Title: Funeral Record for James, Annie
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043493/00001
 Material Information
Title: Funeral Record for James, Annie
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of James, Annie ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1986
 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 #6445
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043493
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)
I -dc0y7jq2


FUNERAL SERVICE RECORD
(First)
ym^Lj~


. PLACE OF DEATH
COUNTYi


(Name of Deceased)
SOF DECEASED: IF INSTITUTION,
USUAL RE ENCE RESIDENCE BEFORE ADMISSION:
COUNTY:
USALk^^jLC


Telephone: 1. '-
2.
STATE,4/,,


STATE:


CITY: RESIDENCE INSIDE
CITY LIMITS?
YESQ -OEg
STREET ADDRESS; c oRESIDN t OSO aw
IF RURAL GIVE EXACT LOCATION: L / YES Q NO
Relationship Survivors A
Wife's Maiden
7111ame ,1/ A.'


Abkn Aat3


CHURCH AFFILIATIruI 1 f S d6 10


CAUSE OF DEATH


AUTOPSY

PHYSICIAN

Address


PLACE OF BURIA C mati r R
Cemetery -
Location to
County 14 4A State
CEMETERY LOT NO. Owner of Lot
Section Grave No.
BEARERS







INTERNATIONAL ASSOCIATION OF MORTICIANS


CLERGYMAN Ahtt


- A. I\' ic V7Wnh~V


k-IY.. C~r -..


Address -, v'' \ L 14 1 rr
FUNERAL PLACE
IF CHU D BO Y LE IN S m Y"ES ,
DATE C1 1 -_ .7
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE. YES .... NO O
REMARKS









t t \ Oa all. 1M ST71 *


~


, .


.., -


m.-


YES O/ NO [


/^ ^~~~ J 4__ __


(Middle) L4 O .




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SEN


Estate: Yes D N o O their: ..... .................................
Executor or Adm inistrator .. ........ .........................
A address ... ......... ....................................................
A ttorn ey .. .. ... .. ... ... ... ... . .. .. .... .. .. ... .. ... .. ... ..
A dd ress . .......... ................
nrAT- II DEBITS II CREDITS BALANCEE


(1) SERVICES, including casket
All Faclities and Equipment .
Personal and Staff Service ... ...
ProeMional Service .
Visito Reister ....
Acknowledgment Cards
Funeral Sedan ..
Cadset 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


LEDGER


NO.





SALES RECORD







You will not be charged for any of the items below
that you chose not to use. 7
*(1) Casket Prices as Marked ........ 0
Removal to Establishment
and Embalming .................. .. $300.00
(Beyond Marion County)
$tW 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
ub-Toatr $1,177.00
Outside Enclosure Vault ........... 1,1
W ooden Box ..............
Clothing .. .. .. .......


Total (1) $a:
*(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 ................
Clergym an ......................
Telegram s .......................
Long Distance Telephone Calls ......_
Transportation ...................
Flowers ... ...... ........ ..
Obituary Notices ................ .
Program s .............. .......... .




Y ........
Total (2)
*(3) ITEMS ORDERED L 3R
Certified Copies..... .......... /


Total (3) $
GRAND TOTAL S3 7- Z/


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


IA.~AVi~I


19A

Age-


Name


Deceased is // ~ / .- of person arranging services.
(Give relationship)

(1) Services, including merchandise.............
(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

Terms of Payment:
Weage t Jris alsevce, n/mrcadie


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



By l4.
AV7~


1, or we, accept and approve the above


Signature of Purchaser

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


A-


Legal rate of interest after maturity.


" ~-- --


f A A*a ~ r --- -


nC< rlpr~nor.


)32Y~a. ~azn~e~Z~ue~a/


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