HomeMy WebLinkAbout4-28-06Name
Unit
Block
Lot
Date of Mark -out
Date of Burial
Name of Funeral Home
Authorized by
Time
lbilu of �rUur�iiuu
1628
,1P11tP#l'�'1�J1 PPS NO.
THIS INDENTURE MADE This -2nd ...... day of ............June...... .............. ....... A. D., HIM—,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
Ernest Beck
......................................R.D.- '11OK '6489 .......................................................................
. Vero Beach, FL 32961
...............................................................................
of the County or Indian, River ...................... an9 State of Florida................................
as Grantee, WITNESSETHI
That the Greater for and in consideration of the sum of $ ..... 1J.5(?P to .......... 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 hi9 . . , heirs, legal representatives and assigns
the following prop ITy situated in Sebastian, Indian Rker County, Florida, to -wit:
All of Lolls) 6Fr,� ✓ , Block, 28 ...... UNIT 4 ............ . 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. Lurie 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 properly shall be used solely and exclusively far the interment of the human dead and shall
be used, kept and maintained at all times In accordance with the soles and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto.
fore, now and hereafter adopted at 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 dced of conveyance thereof then the ti" of such owner
in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said patty of the fust 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.
o�
Attest) ............. ........................................
City Clerk
4.g.,�d ated and Delivesence ofvvl
..........
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIANN,,,FFLLA)RIDA
By f;,, '2e..r*!ZAWf l .....................
Mayor
(0tq 'Seal)
I HEREBY CERTIFY, That on this ........ ,;.�............ day of ....................June........................., 19.90.,
before me personally appeared aRuth..SO1..1i..van....................... ndKhr
.............yMt, 0.I
Halloran
respectively Mayor and City Clerk of the City of Sebaslinn, a municipal corporation under the Iowa or the State of FlorMe to me known
to be [lie individuals .,,it officers described In and who executed the foregoing conveyance to
Ernest Beck
..................................................................................
......................... and severally acknowlnlg,d the exec ors cher f to he Miele free net nal deed
as such officers thereunto duly authorized; and that the Official sent of said carpurnl1.. 1 y a! ed tl •rel., and the said <on'eyance
Is the net end deed of said corporation.
WITNESS my signature and official seal at Sebastian, In the Coun y ndl er d Stat aside, the day and year
last aforesaid.
GALLEY ,
Mt L'Ca.1111SS10r s CC 740475 .... • Florida
.. t LAr..
"'re �:' F.X.IgES .MJns ,?.2002 Notary, ubllq t of Plorldn et Lar
+:� "t w,na+m,. nn W.a aneavdws My co leas ex
THE SEBASTIAN CEMETERY
=OF SEBASTIAN, FLORIDA
OF
FROM:
Dollars
on this � yo � , 19f for the purchase of the
foZlowinJ described Ce y Lot (s ��� ---
conditions as stated herkn: �`� 'T'T ap°n the terms and
Description of property: II,^, �%
Cemetery Lot(s lL/g 1 i BlocY �� Unit
Purchase Pric W olZars ( -�
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 to sel
the above named purchaser(s) on the
above instrument. L
Witness
coned prope_ty to
tions stated in the
.w.
City of Sebastian
1225 MAIN STREF1 a SEBASTIAN, FLORIDA 32958
TELEPHONE (561) 589-5330 o FAX (561) 589-5370
June 2, 1998
Ernest Beck
P.O. Box 6489
Vero Beach, FL 32961
Dear Mr. Beck:
Enclosed is Cemetery Deed No. 1628 for Lots 6 & 7, 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. Ijyou
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
'W' and retain the other copy for your records. A stamped, self-addressed envelope is provided for your
convenience.
Sincerely
��n. D•
Kathryn M. O'Halloran, CMC/AAE
City Clerk
KOH:Img
Enclosures
Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1
ERNEST G. "ERNIE" BECK
Ernest G. "Ernie" Beck, 78, died ]an. 19, 2009, at Indian River Medical Center in Vero
Beach. He was born in Micco and lived in Vero Beach for 35 years, coming from Des
Plaines, III. He served in the Air Force during the Korean War. Before retirement, he was
a manager of Siegfort Oil Co. in Des Plaines. He was a member of Friendship Christian
Community, Sebastian, the Indian River Antique Auto Club and the National Thunderbird
Club, and was a former member of the Indian River Volunteer Ambulance Squad. He was
a 1949 graduate of Melbourne High School. Survivors include his sister, Pauline Beck
Wilson of Melbourne; and friend, Marilyn Hubble of Sebastian. He was preceded in death
by his first wife, Arlene Beck; and his second wife, Carole Phelps Beck. Memorial
contributions may be made to Friendship Christian Community, P.O. Box 780216,
Sebastian, FL 32978. SERVICES: Visitation will be from 1 to 2 p.m. ]an. 24 at the Strunk
Funeral Home in Sebastian. A service will follow at 2 p.m. in the funeral home chapel with
Dr. Ronald Thomas Sr. officiating. Burial will follow in Sebastian Cemetery in Sebastian,
with full military honors conducted by the Sebastian Area Veterans' Honor Guard. A,A❑
Published in the TC Palm on 1/21/2009
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http://www.legacy.comltcpalmlObituaries.asp?Page=LifeStoryPrint&PersonlD=12308... 1/21/2009
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
$x
HOMEOF GFDCAN ISIAND
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589-2545
FUNERAL HOME:
ADDRESS:
PHONE #:
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388-8215 or 388-8214
Fax: (772) 589-5570
(Chet One)
or OPEN BURIAL LOT Lot 6 Block 28 Unit 4
OPEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
N S —E _ W
00
BURIAL DATE AND SERVICE TIME: January 24, 2009 2.P.M_
FOR DECEASED: Ernest G. Beck
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(M tt provide proper ocumentation of Ownership)) `� t
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 S12NATURE OF LICENSED FU
Name
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:: �Q
Ce etefy Sexton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
C. ❑ was contacted on He/she verified that
Medical Examiner, will complete and sign the
rrye�fcal ce�Clfic�fi of cause of death within 72 hours.
