HomeMy WebLinkAbout1-39-27aCEMETERY -
Paid by ��� Receipt No. . 265 JuZ 9
. . . . . . . . . Dated. . . . . . � . . .� . I98,�. . . . . . . . . . .
List Price $. *$�QO..RO� , 2
• Maximum No, Burial spaces ............
Discount $.... ,� ._ i
........ Total area in s **********
Net Paid * 200. 00 * �°8� tat , , , , , , ' , •
���"�""""'•••• Monument
permitted . ,�1a i. , , , , , , , . . . .
R• & �'• ISSUED WITN DEED
(Data ebove thIs line for City Record only)
DEED # 460
LOEFFLER, Mrs. Margarete
1 Gai1 Road
Sebastian, FZorida 32958
UNIT #Iaddn., BLK. 39, LOT#27&28
EUGENE INTERRED 7-Z1-81
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DEPARTMENT OF HEA�TH AND REHABILITATIVE SERVICES
VITAL STATISTICS
•APPLICATION FOR BURIAL-TRA�T PERMIT
� a7���,���
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Check
One
A❑ A completed certificate of death accompanies this application.
B�j Dr. .�p�� was contacted on Jul' � ,19_$.L.
He has assured me that this death was from natural causes and that he will �omplete and sign the medicai
certification of cause of death.
C❑ The attending physician was unavailable or this death comes witfiin the Medical Examiners jurisdiction.
The body was released to me by
. on
,19
i
BURIAL TRANSIT PERMIT � Permit
No. 1�0-943
Permission is hereby granted to dispose of this body by burial, transportation out of state, storage or cremation. For cremation a
waiting period of 48 hours after death must be observed and the Medical Examiner's approval must also be obtained.
� A five day extension of time for filing the death certificate has been requested and granted.
Signature of
`,_�, Registrar�
Y
Method of Disposition
�' BURIAL
� CREMATION
� STORAGE
� OTHER(Specify)
Signature of Sexton
or Person in Charge
Date
Issued
�uly 9, 1g81
CEMETERY OR CREMATORY
Date of JuZy IZ, 1981
Disposition
Place of Sebastian Cemetery
Disposition Sebastian, Indian River Count�, F1ori
This permit must be endorsed by the sexton or person in charge (or by the funeral director when there is no sexton) and returned
within 10 days to the local county health department.
HRS Form 326 (1/77)
CE M
�ex:
Last Name
Address 1
Address 2
City
Deed #
Unit #
Lat Number
Lot Number
Lot Number
Lot Number
nt
nt
City of Sebastian, FL — Cemetery Lots
LOEFFLER First Name MpRGARETE
1 GAIL ROAD
SEBASTIpN
460 Date
1—A Block #
27 Interred
28 Interred
Interred
Interred
Monday, Dec 27, 2004 04:12 PM
State FL
07-09-81 Amount
39
LOEFFLER, EUGEHE C�et)
CE?dit CD>elete
Zip
$200
a
32958—
Dte Interred 0�-11-81
Dte Interred
Dte Interred
Dte Interred
h CL>abel CT}aa CEsc>
DEED #460
UNIT # 1 addition BLOCK 39 LOTS # 27 & 28
Mrs. Margarete Loeffler
1 Gai1 Road
Sebastian, Flordia 32958
EUGENE LOEFFLER INTERRED 7-1I-81
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THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, FZorida
265
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF•
1
��'-�"""—'DlS1.Iars !S o2�, dri )
FROM: / r ( 4/!
oA this �_day o , 1983 for the purchase of�the following
described Cemetery Lot( ) upo the terms and conditions as stated herein:
Description of Property:
�. Cemetery Lot (s) �i o2 %L a� B1ock# � 9 Uni t# � 4-��- •
��
Purchase Price: p�iy ���� �� � � �p�-y�3lars ($ �.l3?1. O'U)
Terms and'conditions of sa1e:
�- c.!/K.� (�C.� /��
G�:f.citi�-
This contract shall be binding upon both parties, the seller and the purchaser, when
approved by the owner of the property a.bove 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.
: � / l
City Sebastian
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Wi tness
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