Title: Funeral Record for Council, Willie Mae
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00041100/00001
 Material Information
Title: Funeral Record for Council, Willie Mae
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Council, Willie Mae ( 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 #4089
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00041100
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.


PLACE OF DEATH
COUNTY:


FUNERAL SERVICE RECORD
(Last) (F (

(Name of Deceased)
A REOF DECEASED: IF INSTITUTION,
USUAL RESIN RESIDENCE BEFORE ADMISSION:
COUNTY:
- STATE: (y ,?


NO. o408

Telephone

STATE: K / c


CITY: RESIDENCE INSIDE
CITY LIMITS?
/ / YES [E NO
STREET ADDRESS; /-RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: /- ( YES O NO
Relatoiship Survivprs
1/W. A/ 0


i __2J,// 1 ., I' .. /


-9l/kkJ


/..0 1Yc ^t c/L.+-


711) 1/n *}/
______~7 7/'' /i-
,r.ttt ~1,7

e,4,4). c-vS AYl' cx' y /', /' /


MOTHER'S MAIDEN NAME

WAS DECEASED EVE .17 U. S, ARMED FORCES? I c""nn., c..T,,v .,^

INFORMANT

Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO D

PHYSICIAN

Address
PLACE OF BURIAL -/Cremation or Removal DATE
Cemetery r _- 19z
Location 2 /" /J -
County I / State C
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS


CHURCH AFFILIATION -
CLERGYMAN A "


Address


~CL A/142-/


FUNERAL PLACE
IF CHURCH, DID STAL YES NO _


VISITING HOURS
FRATERNAL AFFILIATIONS


.SERVICE.-YES D----.NO O


MUSIC YES Q NO [
SINGERS



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


INTERNATIONAL ASSOCIATION OF MORTICIANS


g-~rl; c_ gL ~ t-' I d'/.z n'i(~6


4_C'll 1jI1AA- i' ___


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y^7 /^^-/9-9

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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 ... ....


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

Terms ... ...... ..........................................


Purchaser
P r c. e r.. . . ... ... . . . . . . . . . ... . .. .


Estate: Yes O No O Other:......................
Executor or Adm inistrator ........ .........................
A d d ress ... .. ... .. ... ... ... ... .. ... .
A attorney ............. ................
A d d ress ... ... ... ... ... ... .. ... ..
'' '


DATE


DEBITS


CREDITS BALANCE


I~~~~' _____ ..Ilz- Iz ___- L___


NO.


A -


/


...........







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


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


Total (2) $
'ER


~LLf~A


Total (3) $
GRAND TOTAL $


FUNERAL PURCHASE AGREEMENT





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

19 _

Name of deceased JAIT5 IJLJU1C.e. / 7 Age 46

Deceased is .2? zL of person arranging services
(Give relationship)
(1) Services, including merchandise ..........$ / $ .-o 0)

*(2) Items Involving Cash Advances ..........$ ../'...J/

Total (1 & 2) $Z /___-

*(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 $t L 0 O

Tsrms of Payment: -- c l-.) FY-;) .- ^ ,


Legal rate of interest after maturity.


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




1. ; ,,..


I or we, accept and approve the above


Signat o Purchaser

t Stdress

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




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