Title: Funeral Record for Johnson, Shernita
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00043547/00001
 Material Information
Title: Funeral Record for Johnson, Shernita
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Johnson, Shenita ( Estate )
Publisher: Cunningham Funeral Home
Publication Date: 1987
 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 #6499
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043547
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


(Ldst)
.A Ia


PLACE OF DEATH
COUNTY:


(Name of Deceased)
OF DECEASED: IF INSTITUTION,
USUAL RESIDENCE RESIDENCE BEFORE ADMISSION:
COUNTY: /19 "
/HO~ir t 0 l


FUNERAL S RVICE RECORD
'First)
,a <' r-,~'nf7"


CITY: RESIDENCE INStDE
CITY LIMITS?
YES I mi NO 3
STREET ADDRESS; ESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION;: lo 4 RYES O No Q-
Relationship Survivors
Wife' Maiden
iName / / ____, f
t7m I7/
V Ewl.


A .a d' /'7 AeI L -4 ,


-I 31,; i E J ... L (' 55 c-IE ( 8


x:iA jIF< I CA,,


.... I
I'
.1.


;;I W,/)Q


____ /Y~i. tie da c~(1L~ho/h





I' ller IDEU l~~ A EEII I AT5fL


CLERGYMAN III7


CAUSE OF DEATH


Address


AUTOPSY 41/A c('d/
PHYSICIAN Z rQ 091--5 'Ie7 e O


Address


q:{'j 2 V/1/( ~7C/ -
-, rpmnr~J .2l/,'--f


PLACE OF BURIA Cremation or/,anoval /. DATE
.e..metery A l 4- 19-
Location 0 -
County _7rian State
CEMETERY LOT NO. Owner of Lot
Section J -L Grave No.
BEARERS






INTERNATIONAL ASSOCIATION OF MORTICIANS


IF CHURS DID BODY LI IN STATE. YES n NOQ
DATE rqt L r iL Tmte. I')
VISITING HOURS
FRATERNAL AFFILIATIONS SERVICE..YES O.... NO
REMARKS


~c~h t-~' 1-'b ~Sr ry~IsL.


i


7dle) 167k,;1


_ __4


dL~Tg C'W"', / L


- X f e-.,


-0


--


NO. qqq

Telephone: 1.

STATE: ./ -
/~^(>ir- <

STATE:


/


/U' a 7i1 "L'


FUNERAL PLACE


***** **- -


//'a /


0-"" '--- /'o h'0- 66 /




DESCRIPTION OF CASKET i
LETTER SENT


Estate: Yes O No [ Other: .......................................
Executor or Administrator ........ ... ........
A ddress ... ................................
Attorney ...................................................
A d d reu . . . . . . . .. . . .. . . .


DATE DEBITS CREDITS BALANCE

CA& Y.1


\Al II V-


r W -k- F, (AIN \













--- ~ ~ L I------T-
___= =^ZT == -_---

== "^= :==:=\




=U" \/] [\\1
\\1 ==="====


LEDGER


: I


CARRYING CHARGE


AND OUTSIDE ENCLOSURE


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


STATEMENT MAILED


__


S


NO.




SALES RECORD


r In~-L ~, Gnr~X n ~n


Total (1)














Total (2)




Total (3)

GRAND TOTAL





A ^4tv'24-


You will not be charged for any of the items below
that you chose not to use. (> 4 ,
*(1) Casket Prices as Marked ........ .
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 $1,177.00
Outside Enclosure Vault .......... n f" ) 1
W ooden Box .................... O 0
Clothing .........................


Total (1) $ 4Q/
*(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 .......................
Telegrams .......................
Long Distance Telephone Calls ..... .
Transportation ./. ... -
Flowers ........ .C.-I. .C, ...
Obituary Notices ................ .
Programs........................



Total (2) $ ( i


*(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 is


!!~ It / ^" of person arranging services.
(Give elatioship)

* (1) Services, including merchandise .............. t / I
* (2) Items involving cash advances ...............
(3) Total of I & 2............................ %i
* (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 ............................

>e oAND TOTAL $

Terms of Payment:


Legal rate of interest after maturity.


I, 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


L




University of Florida Home Page
© 2004 - 2010 University of Florida George A. Smathers Libraries.
All rights reserved.

Acceptable Use, Copyright, and Disclaimer Statement
Last updated October 10, 2010 - - mvs