Title: Funeral Record for Watkins, Lucinda
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00040962/00001
 Material Information
Title: Funeral Record for Watkins, Lucinda
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Watkins, Lucinda ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1971
 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 #3351
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00040962
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


STATE:


FUNERAL SERVICE RECORD
(Last) 0First)
/ 1)A J w T/^W Zi J. "^.^/"


(Name of Deceased)


PLACE OF DEATH
COUNTY:


CIT ORT N; LENGTH OF STAY
IF OUTSIDE CORPORATE (in ths place)
LIMITS, WRITE "RURAL": p le

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION --
IF NOT EITHER, GIVE ADDRESS: *- 4/_
DATE OF (Month) (pay) (Year) (Hour)
DEATH /2 // 71
SEXAT COLOR OR RACE I E MARRIED O NEVER MARRIED
I!:,7/ & 14 fDOWED E DIVORCED (Specify)
DAlE OF BIRTH AGE / Months Days Hours Min.

SUAL OCCUPATION / IND OF BUSINESS OR INDUSTRY

BI HPLA (State or Foreign Country) CITIZENOF WHAT COUNTRY?




WAS DECEASED EVER IN S. ARMEDD FORCES? *
SAT ION

INFORMANT

Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO O

PHYSICIAN

Address
PLACE OF BURIK Cremation or. Removal DATE
Cemetery Z .2 'a z P 91
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS


OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY:
AA b J


NO. -33 ,7

Telephone 6.-7/1,0


STATE:
C/ Z2


CITY: RESIDENCE INSIDE
IT A /__-YESc NO
...... .. .. .J-,_INO


T EERTS ADDRE S;


RESIDENCE ON FARM? /


IF RURAL GIVE EXACT LOCATION: 7 A. I YES O NO
Relationship Survivops



134 / e W


















CHURCH AFFl'lA N .
CLERGYMAN I S&
Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YES O NO
DATE / / Tim 7/ 0 -9
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE. YES -..-.NO O




MUSIC YES Q NO -
SINGERS


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


INTERNATIONAL ASSOCIATION OF MORTICIANS


(Middle)


,0
<

7


j'




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

Purchaser


Estate: Yes 5 No O Other: .....................................
Executor or Adm inistrator ..............................................
Address.
A ttorn ey ... .. ... .... ... .. .... .. ... ... ... ... ... ... ... . . . .. .. ..
Address
A dres . .


DATE


DEBITS 1 CREDITS BALANCE


-. immu i I


-----------


-~--


160
-E 7/ff V/--I zzs 4




FUNERAL PURCHASE AGREEMENT


*(1) SERVICES, including Casket
All facilities and Equipment
Personal and Staff Service
Professional Services
Visitors' Register
Acknowledgement Cards
Funeral Sedan
Casket Coach
Outside Enclosure ............
Clothing .................. .



Total (1) $ .9
*(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 ........... /2 r
Clergyman .................
Telegrams- ..................
Long Distance Telephone Calls. .
Transportation ..............
Flowers ...... .... .
Obituary Notices ............






Total (2) $ 1 0 y
*(3) ITEMS ORDERED LATER
Certified Copies ............. o. e







Total (3) $ o
GRAND TOTAL $ / iS


CUNNINGHAM'S FUNERAL HOME
A. L. Cunningham, L.F.D. J. C. Cunningham, L.F.D.
PHONES: 622-7836 622-4251
434 N. W. 16th AVENUE, OCALA, FLORIDA 32670

/ 2 I "A.


19 2L


Name of deceased A 1r c. 'L., / W /,t. LJ .y/ Age 7


Deceased is


of person arranging services


(Give relationship)
*(1) Services, including merchandise .......... 2, $

*(2) Items Involving Cash Advances ..........$ /1 R 0 O

Total (1 & 2) $

*(3) Items ordered later ...................$ 2, d
Both parties agree any items ordered later
shall become a part of this agreement and
shall be inserted therein.


Legal rate of interest after maturity.


We agree to furnish all services, and I, or we, accept and approve the above
merchandise, indicated above.


SSignature of Purchaser

By ^ dress

'City State

Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street City and State


V

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