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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.
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- • •
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
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t�e. '� tt. .C.c��
Witness c.