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Home My WebLink About4-48-40 Paid by CEMETERY Receipt No ..... ~st p~lec S ........ ~OD ...00 Net Paid $ ........ 20.O,..0D Lot 40, Blk. 48, Unit Rodney Phelps ±nt. '9/10/87 · "ted...2-/2/87 NO. Maximum No. Burial Spaces ...... ~L ......... 1053 Palmetto Ave. Sebastian, Fl. 32958 (Data above this line for City Record only) · eme ery eeh NO. 1135 THIS INDENTURE MADE ~ ......... 9.th ........day of i ..... ~ep.t-.erohe.~; ....................... x. D, lB...8..7.., between the City of Sebastian, a municipal eorpor~ttlon existing under the laws of the State of Florida, aa Grunter and Wilford Phelp.s 1053 Palmetto Ave., Sebastian, Fi. 32958 of the County of ....... .I.l~l.~.i..a:.n...~..:i:.v..~.r. ................. un-] State of ............. .F..1.o..r..i..d..a ....................... i ...... ~a Orantee~ WITNESSETH~ 200.00 That the Grantor for and in consideration of the sum of $ .......................... to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, baw, ai~ sell. release, convey and confhm unto the Grantee ~1~/~ .... hai~s, legal representative~ and assigns the foUowing property situated in Seb~!~*~, Indian River County, Florida, to-wit: All of Lot(s) ...~.(].. , Block,..~J~ .... UNIT . .~ .......... ~ of Sebastian munic/pal cemetery as per Plat Number I thereof ~ecorded in Plat Book 2. at page 65 of the public records in the office of the Clerk of the Cir cult Court of St. Lucle County of Florida; ~aid land now lying and being in lnd/an River County, Florida. To Have and to Hold the same forever; I~ovided that said property shall bo used solely and exclusively for the interment of the human dead and shall bo used, kept and maintained et all times in accordance with tho rules and regulations, ordimmces and resolutions of the City of Sebastian, Florida, hereto- fore. now and hereafter adopted or provided for tho government and operation of said cemetesy. The conditions, restrictions and lequkemants contained in this instrument shall be covenants runnin~ with tho land. In the event of tho fa/in~c of the owner of any property s/rusted within said cemetery to ob- serve and comply w/th iuch rules, regulasions, resolutions and .orflinar~ces and thc conditions of the de~l 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 WHEREOF, The said party of the first part has caused this instrumcut to bo 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 y~at £ust above written. Signed, Sealed and Delivered In the Pre~ence oft STATE OF I~ORIDA COUNTY OF INDIAN RIVER CITY OF SEBA//TIAN,.FLO~DA Mayor I HEREBY CEHTIFY, Ttmt on thi~ ... 9th ...... day of September b~for, mc p~soaally appeared ...L..,...~.~..n..~...ff.~. ~.$.~1 ................................ ,ad Ka ~h~. M.~..0 ~. ~ resp~:t'tively M~yt)r and City Clerk of the City of ~cbastinn, , munlcilml ~rporatiun under the laws of the State of Florld~ to me k~own to be tile Jndi~iduuls a~d officers dc~crJ~d in ~nd who executed the fon, guhlg eoaveyunce te Wilford Phelps ............. .i. ~.~ ..................................... m~ ~r~y ~know~edg~ tbe ~zcutian ~r~f te ~ thcir fre~ se~ and ~s such officers tbercunte d~y unthor~i und t~t the Official ~] of ~nld corp~ratio. Is duly affixed thereto, and thc ~id conveyal~e is the act ~nd. d~d or ~ld co.ration. WITNESS my slgna~re ~d offlel~ ~ ~ ~t~n, in the ~unty of ]ndiafl River and 9fate of ~lorlda* tbe duy a~ year last aforc~d. ~y co~le~inn expl~ ~T~V ~lC ~ATE ~ FL0~I0~ N~me ,/ ' , / Unit Lot Date of Mark-out Date of Burial ~ N~me of Funeral Home Authorized by Time :' '?~ ' '~)0 ,/',') ~ / PHELPS, WILFORD DEED 1053 Palmetto Ave. Sebastian, Fl. 32958 #1135 LOT 40 BLK. 48 UN. 4 Rodney E. Phelps interred 9/10/87 u.t mic~ $ ........ gOD..O0 Net Paid $ ........ Lot 40, Blk. 48, Unit 4 Rodney Phelps int. 9/10/87 NO. M~imum No. Braid Spaces ......~ ......... ,o,um~nt~_~mitt~a...Z~.~.t; ............. Wilford Phelps 1135 1053 Palmetto Ave. Sebastian, Fl. 32958 (Da~ a~ve ~1~ ~e for ~ ~rd o~y) L. ~ene 1.1~t~ Mayor City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kath~Jn M. O'Halloran City Clerk September 10, 1987 Mr. Wilford Phelps 1053 Palmetto Avenue Sebastian, Florida 32958 Dear Mr. Phelps: Enclosed is Cemetery Deed No. 1135 for Lot 40, 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 office of the Clerk of the Circuit Court. Very truly yours, Elizabeth Reid Deputy City Clerk LR Enc. z/? 1 THE SEBASTIAN CEMETERy Ctt~ of Sebastian Sebastian, Florida RECEIPT IS REI~EBH ACKNOWLEDGED OP THE SUH OF: on t~ls -- da~ of . , 198£7fo= the purohaee ot the following described Cemeter9 ~t~s) u~n ~e ~ex~ and ~ndiCtons ~ stated ~xein; ~s~iption o~ Ter~ ~d conditions of sale= This ~ntract shall ~ binding u~n ~th pa~ies, the seller and the purchaser, when approved bg the owner of the pro~rt~ ~ve described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing intr.~nt~ The Citg of Sabastian agrees to sell the above msntionad propertv to Chh above n~msd purchaser(s) on the ~ermsand conditions stated in the above instrument. Wi £ness ¢it of S Jstian / {Type or Print) STATE OF FLORIDA ~RTMENT OF HEALTH & REHABILITAT~SERVICES VITAL STATISTICS ~ APPLICATION FOR BURIAL-TRANSIT PERNIIT 1. Name of Deceased First Rodney Middle Last E. Phelphs 2. Place of Death County Marion City, Town or Location Ocala DATE Month Day Year OF DEATH Sept .~, 1987 Name of Hosp. or Inst. (If neither, give street address) Munroe Regional Medical Center 3. NameofMedical Certifier Dr. William Shutze [] Physician [](Medical Examiner Address Lee sburg, Fla. 4. Funeral Home/ Name Direct Disposer Roberts FUneral HOme Address 606 S.W. 2 Ave. Ocala,Fla. 5, Check Appro- priate Box a [] The medical certification has been completed and signed. A completed certificate of death accompanies this applicatN)n. b [] was contacted on . He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death. c [~ Dr. Shutze was contacted on 9-7-87. He/she verified that Medical Examiner, will complete and sign the medical certification. 6. Funeral Director/ Direct Disposer Albert Layton Signature BURIAL-TRANSIT PERMIT Permission is hereby granted to dispose of this body. Registrar or Sub- Registrar Signature Fla. Lic. No./Reg. No. Date Signed 888 Sept. 8,1987 Permit No. 85-3719 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 occurred. ,~ ~ ~. ~/~~ DateIssued Sept. 8,1987 AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature Medical Examiner Date or 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. Awaiting 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 ) or Person-in-Charge ) Place of Disposition Sebastian Cemeterv Date of Disposition ~/- / CJ ~ ? 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, APR. 81 (replaces previous editions which may be used.)