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HomeMy WebLinkAbout2-16-09Deed # 314 Cemetery �& 86 2/Z4��� & 2/23/�_: James T. Pattison Paid by �eneral Receipt No. . . . . . . . . Date�. . . . . . . . . . % P� O. Box 7Z List Price �. ?00.00..... �aximum No. Burial spaces ...?..... ROSe13nd, FZa. Discount $...... ...... Total area in eqnare feet ......... .... Lots 9 6 10, Blk Zt Net Paid $..200.00....... Moaument permitted . Flat......... Unit 2. ' �� (Data above t�is liae for City Record only) 7�� �p � �-/P tv. / . �\1 � , _- ---- � f� �` � � --- � ✓ �� ������_ � a-: � t U� � '����, � , ��� ` � • J �i ��,� V � � �`y� � r� G� �� t � - u ` � � • �� � .� �� �� � �' `� ��� y � �1�1 \��, � �� <. �I$ �a,-�� � 11� ��' !� �,`y � %.. ��A.� b �°' // V; /,Z f � fG ,s- �, , � `� . C�� `;, ��"' �. � �; ,. � � - ,�: � � �� � : . � � �, �. !�r ; �Ob , ' ` r'_ � �a �, � �: �- � .... ✓ .. COZBY, ANNIE (See PATTESON JAMES T. � � Deed 314 �, I Interred Lot 9, Blk. 16, Un, 2 `��! ��� - 2/3/86 � O�r� �an lC�, �8glo � o-W�e r �� Lp �,�,; 5 e Paff e-�s o r7 �i�ie� � I CEM de- st Name dress i dress 2 ty ed # lt � t Humber t Number t Number t Number NEwCEM City af Sebastian, FL — Cemetery Lots COZBY First Name ANNIE State 314 Date 2— Black # 16 9 Interred COZBY, pNNIE Interred Interred Interred SEE JAMES T. PATTESON Amount CF>wrd <B?ack <E>dit CD�elete {M>ext CF3reU CR Tuesday, Feb 01, 2005 12:32 PM Zip Dte Interred 02-03-86 Dte Interred Dte Interred Dte Interred !� � ' . . .. . . . . . . -. .. - � � �. � � I � . � Name � - �//4� Unit� Block__..J �3 Lot —_ � Date of Mark-out .� � � � �S �7 p ,� a {'1 y Date of Burial "� _� �,�? ^ � �^'° Time � �� � �� r-� ,�";i �r`i , Name of Funeral Home =� .� �^�::' �-_ ,�t i� `"� .u` �`�� �-' �"? ; F i"� , ,� �^ ��� __ _ _ __ .. _ . .._.._ _.. d _._ �-f � � � _ Authorized by � � t����,3e,'2..t � � --�,. T� I ,., ' \ _ ___ ____. .- � _._._.. _ ____ _ _ .--_ _ _ _ A. (Type or Print) Name of First Deceased STATE OF FLORIDA ARTMENT OF HEALTH & REHABILITAT�ERVICES VITAL 5TATISTICS APPLICATION FOR BURIAL—TRANSIT PERNiIT Middle last � �%� � %�i � � DATE Month Day Year OF ANNIE LAURIE COZBY DEATH FEB. 1 1986 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or INDIAN RIVER VERO BEACH Inst. INDTAN RIVER MEM 3. Name of Medical Physician Address Certifier ROBERT MOORE, M.D. ❑ Medical Examiner 2045 15TH AVENUE, VERO BEACH. FLORIDA 4. Funeral Home/ Name Address �irect Disposer STRUNK FUNERAL HOME 916-17TH STREET VERO BEACH FLORIDA 32960 5. Check a[� The medical certification has been completed and signed. A completed certificate of death accompanies Appro• this application. priate b� Secretary Marge 2/3/86 Box was contacted on . He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that DOCtOr MOOrB will complete and sign the medical certification of cause of death. �� was contacted on . He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ Direct Disposer B. C � medical certification. Signa Fla. Lic. No./Reg. No. r.�•` �C� � Z BURIAL—TRANSIT PERMIT Date Signed 2-1-86 Permit No. 130-86-33 Permission is hereby granted to dispose of this hody. �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" witl be filed with the Local Registrar of the County in which death occurred. Registrar or Sub•Registrar Signatu Signature or Medical Examiner, Date Issued 2-1-86 AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA Medical Examiner Date , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiner's approval must be obtained befo�e disposal by any of the above methods. A waiting period of 48 hours after death is required for all cr�matiaris. Method of Disposition: � BURIAL ❑ STORAGE � CREMATION � OTHER (Speci Signature of Sexton ► or Person-in-Charge 1 CEMETERY OR CREMATORY � Place of Disposition Sebastian Cemetery Date of Disposition February 3� 1986 This permit must be endorsed by the Sexton or pers ir �rge (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.) Apt�1 2�, 19�8 Mrar. Jame;s T. P�ttterso�'t 286 27t1t Av�ue t�era Ha+ach, F2orida 3,2960 DeB,t Mr�'. PBtte�oitt Thf�r wi11 a�ow3ec3ge receipt af your iett�ar of Apr3I 8, �t978 c�onc�erning your req�est to i�a1d ttan .Iats fos yri� whfch adjo.in Lc>ts 9 aizd 10, B2ock .26, ifiit 2, S�b�stian Cernetery. Unfortunately, aI1 .Iots 3n BZcack 26 .hav� been so1d. When we rece:ived no respcx�se to our I�tter af �Tovember 22, 1977, are were ob3igated to se.IS th� 3ot,��i �s requests were recei ved. For your �nfor�tia�a, a11 1at� in B2ack 17 have been sold but there are �oaie Ia�s avai2ab.�e 3n BZock 15, Black 15 is Zocated arest of HZocic l6. If yon are int�rested �Yn purchasr.fng some Zots in Block 15, i s�g�gest you cantact this office as soon as passible. As stated pr�v.tousl�, we are rmable to ho2d Iots open for an .fndef�nite per.tod. Kind regards. Sincerelr�. F3o.rertce �. Phelan �i t� CI erk Ft.��ee� '•_._ --- t-v���vL�-C � '! 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