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HomeMy WebLinkAbout1-10-06 , • Name Unit Block Lot Date of Mark-out [5.)` „( 9 V Date of Burial e?/ 1/ 7 Time /61 Name of Funeral Home 4 et)/ 6 . / ad- Authorized by _ _ _ 1 fSi t, G. A. i UNIT 1 0.B., Block 10, Lots ,'712,3 114, 15 10 a/k/a Lot 3 Jo ii-4/ L, - jA/i;� R R t 0/41 e 7 , _ ,; 6.t . il 1 a ,„,„.„Laii„,3 1. r m,0- ed -;vin S�7lq 1 /"T�, Fl 11Awl • 1 �:J ' +TV ' d Y� ' .. wL`� T.:}Si . } 1 K N4 h.J- v� < ,L .➢S � ..{ ,, I ..i ,. Note ' G A. S'tin$pn iof ° 1 ; I B.lk #10 i ` i l{ � { West � of,Lot ;Y � � . I 1 `` } l (The westr1'contain$ 10,graves < t -.'.'1.11`_.'..".:1-,:..1:1--• ' Albert TL Stinson (Deceased) ~ 1 ' t is owner of East of Lot #3, I Sec. B., Blk #10 i' I , • (The east 1 contains 10i',. '/ _ P .c 'iraves1) •�'• ' ;. X' _ ; I ,.S6�-yS9© r X Mr. Jack Stinson says if i, j the, family tries tp bury _ in the West , of property, he wants to know. He wants � i deceased to be buried in his 1 N - own property which is the 1 , East Is. • • 1 i a I• .. ,1 i _ ; ...• .! i I `¢ { d ,I ' ..1 1 ; .' - i f ,i i is } i .I I 1} J i ; a 1 i , ! , -1.-.,.--.'!, S 1 if I 1 l 1 I r 4 i ! . I 1' I : Mify `. r :1''.A X :.,9,,,,,-;-..,•..i.„ ., s.s�,., "t _!r�.R.....4'{X.. ,. .'S, -,.it ✓t . :+td..,�..., .�.. t 1. .,1 ....�:' ,7 S1. F OR PELiCAt ''�' City of Sebastian POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 ❑ FAX (407) 589-5570 August 9, 1991 To Whom It May Concern: The Stinson family owns several cemetery lots at the Sebastian Cemetery and Lot Number 6, Block 10, Unit 1 has been reserved for the interment of Mildred Stinson. If any other information regarding this matter is necessary, please call. Sincerely, gSrar-tyll '717, fdalliA-,-• Kathryn M. O'Halloran, CMC/AAE City Clerk KMO:js [�] State of Florida, Departm of Health and Rehabilitative Services, Vital tistics e /() C 1v' APPLICA FOR BURIAL — TRANSIT PERMIT / / ,Ad o/ A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF MILDRED W. STINSON DEATH August 04, 1994 2. Place of Death City,Town or Location Name of (If neither, give street address) County Hosp.or Indian River Vero Beach Inst. Indian River Village (Carp rpntPr 3. Name of Medical Medical Examiner Address Phone Number Certifier 1485 37th Street Richard Eisenmann, M.D. physician Vero Beach, Florida 329 (407) 778-9991 4. Name of Funeral Home/ Address Fla.Lic.No./Reg.No. Phone Number(Area Code) Direct Disposer Cox-Gifford 1950 20th Street Funeral Home Vero Beach FL 32961 149 M74_562=236. 5. Check a ❑ )rhe medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ❑ was contacted on 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 will complete and sign the medical certification of cause of death. c ❑ was contacted on . He/she verified that ,Medical Examiner, will complete and sign the medical certification. 6. Place of In state cemetery/ Sebastian Cemetery Removal Final Disposition: Burial n cynatory -name/county: Indian River n from state ri Donation 7. Funeral Director/ SSii at,fa F.E.No./Reg.No. Date Signed Direct Disposer '%�� / 1 t )c3y ,- -s-i B BURIAL — TRANSIT PERMIT Permit No. Permission is hereby granted to dispose of this body. 1423-211 -1994 ❑ 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 filed within this extended time limit,a"Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for "`the death certificate requested. • —1e — Date Date Certificate Subregistrar Signatu = - _, •_ Issued: 08/05/94 Due: i C. 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. D. CEMETERY OR CREMATORY Methods of Disposition: Place of Disposition . F8,4S/�4i1 ( ',G;�r.Y .-A / - • BURIAL ❑ STORAGE 87 7/ s/ , / Date of Disposition 81 / ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) ,/ or Person-in-Charge) .7 ,C) C�• �C • This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) Public Health Unit in the County where disposition occurred. and returned within 10 days to the local HRS County ub c ea th U t y p HRS Form 326,Feb 89(Replaces Oct 87 edition which may be used) (Stock Number:5740-000-0326-2) • , 0� Artistry in /J4) Granite - Marble Memorials � ( Bronze Merritt Monument Company, Inc.. 4820 South U. S. Highway 1 s Fort Pierce, Florida 33450 IJ i <r pr1e Phone: 464-5547 or 464-3755 i 2 1R77 1;1 " '. March 18, 1977 Mrs. Florence L. Phelan, City Clerk City of Sebastian Post Office Box 127 Sebastian, FL 32958 Dear Mrs. Phelan: Below is a sketch of a slab we are duplicating. This will be installed in the old section of Sebastian Cemetery. If it meets with your approval, please return the copy to us. Thank you. Sincerely, MERRITT MONUMENT CO. , INC. tCl.rt v} Debra S. Sorensen ds/ MILDRED W. ----I\ STINSON iI Sept. 28, 1907 Blank 74 'THEY HAVE NOT BEEN FORGOTTEN" t( YK - , i (1). • � °- •\� vim. , , a Z 3' \_ ti �� `v * w Ct.Z.. CI `:� A CD �- -z 9 f W kn Z Q a . Q K.3 �. 't k. 1, n-' ty, .. is . • r 2 �\, \ ,a z c7- 04 w v� .2 \-- ."-C N M Z �, -2. \ lam. KI N cY 1+ 2 w p0 ‘3,/‘ `� s �p i■ . p '� ,� ,; M c 3 ' --4 - !, N• �(N (‘' ` C • - _ ..5— . } • . • r An .__ Block 10 Lots 1, 2, 3, 4, 1 Unit 1 0.B. 16, 17, 18, 19, 20 a/k/a Lot 2 Dr. Rose, Mrs. Elizabeth & Schumann