Title: Funeral Record for Roberts, Joseph, Jr.
CITATION THUMBNAILS PAGE IMAGE ZOOMABLE
Full Citation
STANDARD VIEW MARC VIEW
Permanent Link: http://ufdc.ufl.edu/UF00043639/00001
 Material Information
Title: Funeral Record for Roberts, Joseph, Jr.
Physical Description: Book
Language: English
Creator: Cunningham Funeral Home
Estate of Roberts, Joseph, Jr. ( 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 #6585
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043639
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





/ USUAL RESIDENCE MNfSW0I 'OU '0N'ATIl;
COUNrTY-:
STATE:


CITT OR tOWN; LENGTH OF STAY
it ouCTsI counUrst (irn his place)
UMiTS WRITE RAL-:

FULL NAME Of LENGTH OF STAY
MOs Tv INSTITUTION;
iryoT UT> ru.!e,*o7 A-ce
ATIE /_ d(Mont)/ Py) (Year) (Howu

SEX COp R IA MARRIED P NEVER MARRie
SOWIDOWED C DIVORCED (Specify)
D I TH G Months Days Hours Min.
I 0GE 27 1
USUAL CUPATION J KIND OF BUSINESS OR INDUSTRY

)I (State Foreign Country) CITIZEN OF WHAT COUNTRY?



MOTHER'S EN NAyP

WAS DECEASED EVER IN U. S. ARMED FORCES? fli tPdm nl lion

INFORMA

Addreu .ss "o "


CAUSE OF DEATH
AUTOPSY IYES s NO

PHYSICIAN _

Address
"PACE OF BURIAL r r a t orove DATE

Location
County R b Sltate
CEMETERY LOT O.T ONwn of Lot
Section Grove Ne. _
BEARERS


BUUAL PERMIT NO_


I PtACE OF DEATH
COUNTYt
A _


71


CHIJOC) AFFI EAIflM -


CLERGYMAN


Address


FUNERAL PLACE Z4Z )
IF CHBUC j DI BODY LIE IN STAT YES Q NO 0
.%, A.C < .,7


/


VISITING HOURS
FRATERNAL AFFILIATIONS
nrk a riti"


?-2F~A'7


S ICL -.YES -....NO 0


NO. 22i7j

Telephone: 1.


no^z^A ^


STREET ADDRESS, RISI OEC 00 u R
IfRURAL GIVIE EXACr LOCAteOW.15 2E e7 YESQE NoO (..
Relationshiip Survivors
7nAFMC Maiden
Nain _



A2 IP


_ _


~---- ---~~- ---


~E~t~L~d ~O~t~j~7~3~-n~sl/


,,,,,, a.


I(R ~'--Y


nrmnnn9


j,'),-


-p_,-




DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
UTrTan Sn I


Estate: Yes No 0 Other: ...............
Executor or Administrator .
A dd res ........................................................
Attorney ... .......................... ..... ....................
Address .. .. ... ......


DAE DIT//0 DrS CRrDTS LANC
twS~ (i^ '._L ^fe y/?


T- 7Y


IZAA I"


/h/


711a Cat____ 4 ^ _=EI
!








.-- -----

_\~-- ^^ --
-^^ -- ~----- --



.-- 1





-L


. E Eir 4


NO.


(1) SERVICESM including caskfs
A Facilities ad Equipmeat
Paern l ud StEil Service... .
Prf ioal Savi..
Vuito Reciaar ...
Achkoacdwsl Cards
Funeral Seds ....
Casket o ......
Outside Eaclosum ... .
.. ........... ... ...



(2) ITEMS involving Cash Advances
Sale Tax .
Additional Auto
Cemetery Charges .
Clergyman
Telegrams
Long Distance Telephone Calls
Transportation
Flowae
Obituary Notices






(3) ITEMS ORDERED LATER
Certiied Cope...



CARRYING CHARGE


GRAND TOTAL




, r


STATEMENT MAILD


LEDGE


Total (1)















Total (2)





Total (3)'


I


SAE RSCOWe








You will not be charged for any of the items below
that you chose not to use. .t ,
*(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
CasketCoach....................... 80.00
Funeral Cars ..................... 80.00 each
Sub-Total $1,177.00
Outside Enclosure Vault .........
W ooden Box .....................J
Clothing .........................


Total (1) $/ 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 ...................
Flowers ................ ........
Obituary Notices ................
/ Programs ....................... Vfa T



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


cz c _1Q0


Name of dei

Deceased is


TLIA^/ Ag._


(Giyd-rFTationship)


of person arranging services.


* (1) Services, including merchandise .............. / I .
* (2) Items involving cash advances ...............
(3) Totalof 1 & 2 .............................. / / /
* (4) Items ordered later ..........................
Both parties agree any items ordered later shall become
a part of this agreement shall be inserted therein.
(5) Total of 3 & 4 ... ............. $
GRAND TOTAL $

To o Payment: / 4 a.2 ,'7
*y/'? ^g-.>X<,y


Legal rate of interest after maturity.


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


- _I


krheas I.- wG "-


*PnPPn


j^




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