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HomeMy WebLinkAbout4-46-32 '""' P"ldbYCE~TERYg~iPtN~.O .................................... D-,--~ 8/21/89 I Lot 32 NO. Blk.46, Un.4 · List Price $ · · .3. ?'. 5, .'. P,0. ...... l~t, dmttm No. Burial $~.~ s ................. GeorgeE./ 1236 ~ '~ 325.00 NeIP~d $· ....... · ..- -. -..- Monum~up~u,~tted.. ................. ... . Debra A. temaster Tiffany M. Lemaster interred 9425 79th St. Lot 32 8/21/89 Veto Bch., Fl. 32967 (D&t~ ~bove ~le linc for Cltl, Record onJy) leme ery Deeh NO. THIS 1NDENTURR MADE ~ .... ......... dsy of ......... .......................... A. D. I9.~Y.., between lira City of ~b~ a munlei~ ~orallon effist~g ~der the laws of the State of Finr~ a~ Grater and .................... 9.~[g.~. E. Lemaster II or Debra A. Lemaster 9425 79th St., Veto Beach, Fl. 32967 Indian River Florida of the ~un~ of ............................................. awl State of ....................................................... ~ Grantee, WITNESSETH~ T~t ~e Grater for ~d ~ ~n~rafion of ~e s~ of $ . .}~ ~. I ~9 ............... to it ~ ~d paid, ~e re~ipt whe~f is herewith a~ ~w~d~ed, does by t~s ~rument ~t, b~, ~ zel~, ~nvey ~d ~ ~to t~ Gr~tee . ~.~ hehe, legal repre~n~ves ~d as~s the foEowing pwp~y ~tmted ~ Seba~, I~n ~ver Co~t~, Fin~, t~it: ~ of Lot(s).......3 2 , B~, .. ~ 9... , U~T .....,....,..~ , of ~b~ mu~dp~ ~metery as per Ph~ N~ber 1 ~eseof ~rded ~ Ph~ Book 2, at p~e 65 of ~ pubic remi~ ~ ~e offl~ of t~ C~rk of the Ck~t Co~ of St. Lu~e Cowry of F~a; mffi ~d now I~ ~d he~ ~ In~ ~ve, County, Flofi~ To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of thc human dead and shell be used, kept and maintained at all times in accordance w/th the rules and regulations, ordinances and resolutions of the City of Sebastian, Fhirkia, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, re~trictinns and requirements contained in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and ~omply with iuch rules, reguhfion% resolutions and.ordinances and the conditions of the de~ed of conveyance thereof then thc title of such owner in and to said property shall terminate and the dame shall revert to the City of Sebasthm, Florida. IN WITNESS WHEREOF, The said party of the £ust 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 w~it ten. City Clerk Signed, SeaLed and Delivered in the Pre~ence of: ~ .......... STATE O~ ~LO~IDA CITY OF SEBASTIAN, FLORIDA Mayor COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this 21st .... day or August 89 Richard B. Votapka Ka~hryn M. 0'Halloran befure me personally appeared ............................................. , ....... and ....................................... respectively Mayor and City Clerk of the City of Sebastian, s municipal corporation under the laws of the State of Florida to me kno~ ~ he the individuals and officers de~ri~ hi and who executed tbe fon-~in~ conveyance to ............. PS E ......................................... ................. ~ ................................... ~.. and severally acknowledged the execution thereof to he their free act and deed as such officers thereunto duly authorized; and that the Official sea/ of said ~orporatiou is duly affixed thereto, and the said conveyanc~ is the act and deed of said corporation. WITNESS my signature and official ~ &t Sebastian, in the County of Indian River and State of Florida, the day and year fast a fore,aid. ' My commission expive~ Hotary Pu~!!c, ~tafe of My Commission Expires D~c Unit Block Lot Date of Mark-out Date of Burial Name of Funeral Home Authorized o¥ Time '?~ o 0 ~';,J .~ UNIT 4 DEED #1236 BLOCK 46 LOT 32 George Lemaster II/Debra 9425 79th St. Vero Beach, FI. 32967 Tiffany M. Lemaster interred 8/21/'89 325.00 N~t P~id $ .................. Tiffany M. Lemaster Lot 32 - 8/21/89 Lot 32 NO. Blk.46, Un.4 ~ximum NO. Bu~d Slmc~ ................. E./ 123 Monum~tp~rm~mi ....................... Debra A. Lemaster interred 9425 79th St. Veto Bch., Fi. 32967 (Data above t~l~ line for (~ty Record o~Jy) City of Sebastian POST OFFICE BOX 780127 O SEBASTIAN. FLORIDA 32978 TELEPHONE (407) 589-5330 September 1, 1989 Mr. George E. Lemaster II 9425 79th Street Vero Beach, Florida 32967 Dear Mr. Lemaster: Enclosed is Cemetery Deed No. 1236 for Lot(s) No. 32, 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 com- pleted bythe office of the Clerk of the Circuit Court. We are enclosing two copies of Receipt No. 581 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 truly yours, Administrative Secretary LR Enc. THE $£BASTIA~ CEWETER¥ ¢itg of Sebastian Sebastian, Florida PRO~ RECEIPT IS HEREB~ A~VOWLEZ~ED OF THE SUM on this 1-1 f F dat.; of~$[~ ,. ~9~£or t. he purchase of the following described Cemeterg LOt(S) u~on the terms and conditions as stated herein: ~escription of Pro~ertv : This contract shall be binding upon both parties, the seller and the purchaser, when approved b~ the owner of the propert~ above described. I, or we, agree to purchase the above described pro~ert~ on the terms and conditions stated in the foregoing instrument: · he tic9 of Sebastian agrees to sell the above mentioned ~ro~ert~ to the above named' surchaser(s) on the terms and conditions stated in the above instrument. STATE OF FLORIDA ~EPARTMENT OF HEALTH & REHAB ~/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 TIFFANY MICItELLE LEMASTER DEATH AUGUST 17, 1989 2. Place of Death City, Town or Location Name of {if neither, give street address) County Hosp. or BREVARD MELBOURNE Inst. HOLMES REGIONAL MEDICAL CENTER 3, Name of Medical [] Physician Address Phone Number Certifier [] Medical Examiner 4. Funeral Home/ Name Address Phone Number {Area Code) [~Y~r STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 32958 407-589-1000 5. Check a [~] The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ~"] ' KAKEN L. FERGUSON, ~'I.D. was contacted on 8/18/89 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 S[-[~ will complete and sign the medical certification of cause of death. c I-I was contacted on . He/she verified that , Medical Examiner, will complete and sign the i /~ ~medical certification. / 6. Funeral Director/ ' ignature ' -- Fla. kic. No./Reg. No. Date Signed ~r ~~~ #1672 8/18/89 B. BURIAL,TRANSIT PERMIT Permit No. 1228-89-377 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 as undue hardship would result from filing within the normal time limit If th~ 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 t[me for fiHn,~ the death certificate requested. Registrar or ~'l ~ /~ ~ ' ~' ") Date Date Certificate Subregistrar Sgnature ;~'-~v~,_.C~..c~; ) .~'/ , ._~ ,.f.?,,.;~4-~ Issued: 8/18/89 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. Method of Disposition: ~ BURIAL [] STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton )~v/~ .~ or Person-in-Charge ) /~ , CEMETERY OR CREMATORY Place of Disposition Date of Disposition SEBASTIAN CEMETERY AUGUST 21. t989 This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Dkect 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, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740-000-0326-2) "~ J