fair: $.25
3 Loads Sand: $2.25
Carriage Fair:$.25
Hearse: $10.00
Wagon Deliveries:
Death Notices in Newspapers:
Name of Newspapers:
Flowers:
Outlay for Lot:
Opening Grave: $5.00
Lining Grave: $1.50
Shipping Charges, prepaid:
Removal Charges:
Cremation Charges:
Paid Johnson Grave May 18, 1912
Total Footing of Bill: $286.50
By Amount Paid in Advance:
Balance:
Entered into Ledger, page or below:
To Funeral Charges Total: $317.25
Notices: $2.25
By Cash: $319.50
Transcribed by: Lena Stone Criswell & Kay Cunningham
Note: I added the year to all except for the date at top. kc
