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Home My WebLink About4-46-28l~ald by CEMETERY Rece~pt No. . . .5.6. .8. ......... Dated....7../.3./..8.9. ................. Lots 28, 29, 3%0. 200.00 umN 3 : Blk.46,Un. 4 Ust ?~ce $ .................. Max~ o. Sur~ Spec~ ....... : ......... GerardWeiek 1224 600.00 N~P.id$ .................. Moaumentperm~ed ....................... 37 Angela La. Bay Shore, N.Y. 11706 (Data above this line for CIW l~anrd only) (giIll of ebaaliau (lies eI er !t e e NO. 1224 3rd July 89 THIS INDENTURE MADE 73L~ ...................... d~ of ............................................. A. D. lg ...... , between tile City of Seb~sUan* a mtmieipal eevporiUon ~ist~ ~r thc Jaws of the Sta~ of FJorM~ as Gr~r and Gerard Weick 37 Angela Lane, Bay Shore N. Y. 11706 o~ th~ ~t~ of ....... !.~.~..~Y.~.~ ................. ~-] state or ....... F.%P~$.d~ ..................................... ~ Grant~ WITNBSSE~, T~t ~e Grater for ~ ~ ~g~ra~n of ~e sm of $ 600 · O0 : .......................... to it ~ ~d pe~, ~o ~pl wh~eof is hctewith a~ ~w~dged, does by t~s ~nl ~t, b~, ~ r~, ~n~y ~d ~ ~to ~ G~e ~.~ .... ~ks, M~I repre~ntafiv~ ~d as~s the fo~ow~ prepay gt~ted ~ ~ba~ I~ ~t Co~ty, ~ t~it: 30 28,29 46 ~ 4 ~ of Lot(s) ....... ,M~ .......... UN T .............. of ~b~ m~dp~ ~metery as ~r Phi Number I ~f ~rd~ ~ PhS Book 2, at ~e 65 of ~ p~Bc ro~r~ ~ ~e offi~ of ~ C~rk of ~ Ck~t Co~ of SL Lu~e Co~ty of F~ri~; ~ h~ now l~g ~d be~ ~ ~ Riv~ Cowry, Flofi~ For: John Weick, Lot 28 (589 Futch Way, Sebastian, Fi.) Sophie Weick, Lot 29 John R. Weick, Lot 30 (Son) To Have and to Hold the same forever; providnd that said property shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the lml~s and regulations, ordinances and resolufion~ of th~ C/ty of Sebastian, Florida, hereto- fore, now and hereafter adopted o! provided for the §ovemment and operation of ~id cemetery. The tend/nons, restrictions and requkements contained in this instrument shall be covenants running with the land. In thc event of the falinxe of the owner of any property situated within said cemetery to ob- serve and comply with inch rules, regulations, resolutions and ordinances and the conditions of the dc~t of conveyance thereof then the title of such owner in and to said property shall terminate and the saree shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part hcs caused this instnunent to be execu~d in its name and on its behalf by its Mayor and attested by its City CJerk and its corporate seal to be hereto affixed, the day and year first above written. Attest: * ............ (/ City Clerk ..... ............ STATE OF'dFLOIt 1DA [. COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA Mayor ' ', I .rtgat~Bv CEBTIPV. T~ tl~..:.. 3rd ._ ............ day et ............. J~ly ................................ ~9..~9 befo~ ~ perkily ap~a~d Richard B. Votapka ~d Kathryn M. O'Halloran res~ctively Mayor and City Clerk of the ~ of Se~tisn, a muniel~l ~rpevaUon under the ~ws of the State of Flori~ ~ me k~xown Gerard Weick ................. 7 ........ ;', ............................ ~ ~ver~ly ~knowledg~ the ex~uti~ ~e~f to ~ ~Jr fr~ ~t and d~ is the set-and tle~d 'of S~ld ~ra~o~ WIT~ESS my aigna~re a~d offi~al ~ at ~8~ in t~ ~un~ of Indian River a~ fi~te of Finri~ t~ day and year · " Not~ ~bH~St~te ~ FlevMa at ~r~ .... Unit Lot Date of Burial Name of Funeral Home Authorized by UNIT 4 DEED NO. 122a BLOCK 46 LOTS 2~, 29, 30 Gerard Weick 37 Angela La. Bay Shore, N. for: John Weick, Lot 28 - Interred Sophie Weick, Lot 29 John R. Weick, Lot ~0 (Son) (589 Futch Way, Sebastian) Y. 11.706 9130/89 e:ei N 568 P~m~yCEM~RYR m o ................. Dat~....7../.3./.8..9, ................. Lots 28, 29, 30NO' u,,~,., .... 