Title: Funeral Record for Williams, Theola
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00042951/00001
 Material Information
Title: Funeral Record for Williams, Theola
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Williams, Theola ( 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 #5912
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00042951
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
iast) (First


NO. ~/-


(Middle)


(Nome of De


PLACE OF DEATH
COUNTY:


STATE:


Address Relationship


CAUSE OF DEATH
AUTOPSY YES O NO C

PHYSICIAN

Address
,f as


sceasedl oOFD : F/ Telephone: 1.
USUAL RESIDENCE RESIDENCE BEFORE A SI
COUNTY: / /TATE:


CITY: 1 ,
eA^^z; ix


STREET ADDtSMS;- -/
IF RURAL GIVE EXACT LOCATION:


REINCINu


RSIDcNCE INSIDo
CIJY LIMITS?
YESc6 NOu
RESIDENCE ON FARM?
YES n NO L-


Relationship Survivors
Wife's Maiden S w "
Name
9U<.. ZA ulJ ,'/A'd^i ^ /^JA#114AJt


-& r -. -~ ,' ~ sT )tlL ff e g P '-~ AC


--- -E---6 ----- j Ad z4?---








CHURCH AFFILIATION /a/n.' l4


Address


FUNERAL PLACE


CLERGYMAN

A/_/6 &ZD'^--__,4- /


C f --
IF CHURCH, DID BODY LIE IN STATF YESL NO [
DATE/ ?/ 6 Time -


VISITING HOURS V
FRATERNAL AFFILIATIONS
flsI-I flfrOs


PLACE OF BURIAL remation r
Cemetery
Location


SERVICE. YES O.-.. NO O


County State

CEMETERY LOT NO. Owner of Lot
Sectian Grave No.


BEARERS


INTERNATIONAL ASSOCIATION OF MORTICIANS


`-- -


v


? r
I.,,


rnrIInn3


R.6 _Y/A / /


Remov




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


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

DATE DEBITS CREDITS BALANCE
^3 = (dJU == ~7 7^ ^)


.ac. 1 9 C SV 7___ 7. s70



___Q 7__ & 6


v-ef__rV I~ ~34i We-
/ {

.


























___ _" _


LEDGER


(1) SERVICES, including casket
All Facilities and Equipment .. ..
Personal and Staff Service ...... ..
Professional Service.
Viitors Regiter ..
Acknowledgement Cards
Funeral Sedan ....
Casket Coach ..
Outside Enclosure ..
Clothing ................... ........




(2) ITEMS involving Cash Advances
Sales Tax
Additional Autos
Cemetery Charge
Clergyman ..
Telegrams
Long Distance Telephone Calls
Transportation ..
Flowers
Obituary Notices






(3) ITEMS ORDERED LATER
Certified Copies




CARRYING CHARGE


STATEMENT MAILED


NO.





SALES RECORD


Total (1)

















Total (2)





Total (3)


GRAND TOTAL 2,-55. 6 C





You will not be charged for any of the items
below that you chose not to use.
*(1) Casket 1 0 &p
Removal to Establishment
Preparation Preservation
Staff Service
Professional Service X X
Facilities Equipment
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure.. ......... / ~ L
Clothing ......................


Total (1) 1S 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...................... 4/[4yl
Obituary Notices............... /2 C-4
Programs .............................




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






Total (3) $
GRAND TOTAL $


CUNNINGHAM S '

Funeral Home


J. C. CUNNINGHAM, L.F.D.
434 N.W. 16th Avenue *


Ocala, Florida 32670 *


A. L. CUNNINGHAM, L.F.D.
Phone (904) 732-5353


Name


Deceased is


* (1) Services, including merchandise.............. $St
* (2) Items involving cash advances ............... %$ h 6 C
(3) Total of l & 2 ........................... $ ZA
* (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 ............................. $
T GRAND TOTAL $.?1

^^y,>^ g^ ^^ g/~a ggLu^/


L gal rate of interest after maturity.& a


We agree to furnish all services, and merchandise, I, or
merchandise i ated above.



(^ ~~ I // /


we, accept and approve the above


Si na ure of Purcasr


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


25


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Ci-




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