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Home My WebLink About2-44-01w I G fy Nk 4 9 0 TAE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS BEREBI�ACKNOWLEDGED OF THE SUM OF: Dollars ($-&Q10, on this ,j_day of 198J. for the purchase of the following described Cemetery Lot s) upon the terms and conditions as stated herein, Description of Property: Cemetery Lot (s)# Block# Unit# a Purchase Price:_ 3Q19 e4) Dollars(sd4f TVms and conditions of sale: 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 intrument: G� 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. witness per RECEIVED SEP 2 3 10$2 Purchase price $ Paidso.ay Date - YancssZ Paid,0,0,4Q Date Paid �D.ODDato BalanceSJA PaidlO,6e, Date alance$ Paid Date Balance$ &40a# .3s" ?/ �/Oe- oo. I sore- Pa4 wc��1"'3 Paid by CEMETERY Receipt No.... 0 0 8 , , , _ . , , , , Dated . ,12 - .3P .8 2 NO. {l ° Receipt # 08 'c List Price $ . , , ,300:00 , . Maximum No. Eurial Spaces ...... ?. ........ Deed #51 Net Paid$ ..,,,,300:00.... Monument permitted.., Flat. _ Lois B. McCartz3 /and /or Jean Lee Sharlo ; P.O. Box 454, 567 Wimbr Drive, Sebastian, Fla. R & R ISSUED (Data above tf�is line for City i.,,rd only�OTS I & 2, BLOCK 44, UNIT #2,Addo. Paid by CEMETERY Receipt No.... 008 12 -30 -82 .........Dated List Price 00 ce S..,,,.300:.... ............... .......... Naf. 0 2 Maximum No. Purial spaces... - 2 Receipt #008 Net Paid $ 300.00 ....... . Deed #512 ........ . ......... Monument Fla t Permitted ................ �� Lois B . McCarty /and /or Jean Le Sharlow; P.O. Box 454, 567 R & R ISSUED Wimbrow Drive, Sebastian,Fla. (Data above tbla line toy aty Reeord oWykOTS Z & 2, BLOCK 44, UNIT #2,Addn BLOCK 44, UNIT #2 ADDITION LOTS 1 6 2 DEED 512 RECEIPT" #008 LOIS B McCARTY P.O. BOX 454 567 WIMBROW DRIVE, SEBASTIAN,FLA. 32958 MR. MCCARTY INTERRED, LOT #1, 9182 I STATE OF FLORIDA y / OPARTMENT OF HEALTH & REHABILITAIRE SERVICES VITAL STATISTICS APPLICATION FOR OURIAL— TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Franklin Flay Mc Carty DEATH Sept. 27, 1982 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. 567 Wimbrow Drive 3. Name of Medical (physician Address Certifier Michael Zimmer, M.D. ❑ Medical Examiner 567 Wimbrow Drive 4. Funeral Home/ Name Address x3dii�xsa Pottinger & Son Funeral Home S. Indian River Drive Sebastian Florida 32958 5. Check a :0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b ❑ 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 6. Funeral Director/ �r B. C 10 will complete and sign the medical certification of cause of death. c ❑ was contacted on . He /she verified that re , Medical Examiner, will complete and sign the Fla. Lic. No. /Reg. No. BURIAL— TRANSIT PERMIT 27, 1982 Date Signed Permit No. 759 -438 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 Sub- Registrar Signature_ Date Issued 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. Awaiting period of 48 hours after death is required for all cremations. Method of Disposition: ® BURIAL ❑ STORAGE ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person-h -Charge ) CEMETERY OR CREMATORY y Place of Disposition Sebastian Cemetery Date of Disposition Sept. 29, 1982 This permit must be endorsed by the Sexton or person- inrcharge (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.) CE M 1ex:RECORD # Last Name Address i Address 2 City Deed # Unit # Lot Number Lot Number Lot Number Lot Number Comment Comment NEWCEM City of Sebastian, FL — Cemetery Lots MCCARTY First Name LOIS B. P.O. BOX 454 567 WIMBROW DRIVE SEBASTIAN State FL 512 Date 12 -30 -82 Amount 2 —A Block # 44 i Interred Franklin McCarty 2 Interred Interred Interred <B >ack Thursday, Mar 24, 2005 11:03 AM >e lete <R >e —se Zip $300 Record: 32958— Dte Interred 09- Dte Interred Dte Interred Dte Interred 1 <T —82