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HomeMy WebLinkAbout4-28-21Titu UP Orhastion NO. 1630 THIS INDENTURE MADE TWs ........22........... day of......I�.�.y................................... A. D., 1998..., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and .........................................Mary . Ann . Vallario............................................................... 729 Carnation Dr ....................................... Sebastian,.. ..32958............................................................ of the County of Indian. River ........................... and state of ...... Florida ...................................... as Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ A :OD . 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 heK ... , hens, legal representatives and assigns the following properly situated in Sebastian, Indian River County, Florida, to -wit: AB of Lol(s)21 ?. , 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. 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 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 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 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 first above written. Attest, /:�...... .... .....C.It y .. Cl ...te ............. I........... � I Ct fined, Stilded sort Delivered lbs sense oh .. ...... w .......... . STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By�r .................... Mayor (ORIV "fral) I HEREBY CERTIFY, That on this .22...................day Of ........... Maj,...................................., before me personally appenred ....Ruth Sullivan Rath M. O'Halloran ......................... ......................... .. and ...... ..-.. .. ran. I...... respectively Mayor and City Clerk of the City of Sebeatinn, a municipal copmratio: under the laws of the State of Florida to me known to be the individuals and Officers described In and who executed the forrguh:g conveyance to - Mary Ann Vallario .............. 6.................. ,..................................................................................................... .................................................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of sold corporation is duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the Cou ty of Wit n River an State of Florida, We day and yea. lost aforesaid. n ==UNDAEY 575124.7988............ ............... g,p,w,dana Ie, o da at Large. eMy commission expires, 11 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA nACUOWLEDGED OF THE SUM OF: Il� FROM: Doilars ($ M�C'CP- on this day of 19=( for the purchase of the following described Cem to (s)tMWS&�5T—upon the terms and conditions as stated herein: Description of property: Cemetery Lot(s_ �(` ��— Block �� Unit Purchase rric /a 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 to sell the above mentioned property to the above named purchaser(s)the erms and conditions stated in the above instrument. \ X Witness r. City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32358 TELEPHONE (561) 589-5330 o FAX (561) 589-5570 June 2, 1998 . Mary Ann Vallario 729 Carnation Drive Sebastian, FL 32958 Dear Mrs. Vallario: Enclosed is Cemetery Deed No. 1630 for Lots 21 & 22, 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. Sincer ly, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures FLORIDA ARTNn�rr W State of Florida, Department of Health, Vital Statistics X a/, o7 0� 0� 1 APPLICPons"N FOR BURIAL — TRANSIT PERMIT ^00%' 4. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Anthony J. Vallario DEATH March 24 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 Pedro Es at D.O. Physician 7965 Bay Street, Sebastian, FI 561-589-5600 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. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b Ina was contacted on 3/24/98 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. Espat 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 cemetery/ Removal Final Disposition: rematory -name/�ty: Indian River n from state n Donation 7 Funeral Director/ i Sigr�ture F.E. No./Rea. No Harp R nnc 1.9 BURIAL — TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-98-0147 ❑ 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. mac�- Date Date Certi' Subregistrar Signature � � �—R•+1XD Issued: Due: �O 4 C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA N 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. Methods of Disposition: W BURIAL ❑ CREMATION Signature of Sexton ) or Person -in -Charge) ❑ STORAGE ❑ OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition .,L J/ , && 501 Date of Disposition 7W&-, .Z Z 7/ /sib 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) `l . Agv 7�9/ayna�Or�/�r 1 Fie Z -z Name Unit Block_ Lot Date of Mark -out Date of Burial Time Name of Funeral Home Authorized by J