Title: Funeral Record for Cobarris, Cora
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00039970/00001
 Material Information
Title: Funeral Record for Cobarris, Cora
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Cobarris, Cora ( 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 #1858
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00039970
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


PlACE OF DEATH
COUNTY:


FULL NAME OF
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS: T&


FUNERAL SERVICE RECORD N O. ,x
) (Lo (FiA (Middle ) 0.

(Name of Deceased) ,,j?1
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION
COUNTY: STATE:


V LENGTH OF STAY
(in this place)


LENGTH OF STAY


DATE OF th) Tpay) (Yr) (Hour)
DEATH 7 ;'< 6 "__
SR OR RACE I MARRIED [ NEVER MARRIED
I yB H e-f ID WIDOWED O DIVORCED (Specify)
TE F BIRTH Months Days Hours Min.

U LOCCUAT KIND OF BUSINESS OR INDUSTRY

BIRTHPLACE (Statp or F eig ) CITIZEN OF WHAT COUNTRY?


MOTnE2MDE E ,=J


WAS DECEASED EVER U. S. ARMED FORCES?


I. VjaQFINQORATION

-TUt~yt~e-


INFORMANT
y/< ^ ^C


s,,, Relatio ship


CAUSE OF DEATH
AUTOPSY YES O NO [

PHYSICIAN _I 6 -51
Address
PLACE OF BURI relation &1 A
Cemetery /L/ 19 6^
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS






INTERNATIONAL ASSOCIATION OF MORTICIANS


CHURCH AFFMI 79
CLERGYMAN .7 -

FUNERAL PLACE
Ades___ ___ )--Y---- i^^ ----O _---
IF CHURCH, DID BODY LIE IN STATF Y14 NOO
DATE 3 Z/- Tim
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES ..-- NO O



MUSIC YES D NO D
SINGERS


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


S


L





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 ....... . .




CARRYING CHARGE


Total (1) 4


Total (2)






Total (3)


GRAND TOTAL


Terms .....


Purchaser

.. ......-. ,.- i- ., ^ _,,. ..-. .... .. .... . I . .. _


Estate: Yes [ No [ Other:....... ...............
Executor or Administrator ...............................................
A d d ress . .. . .. .. . . . .
A tto rn ey . . . . . . . . . . . . . . . .
A d d ress ... .. .... ...... .. ... ... .. ..








'(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)

Grand Total


FUNERAL PURCHASE AGREEMENT








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

PHONES: 622-788 622-4251
524 BROADWAY, OC L FLRIDA -



Name of deceased of po arra

Deceased is / of person arra


(Give relationship)

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

*(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.

) Grand Total $


1Age9

Age C


nging services


Terms of Payment:


Legal rate of interest after maturity.


We agree to furnish all services, and
merchandise, indicated above.


I, or we, accept and approve the above




Sinature of Purchaser


Address


State


Signature of Co-signer with Purchaser


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


Street City and State


I I~__ ____ i_ 1_1____11_


~




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