Title: Funeral Record for Twiggs, Alfred
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042097/00001
 Material Information
Title: Funeral Record for Twiggs, Alfred
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Twiggs, Alfred ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1977
 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 #5073
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042097
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


(Last)
: Z_2 (Ile4


PLACE OF DEATH
COUNTY:


FUNERAL SERVICE RECORD
(First) / (Middle)
^ ^ ^ ce/z^-


I, I


STATE:


(Name of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE REDENCE BEFORE ADMISSION:
COUNTY: C 5


NO. c~z

Telephone 7a 2 6 -

STATE, /


CITY OR TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE "RURA*L":.__( place)

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER. GIVE ADDRESS: ri V (". ,
DATE OF (Moth (pay/ (Year) (Hour)
DEATH // /f 77
SEX j COL9R OR RACE O MARRIED O NEVER MARRIED
(\, vI C/I | | WIDOWEDD O DIVORCED (Specify)
D E OF BIRTH AGE Months Days Hours Min.

USO OCCUPATION / KIND OF BUSINESS OR INDUSTRY

BIRTHPLACE (Stte or Foreign Country) CITIZEN F WAT C NTRY?

FATHER'S NAME--

MOTHER'S MAIDEN NAME 7

WAS DECEASED EVER N U. S.,A FORCES

INFORMANT
Z^ /


~r~ el


CITY: / RESIDENCE INSID
CITY LIMITS
c/ YES O NO O
STREET ADDRESS; RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: YES O NO
Relationship Survivors
SWife' Maiden
Na__me A

/ L A.!, /^// -c11 7 ,, ~.'









/ 7 / / r

S.


/I Relationship
7)^^^^//y^C-> ^


CAUSE OF DEATH
AUTOPSY YES O NO

PHYSICIAN

Address
PLACE OF BURI,- Cremation or Removal DATE
Cemetery. ///- of .- 19
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS


-.-.. ...Czz..bj ~:P~~


CLERGYMAN T'" L


f~7~7~9T


Address


FUNERAL PLACE i (I / 4
IF CHURCH, ID ODY LIE IN STT YES NO O
DATE / "/--ff 7 Ti...


VISITING HOURS
FRATERNAL AFFILIATIONS


SERVICE..YES D....NO Q


MUSIC YES O NOQ
SINGERS


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


LICENSE NO. /!3- 1


INTERNATIONAL ASSOCIATION OF MORTICIANS


--


.-'~/eh~~z~;~/L~I~L~ 15~7~0




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE


Purchase Date Size Our Number Interior No.
Mfi 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 Facilitie and Equipment
Personal and Staff Service
Profeuional 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 ..


Total (1)


Total (2)


Total (3)


CARRYING CHARGE
GRAND TOTAL

Terms .


Estate: Yes [ No O O ther:...................... ............
Executor or Administrator ..........................................
A address ................................................... ...
Attorney ........................ .................................
A address ..........................
IF IF-~--~~~--c


DEBITS


CREDITS BALANCE


DATE


1I .


________________________________ -I-. -
_____ ________________________________ -~1- -


NO.


3-.2 TL 77 3





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 7 / .
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure............. 3 Q
Clothing ....................



Total (1) 1/ 2 .
(2) ITEMS INVOLVING CASH ADVANCES
To permit us to render a better service, we have
advanced the money on these for your conven-
ience.
Sales Tax .................. ..
Additional Autos..............
Cemetery Charges..............
Clergyman .................. _
Telegrams..... ...............
Long Distance Telephone Calls ..
Transportation ..............
Flowers......................
Obituary Notices ..............
Programs .....................





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








Total (3) $
GRAND TOTAL $


CUNNINGHAM S'


Funeral Home


J. C. CUNNINGHAM, L.F.D.

434 N.W. 16th Avenue


A. L. CUNNINGHAM, L.F.D.

* Ocala, Florida 32670 Phone (904) 732-5353


/if ;7-/


Name of deceased o _* ,, L


Deceased is


(Give relationship)
(Give relationship)


Age2_-I

of person arranging services.


* (1) Services, including merchandise ............. / 42- 0. o

* (2) Items involving cash advances ............... S

(3) Total of & 2 ............................ $

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

(5) Total of 3 & 4 ............................. %$ _

GRAND TOTAL $/5

Terms of Payment: C/ /- '-- 7 7


Legal rate of interest afier maturity.


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


I, or we, accept and approve the above


signature f Purchaser




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


---*-- r r--j---j *--


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