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HomeMy WebLinkAbout4-28-03Name (..) ,a, j; ^ )00' en s.4 � f X a> t?flAe S. Unit Block Lot Date of Mark -out Date of Burial J //� ��+' Time �a �C� ,C Name of Funeral Home i ! .ec�tr✓�' Authorized by 1111 1 111 XV V itdIiIIilll J' { lit 1L t r r W e e 4a NO. .t 6 THIS INDENTURE MADE This ........ 30... day of ........... MarCh.......................... A. D, 19K.., between tine City of Sebastian, a municipal corporation existing under the laws of the Slate of Florida, as Grantor and William P. and/or Leah M. Rosato .....................................717 Wentworth -Street .................. ............................................. Sebastian, FL 32958 ..................................................................................................................................... of the County of ........................ and State of ...... KqKida....................................... as Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ 1 J M. N ............... to It in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee their heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, lo -wit: All of Lot(a) 3&4 , . , Blork,28....... UNIT 4........... , of Sebastian municipal cemetery as per Plat Number 1 thereof tecorded in Plat Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of mid cemetery. The conditions, restrictions and requirements contained In this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with inch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said properly shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust part has caused this instrument to be executed in its name end on its behalf by its Mayor and attested by its City Clerk and Its corporate seal to be hereto affixed, the day and year fust above written. City Clerk ,itsr�d, Se ed and in 1h2114e+since oil CITY OF SEBASTIAN, FLORIDA By . C101'.`f_J. W..4�.Vi. Y ............... Mayor (City Seal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ...... Sid ............ .day of ............ MrCh...............................1 19 98, before me personally appeared . Walter W. Barnes KRthryD M. O'Halloran ................... ...............o post ........ and .......... St .... t....e known .. respectively Mayor end City Clerk of the City of 9ebutinn, a must@Ipnl corporation under the lows of the State of Florida to me known to be the Individuals nod officers described In and who executed the forrguing caaveyonce to ............................... ........... HiJ i a�n.Mr..$gsato............................................. ........................................................ and severally acknowledgrcl the execution thereof to be their free net and deed as such officers lhereuulo duly authorized; and that the Official seal of said corporation le dol affixed thereto, and tlm said conveyance in the act mol deed of said corporation. WITNESS my signature and official seal at Sebastian, to the unty f d n t ver an Stele of Florida, the day and year last aforesaid. MY COMNISSION f CC EXPIRES: June 18.' My of Florida 05/04/2012 11 23 01125 P. 001/003 •�b �� II I Hr• LHbt.KJEI FAX p•2 i% CITY Vf Se >4JIf4" .Srnullru C"nlr(frr PY-011077)559 2535 Ib%e 107;171¢-ee27 volt ',Ann for Iefnrmallonyloar ur oert re oln Alnnuw oN D D R 0 of drl-e+Unn (-cmrl rri iYntp : I'Ab Ir rnr 5lnylr A Isrkerr undo, 2 n. X nrrr 2 Il.(m•rr 1 A. 1, a IMoreJ rnvedYllnn ) Mbu rolurn to city o, Sewsuan pry Mix /%ebairlen Crnk(rry 1421 hnrlA Crnlral Ave, Foulldall U� urlr _ V 3295A By . Iro ", / l2 4L, A nlloe f� I nC rnlrlcr} S�exron date : �/��l 61( �y size �RSF (o'U X 1 dolt.:v OD Name Q oalo : H16: k%2 I II Ct1M NffN 1. e&J l � 0.0.8. le1----II I 'DOIR. iaZc; r,.u•n• X012 L1,•a.n' _-- Legal Resdzlpltlon _._._____ I Unit : Bek . : Lot `I Square Pt Approved By cnacile(1 By 0A'I't.' By Cxvnlple ; STRUNK FUNERAL HOME & CREMATORY 1623 No. Central Ave. SEBASTIAN, FL 32958 (772) 5891000 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: conditions as stated herein: Description of Property: Cemetery Lot Purchase 19�' 6 for the purchase of the upon the terms and Block Unit Dollars Terms and ;2- on of ale: � This contract shall be binding upon both parties, the seller and the Purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: c� The City of Sebastian agrees to sell the above mrLtioned property to the above named purchaser(s) on the terms and ditions stated in the above instrument. / /1 --I-. /` Ci y Witness City of Sebastian 1225 MAIN STREET 11 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 11 FAX (561) 589-5570 May 8, 1998 William P. & Leah M. Rosato 717 Wentworth Street Sebastian, FL 32958 Dear Mr. & Mrs Rosato: Enclosed is Cemetery Deed No. 1614 for Lots 3 & 4, Block 28 , Unit 4. Also enclosed is a form - Return for Transfers of Interest in Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, P. 