The URL can be used to link to this page

Home My WebLink About4-28-13aName— Unit Block Lot Date of Mark -out g / 9 A ti '? / / 0 --1 . Time / 0 Date of Burial Name of Funeral Hom Authorized by 0 (situ of Jl'!�rilMlitiuit (irtltrtrXtq B r r b NO. 111691 THIS INDENTURE MADE TWa ..9.th............... day of .....August............................. A. D, 19.99.., between the City of Sebastian, a municipal corporation "dating under the laws of the State of Florlda, no Grantor and Katharina M. Kutch ...........................................7'50' �enrge"5treet.............. ............ I ......... ..................... Sebastian, FI 32958 ..................................................................................................................................... of the County of ......Indian„River.................. amt State of ......... k:1.Rei.da.................................. as Grantee, WITNESSETH: 500 00 to it in hand p That the Grantor for and in consideration of the sum of $ .....:........... paid, lire receipt whereof is herewith ec• knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , , t1E,r, , heirs, legal representatives and assigns the following property sitml t it in Sebastian, Indian River County, Florida, to -wit: All of Lots) ,13--.. Block, .? a.... , UNIT 4.......... , of Sebastian municipal cemetery as per Plat Number I 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 some 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 N 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 said 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 such rates, 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 Brat pert 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. aCITY OF SEBASTIAN, FLORIDA )L-0�Attest: By ..... _............... City Clerk Mayor Signed, Scaled and Delivered In the�resence of: /... .. .tr ................ (0tvr 'f§BgQ n . :. ......................... STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ........ 9.th....... :...day of August ......................................... 19.99, before are Personally appearedMartha S. Wininger ,ad Kathryn M. 0! Halloran respectively Mayor and City Clerk of the City of Sebastian, a munieipal corporation under the laws of the State of Florida to me known to be lire Individuals and officers described In and who executed the foregoing conveyance to ...........................................I'. Katharine. M.t..KV..t.Gh.................................................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal or said corporation le dui ed thereto, and the said conveyance is the net and deed of said corporation. A WITNESS my signature and official seal at Sebastian, In the last aforesaid. r lei N'sUNDAM. GALLEY ? s MY,2GMMISSDN 18,2748478 EXPIRES:June 18, 2802 '?m.n• BOMad Th,v Newry WNk UnlerxMers and State of Florida, the day and year Notar;Tu ii 'ate of Florlde at My corms n expircu RECEIPT FROM: TI -IE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA HEREBY on this � day of/� following described Cam erp conditions as stated herein: Description of Property: Cemetery OF THE SUM OF: Dollars(�� 1977 for the purchase of the 'j' upon the terms and Block Q(0 Unit 7 Purchase Prig �orFil off/ / Dollars and Condition of sale: / llla h s contract shall be binding upon both arties, the seller and the P chaser, 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 sell the above mentioned property to the above named purchaser(s) one tuns and conditions stated in she above instrument. ( � ��l li City of Sebastian 1225 MAIN STREET u SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 August 16, 1999 Katharina M. Kutch 750 George Street Sebastian, FL 32958 Dear Mrs. Kutch: Enclosed is Cemetery Deed No. 1691 for Lot 13, 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. O. Box 1028, Vero Beach, Florida 32960. Sincerely, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures (\wrvGom\c.&d &wpd) FLORIDA DEPARTMENT OF si H - State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Alfred Byron Rotch Death Awfust 6 1999 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or IIYIicM River R Dselfand Inst. Sebastian River Medical Centex 3. Name of Medical Address Phone Number Certifier FDBdE''r1C�C� Medical Examiner Physician 2500 S 35tH St., Ft. Pierce, Fl. 34981 561-464-7378 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1555 27th Street I4owther Crmation Service Vero Beach, Fl. 32960 10000286 1561-770-5795 5. Check a. ® The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ❑ was contacted on 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 within 72 hours. c. ❑ was contacted on He/she verified that Medical Examiner, will complete and sign the medi al certification of ceu of deathwithin 72 hours. 6 Funeral Director/$igriatur F.E. No./Reg. No. Date Signed Direct Disposer l\ 2588 August 7 1999 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. _ _ _ _ _Permit No. 2W_799-1 14 ® 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 fours. rjNo extension of time for filinthe death certificate has been r quested. , Registrar or �� y�_ Date Date Certificate Subregistrar Signature 9., (( ^'w""`��ssued: 8/799 Due: C AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number: M.E. 99-19-00433E Date 8/6/99 Medical Examiner, Dr. Bobin , gave authorization by telephone to Tan Iowther 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 death is required for all cremations. D FOR FUNERAL DIRECTOR/DIRECT DISPOSER USE ONLY 1. 2. 3. 4. 5. 6. Date Burial -Transit Permit (pink copy) was filed with Local Registrar Date Temporary Certificate was filed with Local Registrar: Date Permanent Certificate was filed with Local Registrar: Follow-up efforts & activities (Note parties & dates contacted): Name and place of disposition: Funeral Director/Direct Disposer Report Filed: Yes OH 326. 8197 (Obsoletes all previous editions) (Stock Number 5740-000-0326-2) No Date Filed: FUNERAL DIRECTOR/DIRECT DISPOSER COPY 218-99-582 S^.', T'lli'R i..ti4CtYLtli1•� 1555 27th Street • Vero Beach, Florida 32960 • 561-770-5795 Certificate of Cremation The cremated remains contained in this container are those of the body of Alfred B. Kutch as delivered to us for cremation on the 9th day of August 1999 by Thomas S. Lowther, (FUNERAL DIRECTOR. DIRECT DISPOSER) Vero Beach Florida (TOWN OR CITY) (STATE) 4UFnR 10114 issued at Vero Beach Florida (TOWN OR CITY) (STATE) (Cremated remains have been wrapped in a plastic pouch.) B Paid by CEMETERY Receipt No ................. Dated ........... 9 9 List Price $ ...500...0.0 Maximum No. Burial Spaces ................. Net Paid $ .. 500.00................ Monument permitted ........................ (Data above this line for City Record only) NO. I16I11