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Home My WebLink About4-45-08 P~d by CEMETERY Receipt No 5 oo Dated l / 2 6 / 8 8 L~t Pti~e $ .... 20(~. ~0 ..... Not .... 0., .... ~anue~ Guevara ~n~erred z/28/88 NO. Man~,mNo. e~spec~ ...... .1 ..... Gus Cedeno ,?.O.Box 780923 .... 674 Doctor Ave. 11~6 Monument pern~.ed ....................... Sebastian, Fl. Lot 8, Blk.45, Un.4 (D~t~ ,thove ~1. ll~ for City l~co~d m~,) of ebast an · eme ery Dee NO. 115'6 THIS INDENTURE MADE ~ ...26~h ............ day of'i ...... J~nu~;ry .......................... A. D, 1s..8..8.., between the City of Sebastian, a m~iclp~ ~ra~n ~lat~g ~der t~ laws of the S~ of Flor~ aa G~r ~ ........................... Gus Cedeno 674 Doctor Ave., P.O.Box 780923 Sebastian ~ m~ ~ ~ Indian River Florida ............................................. ~'1 St~ of ~ Or~n~ WITNg98R~, ....................................................... T~t ~e Gr~tor fur ~ ~ ~n~era~n of~e s~ of $. ~.~;.~ ............... ~ it ~ ~d ~, ~ ~pt w~fi,~ a~ ~w~dgcd, docs by t~ ~nt ~t, b~, ~ tel~, ~n~y ~d ~nf~ ~to t~ Gr~teo .. ~.. ~% ~ ~e~flv~ ~ ~s t~ fo~w~ prop~y ~t~ted ~ ~ba~, I~ ~ver Co~ty, ~or~, t~t: ~ of Lot(s) .... ~.. , B~, .. ~.~ .... UNIT . ~ ........... of ~b~ m~d~ ~me~y as ~r Pht N~r 1 ~f ~ ~ Pht Book 2, at p~e 65 of ~ public m~ ~ ~e offi~ of ~ C~k of t~ ~t ~ of St. Lu~ ~ty of F~r~; ~ ~ now 1~ ~ ~ ~ ~ River Co~ty, Flog~ To Have and to Hold tl~ same furever; Provided that said property shall be used solely and exclusively for the interment of the human dand and shall be used, kept and maintained at all times in accordance with the rules and tesulations, urdinances and *esointinns of tho City of S~besfian, Florida, hereto- fore, now and here. aft~ adopted or Provided for tho govemunant and operation of said cemetery. The conditions, te~riction~ and ~x~u~em~nts contained in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated withitt said cemetery to ob- serve and comply with iuch rul~, regulations, resolutions and.urdinan~s and the conditions of the dend of convel~mee thereof then the title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, F lorid,~. IN WITNESS WHEREOF, The said pezty of the first part has caused this instrument to be executed in its nam~ and on its behalf by its Mayur and attested by its City Clerk and its corporat~ seal to be hereto affixed, the day and yea~ first above written. city Clerk Signed, Sealed and Delivered in thc P~%esence STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY ! HEREBY CERTIFY, Thet ~ th~ 26th ...d.y of January . 1g .8.,8 respectively Mayor ami City Clerk of ~e City of Se~stia~ a munieilml eorpora~on under the laws of ~ State of Flori~ ~ me kn~n to be Lite individuals arid officers descried ~ and who execut~ the foreBoin~ conveyance to Gus Cedeno ........................................................ and severely ~knowledg~ the exeeu~n ~f to ~ ~t f~ee ~t a~ us such officers Omranuto d~y ~utho~d~ ~nd ~t ~e 0ffiei~ seal of ~id co~por~tion is du~ aff~ the~to, ~d t~ ~id ~nvey~e is the act and d~,of ~ m~raUon. WITNE~ my sl~a~ ~d off~l ~ at ~t~n* in t~ ~un~ of Indian River nnd State of Flofl~ the day n~ last Unit Block Lot ~ Date of Mark-out Date of Burial_ Time Name of Funeral Home Authorized by 4' CEDENO, GUS 674 Doctor Ave. P.O.Box 780923 Sebastian, Fi. DEED NO. 1156 Manuel Guevarra interred 1/28/88 Lot 8 Blk. 45 Unit 4 Paid by CEMETERY Receipt No 502 Det~d 1/26/88 u~t mice $ .... 