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Home My WebLink About4-48-03 eme ery Dee NO. 0 1103 THIS INDENTURE MADE ~ ...3rd .......... day of ....... D~C~I'~f:~}~ ........................ A. D., 10~ .... between 'the City. of Sebastian, a municipal corporation ex,sting under the laws of the State of Florida, ss Grantor and Bennie P. Poole ........ .................................................................... of t~ co~n~ o~ .. lndLa~.R±v~r .........................a,i m,t~ o~ .... Florida ...................................... a~ G~nntea, WITNE88ETH~ t That the Grantor for and in consideration of the sum of $ .. ?..~.5.: .0.0. ............. '.. ~o it in h~nd paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargnih, sell, release, convey and confhm unto the Grantee ...h. ~.s... heirs, legal representatives and assigns the £ollowing property sittmted in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ~ ?;~ .~ , Block .... .~.~ .. , UNIT ...~ .......... 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; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property ~hall be used ~lely and exclusively for the interment of the human dead and shall be used, kept and maintained zt all times in accordance with the ru[es and reguhtions, 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 ~ecluirements contained in this instrument shah be covenante 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 ~uch rules, reguhflons, resolutions and ordinances and lhe conditiom~ of the deed of conveyance thereof then the title of such owner in and to said property shaft terminate and the same ~hall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has ~u~d 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 bereto affixed, the day and year first above written. - - - (~CIty Clerk S~m'd, Seal~'.d ~n~ Dellyered In the P~nce ..... ......... STATE O~ ~LORIDA ~OU~TY CITY OF SEBASTIAN, FLORIDA ,/ Mayor I HEREBY CERTIFY. That on this .... ~rd ............. d,y ,,I . .December .................................... , before me peounally *pp,,red . . L,..G~R~. Hacris ......................... ~nd .. Eliza~th .Rekd....- ............ respectively Mayor and City C]erk of the City of Sebastian, a municipal corporatiou under the laws of thc State of Florida to me known to ~. the individuals and officers descried in and who execuit~ the foregoing coaveyance to ......... B.e~,i~. ~,. ,F~%e ....................................................................................................... ........................................................ and severally acknowtedg~l the execution thereof to be their free act ,nd deed ns such officers thereunto duly authorlzedl and that the Official seal of saki curporatio, is duly affixed therefor and the said conveyance is thc act and deed of said corporalion. Name Unit Block Lot ..~ Data of Mark-out Name of Funeral Home Authorized by Paid by CEMETERY Receipt No... A57 .......... D,~ ..... ;kgZ;~Zs, .6. ............... ~, ~i,~ ~.. A~.,Q~. ....... ~ ~o. ,~ s~,.. ~ ............. N~ P~ $ .. ~7~.,Q9. ....... Monet ~ .... T~.Z ........... ~ts 2 & 3, BI~ 48, Unit 4 No. i 103 Bennie P. Poole PO Box 152 Fellsmere, FL 32948 (D&~ a~ve ~ Hne ~r ~ Reeo~ o~y) DEPARTMENT STATE OF FLORIDO OF HEALTH & REHABILITATIVE VITAL STATISTICS SERVICES APPLICATION FOR PERMIT TO DISINTER, TRANSPORT & REINTER A. Application is hereby made for a permit to DISINTER, T ,R~NSPORT & REINTER the following human remains: (Type or Print) 1. Name First Middle Last Date Month Day Year of of Deceased CORA LEE POOLE Death AUG. 25, 1976 2. Place County City, Town or Location Age Race Sex of Death INDIAN RIVER VERO BEACH 57 W F 3. Place of Cemetery Address Original Burial SEBASTIAN C F24ETERY SEBASTIAN, FLORIDA 4. Place Cemetery Add~.~ of Reinterment SEBASTIAN CEMETERY SEBASTIAN, FLORIDA 5a. Funeral Director/ Name Address Direct Disposer Disinterring STRUNK FUNERAL HOME 734 N. CENTRAL AVV., SEBASTIAN, FL. 5b. Funeral Director/ 6. Name Address Direct Disposer Reinterring ~TRUNK FUNERAL HOME 734 N. CENTRAL AVE., SEBASTIAN, FL. Funeral Director/ Siq9%ature Fla.Lic.No./Reg.No. Date Signed Direct Disposer _J Making application~~,//~ -/ ~ ~'~'~ PERMIT TO DISINTER, TRANSPORT & REINTER above human remains: Registrar o~'.Sub-Reo~gr Permission is hereby granted to DISINTER, TRANSPORT & Permit No. Date Issued REINTER the 1228-86-459 DEC. 2t 1986 C. Endorsement of Cemetery Agent Disinterment- Date:/,~/~/~9.Cemetery Agent Reinterment: Oate:z~ ?~ Cemetery 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)