Title: Funeral Record for Reid, Bertha
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00041055/00001
 Material Information
Title: Funeral Record for Reid, Bertha
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Reid, Bertha ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1972
 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 #4045
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00041055
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.


FUNERAL SERVICE RECORD

/A^' ^ ^3/


PLACE OF DEATH
COUNTY:
k_,,,/ ,T // ^ ,


STATE:


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

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:
DATE OF (Moth (pay) (Year) (Hour)
DEATH /A( / 7-e
SEX /? LOR OR RACE O MARRIED 5 NEVER MARRIED
< I 0I WIDOWED O DIVORCED (Specify)
DATE OF/BIRT AG0 r Months Days Hours Min.

USUAL /)CCOPATION KI D F BUSINE OR INDUSTRY









__PRIVATE INFORMATION
INFORMANT

Address Relationshij


CAUSE OF DEATH
AUTOPSY YES O NO D

PHYSICIAN

Address

PLACE OF BUe ,, remain or Reoval D
Cemetery /__
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS


(Ndme of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: 70 _/ IF7W


(MU d d


CITY: RESIDENCE INSIDE
SCITYES LIMITS?
YESET NOD


STREET ADDRESS; // ./ 1 RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATE / G .. YES NO


Relationship Survivors


^^jS'.W f^^ ^^^ *S;^^o- '.


















,--^/ /ca


CHURCH AFFILIAttIr k ,/ '"
CLERGYMAN
Address
FUNERAL PLACE
IF CHURCH, DID BOD LIE IN STATF YES O[ NO
DATE tZ Tim 7 2Z
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE.-YES ---...NO




MUSIC YES O NO O
SINGERS



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


INTERNATIONAL ASSOCIATION OF MORTICIANS


~L~Y~LLY




N 0.
Telephone

STATE:


-^7o
- /// -




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 .......................
C clothing ................................


Total (1)


(2) ITEMS involving Cash Advances
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)


CARRYING CHARGE


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

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


I I


Estate: Yes O No O Other:...................................
Executor or Administrator ......................
Address ...................................................... ...
A ttorn ey . .. . . .. . .. . . .. . .. . . . . .
A dd ress ................. ..........


DATE


DEBITS


I --. / I- f .I --


CREDITS


/J2?3 IS l3aa If


BALANCE


---
7-- _9 _


______________________ ___ ____ V.-.- -


U I mm. m I


NO.


-1-I-


1- 1 ----- A I III I


/ n


rl ~6--I 7~ 11 ~axXX-


. . .




FUNERAL PURCHASE AGREEMENT


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



Total (1) $/67 0.o
*(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 ............... 7L. O
Flowers ....................
Obituary Notices ............ -
.. ...... ............. 7 ;




Total (2) $ /! ,
*(3) ITEMS ORDERED LATER
Certified Copies .............







Total (3) $
GRAND TOTAL $


0


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

192Z

Name of deceased g?' f.g Age _

Deceased is of person arranging sees
S (GTive relationship) \
(1) Services, including merchandise .......... $ .e \.

teams Involving Cash Advances ..........$ L $ .I J.

Total (1 & 2) $/7Zl .

Items ordered later .................... $
oth parties agree any items ordered later
hall become a part of this agreement and
shall be inserted therein.

/ '-----) GR9AD TOTAL $/2 O


Legal rate of interest after maturity.


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




-By


I, or we, accept and approve the above


signature of Purchaser


Address


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


~/ /3/8




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