Title: Funeral Record for Blunt, Verlina
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Permanent Link: http://ufdc.ufl.edu/UF00039363/00001
 Material Information
Title: Funeral Record for Blunt, Verlina
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Blunt, Verlina ( 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: UF00039363
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:

A/


FUNERAL
ast) ,/


STATE:


kL SERVICE RECORD
jFirst) (Middle)

(Name of Deceased)
OF DECEASED IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY:
/\^J I9 f A


NO. /z2J6



STATE: / /,
goo,


-I.


- I eZ


CHURCH AFFILIATION


W.- OL -1 -


CAUSE OF DEATH
AUTOPSY


PHYSICIAN

Address


YES~1 NOD0


0. d,


PLACE OF BURIAL- Cremation orqemovol
Cemetery Ve ,,/ N CI
Location /
County State


DATE
4. 6 19o-


CLERGYMAN
Address 44e ,,,s S!!k
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YES ] No O
DATE 2--1 3 Ti. 2
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O]....NO




MUSIC YES Q NO O
SINGERS


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


IMTSDULhTIAlI .ttnrm.rnI i ft r%9lrDTIrIAUC


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


CITY: RESIDENCE INSIDE
CITY LIMITS?
SC ., YES E NO[
STREET ADDRESS; RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION /, YES O NO
Relationship Survivors r60 #

^ 0 #o O l.,, .

c aFr
-- -4/' f/ Is^/v 4 .i




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


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

Purchaser .. .. .


STATEMENT MAILED


Estate: Yes 0
Executor or
Address
Attorney
Address


DATE


LEDGER


LETTER SENT


_ _ 1 _


No 0 Other:
Administrator


_____________________i


DEBITS


CREDITS


BALANCE


k3,.. i61 Iraovt WI a-Cral -


NO.


_-1-1-


I I -


_/.,4' /oC .,


. . .


. . . .






*(1) SERVICES, including Casket
AlM Facilites and Equipment
Personal and Staff Service
Professional Services
Viltors' Register
Acknowledgment Cards
Funeral Sedan
Casket Coach
Outside Enclosure -----------..--
Clothing

---" ----" ---------- ----3---

Total (1) 4

*(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)
Grand Total


FUNERAL PURCHASE AGREEMENT


ewuwfham's 'Vwwsal .4lome
A. L. Cunningham, L.F.D. J. C. Cunningham, L.F.D.

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




Name of de i Z ieAa n' Age-- -

Deceased is ( 0 on of person arranging services
( Z telatio tu hip 0

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

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

Total (1 & 2) $ )0e

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

> Grand Total $A-00

Terms of Payment: 15 r*?


Legal rate of Interest after maturity.


Signature of Co.signer with Purchaser


Signature of Co-signer with Purchaser


Sfgnature of Co-signer with Purchaser


Signature of Cosigner with Purchaser


Street City and State


Street City and State


Street City and State


Street City and State


ORIGINAL




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