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TH18 INDENTURE ![ADE T� .... . ..5 th. . . . . . . . . . . d�y ot . . . . October ..... . . .. .. .. ............ .... . A. D, lY 84...,
betveeen the Clty at 8ebwtiaa. a mualclpsl aorywrstbn e:irtlns undcr tbe Iswr ot the 8tate ot Flarid�. �� draato� and
Joseph H. 6 Dora J. Barron
................9 9 7� De van �A ve........,...........................................................................................
. . . . . . . . . . . . . . .S��as.� �au.,. . F.1 R�'.id a . . 3 z 9 5.8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ot the County of .....Indian River ...................... .....Florida........................................
saJ 8tste of
.. ar.nc�, wrrx$se$Tx� �
Thet tha Grantor for aad ln coneideradon of the wm of $,300 : 00 ...,. . ............� jt in hend pald� the reoeipt wheroof 1� horewith ao-
knowlad�ed. doo� by this in�umont grant, bargain, eeU, mloaae, wnvey and aonfirm unto tha Grantoe , the i r. .}��.�� ��1 repraeentetiva qnd ru1�i
tl�a followin� property aituated in Sebaatien. Indian ltiver County, Florida, to-wit:
All of Lot(e) ,?�.&, 1�bdc 3 9 UN1T ,1. Ad d.. .... � of Sobastian municipal oemetery aa per Plat Numbar 1 thoreof recorded ln Plat
� �.........
Book 2� at paga 6S of the publia racorde in the ofSce af the Cieck of tha Clrcuit Court of St. Lunln County of Florida; �ald lend now lyit►� �qd ba1n�
tn Indiaa River CouMy, Flodda.
To Have and to Hold the sema forever; providad that said property sl�all ba uae�i solely and exclusivaly for the interment of the human doad and shall
bo used, kept and maintained at all times in acoordancxi with the mlea and regulationa, ocdinancea and reaolutiona of the City of 3obastian, Florida, horeto-
foro. now and haroaftar adoptod or provided for tha govamment and opuration of eaid camatery. Tha conditiona, restrictione and requirementa containod
in thia instrument shall ba covanante running with the land. ln tha event of tha failure of tha ownet of any proparty eituated within eaid cametery to ob-
eerve and comply with auch rules, raguJadone, reeolutionr and ordifwncea and tho conditione of tho ddad of conveyance thetaof then the title of such ownec
in and to aaid pxopnrty ahall terminate and tha eame ahell rovert tn the City of Sebaxtian, Florida
W WITNESS WHEREOF, The eaid party of tlb first part has aueed this inrtrumont to be oxacuted in ita name and on ite bahalf by lt� Mayor and
attested by it� City Cloik and ite corporate aoal to be hecato afHxed, the ciay and yaar first above writtan.
Atke � . '
. .. ...�... ......... ......
Clty Cierk
RlRnrd, Sealed aod Delive�ed
!n thc Prerence oti
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9TATE QF FLORIDA
COUNTY OF INDIAN R1VEA�
CITY OF 3EnA6TIAN. FLOYi
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ltfio�
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I HEREBY CERTIFY. 11u►t on thb ...... 5 th .............day ot
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October .�_,,,;, �
.... . ................... ...............� �...�
befo�e me perronelly appeand , .. .. . J1m , Ga11 a.qher . . . . ... . . . . . : . . . . . . . . . . . . . . . . . . . . . and . .��kP.z�ab. G.. .(�.L'd34S :... . .......
re�prctfvely Mayor �nd Clty Clerk of the Cit� o[ BeD�tlan. • onunlolprl corpor�tion under the I�w� of tbc 3tste ot Flo�ida to mt knm►n
t�l M Lhd lo�llvltiurlM �N) ottilk�rt t�Nfi�itll�il i�l �tl vrl►o �niillUl+a� t�b i+�r�l1i� tl��ii�M�i �e
..............Hose�h. H:..Barron & Dora..J.•.. Barron........................................................................
