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HomeMy WebLinkAbout1-37-25I� .: � � . . - . - � . � � � . . . . � . . . �' ' . . . . . . . . . S �—'_' �l!'�.c'�' 37 � � ry �,�, rP�'� -� _ � . a� � 3 % . � � ���� z � _ ,�� J � T '� v �� � � , �� ��� � , c '� (� �-.' �y � ' � � 0 �y , - � •� �. . �, �_ � � \ � - � � � ���o�,� _ ' -�� �� ` e�� ; � � , . '1 '° i � 'Y � �L , :�� a� � ; i �"� �r�� w�� �� � � �'� � �° .� � � �� �� � �, �� `�� � � �$ �� ., ' � ,�`�' . ,��q, � � �' - - . Z „ �9 `, ` � � �7 � � �5��� �; �� � , . ��� �� � � � �` � ,�� � ��� � ,� - � ��� � a � a�°�� �� : � Z :: . w , Z � �-q 3/ -j' %- �i' �"� �''''� ' V M�`o� � , ` -- ; ��� � � � � 94 `� � ��,�� w c�' ` �� . - C�- �.'� I � ��: -r > ... � � � �' STATE OF FLORIDA � / � „�`,,,�f �- �'° �-' •PARTMENT OF HEALTH & REHABILIT� SERVICES VITAL STATISTICS APPLICATION FOR BURIAL—TRANSIT PERMIT k A. (Type or Print) 1. Name of first Middle Last DATE Month Day Year Deceased OF Oliver Columbus Craig DEATH OCt. 22 1982 2. Piace of Death City, Town or Location Name of (If neither, give street address) County • Hosp. or Brevard Melbourne Inst. Holmes Regional Center 3. Name of Medicai � Physician Address Certifie�avmond A. Armstron4, M. D. ❑Meciical Examiner1331 S. Valentine St., Melbourne, F1. 329ot 4. Funeral Home/ Strunk Funeral Homem916 17th Street Vero Beach Flordrda 2960 Direct Disposer . 3 5. Check a� The medicai certification has been completed and signed. A compieted certificate of death accompanies Appro- this application. i priate b Dr. Armstron Box � 9 was contacted on 1 2 . He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Arm5t1'ong will complete and sign the medical certification of cause of death. . 6. Funeral Director/ Direct Disposer B. C c � medical certification. re roas contacted on . He/she verified that , Medical Examiner, will complete and sign the Fla. Lic. No./Reg. No. 2423 BURIAL—TRANSIT PERMIT Date Signed October 25, 1982 �i�8- � Permit No. _ Permission is hereby granted to dispose of this body. %�R] A five day extension of time for filing the death certificate (exclusive of weekends► has been requested and granted. if it cannot be filed withi� 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-Registrar Signature Date pctober 25, 1982 Issued AUTHORIZATION for CREMATfON, 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 approvai must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. D. ' CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery (�X BURIAL � STORAGE Date of Disposition10-26�82 � CREMATION � OTHER (Specify) Signature of Sexton ) ;'�}. '� � L- f or Person-irnCharge ) `� '-� f ���t-� �-': A l� r � c" �'� City Clerk � 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.) �___ .______--____..__ Paid by CEMETERY Receipt No. . . .. . . 319 � �-27-82 . . . . . . . NO � � � � j ........Dated ....................... , �i F. List Price S . .�75 : �4 . . . . . . Maximum No. Euria� spaces . .. ..-. 3 . -. .. . . . . Mae F. Craig xetPaida ....6?5;00 . Flat 8600 U.S. #1, Lot #72 ...... Monument permitted ...................... • Riverview Motor Home Villa DEED 508 Sebastian, Fla. R& R I�SUED (Data above tbls line for Gty R�ecord only) cx�o ��� �(p� � 7/ �,Q� �''% (ii�%� I CRAIG MAE 8600 U.S. #1, Lot 72 Riverview Motor Home Villa DEED #508 �2ECBiPT # 319 Sebastian, �'lorida 32958 LOT# 25, 26, 27, BLOCK 37, UNIT #1 Addnt. �o� "�a2iv " �tiTF,��� - ��E, t��s�p6 ��" a � - �!� d� ����,'� ..�rr 7�0`% � - � _ � __ __ _ --- ----�..._.. �, � . a�d ��..� ���1 /o -�'`��" � �� �%� ���u �- � � a��� ��� y � n�� ��.���� . , ��9 - • • TXE SEBASTIAN CEI�TERY City of Sebastisn Sebastian, Florida , RECEIPT IS XEREBY ACKNOWLEDGED OF TBE SU1H OF: / / e A // t�t��� 8� a-a us � � � ��,r✓�� w Yh� r l��� ►/,�// �.. 7� ars ($ �%5 , 0�7� ) f;1t,G�-�c..�2;f-c,rc-,ti-, -7�• �.1�� a . on this �`�� day of (v� , 298= for the purchase of the following described Cemetery Lot(s) upon the terms and cond.itions as stated herein: Description of Property: Cemetery Lot (s) #_o?S� �� .! a i B1ock# 3% vni t# ��--dd'Y�- � Puz�chase Price,�,�,���J..�� ,�c.u.C,rc�,. J�,c„e� DnZlars ($ ��C-z1 ) , Terms and'conditions of sa1e: ��,�. ��!���g This contract sha11 be binding upon both parties, the seller and the purchaser, when approved by the owner of the propertg 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 tez�cs and conditions stated in the above instrument. `�..���:�� ��.�, City of ebastisn , , � �� t�e. '� tt. .C.c�� Witness c.