Title: Funeral Record for Grant, Mattie
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00039228/00001
 Material Information
Title: Funeral Record for Grant, Mattie
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Grant, Mattie ( 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: UF00039228
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

BURIAL PERMIT NO.


PLACE OF DEATH
COUNTY:

kh--- r.


STATE:

att


FUNERAL SERVICE RECORD
First) middlee)

(Name of Deseased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: CLr-
I t \1 ( r~-o-


NO.///0


STATE:;(-/- 1
"Jrl / + ," +


CITY: RESIDENCE INSIDE
I CITY LIMITS?
u +-- L\V o r-L YES 0 NOD
STREET ADDRESS; ~)a RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION V YES O NO B-
eationship Survivors
M %_td ri


INFORMANT

Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO[

PHYSICIAN ,r VkO V-4

Address R
PLACE OF BURIAL Cremation or Removal DATE
Cemetery ~- 19
Location -
County L _" ( r O State t- t C_ L
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS


CHURCH AFFILIATION _
CLERGYMAN e C \ -< \
Address fV C4 C LI- W C
FUNERAL PLACEr(hu .h o ( i
IF CHURCH, DID BODY LIE IN STATF YES D NO [3
DATE -__________ Time .
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE.-YES O]--- NO




MUSIC L YES ] NO [
SINGERS


FUNERAL DIRECTED BY LICENSE NO.
EMBALMER'S LICENSE NO.
REMARKS:


IMTFPhlATICiNAL ASSOCIATION OF MORTICIANS


_ I _~____~ I __ ~______~I I__~~ I __I_ ___


m.,.'A .




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE


Purchase Date Size Our Number Interior No.
Mfr. Mfrs. No. Material Material
Casket Cost Blanket Cost Cover Finish Color
Kind of Vault Type of Vault Finish Cost
SALES RECORD STATEMENT MAILED LEDGER LETTER SENT


(1) SERVICES, including casket
All Facilities and Equipment .......... .
Personal and Staff Service .. .......
Professional Service .. ........
Visitors Register ... ............ ..
Acknowledgement Cards ..... .......
Funeral Sedan .. . .
Casket Coach .. .. .........
Outside Enclosure ......................
C clothing ...............................


Total (1)


(2) ITEMS involving Cash Advances
Sales Tax ......... ..
Additional Autos ....
Cemetery Charges ............. ....
Clergyman ................ .
Telegrams .....
Long Distance Telephone Calls ... .....
Transportation .......... .. .
Flowers ..... .. .
Obituary Notices ...............







(3) ITEMS ORDERED LATER
Certified Copies ..........




CARRYING CHARGE


Total (2)





Total (3)


GRAND TOTAL


Estate: Yes Q No [ Other:...................................
Executor or Administrator .. .....................
A d d ress . . . . . . . . . . . . . . . .
A tto rn ey . . .. . . .. . . . . . . . .. .
Address .
~----11 II--~


DATE


SIt- (I


DEBITS


CREDITS BALANCE


2Wa I


NO.


T erm s .......... ..................


-. .-.._-_"_"_"__ ...._-______"_"_._____"__-____ '-_________" '1...-. "i"i
crsr-r .-7
NOW*


---- '--- '--j


I ---- ~L ll~F7


0







*(1) SERVICES, including Casket
All Facilities and Equipment
Personal and Staff Service
Professional Services
Visitors' Register
Acknowledgment Cards
Funeral Sedan
Casket Coach
Outside Enclosure -------------
Clothing



Total (1)

*(2) ITEMS INVOLVING CASH ADVANCES
To Permit Us To Render A Better Service
We Have Advanced The Money On These
For Your Convenience.
Sales Tax ..---- ---------
Additional Autos ----------------
Cemetery Charges-----------
Clergyman --- --------------
Telegrams....-----------------
Long Distance Telephone Calls---.
Transportation----------------
Flowers ----------------------
Obituary Notices --------------
.........................---.-----
...........................-------
..................................


Total (2)

*(3) ITEMS ORDERED LATER
Certified Copies .---------------
..................................
..................................





Total (3) 2-
Grand Total


ORIGINAL


FUNERAL PURCHASE AGREEMENT



QuM4U4Vfa cfid 99iaaeal a~owa
A. L. Cunningham, L.F.D. J. C. Cunningham, L.F.D.
PHONES: 622-7886 622-4251
524 BROADWAY, OCALA, FLORIDA


-4 -V19 g

~ac~Z ~ 4444t-- Agr~


Name of deceased e l*

Deceased is


/ (Give relationship)


of person arranging services


*(1) Services, including merchandise ........ $.3;T 5 '. dO

*(2) Items Involving Cash Advances ....... $

Total (1 & 2) $


*(3) Items ordered later .................. .$
Both parties agree any items ordered later
shall become a part of this agreement and
shall be inserted therein.


Term of Payment^OA L a


Legal rate interest after maturity.


-* Grand Total $3 d 0 4

Z7 .. 1. -


We agree to furnish all services, and I, or we, accept and approve the above
merchandise, indicated above. d


"nat of Purchaser

Address

L4-2!a


City


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


/ State


Street City and State


Street City and State


Street City and State


Street City and State


I__ _


Y--
B~z~e~


--- --


L




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