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PalclbyCEMETERY Receipt No... ......... Dated... .Y~Y.~~................ ilt.
250 00 OC
LIIl Price S .. .....:.. . .. ... . . Maximum No. BurlalSpaces...... ... .. .. . .. . Uni t 4
250.00
Net Paid S .................. Monument permitted. . .. .. .. .. . . .. .. .. .. .. .
NO.
"1444
(D.ta .bon thll Une 'or CIty R<<ord 001,)
GlUv nf 1'. hastiatt
atrmrtrry
. rrb
1444
NO.
THIS INDENTURB MADE 'I1aIa
27th
....... day of
January
94
A. D.. I........
bet,,'e.n II... Clt, 01 Sebaall.n, . mllRlelpal corpor.tlon .alaUnl undrr the l.wI of the St.te 01 Florid.. .a Grantor and
Richard Turner
, , , , .. , .. . , ... . . . . . . ... ... .. . . , .... ......1:3:39" . Dama'sk' .Lane.... . .. . . . . . . . . . ' , . .. , , . . . . . . . . . . . . . . . .. .... .. ........... ....
'................. ....... ................ ~~b.a.~.~~~.~.~ ..~~.~:':~~~. .~~?~.~.. , ,.,'..."..... ............................
01 the Co.nty 0' ,J.Q~;I,~.t:l.. R;I, Y.~;t;'...................... .n1 St.te 0' ...., J!:l.,Q.J; ;f,\\~................................... ...
U Gnntee, WITNBS8BTH t
That the Grantor for and In conalderaUon of the sum of S ........? ?9. ~ 9.9. .. ... .. . to It In hand palcl, the lecelpt whereof Is herewith ao-
kno"ledaed, does by this Inllrument pant, baqalit, ..U, relea.., comey and confirm unto the Grantee .. h ~.s. .. heirs, lepl lepre_tall.. and assign.
the foDowlns propert, situated In 8ebastlan,lndlan IUYer County, Florida, to-wlt:
AD of Lol(s) .~~. ~.. ,Block,..~.?.. ,UNIT ...~......... ,of Sebastian munldpal cemelery as per Plat Number t theteof lecorded In Plat
Book 2, at pap 65 of the pubUc records in the office of the Clerk of the CIrcuit Court of Sl. Lude County of Florida; aid land no.. IYInt and being
In Indian RiYa County, FloridL
To Hue and to Hold the ame forever; proYlcled that aid propert, shaD be uaed IDlely and excluliYely for the 1nte""",1 of the human dead and shall
be ulOd, kept and maintained at aU times In accordallClll with the rulea and replatlons, ordinance. and reaohrtlon. of the Cit, of 8eballlan, Florida, heleto-
fore, now and heteafter adopted or proYided for lhe lO'WRllIent and operation of aid cemetery. The condltlon.,l'eIlrlctiona and Jequlrements contained
In tlds InIlrument shoO be co_t. ruMina with the land. In the eYent of the falhn of the owner of an, property altuated within aid cemetery to ob-
10m and comply with inch rulea, ..lab.. naoIutlonsand ,ordinance. and the conditions of the chled of COlmlyonce theJeOf then the title of such owner
In and to said property shaD terminate and the ame shalt teYert to the City of Sebastian, FlorIda.
IN WITNESS WHEREOF, The aald party of the first part has caooed this Instrument to be executed In It. name and on Its behalf by Its Mayor and
aUeIled by III City Clerk and It. corporate ..allo be hereto affixed, the day and year lint above written.
Alle.t~~}Yl.,{)'&.~~.......
. rJ . City Clerk
"Z~qW' ~qqq.
~...~q.............
