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Home My WebLink About4-47-32Paid by CEMETERY Receipt No .... List Price $ .....2. ~).Q ......... Net Paid $ .... .2: .0.Q ......... George L. 4/17/90 ·. Dated ........................ Maximum No. Burial Spaces ................. Monument permitted ....................... Demers interred 4/19/90 (Data above this line for City Record only) Lot 32 Blk. 47 NO. Unit 4 1272 Carol Bemers 1215 Brigadoon Br. Sebastian, Fi. 32958 · ilU nf t ebastian · emetery Dee NO. 1272 TIllS INDENTURE MADE Thlm .... 17th d,,y ,,f ....... April ..................... A. D., 19 .90., bet~tern lite City of Sebastian, a municipal corporation existing under the laws of thc State of Florida, as Grantor and ..................... C.a.rol. De~4er $ 1215 Brigadoon Drive ............................ Se.bas tiaa.,...Fi or. ida- .3.2.9.58 ....................................... of the County of .!nd~an...R~,~e.r ................ a,~ sI~t¢ at ...... Florida as Grantee, WITNE$SETH: ......................................... That the Grantor for and in consideration of the sum of $ ...2.Q.Q, .Q .0 ............... to it in hand paid. the receipt whereof is herewith ac- knowledged, does by this instrument grant, barga h, sell, release, convey and confirm unto the Grantee ...~.O..r.. heirs, legal representatives m~d assigns the followi.g property s m ed in Sebastian, lad an River County, Florida, to wit: All of tot(s) ...}.2.. , Block....~.7... , UNIT .... /~. ......... of Sehastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2. at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in lndhm River County, Florida. To tlave and to Hold the same forever; provided that said property shall be used solely and exclusively fo~ the interment of the huma, dead and shall be used, kept and maintained at all times in accordance with the 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 s:dd cemetery. 'Phc conditions, restrictions and requh-enlents contained in this instrument shall be covenants running with the land. In the event of the failure of iht owner of any property situated within said cemetery to ob- serve and comply with ~uch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert to the Cily of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be 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 year first above written. City Clerk COUNTY ()F INDIAN IlIVER CITY OF SEBASTIAN, FLORIDA I IIEltEBY CEBT1F¥, That on this .......... 1.Tth .... day of .April .................................... , 1~. 90 hcf*,re me personally appeared ,~J. E. Cony~r.s and Ko.¢b[Y~9..0'Halloran .................................... Carol. Dcm.ers ............... .. ............................................... and s,werally acknowledged tim execution ther~f ta ~ ti,dr free act aml deed My commission expires: ~01~ Publk, Slate of flori~ ~- Unit Block Lot - Date of Mark-out Date of Burial Name of Funeral Home Authorized by / / - ( DEMERS, CAROL 1215 Brigadoon Drive Sebastian, Fi. 32958 George L. Demers DEED #1272 Lot 32 Block 47 Unit 4 interred 4/19/90 618 4/17/90 Paid by CEMETERY Receipt No ................. Dated .............................. List Price $ .... .2.9.0. ......... N= P~d s .... .2.2°. ......... George L. Demers Maximum No. Burial Spaces ................. Monument permitted ....................... interred 4/19/90 (Data above this line for City R~-cord only) Lot 32 Blk. 47 NO. Unit 4 · - 1272 Carol Demers 1215 Brigadoon Dr. Sebastian, Fi. 32958 April 18, 1990 City of Sebastian POST OFFICE BOX 780127 ~3 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 Mrs. Carol Demers 1215 Brigadoon Drive Sebastian, Florida 32958 Dear Mrs. Demers: Enclosed is Cemetery Deed No. 1272 for Cemetery Lot No. 32, Block 47, 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, 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. We are enclosing two copies of Receipt No. 618 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Very~~r s~,~~ Kathryn M. O'Halloran City Clerk KMO:js enclosure THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: Dollars ($~, ~:~(1 / on this ,/7~/,~ day of .~'/t:L:: , 19"~<!for the purchase of the following described Cemetery Lot(sy upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # <~.,~ Block# Unit# Dollars($ J~:S. jO ) Terms and'conditions of sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to sell the above mentioned property to the above named' purchaser(s) on the terms and conditions stated in the above instrument. .C~y of Sebastian Witness State of Florida, Dep~l~nt of Health and Rehabilitative Services, APPLICATION FOR BURIAL -- TRANSIT PERMIT (Type or Print) First Middle Last 1. Name of Deceased DATE Month Day Year GEORGE LUC I EN DEMERS OF DEAIH 4/14/90 2. Place of Death City, Town or Location Name of (If neither, give street address) Couaty Heap. or INDIAN RIVER SEBASTIAN Inst. HUMANA HOSPITAL-SEBASTIAN X~[Medical Examiner Address Phone Number 2500 S. 35TH. ST. -~Physician FT. PIERCE, FL 34981 407-464-7378 Address Fla. Lic No./Reg No. Phone Number (Area Code) 1623 N. CENTRAL AVE SEBASTIAN, FLORIDA 1228 407-589-1000 The medical certification has been completed and sigaed A completed certificate of death accompanies this application. 3. Name of Medical Certifier FREDERICK HOBIN, M.D., ME. 4 Name of Funeral Home/ Direct Disposer STRUNK FUNERAL HOME, SEBASTIAN Check a [] At)pro- priate Box b [] . was contacted on within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of dealh, and that . will complete and sign the medical certification of cause of death. c ~( HELEN was contacted on4~16/90 He/she verified that FREDERICK HOB]~ M.E. __ Medical Examiner will complete and sign the medical certification. Place of SEBASTIAN In slate cemetery/" SEBASTIAN CEMETERY Removal Final Disposition: CEMETERY . ~ crematory -~Pa~/dounty: ,,INDIAN RIVER ~ Donation Z Funeral Director/ /' ~ /./¢>'~Signature"~'~/>''. . -- FE No./Reg. No. [~ from state Direct Dt~'P~se~ /~ ~" ('~%// /~ ~?: '~-~"----'~ ' #1672 ' Date Signed 4/16/90 3. BURIAL -- TRANSIT PERMIT Permission is hereby granled fo dispose of this body Permit No.1228-90-205 [] A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship woold result front filing wilhin the normal time limit. If the certificate cannot be filed wilhin this exte.ded tithe limit, a "Funeral Director/Dilect Disposer Report' will be filed with the Local Registrar of lhe Courtly in which death occurred. [] No extension of time for filin~,.the dealh certificate requested. Registrar or ~5 ~_~_.~ /J ~~/ Date Date Certificate Sub~egistrar Signature /%~'- ~ · Issaed: 4/t~6/90 Due: Signal ue _ Medical Examiner, AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT--SEA , Medical Examiner Date qave authorization by telephone to Funeral Director/Direct Disposer. Dale The Medical Examiner's approval mast be obtei~ed before disposal by any of the above melhods A waiting period of 48 hours after dealh is required for all cremations - Methods of Disposition: [~kBURIAL [] CREMATION Signature of Sexton ) or Person-in-Charge ) CEMETERY OR CREMATORY [] STORAGE [] OTHER (Specify) Place of Disposition SEBASTIAN CEMETERY Dale of Disposition This permit must be endorsed by the Sexton or person-in-charge (or by tile Funeral Dilector/Direct Disposer when them is no Sexton) and returned within 10 days to the local HRS County Public Health Ueit in the County whore disposition occurred