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HomeMy WebLinkAbout4-47-10 52 7/29/88 Paid by CEMETERY Receipt No ................. Dated .............................. p,,ce $. :.°..©. ....... NO. ~ax~amNo. B~zndS~aces ................. Dolores V. Buys 11085 Mulberry St~. Moo~mentper~tted ....................... Sebastian, Fi. 32958 For interment of line fur ~ty ~,a oaly) Margaret Collins lIit of ebastian eme ery Deeh NO. 1182 THIS INDENTURE MADE T~ ..29. th ............. day of ..J.uly .................................... A. D., I0..88., between lite City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor slid Dolores V. Buys 11085 Mulberry St., Sebastian, Florida 32958 of the County of .......... ~.~..i?..I.1...R.~.V.~. .............. sn'l State of Flori.d.a. .................................... ~s Grantee, WITNESSETH~ That the Grantor for and in consideration of the sum of $ ........................~00 · 00 .. to it in hand paid, the receipt whereof is herewith knowledged, does by this instrument grant, bargaih, sell, release, convey and confiml unto the Grantee ...h. ?.~.. "heirs, legal representatives and assigns the following property situated ~ Sebastian, Indian River County, Florida, to-wit: All of Lot (s).......1 0 , Bio ct, ...~..7... , UNIT . .........., .4 , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 6,5 of the public records in the office of the Clerk of the Circuit Court of St. Lucia County of Florida; said hnd now lying and being in Indian River County, Florida. For interment of Margaret Collins To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for thc interment of the human dead and shall be used, kept and maintained at all times in accordance with thc rules and regulations, 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 requirements contained in this 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- sen'¢ and comply with {uch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owna! in and to said proper~y shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of tile Rest p~t has caused this instrument to be executed in its name and on its behalf by its Mayor and attcsteA by its City Clerk and its corporate seal to be hereto a~flxed, the day and year lust above written. ,y Ciy Cl Signed, Sealed and Delivered ', /? ,'~ ..... ................... ............. ...... STATE OF PLORIDA CITY OF SEBAST.~N, FLORIDA Mayor COUNTY OF INDIAN RIVER I nRilgaV cga?IFv. ~hat on th~ ..2.9.~h ............... d~y of .........,luLyl ................................... I~.88, bt. fore me personally appeared l~,.c..h.a..~-.~...-~,..Vot.a.p~.a ....................... . andK~;..h.r.y.n...III..:...0, l.~..a..1..1.9.r.E.n.... respectively Mayor and City Clerk of the City of Sebastian, a municllmI corporation under the laws of the Stale of Florida to me known to be the individuuls o. nd officers described In and who executed the foregoing conveyance to Dolores V. Buys ........................................................ and severally ~eknowledgt~l the execution thereof to be their free act ami deed as 5nch officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is thc act and deed of ~ld cerporation. WITNESS zx~, signature and official ~ at Seblk~tian, in the County of Indian River and State of Florida, the day and yea: last a foretold. Notary' Public, S~te of Florida at L~rge. My commission explres~ NOTARY PUBLIC STITE OF FLORIDA HI ¢0##15510N ilP DEC 10,195D $ONO£D THRU c,~I~BAL INS. UNO, Unit Block Lot / ~ Date of Mark-out, Date of Burial . Name of Funeral Home Authorized by . Time 530 Daiea 7/29/88 Paid by CEMETERY Receipt N° ............................................... 200.00 List Price $ .................. N~t Paia $ . Z0.Q,.0Q ....... ~o qv ,b~' )~ ' NO. axhnumNo. Burial$1mcee ................. Dolores V. Buys 11085 Mulberry S~.