HomeMy WebLinkAbout1-30-35 KINNEY, Mrs. Jeanne DEED 94
Box 97
Roseland, Fl.
Unit 1 Block 30 Lots 35, 36
(For Leon Arthur Kinney, husband
interred 9/19/79)
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Name of Funeral Home
Authorized by
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DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
13 -3‘ /.3321 a/ VITAL STATISTICS Ut,c,�,l/ •. 0
411 APPLICATION FOR BURIAL-TRAIO PERMIT
NAME OF First Middle last DATE Month Day "Year
°yPeAor print) Leon Arthur Kinney DEATHSeptember 17 1979
PLACE OF DEATH CITY, TOWN, OR LOCATION NAME OF III not in hospital,give street address}
COUNTY INSTITUTION Center
Indian River Sebastian Sebastian River Med.
Attending Physician ftcl (Name of Medico) Certifier) (Address)
Medical Examiners ❑ Farhat Khawaja, M.D., Sebastian River Medical Center, Sebastian,Fla.
Funeral (Name) (Address)
Home Brownlie & Maxwell Funeral Home, 1010 E. Palmetto Avenue, Melbourne, Fla.
Check A ❑ A completed certificate of death accompanies this application.
One
B ❑ Dr was contacted on , 19—_.
He has assured me that this death was from natural causes and that he will complete and sign
the medical certification of cause of death.
C T e attending physician was unavailable or this death comes within the Medical Examiners
(� - Sebastian River Medical Center
jurisdiction. The body was released to me by
' on September 17 19 79
.."�" . - 596 September 19, 1979
(Signature) (Flo. Lic. No.) (Date Signed)
Funeral
Director
BURIAL TRANSIT PERMIT Permit 490C27S
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.
Ex A five day extension of time for filing the death certificate has been requested and granted.
Signature of / Date
Registrar �/ � l' a: Issued September 19, 1979
_ GEZ���
CEMETERY OR CREMATORY
Method of Disposition Date of
a BURIAL Disposition -.4110,—.0-- =Luill
❑ CREMATION
❑ STORAGE Place of Sebastian Cemetery
❑ OTHER (Specify) Disposition
Sebastian, Florida
Signature oton ,
at-Person in Charge
Alf At - ii 4._
This permit must be endorsed by the sexton or person in charge tor 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)
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Block 30 Lots 35 & 36 Dee
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Mrs . Jeanne Kinney 36! 9
Box 97 • Q1<i /
Roseland, Fl.
(Leon Arthur Kinney, interred 9/19/79)
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,3 S c 6c-.t?z4 e7L� Catherine Ring-daughter
KINNEY __..._ V/
Mrs . Jeanne ,. DEED 94
Box 97
Roseland, Fl.
Unit 1 Block 30 Lots- 35 , 36
(For Leon Arthur Kinney, husband
interred 9/19/79) ,
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OF FELIOAN s5
City of Sebastian
POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
FAX 407-589-5570
TO: Finance Department }�
FROM: Kay O'Halloran G'
City Clerk
SUBJECT: Repurchase of Cemetery Lot by City
DATE: August 30, 1990
Please issue a check in the amount of $75.00, payable to the
following, for the repurchase of Cemetery Lot 36, Block 30,
Unit 1 .
Mrs. Catherine Ring
514 Anastasia Ave.
Palm Bay, Florida 23909
This lot was purchased together with Lot 35 on Deed #94 in
1950, and is no longer needed by the family. The original deed
is not available but a copy of the identification file cards
is attached.
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Index:RECORD # NEWCEM Record:331
Search h Field Contents
City of Sebastian, FL - Cemetery Lots
Last Name HINNEY First Name JEANNE
Address 1 BOX 97
Address 2
City ROSELAND State FL Zip 32957-
Deed # 94 Date Amount
Unit # 1- Block # 30
Lot Number 35 Interred HINNEY, LEON A. (vet) Dte Interred 09-19-79
Lot Number 35 Interred Jeannie Hinney Dte Interred -19-90
Lot Number Interred Dte Interred
Lot Number Interred Dte Interred
Comment lot 36 sold back to the city on 8/30/90, as per Joanne
Comment Sandberg
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