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Home My WebLink About4-28-16Name Unit Block Lot Date of Mark -out Date of Burial Time Name of Funeral Home Authorized by Name Unit_ Block Lot f 6I /,s to, n Wo y.4,w n Date of Mark -out Date of Burial y// `C-, Name of Fune Authorized by Time �Z CIitC Ltf t�Pbalitittu %P;rinrtPkPP� NO. o 1633 THIS INDENTURE MADE Thla ........$.$t 11 ...... day of ............Mair ............................ A. D, 1998..., between the City of Sebastian, a municipal corporation existing under the laws of the State of Flarids, as Grantor and Jeff Tomberg ..................................... .P'.O'RGX'85...................................................................... Wabasso, FL 32970 ..................................................................................................................................... of the County of ....Indian, Riyer....................... and Slate of ..........ElCir;tda .................................. as Grantee, WITNESSETH, That the Grantor for and N consideration of the sum of S ... 750. 40 ............... to it in hand paid, the receipt whereof is herewith as knowledged, does by this Instrument grant. bargain, sell, release, convey and confirm unto the Grantee Mg..... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lolls) 16.... , Block, .28 .... , 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 SL 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 colas 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 sed 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 Bald cemetery to ob- serve and comply with iuch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shell 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 and on its behalf by its Mayor and atte ted by Its City Clerk and Its corporate seal to be hereto affixed, the day and year first above written. ' �n- o",CL_ Attest, ...................................................... City Clerk Sign , Seal and Delivered / In a Pr nee ofr a�.:... CITY OF SEBASTIAN, FLORIDA B7 .............. ....... Mayne (Ctg Meal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY. That on this .A2 Ith...............day of ......... M.aY...................................... 1 1998, before me personally appeared ,. ROth S.411VRIl Kathryn it OrHRL10L'aR ....... ....... .. ...................... .... and .............:... ........... rezpcelively Mayor and City Clerk of the City of Sebastian, a munieiltal corporation under the laws of the State of Florida to me known to be the individuals slid officers described in and who executed the foregoing conveyance to Jeff, Toglberg. ........................................................ and severally acknowiedgal the execution thereof to be their free act and deed as such officer. llmreunlo duly authorized; and that the Official seal of sold corporation a duly affixed thereto, And the said conveyance d the net and deed of said corporation. �.Rl WITNESS my signature and official sed at Sebastian, In the ml St tee oof Florida, the day and yea -last aforesaid. /1 _._ MY l%BAMISSDN / CC 876724 ... ...... �. .. .... ....................... t)lPg1FS: June l8. tg48 n Notary obllc, Ste of Florida et Lang Betded1h tbmy Puck Mdrrssaa My co al pines, ROBERTA ANN (BOBBE) TOMBERG Born June 8, 1931 to Augustine Herman Massey and Una Lee Tucker Massey and passed away September 26, 2012. She moved to Miami in 1948 from Connecticut and to Boynton Beach in 1955 with her husband, Joseph Tomberg, Attorney and former Boynton Beach City Judge. Bobbe graduated from the University of Miami in 1951 and was a former member of Boynton Beach -Delray Beach Board of Realtors and the Jr. Womens Club of Boynton Beach. She was predeceased by Joseph Tomberg on April 10, 1998. Bobbe is survived by 2 sons, Jeff Tomberg and Mark (Lori) Tomberg; 4 grandchildren, Jason, Ashley, Veronica and Andrew; 2 great grandchildren, Justin and Joseph; 2 sisters, Amanda Clark and Professor Emeritus M. Minnette Massey; 1 nephew and 2 nieces. zq 2S (14 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SE 110M1C i1SK4N IS"D For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 �Fax: /(7722) 589-5570 FUNERAL HOME: tGd BEE/Corl,F/SJ �/��E^/. r' ADDRESS: PHONE #: (Check One) PEN BURIAL LOT Lot Block Unit EN CREMAINS LOT Lot Block _Unit PEN COLUMBARIUM NICHE Niche Block Unit W BURIAL DATE AND SERVICE TIME: ��j`y��. /�D• 3�"t FOR DECEASED: RDbl e 7 OAn A�7,G�4 4� . Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) / Name (/ Signature Dale 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 X'' . 5eerrtete Sexton X Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. P00%, .0. THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA HEREBY FROM: OF THE SUM OF: on this / ``%day of following escribed etery 't( conditions as stated herein: Description of Property: Cemetery Lot (s Niche (s /S Purchase PricJ�(^ 19-/(') for the purchase of the che(s) upon the terms and Block Unit Terms and Condition of sale: G' v 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 el the above namrd purchasers) on the above instrument. Witness -,aencloned property to conditions stated in the City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32953 TELEFHONE (561) 589-5330 (3 FAX (561) 589-5570 June 2, 1998 Mr. Jeff Tomberg P.O. Box 85 Wabasso, FL 32970 Dear Mr. Tomberg: Enclosed is Cemetery Deed No.1633 for Lots 16, 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 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 )7). D�" Or -- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures State of Flo( Ida, Department of Health, Vital Statistics APPLIC: N FOR BURIAL — TRANSIT PERMIT U / A. (Type or Print) / 1. Name of First Middle Last DATE Month Day Year Deceased OF Joseph Tomberg DEATH April 10 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial Hospital 3. Name of Medical Medical Examiner Address Phone Number Certifier John Suen, M.D. Physician 87 Royal Palm Blvd., Vero Beach, FI 561-770-4888 4. Name of Funeral Home/ Address Fla. Uc. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 N. Central Ave. Strunk Funeral Home Sebastian, FI 1228 561-589-1000 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b JX Judy was contacted on 4/10/98 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 Dr. Suen 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 c,pryOeryl Removal Final Disposition: c m name/county: Indian River from state Donation 7• Funeral Director/ i F.E. No./Reg. No. Date Signed —Dow aFBisp awr 1862 4/10/98 B. BURIAL — TRANSIT PERMIT Permission is herebyPermit No.1228-98-0173 granted to dispose of this body. ❑ 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. it 51 _ Date Subregistrar Signature aA� Issued: 1 6 DDuee: C2fTdS ait : 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 Examiner's 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 CEMETERY OR CREMATORY Methods of Disposition: Place of Disposition C'1t ® BURIAL ❑ STORAGE Date of Disposition ❑ CREMATION ❑ OTHER (Specify) ' Signature of Sexton ) or Person -in -Charge) 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. DH 326, 10196 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) CITY OF SEBASTIAN CRY CLERK'S OFFICE 4764 RECEIPT Name J&h he -r7 1 Date 12-19- .,L No. 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. ❑ Cash (,(Check It 20, Amount Paid 001501 341910 LDC/Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots Lot/Niche i !) . Block , Unit—q-- 001501343805 nit001501343805 Cemetery Fees 50.6o 62 `� Total Paid 170,00 Initials White — Dept. of Origin • Yellow — Finance • Pink - Applicant I'►'1&rk- 4-1`o r, Win., ber j 9 Z r 0 mo- ssey 9d 6 x 4�5 Waba.SS0 FL 3 2.9 70 5�9-a3ge Paid by CEMETERY Receipt No ................. Dated .............................. NO. List Price $ ....750...00 Maximum No. Burial Spaces ................. Net Paid $ ... 750...00 Monument permitted ....................... 16 3 3 (Data above this line for City Record only)