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Home My WebLink About4-28-05Name C ) Unit Block Lot Date of Mark -out - as Ite Date of Burial Name of Funeral Home Authorized by: n ti E Z i-5 Time `/. Q( ; .; III Liig of i*'rhus#ialt r� 1t} r� { at 1� ��-tt s� <.Y .G ut [ 1 L .l g D i r i+ N0. THIS INDENTURE MADE This, ...... 28.th......... day of .................. P1a.y................. I.... A. D., ISM_. between Ilse City of Sebastian, a municipal corporation existing under the laws of the State. of Florida, ns Grantor and Isaias & Elda Galnez ..............................T49 'S.• M9h6l'ia'St........................................................................... Fellsmere, FL 32948 ..................................................................................................................................... of the County of ........ ITlUsn.8,lver ................... and State of ......... Floxicla ................................... as Orantee, WITNESSETH, That the Grantor for and In consideration of the sum of $ ......750: �............ 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 CELE r,. heirs, legal representatives and assigns the following property Wanted in Sebastian, Indian River County, Florida, to -wit: Ali of Lot(s) 5...... , Black, . ,L,?..... UNIT ..:......... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded 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 rales 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 add cemetery. The conditions, restrictions and requirements contained in this Instrument stun be covenants running with the land. In the event of the faBure 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 shag terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fort part has mused this instrument to be executed in its name and 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. hitt ®.J• �'O aa.. Attest, k ...................................... City Clerk Sea Delivered ........ STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By>.....,G(igrt/..................... Mayor (0tv jfcaQ I HEREBY CERTIFY, That on this ..... 2.8tIt............ day of ...............May..............................., Ig. 9.Q before me personally appeared ..... Ruth SlllliVan Kathryn ri. 0 Halloran .................................................. and wsof. a State Florid..osn' noon reery•ctively Mayne end City Clerk of the Clty of 9ebastlan, a munlclynl cegsowtlon under the laws of the State of Florida to me known to be the Individuals and officers described In and who executed the foregoing conveyance to Isaias & Elda Gamez ....................................................................................................................................... and severally acknowledged the eaecullor as such officers thereunto duly authorized; and that the Official seal of wid corporaiiTRI,..d Is the net and deed of mid corporation. WITNESS my signature and official seal at Sebastian, In the Coul of a last aforesaid. I W COMMISSION g CC 37572 EXPIRES: June 18. 191 of Sassed rlw ury PoNe unsararae My flo thereof to be their free act and deed Fed thereto, and the avid conveyance of Florida, the day and year at THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA ncy.clrl- 1Mga G^ OF THE SUM OF: r� Q, u r C T Do1_ars FROM: _ '444Z' ,,,a,�, on this ;'� day of 13 c for the purchase of the following described C tery conditions as stated herein: upon the terms and Description of Property: Cemetery Lot( Block�cx CJ Unit % �i Purchase Price: L' Dollars �� Terms and Condition of sale: 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: The City of Sebastian agrees toe11 the the above named purchaser(s) onrhe test above instrument. yl-�A h Witness coned property to tions stayed in the �QCI O� Lr � City of Sebastian 1225 MAIN STREET (3 SEBASTIAN, FLORIDA 3295a TELEPHONE (561) 589-5330 0 FAX (S61) 589-5570 June 2, 1998 Isaias & Elda Gamez 149 S. Magnolia St Fellsmere, FL 32948 Dear Mr. & Mrs. Gamez: Enclosed is Cemetery Deed No. 1631 for Lot 5, 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. Box 1028, Vero Beach, Florida 32960 or you may call (561) 567-8000 for more information. We are enclosing two copies of the receipt and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Sincerely Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures r J PIAROJA DSPARiAfYlfr OP State of Florida, Department of Health, Vital Statistics / �" APPLIC, N FOR BURIAL - TRANSIT PERMIT °)g A. (Type or Print) N "/ 1. Name of First Middle Last DATE Month Day Year Deceased OF Geraldo Gamez DEATH March 18 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) and Women County Hosp. or Orange Orlando Inst. Arnold Palmer Hospital for Chidren 3. Name of Medical Medical Examiner Address Phone Number Certifier John Tilelli, M.D. Xj Physician 85 West Miller St., #204, Orlando, FI 407-237-6326 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 N. Central Ave. Strunk Funeral Home Sebastian, FI 1228 561-589-1000 5. Appro- priate Box a ❑ The medical certification has been completed and signed. A this application. or ceam b Kelly wascontactedon 3/19/98 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 I)r_ rarrlP7 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 Sebastian Cemetery In state cemeteryRemoval Final Disposition: c atory a /county: Indian River 0 from state Donation 7 Funeral Director/rt tur F.E. No./Reg. No. Date Signed Diroet-9 speser 62 3/19/98 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit Nol 228-98-0133 ❑ 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 filing the death certificate requested. %giMpar." _ _ _ Date Date Sub Subregistgistrar ica Signature _��'«•• Issued: 3 Iii q 9 Due: Z � 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 Examiners approval must 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 ,41',.otc"�.vrr ofP.r ® BURIAL ❑ STORAGE Date of Disposition ` 7704r Z 02/, / 99 Pj ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in -Charge) os�g o /Y"-/- This Y"„ /. This permit must be endorsed by the Secton 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. OH 326, 10196 (Replaces HRS Form 326 which may be used) \ (Stock Number: 5740-000-0326-2) Paid by CEMETERY Receipt No ................. Dated .............................. List Price $ .. 750' N Maximum No. Burial Spaces ................. Net Paid $ ..750. 00 Monument permitted ....................... (Data above this line for City Record only)