Title: Funeral Record for Florence, Fred
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00039247/00001
 Material Information
Title: Funeral Record for Florence, Fred
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Florence, Fred ( 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: UF00039247
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.


FUNERAL SERVICE RECORD
ft)


(Name of Deceased)


PCTLF'EOATH -.
COUNTY


(Middle)
7 A LA4lo/f


,SlDNC E i 1.' ,L.: i i .. it T Nlt,.itl
UtSUAtl ,.,SIDENCE ,
COUNTY:


NO. //0 A



STATE: ...


LENGTH OF STAY
(in this place)
/3>^i<3tai^'


FULL NAME OF LENGTWOF AY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:
DATE OF month) (Day) (Year) (Hour
SDEATH __- o7 /11
SSE' ,pQLOR OR RACE O MARRIED [ NEVER MARRIED
/(,? T 2 I?,OIDOWED [- DIVORCED (Specify)
ATE OF BIRTH AGE Months Days Hours Min.

USUL OCUPATION KIND OF BUSIN SS OR INDUSTRY
Sa,,f,4.. / c 4 j -v'I" ef
B CE (Stt rei Country CIT ENOF W COUNTRY?

FA R'S

SMOTH.S MAIDEN NAME
Adl Li A 1 v


U. S. ARMED FORCES?


INFORMANT


Address


Relationship


CITY: RESIDENCE INSIDE
O /CITY LIMITS?
YES [ NO
STREET ADDRESS; / 1/ RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATIONS> /i? YES [] NO


CITY OR TOWN;
IF OUTSIDE CORPORATE
LIMITS, WRITE "RURAL":


CAUSE OF DEATH W' y -
AUTOPSY YES O NO O

PHYSICIAN D

Address s


DATE
* T ^ 19.^


PLACE OF BURIAL Crematn or Removal
Cemetery


CnuRCHn AIFFLIIII ---
CLERGYMAN
Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YES D
DATE 7 ? Z Time 3
VISITING HOURS
FRATERNAL AFFILIATIONS


Location -- X L ta
County State


('A.


CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS







INTFPRMATIONAL ASSOCIATION OF MORTICIANS


MUSIC YES [ NO E[
SINGERS


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


SERVICEf YES [-...NO
_SERVICE- -YESD[]---- NO


Relationship Survivors

R. I/' ., o. e .



__ ___y.^ -0. 1 -F ,. r,, r

-_____,, 4 Zee/S 4 //


ayei8_, M__ae,5 0 '/^t& A 1.-1









A ILA-T^I-/4 IN A -C


~erPig~f~rPs~k'


WAS CEASED IN
/IV0


------


STATE-:




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 .............
O outside Enclosure ..........................
Clothing .................... ...........


Total (1)


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






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


Total (2)





Total (3)


CARRYING CHARGE
GRAND TOTAL
Terms ...... ..........................................................


_ I


Estate: Yes O N o Q O ther:................... ....................
Executor or Administrator .......................
Address ..................................... ...... ....... .......
A tto rn ey . . . . .. . . . . . . . . . . .
A d d ress ... ... .. ... ... ... .. .. ..


DATE


DEBITS CREDITS BALANCE


f. / 6 *^
iJ9U


r~llalpI~rlr~r~~ei!I!r I~L


1 ....,; ..... ---Jk.I--FI


NO.


UAD r, 9'JTI9.w ^^JL.


55 so


'7/ :a2





3 36 9'


*(1) SERVICES, including Casket


rn


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


Total (3)
Grand Total


ORIGINAL


FUNERAL PURCHASE AGREEMENT


NW


AUl racullues ana Equipmenu
Personal and Staff Service
Professional Services.
Visitors' Register
Acknowledgment Cards
Funeral Sedan
Casket Coach
Outside Enclosure --------.--
Clothing
................................-.


Total (1)

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) -
..................................
..................................


of person ar


(Give relationship)


Ern't-#nnv-wel Snme

A. L. Cunningham, L.F.D. J. C. Cunningham, L.F.D.

PHONES: 622-7886 622-4251
524 BROADWAY, OCALA, FLORIDA


,z 97 3 G


*(1) Services, including merchandise ....... $ ao

*(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.

SGrand Total -

Terms of Payment:



Legal rate of interest after maturity. 4 d -5; *


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Street City and State


Street City and State


Street City and State


__19x ^

Age

ranging services


Name of deceased 4 '7 4 4L


--I


C----------


Deceased is


- ~---~--




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