HomeMy WebLinkAbout1-38-25B1ock 38 Lots 25 and 26 Unit 1 Addition
Deed # 433
Dale W. and Hazel M. Bell
P. O. Box 231, Roseland
DaZe W. Bell interred 2/12/SZ - Lot 25
�- -
� __ ___ __
Jan. 16, I981
Dated.. ............... ...........
Paid by ��ii��a��e�eipt No. . 22� . . . . � . . . . . . •
2
**200.00** , Mnximum No. Burial spaces ............
List Price � ...............
Totul area in sqnare feet ................
Discount $•••••••••••••""' F13t
**200.00**„ Monument permitted .....................
Net Pnid $.••••••••
� (Data above this line for City Record only)
�,�..�-,�- �`'`'. % '"`°"�.,�.�
Deed # 433
Da1e W. and Haze1 M. Be:
p, O. Box 231, Roseland
Block 38, lots 25 and 2i
Unit 1 Addition
•
.
30'7
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
FROM:
�ao s, ��, �S • �i _
lars ($ �0?J )
on this /g� day of � , 198� for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
' „Description of Property:
��
� Cemetery Lot (s) # a�i� �l o� � Block# 3a Unit# �
Purchase Price ` �l � Dr�Ilars ($ �'�` , O�J )
�
Terms and'conditions of sa1e:
�r'`�' � ��° ° �°
This contract sha11 be bindin9 upon both parties, the seller and the purchaser, when
approved by the owner of the propert� above described.
I, or we, agree to purchase the above described property on the terms and conditions
stated in the foregoing instrurnent:
The City of Sebastian agrees to se11 the above mentioned property to the above named
purchaser(s) on the terms and conditions stated in the above instrurnent.
r ���
City of Se tian
Witness
� , �
Artistry in
Memorials
�
�C
C�
Merritt Monument Company, Inc.
4820 South U. S. Highway 1
Fort Pierce, Florida 33450
Phone: 464-5547 or 464-3755
April 14, 1982
FOR APPROVAL
SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SIZE: 48�� x 12" x 6" Granite
NAME:
3EI�L
WII,LIAM D. HAZEI, M.
1905 - 1981 1908 - blank
LEGAL DESCRIPTION:
SECTION: Unit 1
BLOCK: 38
LOT: 25 & 26
SPACEo
S�tTARE FEET s
CHECKED BY:
BY �,/J'is L(' , ( � (�r��-c�c,2�� �
MERRITT MONUNIENT CO.,Inc.
4820 SOUTH US.l
FT. PIERCE � �'�,. 33�5�
Granite - Marble
Bronze
APR►9.;.�w
PAID CK # 10070 - $45.00
APPk�1�VED s � ��t.�c�
DATE : ��9�,�
'THEY HAVE NOT BEEN FORGOTTEN"
STATE OF F�ORIDA j^ 'J /j �� ,�, `/,�
—vEPARTMENT OF HEALTH AND REHABILI7A'T SERV�CES N �G� ��-� ����
viTA� s-rATisT��s RECEIVED FEB 2 5 198f
APPLICATION FOR BURIAL-TRANSIT PERMIT
NAME OF First Middle Last DATE Month DaY Year
(DTVPe oSpDnt) William Dale BELL DEATHFebruary 10, 1981
P�ACE OF DEATH CITY, TOWN, OR LOCATION NAME OF (If not in hospital, give stree2 address)
cour,TV Indian River Sebastian NSTPT Tio°rvSebastian River Med.Cente
Attending Physician � (Name of Medical Certifier) (Address)
Medical Examiners ❑� Mohammad Idrees, M.D. 115 NW Palm Bay Road,Palm Bay, Florida
Funeral (Name) (Address)
Home Brownlie & Maxwell Funeral Home 1010 E. Palmetto Avenue, Melbourne,Fla.
Check A❑ A completed certificate of death accompanies this application.
One
B❑ Dr. was contacted on ,19
He has assured me that this death was from natural causes and that he will complete and sign the medical
certification of cause of death.
C The att ding physician was unavailable or this death comes within the Medical Examiners jurisdiction.
�he �yldy was released to me by
(Signature)
_,19
596
(Fla. Lic. No.)
�ruary 12, 1981
(Date Sig�ed)
Funeral
Director
BURIAL TRANSIT PERMIT Permit
No. 491067�
Permission is hereby granted to dispose of this body by burial, transportation out of state, storage or cremation. For cremation a
waiting period of 48 hours after death must be observed and the Medical Examiner's approvai must also be obtained.
[� A five day extension of time for filing the death certificate has been requested and granted.
Signature of
Registrar
Method of Disposition
(�BURIAL
� CREMATION
� STORAGE
� OTHER(Specify)
�
Signature of Sexton
or Person in Charge
✓
Date
Issued February 12, 1981
CEMETERY OR CREMATORY
Date of February 12, 1981
Disposition
Piace of
Disposition
�
Sebastian Cemetery
Sebastian, Florida
This permit must be endorsed by the �exton or person in charge (or by the funerai director when there is no sexton) anci returnea
within 10 days to the local county health department.
HRS Form 326 (1/77)