Title: Funeral Record for Floyd, Gertrude
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043040/00001
 Material Information
Title: Funeral Record for Floyd, Gertrude
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Floyd, Gertrude ( 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 #6013
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043040
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




* PLACE OF DEATH
COUNTYi

o/IoiA o J


STATE:


CT OR TOWN; / LENGTH OF STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE "RURAL":

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:
DATE OF (Month) (Pay) (r) Hour)
DEATH /) 7
SEX O ( S, OR RACE. I MARRIED Q NEVER MARRIED
.tY ^W-I [ WIDOWEDD O DIVORCED (Specify)
DJ OF BIRTH Months Days Hours Min.

USUAL OCCUPATION IND F BUSINESS OR IND RY

BIRTHPLACE (State or rei Country) CITIZEN O HAT C UNTRY?

FATHER'S NAME

MOTHER'S MAIDEN NI

WAS DECEASED VER IN S. ARMED FORCES?


INFORMANT

Address Relationship


FUNERAL SERVICE RECORD
st) (MA)

(Name of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE AD MISSION:
COUNTY: i/_ E_ O/


NO. .01/3

Telephone: 4-1/ ^/3

STATE: P


CITY: RESIDiNC INSIDE
YESJS D' QO


STREET ADDRESS; < / /J .I R EVIDENCE ON FARM
IF RURAL GIVE EXACT LOCATION: A X/ YES t NO


Relationship Survivors
Wife'Maiden



Wi/ LIA3n


.r I -dSLr73i-f/ 2 ^e4:fl, q rcrl
^ ~ ~ A V .-^/ -T^ _46/^ ^if-.


I ( if


/g?^-I 7
___ ^ ~ ^ ?^e. f'-


CHURCH AFFILIAI
CLERGYMAN e__t


CAUSE OF DEATH


YES O


AUTOPSY

PHYSICIAN


Address


NO


3L57 v7t


PLACE OF BURIA Cremation or R val DATE
Cemetery f / /7- 19f


, --


FUNERAL PLACE A 2.l& e


IF CHURCH, DID BODY LIE IN S5ATF YES [ NO O
DATE Nim / U /S /-
VISITING HOURS


FRATERNAL AFFILIATIONS
-nAr A 0O


SERVICE..YES -....- NO O


^ A)_ T -


Location
County


State


CEMETERY LOT NO. Owner of Lot


Section


Grave No.


BEARERS


INTERNATIONAL ASSOCIATION OF MORTICIANS


p "*" ^ i


~C/1


- --


- r


\


~~LEz


~-~-- --


A I ...


CEMETERY LOT NO. Owner of Lot


r,


wo


4


L;f,~c~


/ a/ IOJ. t^ (?/


dUdres I


I


>.


P~i~F~IS~ilp~ljgC




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LTTE SENT I


Estate: Yes O No 0 Other:......
Executor or Administrator .
A d d r e s s . . . . . . . . . . . . .. .

Address. .. ... .. ..
DATE AII DEBITS CREDITS BALANCE


/ 7 / 7


~~~zI *iI / f $ /144 ~


6l4


-y -=
E i i L-->4Y -


_1-1,


STATEMENT MAILED


LEDGER


(1) SERVICES, including casket
All Facilities and Equipment
Personal and Staff Service ..
Profesional Service .
Visitors Register ....
Acknowledgement Cards
Funeral Sedan ....
Cuket 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.





ES 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 I
*(1) Casket
Removal to Establishment
Preparation Preservation
Staff Service
Professional Service 9 Dg o
Facilities Equipment
Obtaining Burial Permit
Visitors Register, Cards
Opening, Closing Grave
Conducting Services
Funeral Car Casket Coach
Outside Enclosure.............. J
Clothing ............... ....



Total (1) A2? t
(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.............. /A-
Programs ..................... A t .



.. . ............. ------- 5-
Total (2)
* (3) ITEMS ORDERED LATER
Certified Copies .............







Total (3) $
GRAND TOTAL $


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

Name of deceased /^ /,^ ?. d. ,/^ ^


Deceased is


Age9


of person arranging services.


* (1) Services, including merchandise .............. izc 72ed ,
* (2) Items involving cash advances ............... S
(3) Total of 1 & 2 ....................... ".. $
* (4) Items ordered later ......................... a '5 7 L -
Both parties agree any' items ordered later shall become
a part of this agreement and shall be inserted therein.
(5) Total of 3 & 4 ............................. $


A -


GRAND TOTAL 7

Terms of Payment: fZ


Legal rate of interest after maturity.


Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser Street Citr and State

Signature of Co-signer with Purchaser Street City and State


(Grve relationship)




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