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2-42-13
1 / U)j/ a 77—, -. 1 ri 7 t I l 1 E \ 1 1 4 Authorized �gnr�ty` FOUNTAINHEAD MEMORIAL CEMETERY ♦ FUNERAL HOME ♦ CREMATORY 7303 BABCOCK STREET, S.E. PALM BAY, FL 32909 CERTIFICATE OF CREMATION THE UNDERSIGNED CERTIFIES THAT THE REMAINS OF - AMANDA R. BRUCE WHO DIED ON: MAY 190 20050 WERE CREMATED ON: MAY 309 20059 AND THAT ALL LEGAL REQUIREMENTS OF THE STATE OF FLORIDA WERE OBSERVED IN PERFORMING SAID CREMATION, AND THAT THE CREMATED REMAINS OF THE DECEDENT HAVE BEEN PLACED IN A PROPERLY IDENTIFIED CONTAINER. THE REMAINS WERE RECEIVED BY US FROM FOUNTAINHEAD MEMORIAL FUNERAL HOME BURIAL - TRANSIT PERMIT FH1442- 174 -05 CREMATION CERTIFICATE #6077 NAME OF CREMATOR MAY 30, 2005 DATE UNIT 2 ADDN. BLOCK 42 A LOTt3 WILLIAM G. BRUCE 367 SCHUMANN DRIVE C Rr MR(N$ (P.O.BOX 141) SEBASTIAN, FLORIDA 32958 BRUCE, WILLIAM G. 367 SCHUMANN DRIVE $P. O. Box 141) SEBASTIAN, FLORIDA 32958_ UNIT 2 ADDN. BLOCK 42 A LOT13�Ie DEED # 4 86 318/SY Un.2 Addri. Blk. 42 A Lot 14 Deed #471 - 9/14/81 Mrs. Bruce interred �1'l2T(81 (cremains) 1,(/M, �• b,���� 1-o 771.3 CC ��// UNIT 2add, BLK 42A, LOT 13 Paid by &�eRce7pt No. ..0.05...... .... Dated ..3.- .8- R2 ................. BRUCE, WILLIAM G. Box141) List Price $„ 100. 00 Maximum No. Burial spaces. .1...... 367 SCHUMANN DRIVE ( " SEBASTIAN, FLORIDA 32958 Discount $ ...... - .0- ....... Total area in square feet *.. *..*.lt *. *. *. *.. *. Net Paid $..10.0...00...... Monument permitted .FJA.'t ............. DEED # 486 ISSUED WITH DEED (Data above this line for City Record only) 0 0 THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: /o-a 1jars ($ 1A N Eq MM _ 0®5 on this ' day of , 198,,for the purchase of the following described Cemetery t(s) upon the terms and conditions as stated herein; Description of Property: Cemetery Lot (s) N 13 Block# Unit# Purchase Price :U14a-`, Do1lars(sx0e, "rp ) Terms and conditions of sale: (ii��U /01� -- •7�� /pot 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: v� 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 City of SebastiAW ZL Witness Purchase price $_ ADO. Paid .112. oa Date V Balance$ d0. D Paid,, &-7) Date Balance$ Paid Date Balance$ Paid Date Balance$ Paid Date Balance$ EGLE M PHILLIPS $324 2129 W New Haven Ave Apt 355 West Melbourne, FL 32; , i 16 5' 63.6431670 - BRANCH 0OW3 Date ay to the P ot�aerof_ Vs, �u i t oa.u. on bM. Dolirs WACHOVIA Wachovia Bank, N.A. wactovia.com For ""t G,p �Y1 e l J IYP I:06700643-2r.1 —kSE3— "718184311' 8324 X� s S s O LL a • i 1 r e • 0 O V I �1 1%, 1 1 c 0 s ©1 o� t 0 M mr Pr sr 0 e d � A A O ff co MEm W W CA.) 8 8 8 8 8 8 0 C4 1 c 0 s ©1 o� t 0 M mr Pr sr 0 e d � A A O ff co MEm W W CA.) LJ CEM Index: Last Name Address i Address 2 City Deed # Unit # Lot Number Lot Number Lot Number Lot Number Comment Comment City of Sebastian, FL - Cemetery Lots BRUCE First Name WILLIAM G. 367 SCHUMANN DRIVE P.O. BOX 141 SEBASTIAN State FL 486 Date 03 -08 -82 Amount 2 -A Block # 42 13 Interred BRUCE, WILLIAM G. Interred Interred Interred <B >ack Wednesday, Mar 09, 2005 01:02 PM <D >elete < v <R >e Zip $100 32958- Dte Interred 01 -12 -90 Dte Interred Dte Interred Dte Interred 1 <T