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2-02-11 AVAIL
LOT AVAILABLE FOR SALE UNIT Z ,BLOCK 9 ,LOT // AVAILABLE FOR SALE LTNIT� BLOCK LOT/NICHE . a 4-. -Y4 �,. DEED #293 Paid by General Receipt No. .54 ........... Dated...Apri1.22,..197.6...... List Price $..30D.DO........ Maximum No. Burial spaces .3......... Discount $.................. Total area in square feet ................ Net Paid $.300,.00. Monument permitted ....... 2at. .... ..... R &R attached (Data above this line for City Record only) JARRETT, Donald L. & Zana M. 462 Avocado Street, City 32958 BLK 2, LOTS 9,10 & 11 unit #2 WI 1 1 0 *e I -n uI 01, OA O CI °� CITY OF SEBASTIAN CHECK REQUEST Accounting Use Only Input Date 6/5/2007 Fiscal Period Document # Entered By Document Amount # of Lines Total HC Hash Due Date To Be Completed By Department 6/8/2007 Single Check Y / N Y Vendor Number LN TC Reference Organization Code Object Code Project Code Amount 601011 534959 $100.00 Description Number of Lines Amount Sell back to city, cemetery lot described as Unit 2 Block 2 Lot 11. Copy of Surrender of Burial Rights attached. $100.00 ISSUE CHECK TO NAME Estate of Donald W. Jarrett ADDRESS c/o Sally J. Henry 3510 Fox Glen Drive CITY Colleyville State TX ZIP CODE 76034 DRAW CHECK FROM SEE BELOW APPROVED BY JDATE 6/4/2007 BUDGET APP L� © MAIL ATTACHED DOCUMENATION (Except for remit slips, requesting department should attach a copy of documentation along with the original) OTHER INSTRUCTIONS Please make copy for clerk 11906498511' 1:0670061.321:200002?3&6296iil LACP4GL CERTIFICATE # _293_ L Date conveyed: _ _4/22/1976 Lot 11, Block 2, Unit 2 �'' Refund amount: $100.00 Original Purchaser: Dons4L. & Zana M. Jarrett Address: 462 Avocado Street_ Court Appointed Personal Representative: Sebastian, F132958 _Sally J. Henry plot: Surrender of Burial Rights THE UNDERSIGNED holder of burial rights in the City Cemetery for the following Lot 11, Block 2, Unit 2 of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk having misplaced the original certificate granting said rights but desiring to sell back to the City all of the burial rights in exchange for a refund of the original payment amount of $100.00 do hereby surrender all such burial rights with full acknowledgement of the cancellation of the original certificate /deed to said lot. IN WITNESS WHEREOF, the said first party has signed and sealed these presents the day and year set forth above. Sally J. rdereokrsonal Representative Copy of Order Attached STATE OF FLORIDA COUNTY OF INDIAN RIVER The foregoing instrument was acknowledged before me 7sidej)tjtication. da of June, 2007 by Sally J. Henry, court a pointed personal representative Esta of Donald Y117 a M. Jarrett who has produced a As "A .L, � l Ms- Cemetery\Sunender of burial rights.doc ture of Notary of Florida ANN VIA ROUSSEAU MY COMMISSION R DD 518784 a, EXPIRES: Mardi 18, 2010 ltt� Banded Thm Notary Ptft W den+dWs 1846838 RECORDED IN THE RECORDS OF JEFFREY K BARTON, CLERK CIRCUIT COURT INDIAN RIVER CO FL, BK: 2169 PG: 1554, 05/29/2007 01:29 PM FILED FOR RECORD ROFA?f;CI :A= 11i'34SHI?; IN THE CIRCUIT COURT FOR INDIAN RIVER COUNTY FLORIDA 2001 NJ Y 22 PM 1: 48 PROBATE DIVISION i K.;'.':' ASSIGNS" iu,—,AD14; WLL, i, .;C;;li i Y IN RE: ESTATE OF �/ 0 — -- File No. 2 100 C.