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HomeMy WebLinkAbout4-48-09Name Unit Block Lot Date of Mark -out Date of Burial %Time Name of Funeral Home a X uk/ /L-- . - - Authorized by /V, ...:..r=ter"".. -I. Condolences w- reg istered at Seawin&fh.com/ I obitphp. y. SEBASTIAN Leroy Clinton Pease LeRoy Clinton Pease, 85, died March 24, 2006 at his home. He was born in Pennfield, Pa., and moved to Sebastian 25 years ago, coming from Indi- ana, Pa. He was a coal miner with the R & P Coal Company in Er- nest, Pa., for 24 years. He was a mem- ber of the Eagles Sebastian Inlet Aerie #4067 and the United Mine Workers of America Survivors include his wife of 66 years, Lorraine Pease of Se- bastian; son, Clinton Pease of Sebastian; sister,.Hazel Bothel of Worthington, Pa.; two grandchildren; one great-grandson. He was preceded in death by a granddaughter, Connie Pease. SERVICES Visitation will be from 6 to 8 p.m. March 31 at the Strunk Funeral Home, Se- bastian. A service will be ii ELM April 1 at the Strunk Fu- neral Home Chapel, Sebastian with the Rev. James C. Kepler officiating. Interment will be in Sebastian Cemetery, Sebas- tian. BEACH fo a A. FLORIDA DEPARTMENT OF HEALT Name of First State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT Deceased of LeRoy Clinton Pease I Death March W02006 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp.or Indian River Sebastian Inst. 7617 133rd Square 3. Name of Medical jAddress Phone Number Certifier Edward J. Miller,M.D. 13855 U.S. #1 Medical Examiner Physician Sebastian, FL 772-589-8992 4. Name of Funeral Home/DheeHNsposat– Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. 1 Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. d Patti was contacted on 3/27/06 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Miller 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 1 rti on of cause of death within 72 hours. 6. Funeral Director/ Si F.E. No./Reg. No. Date Signed Dvei;t— eser 1862 3/24/06 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-06-0133 F] 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 certificate has been requested. Registrar M Date Date Certificate Signature v Issued: 3/24/06 pqe. 3/29/06SubregistrarQ C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number Date In 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. Method of Disposition: BURIAL CREMATION Signature of Sexton or Person -in -Charge STORAGE OTHER (Specify) This permit must be endorsed by the Sexton or within 10 days to the local County Health Depal CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition in the county where disposition occurred. Disposer when there is no and returned DH 326, 897 Obsaleles all ) Disbibulbn: white: Cemetery w Crematory ( previous a fti Yellow. Funeral Dtre w Direct ois,xmr (Block Nmbm 5740-0DDU326-2) PN L Registrar , `� hid y CEM£XEEY Re~i~ No...6..6.0 Maximum No. Burial Spaces ................ . Monument permir tad ....................... (Data above t~in line for City Record only) O itff nf ha tiau ( eme ery eeh ts 9, 10 ock 48 it 4 NO. Clinton Pease 367 Bayharbor Terr. Sebastian, Fl. 32958 NO. THIS INDENTURE MADE TI~ 13th aay of FebruarM .................................................................. A, D~ l~..?,~.., between the City of Sebastian, a municipal enrpor&tlon existing under the laws of the State of Florida, ns (]rant. or ami .... Clinton Pease ......... 3'6'T'~'A'gH~f'~ ~ ~ ' 'i'6 ~ ~ 2 .................................................... ................................................. Sebas. tian,.. Elo. rid a..329 ~ 8. of the County of ...In..d~.a..~...R~..y.e.[ ..................... an.I state of ......... %!.orida as Grantee, WITNL~SSETH! .......................................... That the Grantor for and in consideration of the sum of $ .~..0.0..,.Q.O. ...... to it in hand paid, the receipt whereof is hetewirh ac t~;~ol~gweind,gd~s~ t~j~estjUinm~nethag~nt, ba.ai~, sell, tel.., convey and confl~ un~;'t;; '~,'a~teo..~..i~... heirs, legal repre.ntative, and assign; P P Y ' ~n, ln~n River County, Florida, to-wit: ~ of Lores) . ~., .~ Q, Block,. b. 0 ..... UNIT ...