Title: Funeral Record for Richardson, Aaron
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042631/00001
 Material Information
Title: Funeral Record for Richardson, Aaron
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Richardson, Aaron ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1981
 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 #5593
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042631
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
Vjjl t ) / A (tFirA
/11AZ,@?EIA.J ,A4r_5Af


STATE:

/=*


(Middle)
_V.


(Name of Deceased) /
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BOE ADMISSION:
COUNTY: /W / d a /


NO. Tlho

Telephone -//%^?


STATE, /


cro O TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE in this oCe)
LIMITS, WRITE ":URAL y (in this place)
FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS: A '
DATE OF '(Moth) Pay) (Year) (Hour)
DEATH 245 _
SEX COLOR OR RACE O MARRIED O NEVER MARRIED
) I I[J WIDOWED ] DIVORCED (Specify)
DATE QjjIRTH G Months Days Hours Min.

USUL OCCUPATION I OF BUSINESS OR INDUSTRY
R E Stat-/ In Cont CITIZEN COUNTRY
BIRTHPLACE (State or For*gn Country) CITIZEN OF.' LHA COUNTRY?
05W


FATHER'S NAME-
3c "A


MOTHER'S MAIDEN NAME
WAS DECEASED EVER IN U. S. ARMED EESF
_______A6E>


INFORMAnTA~ ~ //8A-A/c aAJ


Ad "- Relationship


CAUSE OF DEATH-
AUTOPSY / YES O O 0

PHYSICIAN

Address
PLACE OF BURIAL Creation or Re __ 1
Cemetery 4 -19ZL
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS






INTERNATIONAL ASSOCIATION OF MORTICIANS


CITY: RESIDENCE INSI
.YES O


STREET ADDRESS, C. i


, RESIDENCE ON FARM?
Y- ves o r


Relationship Survivors
Wif Maiden (

'P -



ri



a., 0r/ /4 a1
_u VID
f IJ (--- A it
--I-- __e ON FA RM?
~~A eL 1AA.^ /


4 A," -O -


CID III de-V/


CHURCH AFFILIATION / '
CLERGYMAN _


Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YES / NOD
DATE --- TI_.m )O 2_ .
VISITING;HOURS -3 _-? /-
FRATERNAL AFFILIATIONS SERVICE- YES -....NO O



MUSIC YES NO O
SINGERS


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


__ ____


7~-


~~~wd~orJ


Pa


E-WFY'~aSf





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 Finish


SALES RECORD


(1. SERVICES, including casket
dil Facilities 'ad Equipment
Personal and Staff Service
Professional Service .
Visitors Register ...
Acknowledgement C.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


Total (1)


Total (2)






Total (3)


Cost


STATEMENT MAILED


Estate: Yes []
Executor or
Address
Attorney
Address


No O Oth
Administrator


DTA T 1


LEDGER


LETTER SENT


ier:


Ir [F-


DEBITS


CREDITS IMBALANCE


0. //X
I/ f 4,
Zb




&
rt (MY n
S/





I 11~. sLj 57~


GRAND TOTAL
Term .. .. .. .


Purchaser ....... .. . .. .


9


er.
..... .. .... .
. . . I . .


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






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 7 "
Facilities Equipment
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure ............. .
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............... .- t 00
Clergyman ..................
Telegrams ................... -
Long Distance Telephone Calls -
Transportation ..............
Flowers....................... --
Obituary Notices...............
Programs .....................




Total (2)

*(3) ITEMS ORDERED LATER
Certified Copies ...............








Total (3) $
GRAND TOTAL $
d


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


Name of


Deceased is






4 ~ T*


* (1) Services, including merchandise .............. SA 7 .D

* (2) Items involving cash advances ................. 7 $ P, O

(3) Total of I & 2 ....................... ...... $ n .g

* (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 $


Terms of Payment:


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


Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street City and State

Signature off Co-signer with Purchaser Street City and State

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


L


II




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