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Home My WebLink About4-49-35B 250.00 Li,, mice S .................. 14~{-) 250.00 BLOCK~ Max~um No. Bu~[ S~s ................ UNIT 4 Manumit ~rmiaed ....................... 14 G emetery eeh 27th March 95 THIS INDENTURE MADE ~ ............. daf of ....................................... A. Cheste~ M. l~ilJ, ............................. 449 S.W. Lake Drive ....................................... Sehaa~ai~.n.,..F.L .3Z9.58 ............................................. th, Co,aty al ?~i.~FL ~J-~'~F .................. ,~ Stat, of Florida .................... 'that the Grantor fo, and ~ ~onsideration of th ..... f $ ...... ,2.}.0. :.0. ?. .......... to it i~, hand p~id, the ~ceipt whereof is I~ewith ac- All of Lot(s) .~ .~. ,~.. Block 4 9..., uN T ..... 4. ........ of Sebastian municipal cemetery as pet plat Number I thereof recorded in Plat I HRREB¥ eEeTIF¥, That on tM ....... ¢.Lt~g .......... a~ of ~arch .......... m?,~, Arthur L. Firtion ~nd Kathryn M. 0'Halloran Chester M. Hill .................................................. and $evernlly ael~nowledged the exeeutlon thereof to b~ their free act and deed ' · ..... Linda M. Galley ~ Name /"/~'..~,,~ kJ ~; ,L._ L. Unit Data of Mark-out Data of Burial Time Paid by CEMETERY Receipt No ....... 8, ,4.,9 ...... Dated.. 3 / 2 7 / 9 5 LOT 3 5 B ............................ BLOCK 49 r~t Pace $ .. 250.00 m~Jm~ No. B,m~ sm~ ................ UNIT 4 250.00 N~ P~ed $ .................. ~omumea* p~rm~ed ....................... NO. 14 6 (D&t~ above t~Is line for City Record only) E SEBAS AN CEMETERY CITY OF SEBAS AN, FLORIDA following described Cemet'~ry Lot~/~ upon the ter~ ~d conditions as stated herein: Description of Property: Cemetery LotLs~'~ ~ Block ~ Unit Purchase Pr~ ~C~I ~A ~ Dollars ( ~. ~ ) .~.Terms and Condition of sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I. or we. agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to sell the above named purchaser, s7~ on,he terms and conditions City of Seb~an ( J~tness ' the above mentioned property to stated in the City of Sebastian 1225 MAIN STREET [] SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 r~ FAX (407) 589-5570 March 28, 1995 Mr. Chester M. Hill 449 S.W. Lake Drive Sebastian, Florida 32958 Dear Mr. Hill: Enclosed is Cemetery Deed No. 1496 for Lot 35B, Block 49, Unit 4. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded you may do so at the office of the Clerk of the Circuit Court, 2000 16th Avenue, Vero Beach, Florida, 32960. We are enclosing two copies of Receipt No. 849 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. The previous receipt you received had an incorrect Block number listed. A stamped, self-addressed envelope is provided for your convenience. Very truly yours, City Clerk KMO: ling enclosure (\ws-form-cem.rec) State of'~=lorida, Depa t Of 'eaCh ~ - APPLICATION FOR BURIAL -- TRANSIT PERMIT A. (Type or Print) 1. Name of First '- Middle Last DATE Month Day Year Deceased OF · [.{~_len T. ~[11 DEATH 1~a,C. 2.0, 1995 2. Place of Death County Indian Riw~r 3. Name of Medical Certifier Noor Merchant, M.D. City, Town or Location Sebastian Name of Funeral Home/ Direct Disposer Name of (If neither, give street address) Hosp. or Inst. 449 S. W. La~e Drive _.j Medical Examiner Address Phone Number / ! ! 37tj1 St. ~ Physician Veto Beach, Fi. 32960 407 567-2332 .~vA~les~id D'~e ~-6 IFia. Lic. No./Reg. No. Phone Number (Area Code) Veto Beach, Fl. 32960 KB0000235 407 234-5961 5. Check Appro- priate Box a [] The medical certification has been completed and signed. A cornple~d certificate of death accompanies this application. b [] . was contacted on within 72 hours after death. He/she vedfied that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death. c [] was contacted on He/she verified that . Medical Examiner, will complete and sign the medical certification. 6. Place of In state cemet~y/Gulf Cremations Removal Final Disposition: ~ ~ crematory- n,~/county: ~ ]~ai~c~ Cofc~'tty r-'] from state ~ Donation 7. Funeral Director/ [ i ') ,, .Signature / ~., _ ), F.E. No./Reg. No. Date Signed Direct Disposer ~ - / L~-~W-~ K~000235 3-21-95 B. BURIAL -- TRANSIT PERMIT Permit No.195-95-064 Permission is hereby granted to dispose of this body. [] A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ~] No extension of time for filing tt~eath certificat~requested. Registrar or ......... ' - Subregistra, Signature ~,~.'~'-~:~/_-~.-/ ~/~/!..-~r ~/5 I.~ed: "~' ~-/' ~'~""Due:Date Certificate C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT--SF.~tion a'~_~a~c::l~t~TM Signature , Medical Examiner Date or -' Medical Examiner, Frederick ~obin, M.D ....... , ga~e authorization by telephone to Paul Goodrid~e .......... - · Funeral Director/Direct Disposer. Date 3-22-95 The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. FOR FUNERAL DIRECTOR/DIRECT DISPOSER USE ONLY I. Date Burial-Transit Permit (pink copy) was filed with Local Registran 2. Date Temporary Certificate was filed with Local Registrar: 3. Date complete Certificate was filed with Local Registrar:. 4. Follow-Up Efforts & Activities (Note pcrties & dates contacted): 5. Name and place of dispesition: ~..~ lr~Z,"~.~ O ~,v'r', e--~Jua..- ~ 6. Funeral Director/Direct Disposer Report filed: Yea __ No . date Fil.ed: FUNERAL DIRECTOR/DIRECT DISPOSER COPY HRS FO,'m 326. Feb 89 (Re~aces Oct 87 editio~ whic~ may be used)