R.N. HORTON CO. MORTICIANS, INC.
600 KENNEDY STREET NORTHWEST | WASHINGTON, DISTRICT of COLUMBIA 20011
(Main: 202.829.9000) (Facsimile: 202.291.4633) (eMail: teamHortons600@aol.com)
GPL WORKSHEET
THESE PRICES ARE EFFECTIVE AS OF Monday, April 18, 2022 AND ARE SUBJECT TO CHANGE WITHOUT NOTICE.
INSURANCE PROCESSING FEE IS 7% OF INSURANCE FUNDS CREDIT OR DEBIT CARD PROCESSING FEE IS 3% OF APPLIED CHARGES
PROFESSIONAL SERVICES
Basic Service of Funeral Director, Staff “Overhead…………………………………………………………..$2,835.00
Embalming …… $795.( ) .. $870.( ) .. $945.( ) ……………………Autopsied: $895. ( ) …….$970.( ) …$1,045.( )
Other preparation of the Body ……………………… ………………………………………………………………. $345.00
Additional Restoration of the Body ………………………………………………………………………$ ____________
(i.e.: Washing/Cleansing Unembalmed Body for ID Viewing; Redressing; Special Cosmetology)
CREMATION INCLUDED WITH SERVICE? …………………………. …………………………………….. YES ( ) NO ( )
Transfer of Remains to Funeral Home from Local Hospital ” DC Medical Examiner…………………………$395.00
Transfer of Remains from Nursing Home, Residence, Baltimore or No.VA……………………………………..$550.00
Additional Cost to Transfer Remains Between 7 PM – 7 AM and or Sundays ………………………………… $150.00
Forwarding Remains to another Funeral Home (without casket) …………………………………………….. $3,385.00
Receiving Remains from another Funeral Home…………………………………………………………………$2,835.00
Direct Cremation [ ] ……………….Immediate Burial [ ] (Casket Not Included) ………………………..$3,250.00
Cremation w/Memorial Service @ FH_______$3880._____Service @ another location ___________$4250.00
FACILITIES EQUIPMENT
Use of Facilities and Supervised Staff (2-Hour or 3 Hour Wake) at FH…………………….$450.00 ( ) $550.00( )
Supervised Staff for Funeral Ceremony at Funeral Home (1 Hour or 2-Hour) ………………$450.00 ( ) $550.00 ( )
Use of Facilities and Staff for Memorial Service at Funeral Home………………………………………………..$630.00
Repast Room ( 1½ Hour Usage: Catering Fees Not Included) ………………………………………………….. $250.00
Storage Fees ______ Days at $150.00 per Day) ………………………$ ___________ ADDITIONAL SERVICES OF FUNERAL DIRECTOR
ADDITIONAL SERVICES OF FUNERAL DIRECTOR STAFF
Use of Staff with Licensed Supervision for Wake at another facility ………. 2- Hrs: $550.00 ( ) 3- Hrs: $650.00( )
Supervision of Funeral Service conducted at another facility (per day) ………………………………………… $550.00
Supervision of Funeral Service conducted at place of final disposition / Graveside. Inurnment. Disinterment…………….$450.00
Additional Charge for services held on Sundays, National Holidays, Holiday Weekends “
Inclement Weather (see GPL P2) …………………………………………………………………………………$400.00
AUTOMOTIVE EQUIPMENT
Rosewood™ Classic Coach Hearse (First 4 Hours) ……………………………………………………………..$1,195.00
Hearse (First 4 Hours) …………………………………………………………………………………………………$450.00
Limousines 6 Passenger Vehicle( 1st 4 hours)…………………………………………………………………….. $450.00
Additional Vehicle Charges ($85.00 per event) …………………………………………………………….. $__________
Private Escort ($225 /per each) Motorcycles (Qty _____) …… Sedan (Qty _____) ……………….. $ __________
Additional Pick-up for Service ($85.00 per stop) ……………………………………………………………$ __________
Flower or Utility Van…………………………………………………………………………………………………….$150.00
Transportation: …………………Local Airport ( ) ….Crematory ( ) ……………………………………………..$325.00
Transportation beyond Beltway ($4.00 per loaded mile per vehicle ) ……………………………………$___________
Subtotal for Professional Service………………………………………………………….$_____________________
TAXABLE MERCHANDISE # PAGES 5-7
Register Book………………………………………………………………………………………………………….. .$35.00
Standard Shipping Container [Non-Casketed Remains]: $495.00 ( ) OR Standard Air Tray (Casketed) $295.00 ( )
Cremation Box (State Law Requirement For Cremation) ………………………………………………………….$85.00
