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Home My WebLink About4-28-20Name /),,y/7 !1 + Ik 1/"/ /4 . Unit Block Lot Date of Mark -outs` Date of Burial 19 Time Name of Funeral Home—,, Authorized by / Unit Lm Date of Mark -out Date oxBurial Time Name ofFuneral Hmn ` � ^ Authorized by / �(T a�Tiity {o -f J ebaflirt�'ialt :r 1116-90 T[ lit L 1 .EI .l p D P{ b NO. THIS INDENTURE MADE This ....6.th............. Jay of ... Augoat............................... A. D, 10.99.., between the City of Sebastian, a municipal corporation existing under the laws of the Slate of Florida, as Grantor and .............................................. Amy..Luna......................................................................... 179 S. Willow ..........................................Fe llamer.e., .. FL...325AS..................... I ............................. of the County of ....Indian,.River.................... an State of.........r'.1.Q7;.S1.?.................................. as Gsantea, WITNESSETH, That the Grantor for and N consideration of the sum of $ _7_5.0....0.9 to it In hand paid, the recelpt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,Mn ... heirs, legal representatives and assigns the following property situated M Sebastian, Indian River County, Florida, to -wit: AB of Lot(s) R... , Block, .. 25... , 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. Lucia County of Florida; mid land now lying and being in Indian River County, Florida. To have and to Hold the same forever; provided that said property shag be used solely and exclusively for the interment of the human dead and shag 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 shag be covenants running with the land. In the event of the falimo 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 property shag 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 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 foal above written. \I CITY OF S R TIAN, F RIIIA Alteeti City Clerk Mayor Signed, S d wul Delivered In�thrase carol, e ah STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ........ b.th........... day of ............. Augnat............................. 10.99, Martha S. WiaKathryn M. O'Halloa„ beture no PersonallY appeared .....................nin .........�..er.. na rn respectively Mayne end City Clerk of the City of Sebastian, a munhcilml corporation 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 Amy Luna ....................................................................................................................................... ,,,.......................... I.......................... and severally acknowledged the execu hereof To be their free act and deed ea sorb officers thereunto duly authorized; and that the Official seal of said curparallmn le J affixed tkeretd. and the said conveyance la the act and deed of said mrporallon. WITNESS my signature and official seal at Seb on f In al or State of forida a day and year Inst aforesaid. ....... . )MM MY COMMISSIONq77404478 ........'...... ... ............. na1Not P gc, State o Flor al Large. .,__ ___,._.. r-. THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA `&.&REY�ACMTOWIJEDGED F THE SUM. OF: Dp7ars (S FROM: Q ►► g on this day of , 19 for the foZlowinq described Cemeteryj Lots) /Niches u Purchase of the conditions as stated herein.() Pon the teras and Description of Property. Cemetery Lot Block Unit Purchase Pri.c1P !L� Dollars Terms and Cond1 on 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. T, 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 abov tinned property to the abov'venaamment�cbaser(s) on the terms can stated 2n Che above k / Witness City of 5ebastian 1225 Main Street O Sebastian, Florida 32958 Telephone (561) 589-5330 ❑ Fax (561) 589-5570 E -Mail: cityseb@iu.net August 9, 1999 Amy Luna 179 S. Willow Fellsmere, FL 32948 Dear Mrs. Luna: Enclosed is Cemetery Deed No. 1690 for Lot 20, 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 decide 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 (\wo-G.m\c., c d.,,pd) FLORIDA DEPARTMENT OF HEALT A. (TYPE) ,. Stat . Florida, Department of Health, Vital Sty_ des APPLICATION FOR BURIAL : T- ANSIT PERMIT la y tonnnnel 1. Name of - - — - - First - Middle - - - - Last - - Date Month Day - Year Deceased Abby Luna of October 30, 1999 Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Orange County Orlando Hosp. or Arnold Palmer Children Hospital Inst. 3. Name of Medical Address Phone Number Certifier Gr Alexander Arnold Palmer Children Hospital 407-649-9111 Medical Examiner Physician 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Young 6 Prill 735 Fleming Street Funeral Home Sebastian, Florida 32967 2415 561-589-1933 5. Check a. -U The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. - - - Box b. ® Dr. Gregor Alexander was contacted on 11-2-99 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that he 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 medical ce 'fication of cause of death within 72 hours. 6. Funeral Director/ '01 nature F.o./ReNo/. Date Sign Direct Disposer B. / BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 2415-029-99 ® 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. Registrar extension o9time for filing they filing the death /certific te has reZ�Dale eRegistrar or � �- Date Certificate Subre istrarSi nature !ed: 11-4-99 Due: 11-11-99 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number. - Date 19 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 waiting period of 48 hours after death is required for all cremations. Method of Disposition: ®BURIAL CREMATION Signature of Sexton or Person -in -Charge ❑STORAGE OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition Sebastain Cemetary Date of Disposition November 4, 1999 This permit must be endorsed by the Sexton 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. Distrimbon: White'. Cemetery or Cramatory DH 326, 8197 (Obsoletes all previous etldions) Yelb : Funeral Director or Dratl Disposer (Stork Number 5740-000-032&2) Pink: Local Registrar bLUMDA HEALT A. (TYPE) State ; Iorida, Department of Health, Vital Sta. .cs APPLICATION FOR BURIAL - TRANSIT PERMIT 1-aLo 6 agl Z/y 1. Name of First Middle Last Date Month Day Year Deceased AMY Luna of August 4, 1999 Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Hillsborough Tampa Inst. St. Joseph's Hospital 3. Name of Medical Address Phone Number Certifier Dr ictor More 2814 West Virginia Avenue Medical Examiner IX3dPhysician 813-875-8988 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 735 Fleming Street Young & Prill Funeral Home Sebastian, Florida 32958 2413 561-589-1933 5. Check a. ❑ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ® Dr. Morell was contacted on 8-6-99 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 medical certification of cause of death within 72 hours. 6. Funeral Director/ J Signature F.E. c�N�oo..//Reg. No. r3 Date Signed Direct Disposer 13a ,..,. �OLJ 7S—q% _<%% B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 741 R -077(19Q ® 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 ce cafe has been re ested. Registrar or Date Date Certificate Subregistrar Signatures,/ �Is�Re`Ar99 Due: 8-13-99 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number. Date Medical Examiner, , gave authorization by telephone to Funeral DirectorlDirect Disposer. Date The Medical Examiners 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. Method of Disposition: BURIAL CREMATION Signature of Sexton or Person -in -Charge must vs to STORAGE OTHER (Specify) CEMETERY OR CREMATORY I P Place of DispositionA/5 / l4,v, vE �✓1 / /�i le L/ Date of Disposition A� / 9g ucharge (or by the Funeral Director/Direct the county where disposition occurred. no Distnb roar, Mile: Cemeteryor Crematory DH 326. 897 (Obsoleles all previous eC4ions) Yels s: Funeral Dvector or Oire Disposer (Block Number 5740400-03262) PinkLocal Registrar Paid by CEMETERY Receipt No ................. Dated ... `?�j ................... NO. List Price $ . 750 . 0 Maximum No. Burial Spaces ................. 750.00 NetPaid $ .................. Monument permitted ....................... (Data above this line for City Record only)