HomeMy WebLinkAbout2-42-11DEED #477
CEMETERY 287 11 -10 -81
Paid by ,*AWAiXReceipt No . .................. Dated ...............................
ARTHUR H. YOUNG AND OR
List Price $.. 9QQ, 0Q....... Maximum No. Burial spaces ....2....... KATHERINE YOUNG
* * * ** 7400 JeansDrive, Lot 7
Discount $ .................. Total area in square feet*.**.* *,k *;e * * . .
200 00 Sebastian, Florida 32958
Net Paid $......... 0....... Monument permitted �� ..............
R. & R . ISSUED WITH DEED (Data above this line for City Record only) LOTS 11&12, B1k . 42A, Uni t 2addn .
i
UNITY# 2 addn, BLOCK 42A LOTS. 11 & 12
ARTHUR H. YOUNG
DEED #477
KATHERINE YOUNG
7400 JEANS DRIVE, LOT #7
SEBASTIAN, FLORIDA 32958
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• •
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUN OF:
✓ i0y Dollars ($
FROM:
on this "D day of , 1981 for the purchase of the following
described Cemetery Lots) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)# // $ /,?� Block# -A Unit# cP- 4- 406 -.-- ,
Purchase Price:Aoly Dollars($,,p0, #,q
)
Terms and'conditions of sale:
i
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.
City of #ebastian AW
Wi fhess
STATE OF FLORIDA /
RTMENT OF HEALTH & REHABILITAT ERVICES 1%2�
VITAL STATISTICS
APPLICATION FOR BURIAL - TRANSIT PERMIT t! a&
A.
(Type or Print)
1.
Name of
First
Middle Last
DATE Month Day Year
Deceased
OF
ARTHUR
HERMAN
DEATH 1JNF 24. 1gR7
2.
Place of Death
Yau>uc
City, Town or Location Name of
(If neither, give street address)
County
Hosp. or
INDIAN
RIVER
VERO BEACH Inst.
INDIAN RIVER MF.MnRTAT. FinRPTTAT.
3.
Name of Medical
[Physician
Address
Certifier
MUHAMMAl)
F Rnnf. M T)_ ❑Medical Examiner 777
37th RTRFFT VERB BEACH
4.
Funeral Home/
Name
,
Address
Direct Disposer
STRUNK FUNERAL HOME 1623 NORTH CF.NTRAT. AVF.NUF
_ SERAgTTAX
5. Check
a
The medical certification has been completed and signed.
A completed certificate of death accompanies
Appro-
this application.
priate
b
L.TSA (SECRETARY)
was contacted on 24 He /she verified that
Box
this death was from natural causes, that there was no
accident nor other external cause of death, and that
DR, FAROOQ
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. Funeral Director/ i nature Fla. Lic. No. /Bao -Ne. Date Signed
.IIiFe er / x� - I�72— JUNE 24, 1987 14KZ��
B.
BURIAL — TRANSIT PERMIT
Permit No. 1228 -87 -236
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
wilh the Local Registrar of the County in which death occurred.
Registrar or
Sub - Registrar
Date
Issued 11-1NII 24 1-997
C. AUTKORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA
Signature
or
, Medical Examiner Date
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
Method of Disposition:
❑ BURIAL ❑ STORAGE
❑ CREMATION ❑ OTHER (Specify)
Signature of Sexton )
or Person -in- Charge )
Place of Disposition
Date of Disposition
This permit must be endorsed by the Sexton or person -W- 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.)