Title: Funeral Record for Cannon, Winnie
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042418/00001
 Material Information
Title: Funeral Record for Cannon, Winnie
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Cannon, Winnie ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1979
 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 #5389
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042418
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
COUNTY:


FUNERAL SERVICE RECORD


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


NO. 0 ?A

Telephone

STATE:


CITY: RESIDENCE INSIDE
CITY LIMITS?
YES O NO
STREET ADDRESS; RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION' /SLq YES NO O
Relationship Survivors
Wi Maiden

'IYA "An

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ArrILI^IIW .9.4 r 0- ,0


CLERGYMAN XA L 5 ( '-


CAUSE OF DEATH


Addreu


PLACE OF BUI r rmovl DATE

Location t ___ _______
County Stat.e.
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


/ rZ~2c ~ A


FUNERAL PLACE 1 12
IF CHURCVL D BOY LIEJN ATF YES NO O
DATE Time
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE. YES .... NO O




MUSIC YES O NO D[
SINGERS



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


AUTOPSY

PHYSICIAN

Address


NO [

PaAXLAij


-- -LLL


11 0.-~


.. .... fl Ill


I -- -I- II


I
rUII~rU reelllrrlrrlr/7


1n7IRn


YES




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 of Vault


Type of Vault
SALES RECORD


(I1 SERVICES, including casket
~il Facilities and Equipment
Personal and Staff Service
.rofesional Service .
Visitors Register ..
Acknowledgement 'r.
Funeral Seda:.
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 .




| CARRYING CHARGE


Terms .............................

Purchaser


Total (1)


Total (2)


Total (3)


GRAND TOTAL


Finish


STATEMENT MAILED


Estate: Yes [
Executor or
Address
Attorney
Address


DATE


No O
Administrator


-i [F-~- ---- ----


CREDITS BALANCE


_____ -_ --9


Cost


LEDGER


LETTER SENT


Other:


DEBITS


/"^ 7- 1646 --a

E---


2/3 1?f


/djoI -


-1


--1-1-


I I r 1-------11-------


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


II -






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


Total (1) .. (1)
(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 ...............
/ TD Programs ................ 0 o




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






""""""""" Total (3) S

GRAND TOTAL $


CUNNINGHAMS '

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


__ __ /,_ I0


Name of deceased W '. 9 -4 / Age Z


Deceased is


(Give relationship)


of person arranging services.


* (1) Services, including merchandise .............. I
* (2) Items involving cash advances ...............
(3) Total of I & 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 $ S -


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 atnd State

Signature of Co-signer with Purchaser Street City and State


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