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Paid by CEMETERY RooeIpt No. . . . .
800.00
UstPrlce s........... .......
Net PaIcI S .. ~.QR : 5HJ... . .. .
2/24/93
. ..... .. Dated. . .. ..... ... .. .... .. . .. .. . .. ..
Lotr
, & 40
NO.
Maximum No. Burial Spaces. . . . . . . . . . . .. .. . .
Block 32
Unit 4
HUNSINGER,
1331
CARRIE
Monument permitted. .. .. . . . .. . . . . .. .. . . . . .
(Oat. above tltll line for Clt, Reciord 0111,)
O!Ull nf &,hallUatt
I rrb
f) 13 91
atrmrtrry
NO.
24th
THIS INDENTUllB MADB 'I1dI
da, of
February
93
A. 0.. I'.. 0...'
bet.....n Ihe Clt, of &buUan, a munl.1paI ClIJ'pOI'.tlon ""'It~ und.r the 1._ 01 the Stale 01 Florlel.. .1 Grantor .nd
,................................................... ~:-6.;.i~C)~:t?-~~~.~g~r................... 0....................... ............
",.................. ........................ ..... . Ro.s.eland., ..F.~o:rida.. 329.5.1... _......................................
of lhe Coant, 01 ....... ~ ~~~. ~~.. ~~.':".~ ~ .. .. .. .. .. . .. . ... .n-J St.te 01 .... on ~~:J4~ .. .. . .. . .. .. .. .. .. .. . .. .. . .. .. . .. .. .. .
u Grantee. WITNESSETH.
, 800.00 .
That the Grantor for and In eondclerallon of the sum of S .......................... to It \ hand paid, the receipt whoreof II herewith ae-
knowledaed, don by thll Instrument pant, barpIft, 1IlD. rolellll, convey and conflrin unto the Grantee ...!:~... heln, lepl repre_tatlvea and asapl
the fobowJns property ~ In Sebastlan, InclIan RJvee County, florida, tlMl'lt:
39&40 32 4
AD of Lot(l) ..... ;. ,Block,........ ,UNIT ............. ,of Sebastian munldpal cemetery II per Plat Number I thereof recordeclln Plat
Book 2, at pap 65 of the pubDc records In the omce of the Clerk of the CIrcuit Court of St. Lude County of florida; .Id land now lyInJ and belDl
In InclIan R~ Count" FIorlclL
.
,
To Have and to Holcl the ame forever; provldecl that aaIcl property ahaD be uteclsolely and exeluavely for the Interment of the human dead and shall
be ulecl, kept and malntalnocl at all !!-' In accordance wtth lho rulea and replatlona, ordinance. and reaolutlonl of the Clt, of Sebastian. Florida, hereto-
fore, now and hereaftor adopted or provIdecl for tho IJOvernment and operation of aaIcl cemetery. The condition.. reatrietlonl and requirements contained
In this Instrument shaD be c:ovenantl runnlna wtth the land. In the event of the failure of the owner of any property lituatecl within aaIcl cemetery to Db-
_ and comply with iuth rules, repladon.. reaolullonl and.ordlnances and the conclltlons of the dllecl of convoyance thereof then tho title of 10th owner
In and to .Id property ahaU terminate and the .me ahan re1l8rt 10 the CIty of Sebastian, FlorlclL
IN WITNESS WHEREOF. The aaIcl party of the lint part has caused thillnstrument to be oxecuted In III name and on It I behalf by Itl Mayor and
atteatecl by Its CIty Clerk and Its corporale _I to be hereto aflIxed, the day and year lint above written.
Alt.st~JJ.t.. .()'tk/f.'!:~..... 0....
City Clerk
!11m..., S..I... and D.llvered
E...~..............
,.(f3~.~.........o....
(QUit ~.I)
=&r3!:'J:r~7f#
~~"'~
~d~S.""'-
STATE OF FJ.onrOA
COUNTY OF INDIAN RIVEll
24th February 93
I HEREBY CERTIFY, That OIl tltll ......................, .d.y 01 ......,............................................, II....,
Lonnie R. Powell Kathryn M. O'Halloran
brlare m. penonall, appeared .........................................'............,..,. and ................... . .. . .. .. .. .. .. . .. . ..
r'lpretly~l, Maynr .nd City C1m 01 the CIty nl Sehalllan, . munlcll'.' eorl'orotlon und~r !be I.WI 01 the Stale 01 Florida to me known
to be Ih. Indlviduall and 0111.... ,I_rllled In .nd who n..uto'" the lort'IDln, ....veyanee to
.......0............... 0.......... ..................... ~~.~.t;~?:. .~~~~.~.~~?:~.......,..,...,.. 0..................................
