HomeMy WebLinkAbout4-46-29~i ].~tmi~$.. 200..00 3 Blk.46,Un.4
............... Ma~am,m No. Bm~,~ Sm~ ................. Gerard Weick 1224
600.00
Ne~Pmd$ .................. Mo.~m~ntpen~ed ....................... 37 Angela La.
Bay Shore, N.Y. 11706
(Data above thf~ Hne for C/ty l%eeord only)
of ebas an
eme ery Bee
NO.
1224
3rd July 89
THIS INDENTURE MADB ~ ...................... day of ............................................. ~ D., 19 ...... ,
Gerard Weick
37 Angela Lane, Bay Shore N. Y. 11706
of the County el .......!.!!d..i..a.~....R..i.v..e..r. ................. an'l 9tate of ....... .F.1..o..r.$..d.a. .......... ...........................
a~ Grantee, WITNEBSI~TM,
That the Grantor for and in considefafion of the $~m of $ ... ??. U.*- Z~ .............. tO it in hand peld. the receipt whereof is herewith ac-
knowled§ed, does by tiffs in~rument grant, baxga/~, sell, release, convey and confirm unto the Grantee .h..i?. .... heirs, legal tep~nsentatives and a~.~i~ns
30
,,, of Lo,<,~ ~ .8.,..2.9, eil~ .... .4..6... UmT .._4 .......... of Seb~ m~ ~m,t~,y e, ~ ~'.t ~umhe, 1 thmeof,~co,ded in r'~t
Book 2, at p~e 6.~ of the public ~ecords in the offlea of the Cilth of the Circuit Court of St. Lucl~ Coumy of Florida; said land now lying and heh~
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 sam~ forever; l~O~id~d ~ said property shall he used solely and exclusively for the in.truant of the huma~ dead and shah
be used, kept and maintained at all times in accordan~ with the rails and regulations, ordinances and resolutions of the City of Sehestiaa, Florida, hereto-
fore, now and hereafter adopted or ptovid~l fo~ the government and operation of said cen~tery. The conditions, restrictions and ~:qukemants contained
in this ins~ument shall he covenants runaing with the land. In the event of the failure of the owner of any property situated within said cem~il~y to ob-
serve and comply with iuch rules, regulations, resolutions and.ordinances and the conditions of the deed of conveyanea thereof then the title of such owner
in and to said prope~y shall terminate and the same shall revert to the City of Sehestian, Florida.
IN WITNESS WHEREOF, The said par~y of the first pel-t baa caused this instrument to he executed in its name and on its behaff by its Mayor and
attested by its City Cil~k and its corporate seal to be heieto affixed, the day and year l-Lr~t above wrtt ten.
City Clerk
STATE OF~FLORIDA ~
CITY OF SEBASTIAN, FLORIDA
Mayor
A. (Type or Print)
State of F~l~a, Depart~nent of Health, Vital Statistics
APPLIC~N FOR BURIAL -- TRANSIT PERMIT
1. Name of First
Deceased
, Sophie
Middle
Last DATE Month Day Year
OF
Weick DEATH April 11 1998
2: Place of Death
County
Indian River
3. Name of Medical
Certifier
Ralph Gei,qer, M.D.
4. Name of Funeral Home/
Direct Disposer
Strunk Funeral Home
City, Town or Location
Roseland
Name of (If neither, give street address)
Hosp. or
Inst. Sebastian River Medical Center
.~J Medical Examiner
Address Phone Number
'-~Physician 13840 U.S.
Address
1623 N. Central Ave.
Sebastian, FI
Hi,qhway #1, Sebastian, FI 561-388-0770
Fla. Lic. No./Reg. No. Phone Number (Area Code)
1228 561-589-1000
5. Check a []
~ppre-
priate
Box b ~
c []
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
Tonya was contacted on 4/14/98 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 death, and that Dr. Geiqer will complete
and sign the medical certification of cause of death.
was contacted on He/she verified that
, Medical Examiner, will complete and sign the
medical certification.
6. Place of Sebastian Cemetery ~ state cemeter~JJ
Final Disposition: ~ ~ Cre?~ory - n,,af~Cc, pdnty: indian River
7. Funeral Director/ J?'/ /~.~¢Sature///~.--~ F.E. No./Reg. No.
B. BURIAL -- TRANSIT PERMIT
Permission is hereby granted to dispose of this body.
Removal
from state [~ Donation
Date Signed
4/14/98
Permit No. 1228-98-0179
[] A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship
would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct
Disposer Report" will be filed with the Local Registrar of the County in which death occurred.
[] No extension of time for filing the death certificate requested.
~ Date ! Date Cer~,~t~ el Io~~
~ '~- /~ ~ Due:
Rear ~ C .---~.~__ Issued:
Subregistrer Signature
AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT--SEA
Signature , Medical Examiner Date
or
Medical Examiner, , gave authorization by telephone to
Funeral Director/Direct Disposer. Date
Tha 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.
Methods of Disposition:
~aJ~UR~AL
[] CREMATION
Signature of Sexton )
or Person-in-Charge )
[] STORAGE
[] OTHER (Specify)
CEMETERY OR CREMATORY
Place of Disposition
Date of Disposition
This permit must be endorsed by the Secton 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.
DH 326, 10196 [Re~laces HRS Form 326 which may be used)
[Stock Number: 5740-000-0326-2)
Name
Unit
Block
D~e of Mark-out
Date of Burial