Title: Funeral Record for Johnson, Lillie
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043006/00001
 Material Information
Title: Funeral Record for Johnson, Lillie
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Johnson, Lillie ( 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 #5977
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043006
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


(Last,
1,s^%/


S PLACE OF DEATH
COUNTY:


STATE:


FUNERAL SERVICE RECORD
(Fi ) .
' .W ,/I/-<


(Middle)
A^) of-2-


(Name of Deceased)
OF DECEASED IF INSTITUTION.
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: -. / 1),
Al Li-rfc L


CITY: i->, IP


NO. 5 77
N 0 0OZ 7 7

Telephone: 1. 4g/9 q .,
2.
STATE: /


RESIDENCE IMSIDE10
CITY LIMITS?
YES O NO 9-"


STREET ADR ESS o R ESI ENCE ON FARM?
IF RURAL GIVE EXACT LOCATION:. /! 3 YES 0 NO01-
Relationship Survivors
Wife Maiden


,/ g / / fy.Jya~u'


INFORMANT -

Address Relationship


CAUSE OF DEATH
AUTOPSY YE O No

PHYSICIAN

Address
PLACE OF BURIAL Cremation or Removal DATE
Cemetery Z2 -4-19
Location
County State
CEMETERY LOT NO. Owner of Lot
Section Grave No. _-
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


CLERGYMAN -


Address


FUNERAL PLACE 6k 4' e -10
IF CHURCH, DID BOD LIE STATF YES NO O
DATE I- / rim .'9 4 7


VISITING HOURS
FRATERNAL AFFILIATIONS


HtMA'Nbi


SERVICE..YES O... NO Q


__ ___


K"


CHURCH AFFILIAT__4

____ /^-y^^ V'^i^-e4




__________ 7t^ ^ g^


---


f


f




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SNT I


Estate: Yes 0 No 0 Other: ........
Executor or Administrator ............. ......
A dd ress ... ..............................
Attorney .........................................................
A dd ress .. ..........................


DATE ___DEBITS CREDITS BALANCE


7 e
f --- ---

/-- r_











~o ...


/'7-7 V1(


C// /-Y"/ry I,'-


1-1


STATEMENT MAILED


LEDGER


4h A IVf


(1) SERVICES, including casket
All Facilities and Equipment ...
Personal and Staf 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 .




CARRYING CHARGE


NO.






LES RECORD















Total (1)


















Total (2)






Total (3)


GRAND TOTAL





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 ....................... 4 o
Obituary Notices............... '' .S
Programs .................. .




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







Total (3) S
GRAND TOTAL $


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


5-;;


Name of


Mr'~,..


Deceased is


(Give relationship)


7of person arranging services.
of person arranging services.


* (1) Services, including merchandise .............. /,
* (2) Items involving cash advances ...............
(3) Total of I & 2 .............................
* (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 .

Terms ofPa ent.
-^ & ^1_60^?L^


Legal rate of interest after maturity.

We agree to furnish all services, and merchandise,
merchant dictated above.



L~~~~~f~~~~y ~ t ~ ~, -> ( / ^ ^


r we, accept and approve the above

4. ,' '_r


signature of Purchaser


Address


S



City


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


IQ7,~


State


-cIjfc.-~a -- -


-----


n~~o~r~n


---- -


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