~u~ Mon~e~t~t~...; ................... Sebastian, Fl. 32958 For interment of (Data a~e ~ Hne fe~ ~t~ ~erd o~) Margaret Collins BUYS, DOLORES V. DEED #1182 LOT 10 11085 Mulberry St. BLOCK 47 Sebastian, Fi. 32958 UNIT 4 For interment of Margaret Collins COLLINS, MARGARET LOT 10 BLOCK 47 UNIT 4 PURCHASED BY: DOLORES V. BUYS DEED NO. 11085 Mulberry St. Sebastian, Fl., 32958 1182 City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 August 5, 1988 Mrs. Dolores V. Buys 11085 Mulberry Street Sebastian, Florida 32958 Dear Mrs. Buys: Enclosed is Cemetery Deed No. 1182 for Lot(s) No.10 Block 47 , Unit 4 If you wish to ~ave this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue Vero Beach, Florida. ' Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. Very truly yours, Administrative Secretary LR Enc. CITY OF SEBASTIAN Cfi3 CI. EI~'S RECEIR' /? ~01001 208001 00i501 322900 001501 341920 001501 341910 091501 343800 ~10103~8~ CZ:= Sales Tax' Garage Sales Copies/Bid Specs. LDC/Code of Or(~nances Communily Center Rent Yacht Club Rent Non Taxable Rent Cemelery Lots Cemelely Lois Lot/Niche __ Bt~ck , Unit INenkend ~'ervice Yacht Club Senubty Deposit Oe~nmumty Cenler Senurily Deposit Rive~,iew Park Secu~ty Deposit Whit. - D~t. of Origi. ', Yellew- FinanCe ,. Pink - Ai, plleam THE SEBASTIAN CEWETER~ CltV of Sebastian Sebastian, Florida RECEIPT IS ~EREfl~ AC~WLE~aED O~ THE SUH This contract shall be b~nding upon both part$es, the seller and the purchaser, when approved by the owner of the proport~ above described. I, or we, agree to purchase the ,~ove described proper:~ on the terms and conditions stated in the foregoing lntr..mnt~ The Cieg of Sebastian agrees to sell the above mentioned propertV to the above named purahaser(s) on the terms and ~ond~tiona stated in the above instrument. City o.~ ~'ei~astlan A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of Fimt Middle Deceased 2. Place of Death County Indian River 3. Name of Medical Last Col lins / Ratter Marcjaret E. City, Town or Location Veto I~each Certifier Noor Merchant, M.D, Address ~'~Uedical Examiner ~'~Physician StrunkEstablishment Name of FuneraIFuneraiHOme/~ Hollte Address Check a. [] 5. Appropriate Box Funeral Director/ Date Month Day Year D~;th March 13 2002 Name of (if neither, give street address) Hosp. or nst. VNA Hospice House Phone Number 772-589-0879 No. Phone No. (Area Code) 772-589-1000 13060 U.S. #1 Sebastian, FL 1623 N. Central Ave. Fla. Lic. No./Reg. Sebastian, FL 1228 The medical certification has been compieted and signed. A completed certificate of death accompanies this application. Misty was contacted on 311 q102 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Merchant wilt complete and sign the medical certification of cause of death within ;'2 hours. // was contacted on BURIAL - TRANSIT PERMIT · He/she verified that , Medical Examiner, will complete and sign the Permission is hereby granted to dispose of this body. Permit No. 1228-02-0125 [~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. ~ ("J ,L.~* O' 0 Date Date Certificate SubregistrarSignature _~. ~.~_Z__ ~.'.---.e-'~-~-.~. issued: 3113102 Due: 3/18/02 AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date 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 [~ STORAGE E~]CREMATION [] OTHER {Specify) Signature of Sexton or Pereon-in-Oharge } / CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition ~-~,//~ ~/~' ~'""" This permit must be endorsed by the Sexton or personqn-charge (or by the Funeral DirectodDirect Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the county where disposition occurred. Distribution: White: Cemelery or Crematory Yellow: Funerai Director or Direct Disposer DH 326, 8/97 (Obsoletes all previous editions) (srock Number: 574e-0Q0~)326*2) Pink: Local Registrar