Title: Funeral Record for Jones, Maude
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00042457/00001
 Material Information
Title: Funeral Record for Jones, Maude
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Jones, Maude ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1980
 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 #5426
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042457
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


O PLACE OF DEATH
COUNTY:


CITT OR TOWN; LENGTH OF STAY
If OUTSIDE CORPORATE -in this place)
LIMITS, WRITE "RURAL": (inthspa

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;.
IF NOT EITHER, GIVE ADDRESS:
DATE OF (Month) (pay) Year) (Hour)
DEATH /
SEX / R OR RAC MARRIED O NEVER MARRIED
SA 7 t OWED [ DIVORCED (Specify)
DAZE OF BIRTH AGE Months Days Hours Min.

USUAICJPATION D OF BUIESS OR INDUSTRY

BIRTH (Stat re n Country) CIIZEI OF -jHAT COUNTRY?

PA S /j, /i <,,/ ,I ,,/ //, t O <;

MOTHER'S MAIDEN NAME

WAS DECEASED EVER I'U. ARMED FORCES? I 4* no

INFORMANT

Address Relationship


CAUSE OF DEATH
AUTOPSY / NO

PHYSICIAN 1 q'

Address
PLACE OF BURIAL remtio r Rem I TE
Cemetery 1.
Location
County State
CEMETERY OT NO. /- Owner of Lot
Section __ Grave No. /0
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


(Name of Deceased)


FUNERAL SERVICE RECORD
(Last) (First)
T-e-n <,- S.-c


OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: < ,,/
A^^-^.1l ^


NO. -5.2

Telephone 1 o f


STATE,


CITY: RESIDENCE INSIM
ILkf '/P' ^CITY LIMITS?
YES --NO


STREET ADDRESS;
IF RURAL GIVE EXACT LOCATION:


RESIDENCE ON FARM?
YES r- kin In


Relationship Survivors
SWife's Maiden
Nameu A X 4 kJ A 7
I>MU A) y A^,. 1s M. i -5^/^i /A 1 / Q


-- I -~ 1.f -


zi ~jI // 4'-Z7


'-I

__ S Y'D /LF zLe-


CHURCH AFFILIATION .r & 4A ." _
CLERGYMAN z! / ,l4 / <


Address


FUNERAL PLACE I--'C ---"C- "_ "t W" C"


IF CHURCH DID BOR LIE IN STAT- YES NOQ
DATE /- Ti g


VISITING HOURS
FRATERNAL AFFILIATIONS


SERVICE..YES OQ... NO O


MUSIC YES O NO D
SINGERS


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


(Middle)


STATE:

r/


A,0 /74-c- /'


7,


-Y v


r f


z


d.


~k~a




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE


NO.


Purchase Date Size Our Number Interior No.
Mbr. Mfrs. No. Material Material
Casket Cost Blanket Cost Cover Finish Color
iad 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 ....


Total (1)


Total (2)





Total (3)


CARRYING CHARGE
GRAND TOTAL

T erm s .............................

Purchaser


Estate: Yes O No 0 Other:....... ...............
Executor or Administrator ..... ...................
A dd ress ........................................ ..............
Attorney ....................... .................................
A dd ress .............. ..............


0


--1-1






You will not be charged for any of the items
below that you chose not to use. q C75 ,/
*(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.......
C 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 conven-
ience.
Sales Tax .................. ..
Additional Autos...........
Cemetery Charges............. C
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


* Ocala, Florida 32670


Name of deceased" ,/.v ,

Deceased is ___
(Give relationship)


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

* Phone (904) 732-5353


of person arranging services.


* (1) Services, including merchandise .............. dlI/ ?n elC.&

* (2) Items involving cash advances ............... $ / '

(3) Total of & 2............................ S21

* (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 ............................. S _

GRAND TOTAL 0/

Ter of Payment: y t 2 .- / #g


Legal rate of interest after maturity.


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


I, or we, accept and approve the above


Signature of Purchaser


Address


State


Signature of Co-signer with Purchaser Street City and State
Signature o 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


-----------~-




University of Florida Home Page
© 2004 - 2010 University of Florida George A. Smathers Libraries.
All rights reserved.

Acceptable Use, Copyright, and Disclaimer Statement
Last updated October 10, 2010 - - mvs