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Home My WebLink About2-47-07ik) � t 600 yu, Name Unit Block Lot r� Date of Mark -outer Date of Burial Name of Fi4eral Home'' Authorized �� 7- Time ! U v rl r-Y) Unit #i2 Add., Blk. 47, Lot 6 & 7 Paid by General Receipt No. .. ..... .... Dated ........3. - .22..-..82.... Schuster, Raymond H. 2 729 Spire Avenue List Price $. O.Q. Each Maximum No. Burial spaces ............ Sebastian, Florida 32958 — 0 Discount $ .................. Total area in square feet ............"'. DEED # 488 Net Paid s. $. X 00 , 00, , .. , .. Monument permitted . Flat . • • .. • • • • .. • • . R & R ISSUED WITH DEED (Data above this line for City Record only) 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 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. ❑ No extension of time for tkv th re ueste R80416eFOP Date QQ Date Ce i to Subregistrar Signatur Issued: l�7 9 Due: ? ` 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: Place of Disposition SZOA ST, w .! wn q C3L fl",g BURIAL ❑ STORAGE Date of Disposition / /3n z 9-1 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in- Charge) �Z 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) 4 State of Florida, Depart of Health and Rehabilitative Services, Vita Wistics APP_ ICA FOR BURIAL — TRANSIT PERMIT (a A. (Type or Print) 1 Name of First Middle Last DATE Month Day Year Deceased Ra-mond H. Schuster DEATH 09/2-/1994 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst.729 Spire Avenue 3. Name of Medical Medical Examiner Address Phone Number Certifier 13840 US Highway, #1 Ralph Geiger, M.D. N Physician Sebastian Florida 32958 (407)388-0770 4. Name of Funeral Home/ Address Fla. Lic. No. /Reg. No. Phone Number (Area Code) Direct Disposer 1623 North Central Avenue 1(407)562-23 Strunk Funeral Homes P.A. Sebastian. F1 32958 1228 25 5. Check a ❑ ' The medical certification has been completed and signed. A completed certificate of death acompanies Appro- this application. priate Box b was contacted on no ' /I ^ Z ooawithin 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 Ralph Geiger. M. D. will complete and sign the medical certification of cause of death. c ❑ was contacted on . He /she verified that Medical Examiner, will complete and sign the medical certification. 6• Place of Sebastian Cemet 41 state cemet y/ Removal Final Disposition: rematory - ounty: Indian River from state Donation 7. Funeral Director/ Signature / 00r F.E. No. /Reg. Ale: -- Date Signed 1672 '1 B. BURIAL — TRANSIT PERMIT 1228 Permit No -94 -0461 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 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. ❑ No extension of time for tkv th re ueste R80416eFOP Date QQ Date Ce i to Subregistrar Signatur Issued: l�7 9 Due: ? ` 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: Place of Disposition SZOA ST, w .! wn q C3L fl",g BURIAL ❑ STORAGE Date of Disposition / /3n z 9-1 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in- Charge) �Z 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)