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Page: of 307
SR Sa
135
~ Number of Funeral OA oe, Be careful to enter name ofde= . . ean th, ete dagen
ceased and number of page . leony we TE ; ;
Number for the Current Year Who" ‘in index for. future reference Items of Bill, (cross out pri nted items not furnished.)
4 Name of Dec’ + bafae Gaclee _. . .Door Crape -_
Late Residence Mart Yalley 4 Draperies..__Candelabra and__..Candles.
Age ge years pi a 2) ee days. Washing & Laying out Remains, Shaving
» Ons of Death. WHE FZ. aa £27. +e’ . . Preservation. of Reman ! r —
Certifying Physician SES Ss ata rin fo Trimming. — £a.\.d 4.
Date of Death Los ALE, Lh fg — . = 7
pee tah re oe Dip Pea 3\ 20
Y-° Date of Burial A Z eset a “te dle , . : a
, Sigs Weenie ie Aes, andles
Funeral at House or ste Sj <Charch. , ag
VA be lant tein tates at ads engraved
Place of Bu of Burial, Cemetery. ; I,. 20
Ne? . Outside Box, (Pine, Chestnut, Oak, Cedar)
Bi ala aa No. — —. Pl't’ H'dl’s ____. Corners on Box.
sa ee meee Delivering to Cemetery —
Location of Grave aa Le No Robe
D . for G in the Plot, and ; . 5
rt tn . Le one with & ‘double Gre tt Cee eee Prs. Gloves Limen-Scarts. nf . hed
Show position of monument by &. : ER ot.
os ‘3s. ee . Use of. Doz. Chairs
yd: ‘S be Napa re aes Flowers i
* ie aa 4 = 0. Oe ee J
Inscription premises srr oa a aes ET . Hearse. ia ee # vet
on Plate. Z...Carriages to Kur, LB a
: f h to Heel : f i See ne a ength to Hee eet in,
Saal Width at Shoulder
» Bill Rendered to
Advertising
When Rendered Cemetery charges
' MEMO R ANDUM. : i oo: Wbage Transportation Expenses, &e.
: : : Attendance & Assistants
roe Amount of Bill Bu pt o
— 2 aes . . Amount Brought Forward a 36352 Ls
: ; Amount Carried Forward 4 fe 4 3 v}
fe = ems PAYMENTS.
reneoaee
ITEMS OF EXPENSE.