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Home My WebLink About2-13-12Pat Flood, Jr. Elizabeth Reid Mayor City Clerk June 17, 1981 Mr. D. J. Revels Rt. 1, Box 105 Sebastian, Florida 32958 Dear Mr. Revels: On April 22, 1981, a payment of $50.00 was made on Lot 12, Block 13, Unit 2, As it has been over 30 days, we would appreciate it if you would stop in and make final payment of $50.00. Thank you! Very truly yours, Elizabeth Reid City Clerk ewan 1 � Iyl 1 q Juns 17, 1981 Ahr. D. J. Revels Rt. 1, Box 103 Sebastian, Florida 33458 Dear Mr. Revels: On April 33, 1981, a pnymetet of $50.00 was made an Lot 12, Block 13, Urd t 3, As it has been over 30 days, we emend appreciate it if you would atop In and make final payment of $50.00. Thank you! Very truly yours, Elizabeth Reid City Clerk MVdh J. REVELS A-ROY REVELS 155 RT. 1, BOX 105 SEBASTIAN, FLA. 32958 A'1Z 19 63-636 670 PAY TO THE ORDER OF CITY Of SEOASTIAN FLoRiDA FIRST NATIONAL HANK AT VERO BEACH VERO BEACH. nORIDA 32M MFMA WA,�*kj ��:0670 360 64i311' 24 X143 2111 M L A R S NO. RECEIVED FROM --'-e/-- '; e --13GUARS Account Total t) Amount Paid Balance Duo :L0 "THE C-FF1C16NCY*UNrAN ArApAU pR00= A • RECEIPT IS HEF.EBY FROM: • THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida OF THE SUM OF: s ($ �O- ) on this 6 day of 1981 for the purchase of�the following described Cemetery Lot(s)4iipon t terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # /1112- Block# 3 Unit# c-2- Purchase Price: Dollars($ ) Terms and'conditions of sale: 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 instrument: 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. Cit of bastian Witness .: STATE OF FLORIDA, 0EPARTMENT'Of.HEALTH & REHABILI E SERVICES VITAL STATISTICS U:YANT1 ( P MA AN P IUWWE SFNVK;Y! APPLICATION,F.OR BURIAL— TRANSIT PERMIT i A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased ALFRED LEROY , REVELS DEATH July ! 29 1989 2. Place of Death City, Town or Location M Name of (if neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial Hospital 3. Name of Medical 11 Physician ' Address Phone Number Certifier Muhammad Farooq ❑ Medical Examiner777- 37th.St.,Vero Beach,Fla.32960 567 -2277 4. Funeral Home/ Name Address Phone Number (Area Code) Direct Disposer Strunk Funeral Home, 1623 N. 'Central Avenue,Sebastian,Fla. 32958 407 -589 -1000 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. f x Box Indian River Memorial Hos. 7/29/$9 Box was contacted on within 72 hours after death. He /she verified that• th4i death was from natural causes, that there was no accident nor other external mouse of >death,arid that ' I , Dr• Faroog will complete and sign the medical certification of cause of death. C ❑ was contacted on . He /she verified that Medical Examiner, will complete and sign the medical certification. E 6. Funeral Director/ Signature t Fla. Lic. No. /Fa9r. w Date Signed Dom` 0 1672 7/30/89 B. BURIAL — TRANSIT PERMIT Permit No. 1228-89 -341 Permission is hereby granted to dispose of this body. 'I ❑ 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. If the certificate cannot be filed within this extended time limit, a "Funeral Director /Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for filigg the death certificate requested.' Registrar or bate 7/30/89 Date Certificate Subregistrar Signature .1 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. , D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery ® BURIAL ❑ STORAGE Date of Disposition August 1 1989 ❑ 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 maybe used) (Stock Number: 5740 - 000 - 0326 -2)