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TH19 INDENTUAE �ADE Try , , , ,1,1 th, , , , . . . , , . . . ,7�1 y
dRy ot . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A. D., lA. 84 ,
betpeen lhe Clty of SebseWn. a munlcipal corporstlon dst(n� unde� the bwr ot the 9t�te af FlorWti u arautor snd
Armando,and/orBlanche DeViy,o
.... ......... ....... ... .............................................................................
1208 W. Barefoot Circel, Barefoot Bay: Florida 32958
....................................... .. ................... . ................. ............................................
o! the County ot .....Indian, River ...................... �l State ot .......F1or.ida............
� �irantea, WITNE88ETH� ..........................
That tLe Grantor for and in conmderation of the aum of S. T.QQs.QQ . ....... ......... to it in hand paid. the reoeipt whereof ie herewith ao-
knowbdQod, doa by tlw inetrumant grant, baz�ein, eall, roloaee, oonvey and confirm unto the Granteo t�e {�', ,, heire, leQal repreeentatives and a�dgn�
the tollowin` Qropecty dtuated in Sobarilan� 1Mlan Rlvet County, FlorWr� to-wlt:
All of Lot(s) 15 &16 � gb�� . . .29 , , , UHIT . , , . �, , , , , , , , , of Sobastian municipel oametery se par P1at Numbat 1 thereof reoordad ia Plat
Book Z� at pa�e 65 of tho public ra�rordr in tha ofSce of the Cletk of tha Ckcuit Court oF S� Lude County of Florida; said lund now lying and beinQ
in Ind3au Riv�r County. Flodda
To Have and to Hold tho seme forever; pmvided that eaid property ahall be uead eololy and oxcluaivaly for tha intorment of the human doad and at�all
be u�ad� kept and maintained at all rimea in accordanoo wlth the ruka and ragulationa. ordinanoea and reaolutions of tho City of Sebaatian, Florida, hereto-
fora, now and hereafter adoptad or provided for tha government and oparation of said co�tary. Tha conditlons, reatrictions und requirements contained
in this inatrument sl�all be oovenantt running with tlm land. In the avoM of the failura of the ownet of any property situatod within aaid cemetety to ob-
aeive and comply with such rulea. reguladons, raeolutione and ordiiwnas and tha conditione of the debd of conveyanae tharoof then tho titb of such ownor
iu and to aaid proparty ahall terminato and the samo aUall revert to the City of Sobastian, Florida.
W WITNESS WF�REOF, The aaid party of the firat part has wueed thia inatrument to bo executed in its name and on ita bohalf by ita Alaxyor and
atteated by its City Clark and ita oorpotata eeal to bo harato affixod, the day and yoar firat above writton.
.� ` ... .
Attest� .. . . . , .i�.�'�P.V.......
�
ty Qerk
9ignr�i� 3ealed und Dellve�e
!n the Preaence ofs
. . .�.. . �..�G�.�Ii�e�..�...�Z_...r. . . . . . . . . .
.���..,.�?...�:j e..w .............
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3TATE OF FLOItIDA
COUNTY OF INDIAN R1VER
CITY OF BEi�ABTIAN� F RIDA
B� . . ` .......... ..� .................
l�yPe � . .
I NEHEBY CERTIP'Y. Tbat oa thL .......11 tt�...........d�y ot
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i
\��� O���M' • ... �.,� ,. � . ..
. .A ._.. �� :.
..... J4��y ........................... ~ .......� 1�4.�
betore me perronally •ppesnd . . . . . . Jim Ga11 aqher , , , , , , , , , , , , , , , , , , , , , , , . Del�otah ,
........... .......... sad . ..G•..��'�?9€�...,.........
re�pectively Mayor and Clty Clerk ot the pt� ot 9ebutian„ � munlcipal corporatlon unde� the law� of tbe 8tate of Florlda to Iae kaowu
to be the iadlvidurlt und otlicen de�cribed lo u�d wlw exeeuted tbe tore�oln� cw�eyance to
Armando and/or Blanche DeVivo
..................................................................................................................:.....................
..... ...................................... .. ... and re�eeally �cicoowledQecl tAe executlon thereot to be thelr ttee aet end deed
as suci� offkers Urcrrunto duly authorl�di �nd�tbat •tbe O(flcW eeul of uW corporstion Ir duly attlzed theretq and the wfd cpnveyance
it thc act and derd ut eaid corporaUon.
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Name � l�' r/ �� !/.t..� t�.7. //.:. T��
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Unit _
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Block
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Date of: Mark-out �^ � �
,
Date of BuriaF
��✓� ai ! � � Time � � ' Q � � ` '� �
Name of Funeral Home � j^"`� '�' �
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Authorized by
I
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BLOCK 29 LOTS 15 •& Z6 '-
Armando and.�or Blanche DeVivo
1208 W. Barefoot Circle
Barefoot Bay, FZorida 32958
UNIT 2
Deed ItZOZS
Receipt #OZ4
Blanche M. Devivo interred Lot 16 - 8/29/89
STATE O F F LO R I DA ���o
�RTMENT OF HEALTH & REHABILITAT�ERVICES /� � �
VITAL STATISTICS /cJ
.. , _. ._ _. . _ _ _ .
APPLICATION FQR, BURIAL-TRANSIT PERMIT LI O�-
A. (Type or Print)
1. Name of First Middle Last DATE Month qay Year
Deceased OF
BI.�►N�HE MARGARET DEVIVO DEATH AUGUST 25, 1989
2. Place of Death City, Town or Location :;,;,. Name of (If neither, give street address)
County Hosp. or
BREVARD MELBOURNE Inst. HOLMES REGIONAL MEDICAL CE�ITER
3. Name of Medical �CPhysician Address — 50 Phone Number
Certifier JOSEPH MCCLURE, M•D. p Medical Examiner 200 E. SHERIDAN ROAD, MELBOURNE', FLA
4. Funeral Home/ Name Address Phone Number (Area Code)
���ibser STRUNK FiJNERAL HOME 1623 �T. CENTR.AL AVE. ; SEBASTIAN� FLA. 407-589—�.000
5. Check a� The medical �ertification has been completed and signed. A completed certificate of death accompanies
Appro- this application. -
priate LISA
Box b� was contacted on 8/25/8�„ within 72
hours after death. He/she verified that this de�th was #rom natural causes, that there was np accident nor
other external cause of'death, and that` ' DR. MCCLURE will complete
and sign the medical certification of cause of death.
6. Funeral Director/
D+FeeE�Bi�eseF
�❑ was contacted on . He/she verified that
, Medical Examiner, will complete and sign the
medical certification. _
ature Fla. Lic. No./Regrfds' Date Signed
� C� 4�1672 8/2�/89
e• BURIAL—TRANSIT PERMIT Permit No. ?�-�g�—�92
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. tf the certificate cannot be filed within this extended time limit, a"Funeral Director/Direct
Disposer ReporY' will be filed with the Local Registrar of the County in which death occurred.
❑ No extension of time for fi ' g the death certificate re�uested.
Registrar or ��, � �
Subregistrar Signature -6 �-- -�G,l� / rL.�%�,�'?��
Date $�25�89 Data Certificate
.Issued: 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. �
�• CEMETERY DF�._CREMATORY
Method of Disposition: Place of Disposition SEBASTIAN CEMETERY
� BURIAL ❑ STORAGE Dateof Disposition
❑ CREMATION ❑ OTHER (Specify)
Signature of Sexton )
or Person-in-Charge )
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 County Health Department in the County where disposition occurred.
HRS Form 326, Oct 87 (Replaces May 86 edition which may be used)
(Stock Number: 5740-000-0326-2)