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Home My WebLink About1-39-23a0 �ria�-c�Ic� °'' � 1 ' , �" tJ l5� � � � . , �(.,t� , , , . � --- � ��s � �,t` �'�� L1�o � j '� ; �p �' �-�.�y . �� - , , � � � r� : . - ; � � . - � �� ol� �� '�� . . .�' �� % �,- ,,,,��/ _ _ 6� i �� {�(�' '1 = ' � qo �o M4 ` r, � .� �� ,... , , a�: � � �a .y � / : , . ��-� -. �� ` 5 a � �� '�� ` ��' �� f� � ` � �C�R 0 �� s� 3� � t} , I �7 � .. .. . .. � iI �� . , � y � I �C" . `�, � c � � � ,• J +t� �.� � e, �? ; 3 i- i �' ;., � � ' :, � . � . � - � •-- � . � THE SEBASTIAN CEMETERY City of Sebastian Sebastian, FZorida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: � � FROM: �'f� I� �3 A i� A � I �✓ C L. A � p , � �l ° 3 �� - V %R� �.�Jt.✓�� - ( 1 � � � Dollars ($ � � � � ° ) �;J �� il /.1-�� S//i/C L� / �� —) 1,�; ,.,e�z,�� /�v /8y �r 3/j-5i��-�✓ r ��r�,�j,� 3�_`� S� on this �� day of �/ iJ,t/ i; , 1,9g�for the purchase of the following deseribed Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery z,ot (s) # o�. 3 slock# .��Unit# / ��' Purchase Price: � v2 � J. � � Dellars ($ 2 a�. o U ) .�t�o /��ti'��-7 �WrNi y-r-lVrr. Terms and'conditions of sa1e: This contract sha11 be binding upon both parties, the seller and the p�rrchaser, 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 se11 the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. J � /.G . , r L� �� i _ . �, ' �� — Li!'C �'�G�GG•Cy • ��'�/`'U[ • Witness BLOCK 39, Lot 23, UNIT 1 ADDITONAL Barbara Sinclair 703 E. Periwinkle Sebastian, Florida 32958 Norman Sinclair interred 2/20/84 __.______. Deed #1011 Receipt �376 Paid by CEMETERY Receipt No. . . . 3 76 , , , , , , , , , Dated . . . 6 �14 /84 List Price $ . . .. 225.. 00 • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Maximum No. Eurial Spaces . . . . .� . NetPaid$ ..., �25..00 flat .......... Lot 23,.BZock 39, UnMt 1 additional • � (Deta above tbia line for Cfty g,�� ody) !►I!� Barbara Sinclair 703 E. Periwinkle Sebastian, Florida � � � U�� 32958 STATE OF FLORIDA EPARTMENT OF HEALTH & REHABILil�/E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL—TRANSIT PERNIIT � �� ,�� i �i�/� A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased QF Norman Conrad sinclair, Sr. DEATH Feb. 17, 1984 2. Place of Death City, Town or Location Name of �1f neither, give street address) County Hosp. or Brevard Patrick Air Force Base Inst. Patrick Air Force Base Hospital 3. Name of Medical ❑ Physician Address Certifier L.E. MC Henry, M.D. �edical Examiner 1350 S. Hickory Melbourne, Fla. 4. Funeral Home/ Name Address 5. Check Appro- priate Box 0 6. Funeral f�irector/ B C�7 �] er & Son Funeral Home 1200 S. Indian River Dr. Sebastian Florida 32958 a� I he medical certification has been completed and signed. A completed certificate of death accompanies this application. b❑ 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 will complete and sign the medical certification of cause of death. �. I cedtifi�ation. is contacted on . He/she verified that Medical Examiner, will complete and sign the _ ' 2368 Feb. 17, 1984 � nature Fla. Lic. No./Reg. No. Date Signed BURIAL—TRANSIT PERMIT � y_,s3�L, Permit No. Permission is hereby granted to dispose of this 4ody. ❑ 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" will be filed with the Local Registrar of the County in which death occurred. Registrar or /' �f-- � �-- ' Sub-Re istrar Si nature � Date ;_ ,J _/ 9� 9 ��I'r'-�.�..:j .s�s�.''�-"C!i'z � ..! .r' / Issue�i ��1-'%z2-�..c: ,./ � O . /�e/r7" 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. Method of Disposition: [�BURIAL � STORAGE � CREMAT�ON � OTHER (Specify) Signature of Sexton ► eborat�'F� K�� or Person-in-Charqel ��. ,GS/J y C:ler CEMETERY OR CREMATORY Place of Disposition __ �aha Gt i a n rPmPt arX Date of Disposition Feb. 20, 1984 _ � ` , S�� - �j�°�- ��-�-v� This permii 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.)