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• CEMETERY RECEIPT # 255
DEED # 449
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUN OF: \
,A4A -e .. -k �u - 'ic-2 fi�ol1ars
FROM: L�. /,( ate,,,,,
on this o? day of 't 1.981 for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s)# 9.� /Q Block# Unit# G�GCd -w
Purchase Price: —4,, -e Dollars($ BOO )
Terms and`conditions of sale:
'4 aC. Ck s'163 00
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.
RECEIVED MAY 2 g 1981 t
City of S stian
mess
DEED #'449
Cemetery #255
Paid by Receipt. No. ... .. Dated ,5 -28 -8Z .......... William J. Al ter
List Price: *200.00 * * ** " 998 Seneca Avenue
Maximum No. Burial spaces .... ,2 .. .
Discount Sebastian, Florida 32958
0- .... , . ... Total area In square feet .. * * * * * * * * *
Net Paid $:... *.204..O0 . , , , . Monument permittedflat , , , , , , , , , ,,, , Unit #2 add., Block #44, Lots #9&10
INTERRED: LOT #10 De1or &S E. Alter
R. Q R. Issued with Deed (Data above this line for City Record only)
I
1� 1
0
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COPY
uc;X
Not to be used by any other than a registered Medical Practitioner
THE BIRTHS AND DEATHS REGISTRATION ACT, (Section 24 -(1) (b).
MEDICAL CERTIFICATE OF THE CAUSE OF DEATH
To be given by the Medical Attendant to some person qualified to be an informant for the Registration of the Death.
i HEREBY CERTIFY that 1 YXek .p.eozmed • an autopsy oil, �px�$, .... A1tE
>U0i K..... MXiXs= that such Person's age ii as stated to be . 46 -.yea s .. ; &RX 74. n"
- ass � p..m .. inf formed
o .......................... aiz�Yi� %e ......... ............ )�9X . that e died" on
twent On bard
the ......... Y'1.. ......... day of ....r?ay............ i 991.... ; at SS • Amerikanis
—and that to the best of my knowledge and belief the cause of lP-.X ... death was as hereunder written.
"Should the Medical
Attendant not feel
justified in taking upon
himself the responsibil-
ity of certifying the fact
of Death, he may here
insert the words 'as I
am informed."
+i.e., the disease
which initiated the train
of events leading to
death, and not a mere
secondary, contributory,
or immediate cause, or
a terminal condition or
mode of death.
+ +A terminal condi-
tion or mode.,of_ death
should not be entered
as a secondary (or con-
tributory) cause.
CAUSE OF DEATH .,.
-
Duration of Disease from onset
Fears
Calendar
Year
Days
Hours
Primary +(I) Acute m ocard al in
Secondary ++(2.)
Contributory
arct.
Witness my hand this twenty-,s even�th, day of ... 3Y .... I
f 14BBS
Signature ...... r/• -'
Qualification as registered by Medical Practitioners Act
Highland , Park.. Rau= . ..... .
Residence ...... ' ' ' ' ' ' ' '
N.B. —The person to whom this Certificate is given by the Registered Medical Practitioner IS REQUIRED TO DELIVER
IT TO THE REGISTRAR OF BIRTHS AND DEATHS, after it is produced to the person who buries or performs
any service for the burial of a body, and is liable to a Penalty of forty shillings for failure to do so.
The Registrar - General cautions all persons against accepting or using this Certificate for any purpose whatever except
that of delivering it to the Registrar.
(THIS CERTIFICATE IS ISSUED FREE OFF CHARGE.)
t .
Artistry in iC
Memorials
Merritt Monument Company, Inc.
4820 South U. S. Highway 1
Fort Pierce, Florida 33450
Phone: 464 -5547 or 464 -3755
December 21, 1981
FOR APPROVAL
SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SIZE: 54" x 14" x 6" 1 Granite
NAME: ALTER
BILL LORI
1932 - blank 1935 - 1981
Legal Descriptian
SECTION: Unit 2 Addition
BLOCK: 44
LOT s 9 - 10
SPACE: 9 - 10
SQUARE FEET__ _ APPROVED"
Granite - Marble
Bronze
�t
,,Hg7aa,
,14 -0 -L",-k,
CHECKED BY DATE:
BY
Carol O'Farrell
THEY HAVE NOT BEEN FORGOTTEN"
CEM
iex:RECORD #
ast Name
ddress i
ddress 2
City
Deed #
Unit #
Lot Number
Lot Number
Lot Number
Lot Number
Comment
Comment
<F >wrd <B
City of Sebastian, FL - Cemetery Lots
ALTER First Name WILLIAM J.
998 SENECA AVENUE
SEBASTIAN
449 Date
2 -A Block #
9 Interred
10 Interred
Interred
Interred
Thursday, Mar 24, 2005 11:28 AM
>dit <D
State FL
05 -28 -81 Amount
44
ALTER, DELORES E.
xt <P
Zip
$200
Record:
32958-
Dte Interred
Dte Interred 05 -29 -81
Dte Interred
Dte Interred
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