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Home My WebLink About4-28-28rM Name Unit Block Lot ze Date of Mark -out Date of Burial .Z / �• Time `` Name of Funeral Home Authorized by Snn L� �� a Cray �s Name "� Unit Block (,J / {,ut -A O ►`� � e Lot Date of Mark -out -3/1 9v /o- / o r Date of Burial 3 0 Time (12Sin�� Name of Funeral Home ��"�► ` A Authorized by QAtLt at 'i$lr a!ittt11t 163 G ..r' j m{ 1 r i Ij U r C La NO. THIS INDENTURE MADE This ....10 C.. .......... ..... day of ........ June ............................. A. D, 1B ....., between (lie City of Sebastian, a municipal corporation misting under the laws of the State of Florida, as Granter and ..............................................Ann- L.Q.u.. LIAO-.anQ.................. .................... I........................ 9380 101st Ct .................. I.......................... Vero..Beach,..FL..329Ex7......... ..... ........... .................... ....... . of the County of Indian.,River,,,,,,,,,,,,,,,,,,,,,,, anal State of .........Flo F.l.o.r.i.d.a .................................. as Grantee, WITNESSETHi 1 5 OO.00 , to it ' hand paid, the recei t whereof is herewith ac- 7hat the Grantor for and in consideration of the num at $ ..?...................... !n p knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , , t3 L ... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s)? 7A 28 , Block, .? 8.... , 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 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 - line, now and hereafter adopted or 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 fallure of the owner of any property situated within said cemetery to ob- serve and comply with surly 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 fust above written. Clfy Clerk Reed, Settled unit Delivered 4n the Presence of, ......... ........I ........................... ..�'- .................. CITY OF SEBASTIAN, FLORIDA By................... Mayor ((Qitq Sea[) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ........ I.Qtb......... day of .............,?cine................................ 19 98 brrure its personally appeared ..............Ruth Sullivan Kathryn yn M. O'Halloran ............................... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the Iowa of the State of Florida to me known to be the Individunle ,,.it officers described In and who executed the foregoing conveyance to ..............................................Ann., Lou_, Luciano.............................................................. ................................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official sent of said corporation Is duly thereto, and the said conveyance Is the net and deed of said corporation. \ WITNESS my signature and official seal at Sebastian, In the last aforesaid. ION a CC 740478 June t8, 2DD2 rr Rere U-daadtrn My State bf Florida, the day and year v. ..r�cr....... .................... v Pub c. State o orlda nt Lnr 01/27/2017 14:22 FUNERAL DIRECTOR'S REQUEST TO C 11 Y OF FOR BURIAL OPENING IN SEBASTIAN M ICIP/ For information contact Kip Kelso, ,Cemetery Se { SehaSdan Municipal Corrig tj ry Phone( (7 72) 589.254 1 Fax: 792) 228-9927 ` City Clerk's Office - Cathyto City Hall, 1225 Main Sir Sebastian, FL 32958 Office 4`772) 388.8215 or 388-8214 ctesta c rvofse 86414 P.001/001 FUNERAL HOME; Strunk Funeral Home and Cremator ADDRESS: 1e23 North Central Avenue, Sebastian. Florida, 32958 PHONE#; 77 -589-1000 (Check ne XXXILOPEN BURIAL LOT Lot-29_Block 2.L Jr IL�URN VAULT BEING BURIEDa OPEN , fY REMAINS LOT Lot—Block Unit __OPEN CLUMBARIUM NICHE Niche B k Unit BURIAL DATE AND SERVICE TIME; Friday, February 3, 201 a11:00 CHAPS Service FOR DECEAS D; Name NAME AND SI NATURE OF LOT OWNER OR REPRESENTATIVE (Must provide proper documentation of ownership) Lo e L i o Lmalt/2 Name Signature /2017 pa{e I certify that I have fees have been determined the ownership of the above described paid and authorize opening of same. it that all site fees and administrative NAME AND SIC NATURE OF LICENSED FUNERAL DIRECTOR: William B. Whittaker, Jr. ViMaKB `4- A Cemetery Sextop Certification: I certify that I hale checked the ownership information by viewing the office and that all fees have been paid: This form to be ovided to Clerk's Office by Sextan for permanent CASH AM ANCE ACCOUNT -SEBASTIAN 16M N -CENTRAL AVE SEBASTIAN, R. 92958 One Hundred F4 and 00/100 PAY TO THE Min OF: 1228.17022 O/C fee 0075920• 1:012,70067751; 1Q i9 deed and c¢nfirming with Clerk's upon 0:/2612037 f AJ BUNT 4 15 .Op i �A FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For Information contact: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax., (772) 228-9927 l City Clerk's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or388.8214 ctesta(dcitvofsebastian.ora FUNERAL HOME: Strunk Funeral Home and Cremato ADDRESS: 1623 North Central Avenue, Sebastian, Florida. 