................. .:,,.�:.. ........... ................. �nd severally acl�oowlal�ed tAe nxecutlon thereot W be thelr tree set �ad deed
a wch otticee�.ilieralunlu'ilul� �ulho�lacd� �qd tb�t the Olticiat re�l ot kld corpat�tlon b duly Nfflzed thersto� �tpd tha �Id.conteyance
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S7ATE OF FLORIDA
PARTMENT bF HEALTH & REHABILIT�E SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL—TRANSIT PERNIIT
�./ � ,(3 3 9 ��9
�� �
A. �Type or Print)
1. Name of First Middle Last DATE Month Day Year
Deceased OF
Joseph Harold Barron DEATH Nov. 14, 1984
2. Place of Death
County
Indian River
City, Tawn or Location
Roeeland
Name of (If neither, give street address)
Hosp. or
Inst. Humana Hospital Sebastian
3. Narne of Medical �Physician Address
Certifier garhat Khawa ia, M.D. ❑ Medical Examiner Bay Street Center Roseland F'lorida 32957
4. Funeral Home/ Name Ad dress
g�,a��� Pottinger & Son Funeral Home 1200 S. Indian River Dra.ve Sebastian Florida 32958
5. Check a� The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate b� was contacted on _ . He/she verified that
Box this death was from natural causes, that there was no accident nor other external cause of death, and that
6. Funeral Di
will complete and sign the medical certification of
cause of death.
�❑ was contacted on . He/she verified that
, Medical Examiner, will complete and siyn the
i��}�tdi� c�rtification.
,/�/,����„ _„�N � 2368 November 15, 1984
Signature
Fla. Lic. No./Reg. No. Qate Signed
e• BURIAL—TRANSIT PERMIT
Permit No. 759-575
Permission is hereby granted to dispose of this body.
�] A five day extension of time for filing the death certificate jexclusive of weekends) has been reyuested and
granted. If it cannot be filed within this time limit, a"Funeral Director/Direct Disposer Report" will be filed
with the Local Registrar of the County in which death occurred.
Registrar or
Sub•Reqistrar Sianatu
t� �
Datu <��f��,� �� �J �'',t
Issued- J � �"L' �
;.�..:;,�....�_-;,..,.�,� a.._.,�� . _
_ . _ . __�
r�k�1`�"�`�1��'#iA�?�'f`M�I�i i+r�� #Plli��l�a14�i'���3i�j� f����(�f�`�'ii�fl�! i�i' �`bi�ii`I�r"�a�.��si�►'F"=�i�lrtd�!
Signature , Medical Examiner Date
ar
Medical €xaminer, , gave authorization by telephone to
Funeral Diractor/Direct Disposer. Date
7he Medical Examiner's ap�rnvel must he obtained before disposal by any of the abovQ methcads. A waiting peri�ci ot 4� hourc rit�tr d�ath
is r�quir�ci fr,r wll oram�tiUns.
�� CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition Sebastian Cemetery
�x [BURIAL � STORAGE Date of Disposition Nove([ibex 17 � 1984
❑ 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 Oisposer when there is no Sexton)
and returned within 10 days ta the local County Health Department in the County where disposition occurred.
NRS Form 326, APR. 81
(replaces previous editions which may be used.)
� �f . �
BZOCK 39, LOTS r2 & Z3, UNIT 1 ADD.
Joseph H. & Dora J. Barron
997 Devon Ave.
Sebastian, FZorida 32958
Joseph interred - IZ/17/84 - Lot 12
Paid by CEMETERY Receipt No. . . , 383. . , . , . . . Dat� . .10 /5 /84 NO.
. .......................
List Pria S . .300 : 00 . . . . . . . . Maximum No. Pucial Spacea . . . 2 . . .. . .. .. . . . .
Net Paid s , , 3 0 0 : 0 0 . . . . . . . . Monument permitted . . . , , , F1 a t 1 ( , � J
............. . 1. V
Lots 12 & 13, Block 39, Unit 1 addition .7oseph H. & Dora J. Barron
997 Devon Ave.
(Data �bo•e tb� Une for pty Reooed only) Sebastian, F1oz'ida 32958