HomeMy WebLinkAbout4-44-09Xc, tl'ad$.. 650.00
(Data above this line for Oity .r~ecord only)
NO.
Lots 9 & 10
Blk. 44,Un. 4
Howard & Dorothy Moz'rison
177 Richard St. (Whispering
Sebastian, Fl. Palms)
NO.
l13g
THIS INDENTUI{J{ ~ADE ~ 29th a~v of September 87,
.............................................................. A. D., 19 ......
.. I!oward and Doroth~ Morrison
...... ~7 R~cha~d ~t. (Whispering Palms) Sebastian, Fl. 32958
~f the County of ... Ipdian River ~.i State of Florida
CITY OF SEBA~'PIAN, FLORIDA
~t.~;; ....................
29th September ]~..8.7
fJ~;i{TIF¥, 2'hat *m tb!~ .................... day ltl ............................................... ,
....................................................... &no ..........
Howard. and Dorothy Morrison
........................................................ and severally ~'knowledged the exemdion thereof to be their free act and deeJ
.........
MQRRIS0~, HOWARD & DOROTHY DEED NO. 1138
177 Richard St. (Whispering Palms)
Sebastian, Fi. Lots 9 & 10
~ Blk. 44, Un.
Unit
Lot
Date of Mark-out ~////
Date of Burial 7//~/'~l'~'
Name of Funeral Home
Time
Auth°rized~l /
Paid by CEMETERY Receipt No ..... .4.8 .4. ....... Dated... t ¢.p ~ emb. e ~.. Z 9.,..19. ~ 7
L~ Pric~ $ 325.00
650.00
Net P~id $ ..................
NO.
MaxhnmnNo.~mi~Spac~s ...... .2. ......... Lots 9 & 10
Blk.44,Un.4 Ai~8
~on~m~mp~n~a .... .F.1..a.t. ............. Howard & Dorothy Morrison
177 Richard St. (Whispering
(Data above th~ ~ne for City Record only) Sebastian, F1. Palms)
THE SEBASTIAN CEMETERY
Cltg of Sebastian
Sebastian, Florida
RECEIPT IS BEREBy ACKNOWLEDGED OF THE SUM OF:
-. ;~~, 198~ for ~e purchase of ~he following
descried C~C~r~ ~(s) u~ ~ ter~= ~nd ~nditions as stated her~n~
~scription of
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 propertg on the terms and
conditions stated in th~ foregoing intrument:
The Citg of Sebastian agrees to sell the above mentioned property to the
abov~ n~m~d Purchaser(s) on the terms and conditions stated in th~ abov~
L. Gene Harris
Mayor
City of Sebastian
POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127
TELEPHONE (305) 589-5330
Kathryn M. O'Halloran
City Clerk
September 30, 1987
Mr. and Mrs. Howard Morrison
177 Richard Street
Sebastian, Florida 32958
Dear Mr. and Mrs. M ' -
orrlson.
Enclosed is Cemetery Deed No. 1138 for Lots
Block 44, Unit 4. If you wish to have this
you may do so at the office of the Clerk of
Court, 2145 14th Avenue, Vero Beach.
9 and 10,
deed recorded,
the Circuit
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.
Very truly yours,
ElizabZe th Reid
Deputy City Clerk
LR
Eno.
(TYPE)
Name of first
Deceased
Howard
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
Middle Last I Date
R Morrison O::th
Place of Death
County
Indian River
City, Town or Location Name of (If neither, give street address)
Hosp, or
Sebastian nst. 177 Richard Street
IAddress
775~1 Bay Street
Sebstian, FL 32958
Name of Medical
Certifier Farhat Khawaja, M.D.
~--~Medical Examiner ~'lPhysician
Name of Funeral Home/Direct Disposal
Establishment
Strunk Funeral Home
Address
1623 N. Central Avenue
Sebastian, FL 32950
Month Day Year
7-13-02
IPhone Number
(772) 589-3000
Fla. Lic. No./Reg. No. Phone No. (Area Code)
1228 (772) 509-1000
Check a. []
Appropriate
Box
c,•
The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
Pat was contacted on 7/15/02
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Kbawaja will complete and sign the medical
certification of cause ~{ death within 72 hours.
was contacted on He/she verified that
Direct Disposer /,..~ ~ ~ ~ ~ 1862 7~ t-~-C~.~
BURIAl:-- TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-02-0307
[] A five (5)day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within
72 hours.
~No extension of time for firing the death certificate has been requested.
Date Date Certificate
~"F~Jt~'tT'~IT'0~ ~ ~ ~__,ssued: 7~-/S--~ Due: 7--~..~
Subregistrar Signature
, Medical Examiner, will compiete and sign the
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Approval Number: Date
Medical Examiner, , gave authorization by telephone to
Funeral Director/Direct Disposer. 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
[~CREMATION
Signature of Sexton
or Person-in-Charge
r--i STORAGE
C]OTHER (Specify)
CEMETERY OR CREMATORY
Place of Disposition
D,t.o, ,,pos,t,on
,--/ / I
This permit must be endorsed by the Sexton or person-in-chagle (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.