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Home My WebLink About4-46-08 2/13/89 - 8 - Blk.46 ' Fald by CEMETERY R¢c~ipt No. .5. .5. .3 ........... Dated.. 2/17/89 - Lot 9 Un. 4 200.00 List Price $ .................. N~ Paid $ ..~O~.OR ...... Dorothy B. Anderson int.2/13/89 - Lot 8 . 2 Maxim m No. Burial Spaces ................. Monumentparmitted ..................... .. David Pierson NO, 1207 389 Joyhaven Dr. Sebastian, Fi. (Dali aheve this ll~ for ~ R~ord oaly) 32958 /l iI of ebasHan eme ery Beeh NO. 1207 THIS INDENTURE MADE ~ ...1Zth ............ ,~ay of ...F2bruary ............................ A. D., Is.8.9.., between tbe City of Sebastian, a municipal corporation existing under the laws of the State of Finrida~ as Grautor and David Pierson 389 Joyhaven Drive, Sebastian, Fi. 32958 of the County of ..... .~.~l.(~.a.~..?..~..V..~.~ ................... ma'l State of ....F..]-.O.,I;.~..d.a ........................................ ss Grantee. WITNEStETHs That the Grantor for and in consideration of thc sum of$......40 0 ...., 0 0. .... ........... to it in hand pa/d, the receipt whereof is herewith knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ., .h.~..~... he/rs, legal represcotativcs and assigns the following property situated in Sebastian, Indian R/vet County, Florida, to-wit: All of Lot(s) .8...~.. f, Block,.- .~.6. .... UNIT..~. ........... of Sebastian munic/pal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, a~ page 65 of the public records in the office of the Clerk of the Cffcoit Court of St. Lucle County of Flor/da; said hnd now ly/ng and being in Indian Rivet County, Florida. To Itave and to Hold the same fo~uver; provided that said property shall be used solely and excindvely for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and reguistinns, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafle~ adopted or provided for tho government and operation of said cemetery. The conditions, restriainns and requhements contained in this instrument shall be covenants runn~ with the land. In the event of the failure of the ownel of any property situated within said cemetery to ob- serve mad comply with iuch rules, reguhfions, resolutions and ordinances and the conditions of the de~d of conveyance tharcof than 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 par~y of the first pa~t has caused this instrument to be executed in ils name and on its behaff by its Mayor and attested by its City Clerk and its corporate seal to be heieto affixed, the day and year first above written. CITY OF SEBASTIAN, FLORIDA ........ Mayor 17th February 89 I HERI/BY CERTIFY, That oB this ..... "-'-"....' ..... '.day of ................................................... , 19 ..... before me personally appeared Richard B. Votapka and Kathryn M. O'Halloran David Pierson ........................................................ and severally aCknowledged the cxecutinn thereof to be their free act and deed last aforesaid. Notary Public, Blare of Florida at Large. My eommis~,lon explres~ ~!~a.~ Pub~i~, ~tute cf~ Morid~ ~ly Cc...m,~.,.,~n ,,.... ,, D,~. Lot x'.f, Name of Funeral Home Time PIERSON, DAVID Deed #1207 389 Joyhaven Dr. Rec.#552 Lot 8 Blk. 46 Sebastian, Fi. 32958 Rec.#553 Lot 9 Un. 4 DOrothy B. A~derson interrred Lot 8 - 2/13/89 ~NDBRSON, Dorothy B. Rec.#552 - Lot 8 - Blk,46 Un.-4 (interred in Lot 8 - 2/13/89) David Pierson - Deed #1207 - Rec.#552-'-'Lot 8 389 Joyhaven Dr. " Rec.#553 - " 9 Sebastian, Fi. 552 2/13/89 - Lot 8 - Blk.46 Paid by CEMETERY Receipt No. 553 Dated 2/17/89 - Lot 9 Un. 4 List Price $.. 200.00 2 ................ Maximum No. Bt~ial Spaces ................. n~ $ ...4.0.0.,.00. ...... Dorothy B. Anderson · int.2/13/89 - Lot 8 NO. 1207 Monument l~rmltted ....................... David Pierson $89 Joyhaven Dr. Sebastian, Fl. 32958 (Data above this line for City Record only) City of Sebastian POST OFFICE BOX 780127 D SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 February 24, 1989 Mr. David Pierson 389 Joyhaven Drive Sebastian, Florida 32958 Dear Mr. Pierson: Enclosed is Cemetery Deed No. 1207 for Lots 8 & 9, Block 46, Unit 4. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. We are enclosing two copies each of Receipt No. 552 and 553 and ask that you sign and return to us the copies marked with an "X" and retain the other copies for your records. A stamped, self- enclosed envelope is provided for your convenience. Very truly yours, Elizabeth Reid Administrative Secretary LR Enc. THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: on this /3~ day of~, ~9~Jfor tho purchase of the following described Cemetery ~t(s) u~n t~ te~ ~d conditions as stated herein: Dollars Description of Property: Cemetery Lot(s)# ~ Block# ~ Unit# ¢ Purchase Price: ~T~~~ Dollars (~' 00) Terms and conditions of sale: ·hi$ contract shall ~ ' ' g ~ ~ ' , the purchaser, when approved b~ the o~er of the properfi~ ~ove 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 lnstrument. City of S~astian [ Witness THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: described Cemetery Lot(s) upon t~e terms and conditions as stated herein: Description of Property: Cemeterg Lot(s)# ~ Block# ~ Unit# Purchase Price: /~-/~u~-~364~{ ~o___-Dollarsr$ 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. ~ty of S~bastian STATE OF FLORiDLi~AT DEPARTMENT OF HEALTH & REHABI IVE SERVICES .......... ~,,~ ~ - .... VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT A. , . ITybeor Print) 1. Name of 'First Deceased Middle Last DORO~RY DATE Month Day Year 2. Place ut Death B. .A.~iD)~,~.$O[~ OF County City, Town or Locatio~ DEATHFebruary 11, 1989 Name of (If neither, give street address-'~------------------- Brevard Helbourne Hosp. or 3. Name of Medical Inst. Holmes/~egional Med~Lcal Center Certifier Char[es H. Croft I~i Physician Address [] Medical Examiner200 EoSher.tdan Phone Number ~me/ Name ~ Rd.,Melbourne,Fla. 725-4500 Address Ph~o~ Direct Disposer SI:funk t~uneral Home,1623 N. Central Ave.,$ebast~.an, Florida 407 589-1000 5. Check a [-] The medical certificatio'---'--~has been completed and signed. A completed certificate of death accompanies Appro. priate this application. Box b [] __ Dr. Charles H. Croft hours after death. He/she verified that thie ,~-.- , was contacted on 2/12/89 with' other external cause of death, and that ~' '~'~" was ,rom natural causes, that there was no a~cciden~tn'o~ and sign the medical certification of cause of death. _ will Complete c I--~ -- __ was COntacted on__ .. He/she verified that medical Certification. , Medical Examiner, will complete and sign the ~DJrector/ ~ Date Signed s. '- BURIAL-TRANSIT PERMIT Permission is hereby granted to dispose of this body. E'] A five day extenson of time for filing the death certificate {exclusive of weekends has Permit No. ~ would result fro.m, f lng w thin the normal time Ii ' -, ) been Disposer Report will be fil ' rn. lt. If the certificate cannot ' . reques!~d and granted as · ..... urreu, lor/Dlrecl [] No extension of time for f Iino~the death certificate r Rag Sitar or ~ I equested ~ubreglstrar Signature /~~ ~. ~tut :d, 2_2_2_2_2_2_2_2_2_2~_1 ~, 8 ~Date Certificate AUTHORIZATION for CREMATION, DISSECTION or BURIAl--AT-SEA ~ Signature__ or Me ' - · d~ca! Exam net Date__ Medical Examiner, ~ · gave authorization by telephone to __ The Medical Examiner's approval must be .----_Funeral Director/Direct DJsooser. Date__ death is required for all cremations, obtained before disposal by any of the above methods. A waiting period of 48 hours after Method of Disposition: ~'~ BURIAL [] STORAGE [] CREMATION ~] OTHER ISpecify} CEMETERY OR CREMATORy Place of Disposition ~Sebast~.an Cemeter,v Dateof Disposition_ Feb. 14. 1989 Signature of Sexton ) ~' ,. or Person-in-Charge ) This permit must be endorsed by the Sexton or person-in-cha~ and returned within 10 days to the local County Health Department in the County where disposition occurred. HRS Form 320, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740-000-0326-2)