Title: Funeral Record for Gant, Preston
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00040055/00001
 Material Information
Title: Funeral Record for Gant, Preston
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Gant, Preston ( 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 #1943
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00040055
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.


S(Lost)
/V --


FUNERAL SERVICE RECORD
AFirst)
'-. 'd./# -c ,v


N O.


(Middle)


PLACE OF DEATH
COUNTY:

422 o-tL^^


STATE:


CITY OR TOWN; V LENGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE "RURAL": ('PI

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:


DATE OF
DEATH


(Month) (py)


(YHir) (Hou0) 4


SEX-. / COLOR OR RACE I ] MARRIED Q NEVER MARRIED
D/_ Z, 1 WIDOWED DIVORCED (Specify)
DATE OF BIRTH AGE // Months Days Hours Min.
/ /A7 / po '1 __t ____
USUAL O F BUSINESS

BTHLACE (State Foreign Country) CITIZEN OF WH COURY?

FATHER'S I E
1/" 0 / (" / 4 ,


MOTHER'SZAIDEN NAME

WAS DECEAD EVER IN U. S.


AfMED FORCES?


PRIVATE INFORMATION


INFORMANT


Address


Relationship


CAUSE OF DEATH
AUTOPSY YS D NO

PHYSICIAN

Address
PLACE OF BURL Ceman Remo DATE
.Cemetery 19._
Location //
County SLt., -. State _'c
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


(Nfme of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
C 70_U N`\^


STATE:


CITY: / RESIDENCE INSIDE
CITY LIMITS?
r, YES [ NO
STREET ADDRESS; RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: YES D NO D
Re sp Survi v 2
lauaJLW V} nr_44-x3^ /e--


J


~OL~L2


- I i,.`.


_/__ z^^^^^^^-^^^^m


CHURCH AFFILIATpI
CLERGYMAN r
Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YE O NO O
DATE Time
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES ...NO




MUSIC YES O NO D
SINGERS


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


_ ____ I __ I


f


I -- I ----- I ---^I--I-- -


r-40-(


ya/*^-.


- (JcfL


_1J





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 ...... .... .....
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)

















Total (2)





Total (3)


GRAND TOTAL
T erm s . ..... ...... ................ ..


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


Estate: Yes O No ] Other: ............. .....
Executor or Administrator .........................
A d d ress ... .. ... ... ... .. .... .. .... .. ... .
A tto rn ey. . .. .. .. .. . . . . .. . . . . .
A d d re ss . . . . . . . . . . . . . . . . .
A tt rn e .. . .. . . . .. . . .


DATE


I II r --


}'/0\ 10-r.r 11


DEBITS


S/S'16C


CREDITS


'z _ _


BALANCE


EE


6-1671







e(1) SERVICES, including Casket
All Facilities and Equipment
Personal and Staff Service
Profeslonal Services
Visitor' 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 / c







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

PHONES: 622-7886 622-4251
4 BROADWAY, OCAL FLORIDA



Name of deea Ag

Deceased is (- ) of person arranging
(Give relationship)


services


*(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


Terms of Payment. !2L".



Legal rate of interest after maturity.


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


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


)--- Grand Total $

6/6






I, or we, accept and approve the above




ignatur of Purchaser





City State


Street City and State


Street City and State


Street City and State


Street City and State


y3


shall be insert n.




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