Title: Funeral Record for Darus, Sherree Denise
CITATION ZOOMABLE PAGE IMAGE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00038239/00001
 Material Information
Title: Funeral Record for Darus, Sherree Denise
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Darus, Sherree Denise ( Estate )
Publisher: Cunningham Funeral Home
 Subjects
Subject: Funeral records
Registers of births, etc.   ( lcsh )
African Americans -- Florida   ( lcsh )
Spatial Coverage: North America -- United States of America -- Florida -- Marion -- Ocala
 Notes
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00038239
Volume ID: VID00001
Source Institution: University of Florida
Holding Location: The Cunningham Funeral Records are part of the Department of Special and Area Studies Collections and its African American History Collections at the University of Florida Libraries.
Rights Management: All rights reserved by the source institution and holding location.

Full Text

RECORD OF FUNERAL

Total No... /7. ..... ... / Date of Entr ........ ....... .......19. ./

Name of Deceased......... le .... .... ............. ............
D Mrrie single /D Widowed [] Divorced (What Race)
.a.e. -- ,-'HusbandCWife]W idow
R evidence :.... ... .---.f ... :............ ........... .
o. / ,.. / or ........................... of ) Age of Husband or Wife (if living).................... Years


Charge to:.. (... .. t-....................
Address.................... .. ..................
Order given by... 4.... ................
or' ormant)
How Secured ... ................
If Veteran, Name of Wa ....... .................
Occupation........ ........................
(Social Security Number)
Employer and Addre ................................
Date of Death. '.. .A i.... /9Y .......
D fb. (Day) (Yr) (Hour)
Date of Birth... ........ j..Age.................
yo.) (Day) Services at ... ..........................
Clergyman.... 72 .nL ...........................
(Address)
Religion of the Decsed. ..................
Birthplace.... ~ .. .. (.. ....
Resided in the State..... ...............
Place of Death..... or Ci County) +fer (Months)
Place of Death... .y-. '.. . .

Cause of Death... ..............

Contributory Causes.... .......... ..


Certifying Physician.. .(or o

His Address: ... ... .. :. ................
Nam e of Father.......................................
His Birthplace.......................................
Maiden Name of Mother ...............................
Her Birthplace ............................... ....-
Date of Funeral. L ~L .... ..... .... .. .R M.
(Date) (jay of Week) / (Hour)
Motor} Rmi to
Ship r Remains to ..... f .. ... ...................
Size of Casket... ; ."..... s ..a .... ..............
/ (State Color and Number)
M manufactured by.....................................
Cemetery 1
Crematory J .. .. *..* *....*** *.* * ......
Lot No .................
Grave No................
Section No...............
Block No.........:.......

Diagram of Lot or Vault Owner .................
M iscellaneous..........................................
. . .. .. ... ... .. .. . . . . .. .
.. .. .. .. .. .. ..... ..... ..... .. .. ..... ... .. ..... .. ...


Complete Funeral (except outlas) ...........$
Casket................................
Burial Vault or Box ........................
(State Kind)
Embalming Body ............. ............
(Name of Embalmer)
Barber, $............ Hair Dressing, $........
Dressing Body, $......... .Underwear, $......
Suit or Dress .................. .. ... ...
(State Kind and Color)
Slippers, $.............Hose, $..............
Folding Chairs, $....... Tarpaulin, $ .........
Candelabrum, $........ Candles, $...........
Door Spray, $......... Gloves, $............
Funeral Car, $........ Ambulance, $.........
Limousines to Cemetery.....@ $..........
Extra Limousines ........... @ $ ...........
Autos to R. R. Station ....... @ $...........
Getting Remains from ................... ...
Taking Remains to .........................
Trip to Coroner's Inquest ....................
Delivering Box to.................. ....
Deliver Flowers to ..........................
Removal Charges.......................
Procuring Burial Permit. .....................
(State Number and District)
- Certif.Copiesof Death CertificatesNo._
(State Physician's or Coroner's)
Pall Bearer Service, $.... Use of Chapel, $.....
Gross Total for Sales Tax ................. $
Outlay for Lot. ............. ...........
Cremation .............. ..............
Flowers, $.....Palms, $ .;;. Matting, $.....
Rental of Tent, $ .... of Temporary Vault, $....
Opening of Grave or Tomb ..................
Lining Grave, $......Lowering Device, $.....
Outlay for Shipping Charges. ..............
Clergyman, $.....Singers,$... Organist, $....
Railroad Im a Aero-
or Motorickets, $ ........ plane Service,$.....
Telegr., Phone, Cable or Radio Charges ........
Cash Advanced.........................
Out of town Funeral Director's Charges.......
Personal Service. .........................

.... line Death Notices in...... Papers .......
.. . . .
(Names of Newspapers)
. . . . . . . . .
. .. .. . . .. . .. .. . . .
Sales Tax ...............................
Total Footing of Bill ....................$
Less.................................... $
Balance ..............$
Entered into Ledger, page......or below.


M iscellaneous....... ..................................
. . . . . . . . . . . . . .. .


Date Amount Paid Balance Date Amount Paid Balance

......... .. To Above Balance..................$.... ... To Balance Forward.... ........ ....... ....

.............. I U .. ........ $ ............... ........................... ........... $............. $ .............
.......... By ayment........... $....... ...... $...... ...... .......... .... .......... .......... $...... ......
.............. ....... $......... $.........................." .............$.... . ... $.........
~~~~.... .................$. .............$........................................$...$..-- --- --............. -$ ...........

Names of Insurance
Insurance $ ........................ Lodges ......................................... Companies........................................
I hereby authorize the above Funeral, and I hereby represent that I have sufficient resources Legally available to......................................
(Firm Name of Funeral Directors.)
for the payment of aforesaid sum, and I hereby covenant and agree to pay the same within................ ... days from date. Interest to accrue from
maturity at the rate of............% per annum. Signed.....................................................

W itness...................... ..... .................... Address...../...............................................
Revised by W. W. Feineman, Long Beach, California


1,-v


"""'
'''''''


"'


"'~"i'~"':


R/-;


11 01 1 Ktr


1 91 1 hT-




University of Florida Home Page
© 2004 - 2010 University of Florida George A. Smathers Libraries.
All rights reserved.

Acceptable Use, Copyright, and Disclaimer Statement
Last updated October 10, 2010 - - mvs