Title: Funeral Record for Huntley, Jessie
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043021/00001
 Material Information
Title: Funeral Record for Huntley, Jessie
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Huntley, Jessie ( 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 #5994
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043021
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_


STATE:


CITY OR TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE-- URAL': C ,/__

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:
DATE OF (M (n) (ia (Ye, (Hour)
DEATH /7 7:3
SEX L R OR CE O MARRIED 0 NEVER MARRIED
J119t Z A Z DrWa OWED O DIVORCED (Specify)
DATE OF BIRTH AGE Months Days Hours Min.

USUAL OCCUPATION IND OF BUSINESS OR INDUSTRY

BIRTHPLACF.lState or Fofeign Country) CITIZEN OF WHAT/COUNTRY?

FATHER'S NAME ...

MOTHER'S MAIDEN /
il 1 1.0 11A)________
WAS DECEASED EV U. A FORCES

INFORMANT

Address Relationship


CAUSE OF DEATH
AUTOPSY YESD NO ]

PHYSICIAN

Address
PLACE OF BURIAL Cremation or Removal DATE
Cemetery L 1 9M
Location
County State
CEMETERY LOT NO. Owner of Lot


Section


Grave No.


BEARERS


FUNERAL SERVICE RECORD
(Lost) (First)

(Name of Deceased)


OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: AAl f
A/7y^V ^ f/


CITY:

STREET ADDRESS;/
IF RURAL GIVE EXACT LOCATION:


(Middle)
R e-11


If RSIDENC INSIDE
cITY LIMITS$
YES NO3N
RESIDENCE ON FARM?
. LIJ. a 4/u I YES O NO F .-


Relationship Survivors
Wife's Maiden
Name
& T //. .. .. ./





A o4
6'2_C A! t


CZf 4?c~ Tj AAL...r~ AJ


U &A


CHURCH AFFILIA N
CLERGYMAN tA'
Address
FUNERAL PLACE
IF CHURCH, DID BODY LIE IN STATF YES O NO O
DATE /- 12. 3 Time___
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES Q....NO O
REMARKS






r


INTERNATIONAL ASSOCIATION OF MORTICIANS


NO. -B-z-

Telephone: 1;,. 7 2 r
2.
STATE:


PLACE OF DEATH
COUNTY:

S/1 //^ er ,


A i l U


I


I


-CLF


)C/


iL Yj/^ ^.tM


i





STATEMENT MAILED


LEDGER


Estate: Yes E No O Other:
Executor or Administrator .. ...
Address ... ...........
Attorney ..... ....................
Address .........


DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


DATE DEBITS CREDITS BALANCE
a/C- 0 ~. / godo o 2 ;i .




t V- z, -


j5kv -





r-











i If' I-- -_II" I ..L^


SA


... ...............................
.........................
...................................
..................................
..... ...........................


All Facilities and Equipment
Personal and Staf Service .
Profesional Service .
Viitors 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


NO.





LE RECORD







I


Total (1)















Total (2)





Total (3)


GRAND TOTAL


(1) SERVICES, including casket


"~-








* (1)

















*(2)























*(3)


You will not be charged for any of the items
below that you chose not to use. 4 5 O
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) *A= .M
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) %
ITEMS ORDERED LATER
Certified Copies ...............







Total (3) $
GRAND TOTAL $


J. C. CUNNINGHAM, L.F.D.

434 N.W. 16th Avenue *


A. L. CUNNINGHAM, L.F.D.

Ocala, Florida 32670 Phone (904) 732-5353


/,tD ) ,(


Name of deceased '- Age--

Deceased is / / Yof person ranging services.
(Give relationship)


* (1) Services, including merchandise.............. s c'

* (2) Items involving cash advances ...............

(3) Total of & 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 $ t 1-


Terms of Payment:


1, or we, accept and approve the above


Signature of Purchaser


A 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


CUNNINGHAM S'

Funeral Home


Legal rate of interest after maturity.

irnish all services, and merchandise,
licated above.


ml




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