Title: Funeral Record for Miller, James
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Permanent Link: http://ufdc.ufl.edu/UF00041589/00001
 Material Information
Title: Funeral Record for Miller, James
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Miller, James ( 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: UF00041589
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:

1/4jteI/4 q


FUNERAL SERVICE RECORD

7/)/7/l~ /j ( V^~(irst


STATE:


"n.


S of Deceased)
OF DECEASED: IF INSTITUTION.
USUAL RESIDENCE ESI DENCE BEFORE ADMISSION:
COUNTY:
/It /-,- ^ Y. L


NO. 4r 4

Telephone ^ <

STATEt


CITY: '- RE-- SIDENCE INSIDE
CITY LIMITS?
___-^-^<-CZYES NO
STREET ADDRESS; --/ RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION / YES Q NO
RelotIship I Survivprs _


~26L ~1A4-,~I-62\ ~g~#


Z2


CAUSE OF DEATH
AUTOPSY


YES O


NO O


PHYSICIAN

Address


PLACE OF BURIAL Cremation or Removal
Cemetery '
Location ( .
,,Count A.... .


DATE$
19


',,.L-~ 4J(- ,-Ld -,


CEMETERY LOT O. Owner of Lot
SectiQn Grave No. I
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


CHURCH AFFILIATION'
CLERGYMAN
Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE iN STATF YES NO O
DATE Tim. 30
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES -.... NO



MUSIC YES O NO O
SINGERS


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


'


------------


_____^.s_____




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


Tvpe of Vault


SALES RECORD


(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)






0










Total (2)






Total (3)


GRAND TOTAL


Term s ............


Purchaser .


Finish


STATEMENT MAILED


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


DATE


LEDGER


LETTER SENT


Oth.r:


Ii i F -


DEBITS


221K~' z __ __ __ __ __ -ec .4..


CREDITS IMBALANCE


Kind oi Vault-----


I


03
d/r


-'L


. . .




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