Title: Funeral Record for Longo, Bessie
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00041632/00001
 Material Information
Title: Funeral Record for Longo, Bessie
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Longo, Bessie ( 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: UF00041632
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
COUNTYs


FUNERAL SERVICE RECORD
/ (Last) (First) (Middle)

(Name of Deceased)
OF DECEASED IN SITUATION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY:
STATE:


NO. z//

Telephone 7._

STATE: -


ITY 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 -onthT (pay) (Year) (Hour)
DEATH ,7
SEX X COLOR OR RACE j( ARRIVED Q NEVER MARRIED
SI O WIDOWED O DIVORCED (Specify)
DAE OF BIRTH AGE Month Days Hours Min.

USUAL OCCUPATION KIq OF BUSINESS OR INDUSTRY

BIRTHPLACE (t or Forn Country) 'CITIZEN OF HAT UNTRY?

FATHER'S NAE

MOTHER'S MAIDEN NAE

WAS DECEASED EVER IN 1. S. ARMED FORCES? I SOCIAL SECURITY NO.

INFORMANT

Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO Q

PHYSICIAN

Address
PLACE OF BURIAL rtf ion r Removal DATE
Cemetery 19.
Location
County / State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS


IF CHURCH, DID BODT LIE IN STATF YES [ NO O
DATE ,- / 7 Time Z /^- ), A/
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O .... NO




MUSIC YES O NO D
SINGERS



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


INTERNATIONAL ASSOCIATION OF MORTICIANS




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




(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


Terms ..... .

Purc er......... ..........
Purchaser


Total (1)

















Total (2)





Total (3)


GRAND TOTAL


Estate: Yes O
Executor or
Address
Attorney
Address


DATE


No O
Administrator


Other:


DEBITS CREDITS BALANCE


Fr -,- -T I F 1 1 I


_13i _II-


____________________I __ __


NO.


- I


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


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...................
... ...............
........ ... -


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