~. .......... of Sebastian munidpal cemetery as l~t rht Number 1 thereof recordnd in Plat Book 2, at pre 65 of the public records in the office of the Clerk of the Ckcuit Court of St. Lucie County of Florida; ~aid land now lying and bei~ in indian River County, Flosids. To Have and to HoM the same forever; provided that said property shah 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 ruler and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafte! adopted or provided for t,he government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shah 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 ~uch rules, regulations, resolutions ami.ordinanoes end the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shah revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be executed in its name and on its behaff by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year lust above written. ~ City C~erk Signed, Sealed and Delivered In th~Presen.ce of: /3 ~ COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA I HRIIEBY CERTIFY, Thai an thin ........ 13. th ......... day of ......~ehr.uaE¥. .............................. , is. 9 ], ~4~'fo're me personaly appeared · E. Conyers . Knt'hrxz. 0 'w~13 .... respcchvely Mayor and City Clerk of the City of Sebastian, a municipal 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 comveyance to ........................................................ and severally ~nowl~ged the execution ther~f to ~ ~elr free act and deed as anch officers thereunto duly author~ed; and tbat the Official ~al of said corporation la duly affixed the~ and the said conveyance is the act and deed of ~ld ~rporuOon. WITNESS my slgnn~m and offlcl~ ~ at Sebastian, in the ~unty of Indian River and State of Florld~ the day and year last afor~d. ............. ~ubHc, State of Florida at ~r~e.~ ~ Commbs~n E~r~ t:~3'~130, 1994 LOTS 9, 10 BLOCK 48 UNIT 4 DEED #1314 · CLINTON PEASE 367 BAYHARBOR TERR. SEBASTIAN, FLORIDA 32958 (D~ta above fl~ls line for City l~e~ord Lots 9, 10 Block 48 Unit 4 NO. Clinton Pease 367 Bayharbo~.Terr. Sebastian, Fl'. 32958 City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 [] FAX (407) 589-5570 February 22, 1991 Mr. Clinton Pease 367 Bayharbor Terrace Sebastian, Florida 32958 Dear Mr. Pease: Enclosed is Cemetery Deed No. 1314 for Cemetery Lots 9 and 10, Block 48, Unit 4. If you wish to have this deed recorded you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida 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. We are enclosing two copies of Receipt No. 660 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. Very truly yours, , Kathryn M. O'Halloran City Clerk KMO:Js enclosure THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: on this /j~ day of~ZWZZ~, l:9?/for the purchase of the following described Cemetery Lot(s) upon~he terms and conditions as stated herein: Description of Property: · Cemetery Lot(s)# .~/, /~ Block# ~'~ Terms and'conditions of sale: Unit# 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) on the terms and conditions stated in the above instrument. ~bastian _~/ February 8, City of Sebastian POST OFFICE BOX 780127 u SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 1990 TO: FROM: Finance Department Kathryn M. O'Halloran, City Clerk Please issue a check in the amount of $400.00, payable to the following, for the re-purchase of Cemetery Lots 9 and 10, Block 48, Unit 4: Lucille Held 202 S.W. Columbia Avenue Sebastian, Florida 32958 Attached is Original Deed No. 1113 and Receipt No. 467. LR Enc. February 8, 1990 TO: The City of Sebastian, Florida We herewith request that the City of Sebastian, Florida, buy back from us the following Cemetery Lots: Lots 9 and 10 Block 48 Unit 4 Attached is Original Deed No. 1113 which shows that these lots were purchased on April 8, 1987, at a cost of $200.00 per lot, for a total of $400.00 Charles F. Held Lucille Held 202 S.W. Columbia Avenue Sebastian, Florida 32958 L. Gene H&n'ls Mayor City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kathryn M. Benjamin City Clerk April 28, 1987 Mr. and Mrs. Charles Held 202 S.W. Columbia Avenue Sebastian, Florida 32958 Dear Mr. and Mrs. Held: Enclosed please find Cemetery Deed No. 1113 for the purchase of Lots 9 and 10, Block 48, Unit 4, Sebastian Municipal Cemetery. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach. We are also enclosing a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the Clerk of the Circuit Court's office. Very truly yours, Deputy City Clerk LR Enc. 'ON '~V ~q~[oD'fi'~ ZO~ 'ON .................. S P.~d ~N oo' oo~ ................. saoMS lm~n~ 'oN tunmpm~ z '"'o'6'"b'd:f~ .... '~'~ ~ ...... ~ ~'/ i~"/ ~ ..... POi'Il ......... ~ ~I"oN ld,~o.~l A ll~J;aPI~I;:) ,iq P!~I Paid bi' CEMETERY Receipt ListPtice$... $200.00 $400.00 Net Paid $ .................. No. Bar,,, S ce, ....... Z. ......... ! ! 