On July 28, 2023 a
Decd Funeral Pd in Full Filed
was filed
for PR Miscellaneous Probate-Other
in the District Court of Boone County.
Preview
og by 4
pases
(A) PROFESSIONAL SERVICES SELECTED:
1 Minimum Services of Funeral Director and Staff
2. Embalming
| Robinson Funeral Home
601 N. HENRY CLAY BLVD.
3. Other Preparation of the Body ASHLAND MO 65010
4. Facilities (573) 657-1136
a. Staff and Facilities for Visitation Shoes
b. Staff and Facilities for Funeral or Memorial Service
c. Staff and Equipment for Graveside Services STATEMENT OF FUNERAL Ys DS AND SERVICES SELECTED
Transfer to Funeral Home
Automobiles al i7-F_- Dal
a. Funeral Coach
b. Family Car
3i0e— Name ef Deceased mae of Daie of Funeral Service
c. Service/Utility Vehicle STATEMENTS OF DISCLOSURE
Total of Professional Services Selected Total A MISS ”
é
t have been shown the General Price List, Casket Price List,
Nt Outer Burial Container Price
Pep tape
(B) MERCHANDISE
Guo ED: List, understanding that | may choose only the items that | des jals
Casket Gala 00 Charges are only for those items that you selected or that are required. If we are required by
Outer Burial Container oo law or by a cemetery or crematory to use any items, we will explain the reasons in writing
Wearing Apparel below. If you selected a funeral that may require embalming, such as a funeral with viewing,
you may have to pay for embalming. You do not have to pay for embalming you did not
a
Flowers
approve, if you selected arrangements such as a direct cremation or immediate burial. If we
Funeral Register charged for embalming we will explain why below.
Memorial Folders
Acknowledgement Cards Disclaimer of warranties: The only warranties, expressed or implied, granted with the products
Cther ‘sold with this funeral service. are the expressed written warranties, if any, extended by the
manufacturers thereof. Robinson Funeral Home hereby expressly disclaims any warranties,
Total of Merchandise Selected Total B S530 express or implied, relating to all such products, including, but not limited to, the implied war-
ranties of merchantability and fitness for a particular purpose.
(C) ALTERNATIVE SERVICES SELECTED:
A 2% discount will be given on all accounts paid in full within 10 days of the date of the death.
1. Forwarding Remains to Another Funeral Home Accounts are payable in full within 30 days from the date of service. 14% per month will be
2. Receiving Remains from Another Funeral Home charged on any unpaid balance past 30 days which is an annual percentage rate of 18%.
3. Immediate Burial
4. Direct Cremation if any law, cemetery, or crematory requirements have required the purchase of any items listed,
OD
the law or requirement is explained below:
Toial of Alternative Services Selected Totai C
(D) CASH ADVANCES:
enrrlwons Abspitines)
Tax ) 3a) pF 2 gutoide (ion (Buner
Additional Autos leason for Embalming:
Transportation
Cemetery 600, & . o
We agree to render the st service
Telegrams and Telephone ae 300 > 1@ Merchandise indicated above. ‘make payinert tnrelor under above menioned
°,
Clergy Honorarium
Special Music ir Robinson i Kobe
Home
Obituary Notice 24 Pigs Ltd
Certified Copies o-Purchaser
10. Beautician or Barber Or LS
\\- QS aay
Gip Code$2
We charge you for our services in obtaining:
CAO CRAIG IN Neate iha* ity an
Total Cash Advances Total D ignal mM ure "urchaser or Co-Purc er ‘Street Address City and State Zip Code
195,04 4 (3b)
Total of Funeral Goods and be Die
(Total of A, B, C, and D) “Sinaturg gpPurchgser or Co-Purchaser —awe wees LAPS G 3 Zip Code
Document Filed Date
July 31, 2023
Case Filing Date
July 28, 2023
Category
PR Miscellaneous Probate-Other
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og by 4 pases (A) PROFESSIONAL SERVICES SELECTED: 1 Minimum Services of Funeral Director and Staff 2. Embalming | Robinson Funeral Home 601 N. HENRY CLAY BLVD. 3. Other Preparation of the Body ASHLAND MO 65010 4. Facilities (573) 657-1136 a. Staff and Facilities for Visitation Shoes b. Staff and Facilities for Funeral or Memorial Service c. Staff and Equipment for Graveside Services STATEMENT OF FUNERAL Ys DS AND SERVICES SELECTED Transfer to Funeral Home Automobiles al i7-F_- Dal a. Funeral Coach b. Family Car 3i0e— Name ef Deceased mae of Daie of Funeral Service c. Service/Utility Vehicle STATEMENTS OF DISCLOSURE Total of Professional Services Selected Total A MISS ” é t have been shown the General Price List, Casket Price List, Nt Outer Burial Container Price Pep tape (B) MERCHANDISE Guo ED: List, understanding that | may choose only the items that | des jals Casket Gala 00 Charges are only for those items that you selected or that are required. If we are required by Outer Burial Container oo law or by a cemetery or crematory to use any items, we will explain the reasons in writing Wearing Apparel below. If you selected a funeral that may require embalming, such as a funeral with viewing, you may have to pay for embalming. You do not have to pay for embalming you did not a Flowers approve, if you selected arrangements such as a direct cremation or immediate burial. If we Funeral Register charged for embalming we will explain why below. Memorial Folders Acknowledgement Cards Disclaimer of warranties: The only warranties, expressed or implied, granted with the products Cther ‘sold with this funeral service. are the expressed written warranties, if any, extended by the manufacturers thereof. Robinson Funeral Home hereby expressly disclaims any warranties, Total of Merchandise Selected Total B S530 express or implied, relating to all such products, including, but not limited to, the implied war- ranties of merchantability and fitness for a particular purpose. (C) ALTERNATIVE SERVICES SELECTED: A 2% discount will be given on all accounts paid in full within 10 days of the date of the death. 1. Forwarding Remains to Another Funeral Home Accounts are payable in full within 30 days from the date of service. 14% per month will be 2. Receiving Remains from Another Funeral Home charged on any unpaid balance past 30 days which is an annual percentage rate of 18%. 3. Immediate Burial 4. Direct Cremation if any law, cemetery, or crematory requirements have required the purchase of any items listed, OD the law or requirement is explained below: Toial of Alternative Services Selected Totai C (D) CASH ADVANCES: enrrlwons Abspitines) Tax ) 3a) pF 2 gutoide (ion (Buner Additional Autos leason for Embalming: Transportation Cemetery 600, & . o We agree to render the st service Telegrams and Telephone ae 300 > 1@ Merchandise indicated above. ‘make payinert tnrelor under above menioned °, Clergy Honorarium Special Music ir Robinson i Kobe Home Obituary Notice 24 Pigs Ltd Certified Copies o-Purchaser 10. Beautician or Barber Or LS \\- QS aay Gip Code$2 We charge you for our services in obtaining: CAO CRAIG IN Neate iha* ity an Total Cash Advances Total D ignal mM ure "urchaser or Co-Purc er ‘Street Address City and State Zip Code 195,04 4 (3b) Total of Funeral Goods and be Die (Total of A, B, C, and D) “Sinaturg gpPurchgser or Co-Purchaser —awe wees LAPS G 3 Zip Code