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Home My WebLink About4-38-32 ,. Palcl by CEMETERY R_1pt No. ....l~.Q....... Dated.... ~l?-.Q/.9.~........... .... Lot 32 . Block 38 List Prlae s.. .600..00..... Nulman No. _I S...................... Uni t 4 600.00 Net Pald S .................. NO.amen! permltled .. . .. . .. . .. .. .. .. .. .. . . . NO. .'1362 Wilfred Crompton interred ~/10/Q' (D.bi __a lIilo If'ne tor 011' Reeonl ...IF) Cl!Ug n! &rbasttan Qtttttttrfg IIttb 1362 NO. THIS INDBNTUIUI KADB nto ..... .29t.J:I.. ... '" of .........':11'!1............................... A. D. 11.9.7.., bet...... Ih. CII, . of s.Joa.lla.. a ...1dpoI ...".....11oa .....1'" ....., lhe low. of the SI.I. of Florlcl.. a. 0.._ and ..................................... ...... .. Mr.s... .OI-i.ve. .Crompton.................................................... 1024 Royal Palm Drive ............................ ............ ... Barefoot.. Bay;' . Florida. . .32976........................... ........... of lhe c.....v of .Indian.Riv.er...................... 00.1 Stol. of ...Flor-ida....................................... .. Orantft, WITN_Jn'H. T"II" GnIIIOI fOl .... In _tlclentlon of tII. ...m or S . .60.0 _00. . . . . . . . . . . . . . . 10 II In hand paid. lhe..colpt _eor II he....iI. ... tnowJedaed. 'oes "" tIdo Inll.- annl, ........ ..n, ........ ....., .... conlkm anlo lhe Gtonlee .. her.. ...........1 _1._.... ........ the rolowtna poopeot, _I'" In Sebo-, I_n RM. COMly, FJorlclo. l...nl: A. of LotI') ..3.2.. ,.lurt.... .3B. . UNIT ..... .Il. . . .. ,or 8oballlon munldpol cemetery .. per Plat Number I theteor "cot"'" Iu PIoI .... 2. at _ 65 of 1110 pubBc ........In the ofll.. or 1110 Clerk or 1110 C1reuit COUll or SL Lode County of FJorJdo; "'" _ now 1)'Ina.... bet,. In Indlon R.... COIIIIIy, FJorlcla. To ..... .... 10 Holclthe .me ,,_; poorided lhat "'" pr-,y ....... 0.... ....., .... ""~ for 11Io1nto......1 or 1110 ......... ..... .ad ...0 .. ....... bpi .... ...- at II _In """""'"- with 1110 rulet.... ......11om, ordIlImcet.... __ or IIoe CIty or _lIfIn, Florid.. _ fore, now .... 1IaeoIl.. odopIed 01 .......... fOl11lo __ .... operation or "'" .....tery. The _.. nttrJctlolul.... ........._.__ In IhIs _I ...0.. _ ....... with tile Ion'. In 1110 neat of IIoe r.... of 1110 ....... or IIIIJ poopeot, lit_tell within "'" cemelery 10.... - .... _., with _ ru.... ......tIon....-&.. .ndOld........ 1ft' the conditio.. of the..... of _ce _then lhe tit.. of RIch owner Iu ....10 "'" -,y _ t_te .... tllo .... ...n _10 theOIy or8o_Ian, FIortdL IN WITNESS WHEREOF. The "'" ...., or the lint .... ... at...... this Instrument 10" executed In iI. no... .... GO iI. ""II by iI. "',or .... .lIetted "" III CIty CIerIt..... It. .........e _I to .. _ 1IlIx....I.. do, .... you lint 11Io.. written. Alt..I~~nk~.)JJ..f)'/I..~.~.. ~--.1'-. CIlJ' ClIIl III........ h.... .nd D<1h.... In the PreIeIICe 0" ..~~.u ~..{!~............ ~...~............. STATE OF Fr.oRIDA COt'NTY OF rNDIAN RIVER I 'IBRERY CERTIFY, n.t 011 thlo .......2.<?~~............, of .....~~.y........................................., 1t.9.i (<<Itv ~.I) ...f... me peroonolty .ppe.... .....()..,.:I,~..R...r.().v.ell........ ............... ... and .Kathr.yn..M...O.'.Halloran. rnpt"t'tlnly Mayor .ad CItJ CIfo..k of the 011 of Sebaltla", . IBUnkl,,., eorJ'O,atloll ....., the ..... of the State of FIorfd. to Me .no.. to be the individual. .nd oftlfton detcrlltdl lit and who net'ut~ the 'Off'I'OIftI eoII.qanee to .. Mt:8... 01lve. .Cr-ompt-Gn..................................................... .. ..................................................... and _..all,. "'nowled..,t lhe ......11oa _ 10" their f... .d .nd d.... .. ..... oflk:... the....a1o .aI, outllorloed. and lhat the Orlk:l.1 ...1 of ..Id ..,ponlloa II duIF .cn.ed lhemo, and lhe ..I' .....,.._ 10 the ... .... ..... of ..Id ___- WITNESS .." ......_ .nd oflk:lal _I .1 S.hoatlo.. In the CottuIy t." .fOftHld. JJllIlA II. UlHIL -,-..- ..,-.......