Title: Funeral Record for Bethea, Loreal
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043578/00001
 Material Information
Title: Funeral Record for Bethea, Loreal
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Bethea, Loreal ( 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 #6529
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043578
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
COUNTYs

I?/y


STATE:

l-pl^ J


CITY O"-TOWN; LENGTH STAY
IF OUTSIDE CORPORATE (in this place)
LIMITS, WRITE "RURAL.":
FULL NAME OF LENGTH OF STAY


DATE on (Year) (Hour)
'ATY 7 Ol /0,.d/ 7,,
SEX C1 t QRORRA MRIED L] NEVER MARRIED
? [WIDOWED ] DIVORCED (Specify)
/AT-F H Months Days Hours Min.

U ON KINDBF BUSINESS OR N STORY

BIRTM (State or Foreign tr 2 -CTIZEN OF JA COUNTRY?
AeZ^ VZy %~V -z? 7 /


FATHER'S NAME u


MOTHER'S MAIDEN N


WAS DECEASED EVEN U. S. ARMED FORCES?
"__2 2r--


INFORMANT

dd / "Relation h

CAUSE OF DEATH
AUTOPSY A A YES C N

PHYSICIAN "P l


PLACE OF BURJi Cremati or Re va DATE
Cmte 7 I 19
Location
County L j Sta.e o t
CEMETERY LOT of Lot
Section Grove No. j
BEARERS






INTERNATIONAL ASSOCIATION OF MORTICIANS


L RS OF DECEASED: IF INSTITUTION,
USUAL RS CE EVIDENCE ORE ADMISSION:
COUNTY /


FUNERAL SERVICE RECORD
(N Firme o

(Nome o se)


CITY: RESIDENCE INSIDE
YESj__YES[NO
STREET A DRESS; 6y.4 /7 RESIDENCE ON FARM?
IF RURAL GIVE EXACT LOCATION ju f YES 0 NOD
Relationship Survivors
Wifes Maiden
Name


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CHIIUER AFFIUIIIATIfl ~
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CLERGYMAN


Address


FUNERAL PLACE


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IF CHURCH DID SOD LIE IN STATF / Z YESQO NOO
DATE _// ?7 im... /e 0


VISITING/HOURS
FRATERNAL AFFILIATIONS


nMnMPI1E


SERVICE- YES 0Q-.-NO 0


(Last


~en/CY ~E~ur-L8~


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Middle)%
( jC.-y


NO. 0-?

Telephone: 1. 7
2. 6Z7- 294
STATz -$4


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Estate: Yes 0 No Other:....... ..............
Executor or Administrator ........... ............
A ddress .... .. ..............................
A ttorn ey................. ........................ ................
Address ... .... ..............................................
DATE L DEBITS CREDITS BALANCE
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v ^ <^ > -- ~z
r^ Z =/ ^ / /~L Z ~.Z .Z
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DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


1----l


(1) SERVICES, including casket
All Facilties and Equipment ..........
Personal and Staff Service .............
Profeional Service ... .
Vitors Regiter ....
Acknowledgement Cards
Funeral Sedan .. .
Casket Coach ......... ..........
Outside Encoure ... ....
C lothin g ............ ....... .......... .




(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 Copie .


CARRYING CHARGE


GRAND TOTAL


STATEMENT MAILED


LEDGER


NO.


<--'4


SALES RECORD


Total (1)















Total (2)





Total (3)







You will not be charged for any of the items below
that you chose not to use.
*(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 ...........
W ooden Box ....................
Clothing ........................ O


Total (1) $ g _.. .
*(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 ............... l C>
Clergym an ......................
Telegrams .......................
Long Distance Telephone Calls ......
Transportation ...................
Flow ers .........................
Obituary Notices .......... ...... ,f.
Programs........................ .



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


I94

Name of deceased -_ ). A A -n t j Age

Deceased is V0 of person arranging services.
(Give relationship)

(I) Services, including merchandise ............ .
(2) Items involving cash advances ............... $ ..
(3) Total of I & 2............................. R 17 y
(4) Items ordered later ....................... $
Both parties agree any items ordered later shall become
a part of this agreement and shall be inserted therein. i
(5) Total of 3 & 4 .............................
GRAND TOTAL $

Twwne ^ ^..t D-Lm-/n8 7


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


'N.




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