Title: Funeral Record for Burns, Ida
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00040645/00001
 Material Information
Title: Funeral Record for Burns, Ida
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Burns, Ida ( 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: UF00040645
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


S3 Last)


PLACE OF DEATH
COUNTY: V 3


STATE: c-


FUNERAL SERVICE RECORD
AFirs
-? Y7

(Middle)


(Name of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RES ENCE RESIDENCE REORE ADMISSION:
COUNTY: / .-- )


CITY: / r SIouIC INSOD
CIT t Y:/CI L MITSP
^ CL ~YESB 0 NOD


STREET ADtRESS;
IF RURAL GIVE EXACT LOCATION'


Addreu Relationship


CAUSE OF DEATH
AUTOPSY YES O NO ]

PHYSICIAN

Address


PLACE OF BURIAL Cremation o Removal,
^-.- ^ ^iy/ ( Z-^ *Mi


Location -*o-4Stj ~ J:/
County v/ --- State


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







INTERNATIONAL ASSOCIATION OF MORTICIANS


/y9, Am / 7 2


Relqtlonship SwprS vrs /__-,_





















CHURCH AFFI i
CLERGYMAN
Address
FUNERAL PLACE
IF CHURCH, DID IDY LIE IN STA YES 0 NO O
DATE -3- ,
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O]....NO O




MUSIC YES O NO O
SINGERS


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


NO. Jo03


Telephone


STATE,: L


W (Lost) _


@me ary. -


I


I ,YES [] No .


DA TE 1--
. ~ _-_ 9-2




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
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


Estate: Yes O No [
Executor or Administrator
Address
Attorney
Address


DATE


Other:


DEBITS


CREDITS BALANCE


____ = = :11 -- = SI -I -


St-&-C &AI&'


I A-7 -c.- --/6 /0-
2.tZ rS2 cC"cL IT .M.t
r- -7-aa=G --1 -,


-z4-
.L D

21_________ T 01 _
--. Ca_ UA p -


NO.


T erm s ...... . . ..


Purchaser


- I


. . . . . . . .o

.. . . . . . . . . .o


"


/ '-/,e ca







*(1) SERVICES, including Casket
All Facilities and Equipment
Personal and Staff Service
Professional Services
Viators' 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 .............




... .... .......... ....
Flowaer- Notce*--------.------- 2


.............-------- 7



-----------::::::::::;:: :::::: :-- / 3
Total (2)

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








Total (3)
Grand Total


Name of dece

Deceased is


FUNERAL PURCHASE AGREEMENT





eiuhii^wrr's '9uwe'aI Mo4me

A. L. ('unningham, L.F.1). J. C. Cu'iingham, L.F.D.
PHONES: 622-7886 622-4251
434 N.W. 16TH AVENUE OCALA, F IDA



asked /7l 6 .* L Age

S_______ of person arranging servi
(Give relationship)


*(1) Services, including merc

*(2) Items Involving Cash A


S/700
handise $ T '- 7 --

dvances $

Total (1 & 2) $


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


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


ces


ces


/0

-------- Grand Total t$ / 1 _


(4 1


I, or we, accept and approve the above



Signature of Purchaser


Address


By


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


~___


shall be inserted therein.






e(1) SERVICES, including Casket
All Facilities and Equipment
Personal and Staff Service
Profeulonal Services
Visitors' Register
Acknowledgment Cards
Funeral Sedan
Casket Coach
Outside Enclosure------
Clothing -----------------



Total (1) /1 l I

*(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...
Transportatlon---------------
Flowers ....................------- ----
OD ary Notices ................ *
.A I.a. .. ............... -,


........................--..........---


Total (2) 7 /

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




Total (3)
Grand Total


DUPLICATE













Name of dece

Deceased is


FUNERAL PURCHASE AGREEMENT





Ghu a 'wsfa *ud qa~442l CAme
A. L. Ciunninghani. LI.F D. J. ('. Cunningham, L.F.D.
PHONES: 622-7886 622-4251
434 N.W. 16TH AVENUE OCALA, FL IDA/


asked /l 4.I /4 L Agejl

______/__1 of person arranging serviy
(Give relationship)


*(1) Services, including merchandise $I z ///-

*(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


ces


shall oe inserted thnerein. ) G
Grand Total $1 "/6

Terms of Paymet:



Legalt re of interest after maturity. L K,& at )


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


I, or we, accept and approve the above



Signature of Purchaser


Address


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Signature of Co-signer with Purchaser


Stgnature of Co-signer with Purchaser


City State


Street City and State


Street City and State


Street City and State


Street City and State




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