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CI County
State of Florida •
Depr- `dent of Health and Rehabilitative Services •
Division of eelth
ial Permit No. __ .
BURIAL — TRANSIT
PERMIT i7 , 1
Full name of deceased Albert A toy s i a c i t son gel
Place of death Sebastian Indian river
Date of death (county)
197-5 Color Sex
Method of disposal Age
T.r._aia. xa rta.tinn.- .u.z:a.zi Seba - t iln
oriel, creme 1
(Cemetery or Crematory)
Florida
(City)
Juiv 16
Florida
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at
(Whether b Lon, transportation, storage, etc.)
Indian ?iver
State
W A certificate of death having been filed as required by the laws of this State, permission is hereby given
Da n i e l o t t i n ae r License No 1579
(Funeral Director or person acting as such)
to dispose of body of said deceased as above stated.
Date issued 7 –1%1 – % 5
Signature.,J,
CEMETERY OR CREMATORY AUTHORITY SHALT. (Registrar) B
Body was Buried on July ld i5 OUT SPACE B
(State whether cremated. buried. stored. etc.) 19 in Sebastian cemetery
Place S4bmat-ia+fta.._Florida (Cemetery or amatory
Signature 4(./- �,(�.,........—.
v.,. "f1,t 0 person in charge)
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.
a
Paid by General Receipt No.
List Price $
Discount $
Net Paid $
.e/
(for Mr. Wilson)
Dated .
. , . ......
Maximum No. Burial spaces
Total area in square feet
Monument permitted 4-'"4-•—•=
/1
(Data above this line for City Record
only)
Mrs. Albert (Ellen)Wilso
El Capitan Mobile Park
Lot 5
Sebastian, Fla. 32958
Block 17, Lots 15 & 16
Unit #2
• •
Colonial xxneral Pante
South Ind'an River Drive
*bastion, Jlariba 32958
3 uniel R. pattinger
FUNERAL DIRECTOR
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G�V rt. E g,4 -''J A-y,v
T ,`r'G lr , 37 .Gft'.'ef"- 5 d.r
1- C-9/3' p;4#- A?f4? </
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Flease titelepllane
589 -4000 or 589 -9080
,Artefi
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v/y-if /022,y\,4
,ffitbastiou's ! rsf Anil Airiest
!SERVING ALL OF INDIAN RIVER AND BREVARD COUNTY'
•
Colonial Amend iDm
South Ind'an River Drive
*4rbastian, 2Floriba 32958
Daniel . roftinger Lease telepllone
589 -4000 ar 589 -91100
FUNERAL DIRECTOR
/�L L / r ,9 . !4/i'L $o'/
/q/f --- /975--
1
4.410-4)(A7
ebastian's !rind Anti 31Cinest
!SERVING ALL OF INDIAN RIVER AND BREVARD COUNTY!