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Home My WebLink About4-28-33Date cdMark-out Date of Burial Name ofFuneral Home ' Authorized by Time (CULT of el��s#iuu p�t1 p{ qy p A� "'1629 V' F ill C 1 4 .l C .0 .Ls N0. THIS INDENTURE MADE Tlah ..... ?.tld........... day of.......Juy1E ............................... A. D„ 19....... between the City of Sebastian, a municipal corporation existing under the laws of the Slate of Florida, as Grantor and ........................Jomthan.A.. and/Dr.Judith.B...Booth. ....... .................._.................... 333 Joy Haven Dr ..................................... Sebastiana..F•L • 32958..................................................................... of the County of .-TrAipp. Rive,.r......................... and State of F..1P.17]ddd............................................ as Granter, WITNESSETH. That the Grantor for and in consideration of the sum of $ ..11 M—A.... ., to it In hand paid, the receipt whereof is herewith ac, knowledged, does by this instrument grant, bargain, self, release, convey and confirm unto the Grantee )'1?5..... heirs, legal representatives and assigns the followingpaps sty .t led r' Sebastian, Indian River County, Florida, to -wit: AB of Lott((s)1.3......V.. , 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 St. Lucie County of Florida; said land now lying and being N Indian River County, Florida. To Have and to Hold the sarne forever; provided that said property shall be used solely and exclusively for the interment of the human dud and shall be used, kept and maintained at all times In accordance with the rules and regulations, ordinances and resolution@ 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 requlraments 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, regulatlons, 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 sane shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust pmt 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. 1A n. co ."je-- Attest: .. .. .............. ...ty....'o'r...................... G^Clerk Sign , Sen and Delivered 1 In e P nee o7:� / .. ... U....'. .... ......... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA B1....................... Mayor (01itu deal) I HEREBY CERTIFY. That on this W ...................day of ............ June ................................ 1 1998.. befure nae personelly appeared...., Ruth Sullivan Kath M. OIHalln ora respectively Mayor and City Clerk of the City of Sebostlan, a munlelyal mrporntlon under the Iowa of the State of Florida to me known to be the Individuals and officers described In and who executed the foregoing cuaveyanco to Johnathan A. and/or Judith B. Booth ...................................................................................................................................... . ........................................................ and severally acknowledged the executil thereof to be their free act and deed as such officers thereunto duly authorized; and that the Offlclul seal of said corporation le J @(fixe thereto, and the mid conveyance la the net and deed of mid corporation. WITNESS any signature and official seal at Sebastian, In the unty f Ian Iv and Stet oj, ride, the day and year last aforesaid. / �/� f��672< oto-)'rub17 9fet Florida et Lr ................... 18. 0 1999 ave Uns@rssllan Mycommlyalan s: City of Sebastian 1225 MAIN STRE=W o SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 o FAX (561) 589-5570 June 2, 1998 Jonathan A. & Judith S. Booth 333 Joy Haven Dr Sebastian, FL 32958 Dear Mr. & Mrs. Booth: Enclosed is Cemetery Deed No. 1629 for Lots 33, 34 & 35, 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. Ifyou 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 (56 1) 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 Kathryn M. O'Halloran. CMC/AAE City Clerk KOH:Img Enclosures Agftk STATE OF FLORIDA 33 -� DEPARTME% OF HEALTH & REHABILITATIVE ERVICES a 8 VITAL STATISTICS APPLICATION FOR PERMIT TO DISINTER, TRANSPORT & REINTER A. Application is hereby made for a permit to DISINTER, TRANSPORT & REINTER the following human remains: (Type or Print) 1. Name First Middle Last Date Month Day Year of of c..ai va.i ci=.�i� �v aloe Address Dfree Hisgoser 1623 N. Central Avenue Reinterring Snblstian, FI 3295E 6. Funeral Director/ Sign uie' F'�A.Lie. NO /Reg.No. Date Signed Making Application ;'� /`�: r, lkt7� ,.- .f�l� •g PERMIT TO DISINTER, TRANSPORT & REINTER B. Permission is hereby granted to DISINTER, TRANSPORT & REINTER the above human remains: Permit No. 1228-98-0200 Registrar or Sub -Registrar _ Signature - _i._�...e.. 1-i Date Issued J`�el•4 C. Endorsement of Cemetery Agent L�Q / a /,µ,,kw &4i' 'I'll ! +E.I�'7� /yli For -Disinterment: Date:Cemetery \ Agent ( /l For Reinterment: Date:S CemeterY�2 , el47) Agent: This Permit must be surrendered by the Funeral Director/Direct Disposer to the Cemetery Agent where reinterment is made. The Cemetery Agent (or Funeral Director/Direct Disposer if there is no sexton) must forward this Permit within 10 days to the local County Health Department in the County where reinterment occurred. HRS Form 431, OCT 81 (replaces previous editions and HRS Form 757) J. Deceased Jurrath;ur %. Snoth, Jr Death April 10 1984 2. Place County City, Town or Location Age Race Sex of Death iSrurrar0 "• ,r+pano F't,;.rclr 22 W111te k1ale 3. Place of Cemetery Address Original A<<-r+•crial Burial t-'e'rlkald F.3<'701 CrgrR.ter+- 4. Place Cemetery Address of , 1921 N. Central Avenin Reinterment `+•b+rstian Ct=,jrj e:�ery Snbastlan, FI 32958 5a. Funeral Director Direct -Disposer Nad�C ✓ 1. c�a�ds�' Disinterrinv / S�/ c..ai va.i ci=.�i� �v aloe Address Dfree Hisgoser 1623 N. Central Avenue Reinterring Snblstian, FI 3295E 6. Funeral Director/ Sign uie' F'�A.Lie. NO /Reg.No. Date Signed Making Application ;'� /`�: r, lkt7� ,.- .f�l� •g PERMIT TO DISINTER, TRANSPORT & REINTER B. Permission is hereby granted to DISINTER, TRANSPORT & REINTER the above human remains: Permit No. 1228-98-0200 Registrar or Sub -Registrar _ Signature - _i._�...e.. 1-i Date Issued J`�el•4 C. Endorsement of Cemetery Agent L�Q / a /,µ,,kw &4i' 'I'll ! +E.I�'7� /yli For -Disinterment: Date:Cemetery \ Agent ( /l For Reinterment: Date:S CemeterY�2 , el47) Agent: This Permit must be surrendered by the Funeral Director/Direct Disposer to the Cemetery Agent where reinterment is made. The Cemetery Agent (or Funeral Director/Direct Disposer if there is no sexton) must forward this Permit within 10 days to the local County Health Department in the County where reinterment occurred. HRS Form 431, OCT 81 (replaces previous editions and HRS Form 757) J.