Title: Funeral Record for Wilder, Doshia
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042111/00001
 Material Information
Title: Funeral Record for Wilder, Doshia
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Wilder, Doshia ( 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 #5087
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042111
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


j (L'st)/
/ J,/r/e.


FUNERAL SERVICE RECORD


-K,


O PLACE OF DEATH
COUNTY: /


(Firt) / (Middle), /

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

CITY:


NO. ^7

Telephone-e,'-c^/

STATE:; 6 7 P&
/ RESIDENCE INSIDE
CITY LIMITS?
YES 1[- NO ..--


STREET ADDRESS; RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: YES ja -n 0
Relationship Survivors
Wife's Maiden
Name




^^^ ___ *-7^ K Je I" ',' ~ ^ ^^ ^^


INFORMANT


Relationship


~~-~ t? :37


CAUSE OF DEATH


AUTOPSY YES O NO

PHYSICIAN k c/ f


Address
PLACE OF BURIAL Cremation or Removal DATE
Cemetery 2 /A~ ,// 19 7
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


CHURCH AFFILIATIN
CLERGYMAN- -
Address
FUNERAL PLACE'
IF CHURCH, DID BODY LIE IN STATE YES O NO O
DATE / HO- Ti./. 2 .L5
VISITING HOURS
N rt. FLA TION5~ FlRVItFF r n


(A) /L-J


MUSIC YES O NO [D
SINGERS


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


I


FRATI


--i


. -Io LJ.... rV U




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



(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 .


.j


Total (1)


Total (2)




Total (3)


CARRYING CHARGE


GRAND TOTAL


Terms .. .

Purchaser


______________**I~


I I -_


Estate: Yes O No O Other: ............... ..
Executor or Administrator .. ................ .. ..
A d d ress.. ... .. ... ... ..... .. .. ... .. ... .. .. ... .. .... .. ..
A ttorn ey .. ... ... ... ... ... ..... ... ... .. .. .. .. .... ..... ... ... ....
A address .. ...... ....................


DATE


DEBITS


I _____ -. -.


AoI,-A11


1VSs9 \>


--










'AW~ .a^ fEl-_


NO.


S


-W-


CREDITS 11BALANCE





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
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure..............
Clothing ...................... y. '2



Total (1) ) 5_ '"
(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 ..............
Flow ers.......................
Obituary Notices...............
Me) ..... P




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







Total (3) S
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


19Z7


Name of deceased A4/S. D 7 _S4k


Deceased is


2 Z!!, e
(Give relationship)


Age


of person arranging services.


* (1) Services, including merchandise .............. S,4-2 ) S,
* (2) Items involving cash advances ............... S -2 -
(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 j5tI

Terms of Pay t:t-b /._- 7 t ,,-f-:: 2-

L 45r/n- --- 2-.. r 2- (?

Legal rate of interest after maturity.

rnish all services, and merchandise, I, or we, accept and approve the above
id ty Stabove. ___"

Signal f Purchaser

t A address

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


. .


" "(Gi e relationship)


/2- P/

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