Title: Funeral Record for Fulton, Joe
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00041747/00001
 Material Information
Title: Funeral Record for Fulton, Joe
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Fulton, Joe ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1975
 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 #4725
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00041747
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) rst)


(Middle)


PLACE OF DEATH
COUNTY:

t)7rAy?/^^aj^


(Nor LDi


'AATE: a

Ctij;


C OR TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE "RURAL":
FULL NAME OF LENGTH OF AY
HOSPITAL OR INSTITUTION; A/
IF NOT EITHER, GIVEA1S: / J :0
DATE OF (Mo) (pa /(Year) (Hr)
DEATH //^M^^JL/J' L9
SEX O//. I O LOR OR CE /I DMARRIID EO NEVER MARRIED
/ jyI WIDOWED ] DIVORCED (Specify)
O F 0 R7 AG Months Days Hours Min.

USU T PAT KIND OF BUSINESS OR INDUSTRY

BIRTP tate or For C nt CITIZEN OF WHAT COUNTRY?

FAT R'S AME -2 -
MOTHER'S MAIDEN N E
WAS DECEASED EVEI J ARMED FORCES?


SRelationship /-


CAUSE OF DEATH
AUTOPSY YES a NO D]

PHYSICIAN

Address
PLACE OF BURIAL y-rematn or Removal DATE
Cemetery /L f'-1
Location State
County State cy/-( __
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS






INTERNATIONAL ASSOCIATION OF MORTICIANS


Deceased)
cea ) I OF DECEASED: IF INSTITUTION,
USUAL RE I RESIDENCE BEFORE ADMISSION:
COUNTY: ]'
//z-*f~ i Ai/)


N 0.

Telephone -

STATE: }-/e


CLERGYMAN /. &J ,


Address fnl ea-
FUNERAL PLACE
IF CHURCH ,ID B DY LIE N STATF YES 9 NO _
DATE T &
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE -YES Q-...NO O



MUSIC YES O NO D
SINGERS


FUNERAL DIRECTED BY LICENSE NO.
EMBALMER'S LI CESE NO. -
REMARKS: -0 1 L -r?,f U]J L


___


L4Z-W7


CITY: RESIDENCE INSIDE
i;" 4 /YES [I NO
STREET ADDRESS RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: R YES O No O
Relationship Surviv.











URC AIL,, O J







CHIUI.R AFFIIIATIOIl / /





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 ...........
Telegram s .......... ....
Long Distance Telephone Calls ...
Transportation ..................
Flowers .........
Obituary Notices .............







(3) ITEMS ORDERED LATER
Certified Copies .............




CARRYING CHARGE


Total (2)






Total (3)


GRAND TOTAL


Terms .....


Purchaser


Estate: Yes O No O Other:.......................... .........
Executor or Administrator
A d d ress ... .. ... ... .. .. .... ... ... ... .. .
A attorney ................................................................
A d d re ss . . . . . . . . . . . . . . .


DATE


DEBITS


CREDITS BALANCE


1-3- 2
1_- 7 _____^277-___


4- 7


NO.


I-


'' "





You will not be charged for any of the items below
that you chose not to use.
*(1) Casket &
Removal to Establishment
Preparation Preservation
Staff Service
Professional Service
Facilities Equipment Q
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure ............
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 ..................
Obituary Notices ............
Programs ................ 3




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







Total (3) $
GRAND TOTAL $


FUNERAL PURCHASE AGREEMENT


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

Z/ .Z r.

Name of deceased 4 ,. 4e. _I //c 4/


Deceased is


19AgeZ

Agel-


of person arranging services


(Give relationshi--
* (1) Services, including merchandise .......... $ / T.~

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

Total (1 & 2) /ZZ


*(3) Items ordered later ....................$
Both parties agree any items ordered later
shall become a part of this agreement and
shall be inserted therein.

S GRAND TOTAL $

Terms of Pay v nt: d, .. '. S. '.


Legal rate of interest after maturity.


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


I, or we, accept and approve the above


Signature of Purchaser
Po 7 /


City State


Street


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


City and State


_


,


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