The URL can be used to link to this page

Home My WebLink About4-47-28 £ $1000.00 NO. Lots 26,27,28,29,30 5 ~ n4 Maxln, umNo. BmialSpa~s ................. Blk.47,U · I 1 '7~ Monument p~mltted ....................... Stanley & Dolore~ Buys 11085 Mulberry St. Sebastian, Fl. 32958 (Data above this line for City l~ecord only) beha tiau emeter Deeh NO. 1'75 TinS ~SaZS~URZ ~*D~ ~ ....2..0. kb ......... day or ................. dRP.e ..................... .. D., bet~cen Ihe City of Sebastian, a municipal corporation existing under thc laws of the State of Florida. as Grantor and ......................... s..~. ~ .nj-.9 ~. >J.,...aP~ ~.o. K .P.P.~:P..r..e.~.. ~ :...}}.u. ~ P ................................................... ......................... L~ ~ g. 5.. g.uLb.e r rg. SL ... 0.. ~ e b.a.s.t;ia.u.,..F..I ...... 3295 g .................................... Indian RSver Flor±da of tlie County of ............................................ ~nl State of ....................................................... aa Grantee, WITNESSETH~ 1000.00 That the Grantor for and in consideration of the sum of $ .......................... to it hi band paid, the receipt wliereof is herewith ac- knowledged, does by this hlstrument grant, bargMh, sell, release, convey and confirm unto tlie Grantee .theJ. r. hairs, legal representatives and assigns the l'ollowing property situated in Sebastian~ lndinn River County, Florida~ to-wit: 9~ 2o 30 All of kot(s~.~ ,.2.~. ,,~l$c'k, .Et ~ ...... UNIT ~ ............. of Sebastian municipal ce,netery as pe~ Plat Number 1 thereof recorded ill plat Book 2, at page 65 of the public ~ecords in the off, ce of the Clerk of the Ciceuit Court of St. Lucie County of Florida; said land now lying mM 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 tke human dead and shall be used, kept and maintained at all ti~nes in accordance wish the rules and regulations, ordinances and resointinns of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for tlie government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants ~umiing with the ]and. In the event of the failure of the owner of any property situated witlfi~q saki cemetery to ob- sep~e and comply with ~uch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then tlie title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WIIEREOF, The said party of the First part has caused this instxument to be executed in its name sam on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto afFLxed, the day and year first above written. City Clerk CITY OF Sb]IIASTIAN, FLORIDA Mayor Signed, Scnled and Delivered ill th4:~,Presenee of: . ...... ........... STATE OF FLORIDA COUNTY OF INDIAN HIVER I IIEItEBY CERTIFY. That on th~ 20th ..... day June ................... ~,.f,,~= ,,= p~s,,.~ny app~a~ea Richard B. Votapka Kathryn M. O'Ilalloran ......................................................... and ...................................... rrspcctively Mayor and City Clerk of the City of Seba~tiau, a munk'ipal eorpomttinn under the lawa of the State of Finrlda to me known Stanley J. and/or Dolores V. Buys ....................................................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; a.d that the Official seal of said corpo£ation is duly affixed thereto, and the said eolsveyance is tile act and deed of said corporation. WITNESS Iffy signature and official oea] at Sebastian, ltl the County of Indian River and State of Florida, the day and year Fast aforesaid. Not~ Publle, ~e of P!orlda at Large. My eotmulsslon e~plrcal ' Unit Block Date of Mark-out Date of Buriat ..... Name of Funeral Home Authorized by STATE OF FLORIDA~ TMENT OF HEALTH & REHABILI- ¢E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT A. (Type or Print) 1. Name of First Deceased Middle Last DATE Month Day Year OF JOHN W. BUYS DEATH JUNE 6, 1989 2. Place of Death City, Town or Location County Name of (If ne ther, give street address) Hosp. or BREVARD BAREFOOT BAY Inst. 626 WEDELIA CIRCLE 3. Marne of Medical -~ Physician Address Phone Number Certifier NOOR MERCHANT, M.D. ~ Medical Examiner 13875 US#l SEBASTIAN, FLA 589-0879 4. Funeral Home/ Name Address Phone Number (Area Codej ~~ STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 407-589-1000 5. Check a [] The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application, priate Box b ~ PAM was contacted on 6/7/FI9 _ 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. MERCHANT and sign the medical certification of cause of death, will Complete c [] . was contacted on. . He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ medical certification. / 7~ ~]nature Fla. Lic. No./Reg. No. Date Signed #1672 6/7/89 s. BURIAL-TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No..1228-89-264 [] A five day extension of time for filing the death certificate (exclusive of weekendsl has been requested and granted. If it cannot be filed within this time imit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death [] Mo extension of time for filig,g~the death certificate requested. Registrar or /{,) ~ ,4/~ . ,¢, Sub-Registrar Signature_ ~(~.~'~, ~ C~~ Date issued' 6/7/89 Date Certificate Signature or Medical 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. Method of Disposition: ~ BURIAL [] STORAGE [] CREMATION [] OTHER {Specify) Signature of Sexton I '~ or Person-in-Charge CEMETERY OR CREMATORY Place of Disposition _SEBASTIAN CEMETERY Date of Disposition_ 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: 5740-000-0326-2) ,~,