13 Monumentpennitted ....................... Charles F. & Lucille Held 202 S.W.Columbia Ave. Sebastian, Fl. (Data &here this Bne for Clt~ Record only) · of ebaslian (!;emelery Beei NO. Tins ZNDENTURE MADE ~a, ...J~k ........... day of .............. April ...................... A. m. is.8.7.., between the City of ~b~tia~ a m~lcJp~ ~r~ti~ ~ht~ ~r t~ laws of the State of FlorM~ ua Gran~r ............................. ~h~!~ ~..~.,.. ~nd.. ~c.i~ 1 ~.. ~.~ ~ ......................................................... ............................. .... ......................... af th, ~ty ~f ..... !~.~..g.~. .................. an,l st~to o~ .............. ~!.9~ ............................. ~ Grant~ WITN~E~ ~t ~ Gr~tol roi ~d ~ ~n~ia~n of ~e ~ of $ . ~ ~ .'.~ ............... to it ~ ~d ~, thc ~e~ipt wher~f h ~m~th a~ ~ow~e/, does by t~ ~nt ~t, b~, ~ re~, mn~y ~ ~n~ ~to ~ Gr~t~ ~ .~ ~e~s, ~l ~epm~ntafiv~ ~d ~s ~ fo~ pwp~y ~t~ted ~ ~ba~ I~ai~n ~er ~ty. HotlY, t~it: ~ of ~t(s~.. ~. ~ q B~,.. ~ .... UN~ . .~ ........... of ~b~ m,n!~l ~c~W ns ~r Pht Number 1 ~e~f ~rded ~ Pht Book 2, at p~e 65 of ~ pubUc re~r~ ~ ~e offl~ of ~ C~k of the ~t ~ of St. Lu~ Cowry of ~; ~ ~d now ly~g ~d bei~ h Indlnn ~v~ Cou~y, To Have and to Hold the same fomvar; provided that said psoperty *h*l! be used solely and exclusively for the intefraent of the human dead and shaU be used. kept and maintained at all times in accordance with the rules and regulations, ordinances and rcsolutinns of the City of Sebastian. Flarida. hereto- fore. now and hereafter adopted or provided for the govm-nment and ogexation of said cemetery. The conditions, restrictions and ~qukcments contained in t~ ~nstrument shaB be covenants running with the land. In tile event of the latium of thc owner of any prol~rty situated withha said cemetery to ob- set~e and comply with juch rules, seguJations, resolutions and.o~Linances and the conditions of the dc~ of conveyaace thereof then the title of such owner in and to sa/d property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said patty of the first part has caused tiffs instniment 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. Signed, Sealed and Delivered fn the P/~icence ..... ..................... STATE OF FIXIR1DA COUNTY OF INDIAN RIVER CITY OF ~EBA//TIAN, r~s!~ctively Mayor anti City Clerk of the City of ~ebastian, a municipal cerporation under the laws of the State of Florida to me known to be the individuals and officers deserlb~l in and who executed thc foregoing cmaveyance to Charles F. and Luciile Held ........................................................ and severally acknowledged the execution thereof to he their free act and d~al as such officers thereunto duly authoriaed: and that the Official seal of said corporation la duly affixed thereto, and thc said conveyance is thc act and deed of said corporation. WITNESS my: signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid. I~¥ CO~#[SSlO# [XP O£C 10,1988 llt~U [.fi[kAL 1/15, U~, ~ UNIT 4, BLK. 48, LOTS 9 & 10 DEED #1113 Held, Charles F. & Lucille 202 S.W.Columbia Ave. Sebastian, Fi. 32958 8507 Paid by CE.M~TERY Receipt No., ,4.6, .7. .......... Dated ..... .4, ,/.8,/.8, ,7, ............... u~t mi~ $. $200.00 ~.axl~m ~o. ~uriai Spac=~ ...... Z $400.00 N~ P,id $ .................. Lots 9 a 10, Blk. 48 Unit 4 NO. Mon,m~tmmm~ ....................... Charles F. & Lucille Held 202 S.W.Columbia Ave~ Sebastian, Fi. (D~ a~ve ~ ~ ~r ~ 1~:o~ Citg of Sebastian $~stian, Florida RECEIPT IS BEREB¥ ~CFdqOWLE~GED OP THE SUN OF; This contract shall be binding upon beth parties, the seller and the purchaser, when approved bg the owner of the propert~ above described. I, or we, agree t° purohaso the above described propert~ on the terms and oonditio~.s stated ia tbe foregoing intrumant: The Ciey of Sebastian agrees to sell the abOve mentioned property to the abOve named purchaser(s) on tbs terms and conditions stated in £he abOve instrua~nt. 'City Wi t;~uss L. Gene Harrl~ Mayor City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kathryn M. Benjamin City Clerk April 28, 1987 Mr. and Mrs. Charles Held 202 S.W. Columbia Avenue Sebastian, Florida 32958 Dear Mr. and Mrs. Held: Enclosed please find Cemetery Deed No. 1113 for the purchase of Lots 9 and 10, Block 48, Unit 4, Sebastian Municipal Cemetery. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach. We are also enclosing a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the Clerk of the Circuit Court's office. Very truly yours, Deputy City Clerk LR Enc.