Title: Funeral Record for Howard, Readis
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042823/00001
 Material Information
Title: Funeral Record for Howard, Readis
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Howard, Readis ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1982
 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 #5786
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042823
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:

A/a4.lA".


FUNERAL SERVICE RECORD


- (Nane f Deceased)


STATE:

7/


CIT OR TO ,N' / NGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE "RURAL":
FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHE. GIVE ADDRESS:
DATE OF ( h (P) a) (Hour)
DEATH J'2 /6 16 r ? Oz
SEX OR RACE I RRIED [ NEVER MARRIED
/ 0 rAC E [ O WIDOWED O DIVORCED (Specify)
DAfE OF RTH AGE Months Days Hours Min.

USU OCCUPION KIND Of BUSINESS OR INDUY

BIRTH E (Stote or or gn Country) r CIT& P DWIAT COUNTRY?

FATHER'S, NAME

MOTHER'S MAIDEN N E ',

WAS DECEASED EVER IN U. ARMED O ES

INFORMANTS t

Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO D

PHYSICIAN

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


(Middle)


OF DECEASED: IF INSTITUTION,
USUAL R EVIDENCE E BEFORE ADMISSION:
COUNTY: / ,r,)


N 0,.g

Telephone: 1.
2.
STATE: C/


CITY: RESIDENCE INSIDE
I CITY LIMITS?
YES O NO
STREET ADDRESS; RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION: / ~I ,. / YES O NO 0
Relationship Survivors
Wife's Maiden
Name___


CHURCH AFFILIATION
CLERGYMAN
Address -


FUNERAL PLACE AL ,
IF CHURCH, DID BODY LIE IN STATE YES O NO O
DATE /__ Tim /T3/- C
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O.... NO
REMARKS


Grave No.


Section
BEARERS


INTERNATIONAL ASSOCIATION OF MORTICIANS




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


STATEMENT MAILED


Estate: Yes [ No O Other:.
Executor or Administrator .... ... ...........
A address .. ........ .......................................
A ttorn ey . ... .. .. .... .. ... .. ... .. .. .. ..... ... ... ... ... ..... ..
A dd reu .. ..........................
DTA ^ DEBITS CREDITS BALANCE
O N *5 M A7_,,A


(1) SERVICES, including casket
All Facilities and Equipment ........ .
Personal and Staff Service .... .....
Profesional Service ...
Visitors Regiter ...
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 .



CARRYING CHARGE


LEDGER


Total (1)















Total (2)





Total (3)

GRAND TOTAL


,a.

S'^J..:


_ I : _


NO.





SALES RECORD








(1)
















(2)






















* (3)


You will not be charged for any of the items
below that you chose not to use.
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)
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............... .)_#
Programs ..................... 3 Z .




-J 5,-// ^ Total (2) $ I/'M
ITEMS ORDERED LATER
Certified Copies .............







Total (3) $
GRAND TOTAL $


Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street Citv and State

Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street City and State


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


/ I- 6 L
___________191

Name of deceasedY-' / /1Ze 1 ,LC_ Age_

Deceased is of person arranging services.
(Give relationship)

(1) Services, including merchandise .............. $ Z 2 Or
(2) Items involving cash advances ............... $ / j '
(3) Total of 1 & 2 ............................. %- .7
(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 $ 7 ,

Te s of Paymnt a r


Legal rate of interest afer maturity.


i




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