Title: Funeral Record for James, Ossie
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Full Citation
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Permanent Link: http://ufdc.ufl.edu/UF00043862/00001
 Material Information
Title: Funeral Record for James, Ossie
Physical Description: Book
Creator: Cunningham Funeral Home
Estate of James, Ossie ( 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: UF00043862
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
FUNERAL SERVICE RECORD
.iil )


BURIAL PERMIT NO...--- __-._


PLACE OF DEATH
COUNTY


(Middle)


(Name of Deceased)
OF ROCIAEDOE IF INSTITUTION,
USUAL RESIDENCE SIMsNcrI KoI, ADMISSION:.
COUNTY: ,& ,,


STATEt


NO. _or _

Telephone: 1.


STATE: X/,7


CAUSE OF DEATH
AUTOPSY


YES O


NO


PHYSICIAN


Address
PLACE OF BURl Cremation or l DAT


Location .1/ .
County af Stt...e
CEMETERY LOT NO. Owner of Lot
Section Grave No.
EARERS


VISITING HOURS
FRATERNAL AFFILIATIONS


nMLMRMP.


SERVICE..YES .... NO [


- k


CITY: mis oosa IN II
CITY LIMITS
YES D NO Z
STREET ADDRESS; a Esic/ e oH ,aM
IP RURAL GIVE EXACT L YOCAESQ NiS D ON
lu*" /, v"-xct Lloc ro -1A YES O No 0
Relationship Survivors


_ "'-- (Na,_me ________






















CLERGYMAN AC xrv
Address
FUNERAL PLACE ,.7 A,
IF CHURCH DID BO LIE IN STATE YES n NO

DATE a 77 T1Ti





STATEMENT MAILED


Estate: Yes 0
Executor or
Address
Attorney
Address


No ]
Administrator


IDoER


DESCRIPTION OF CASKET AND OUTSIDE ENCLOSURE
LETM sE I


Other:


DATE 5 DEBITS CREDITS BALANCE
1 1%











A- V


i I-


CARRYING CHARGE


NO.


. . .


. .. .......
. ...........
.............
.............


(1) SERVICES, including casket
Al Fcalitie and Iquipment
Personal and Staf Service
Phdm masl sbvie
Vilons Register
AckBowledgetmet Cards
Fueal Sedan
Casket Coach
Outside Eclosure
Clothing ...




(2) ITEMS involving Cash Advances
Sales Ta
Additional Autos
Cemetery Charges
Clergyman
Telegram
Long Distance Telephone Calls
Transportation
Flowem
Obituary Notices






(3) ITEMS ORDERED LATER
Certified Copies


.. .........


Total (1)

















Total (2)





Total (3)


GRAND TOTAL






u will not be charged for any of the items low
that you choose not < M u lo
(1) Casket Prices as marked ......... I ,


Removal to Establishment
and Embalming (embalming not required) .00
Professional Services ............ ....... .00
Use of Facilities and Equipment ........... 2.00
Visitor Register .......................1 .00
Cards .........................7.00 per x
Opening and Closing Grave ............... .00
Conducting Services .................. .00
Casket Coach ........................... .00
Funeral Cars ......................80.00 h
Sub-Total
Outside Enclosure Vault ........... -
Wooden 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 ..... .. .........
Flowers ............ ............
Obituary Notices...............
Programs ........................

Total (2)

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

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


rand Total


"Your Friends Who Care"

CUNNINGHAMS

Funeral Home
A. L. CUNNINGHAM, L.F.D.
434 N.W. Marin Luther King Ave. Ocala. Floida 32670 Phone (904) 732-5353


This form is submitted to all families we serve. Its purpose is to provide
our clients with important information, in writing, and to give us documen-
tation of having made disclosures required by a federal regulation entitled,
FTC Funeral Rule.
Name of Deceased eV We Date of Death -/S
Date of Funeral and/or Final Disposition 4~ .'
The undersigned, who arranged for the funeral andlor final disposition of
the above named deceased, hereby attest to the following:
1. I/We were shown a CASKET PRICE LIST, effective as of ,
/tUTER BRIAL CONTAINER PRICE LIST effective
as of
before he sho akets and outer burial containers.
2. I/We r giv fOr retention a GENERAL PRICE LIST, effective as
of -Z4X upon the beginning
of a disq sio> ,h4neral arrangements andlor the selection of ser-
vices at merchandise.
3. I/We were not told that, except in certain special cases, embalming
is required by law for direct cremations, immediate Nbrials, when a
sealed casket is used, or when refrigeration is available nd there is
to be a closed casket funeral with no viewing or visitati n. If the
above named deceased was embalmed, this was done with ur per-
mission.
4. I/We were not told the law requires the use of a casket for direct
cremation or that an unfinished wood box or alternative container
may not be used for direct creation.
5. I/We were not told that law requires the use of an outer burial con-
tainer or of any funeral merchandise and/or services except as is set
forth on the Statement of Funeral Goods and Services Selected.
6. No statements, claims, representatives or warranties were made to
me/us by anyone affiliated with the above funeral home that embalm-
ing, the use of a casket andlor outer burial container would delay
natural decomposition for a long period of time or that any funeral
merchandise would provide protection from graveside substances
for a long period of time. The only warranties, either expressed or im-
plied, granted to me/us in connection with the funeral merchandise
I/We selected were the expressed written warranties, if any, extended
by the manufacturers themselves. No other warranties and no war-
ranties of MERCHANTABILITY or FITNESS for a PARTICULAR PUR-
POSE were extended by the above name Funeral Home.
7. I/We were not told that the amount charged for cash advance items
was the cost to the above named Funeral Home except in those in-
stances when this was the case. If the amount charged for any cash
advance items) exceeded the amount actually paid by the above
named FA~eral Hopie, I/We were so adviand#f this. A


$ IS43


rerms of Payment:


$1&/ 0




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