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Home My WebLink About4-45-11 ................................ Lot' ll,Blk.45 u, ~,,~, ....3..2.~. :..o.o. ..... ~,~=m,o. ",~-~ S~, ........ % ........ UDit 4 NetP~d$ ...32~o.0~ ..... Catherine Hudec interred 3/1/88 Monument pcmfitted . (Data above ~ line for C~ty l~eord only) NO. 1161 Frank Hudec 4625 84th St.,P.O.Box 494 Wabasso, Fi. 32970 (~i~g of ebas taa geme ery Beeh .o. 1161 THIS INDENTURE ~ADE ~ .......... lS.t ....... day of ............... March .....................A. D~ ~88.., betwern ibc City of Seb~fl~ a munleip~ ~ratlon ~t~g ~r the laws of ~ Sta~ of FlorM~ a~ ~r~r ~ ...... ~ca~ Hu~= 4625 ~h ~ P.O.Box 494, Wabasso, F1 32970 of th~ ~tI of Indian River ~ Gtant~ WITN~SETH~ ........... . ........................... T~t the Gr~tot for ~ ~ ~n~era~on of~e s~ of $ 325.00 .... the foHow~ prop~y ~t~ted ~ Seba~ I~ ~er Co~ty, ~or~, t~it: ......... ao~o,(,)...~.~.,~ .... ~.~...u~ 4 . .. Book 2, nt ............. , of ~b~ m~ ~me~ty ~s~r P~t N~ 1 ~e~f te~x~ ~ P~t p~e 65 of ~e p~c ~t~ ~ ~e offi~ of ~e C~rk of t~ ~t ~ of SL Lu~ ~ty of F~; ~ ~ now 1~ ~d ~ ~ ~ Riv~ County, Flo~ ' · (,/ City ~erk Signed, Sealed and Delivered STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBy CERTIFY, That o~ thl~ ..... 2rl~ ...... CITy OF SEBAMTIAN, FLORIDA / ....... da~ of ........ Ma~ch .... before m.e pet~onnlly appeared L. Gene Harris ........................................................ · .~ ~.a..t. ,h.r.y..n.., .M.:,, Q ' Hal 1 or an respt~tively Mayor and City Clerk of the City of Sebastian, a municipal corporation under ................. ........................................... F.r.ank. tInde.c. ....................................................... and ~everMly acknowledged the ~xeeutlon thereof to he their free act and de~ ~ Publle, St~t'e of Plorld~ at Lar~. ................... HUDEC, FRANK DEED #1161 REC. #507 4625 84fh St. " ~lt~ ~ ~oY P.O.Box 494 Wabasso, Fi. 32970 Lot 11, Blk. 45, Un. 4 Catherine Hudec interred 3/1/88 ~ ~/ ~//~/ Unit Lot // Name of. Funeral Home Authorized by Time u= P~ $.. 325.00 Net Paid $ ... 31 2.5 ..0ii ..... Catherine Hudec interred 3/1/88 Lot ll,Blk.45 1 Maximum No. Bttrial Spaces ................. Monument pexmitted ....................... (Data above t~l~ line for City R~cord old)') NO. Unit 4 1161 Frank Hudec 4625 84th St.,P.O.Box 494 Wabasso, Fl. 32970 when app:toved bM Che ownem o~ the P~oJ~:ttM 4bore deeo:ti~ed. ~o~.~e, ag:tee co ,PUrc,'~e the ~ ~a~ - -- · ~ u~o~ stated in c~ ~o~-~ .... ~d ~o~cg ~ the Ce~ dad ~nsc~u]aanC. - ...... C&rma end concLit2ona E"^.TMENT OF HEALTH .E.A. SE.V,CES¢5' VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT /-/ ~// A (Type or Printl 1. Name of First Middle Last DATE Month Day Year Deceased CATHERINE K. HUDEC OF DEATH FEBRUARY 27, 1988 2. Place of Oeatn City, Town or Location Name of (if neither, give street addresH County Hosp. or INDIAN RIVER VERO BEACH Inst. INDIAI~ RIVER VIT.T,AP-E CARR C~N'fgK 3. Name of Medical Z[~ Phymciam Address Phone Number Certifier ~ FAROOQ, M.D. [] Medical Examiner 777-37TH ST. VERO BEACH, FL 567-2277 4. Funeral Home/ Hame Address Phone Numl~er (Area Code) x~,f~fF.~ STRUNK FUNERAL HOME 1623 N. CENTRAl, AVENUE SRRARTIAN, FL 305-589-1000 5. Check a [] The medical certification has been completed anc signed. A completed certificate of death accompames Appro- this application. 3Flare Sox b ~ DEBBIE was contacted on 2/29/88 within 48 hours after death. He/she verified that this death was from natura~ causes, that there was no accident nor other external cause of death, and that DR. FAROOO wiU complete and sign the mad cai certification of cause of death~ c [] was contacted on He/she verified that medical certification . Medical Examiner, will complete and sign the Fla. Lic. No./Reg. No, Date Signed fl 1672 2/29/88 6. Funeral Director/ S. BURIAL-TRANSIT PERMIT Permission is hereby grantea to dispose of this boay. Permit No. ~ [] A five day extension of t~me for filing the death certificate {exclusive of weekends} has been requested and granted. If it :annot be filed within this time limit, a "Funeral Director/Direct Disposer Report" will be flied with the Local Registrar of the County in which death oc- curred. [] No extension of time for filing t~i~death certificate requestej~L~ Registrar or '/(/-~ ~/~' ~ ~-/~ ~ Date 2/29/88 Date Certificate Sub-Registrar Signature issued:_ Due: ~ C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date ,, or Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disooser. Date 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. Method of Disposition: ~ BURIAL [] STORAGE [] CREMATION [] OTHER {Specify) Signature of Sexton ~ ~--~2 or Person-in-Charge I ~ ' "~- CEMETERY OR CREMATORY Place of Disposition Date of Disposition This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the County where disposition occurred. HRS Form 326, May 86 (Replaces Apr 81 edition which may be used) (Stock Number: ! 2) ~-.