6. Funeral Director/ Ign-ire F.E. No./Rag. No. Date Signed
DiweH)tspeser / �� 44048 1/20/09
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-09-0031
❑ A 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.
[]No extension of time for filing the death certificate has been requested.
Reg r' n _ Date Date Certificate
Subregistrar Signature �� Issued: 1/19/09 Due: 1/24/09
c((( 444t 17 _
C AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
I
Approval Number. Date
Medical Examiner, , gave authorization by telephone to
Funeral Director/Direct Disposer. Date
The Medical Examinees approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after
required for all cremations.
Method of Disposition:
4URIAL
CREMATION
Signature of Sexton
or Person -in -Charge
days to the local
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
❑STORAGE Date of Disposition
'OTTHER (Specify)
/i o Q.
DH 326, 897 (Ob Wes all pre s eAi s)
(Sm Number 5!40400-0328-2)
is
or person -in -charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and retumed
3artment in.the county where disposition occurred.
Di iriE 4m: while: Cemetery Cmmatory
Yelb Funeral Dveaor or D,e 0.p .
Pi Loral Repia w „41% ,
FlARIDA DEPARTMENT OF
mm
te of Florida, Department of lth, Vital 1cs
StaAPPLICATION HTRANSIT
FOR BURIAL PERMIT
A.
(TYPE)
1.
Name of First Middle Last
Date Month Day Year
Deceased
Ernest (',, Beck
of
2.
Place of Death
Death Jan. 19 2009
City, Town or Location Name of (If neither, give street address)
County
Indian River
Vero Beach
Hosp. or
Inst. Indian River Medical Center
1
Name of Medical
Address
Phone Number
Certifier Richard Penly, D.
901 37th Street
Medical Examiner Physician
Vero Beach, FL
772-567-6340
4.
Name of Funeral Home/ '
Establishment
osa
Address
1 1623 N. Central Ave.
Fla. Lic. No./Reg. No.
Phone No. (Area Code)
Strunk Funeral Home 6
Cremat
ry Sebastian, FL
1228
772-589-1000
5.
Check a. ❑
The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate
application.
Box
b. b
Michelle was contacted on 1/20/09
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Penly will complete and sign the medical
certification of cause of death within 72 hours.
C. ❑ was contacted on He/she verified that
Medical Examiner, will complete and sign the
rrye�fcal ce�Clfic�fi of cause of death within 72 hours.
6. Funeral Director/ Ign-ire F.E. No./Rag. No. Date Signed
DiweH)tspeser / �� 44048 1/20/09
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-09-0031
❑ A 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.
[]No extension of time for filing the death certificate has been requested.
Reg r' n _ Date Date Certificate
Subregistrar Signature �� Issued: 1/19/09 Due: 1/24/09
c((( 444t 17 _
C AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
I
Approval Number. Date
Medical Examiner, , gave authorization by telephone to
Funeral Director/Direct Disposer. Date
The Medical Examinees approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after
required for all cremations.
Method of Disposition:
4URIAL
CREMATION
Signature of Sexton
or Person -in -Charge
days to the local
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
❑STORAGE Date of Disposition
'OTTHER (Specify)
/i o Q.
DH 326, 897 (Ob Wes all pre s eAi s)
(Sm Number 5!40400-0328-2)
is
or person -in -charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and retumed
3artment in.the county where disposition occurred.
Di iriE 4m: while: Cemetery Cmmatory
Yelb Funeral Dveaor or D,e 0.p .
Pi Loral Repia w „41% ,
CITY OF SEBASTIAN
CRY CLERK'S OFFICE 4223
./�,,�XO t RECEIPT,,
Name SC. T �k- F -il ll ❑ Cash [� / ���
Date t -24? -&q Ycheck# 4I5N
No.
Amount Paid
001001208001
Sales Tax
001501 322900
Garage Sales
001501341920
CopiesMid Specs.
001501341910
LDC/Code ofOrdinances
001501341930
Election Qualifying Fees
601010 343800
Cemetery Lots/- 8 tc� —
LoVNicheBlock o70 Unit
001501 343805
Cemetery Fees r1S«
WtixC. La 14 TotalPaid
Initials
White - Dept. of Origin • Yellow- Finance • Pink Applicant
Paid by CEMETERY Receipt No................. Dated .............................. NO.
List Price $ . j.,.5 00 .00 Maximum No. Burial Spaces .................
1,500.00 -1.628
Net Paid $ .. ............... Monument permitted .......................
(Data above this line for City Record only)
yo"�aeh, �� 3v9Gi
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