Title: Funeral Record for Williams, Minnie
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043757/00001
 Material Information
Title: Funeral Record for Williams, Minnie
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of Williams, Minnie ( Estate )
Publisher: Cunningham Funeral Home
 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
Funding: Funded in part by the PALMM Florida Heritage Project.
 Record Information
Bibliographic ID: UF00043757
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
1 3\33 l03


FUNERAL SERVICE RECORD
(Firu)
*** /}) 'j^ ,


(Name of Deceased)


PACE OF DEATH
COUNTYa


USUAL RESIDENCE .M *SmU AU a.lt
COUNTY: f/


(Middl.)


CITYs 3A nuse- .l."
YES NO
STREET ADOtESS:. c a.
I /. .- \ A.ESI ,Nwo
. *I1tiaihp Sd 'rSn






7 T. L d2,j1 OM Ai \. sd^A.l,
v~u /ii^^^ ^^^y^ ^fjA


__CI______


_ ______ I^-/^f L.










CHURHM AFFlIIATIflM )JLa


CAUSE OF DEATH


AUTOPSY YES 0

WHYSICIAN v) VAt L


Addrs


FPACE OF BURIAL Cremerie or A o.l I DATE
Commery ..7 J -



CEMETRY LOT NO. Owner of lt.
ctie __ Greve No.








thd3*.AtIAn.A ---A*, fenl I- u- ... .


CLtKGYMANM


Address
FUNERAL PLA I
IF CHURC IDY L IN STI-- 0 NO
DATE TJ.. f' f
VISITING OURS
FRATERNAL AFFILIATIONS rVIC. YES O... .NO 0
REMARKS


c~7~4~ ~aga


NO0. 06 qs

Telephone: 1. -
2
STATl ,-


STATL


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- -- -.-.--g ursTW TWE *6 )V I


STATEMENT MAILED


LIODER


I I____ I _._
ut.e: Yae No Other:
..... Yes r[ No E3 Other: ..... ...........................
Executor or Administrator
Addim
Addr.s. ... . ......... ..................... ..................
A attorney .. . . .. .. ........
Addre


(1) SERVICES Including caske
AA Farelit.. d Iquipmeat
Paonal sd Sta Service .
Prnfenmal Servie .
Visosn Agis .
Acknaowlsdgemet Cuds

Casket C ac
Outside EaclMu .
o hi ........ .. .




(2) ITEMS involving Cash Advances
Sale Tax
Additional Aut
Cemetery Charges
Clerym ..
Telegrams
Loag Distance Telephone Call
Trriuportaion
Flowers
Obituary Notices






(3) ITEMS ORDERED LATER
Certisd caRp




CARRYING CHARGE


lnu.


Total (1)

















Total (2)





Total (3)


GRAND TOTAL


I I







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 ..................... .. 00.00
(Beyond Marion County)
$1.00 per mile thereafter
Professional Services .................. 300.00
Use of Facilities and Equipment ......... 200.00
Visitor Register . . ........... 10.00
Cards ......................... 7.00perbox
Opening and Closing Grave ............. 60.00
Conducting Services ................... 160.00
CasketCoach ......................... 80.00
Funeral Cars ................... 80.00 each
Sub-Total
Outside Enclosure Vault ...........
Wooden Box .................. ... I
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 ................
Clergym an .......................
Telegram s .......................
Long Distance Telephone Calls ......
Transportation ...................
Flow ers ......................... -
Obituary Notices ................. f'
Program ........ .... .......



Total (2) S


$1,177.00


22


*(3) ITEMS ORDERED LATER
Certified Copies...................


Total (3) $
GRAND TOTAL $_


Name of


Deceased is


deceased AgV e


L^^A9


of person arranging services.


(Give relationship)

* (I) Services, including merchandise..............t
* (2) Items involving cash advances ...............
(3) Total of I & 2 ........................ .
* (4) Items ordered later .........................
Both parties agree any items ordered later shall become
a part of this agreement and shall be inserted therein. *O
(5) Total of 3 & 4................. ... ........ .3 '

C, GRAND TOTAL S i I6


Terms of Payment:


Legal rate of interest after maturity.


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


I, or we. accept and approve the above


Signature of Purchaser


,AL/ C.


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


.. I


- -


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~k3sWMp4c/


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


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