Title: Funeral Record for Smith, Florence
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042650/00001
 Material Information
Title: Funeral Record for Smith, Florence
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Smith, Florence ( 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 #5615
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042650
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
(Lost)_ Firp -/ (Middle)

(Name of Deceased)
( N a m e of D e w s O f D E C E A S ED IF IN S T IT U T IO N .
USUAL RESIDE RESIDENCE ADMISSION:
STATE COUNTY:
STATE:


CITY: R EI DIC
_YESHi NOD
STREET ADDRESS; x , IF RURAL GIVE EXACT LOCATION! L- YES Q O
Relationship Survivors
, fes aiden












CC F
'AgL









CftI21 ^^.i^LL2^ .
CWJENA~fI- 7IatM ^> rA~z fi Wj^M^idA4^ !


CAUSE OF DEATH


AUTOPSY YES 0

PHYSICIAN Aa -


A.J-..


NO I

%/y).^^-~


A-)cLo Lc4L.


PLACE OF BURIAL motion or Re DATE
Cemetery "-- ,- i
Location
County St.ate
CEMETERY LOT NO Om,.If Lot
Section __ Grave No.
BEARERS







L INTiRNTIONAL ASSOCIATION OF MORTICIANS


CLERGYMAN
Add ress


IV ^ I


17 ~'-~-&~


FUNERAL PLACE Y) F. j -
IF CHUR DID BO IE IN STATE- YESQ NOO
DATE tL a./4.L(, /97/, T i- &


VISITING HOURS -
FRATERNAL AFFILIATIONS


SERVICE. YES --- .NO n


MUSIC YEs O No O
SINGERS


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


NO. / -9S

Telephone -671

STATE


- ,


SERVICE. _YES n .... 140 []




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE


. Purchase Date Size Our Number Interior No.
Mfr. Mfr. 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 .... .......
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-


Total (1)













Total (2)




Total (3)


CARRYING CHARGE
GRAND TOTAL
Terms .

Purchaser


Estate: Yes D NoO Other:
Executor or Administrator .......................
A address .... ..... ... ..........................................
A attorney .... .............................. ...............
A dd ress ............................................ .........


DATE


DEBITS


CREDITS


BALANCE


I i I 1I-i11 -------; i F----


714(1/21 \/AA,'9 -


ir -
~.Izzzt -. -

14 -


NO.


- 1-1


('~Cn~ -.- rn tj






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)
(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.............. 0'O,
Clergyman .................. _
Telegrams .....................
Long Distance Telephone Calls .
Transportation ................
Flow ers .......................
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. A. L. CUNNINGHAM, L.F.D.

434 N.W. 16th Avenue Ocala, Florida 32670 Phone (904) 732-5353


Name of deceased:;c a ,-^ -"-.g <- L g ,,


Deceased is


Age --.


of person arranging services.


e/ (Give relationship)


* (1) Services, including merchandise .............. o

* (2) Items involving cash advances ............... C
(3) Total of & 2 .......................... ... / 7

* (4) Items ordered later ...................... .. e J5
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 $/ 7/T


Terms of Payment:


Legal rate of interest afier maturity.


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


I, or we, accept and approve the above


Signature of Purchaser

Address

Cit? 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


__


- 19 Ir


V


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