2Dil. ~0 ..... Net P~id $ .... g.00., 20 ..... Manuel Guavara interred 1/28/88 MaximmnNo. Bur~dS~s ....... 1 ......... GUS Cedeno, 674 Doctor Ave. Montunent~ ....................... Sebastian, Fl. Lot 8, Blk.45, (Data a~ve ~ line ~r ~ty Record oaly) NO. P.O.Box 780923 1156 Un. 4 L. Gene Harris Mayor City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kathryn M. O'Halloran City Clerk January 29, 1988 Mr. Gus Cedeno P. O. Box 780923 Sebastian, Florida 32978 Dear Mr. Cedeno: Enclosed is Cemetery Deed No. 1156 for Lot No. 8, Block 45, 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. 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 office of the Clerk of the Circuit Court. Very truly yours, Elizabeth Reid Administrative Secretary LR Enc. ¥ THE SEBASTIAN CEMETERY RECEIPT ~T$ BEREB¥ ACKNOWLEDGED OF THE SUM OPt Term~ ~nd oondicions of sale~ This contract shall be binding upon beth potties, the seller and the purchaser, when approved bg the owner of the proportg ~ove described. ' I, or we, agree to purchase the above described proper~/ on the Corms and conditions stated in £be foregoin~ lntrum~nt~ The Ci~ of S~b~stian ~grees to sell the above mentioned p~oper~ to the abovu named purchaser(s) on the terms and conditions s£~ted in the above instrument. DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT Al (Type or Print) 1. Name of First Middle Last I!'DATE Month Day Year Deceased OF MANUEL M. GUEVARA ; DEATH JANUARY 26, 1988 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or INDIAN RIVER ROSELAND Inst. HUMANA HOSPITAL-SRRARTIAN 3. Name of Medical ~ Physician Address Phone I~r~ber Certifier MO[~ IDLES [] Medical Examiner 1454 BFLT.ATI~ LN.N.E. ~PA]~,~ BAY~. 723-~] ?! 4. Funeral Home/ Name Address Phone Number (Area Code) Direct Disposer STRON'~ Ft~E~ ~Ot~;,1623 N.CENT~,A~' AVE.,SEBASTIAN,~. 32958 305-589-1000 Check Appro- priate Box ¸,% a [] The medical certification has been. compteted and signed. A completed certificate of death accompanies this application. b ~'1 DR. MO[-~ IDREES was contacted on 1/26/88 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 HE wiJl compJete and sign the medical certification of cause of death. c [] . was contacted on . He/she verified that , Medical Examiner, will complete and sign the medical certification. 6. Funerai Director/ / c. No./Reg. No. 1672 DateSigned ~AN.26~988 BURIAL-TRANSIT PERMIT Permit No.[228-88-045 Permission is hereby granted to dispose of this body. [] A five day extension of time for filing the death certificate (exclusive of weekends) has bean requested and granted. If it cannot be flied within this time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County ~n which death oc- curred. / ' ' [] No extension of time for fiJ/na/the death cer~if~cata requested. Reglstral~or . ~~_~ · Date //,~ ,~ /~'~-r/ DateCertiflcate C. ~HORIZATION for CREMATION, DIRECTION or BURIAL--AT-sEA Signature , Medical Examiner Date or Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disnoser. 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 crematio~s. :: CEMETERY OR CREMATORY Method of Disposition: [] ~URIAL [] STORAGE [] CREMATION [] OTHER (Specify) orSignature °f Sext°n } Z~Person-in-Charge } Place of Disposition Date of Disposition 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, Mav 86 (Replaces Apr 81 edition which may be used) ~./'~', (S~ock Number~ ')