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HomeMy WebLinkAbout4-46-21Lis~Price $. 200 · O0 Net Paid $ 400.00 Herbert W. Littmann Interred Lot 21 - 5/6/89 Lots 21 & 22 NO. Macmem No. B~lal Spa~s ..... .2 ........... Blk. 46, Un. 4 1218 Monum~ntpern~tted ....................... Dorothy C. Littmann c/o John C. Littmann 534 Drawdy Way,Sebastian (Data above this line for CAty Record only) ( emetery Dee NO. 1218 THIS 1NOI/NTURB MADR ~ 5th dray of May A.U., ~...8.? Dorothy C. Littmann .............................. d'/b" 'J'dhff "C'~ ' 'Eft '~M~fl'~ ...................................................................... .............................. ~ ~ ~..P~ ~4y.. ~ ~.y.,.. ~ 9.~ ~ ~ ~. $.~ ~ ,...!%.,....~ ~ ~ 5. 8 ........................................ of the ~n~ of Indian River .n:l state of Florida ~ Grante~ WITNBSSETH~ T~t l~ Gr~tor for ~d ~ ~n~demfi~ of ~ sm of { . ;...%~ O., 0.O ............ to ii ~ ~ pa~, the ~ipt wh~cof le herewith a~ ~owledged, does by t~ ~nt y~t, b~, ~ re~, ~nvey ~d ~ ~to ~ Or~e .. ~.~.. ~ks, ~1 repre~ntafives ~ as~s 22 ~ of Lot(s) .~. ~ , B~,.. ~ .... UNIT ... ~. ......... of Seba~ m~&~ ~metery as ~r Pht Numb~ 1 ~e~f r~rded in Phi ~ lnd~ Riv~ Co~ty, Flofi~ To Have and to Hoin the same forever; pmvined that said l~Opesty shall be used solely and exclu~/vely for tho inane, chi of the human dead and shah be u~ed, kept and maintained at all t/mrs in accol~lance with the antes and regulations, ordinances and resolutions of thc City of Seba~hn, Florida, he£eto- fore, now and hereafter adopted or provided for the gove~mnent and operation of ~ cemetery. The cond/tions, restrictions amd ~qu/~ements contained in thi~ instrument shall be covenants running w/th the land. In the event of the failure of the owner of any pzoperty ~/tuated within said cemetery to ob- serve and comply w/th iuch niles, reguhtions, resolutions and ordinances and the conditions of the deed of conveyance thereof then the titk of such owner in and to said pzoperty shall terminate and the same shall reve~t to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the t"~st part has caused thla inst~unent to be executed in its nam~ and on its beh~f by its Mayor and attested by its City Clerk and its corporate ~ea] to be hereto affixed, the day and yea~ Hrst above written. / {/ Clt~' Clerk CITY OF SEBA~T_~N, FLORIDA ., ..... ~Iayor Signed, Sealed nnd Delivered COUNTY OF INDIA,~I nlVltR I HERI,ZBY CERTII~f, T~t ~ ~ 5 th . ~ - - May .......................... Richard B. Votapka Kathryn M. O'Halloran bt. fore Dorothy C. Littmann ............ /:.: ........................................ and severally acknowledged the execution thereof to he their free act and deed as such officers thereu.to duly authorized; aud that the Official seal of said corporation fa duly affixed thereto, and the said conveyance is the act un~!. d~ed of said corporation. 'WIT~SS my signature and official seal at Sebastian, In the County of Indian River and State of Florida, the day and year last aforesaid. · ary Pu iHc, i~te of Florlda~pt L~rze. My commission expires! r/o{or¥ hty Commission ~xpires Dec, 10, 1992 Unit Block Lot Date of Mark-out Date of Burial Name of Funeral Home Authorized by Time // ' © -~ Y~' ' ~ ' UNIT 4 BLOCK 46 LOTS 21 & 22 Rec. #562 Littmann, Dorothy C. 8440 U.S. 1, No. 56 Sebastian, FI. 32976 DEED #1218 Herbert W. Littmann interred Lot 21, 5/6/89 .. ...... Herbert W. Littmann Interred Lot Z1 5/6/89 Lots 21 & 22 NO. 2 Blk.46,Un.4 Maximum No. Burial S~ ................. Monum*n~m~ ....................... Dorothy C. Littman~218 c/o John C. Littmann 534 Drawdy Way,Sebastian (D~a a~?e ~ line for ~ty Reco~ o~¥) City of Sebastian POST OFFICE BOX 780127 c] SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 May 15, 1989 Mrs. Dorothy C. Littmann c/o John C. Littmann 534 Drawdy Way Sebastian, Florida 32958 Dear Mrs. Littmann: Enclosed is Cemetery Deed No. 1218 for Lots No. 21 and 22, 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, Veto Beach, Florida. Also enclosed is a fon~ - Return for Transfers of Interest in Florida l%eal Property - which must be filled out by you and ~ pleted by the office of the Clerk of the Circuit Court. Also attached are two copiesof Receipt No. 562 in the amount of $400~00. We request that you sign and return to us the one copy marked with an X and keep the other for your records. A stamped, self-addressed envelope is enclosed for your convenience. Very truly yours, A~ministrative Secretary THE SEBASTIAN CEMETERY Citg of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Propertg: 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 propertw above described. I, or we, agree to purchase the above described propertg on the terms and conditions stated in the foregoing instrument: The Citg of Sebastian agrees to sell the above mentioned propertB to the above named purchaser(s) on the terms and conditions stated in the above instrument. STATE OF FLORI DEPARTMENT OF HEALTH & REHAB SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT A. {Type or Print) 1. Name of First Middle Last DATE Month Deceased Day Year OF HERBERT W. LIT~'IAN~ DEATH MAY 2, 1989 2. Place of Death City, Town or Location Name of Ill neither, give street address) County Hosp. or INDIAN RIVER ROSELAND Inst. Hb~Ya~NA HOSPTTAL-SEBASTIAI~ 3. Name of Medical [~ Physician Address Phone Number Certifier NOOR ~[~RCfT,,~T [] Medical ExamineJ3875 USt~l,SRRARTIAN,~r_~..32958 589-0879 4. Funeral Home/ Name Address Phone Number {Area Code) ~m~.,y~,( STRUNK FUNERAL ROME,1623 N.CENTRAL AVE.sSERARTIANsFLA. 32958 407-589-1000 5. Check a [] Appro- priate Box b ['X] c [] 6. Funeral Director/ The medical certification has been completed and signed. A completed certificate of death accompanies this application. was contacted on 5/3/89 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. NOOR MERCR.~NT will complete and sign the medica~ certification of cause of death. was contacted on. He/she verified that medical certification. , Medical Examiner, will comptete and sign the S gn ture ,, Fla. Lic. No./R, ee~-Ne. Date Signed ' z~ ~ /t1672 HAY 3, 1989 S. BURIAL-TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No [] A five day extension of time for filing the death cert f cate (exclusive of weekends) has been re uested and r n ' F ' · . , .... q . ga ted If t cannot be fdec within this time limit, a uneral D~rector/Direct Disposer Report w~ll be filed with the Local Registrar of the County in which death Dc curred. [] No extension of time for fili,~g the death certificate requested. Registrar or ~ . ,~ ~ ,~ Sub-Registrar Signature ~ ~J~-~ r. _~~/' Date · - ,,sue : ,DateCertfcete Due: AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or Medical Examiner, ' ,,gave authorization by te ephone 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: j~ BURIAL [] STORAGE [] CREMATION [] OTHER jSpecify) Signature °f Sext°nI or Person-in-Charge . . CEMETERY OR CREMATORY Place of Disposition Date of Disposition SEBASTIAN CEMETERY HAY 6, 1989 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)