2.99.:9.°. ..... 3 Blk. 46, Un. 4 .~m Ne. B~m~ Sm~ ................. Gerard Wei=~1224 N~t~a~d$ 600.00 ~o.umeatmmmt~. 37 Angela La. Bay Shore, N.Y. 11706 (DItl abe~'e this line for Cit.)' l~L'ord on]F) City of Sebastian POST OFFICE BOX 780127 o SEBASTIAN, FLORIDA 32978 TELEPHONE [407) 589-5330 July 31, 1989 Mr. Gerard Weick 37 Angela Lane Bay Shore, New York 11706 Dear Mr. Weick: Enclosed is Cemetery Deed No. 1224 for Lot(s) No.28, 29, 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 form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the offiae of the Clerk of the Circuit Court. 30, Very truly yours, Administrative Secretary LR Enc. THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: Dollars ($ ~ ~ ~ ) descri~ C-~-~meter'g Lot{s~/upon ~the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# c~4 ~) 7 & Blook# ~ Unit~ ~ /~Purchase Price:~Q ~~ ~ ~OD ~llars($~~ ) 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. Cit~ of Sebastian Wi tness / THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: Descri~on of Pro Cemetery Lot~s)# Purchase Price: Terms an conditions This contract be approved by the I, or we, agree to stated in the fore. nding upon of ~he property the abo~ the seller and the purchaser, when property on the terms and conditions 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. City of Sebastian ... Ho. 4508 STATE OF FLOR,DA., !PARTMENT OF HEALTH & REHABILIT~E SERVICES /~ /~/~ VITAL STATISTICS ~ APPLICATION FOR BURIAL-TRANSIT PERMIT /~/ /"// A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF JOHN [4EICK DEATH SEPTEI~IBER 27, 1989 2. Place of Death City, Town or Location Name of l lf neither, give street address) County Hosp. or BREVARD FiELBOIJHNE Inst. HOLY. ES REGIONAL t4.EDICAL CENTER 3. Name of Medical [] Physician Address Phone Number Certifier r~ Medical Examiner 4. Funeral Home/ Name Address Phone Number (Area Code) ~ STRUNK FUNERAL HOI'iE 162~3 lq. CENTRAL AVE. SEBASTIAN~ VY.A ??q~R /.O7-~RO-IOO{3 5. Check a [] The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b [~ DR. I~CCAR/'~ was contacted on 9/27/89 within 48 hours after death. He/she verified that this death was from natural causes, that there was no accident nor c [] other external cause of death, and that SHE and sign the medical certification of cause of death. medical certification. will complete wes contacted on: ' He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ /~ Signature ~,/ ~,~ Fla. Lic. No./I;~. Date Signed B. BURIAL-TRANSIT PERMIT Permit No. 1228-89-452 Permission is hereby granted to dispose of this body. [] A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death oc- curred, [] No extension of time for filir~j the death certificate requested. Registrar or /~ ~ A /I ' ,~) ~ Date Date Certificate Sub-Registrar Signature ~/~ J '~' ~'-'~ Issued: 9/27/8~ Due: AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or Medical Examiner, , 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. CEMETERY OR CREMATORY Place of Disposition Date of Disposition Method of Disposition: SEBAS'~IA_~ ~ BURIAL [] STORAGE SEPT~ER 30, 1989 [] CREMATION [] OTHER (Specify) Signature of Sexton or Person*in-Charge I ?'/ / 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)