� ( O Donald W. Jarrett Division Circuit Coort Deceased. ORDER APPOINTING PERSONAL REPRESENTATIVE (intestate — single) ,On the petition of Sally J. Henry for administration of the estate of Donald W. Jarrett, deceased, the court finding that the decedent died on April 11. 200 7. and that Sally J. Henry is entitled to appointment as personal representative by reason of the decedent was not married, did not have any children, and the whereabouts of the lineal descendant's of the decedent's sibline is unknown and is entitled and qualified to be personal representative, it is ADJUDGED that Sally J. Henry is appointed personal representative of the estate of the decedent, and that upon taking the prescribed oath, filing designation and acceptance of resident agent and entering into bond in the sum of W p.,-:j , letters of inistration shall be issued. ORDERED on this .12- day of 2007. Robert Hawley Circuit Judge Bar Form No. P- 3.0440 m Florida Lawyers Support Services, Inc. January 1, 2007 1846835 RECORDED IN THE RECORDS OF JEFFREY K BARTON, CLERK CIRCUIT COURT INDIAN RIVER CO FL, BK: 2169 PG: 1550, 05/29/2007 01:28 PM FILED FOR REC0111) io! IN THE CIRCUIT COURT FOR INDIAN RIVER COUN ;.,,, ; FLORIDA PM 1:48 2001 M 22 PROBATE DIVISION IN RE: ESTATE OF File No. Donald W. Jarrett Division Circuit Court Deceased. LETTERS OF ADMINISTRATION (single personal representative) TO ALL WHOM IT MAY CONCERN COp� WHEREAS, Donald W. Jarrett, a resident of 462 Avocado Avenue, Sebastian, Florida 32958 died on April 11, 2007, owning assets in the State of Florida, and WHEREAS, Sally J. Henry has been appointed personal representative of the estate of the decedent and has performed all acts prerequisite to issuance of Letters of Administration in the estate, NOW, THEREFORE, I, the undersigned circuit judge, declare Sally J. Henry duly qualified under the laws of the State of Florida to act as personal representative of the estate of Donald W. Jarrett, deceased, with full power to administer the estate according to law; to ask, demand, sue for, recover and receive the property of the decedent; to pay the debts of the decedent as far as the assets of the estate will permit and the.law directs; and to make distribution of the estate according to law. ORDERED on this ;V day of —9-- 2007. Robert Hawley Circuit Judge Bar Form No. P- 3.0700 © Florida Lawyers Support Services, Inc. January 1, 2007 TERMS 51 Z,.a ZO. 1� Ile 1844844 RECORDED IN THE RECORDS OF JEFFREY K BARTON, CLERK CIRCUIT COURT INDIAN r RIVER CO FL, BK: 2167 PG: 374, 05/18/2007 03:47 PM a� OFFICE of VITAL STATISTICS FLORIDA CERTIFICATE OF DEATH �- - -- bA1E P.ArawrulA.A, vFP Donald Jarrett Male xalvonmlRr++ae.rw anrrerwAr Prw rF wR1 " ^" 'rr- ° ' N.. July 13, 1931 75 Found April 11, 200 l rKMlrarrrbArRA I. rAMI•C[IMrrArIMl.Gi/Il tCMrr QtH1M Unknown Indian River trwYO�,utN rlwrr: ..._.rn.