Title: Funeral Record for James, Richard
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Permanent Link: http://ufdc.ufl.edu/UF00039889/00001
 Material Information
Title: Funeral Record for James, Richard
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of James, Richard ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1966
 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
General Note: Cunningham Funeral Booklet Entry #1778
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00039889
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.
-A //
1 r 7^ ^


PLACE OF DEATH
COUNTY:


STATE:


FUNERAL SERVICE RECORD
ast) t) (Middle)

(Name of Deceased)


OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: A 4 7 AZ


CITY: RESIDENCE INSIDE
/ YES NOD


RESIDENCE ON FARM?
YE O No[ a-'


STREET ADDRESS! '
IF RURAL GIVE EXACT LOCATION:


Relationship Survivors


________ I


Address Relationship


CAUSE OF DEATH
AUTOPSY YES NO

PHYSICIAN -*-

Address

PLACE OF BURIAL Cremation or Removal TE
Cemetery 19
Location
County State

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








INTERNATIONAL ASSOCIATION OF MORTICIANS


CHURCH AFFILIATION
CLERGYMAN
Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YES NO O
DATE Time
VISITING HOURS
FRATERNAL AFFILIATIONS 5_ERVICE..YES ....--NO




MUSIC YES Q NO O
SINGERS



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


NO. / 7 7


STATE:


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DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE


NO.


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 ..................... .........




(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 ......


Total (1)

















Total (2)





Total (3)


CARRYING CHARGE
GRAND TOTAL
T erm s . .. ... .. .... .. .. ... ... .. ... .

P urchaser ...............................


Estate: Yes O N o O O ther:....................... ........... ...
Executor or Adm inistrator ................................................
A d d ress .. .. ... ... ...... ... ... ... ... .. .
A ttorn ey .. .. .... ... ... ... ... ...... .. ... ... ... .. .... ... .. .. ... .. ... .
Address ..
-I *i Ti ,


DATE


DEBITS


CREDITS BALANCE


SI I :11 I __ _I---;-


_ ~~_C__~8___ ~~_~I__~_:_ 1_1___~__ ___~_l___il __11_~____ I_ 11 17_7_ ~__ __ ____


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