STATE OF FUlRJDA
COl'NTY OF INDIAN RIVER
(GIitv jiral)
27th January 94
I HBRBBY CERTIFY, That on this ....................... .d.y 0' .,.......,........................................., I' ,...
b"'ore me peraon.lI, .ppe.""d .;....~~~.r:'.~!':..~.~..~<?,w~~~..................... . .nd I.<~~~~.r~..~~..~~.~.~g?~~~..
rea"""lively M.yor .nd City Clerk 0' the City 0' Sebutlan, a rnunlc:lJt81 c:orporaUon und.. the I..... of the St.te 0' Florid. to me known
to be II... Indl.iduala and ow..... deacrlhetl In .nd who eaeeutrd the lo......lnl t:UlOnyanre to
. , . . . . . , , . .... .... .. .. . . ... .. .. .. ....... .... ..~.:J, ~h~.l;'~, .1.1,1;t;'n~,:r.. .... " . . ........... ' , . . . . . . . ... . .... .. ............ . .... .. . . , . ..
. , , . . . . . . . . . .. . . . . . . . .. .. .. .. . .. . . . . .. .. .. .. .. .. . .. .. '" and ...eral'y adlnowJedpd the eaeeutlon thereof to he their 'ree .rt and deed
as IUch oftleers th.reunto duly .uthorlaed; and that the Oltlclal ...1 of aald eorporatlon Is duly .mud thereto, and the Mid ......eyane.
I. the ael and dred 01 aald c:orporatloa.
WITNESS my ai_hire .nd offlef.1 aeaI .t Sehaallan, In the
last aforenld.
CD LINDA M. 8AU.EY
*, ,. MV lXMISSOl' CC334I11 EllPIAES
. .- It, 11M
_____.IIIC.
--- -- --- ----- - -- --- - - - -------- ------- - -- -- - -- - --- --
.00 ---------daltot
00
o ... ."""","" "'ma'ns of
00 OCR S ETHEL TURNER
f'-f?_ :?~b
CREMAINS RECEIPT
Received from Gulf Crem.tio" Services, this
. 19-___
0,
~
Cremains are COntained in ( ) paperboard
) Urn
) utility box
000 1-27-94
ME#C-94-19-01_239
Re/ationship~
,',
,
Name ])("j l< ; " ""'T'", rc'. ,:; " P
Unit '-I
Block ~,....,
,-,,~ '"
lot,;.~ i) . U ' :
Date of Mark-out') / "'1'/ 'i~/
Date of Burial
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f
A&!horiz
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Rchvd
133'1~k LJ
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:J) eed No. /4/JI1 "
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1/-37- :lib
CREMAINS RECEIPT
Received from Gulf Cremation Services, this
00
00
o
00
day of
the cremated remains of
DORIS ETHEL TURNER
Cremains are contained in ( ) paperboard ) urn
.19:
) utility box
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790
THE SEBASTIAN CM'TERY
CITY or SEBASTIAN
SEBASTIAN, FLORIDA
Dollars (Sc165 ~ )
FROM:
for the purchase of the
e terms and conditions as
Description of property:
Cemetery Lot(s)
Bl.ock 07 Unit ~
~ Dollars (~~)
Purchase
#O.~~ 7;;..$~k~.L
Xhis contract: shaLL be binding upon both part:ies, the sell.er and the
purchaser, when approved by the owner of the propert:g above
described.
I, or we, agree to purchase the above described property on the terins
and conditi.ons stated in the ;rego~~
Xhe City of Sebastian agrees to sell the above mentioned property
the above named purchaser ( s) on the terms
above instrument.
/"'1
[, ~" dLd~~'J
/Witness ,"-
:./
"
*
.
,"1Y 0"
'" ~,
,
lJ' ~; ~
~. ,Y"
"'0 G> ,1 S ~ ",'0
1.r€, .S\-~
OF PfUCP.t4 '
.
City of Sebastian
1225 MAIN STREET (] SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 (] FAX (407) 589-5570
January 28, 1994
Mr. Richard Turner
1339 Damask Lane
Sebastian, Florida 32958
Dear Mr. Turner:
Enclosed is Cemetery Deed No. 1444 for Cemetery Lot 28B, Block
37, 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. 795 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.
