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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.