HomeMy WebLinkAbout4-46-33" - ~ -. · 8/29/89
Paid by CEMETERY Receipt ~o...~,: ......... vaT~a ........................ . .~1~?.
List Price S...~..0.0.: ..........
200.
Net Paid $ ..................
Brittany N. 8hrader
interred 9/2/89
Lot 33 NO.
Blk.46,Un.4
12S9
Monument parmitted ....................... Bridgitte Flatt
167 Caprona St.(P.O.782264)
(nats,~vem'.U,~to, C~,to~d~) Sebastian, Fl. 32978
leme ery Deeb
NO.
1239
29 th August 89
THIS INDENTURE MADE ~ ...................... day of ............................................. A. D~ 19 ...... ,
bet,xeen lite City of Sebnathtns a municipal corpor&tinn existing under the laws of the State of Finridas as Grantor and
Bridgit te Flatt
......................................... 1'67' 'CA'iS'~ ~HA' ' '~ ~ ~' ' '( P :'0'~ B5 f ' '78226'4'~ .....................................
........................................ 5.¢.b~ s.~.i~n ,...Fl ...... ,~.2. 9.7.8. .......................................................
Indian River Florida
of the County of ............................................. ant State of .......................................................
ss Grantee, WITNESSETH~
200.00
That the Grantor for and in conslde~afiun of the ~am of $ .......................... to it in hand paid, the seceipt whercof is herewith ac-
know]edged, does by t~is instramant grant, bargain, sell, release, convey and con£unn unto the G~antcc ...~.. heks, legal ~epresentarives and assigns
the following property situated in Sebastian, Indian Rives County, Florida, to-wit:
All of Lot(s)...3,~., . , Block,.../4.~. .... UNIT. ~. ........... of Sebastian municipal cemetery as pc, Plat Numher 1 thereof ~co,ged in Plat
Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucia County of Florida; said ~nd now lying and being
in Indla~ River County. Florida.
To Have and to HeM the s~me fozever; provided that said pmpe~y shall be used solely and exclusively for the interment of the human dead and shah
be used, kept a~d mainta~ed at all limes in accordance with tho ~ules and re§ulations, ordinances and rcsointions of ~ City of Schesthn, Florida, hereto-
fore, now and hereafter adopted or provided for the government and operation of ~id cemetery. The conditions, reat~ictinns and sequkemcnts contained
in this instrument shall be covenants running with the land. In the event of the faiin~e of the owner of any property situated within said cemetery to ob-
serve a~d comply with iuch rules, iaguhtions~ resolutions and,ordinances and thc co.l/tiers of the deed of conveyance thereof then the title of such owner
in and to said property shall terminate and the same ~ ~evert to the City of Sebastian, Florida.
IN WITNESS WHEREOF. The said par~y of the first part has caused this il~trumant to be executed in its name and on its behalf by its Mayor and
attested by its City Clerk a~d its corporate seal to be hereto affixed, the day and yea~ first above written.
~/ City Clerk
Signed, Scaled and Delivered
In the presence
./. ....
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
Mayor
I HEREBY CERTIFY, That on thta ....2.?.~.h. .............. day of ..... ~g.~.J~.~. ................................... , 1~..~.?
before me pmon~ly appea~d Richard B. Votapka ................ ~j~~_ a~ win1 ] ar~q
respectively Mayor and City Clerk of the City of Sebastian, a municipal cor~ration unde~ the laws of the State of Florida to me known
to be ti~e individuals and officers d~cri~d ~ and who ex~uted the foregoing conveyance to
BrldgicCe Fla:C
.................... ~ ................................... and severally acknowledged the execution thereof to be their free act and deed
as sucl~ officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is thc act and ds~d of said cerl~ration.
WITNESS my~ignature and official ~ at Sebastian, in the County of Indian River and State of Florida, the day and year
last aforeaald.
My commlssinn expires~ )%fory Public, Sfole 'o~' ~?or~ -~
My Commk:ian Expiros O~c 10, 1992
Name ~P
Unit
Block
Lot -,'~
Date of Mark-out
Date of Burial
Name of Funeral Home
Authorized by
Time
UNIT 4
BLK. 46
LOT 33
DEED NO. 1239
BRIDGITTE FLATT
167 Caprona St.
P. O. Box 782264
-Sebastian, Fi. 32978
Brittany N. Shrader (Inf. interred 9/2/89
SHRADER~ Brittany n. (INF.)
