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Home My WebLink About2-08-03C ova�.�ati v j- r r ,S� y 1� �✓ow E5 K N v= �'0 44 r 44 f .A � f CO THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: t- Dollars FROM: I S .E V,,6� k,N AJ P'g % ' 7 J19 on this fly day of , 1981 for the purchase of the following described Cemetery Lots) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # .5 Block# Unit# Purchase Price: V C%i.' Dollars ($ Terms and conditions 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. City of Sep6stian Witness DEED #452 Cemetery Van and /or Evelyn Pate Paid byX&YnYV Receipt No. June 11, 1981 10th Street, Sebastian, Florid, 2 5 8 .. Dated .............. """"' P. O. Box 743 List Price $. 100.00 Maximum No. Burial spaces 1 Sebastian, Florida 32958 Discount $...707 ........... Total area in square feet . .. . ......* " * * " * ' : Lot #3, Block #8, Unit # 2 100.00 fl a t Net Paid $... . . Monument permitted R. & R. issued with Deed (Data above this line for City Record only) PATTERSON, Benjamin Collie DEED #452 (Pate) Lot 3, Block 8, Unit 2 Interred 11/24/84 PATE, Van L. and /or Evelyn J. P. O. Box 743 Sebastian, Florida 32958 UNIT # 2 LOT # 3 BLOCK# 8 fwe DEED # 452 c=c CEM Index:RECORD # NEWCEM Record:763 Sea.t,ch by Field Contents City of Sebastian: FL - Cemetery Lots Last Name PATE First Name UAN L. & EUELYN J. Address i P.O.BOX 743 Address 2 City SEBASTIAN State FL Zip 32978- Deed # 452 Date 06 -11 -81 Amount $100 Unit # 2- Block # 8 Lot Number 3 Interred B.C. Patterson Dte Interred 11 -24 -84 Lot Number Interred Dte Interred Lot Number Interred Dte Interred Lot Number Interred Dte Interred <F >wrd <B >ack <E >dit <D >elete <N >ext <P >rev <R >e- search <L >abel <T Thursday, Jan 20, 2005 10:14 AM <Esc> April 23, 1981 Mr. & Mrs. Van Pate loth street P. O. Box 743 Sebastian, Florida 32958 Dear Mr. & Mrs. Pate: According to our records, we are holding the follovidng cemetery lots for you: fv , & 16, Alock 8, Unit ,2 As there have been no payments made an them, would you please let us know if you are still interested in them. If we do not hear from you within the nextt30 days, we will assume that you do not want them. Very truly yours, Elizabeth Reid City Clark BRIJIf A, 4 U, e- STATE OF FLORIDA DEPARTMENT OF HEALTH & REHABIL11VOOJE SERVICES 4 3 a VITAL STATISTICS APPLICATION FOR BURIAL— TRANSIT PERMIT A. (Type or Print) First Middle Last DATE Month Day Year 1. Name of Deceased Benjamin Collie Patterson DEATH Nov. 21 1984 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne Inst. 2760 Allen Hill Ave 3. Name of Medical ❑ Physician Address yp 1350 S. Hickory St. Melbourne, Florida Certifier L.E. McHenry, M.D. ®Medical Examiner 4. Funeral Home/ Name Address 90 Florida Direct Disposer Brownlie & Maxwell Funeral Home 1010 E. almetto Ave. Melbourne 5. Check a x❑ The medical certification has been completed and signed. A completed certificate of death asoompanies Appro- this applications: _. -. u _ ,:--Aft, priate b ❑ was contacted on . He /she veritied that Box this death was troll) natural causes, that there was no accident not other external cause of death, and that will complete and sign the medical certification of 6. Funeral Director/ Direct Disposer B Ruse of death. / was contacted on . He /she verified that Medical Examiner, will complete and sign the ical certification. Signature Fla. Lie. No. /Reg. No. BURIAL— TRANSIT PERMIT Date Signed Permit No. AWSWS 984 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. If irAannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed with tbeAd al Regi ;tkar gjrthe County in which death occurred. Registrar or Sub- Registrar Signature Date Nov . 23 1984 Issued 1 C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA C Signature or , Medical Examiner Date 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 OR CREMATORY Method of Disposition: [3 BURIAL ❑ STORAGE ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton 1 or Person -in- Charge ) .,G"-z - Deborah C. Krages, Ci Place of Disposition Sebastian Cemetery, Sabestii Date of Disposition Nov. 24, 1984 Floridi C1er 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, APR. 81 (replaces previous editions which may be used.)