Title: Funeral Record for Ramp, St. Clair
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043018/00001
 Material Information
Title: Funeral Record for Ramp, St. Clair
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Ramp, St. Clair ( 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 #5991
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043018
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


O PLACE OF DEATH
COUNTY:


V_ /__~


STATE:


FUNERAL SERVICE RECORD
(Last) (First)
^ x 2AA4A/ /'


(Name of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE 8 ORE ADMISSION:
COUNTY:/ j kJ


NO.ne: I

Telephone: 1./1f t/


STATE: /
L/ /


CITY OR TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE URAL"u :

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:

DATE OF Mnth) (y) (Y)r) (Hour)
DEATH A Z5
SEX 7 I CaLqPR OR MARRIED Q NEVER MARRIED
AI WIDOWED O DIVORCED (Specify)
D BITH AGE Months Days Hours Min.

USUAL OCCUPATION I KIND OF, BUSINESS OR INDUSTRY

BITPLACE tor org Coury) CIT T COUNTRY?

FATHER-1 NAME ^ ^

MOTHER'S MAIDEN AME .

WAS DECEASED EVER I ,r f cI^.e iAi cr.e.... .v u.

INFORMANT '

Address Relationship


CAUSE Or. DEATH
AUTOPSY YES [ NO D

PHYSICIAN

Address

PLACE OF BURI- Cremation or Removal DATE
Cemetery .// ,
Location
County State

CEMETERY LOT NO. Owner of Lot


Section


CITY: I f~ RESID INSIDE
A / ESIDNCE AR?


STREET ADDRESS;
IF RURAL GIVE EXACT LOCATION: l


RESDENCSE ON FARM?
YES 1 NOm-1


Relationship Survivors
Wifel'aMaiden
e,~~ Pd/P c-


- T


AI ^ ^AP-


T)im, ,./


- I -- F-M -- I/ r


.7


S,e c ~-k- A47h~I42


"- -! -,d '1


CHURCH AFFILIA
CLERGYMAN


Address


_I


FUNERAL PLACE ,A j:) .Ai/-C -_
IF CHURCH, DID BODY LIE IN STATE YES [ NO [
f' T


VISITING HOURS
FRATERNAL AFFILIATIONS
REMARKS
/


SERVICE .YES O....NO


Grave No.


EAREPRc


/


INTERNATIONAL ASSOCIATION OF MORTICIANS


(Middle)


II-- ~-- ~-~ -- -


v


a I .. -- -- I I~I-'


_A4 -*1"- 0 -


. C/ -


*r r '


.. f /-


~L ; ~ tl Z;zr: '


DATE




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


Estate: Yes O No O Other:................ .......................
Executor or Administrator ................... ............
Address ......................................
Attorney ..............................................
A ddreu ...................
DATE DEBITS CREDITS BALANCE


ag __l63
.10 g74 r 63 7


o- -























"- ~ ./ -- -- -


(3) ITEMS ORDERED LATER
Certified Copies .




CARRYING CHARGE


STATEMENT MAILED


(1) SERVICES, including casket
All Facilities and Equipment .... ...
Personal and Staff Service ..
Profesional Service ..
Visitors Register ...
Acknowledgement Cards
Funeral Sedan ..
Casket Coach .......
Outside Encrure ..
Clothing ... .




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


LEDGER


NO.





SALES 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 Z P
Removal to Establishment
Preparation Preservation
Staff Service
Professional Service ,s )
Facilities Equipment
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure...........
Clothing .................-..... --


..........................Total (1) d 7t' e4
(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...............
Programs ................... .



Total (2) S/ 6 J-
* (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, Florid




Name of deceased /19r_ 5/ C/ a r


Deceased is


A. L. CUNNINGHAM, L.F.D.
a 32670 Phone (904) 732-5353




/7 n /A 'nk ABge4


(Gve relationship)
(Give relationship)


of person arranging services.


* (1) Services, including merchandise .............. _%J;7d .
* (2) Items involving cash advances ............... / -O I,- 1
(3) Total of I & 2............................. /-' 6 '-
* (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 $ / .

Terms of Payment: 5"


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



(^/ /^/^ '


, we, accept nd appro ove


Address


City


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


_ ___


(rpli


Legal rate of interest after maturity.


Signature ofPurchaser


r




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