Title: Funeral Record for Dickerson, Edwin A.
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043588/00001
 Material Information
Title: Funeral Record for Dickerson, Edwin A.
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Dickerson, Edwin A. ( 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 #6539
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043588
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_


S PLACE OF DEATH
COUNTY:

R'4 All


FUNERAL SERVICE RECORD
(L t) (First) (Middle)

(Name of Deceased)


STATE:

r- l dA _.


OF DECEASED: IF INSTITUTION.
USUAL RESIDENCE RESIDENCEBEFORE ADMISSION:
COUNTY:


N 0 .5 o3 71

Telephone: 1.

STATE: OL ASE


CITT OR TOWN; LENGTH OF STAY
IF OUTSIDE CORPORATE L in this Pac)
LIMITS, WRITE "RURAL":

FULL NAME OF LENGTH OF STAY
HOSPITAL OR INSTITUTION; jf
IF NOT EITHER, GIVE ADDRESS:
DATE OF (Month) (P (Year) (Hour)
DEATH /r
SEX0 ORACE/ I [ MARRIED D NEVER MARRIED
o a.& 7, [-K WIDOWED [ WORCED (Specify)
E OF ITH AG Months Days Hours Min.

.SUA N KIND OF BUSINESS OR INDUSTRY

LACE ( or Foreign try) CITI WHAT COUNTRY?



ERS NAME NAME

WAS CEASED EVER IN S. FORCE?

IN flw ,NT ...l \ /-....

Add Relainship


CAUSE OF DEATH
AUTOPSY YES [ NO D

PHYSICIAN

Address
PLACE OF BURIAL Creat Remval
Cemetery >--., b19
Location 7,
County aC State 19I _
CEMETERY LOT NO. Owner of Lot
Seition Grave No.


CITY: Se
CITY: RESIDENCES INSI" E
CITY LIMITS?
YES [ NOW
STREET ADDRESS; RESIDENCE ON PARMI
IF RURAL GIVE EXACT LOCATION: 7 a 0 YESLae NO
Relationship Survivors
Wif Maiden
ame








1. el^^lne: /^yi^/ le-J Olt j4x
e4(iz..




70z 00YJw4, b, t4;;


I=7


-LAh 1
_____ &A -N- #


CHURCH AFFILIATIe
CLERGYMAN


Address


/


FUNERAL E
IF CHUR DID Y LIE IN STATE YES NOQ
DATE Ti 7 re


VISITING HOURS


; /


FRATERNAL AFFILIATIONS


- ERVICE- YES 0.---NOOQ


Mt:MAMIb


BEARERS


INTERNATIONAL ASSOCIATION OF MORTICIANS


..... Z -----"' "


-


I r
~L~LleeL~j


--- ---


---


/Ze,


~i~TC~37~5~6~--




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETTER SENT I


Estate: Yes O No O Other: ....................... .......
Executor or Administrator .. ...........................
Address ....................................... .............
A attorney .. ..............................
A dd ress .. .. .........................

DATE 5V DEBITS CREDITS BALANCE
/- t ~

A7 < 0 ---







I LI













(IL--


-1-1.


CARRYING CHARGE


STATEMENT MAILED


LEDGER


NO.





SALES RECORD


(1) SERVICES, including casket
All Failiti and Equipment ...........
Personal and Staff Service .
Prdesional Service .
Vistr Register ....
Acowledgement Cards
Funeral Sedan .... ..
Casket Coach .

Clothing o h ........ ... ........
Outrid EI ..Iure ... ......





(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
Certifed Copies .


Total (1)

















Total (2)





Total (3)


GRAND TOTAL









1


You will no e 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-Totplt- $1,177.00
Outside Enclosure Vault ...........
W ooden 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 .................. L
Flow ers .........................
Obituary Notices ................
Q Program s......................



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


Total (3) $
GRAND TOTAL $


J. C. CUNNINGHAM, L.F.D.
434 N.W. 16th Avenue




Name of deceased -


A. L. CUNNINGHAM, L.F.D.
* Ocala, Florida 32670 Phone (904) 732-5353


&%JLA


. -vf. 1


tJ 4JAge


Deceased is / f of person arranging services.
(Qfve relationship)

(I) Services, including merchandise .............. c
(2) Items involving cash advances ............... S J
(3) Total of & 2 ............................ S /
(4) Items ordered later ......................... $
Both parties agree any items ordered later shall become
a part of this agreement aa hall be inserted therein.
(5) Total of 3 & 4 .. ... ............... 7 /
\ GRANDTOTAL $S Oj

Terms of Payment: / 1 _


Legal rate of interest after maturity.


Signature of Co-signer with Purchaser Street City and State

Signature of Co-signer with Purchaser tree City and State

Signature of Co-signer with Putchaser Street City and State


- ----


CUNNINGHAM S'

Funeral Home




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