Title: Funeral Record for Croskey, Erie
CITATION THUMBNAILS ZOOMABLE PAGE IMAGE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00041620/00001
 Material Information
Title: Funeral Record for Croskey, Erie
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Croskey, Erie ( 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: UF00041620
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
(Last) (First)
r, ,) 5>^tt A ; 4


/ (Name of Deceased)


PLACE OF DEATH
COUNTY:


STATE:


OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: /V/ -I


(Middle)


CITY: RISIDINC INID1
CITY LIMITS?
j FYESc N tO
STREET ADDRESS; REDE / NCI ON FARM?
IF RURAL GIVE EXACT LOCATION YES O NO
Relationship Survi ors























Lflf.f nrr:L?< 7^ -Rieo


Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO 0

PHYSICIAN /

Address
PLACE OF BURIAL Cemation S'Removal I DATE


Cemetery
Location
County State


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







INTERNATIONAL ASSOCIATION OF MORTICIANS


nuK%n ^rrmufwiwi fpj~-;----
CLERGYMAN "
Address


7?- tCt


FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STA YES NO O
DATE Time- ___2------
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O ...-NO




MUSIC YES O NO O
SINGERS



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


NO. /s

Telephone 33 /

STATE,


if .. C4 -r 4


_ Ip~Z~Z~/




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 do Vault Type of Vault Finish Cost
SALES RECORD STATEMENT MAILED LEDGER LETTER SENT
.'1 ~ ~ --------------- -------- ---------_--------


(1) SERVICES, including casket
All Facilities and Equipment ...
Personal and Staff Service .......
Professional Service ..
Visitors Register ...
Acknowledgement Cards
Funeral Sedan .. .
Casket Coach ....
Outside Encloure .. .
Clothing .......... ....... .


I


(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


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

Purchaser .


Total (1

Total (1)


Total (2)





Total (3)

GRAND TOTAL


I I- -


Estate: Yes Q
Executor or
Address
Attorney
Address


No O
Administrator


Other:


DEBITS CREDITS BALANCE


:___________ S~i ^ __
_________g ^ ^ =_ _


. . I . . . .
... ..............
......................................
. . . . . . . . . .
.. .. ......





You will not be charged for any of the items below
that you chose not to use.
*() Casket
Removal to Establishment
Preparation Preservation
Staff Service
Professional Service
Facilities Equipment
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure .............
Clothing ..................... S



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 ................... OZ Z5
Obituary Notices ........... 7
Programs .................




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







Total (3) $
GRAND TOTAL $


FUNERAL PURCHASE AGREEMENT


CUNNINGHAM'S FUNERAL HOME
A. L. Cunningham, LF.D. J. C. Cunningham, L.F.D.
PHONE: 732-5353
434 N. W. 16th AVENUE, OCALA, FLORIDA 32670

/ 0 -' Z19

Name of deceased g i Zf- / Age

Deceased is / of person arranging services
/ (Give relationship)
(1) Services, including merchandise ..........$ / i.._ 0go

(2) Items Involving Cash Advances ..........$

Total (1 & 2) 7 -.

*(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 $

^j.^ ^ ^^


Terms of Payment:, >


Legal rate of interest after maturity.


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

.JM.Euurp nf fn.rinlr widf Purreratr tret Titv and 9qlas




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