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Home My WebLink About4-45-29~y CEMETERY Receipt No ..... .~ List Price $... 200.00 400.00 Net Paid $ .................. Dated 6/28/88 MaximumNo. Bu~i~Spaces 2 Lots 29 & 30 ................. Blk.45,Un.4 Monamentp~rmiaea ....................... Wm.& Sophia Carri~&~'/ 443 Azine Ter. Sebastian, Fi. 32958 (Data above this line for City Eeeord o~y) of ebas ian · eme ery Beeh NO. 1177 THIS INDENTURE MADE Tala ..... 2,8. th ........ day of .......... luna ............................ A. D. bet~een the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ......................... W.i.1..1..ia. m. aud./P, r..$~phia.. C. arri v.e.an 443 Azine Terrace, Sebastian, Fi. 32958 of the County of Indian River ............................................ an:l state of Florida ~ Grante~, WITNESSRTH, .................................... That the Grantor fo, and in consideration of the sum of S ...... ./4.Q.O....0.9 ........... to it in hand paid, the ~; ~2; ~dn~ dp°r: SP eb~; hs ;:2 ;'~ %mi: th ag;: ~: ;2~2~r' ;~l%~y,, ~inn~.~ya~dw%..nfnm unto the Grantee th'°2ir hex,, legalreceiPtrepremntatlvesWhere°f is herewithand asm~ns'~' All of Lot(s) ¢.9. a.3..0, Block,. ?..~ ..... UNIT.............4 , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Pint Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To ttave and to Hold the same forever; provided that said property shall be used solely and exclusively for the internmnt of the human dead and shell be u~xl. kept and maintained at all times in accordance with the rules and regulations, ordlilance~ and resolutions of the City of Sebastian, Fintida, hereto- fore, now and hereafter adopted or provided for the government and operation of said c~metery. The conditions, restrictions and requirements c, ontainod 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 comply with ~uch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then tho title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. iN WITNESS WHEREOF, The said party of the f'ust pa~t 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 written. 8[gned, Senled and Delivered ST^TE OF FLORIDA COUNTY OF INDIAN EIVER CITY OF SEBASTIAN, FLORIDA Mayor I tlEIIEBY CERTIFY, That on thiz 28th .day of June i$ 88, before me personally appeared . ..... Richard B. Votapka ................. _,~Kathryn M. 0'Halloran respectively Maynr and City Clerk of the City of Sebastian, a municipal corlmratinn under the laws of the State of Florida to me known to bc the indiv;duals and officers deserth~d in and who executed the forcgoi.8 coaveyanee to ........................... 14&lJ& gr~. ~nd/.or ,$.ophia.. G gr.r~.v, g0.o ..................................................... ........................................................ and severally acknowledged the execution thereof to be their free act and deed as sttcb officers thereunto duly aulhorIzed; and that the Official seal of auld cnrporation is duly affixed thereto, and the ~aid conveyance CARRtVEAU, WM. & SOPHIA DEED f~1177 LOTS 29 & 30 443JAZINE TERR. 6/28/88 BLOCK 45 SEBASTIAN, FL. 32958 UNIT 4 Name ~l ~, · Unit_ Lot Date of Mark-out Name of Funeral Home City of Sebastian POST OFFICE BOX 780127 n SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 July 5, 1988 Mrs. William Carriveau 443 Azine Terrace Sebastian, Florida 32958 Dear Mrs Carriveau: Enclosed is Cemetery Deed No. 1177 for Lot(s) No.29 & 30, Block 45 , Unit 4 · If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. Very truly yours, Administrative Secretary LR Eric. THE SEBASTIAN CENETERY City of Sebastian Sebastian, Florida RECEIPT IS ~EREB¥ ACKNOWLEDGED OF THE SUN OF~ W-- Unit# Dollars($ Terms and conditions of sale; This contract shall be binding upon beth parties, the seller and the purchaser, when approved by the owner of the proport~ above described. I, or we, agree to purchase the above described proper=y on the terms and conditions stated in the foregoing lntr,.~nt~ The City of Sebastian agrees to sell the above msntioned propert~ to the above named purchaser(s) on the terms and condiCions stated in the above insCrument. Sebastian APPT_ICATION FOR BURIAL -- TRANSIT PERMIT ~// ¢ A (Type or Print) 1 Name of First Middle Last Deceased DATE Month Day Year OF WILLIAM RUSSELL CARRIVEAU DEATH August 17, 1990 2 Place of Deaflr Cily, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. 443 Azine Terrace .~ Medical Examiner 3 Name of Medical Celtifier Noor Merchant 4. Name nt Funeral Home/ Strunk Funeral Home 5. Check Appro- priate Box 6 Place of Address Phone Number ~"]Physician 7744 Bay St.#2 Sebastian, Florida 32958 407-589-0879 Address I Fla. Lic. No./~,Phone Number (Area Code) 1623 N. Central Avenue Sebastian, Florida 32958 1228 I 407-589-1000 a [] The medical certificatioe has been completed and signed A completed certificate of death accompames this application. b ~ Dr. Merchant was contacted os_8/17/90 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 _ Re and sign the medical certification of cause of death will complete c [] was contacted on He/she verified that medical cer ilicat or Medical Examiner, will complete and sige the Final Disposition: 7 Funeral Director/ In state cemetery/ Sebastian Cemetery /~ ~ crematory,- n~e/county: Sebastian, Florida / (//2 . ~ 1672 m~ from state ~] Donalion Date Signed August 17,1990 B BURIAL -- TRANSIT PERMIT Permission is hereby grar~ted to dispose of this body Permit No 1228-90-441 [] A five day extension of time for filing the death certificate (exclusive of weekeeds) ha§ beer] requested and granted as undue hardship would result from filing within the normal time lirnit If the certificate cannot be filed within this extended time limit a "Funeral Director/Direct Disposer Report" wilt be filed with the Local Repishar o the Co?~ty in which death occurred [] Ho extension of time for filing the death certificate requested Suhreqistrar Signe ure ~ Date t: Issued: August 17,19_c90DD2te~ Certificate Medical Examiner AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT--SEA Medical Examiner Date , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiner s approval must he obtained before disposal by any of the above methods A waiting period of 48 hours after death is required for all cremations D Methods of Disposilion [] BURIAL [] CREMATION Signature of Sexton or Persomin-Charge CEMETERY OR CREMATORY Sebastian Cemetery Place of Oisposition Sebastian, Florida [] STORAGE Date of Dispositioo August 20, 1990 [] OTHER (Specify) 7- / This permi! must bJ eedorsed 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 file local HRS County Public Health Unit in the County where disposition occurred.