Urn: Vendor, Page # ” Style #: __________________________________Engraving ( )YES $___________
Additional Urn(s): _____________________________________________________________ $___________
Casket: Manufacturer _________________ Style ” Color: _____________________________. .$___________
& OVERSIZED CASKETS ARE AN ADDITIONAL FEE AND MAY AFFECT CEMETERY CHARGES &
Outer Burial Container: Liner $1,000.00 ( ) ……………Vault ($1,200.00 (& Up ) …………..$___________
Burial Shroud ($225.00 and up)…………………………………………………………………………….$___________
Flowers Spray: Casket ( ) Standing ( ) Style / Details: ________________________________ $___________
Artificial Casket Spray Rental … (Taxable even when
Complimentary w/Packages)_________________ $100.00
Funeral Programs …… (Qty_________ Size_________________ ” Style #_______________________$__________
Recommended Program Designer (per Funeral Director Instructions): ___________________________________
Memorial Tapestry per/ each______________________________ $200.00 () ………
Rush Delivery $ 45.00 ( )
Memorial Bookmarks ($100 per 50 & laminated $150.00/per 50 )………… Rush Delivery +$15.00 ( ) ….$ __________
Additional Merchandise_______________________________________________________________$_______________
DC Sales Tax (Taxable Items Include Rental Items ” ALL Items Selected Above ………………………….$____________
SUBTOTAL FOR MDSE ” TAXES $_____________
CASH ADVANCES # PAGES 2 ” 3
Cemetery Charges (Name of Cemetery) ____________________________________________________$__________
Out of Town Funeral Director Charges (Name of FH) __________________________________________$__________
Death Certificates: State ( )…………. Qty Requested: ____$ ______ /______per certified copy .$________
Amended Death certificates (for incomplete Vital Stats or Changes caused by family)………………..$23.00 & Up_________
Medical Examiner Fee for Cremation Approval……. (DC: ($75.) OR VA: ($150.) ………………………………$__________
Oversize Cremation Fee: (fees set by crematory; consult Director for case by case basis)……………………. $_________
Minister ($200.00 Minimum)
Musician ($200.00 Minimum OR Celebrant ($300.00)………………………………..$__________
Newspaper / Death Notice………………………………………………………………………………………………..$__________
Online Announcement – FuneralFinder.Com…($25.00) …………………………………………………………………$__________
Reserved Parking Signs ($56.46 DC) ……………………. Approval Not Guaranteed) ………………………….$ ___________
Memorial Doves: Availability Not Guaranteed ………….. (weather pending) ………………………………….$250.00________
Shipping Human Remains…… (Location ” Airport:____________________________________________$__________
Additional Cash Advance(s): _______________________________________________________________$________
SUBTOTAL FOR CASH ADVANCES $_____________
GRAND TOTAL $_____________
Plus Insurance Processing Fee (7%)…………………………………………………………………………………. $___________
Plus Credit / Debit Card Processing Fee (3%) ……………………………………………………………………… $___________
Less Payment Received …………………………………………………………………………………… $___________________
Discount……………………………………………………………………………………$______________________
BALANCE DUE BY 11AM ON: _________________________ & _________________
BALANCE DUE $________________
In addition to receiving a signed copy of this worksheet, purchaser also acknowledges receipt of the General Price List (which includes the Casket Price List) ” Payment Policy.
Purchaser’s Signature _____________________________________________ Date______________________
Witness’ Signature_________________________________Director / Arranger___________________________
Licensed Funeral Home Representative’s Signature_________________________________________________
Notes: Cash Advance Items:____
————————————————————————–Special Package Price $________________