Title: Funeral Record for Kinsler, Mae E.
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042512/00001
 Material Information
Title: Funeral Record for Kinsler, Mae E.
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Kinsler, Mae E. ( 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 #5479
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042512
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:


STATE:


OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY:


FUNERAL SERVICE RECORD
(Last) (First) (Middle)

(Name of Deceased)


STATE,


CITY: / RESIDENCE INSIDE
I CITY LIMITS?
IF UAL g, e.'9e1 YESO NOD
STREET ADDRESS; / RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: 3 f YES O No O
Relationship Survivors
Wifs Maide
luam e ____ ____ >__________


.. .. ^^ ^ -. ^ ~/ .
J / .W ,., r

^"I A
-^-^ -^ r^/A ^y^. *^A^'-^ / '^ i f^^


INFORMANT

Addreu Relationship


CAUSE OF DEATH
AUTOPSY YES /NO J

PHYSICIAN

Address
PLACE OF BURIAL Cremation or Removal DATE
Cemetery 1J _
Location
County State
CEMETERY LOT NO. Owner of Lot


Section
BEARERS


Grave No.
'(';V


INTERNATIONAL ASSOCIATION OF MORTICIAN


INTERNATIONAL ASSOCIATION OF MORTICIANS


CHURCH AFFILIATIO -r
CLERGYMAN '
Address
FUNERAL PLACE /J
IF CHURCH, DID BODY LIE IN STATF YES O NO Q
DATE 2"-- Ti6m ______-
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O.... NO




MUSIC YES [ NO D
SINGERS


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


NOT. q

Telephone Z% /-9/y 2





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


TvDe of Vault


SALES RECO
(I1 SERVICES, including casket
sd Facilities id Equipment
Personal and Staff Service
?rofesional Service .
Visitors Register ...
Acknowledgement C'.r
Funeral Seda,.
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( ... (
I.. .. .



CARRYING CHARGE 0


Terms .. ....


Purchaser


RD





._____ q, e









Total (1)


















Total (2)






Total (3)


GRAND TOTAL


Finish


STATEMENT MAILED


Estate: Yes [ No O
Executor or Administrator
Address
Attorney
Address


DATE


LEDGER


LETTER SENT


___ ___ [ ____


Other:


DEBITS CREDITS BALANCE


Kind of Vault Type of Vaul


; I


..... ......

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




FUNERAL PURCHASE AGREEMENT


*(1) SERVICES, including Casket
All facilities and Equipment
Personal and Staff Service
Professional Services "
Visitors' Register
Acknowledgement Cards
Funeral Sedan
Casket Coach
Outside Enclosure .............
Clothing ..................... ~L4L '



Total (1) $sJ27
*(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 ...............
Flow ers ....................
Obituary Notices ........... .

... ... ... ...... .."




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







Total (3) $
GRAND TOTAL $


CUNNINGHAM'S FUNERAL HOME
A. L. Cunningham, L.F.D. J. C. Cunningham, L.F.D.
PHONES: 622-7836 622-4251
434 N. W. 16th AVENUE, OCALA, FLORIDA 32670

< /0


19


Name of deceased /W g / e ji/L ,4 Age

Deceased is of person arranging services
(Give relationship)
(1) Services, including merchandise ..........$ o= 7 .$-

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

Total (1 & 2) $,fu -

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

SAND TOTAL $

Terms of Payment: n ___


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




By ,-


Legal rate of interest after maturity.


I, or we, accept and approve the above


na of P urcha

-Cty taress

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




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