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HomeMy WebLinkAbout4-48-21~al~ by CEMETERY Receipt No ..... '.'~ .......... Dated.. IAst Prier $ $325.00 Net Paid $ ...$fiS.0..0fl .... Lots 21 & 22, BLK. Howard Marcley, Sr. NO. unum No..B s ce, ................. 1119 Monument permitted .... ~1.~ ............ Howard S. Marcley, Jr, 48, UNIT 4 7725 95th Court Interred 6/5/87 Veto Bch.,F1. 32960 (Data a~ve mi, U~ for Cit~ R~oed ealy) (Vero Lake Estates) eme ery Bee NO. 1119 THIS INDENTURE MADE ~ ...... $.th ........... d~y of ............ June .......................... A. Do 19.8.7.., between Ihe City of Sebastian, a municipal eorporatlan existing under the laws of the State of Florida, as Grantor end ........................................ .l-I.o..wi~.r d..$. ,.. Mar. cl~y ,.. Jr ......................................................... 7725 95th Court, Veto Beach, ¥1a. 32960 (Vero Lake ................................................................................................................... l~st.a.lzes) .... er ibc co,nty o~ ............I..n.d..i..a..n...R..i..v..e.r. ............. un-I state of ............ ]?l~.i.da .............................. as Grantee, WITNESSETH* That the Glantoll for and in considecation of the sum of $ ....~..~.0. :.0..0. ............. to it in hand paid, the receipt whereof is herewith knowiedged, does by this instrument grant, bargain, sell, release, convey and confirra unto the Grantee ...h..m.a... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: ,il of .... ?. ........... of S b ,an cemete , N be, l in Book 2, at page 65 of the public reco£ds in the office of the Clerk of the Circuit Court of St. Lucia County of Florida; said hmd 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 rel~uhtinns, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said c~metery. The conditions, restrictions and requirements con/a/ned in this instrument shah be covenants zuuning 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 iuch rul~s, reguhfions, resolutions and.o~dinances and the conditions of the d~ed of conveyance thereof then the title of such owne~ /n and to said property shall terminate and the same shall £evert 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 end on its hehalf by its Mayot and attested by its City Clark and its corporate seal to be hereto affixed, the day and year first above written. Attest t .~ ~ .'~*. - ~ ....... City Signed, Sealed and Delivered inthe ~.. ~,~]~ ..... STATE OF FIX)RIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By I HEREBY CERTIFY, That on thl~ ..... .~.'[1.~ ............. day of ........... J.une ................................. ,-~87., befo,e me personally appeared ........... .L..~,..~, ,~..~.~., .i..fl..E..r.~..'.sff. ..................... respectively Mayor anti City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individuuls u. nd officers described in and who executed the fort'going conveyance to ......................... ~.o..w..a.r..d....S..... ~..c.1. ~y. ,...3. r., ....................................................................... ........................................................ and severally acknowledged the cxeeutinn thereof to be their free act and d~ed as such officers thereunto duly authorized; and that the Official seal of said corporation ~s duly affixed thereto, and the ~aid conveyance is thc act and deed of said corporation. W1THESS my signature and offlc[al ~ at Seb~sthn~ in the County of Indian River a~d State of Florida, the day and year hast aforesaid. My commission expires~ #Y C0~I$$I0# s*XP OE¢ 10.1988 Name Unit Block Lot "~ 1I Date of Mark-out Date of Burial Authorized by UNIT 4, BLOCK 48, LOTS 21 & 22 DEED # 1119 MARCLEY, HOWARD S., JR. 7725 95th Court Vero Beach, Fi. 32960 Howard S. Marcley, Sr., Lot 21 on 6/5/87 interred in NetPaid$ ...$.~5.0..0~ .... MoMm~entDemti. tte4 .... Elat ............ Howard S. Marcley, Jr. .Lots 21 & 22, BLK. 48, UNIT 4 7725 95th Court Howard Marcley, Sr. Interred 6/5/87 Vero Bch.,F1. 32960 (m,~ above mm line ~or C~' l~,eco~l oab,) (Vero Lake Estates) L. Gene Harrb Mayor City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kath~yn M. Benjamin Ci~ Clerl( June 8, 1987 Mr. Howard S. Marcley, Jr. 7725 95th Court Vero Beach, Florida 32960 Dear Mr. Marcley: We are enclosing Cemetery Deed No. 1119 for Lots No. 21 and 22, 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. 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 Clekr of the Circuit Court's office. Very truly yours, Deputy City Clerk LR Enc. T~£SEBASTIANCENETER¥ approved by th~ owner of th~ prop~rc~ above des~rlt~d. I, or we, agr~ Co purchase the a~ove described prop~rt~ on the term~ ~nd condition~ The Cit9 of Sebas£ian agrL~s co sell th~ above mentioned property to the 4~K~ve nam~t purchaser(s) on Ch~ terms and conditiona staved in the 4hove ln~Cru~wnt. STATE OF FLORIDA ~ ~PARTMENT OF HEALTH & REHABILITI~E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL--TRANSIT PERNIIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF DEATH HO[4AJ{D F. MARCLEY, SR. JUNE 2, 1987 2. Place of Death City, Tow,] or Location Name of (if neither, give street address) County Hosp. or INDIAN RIVER VERO BEACH Inst. INDTAN RIVER MEMORIAL HOSPITAL 3. Name of Medical XY~] Physician Address Certifier SkMUEL WATKINS, M.D. ~]Medical Examiner 777 37th STREET., VERO BEACIt 4. Funeral Home/ Name Address Direct Disposer STRUNK FUNEP, AL HOt4E, 1623 NORTH C]~'~TRAL AVENUE., SEBASTIAN 5. Check Appro- priate Box cO Tile medical certification has been completed and signed. A completed certificate of death accompanies this application. DR_ ~AT~TN.q was contacted on ~/~/R? . He/she verified that this death was from natural causes, that tbere was no accident nor other external cause of death, and that HE will complete and sign the medical certification of cause of death. was contacted on He/she verified that Medical Examiner, will complete and sign the medical ce,'u ficatlon. Funeral Director/ Direct Disposer BURIAL-~TRANSIT PERMIT 1~0-87-211 Permit No. Permission is hereby granted to dispose of this body. X~ A five day extension of time tot filing the death certihcate (exclusive of weekends) has been requested and granted. If it cannot be filed within this dine timit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the Country in which death occurred. Registra, or -'~ | L~, _ ~ C~("~/~-.~~j Date ORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA .Funeral Director/D~rect Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. Awaiting period of 48 hours after death Method of Disposition: [] BURIAL [] STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton ) or Person-in-Charge ~ CEMETERY OR CREMATORY Place of Disposition Date of Disposition This permit must be endorsed by the Sexton or person-in-charge (or by the Funerat Director/Direct Disposer when there ~s no Sexton) and returned within 10 days to the local County Hearth Department in the County where disposition occurred. HRS Form 326, APR. 81 (leplaces previous editions which may be used.