. , .. .. . .. . . .. .. . . .. . . .. .. .. .. .. . .. . .. . .. .. . .. .. .. .. .. '" and ""verally aeknowlrdFCI the .......tr.ln the.....f 10 be their Ire. .d onel deed
as I".h oW.... thereunto duly a..thorllech .nd th.t the Orn.lal ""al of 1.101 enrporatlOlI II dul, afllxed th.reto, and the said .onve,.ne.
I. the ad nnd deed 01 said eorporatlon.
WITNESS 111)' Ilm.tare and offlelal _I at &buUan, In the Coanly 01 IndIan River and Stal~ 01 Florida, the d., and ""
I..t do....ld.
UNOA M.LO'"
Notify ~ "''''''*
Mr~e.......u.. 11,''''
COW, CO llCl27'"
Name
'oj 0, o'--,e ~
~I
H'" .'
~ , \..I{. r-v 0 '. r""; .~-: -e t-
v
Unit
" i
'''t
I
Block
''':l ~
..;el..,
Lot
'iD
Date of Mark-out
nAr-A'~
^ ';,<") . Q:; .
,
Date of Burial, ,:( ,h b /-7~
,
Time
'~
,."I
(;> ,) ,() ,hr')
I
Name of Funeral.Jo1'~me ,..S -1 tR iA'J 'I\, :.:s /;
j y .,' ,.......,..] .! ,//' I
',:l -:::: //' ~-:. /'" /' J
' ',. "".. , "';//'"" ,4."1 ,,' " ,
' i - _ ....- - ,..',' _":<'/' :,/" .\_1'''/ "'-7/;:,,,,1",'
Authorize~ b{ ~t,.,/ tZ,/ ," /./ !i.~/
'._-~ , 'I.).
-." .'-'-- ---.-...- ""--""'--.
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J.
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State of Florida, Departmen.alth and Rehabilitative Services, Vital St.s
APPLICATION FOR BURIAL - TRANSIT PERMIT
J 3f.)/J
,(3 3 c:L
Iii
A.
1. Name of
Deceased
(Type or Print)
First
James
Middle
William
Last
Hunsinger
DATE
OF
DEATH
Month Day Year
02/24/1993
2. Place of Death
County
Indian River
3. Name of Medical
Certifier
City, Town or Location
Medical Examiner
Name of (If neither, give street address)
Hasp. or
Inst I d' R . v . 1 H . t 1
n Ian Iver ~emorla os 1 a
Address Phone Number
Vero Beach
Muhammad Faroo M,D. Physician
4. Name of Funeral Home/ Address
Direct Disposer 1623 North Central Avenu
Strunk Funeral Homes P.A. Sebastian Fl 32958 1228 407 562-2325
5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box
777-37th. St. Ste A-I04
Vero Beach Florida 32960 407 567-2277
Aa. Uc. No.lReg. No. Phone Number (Area Code)
b Q
CiRdy was contacted on 02/24/199tthin 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 Muhammad FarooQ., M. D. will complete
and sign the medical certification of cause of death.
c 0
medical certification.
was contacted on . He/she verified that
,Medical Examiner, will complete and sign the
6. Place of S~bastian
Final DispositIOn:
7. Funeral Director /
DimQt g~",,^,~~r
Indian River
F.E.No.l~
Removal
from state Donation
Date Signed
a
BURIAL - TRANSIT PERMIT
Pennission 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 certifICate 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 filing death certifi~te req~ted.
Registrar or /7 .4 Date 'J;;2 '-I 93 Date Certificate
Subregistrar Signature t:..t... - ssued: c;Y - - Due:
Permit No.
1228-93-0100
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:
;Q BURIAL
o CREMATION
o STORAGE
o OTHER (SpeCify)
Place of Disposition Sebac:;tian Cemetery
Date of Disposition F'cBblrary 29, 1991
Signature of Sexton )
orPerson-in-Charge) ~L.h~'" J #/....~..L
/
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)
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