~UI: y~:.s't)..LI
T~m. T/~A-
Kathryn M. O'Halloran
City Clerk
KMO:lmg
enclosure
(\ws-form-cem.rec)
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~ 37
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State of Florida. Depa4 of....1th ~ ~ive Senk:es, ~.
A~11ON FOR BURlAl- tRANSIt PERMIT
A.
1. Name of .
Deceased
(Type or Print)
Arst
~1.
Middle
Btbt1
Last
'ftJrIIU
DATE
OF
OEATH
Month Day Year
.laD. 1:1, 11M
2. Place of Death
County
India Rivw
3. Name of MedIcal
aI"~t,
City, Town or Location
Sebutian
Name of (If nelthor, give street addressJ
Hosp. or
lost. 1339 t "" lane
Medical Exanm. Address
7T1 37th St. j
Physician ftco l' r da,f1Grida 32110 411 517-2332 I
..~ a. Fla. lie. No./Reg. No. f'tQ1e ~mber (Area CodeJ I
Vero 1IIIIdl, 11. 32tII t16 <<11 234-MI1
j
Phone Number
11.0.
4. Nome of FlMleral Homel
Direct Disposer
IDdian ti".. Cr
5. Check
Appro-
priate
Box
Uone, lIIc:.
a II The medical certification has been completed and signed. A completed certificate of death acCOl1'1J8l'1les
this application.
b 0
was contacted on within 72
hours after death. He/she verified that this death was from natural causes, that there was no accident.
nor other external cauee of death, ard that will complete
and sign the medical certification of cause of death.
c 0
was contacted on . He/she verified that "
, Medical Examiner, win complete and sign the J
medical certification.
6. Place of g.dlllsr. "N" In state cemetery/ .uer-U~
Final Disposition: ./;,~ tory - name/count~ 8BIctl aaaty
7. Funeral Director/ t F.E. No.lReg. No.
D~rn~~ aam~
Removal
'rom state
i.:
,
B. BURIAL - TRANSIT PERMIT . 195-94-019 j
Pe . . . ~..... ._~ t d' of his body PermIt No. J"
rmlSSIOM IS '~'<nIT gran.vu 0 tSPOse t .
o A five day extension of time for filing the death certificate (exclusive of weekends) has been /'eqUesled and granted as undue hardc;hip
~ result from fiIino within the normal time limit. If the certificate cannot be filecl within this extendod time limit. a "Funoral Dimctor/Oirect
Disposer Report" will be filed wit ,the Local Registrar of the County in which death occurred.
[J No extension of time for filina .&ath certiflcat st
Regislr~r or . Date .) , ~/ . 9/ Da~ Certificate
Subregistrar Signature Issued: 6 Due.
Donation ,I
Date Signed
1-31-94 ~
Signature . Medical Examiner Date
or ". Prederldc hobin, M.D. Paul Goodridge
Medical Examiner. , gave authorization by telephone fo
Funeral OlmcIor/Oirect Disposer. Data 1-31-94
The Medical Examiner's approval must be obtained before disposal by any of the abooJe methods. A waiting period of 48 hours after
death is reQUired for all cremations.
AlJ'THORIZAnON for CREMAnON, DlSSECnON or bURIAL-At-SEA cn.tolcn "da'lr.atl
!fo.
c.
D.
FOR FUNERAL DlRECTOR/D~ct DISPOSER USE ONLY
1. Date Burial-Transit Permit (pink copy) was filed with local Registrar:
2. Date Temporary Certificate was filed with Local Reoislrar. __________
3. Date c~~e Certificate was fifed with local Registrar:
ct. Follow-Up Effurts a Actlvttles (Note parties 6 dates contacted):
5. Name and place of disposition:
B. Funeral Drector/Oirect Disposer Report filed: Yes _ No Date Filed:
FUNERAL DIRECTOR/DIRECT DISPOSER Copy
-1AS For", 326. Feo 891ReQlaCes OCt 87 edlllon wt1Ich may be useGJ
:StocIc Number: 5740-000-0328-2)
I
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