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UNIT #2 BLOK 49 LOTS 15 &
A e c 3i4 ) /:-- r- D # S�-v
EVE MYERS and /or Linda Bittig
P.O. Box 421
ROSELAND, FLORIDA 32957.
Lloyd Lee Myers, Interred in Lot #15', 12 -27 -82
MYERS, EVE AND /OR LINDA BITTIG
BOX 421, ROSELAND, FLORIDA 32957
R & R ISSUED
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it
DEED #522
RECEIPT # 326 & 344
I
LOTS Z & BLOCK 49 UNIT #2 �•
Lloy Lee Myers, Interred in Lot /LJ', 12 -27 -82
1/4 /87
326 &
Paid by CEMETERY Receipt No ...3! .......... Dated ...4 0522
,8 -83 NO.
List Price $ ..150: _ . , 00 Each .............. _ .2.._ ..
Maximum No. Purial Spaces .................
300.00 flat Eva Myers
Net Paid $ .................. Monument permitted ....................... 7875 East 129th
LOTS 15 & 16, Block 49, Unit #2
Roseland, Florida
B & R ISSUED
(Data above tbb Hne for City Reeord only) DEED # 522
STATE OF FLORIDA
PARTMENT OF HEALTH & REHABILIT�E SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL — TRANSIT PERMIT
A. (Type or Print)
1. Name of First Middle Last DATE Month Day Year
Deceased Lloyd Lee Myers OF December 23, 1982
DEATH
2. Place of Death City, Town or Location Name of (If neither, give street address)
Coun p. or
ndian River Vero Beach Hos Hos Indian River Memorial Hospital
3. Name of Medical Ej Physician Address
Certifier Phil Morgan, M.D. ❑ Medical Examiner 30 Royal Palm Blvd. Vero Beach Florida
4. Funeral Home/ Name Address
nze=&up*m%Pottinger & Son Funeral Home S. Indian River Drive Sebastian Florida 32958
5. Check a :E] The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate b E] was contacted on . He /she verified that
Box this death was from natural causes, that there was no accident nor other external cause of death, and that
will complete and sign the medical certification of
cause of death.
r.
6. Funeral Director/
MtM=XPW.W
B
C M
9�i7�> madical certification.
yr. �
Signatur
_was contacted on . He /she verified that
Medical Examiner, will complete and sign the
2368 December 26, 1982
Fla. Lic. No. /Reg. No.
BURIAL — TRANSIT PERMIT
Date Signed
Permit No. r%—;2 .
Permission is hereby granted to dispose of this body.
A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and
granted. If it cannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed
with the Local Registrar of the County in which death occurred.
Registrar or .�yyr ,Q�� Date
Sub Registrar Signature " ����1� --� V '��"'jL�� Issued
C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA
Signature Medical Examiner Date
or
Medical Examiner, gave authorization by telephone to
Funeral Dfirector /Direct Disposer. Date
The Medical Examiner's approval must be obtained before disposal by any of the above methods. Awaiting period of 48 hours after death
is required for all cremations.
D. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition Sebastian Cemetery
® BURIAL STORAGE Date of Disposition December 27, 1982
CREMATION OTHER (Specify)
Signature of Sexton
or Person -in- Charge
Deborah C. Krages, City Clerk
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 County Health Department in the County where disposition occurred.
HRS Form 326, APR. 81
(replaces previous editions which may be used.)
t �
Cite of Sebastian
Pat Flood, Jr. POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 Deborah Krages
Mayor TELEPHONE (305) 589 -5330 City Clerk
January 20, 1983
Mrs. Eva Myers
7875 East 129th
Roseland, Florida 32957
RE: Purchase of Cemetery Lot 1115, Block 49, Unit #i2, Addition
Sebastian Cemtery
Dear Mrs. Myers:
Since we have been unable to contact you by telephone, we wish to
know whether you will be purchasing the referenced cemetery lot.
Please contact the City Clerk's Office at your earliest convenience.
Thank you.
Very truly yours,
xl�
Deborah Krages
City Clerk '
DK/jmt
2% CE M
Index:
t Name
Address i
Address 2
City
Deed #
Unit #
Lot Number
Lot Number
Lot Number
Lot Number
Comment
Comment
Record:993
City of Sebastian, FL - Cemetery Lots
MYERS First Name EUE & LINDA BITTIG
P.O.BOK 421
ROSELAND State FL
522 Date Amount
2 -A Block # 49
15 Interred MYERS, LLOYD LEE (vet)
16 Interred
Interred
Interred
LOT 16 REPURCHASED BY CITY 2/16/87
<F >wrd <B >ack
Thursday, Mar 31, 2005 12:55 PM
Zip
CD >elete <N >ext <P >rev <R >e- search
32957-
Dte Interred 12 -27 -82
Dte Interred
Dte Interred
Dte Interred
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DISPATCHED RUS IM-LL CONCRETE., Inc.
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Telephones 562-3384 and 562-2331
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RUS" :LL CONCRETE, Inc.
" gQ4&c & Rkaoell"
Telephones 562 -3384 and 562 -2331
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THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF, THE SUM OF:
on this 9% �&day of 1985 for the purchase of the following
described Cemetery Lot(s) 6pon the terms and conditions as stated herein:
Description of Property:
1
Cemetery Lof(s)# .115" Block #Unit# o.-
Purchase Price: ,(�Q� 6�0 Dollars($ )
Terms and' conditio s of sa e:
"'Od-6--e - 9� tr-/j�"
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:
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.
L -
Witness
Of e •�
W
� s
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
FROM:
W—
Dollars
on this V- day of 1982 for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)#40 lee, Block # _Unit# o?
Purchase Price: Dollars($�Q•� )
Terms and'conditions of sale:
&::� A�4 0,&OX"- :9q77,�-
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:
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.
/i
Witness