- .,- COIoUSCC_" 1 t, N\me V'/' I 'J,. F r:.. i, f) (:. K D tV') IJ r:. ,...t , Unit If Block 36 Lot 1~ . Date of Mark-out )- /1 A/~?. .",:-./~" h;' j;', C .9 ~ ' Time I o () ,;J l't/). :I Date of Burial Authprized ~' ;;. '" ;.~ Name of Funer .....- / ':J.__:" s list Price $ _. .600...0.0...... 600.00 Net Paid $ .................. Lot 32 Block 38 Maximum No. Burial Spaces................. Uni t 4 NO. . . 710 5/20/92 Paid by CEMETERY ReceIpt No................. Dated.............................. ';1362 Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Wilfred Crompton i~bgfbiv~ tb~lJ.J/o~6ty Record oo1y) - . , . . . .7/D THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida Dollars ($~tJ().~ ) FROM: on this cRO'::/:!J. day OfW, I , 11/do for the purchase of the following described Cemetery Lot{~ terms and conditions as stated herein: Description of Property: Cemetery lDtlsJl ~~. Block' ..~'i? Purchase pric '-.I/- ~ r Unit# 4- Dollars ($UtJ. r ) Terms and' conditions 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: I tP~ C. ~ The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. ," ~(2: . Witness ~ ... - .. . . . ,"1Y 0" ~~ 'J' -; ~ ~ ~> ,<- -Yo:> :/ 1 <, \ .,....9 ~f:' o~- Pf I ~c;:.t-l \~,\.- . City of Sebastian POST OFFICE BOX 780127 IJ SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 IJ FAX (407) 589-5570 May 26, 1992 Mrs. Olive Crompton 1024 Royal Palm Drive Barefoot Bay, Florida 32976 Dear Mrs. Crompton: Enclosed is Cemetery Deed No. 1362 for Cemetery Lot 32, Block 38, 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, 2145 14th Avenue, Vero Beach, Florida. We are enclosing two copies of Receipt No. 710 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Very truly yours, c;V~ fl}. et/~-- Kathry~M~ o 'Halloran City Clerk KMO:lm1 enclosure (\ws-form-cem.rec) - State of Florida, Departme.Health and Rehabllltative Services, Vital SWics APPUCATI OR BURIAL - TRANSIT PERMIT t.. 3/, :3 d- /3 3$ t/1 A. 1. Name of Deceased (Type or Print) First Wilfred Middle Last Crompton DATE OF DEATH Month Day 05/17/92 Year 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hasp. or Indian River Vero Beach lost Indian River MellOrial Ho91> i_ tal 3. Name of Medical U Medical Examiner Address Phone Number Certifier 1485 37th. Street Richard Eisen.ann, D.O. !:IPhys~~n Vero Beach, Florida 32960 (407)778-9991 4. Name of Funeral Home/ Address Aa Uc. No.lReg. No. Phone Number (Area Code) Direct Disposer 1623 North Central Avenue Strunk Funeral Ho.es, P.A. Sebastian, Fl 32958 1228 (407)562-2325 5. Check a 0 The medical certification has been completed and signed. A completed certiflC8te of death accompanies Appro- this appl~ation. pr~te Box b a ~A.ndl"A. was contacted on 05/1 R/92 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Richard Eisellllann, D.O. will complete and sign the med~al certification of cause of death. c 0 was contacted on . He/she verified that , Med~a1 Examiner, will complete and sign the medical certification. Indian River F.E. No.lReg. r~o: Removal from state Donation Date Signed 6. Place of Sebastian Final Disposition: 7. Funeral Director/ Dileet 9i&~ser B. BURIAL - TRANSIT PERMIT Permit No. 1228-92-0261 Permission is hereby granted to dispose of this body. o 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 certiflC8te 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. o No extension of time for fili death certif~ate request Registrar or Subregistrar Signature ~~: S- / f' ,.9~~~ Certif~ate C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or 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. D. CEMETERY OR CREMATORY Methods of Disposition: . BURIAL o CREMATION o STORAGE o OTHER (Specify) ;f -r ~. ;f.J~ <:)1' Place of Disposition Date of Disposition 5E 1~"45~J.o! a €/tl i:7f~1 .,- h 0 /9:;. . / / Signature of Sexton ) or Person-in-Charge ) 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326. Feb 89 (Replaces Oct 87 edition which may be used) (Stock Number. 5740-000-0326-2) :r