Title: Funeral Record for Ivory, Willie Jamesinley
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043307/00001
 Material Information
Title: Funeral Record for Ivory, Willie Jamesinley
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Ivory, Willie Jamesinley ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1985
 Subjects
Subject: Registers of births, etc.   ( lcsh )
African Americans -- Florida   ( lcsh )
 Notes
General Note: Cunningham Funeral Booklet Entry #6267
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043307
Volume ID: VID00001
Source Institution: <a href="http://www.ufl.edu">University of Florida</a>
Holding Location: The records of the Cunningham Funeral Home are a part of the <a href="http://web.uflib.ufl.edu/spec/">Department of Special and Area Studies Collections</a> and its <a href="http://web.uflib.ufl.edu/spec/AAexhibit/AfricanAmerican.htm">African American History Collections</a> at the <a href="http://www.uflib.ufl.edu/">University of Florida Libraries</a>. This digital collection is part of a larger corpus of African American Collections in the Department, and of a much larger Florida Arts, Humanities and Social Sciences Collections.
Rights Management: All rights reserved by the source institution and holding location.

Full Text
BURIAL PERtMIT NO


(Lost)
Ve-r CLf


. PLACE OF DEATH
0 COUNTY:


CITY OR TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE I (in this place)
LIMITS, WRITE "RURAL";
FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION;
IF NOT EITHER, GIVE ADDRESS:
DATE OF (M h) (y) (a (Hour)
DEATH y ma)7u
SEX ORR E -MA*RIED 0 NEVER MARRIED
AI (/, I [] WIDOWED Q DIVORCED (Specify)
DE OF BIl3TH Months Days Hours Min.

USU OCCUR TION KND OFAUSINSS OR INDUSTRY

BIRTHPLACE t or Forei Country) CITIZEN OF WHAT COUNTRY?

FATHER'S NAME

MOTHER'S MAIDEN NAME IF

WAS DECEASED EVER IN U. S. r ED FORCES? % ir ag





HYSICINFORMAN


Locationionhip






County Sotate
CEMETERY LOT NO. Owner of Lot
AUTOPSY YES NO D3

PHYSICIAN /__ \ IO

Address
PLACE OF BURIAL Cremation R Removal DATE
Cemetery 19V
Location
County State
CEMETERY LOT NO. Owner of Lot


FUNERAL SERVICE RECORD
(First)
1,y, 11'


CITY LIMITS'
CITY: YESIO NOSID
STREET ADDRESS RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION:/ ,' < YES [O NO 0
Relationship Sur
Wife Maiden 7




WIU 2 wi
_fgL ^Z^l 9 g-/^^^s^.^


I6 IAfr .


9 fy~a^ A/ -e r f, C AI 4 rA A












CHURCH AFFILIATE / /
CLERGYMAN


Address


FUNERAL PLACE U \I F


IF CHURCH,IID BODY LIE IN SATE_ YES O NOD
DATE Mr&-u 1 A H &,_.
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES .... NO [
REMARKS

1. 4) y.C -4(


Grave No.


INTERNATIONAL ASSOCIATION OF MORTICIANS


(Middle)
,TZ -rC

(Name' of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: w A
le -)^


p.


Section
BEARERS


I


NO. *

Telephone: 1 r /
2.
STATE: ,,/


I W


--


taf 1- 4


STATE:











_ _1 I _


Estate: Yes D No [ Other: ..... .............................
Executor or Administrator ............ ..
Address ... ....... .........................................
Attorney ............. ..........................................
A d d ress .. . . . . . . . . . . . . . .

DATE DEBITS CREDITS BALANCE



--











--


DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LEDGER UTTER SENT
--t___U___


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


Total (1)

















Total (2)





Total (3)


GRAND TOTAL


STATEMENT MAILED


NO.





SALES RECORD







You will not be charged for any of the items below
that you chose not to use.
*(1) Casket Prices as Marked ........ Si
Removal to Establishment
and Embalming .................. $300.00
(Beyond Marion County)
$1.00 per mile-thereafter
Professional Services ................ 300.00
Use of Facilities and Equipment ......... 200.00
Visitor Register ....................... 10.00
Cards ........................ 7.00 per box
Opening and Closing Grave ............. 50.00
Conducting Services ................... 150.00
Casket Coach ......................... 80.00
Funeral Cars ............... ..... 80.00 each
Sub-Total
Outside Enclosure Vault ..........
Wooden Box ..................... .
Clothing ........................



Total (1)
*(2) ITEMS INVOLVING CASH ADVANCES
To permit us to render a better service, we have ad-
vanced the money on these for your convenience.
Sales Tax ........................
Additional Autos .................
Cemetery Charges ................
Clergyman.......................
Telegrams .......................
Long Distance Telephone Calls.........
Transportation .............. .. ..
Flow ers ......... ...............
Obituary Notices ................
Program s.......................




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



Total (3)
GRAND TOTAL


$1,177.00



























$ 74


$g


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


Same oi aeceasea I -r -e 7-


Deceased is


AgAL-


of person arranging services.


(Give relationship)


* (1) Services, including merchandise ................/ 7 C-

* (2) Items involving cash advances ...............
(3) Total o 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 .............................


Terms of Payment:


GRAND TOTAL $/

i2'7


-- ( -?


Legal rate of interest after maturity.


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


1, or we, accept and approve the above


Signature of Purchaser .-

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


LO~RIf~~~ULTTn 4b




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