Title: Funeral Record for Dinkins, Bessie
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042894/00001
 Material Information
Title: Funeral Record for Dinkins, Bessie
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Dinkins, Bessie ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1983
 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 #5854
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042894
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


FUNERAL SERVICE RECORD
(L t))
~ CfjL2tZ ,4~k)


(Name of Deceased)


PLACE OF DEATH
COUNTY:

y)7a^^^~c


STATE:

6?4^^lcAi


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


(Middle)


CITY: ~ R I SIDENC INSItD
CITY LIMITS?
YES [ NO [
STREET ADDRESS; RESIDENCE ON FARM?
I RURAL GIVE EXACT LOCATION: / / YES O NO
Relationship Survivors
Wife's Maiden c



-N aa /.._ / .
_____a____ (-2


TE'
/h't- L~
X


VXA( I

a, ._ V


___ 1I1PC----yL12-


CAUSE OF DEATH
AUTOPSY


YES O


NO W


PHYSICIAN
& -1J -.-


Adoress
PLACE OF BURIA rtCmation RvalD
Cemetery -72-" V '-- 19 9O ,?3
Location A2 6 /tt
County O LN O wne State
CEMETERY LOT NO. Owner of Lot


Grave No.


Section
BEARERS


CHURCH AFFILIA
CLERGYMAN ,
Address
FUNERAL P
IF CHURCH DID DY LI IN St T YESI" NO
DATE c im /E ,


VISIENG HOURS F I
FRATERNAL AFFILIATIONS


SERVICE- YES [....NO 0


INTERNATIONAL ASSOCIATION OF MORTICIANS


NO. s

Telephone: 1. 7U 1:
STAT
STATE:


ntMHnn3


)


J


I




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


__ ii. ___


Estate: Yes [ No [ Other: .............................
Executor or Administrator ......... ........... .
Address ................................................... .
A ttorn ey .. .. ... .. .. ... .... ... ... .. ... ... ... ...... ... .... ...
A d d res ... ........ ..... .............


DATE DEBITS CREDITS BALANCE


i/ 4s T 7-_ X


-. 7,-U...I


lfO \Voa


//. ,7-


~1~~~* _______________________ -


STATEMENT MAILED


LEDGER


(1) SERVICES, including casket
All Facilities and Equipment
Personal and Staff Service .....
Professional Service .
Visitors Register .
Acknowledgment Cards
Funeral Sedan ......
Casket Coach ......
Outside Enclosure ...
C l thing .............. .....




(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


43Y-Rf


NO.





LES RECORD













Total (1)















Total (2)





Total (3)

GRAND TOTAL


--~--~, ,,,,.,.,,


.. . ..


.01al/JR-


:?AQ m \DO1-ff- \f.-J


/.^


')->


-K-/. v( he, /-






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.............
Clergyman ....................
Telegrams....................
Long Distance Telephone Calls ..
Transportation ................ .
Flowers................ .....
Obituary Notices............. /
. Z)/)Programs .................... //^ f




"""""".............Total (2) \/ 42
* (3) ITEMS ORDERED LATER
Certified Copies ... ........







Total (3) $ /
GRAND TOTAL S I'/?


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 /l,'


Deceased is


I-~ L /~,%7


(Give relationship)


19


Age


of person arranging services.


* (1) Services, including merchandise .............. /$ "I /(
* (2) Items involving cash advances ............... /0 .'2
(3) Total of I& 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 ............................. / -
SGRAND TOTAL $

Terms of Payment: /_"
Z~ L/z


Legal rate of interest after maturity.

We agree to furnish all services, and merchandise,
merchandise, indicated o.ve--



Bv


I, or we, accept and approve the above


Si Adtre chss er

Address


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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