+ Aa�DA,M _ablw ARr _NrrB FA.r.rrw � �awwlr: - H.rr1,?y _Irwtb.w..,...r...+. LrrnN.. _ara,•IRJ w,•OAmwr ri.rrrJw.rwrrwq � I«.on,raNalaero,aF,ur iwrwa Imam- 462 Avocado Avenue SebutLln Jjrr -w __ ar, .5.ma —b-w Unknown It alRM,lYe.d.FlNrrMV..MAVwr•b1 _b.r+ _w.rarrrrr _Rr... _ms J«rrr Unknown _.. - -_- rraamr.n•n lr aouln` I «lTr.lab.rllOC•l,r Florida Indian River Sebastian IY 1INW`,OaEY Itl.el'TOIR ip WeEDryIAFrw 462 Avocado Avenue 32958 IY. ee". �BRIYRMLOCdMriOMltlillMrelrr /twbrwY }r�) Is.Y00I Rr�[tN�CyIRr t° wn Unknown Un�Cnown M eAA,1roMOMM'M,�W Ywbrb.rldY.l.Ybb.bMbrlbY rwAwrbrn�•rrrrl Xr,r — rrrAr:•wb — A.rwrAtlwrrr,n,XM IrY,rN - -•rbrn -vrbw _nIb _+lows _ +car _R,..b..r _OrrM+IMMr _ISblbrr� - as.,rrLF„w _rrrn _arA.wrlx,M� _arA1rA1 rJ. rGFwDI�Or�r+E O.IbrrH,NObP _rrrm s+H w -.+brw _wtw ...ur1b. •.lore _bra pwrr, I•s«..A,ra«.1 _Iwls _eMlwrrB„rFA w,R>®Blro®wC•rlpb A«, rI, sANYrwATw .br,•,rnrrAfmmrs,rwrrsl Unknown It NrF[L@eRFrGr u. wrlo,aA en . >.. - NnrtlbtlwrRMb+ _wmtlJb. rem Unknown Ja. r•nrlvxuaar.. rr who* n. worm KrK Fwr rw. •wr+ArsV Unknown Unl :nown N•,sbRrII o-F -- - - - - -- g.11BAPpla1F100tTa7111r a FFMWR1bnlW DAR Medical Examiner Records Medical Examiner Florida ""'7Z Fort Pierce 2500 South 35th Street 34981 x NACU S,InairowMr.tlr.wT-r + w..rrPr- dlrc•vr tT•n mtwaAw- nnawr, District 19 Medial Examiner Florida -_• Fort Pierce - arn.mrmarlXn w er.,.r or.rr iI-- e.r.,b imw a..wrwt MF tors iPCFMw1101L,Br1i10,aeMr•TwA Mllarf ■AaDl rLr.r A w t RRiVI•G1MYaIw ME 29067 ► r - rwrrvnArbina District 19 Medial Examiner's Office Florida atulran raw -_ -_ rc wwwEr NXrxw >tl amr Fort Pierce :See South 35th Street 31981 11I 1 r0wrfaR T.+ M,. wrtltlw- 1., wrRtl� .YeuYOr.YRmMtltill..rYrlpRYtl1►b N.iMIN rRYbMYwr INwlwtl 1.,dbtl 4„ rr- Onw .Yrtls�Yrww/rw.;rslb.PNRMM� /rin YaM rlba.AblwrNN.w YYI F Jla rrrw+r.J �r 1r 1Y1EiOlO1�OlI/rM N wJgIl7Law7Ma FoiunOd 79R 4 1 ► 04 -12 -2007 3-L rutlrF awrAArrrtwa s.xwFO•mwb,»rmrNPrrAwc.xwl HE 2906 Roger E. Mittleean, M.D., C.M.E. >r aanrert•t,tF :s anamlw 'itnwEi N"" rr saoa Florida Fort Pierce 34981 South 35th Stn�atj�w eB,rBtrrA•prrr.rar 12500 wanRrl -,( , 1,R :/ /�j /w II.G� �,1 00 Z� _ �C-) W, rZA10*1111. THE ASM amNATURE CERTIFIES THAT THIS 16 A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD ON FILE IN THIS OFFICE. / µ. THIS DOCUMENT 16 PRINTED OR PHOTOCOPIED ON SECURITY PAPER WITH A WATERMARI(OF THE GREAT wit' i A. WAIiMNG: as& OF THE STATE OF FLORIDA ON THE FRONT. AND THE BACK CONTAINS SPECIAL LINES WITH TEXT ^ r•CSL 1 ' -I t • YID SEALS IN THERMOCHROMM: INK ORIA /au (Dad) III VIII illll IIII IHI ...- 234236 70 - .. . •. IIINNIIIIIIIIIIII111111111 6 7 0 * * 2 3 4 2 3 STATE OF FLORIDA INDIAN RIVER COUNTY THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE ORIGINAL ON FILE IN THIS OFFICE. "'couxfy + J BARTOIeV�FCyL�E�RK� N= 4 DEPUTY CLERK DATE'•.� NCR tW'J'„ '. I