LOT 33, BLK. 46, UN. 4
BRIDGITTE FLATT
167 Caprona Str.
P. O. Box 782264
Sebastian, Fi. 32978
interred 9/2/89
DEED NO. 1239
,,~, ~, c~,v,.~,,,t,o....~..8.4. ......... ..,,~ ....... .e./. A?./..s.9., ...........
u 200.
st Pflm $ ..................
200.
Net Paid $ ..................
· Brittany N. Shrader
interred 9/2/89
Lot 33 NO.
Blk.46,Un~4
Maximum No. ButL~l Sl~c~ .................
[239
Monument pe,mitted ....................... Bridgit te Flatt
167 Caprona St.(P.O.782264)
(Dataabo~ret~lsilnetorOltylleeorrtoMy) Sebastian~ Fl. 32978
City of Sebastian
POST OFFICE BOX 780127 o SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
September 1, 1989
Mrs. Bridgitte Flatt
P. O. Box 782264
Sebastian, Florida 32978
Dear Mrs. Flatt:
Enclosed is Cemetery Deed No. 1239 for Lot(s) No. 33,
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 s 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.
Very truly yours,
Elizabeth Reid
Administrative Secretary
LR
Eno.
THE SEBASTIAN CEmEtERy
CiC~ of Sebastian
Sebastian, Plorida
,Co )
Terms and'conditions' of sales
This contract shall be binding ul~on beth paz~ies, ~he seller ~nd the purchaser, when
a$proved b~ ~he owner of the properC~ above described.
I, or we, agree to purchase the above described prope=t~ on the terms and conditions
stated in =he foregoing instrun~nt=
The CiCR of Sebastian agrees Co sell the above mentioned propertR to the above named'
purchaser(s) on the terms and conditions stated in the above instrument.
STATE OF FLORIDA
PARTMENT OF HEALTH & REHABILI
VITAL STATISTICS
APPLICATION FOR BURIAL-TRANSIT PERMIT
A, (_~Type or Print)
1. Name of First Middle Last
Deceased DATE Month Day Year
OF
Bi{ITTANY NICOLE SERADEi{ DEATH AUGUST 28, 1989
2. Place of Death City, Town or Location Name of {If neither, give street address) --
County Hosp. or
BREVARD MELBOURNE Inst. HOLMES REGIONAL MEDICAL C~N'Z'St(
3. Nameof Medical [-I Physician Address Phone Number
Certifier [] Medical Examiner
4. Funeral Home/ Name Address
'~ STRUi'~ FUNERAL HONE: i 2 Phone Number (Area Code) 0
5. Check a [] The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box b ~[ . ]~LT$SA
was contacted on 8/28/89 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 DR. ~N L. FERGUSON. M.D, w~i complete
and sign the medical certification of cause of death.
c ~ was contacted on_,, He/she verified that
medical certification. , Medical Examiner, will complete and sign the
6. Funeral Director/
,Signature
F a. Lic No/.~.~. :;,. Date Signed
#2533 8/28/89
B. BURIAL-TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-89-398
[] A five day extension of time for filing the death certificate (excrusive 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 fling the death certif cate re~q~ested,
Registrar or ~'~? ~//" ,'~ Date Date Certificate
Subregistrar Signature /~ ~"'"{ ~/~ ~ '/~' ( ~Y'~<=-~J/ Issued: 8/28/89
~ Due:
C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT-SEA
Signature
or
Medical Examiner,
, Medical Examiner Date
, 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 _~, SEBASTIAN CEMETERY
Date of Disposition SEPTF. HBER 2. ] 9Rq
Method of Disposition:
~ BURIAL [] STORAGE
[] CREMATION [] OTHER {Specify)
Signature of sexton )
or Person-in-Charge )
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 lO days to the local County Health Department in the County where disposition occurred.
H RS Fo rm 326. Oct 87 (Replaces May 86 edition which may be used)
(Stock Numl~