32958 PHONE* 772-589-1000 (Check One) XX OPEN BURIAL LOT Lot-28—Block 28 Unit 4 URN VAULT BEING BURIED _OPEN CREMAINS LOT _OPEN COLUMBARIUM NICHE Lot—Block—Unit Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: Friday, February 3, 2017 at 11:00 CHAPEL Service FOR DECEASED: Ann Lou Luciano Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Lorraine Luciano Lorratm watom.o 1/26/2017 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR: William B. Whittaker, Jr. ci/iP.P om'13. Mittaket, it. 1/26/2017 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: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. CASH ADVANCE ACCOUNT - SEBASTIAN 1623 N. CENTRAL AVE. SEBASTIAN, FL 32958 One Hundred Fifty and 00/100 PAY TOTRE City of Sebastian ORDER OF 1228-17022 Luciano 0/C fee 01/26/2017 AMOUNT $ 150.00 a n� �s .._._._._ 4UfWRiZE05K,NRTURF U-00759211- 1:06 7006 7 7 5t: 16019636u• �I 01/27/2017 15:02 66415 P.001/001 FUNERAL DIRECTOR'S RE4UEST TO C1 P SEEiASTIA L CEM±T R R BURIAL OPENING IN SEBASTIAN MU I Far Information contact: KIP Kalso, Cemetery Saxt •• Sebastian Municipal Cemat ry c" phone: (772) 589.2545 ff� Fax: (772) 228.9927 Gw I City Cierk's Ot ice - Cathy 7 s1 City Hall, 1225 Main $tree Sebastian, FL 32958 Office(772)388-8215or388.8214 etastaO 't ebastian.or FUNERAL HO E: Str k F ner Ho eon Cr at ADDRESS: 1623 ljorth Central Avon ue. Sebastian. Florida. 32958 PHONEO: 77 5 9- 000 USUn N U IAL LDT Lot`28_9lock ss n j a 'URN VAUL SING sURIEPxxxA_OPoQ+ / _OPEN GR MAINS LOT Lot—SIDck Unit._____._. OPEN IO UMDARIUM NICHT Nich6^_..,E31 D Unit BURIAL DATE D SERVICE TIME: Frida , Febrtla 3, 2017 a11:00 CHAPELS envice FOR DECEASID AMD 10 Name NAME AND SI TORE OF LOT OWNER OR REPRESENTATIVE (Must provide o w documentation of ownership) ot7 ra Name Signature atp I certify that I h vj determined the ownership of the above described iI that ail site fees M.0 administrative tees have been pi iid and authorize opening of same, NAME AND SITURF OF LICENSED FUNERAL DIRECTOR: William B. W i taker, Jr. 9JPRiart$. 9114L rmZQ17 Noma I 01/27/2017 14:09 a*rrrsz****raxax*rr*rr****seaV *s***rr *ss ERROR TX REPORT ssx sr*ss****rr*rr*****rr*sxsaaar r.xassr:: JOB NO. MODE N0, DESTTNATTON TFL/TD START TTM PAGE RESULT 6412 TX G3 001 01/27 14:09 n0O NG 00'00 2289927 OOFF:REDTAL ALL FAIL 01/27/2017 08:25 7722287079 COS AIR BLDG PAGE 01/01 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, .Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax -'(772) 228-9927 City Clerk's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388.8215 or388-8274 ctestaftq/tIlofsebastian,org FUNERAL HOME: Strunk Funeral Home and Cremator ADDRESS: 1623 North Central Avenue Sebastian Florida, 32958 PHONEM 772-589-1000 Check One XXXX OPEN BURIAL LOT Lot_28_01ock 28 unit 44 URN VAULT BEING BURIED OPEN CREMAINS LOT Lot—Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N—S—E W BURIAL DATE AND SERVICE TIME: Friday, February 3, 2017 at 11:00 CHAPEL Service FOR DECEASED: nn Lu_o Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Lorraine Luciano Lorraivie LuciGt 1/26/2017 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR: William B. Whittaker Jr.I?I?iaM �WRitt0124 JA. Name Signature 1/26/2017 Date Cemetery Sexton Cerwication: 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 hve been paid: / e-7- 17- C e4m rCem try exton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. r- FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, Cemetery Sexton ev-�Do �r Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax: (772) 228-9927 City Clerk's Office - Cathy Testa 11 City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 ctestaacityofsebastian.orp FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) XXXX OPEN BURIAL LOT Lot-28—Block 28 Unit 4 URN VAULT BEING BURIED OPEN CREMAINS LOT Lot—Block—Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: Friday, February 3, 2017 at 11:00 CHAPEL Service FOR DECEASED: Ann Lou Luciano Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Lorraine Luciano LOYYAi,M L-W,iCIVGQ 1/26/2017 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR: William B. Whittaker, Jr. VIMPAR uittaieen, it. 1/26/2017 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 h ve been paid: f z7 %7 Cem teryexton tl Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY ssasr a etucw rsunn For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 FUNERAL HOME: City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 589-5570 C ADDRESS: PHONE #: (Check One) OPEN BURIAL LOT Lot OPEN CREMAINS LOT Lot OPEN COLUMBARIUM NICHE Niche BURIAL DATE AND SERVICE TIME: FOR DECEASED: Name Block 28 Unit Block Unit Block Unit N S EDW 11 . _, c . /I e NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR: 24 V'4 3 Zz 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: ,1 � 4. "a CemlAery,%exton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion, CITY OF SEBASTIAN 4678 CITY CLERK'S OFFICE RECEIPT Name 6ff- U,n L( FUvl cyc�( ❑ Cash (� �, p Date 3-- i o L�Check# 49 58 No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copie&Tid Specs. 001501341910 LDC/Code ofOrdinances 001501341930 Election Qualifying Fees ' 601010343800 Cemetery Lots LtLCI cLno Lot/Niche Z71 Block ?-'K Unit 001501343805 Cemetery Fees •�U Total Paid Initials White - Dept. of Origin• Yollow- Finance • Pink- Applicant CITY OF SEBASTIAN 10409 ADMINISTRATIVE SERVICES RECEIPT Name SIAu4k We-1ArrJ0 ❑Cash Date ISI % yheck ll -75q U Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees as Iso 1 143C06 I -P _f 1 , Oar 4 8-1Ka9 L9-rA Total PaX [0' C Initials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant