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Home My WebLink About4-45-12Paid by CEMETERY Receipt No... - - 325.00 L/st Price ~ .................. Net Paid $ ...... $~Z~.,0~. Dated 3/7/88 I Maximum No Burial Spaces.. 1 ............. Monument permitted ....................... (Data above ti~ U~e for C~ty l~an~i only) Lot 12~ No. Blk.45,Un.4 1162 Frank Hudec 4625 84th St.,P.O.494 Wabasso, Fl. 32970 · of ebaslian leme ery Beeb NO. 1162 THIS INDENTURE MADE ~ ...... 7,th ........... day of .................. March .................. between the City of Seb~thm. a munlcll~l corporation ~t~g ~der t~ laws of the S~te of FlorM~ ns Gr~r and .... ~O~.k 4625 84th St., P.O.Box 494, Wabasso, Fl. 32970 o~ the ~ of ........ !~..~.y~ ................ ~'l Stste o~ ........ Florida ~ Grant~ WITNRSSRTHs ............................................... T~t t~ Gr~tor for ~ ~ ~n~ezafion of ~e sum of $ ..~.~ }. ~ ~ ............... w it ~ ~ pe~, the ~ipt wh~eof is ~r~ith a~ ~w~dg¢d, d~s by t~ ~nt gt~t, b~, ~ rel~, ~nvey ~d ~m ~to ~ Gi~ ...~ ~.. he~s. ~ fo~w~g p~op~y at.ted ~ ~ba~, I~ ~er Cowry, ~o~a. t~it: ~ofLot(s) .. ~ ,B~. ~ ,UN~ ~., ,°f~ba~m~d~m~teryas~rPht N~ber I ~f~rd~ ~p~t Book 2, at p~e 65 of ~e pubic ro~;~ ~ ~e offl~ af the C~rk of t~ C~t Co~ of St. Lu~e Cowry of ~; ~ 1~ ~ver Cowry, FbB& To Have and to HaM the same fnsever; provided that ~fid property shall be u~d solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accotdanea with the tales a~d regulations, ordinances and resolutions of the City of Sebastian. Fintida. hereto. fore, now and he~eafter adopted or provided for the govermnent and operation of saki cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants framing with the land. In the event of the failure of the owner of any property situated within said ceme~ry to ob- serve and comply with iuch rul~. regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the · - title of suci~ owner m and to said property shall terminate and the same thallrevert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has ~ausad this instrument to be executed in its name and on its behalf by it~ Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. Signed, Sealed and Delivered ............. ................ STATE OF FI23RIDA COUNTY OF INDIAN' RIVER CITY OF SEBASTIAN, FLORIDA before nm ~sonaBy ap~a~d L. Gene Harris ........................................................... ~ Kathryn M. 0'Halloran resistively Mayor and City Clerk of the City of ~tian, a municipal eor~ration under the laws of the State of Flor~ ~ ~ ~own to be the Individu~s and officers descrl~ la and who execut~ the fort-~in~ ~veyan~ to .............................. Frank Hudec ........................................................ ~ severely ~knowl~g~ the ex~utlon ~f to ~ ~r free act ond de~ as such officers tbereun~ duly ~dihor~d; and ~t ~e Offiei~ ~al of ~ld corp~ation Is duly affixed the~to, and the ~id eonveyan~ WITNESS my slgna~ and offidM ~ ~ ~t~ ~ the ~un~ of Indian River ~ State of Finrl~ the day and ye~ last aforcs~ ~ ~lsgon expires ~V C0N~I$$I0~ EXP DEC 10,19~ UNIT 4, BLOCK 45, LOT 11 HUDEC, FRANK DEED #1t61 4625 84th St. P.O.Box 494 Wabasso, Fi. 32970 Catherine Hudec interred 3/1/88 DEED #1162 LOT 12 REC. #507 "~c~*~g Unit Block Eot Date of Mark-out Date of Burial nerabHome. ~ N~me of Fu Authorize ~.~ O0 Paid by CEMETERY Receipt No.... p.O..8. ........ Dated. 3 / 7 / 8 8 ....... L. - . 325 .00 l~t Yrio~ ~ .................. Maximum No. Burial Spa~s.. ,~. ............. Net Paid $ ...... $3 2,5 .. 0.0. Monmneat permitted ....................... (Data abeve t~ls U~e for City Record only) Lot 12, NO. Blk.45,Un.4 1162 Frank Hudec 4625 84th St.,P.O.494 Wabasso, Fl. 32970 L. Gene He~rls Mayor City of Sebastian POST OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kathryn M. O'Halloran City Clerk March 8, 1988 Mr. Frank Hudec P.O.Box 494 Wabasso, Florida Dear Mr. Hudec: 32970 Enclosed is Cemetery Deed No. 1162 for Lot(s) No. 12 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, Veto Beach, Florida. Also enclosed is a form - Return for Transfer~ 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, Administrative Secretary LR Eric. w~en app.'oved b~t r. he o~ae~, o~ t.J~e ,o~o,oett~! 4bore descgi~ed. agree Co )u~ch,ue ~ ~ve dea~r, Lbed ~,ro)e,r'cy on the ce.,'~ *nd '~ State of Florida, Departmi~lof Health and Rehabilitative Services, Vital~l~istics APPUCAT~R FOR BURIAL -- TRANSIT PERMIT (Typo or Print) 1. Name of Deceased First Middle Last Frank James Hudec DATE Month Day Year OF DEATH 07/31/1993 2. Place of Death County Indiap River 3. Name of Medical Certifier City, Town or Location Wabasso J Medical Examiner ME 4. Name ~ FunerelHome/ Dimct Disposer Strunk Funeral Homes. P.A. 5. Check a [] Appm- prate Box b [] c r3 Name of (If neither, give street address) Hosp. or Inst. 4625 84th. Str~t Address Phone Number --] Physician , /~dress { Fla, Lic. No./Reg, No. Phone Number (Area Code) 1623 North Central Avenue Sebastian. F1 32958 1228 ¢407{.qR~-2325 The medical certification has been compiatad and signed. A completed carfif}cate of death accompanies this app{icaticn. was contacted on 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 will complete and sign the medical certification of cause of death. Re I en was contacted on fir/{34/1 ~i]e/she vedfied that I~E , Medical Examiner, will compiate and sign the medical certification, 6. Place of Sebastian Cemetery/'~ }r~stste cem~te~/ Final Disposition: / /[--~rematory,~,~e/county: lndia~ River r'-] from state 7. Funeral Director/ ,,e/////',~ S!gnatu~~., F.E. No./Reg. No. ............. ,/~ ~ /~/ ~7- ~~ 1672 B. BURIAL -- TRANSIT PERMIT Permission is hereby granted to dispose of this body. Removal ~ Donation Date Signed 08/04/19~ Permit No, 1228-93-0363 [] 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 requeste~ Registrar or ~.-...e · - ~ "~ Date ~:3.,.V.~.. ~ Date Certificate Subregistrar Signature ./I,../~ · ~ ~.,~.. J2-.~ Issued: Due: 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 The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waifing period of 48 hours after death is required for all cremations. CEMETERY OR CREMATORY Methods of Disposition: [] BURIAL [] STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton ) .~/"').~. ~. /)-~ or Person~in-Cha~ge ) , / / Place of Disposition ~ o h ,~ ~ ~ J a n C omo~.or y Date of Disposition ~ ...... ,,~.~t 4,190.] 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) (Stock ·umber: 5740-000-0326-2)