0. Bos 1028, Vero Beach, Florida 32960. S�Sf'im'ce/rPv, J] Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:hng Enclosures Ow -Cr n'..deedwpd) WILLIAM PASQUALE ROSATO Born: September 4, 1931 - Bronx, NY Passed Away: March 25, 2012 - Sebastian, FL Mr. William Pasquale Rosato, 80, died March 25, 2012 at Sebastian River Medical Center, Sebastian. He was born in Bronx, New York and lived in Sebastian for 24 years coming from Orlando, FL. He was an award winning Master Tile and Stone Craftsman for Florentine Tile & Marble, Orlando, FL having retired in 1987. He was a member of Our Lady of Guadalupe Mission. Survivors include his wife of 61 years Leah Rosato of Sebastian, sons, William Rosato of Sebastian, Timothy Rosato of West Hempstead, NY, daughters, Rose Frash of St. Marys, GA, Jeannie Thacker of Orlando, brothers, Anthony Rosato of Orlando, Joseph Rosato of Crystal River, sister, Mary Brault of Bithlo, FL, 5 grandchildren and 4 great-grandchildren. FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY 11 SEBAST noxt a r[ixui nw+o For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772)589.2545 City Clark's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 589-5570 FUNERAL HOME: ADDRESS: PHONE #: / L 77ZJ IER s , /002 - (Check One) 5X nPEN BURIAL LOT Lot _Block _Unit OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit W _ BURIAL DATE AND SERVICE TIME: } 74oa FOR DECEASED: / r�1 cW&u 41Ca rvame NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) /tr Name Signature Date I certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR. Name Signature Date ---------------------------------------------------------------------------------------------------------------------------- Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid el zlm_c� G tr Cen)btee S xt n Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. T" "r State of Florida, Department of Health, Vital Statistics EEL APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased William Pasquale Rosato of March 25, 2012 Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Indian River Sebastian Hosp. or Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number Medical Examiner Certifier Michael A. Examiner o M.D. 8005 83rd Avenue Sebastian, Florida 32958 Physician (772) 388-2110 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Strunk Funeral Home 1623 North Central Avenue Sebastian, F041870 772 and Crematory Florida 32958 ( ) 589-1000 S. Check a. F1 The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b��.. C� was contacted on s I L1Y I 20 1,ln)— He/she verified the is de�t jyas from natural causes, that there was no accident nor other extemal cause of death, and that --j will complete and sign the medical certification of cause of death within 72 hours. a ❑ was contacted on He/she verified that , Medical Examiner, will complete and sign the medical 6. Funeral Director/ B. fuse or aeam wltnin /2 hours. I F.E. No./Reg. No. F022789 BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-12-147 ,_E�?( five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within 72 hours. F1No extension of time for fill the death certificate has been requested. -Regis9er or Date Date Certificate Subregistrar Signature Issued: 3/25/2012 Due: 3/30/2012 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number: Date Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiners approval must be obtained before disposal by any of the above methods. A wailing period of 48 hours after death is required for all cremations. Method of Disposition: .05:1URIAL CREMATION Signature of Sexton or Person -in -Charge STORAGE OTHER (Specify) } �� 12 CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition Tuesday, March- 27- 2012 This permit must be endorsed by the Sexton or person -in -charge (or by the Funeral Director/Dir within 10 days to the local County Health Department in the county where disposition occurred. Disposer when there is no Distribution: While: Cemetery or Crematory DH 326, 8/07 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (stock Number. 5740-000-0326-2) Pink: Local ReOlsbar returned CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 4337 Name ❑ Cash p 57 Check#cRt/) No. AmounlPaid 001001206001 Sales Tax 001501322900 Garage Sales 001501341920 CopiesSidSpecs. 001501341910 LDC/Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots ') Lot/Niche Block g Unit-4- , . nit001501343805 001501343805 Cemetery Fees ., O C(, Total Paid I{n�'ii6a s White - Dept. of Origin• Yellow -Finance •Pink - Applicant 1 Lo" I 1;0,�p ��- 5 Loi X07 1-1 x -2s- ©3 Paid by CEMETERY Receipt No ................. Dated .... 3 � 3�98 NO. List Price $ ...1 ' Maximum No. Burial Spaces ................. . Net Paid $ .... .... 1, 000 00 ......... Monument permitted ....................... (Data above this line for City Record only)