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Home My WebLink About4-48-33Paid by CEMETERY Receipt No... ?..7. 200.00 last Price $ .................. Net mid $ .... &0ff.f)Cl .... Maximum No. Burial Spaces ................. Monumem permitted ...... F~L a.C ........... Lots 33 & 34, Blk.48, Unit 4 (Dat~ above thi~ line for City a~cord only) NO. 1131 Joseph & Kathryn Clark 222 S. W±mbrow Dr. Sebastian, Fl. 32958 · iIU of ebaslian leme ery leeh NO. 1131 THIS INDENTURE MADE ~ .... ~.9.~h ........... day of ..................... .A..u.g.u.~.~. ............. X. D, lg..~.7.., between tile City of Sebaitiar~ a mtmleipal corporation existing under the laws of the State of Florld~ ns Grantor and Joseph and KathrEn Clark 222 S. Wimbrow Dr., Sebastian, Fl. 32958 Florida of the County of ...... ............ Indian. ..... ..River............... ,n'l State of ....................................................... as Grantee, WITNESSETH~ That the Grantor for and in consideration of the sum of $ . .4 Cl0., (~0 ............... to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, relces~, convey and confirm unto the Grantcet;~Le J.r.. haixs, legal rcp~esentativas and assigns the following p~opcrty situated in Sebastian, Indian River County, Flor/da, to-wit: Book 2, at pa~e 65 of the public records in the office of the Clerk of th~ C~cu/t Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Floiida. To Have and to Hold the same louver; pw~ided that saki l~Oporty shall he used solely and exclusively for the inlerment of the human dead and shall be used, kept and malnlained at all times in accordance with the rules and ~gulations, 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, restlictions and requirements contained in thi~ 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 iuch rules, reguhfions, resolutions and ordinances and the conditions of tho 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 WHEI~EOF, The said party of the first part has caused this instnnnunt 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 h~reto affixed, th~ day and yeas lust above written. Attest City Clerk / Mayor Signed, Sealed and Delivered STATE OP FLORIDA ~UNTY OF INDIAN RIVER August 87 I HEREBY CERTIFY, That on ~g.. ...................... 19th day of ................................................... , 10...., before me per~nally appeared ..... ~ ~.. ~.. ~'~'~ ~ ........... : ........ .~ ...... ,.. and ~.*~ a.~. ::; ................ : ..... respectively Mayor and City Clerk of ~e City of Se~stian, a muniellm~ corporauon unoer the ~ws of the Slate of Florida to me known lo be the individuMs and officers de~rt~ in and who executed the foregoing eoaveyanee to Joseph and Ka~hryn Clark ................. . ........... ~nd severally ~knowiedg~ the e~cutinn fl~er~f to ~ thEr free act and deed as such officers theremRo duly auther~d; and that the Off c M sc~ of sa d corporat an ~ du y affixed thereto, and the said co ~veya ce is thc act and de~ of ~d ~rpora~om WITNESS my si~na~re and offiolM ~ at ~eheatian~ in the ~unty of Indian River a~ State of Florida, the day and last afores~d. My ~sion explre~ ETARY ~BLIC STATE OF F~ORIDA "Hah Unit Block Name of. Funeral Home Authorized by CLARK, JOSEPH & KATHRYN DEED #1131 222 S. Wimbrow Dr. /~ Sebastian, Fi. 32958 Lots 3__3 & 34, Blk. 48, Unit 4 Joseph C. Clark, Jr. ~ Interred Lot 33 - 4/15/89 N~t P~id $ .... .4.0fl o.0O .... Lots 33 & 34, Blk.48, Maximum No. ButiaI Slices .... ~. ............ Monument pernfitted ...... ~.l ~Lt ........... Unit 4 NO. 1131 Joseph & Kathryn Clark 222 S. Wimbrow Dr. Sebastian, Fl. 32958 $e~sti~n, Flori d~ RECEIPT IS ~EREB~ ACFJ~OWLEDGED OF THE &~W OF~ Description of Terms and conditions of This contract sh~ll be binding ulaon both p~r~ies, the seller and th~ purchaser, when approved bV th~ owner of the profiertV ~bove described. I, or we, =gree to purchase the ~ve described propertg on the terms ~nd The Cit~ of S~hasti~n agrees ~o sell the above ~ntionad propert~ to the above ~d purchaser(s) on the ~rms ~nd conditions st'=ta~ in the ~bove L Gene Hen'l., Mayor City of Sebastian POST OFFICE BOX 780127 r-I SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kathryn M. Benjamin City Clerk August 20, 1987 Mrs. Kathryn Clark 222 South Wimbrow Drive Sebastian, Florida 32958 Dear Mrs. Clark: Enclosed is Cemetery Deed No. 1132 for Lots 33 and 34, 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, Veto 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 office of the Clerk of the Circuit Court. Very truly yours, Deputy City Clerk LR Eno. STATE OF FLORI DEPARTMENT OF HEALTH & REHAB ~/E SERVICES Z ,,z,,//~?' APPLICATION FOR BURIAL-TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last Deceased DATE Month Day Year OF JOSEPH C. CI~LRK, JR. DEATH APRIL 13, 1989 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or INDIAN RIVER ROSELAND Inst. HUMANA HOSPITAL-SEBASTIAN 3. Name of Medical ~ Physician Address Phone Number Certifier ~ FA2,OOQ, M.D. [] Medical Examiner 777-37TH. ST. VERO BF, AC~, ~ 567-2277 4. Funeral Home/ Name Address Phone Number (Area Code) ~0~[(J(~J~(0~r STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 407-589-1000 5. Check a [] Appro- priate Box b [] c [] The medical certification has been completed and signed. A completed certificate of death accompanies this application. DEBBIE was contacted on 4/13/89 within 48 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that DR. H-13~ FAR00(~ M.D. will complete and sign the medical certification of cause of death. medical certification. f =~'ignature was contacted on . He/she verified that Medical Examiner, will complete and sign the Fla. Lic. No./Reg. No. 1672 Date Signed 4/13/89 B. BURIAL-TRANSIT PERMIT Permission Js hereby granted to dispose of this body. Permit N~228-89-178 [] A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death oc- curred. [] No extension of time for fili~, the death certificate requested Registrar or /[ ) . ,~.~' t/J '/~ __ / Sub-Registrar Signature /t ")~¢~,/LJ~. ~J~;7,-~L/ Date Date Certificate Issued: 4/13/8q Due: Signature or MedicaJ Examiner, AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT-SEA , Medical Examiner Date., , gave authorization by telephone to ,,, Funeral Director/Direct Disooser. 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. CEMETERY OR CREMATORY Method of Disposition: [] BURIAL [] STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton ) ,~/~ ¢~_~ ~2 or Person-in-Charge ) , -~, Place of Disposition Sebastian Cemetery Date of Disposition Aoril 15. 19~9 This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the County where disposition occurred. HRS Form 326, May 86 (Replaces Apr 81 edition which may be used) (Stock Number: 5740-000-0328-2)