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State of Florida
Full name of deceased
Place of death
,e/7 z/02
Dopr—erient of Health and Rehabilitative Service •
Divisio of Health
Burial Permit No. Health
BURIAL-TRANSIT PERMIT
Lillia$ Posey Kelly
Sebastian Indian River
Florida
(city) (County)
Date of death October 30 19 75 Color Sex f Age 71
Method of disposal 5urial Sebastian CeneIery
(Cemetery or Crematory)
County
(Whether burial, cremation, transportation, storage, etc.)
Indian River
State Fla.
A certificate of death having been filed as required by the laws of this State, permission is hereby given
to D-qllel P. Pottinger
License No 1579
(Funeral Director or person acting as such)
to dispose of body of said deceased as above stated.
Date issued 10-31-75
av1A-a.. L,7
(Registrar)
OUT SPACE BELOW
(Cemetery of-Grepargel.
Signature
Signature ea?
METERY OR CREMATORY AUTHORITY SHALL, FILL
fraYe
Body was... on
, (State whether cretmrtect, buried, stassell-etc.)
Place..
V.S.,640
This permit must be endorsed by the Sexton (or by the Funeral Director where there is no sexton) and re-
turned within 10 days to the Registrar of the district in which the burial takes place.
(*letetotr-or person In charge)
Daniel R. Pattinger
FUNERAL DIRECTOR
•
Colonial Axxneral Plante
South Indian River Drive
(4rbastian, 3Flariba 32958
LILLIAN P KELLY
NNI702/ f' /975
Pima ireleJltmte
589 -4009 ar 589 -91300
o v .S /97,
1
lavAl '' — taL Lt/,I ii
_Sebuziiatt'S A1rst !finest
'SERVING ALL OF INDIAN RIVER AND BREVARD COUNTY'
7--Xaoci
Paid by General Receipt No. 44
List Price $. 175 'DO
Discount $ --
Net Paid $ 175.00
R &R A
•
Dated Nov 3, 1975
Maximum No. Burial spaces
Total area in square feet —
Monument permitted fl a t
(Data above this line for City Record only)
mrs. Julia Bepler
Rt 3, Box 91
Sebastian, F1 32958
lives at Kx A l cottages (C
BLOCK 17 LOT 3 Unit 2
(for Lillian P. Kelly - mot!
Block 17
Lot 3
for mrs. Lillian P. Kelly mother of:
Unit 2
DEED #282
mrs. Julia Bepler, Route 3 Box 91
Sebastian, Fl 32958 (Kentucky Colonel Kottages)