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Home My WebLink About1-37-23I .I . . . . . . ' . . . . . . • . - � . i�. . . � . ' . .. , . ... - . � . . � . .' � •, . . . . - . � � ,�-."_"' �'��' �7 � : � - . ti ry �,�, rP�S � � � ,� . �' 3 �� °� �5� z, `�'�. �x d .; �_ � � � � � � �� +�� , �� '' � � �� ` � - � � —� ��ti . ��'� yt � ,�; < , y i, . � /L � � / , .$� �e a�� ` i �d � i I �-3 ��c� �.�,< ��, / ` �' `/ �`%. ' �, �� t, I � \�� ;� ,°�� F'' `> ��' ��.'� � `�' - , _ „ fy ' � t .� � � ' �� ~ � �o� �' � , �� 0' '�� 1 � �, �X " �� '� � �`� � � q�� a � � 0.� . �� . � Z,`<• � Z � yc� 3� 3L V � �� y � �� O � � , , : � �-v,, � � �� '' � � � �`,�� w r�`� �.'�� . ; , �. �,. r ,:_ �`� CEM Index:RECORD # NEwCEM Recard:3? Last Name Address 1 Address 2 City Deed # Unit # Lot Humber Lat Humber Lot Number Lat Number Comment Comment City of Sebastian, FL - Cemetery Lots GORE First Name JAMES 1297 93RD PLACE FELL3MERE State FL Zip 32948- 507 Date 10-2�-82 Amount $150 1-A Block # 37 23 Interred James 6are Dte Interred 2-25-95 24 Interred Beatrice, Florence Gare Dte Interred --82 23 Interred Mikayla B. Burkeen Dte Interred 12-27-96 Interred Dte Interred went in with James Gore Grandfather, Mikayla was a cremains CF}wrd CB?ack Friday, Dec 17, 2004 03:34 PM t CD�elete {N?ext CP7re� CR}e-search <L?abel {T7ag <Esc? Paid by cEMETERY 320 10-27-82 Receipt No . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . .................. No. U5U7 I3st Price s . . . , 22 5 : 00 . . . . . . 1 Maximum No. Eurial Spaas . . . . . . . . . •••••••• James Gore NetPaids ,,,,,,,,,,,,,,,,,, 12975 93rd Place Monument permitted . . . . . �.a. a�, . . . . . . . . . . . . Fellsmere, Fla. R& R ISSUED (Data Rbove tbL Bne tor pty Record o --- °h') LOT 23, Block 37, Unit #1 Addn. Name `.:.� r4�� Unit $ ,�f::�' Block Lot __ ^+ :: Daie of Mark-out_�� °r �,� ,��..� � Date of Burial �� r`� t; �,`��r�?�=>" � r Time�� r—� .� P s�'� Name of Fun�ral Home� � `_��r:' a k:;r �. ':�� .. .,. �d*/ . . Authorized by.:'� � �" -�� ,. , GORE, JAMES Deed #507 1297 93rd Place Receipt # 320 Fellsmere, Florida 32957 /� LOT # 23, and 24, BLOCK 37, unit #1 Addition '� , _ ,� i �, / ! � , � � / , ' r� ,/, 1�, _ �' � D - _ � i '<.. _ .. _ � s� � �- � p � � B l� i � � t #"ti i � 4 `� � �' 4�,. t =� i �1 i- ,+ti '�� Name , � Unit BIoCk -� `"' F f -.,_ ! <� � ' .� a ° � f� I^ �' T.` ;' � Lot � , � , r " 7�1 �,3 � } �, Date of Mark-out � `��- '" � `^ ° ��` .., Date of Burial � '� � '� ° � �^' Time ,` ri Name of Fu�erai Hqrrre + �� "� �` ` �`.. `` ' ' .. .. ..... _ _.'.:- ` ty3 . � r �, ,�f / ,,: . :; _ „^ aUt�'l�r'IZ,e�) ti}�".,.��.^'"� , F f�iP` .. r/ .,+ � QState of Florida, Depart�f Health and Rehabititative Services, Vital�istics APPLICATION FOR BURIAL — TRANSIT PERMIT r � �l O� % � � � u �� A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased James Cleveland Gore DEATH 02/23/95 2. Place of Death City, Town or Location County 3. Name o1 Certifier Farhat I�hawaja, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Homes 5. Check a ❑ Appro- priate Box b � i�•� 6• Place of Sebast ian Ceme Final Disposition: �• Funeral Director/ ./�� Direct Disposer Roseland Medical Name of (If r�ither, give street address) Hosp. or Inst. Sebastian River Medical Center Address Physician 8ebastian1 Florida 32958 (407)589-3000 Address Fla. Lic. No./Reg. No. Phone Number (Area Code) 1623 North Central Avenue P.A. Sebastian, F1 32958 1228 t407)562-2325 The medical certification has been completed and signed. A completed certificate of death accompanies this application. ,Itd,i�l'ye.1,Le was contacted on ��f��95 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that FaThat KhSwa_ia, M. D. will complete and sign the medical certification of cause of death. was contacted on . He/she ver'rfied that , Medical Examiner, will complete and sign the medical certification. � state ce ery/ Removal �matory na county: Indisn Rivei from state Donation �nat e F.E. No./Reg. No. Date Signed g. BURIAL — TRANSIT PERMIT 1'28-95-0103 Permission is hereby granted to dispose of this body. Permit No. " ❑ 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 fi�ed within this extended time limit, a"Funeral Director/Direct Disposer ReporY' will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for filing the death certificate requested. Registrar or -�' Date Date Certificate Subregistrar Signature � l Issued: �— � 3-� Due: �� AUTHORIZATION for CREMATION, DISSECT�ON 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. CEMETERY OR CREMATORY Methods of Disposition: ' % Place of Dispositio;�'�J-��• l� , �- l2� BURIAL ❑ STORAGE Date of Disposition � s° ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person-in-Charge ) � �f-•�. � �/ -� / This permit must be endorsed by the Sexton or person-in-charge (or by the Funerat Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) (Stock Number. 5740-000-0326-2) � � ��a TXE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida , RECEIPT.IS XEREBY ACKNOWLEDGED OF 28E SU!! OF: . �"� o� io pollars ($ ��S , �"D ) FROM: �`I-�� ,c��?�-�tR� /�� u �,�s� �/, on this �� day of �� , I9&2 for the purchase of the following described Cemetery L•ot(s) upon the tezms and conditions as stated herein: Description of Propert.�: Cemetery Lot (s) # �3 Block# � / Unit#_ /l� a�� , Purchase Pri ce �.� �u,v,�oQ•Le,C ��-�� ,L�.c,tDo1 Zars (S ,.2 � S . � � Terms and'conditions of sa1e: i This contract sha11 be binding upon both parties, the seller snd the purchaser, when approved by,the owner of the praperty abcve described. I, or we, agree to purchase the abome described property on the terms and conditions stated in the foregoing instrvment: � . The Citg of Sebastian agrees to se11 the above mentioned property to the above named �fpurchaser(s) on the terxas and conditions stated in the above instrument. CX--i" .,c._.-�. City of Sebastian Witness