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Home My WebLink About4-45-31 Net P~d S .. 2,0Q. D0. ...... Alice Caesar interred 8116188 M~amumNo. n,,'-'$mces ..... 1. ........... Lot 31, Blk.45 Monument p~mltt~d ....................... (Data ~bove thia Hne for Clt~ Record only) NO. Unit 4 1183 Carolyn L. Sipel 118 Columbia Ave. Sebastian, Fl. 32958 0Iii1{ of ebaslian lemetery ] eeh NO. 1183 THiS INDENTURE MADE 'F~ ..... 1.6.th ......... dar of .........Augus.t ......................... A. O., ]0.. ~., between Ihe City of Sebastian, a municipal corporation existing under the Jaws of the State of Florida, os Grantor attd ...................................... .C..a.r?~ }~. ~f.t., .S,~.p..e. ~. ................................................................. ..................................... !!8.. ,.... ................... Indian River Florida of the County of ............................................ anl State of ....................................................... m~ Grantce, WITNESSE'FH* That the Grantor lot and in conside~asion of th~ sum of $ ...... ~ QO.~ 0.O ........... to it in hand paid, the ~eceipt whereof is herewith knowledied, does by this instrument yant, bazy,~i~, sell release, convey and confirm unto tha G~antco . ~-.~... heirs, lesal representatives and assi~s the foBowin8 property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ... ~.].. , Block,..~ ~ ..... UNIT .~ ............ of Sebastian munidpal cemein~y as pe~ Pht Number 1 thereof ~ecorded in Phi Book 2, at paso 6S of the public ~eco~ds in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lyL~ mud being lo lnd~n River County, Florida. For interment of Alice C. Caesar To tiavc and to Hold the same foxever; provided that said property shall be used solely and exclusively for the interment of tho human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- lbre, now and heteafteT adopted o! provided £o~ the government and operation of said cemetery. The conditions, restrictions and requlicments contained in this instrument shah be covenants running with the land. In the event of the failure o£ the owner of any property sittta~d within sldd cemetery to ob- serve and comply with ~uch rules, regulations, resolutions and ordinances and the conditions of the d~ed of conveyance thereof then the title of such owr~r in and to said property shall tetminat~ and the same shah revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the l]rst 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 ~lixed, the day and year first above written. CITY OF SEBASTIAN, FLORIDA M~vor Signed, Scaled and Delivered in the Presence ofz STATE OF FLORIDA COUNTY OF INDIAN RIVER 16th August ]~,. 8..8, I HEREBY CERTIFY, That on thin ....................... day of .................................................. , befor~ me p~n.lly .ppe.,ea Richard B, Votapk~ .. ...........................! .......................................................................... ........................................................ a.d severtdly acknowledged the execution thereof to be their free act and deed as such officer~ tJ~reunto duly authorized; and that the Official aeal of ~aid corporation is duly affixed thereto, and the ~aid eouveyance is thc act ~d d~d of ~[d corporation. WITNESS ~'s~ature and offiel~ ~ at ~basthn, in the ~unty of Indian River and State of Flori~ the day and year Nota~ PubU~t~te of ~lorid~ at ~r~e. ~i My e~issinn explres~ ~TARY ~BLIC STATE ~ FLORA WY COWNISSIO~ ~XP D[C 10,1988 SipeI, Carolyn L. 11~ Columbia Ave. Sebastian, FI. Deed No. 1183 Lot 31 Blk.45 Unit 4 Alice C. Caesar interred 8/16/88 Neme /~, ~' ~ ~-~r Unit ~ Date of Mark-out Date of Burial Name of Funera~ Home Authorized by City of Sebastian POST OFFICE BOX 780127 m SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 August 19, 1988 Mrs. Carolyn L. Sipel 118 Columbia Avenue Sebastian, Florida 32958 Dear Mrs. Sipel: Enclosed is Cemetery Deed No. 531 for Lot No. 31, 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. We are enclosing two copies of Receipt No. 531 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 ~ provided for your convenience. Very truly yours, Elizabeth Reid Administrative Secretary LR Enc. RECEIPT IS ~EREBY AC]CNOWLEDGED O~ THE SUN OF; ~scrlpt~on of Ter~ ~d ~ndl~o~ of · hi~ ~ntraot shall ~ bJndln~ u~n ~Ch ~artlos, the seller and tho ~urchaser, when app~ved ~ ~e ~ner of ~e P~tW ~ve desow~d, I, or we, agree to punch.se the a~ove described propert~ on the terms ~nd The Cit~ of Sab~stlan agrees to seA1 tho above munCloned proper~ to tho a~ve ~d p~ohaser(s) on C~ ter~ and ~nd~t~ seated In the inscx~C. A. (Type or Print) 1. Name of First Middle Deceased Alice ! ,Clayton, ~ · 2. Place of Death City, Town or Location NaPle of County ~: -~ Hosp. or Indian River Roseland Inst. 3. Name of Medical ~'TPhys~c~an Address Last. DATE Montl~ Day Year OF Caa-~ DEATH Au~,,t 13, 1988 {If neither, give street address) H,ma,~ Hospital-Sebastt.. Phone Number Certifier Noor Merchant, M.D. 4. Funeral Home/ Name ~ SCrunk Funeral Home [] Medical Examiner 13875 US// 1 Sebastian, Flu 589-0879 Address Phone Number (Area Code) 1623 N. Can~ra~ Ave. Sebastian, Florida 32958 407-589-1000 5. Check a [] Appro- oriate Box b ~ c [] 6. Funeral Director/ The medical certification has been completed and signed. A completed certificate of death accompanies this anplication. 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 Dr, Mer~h.nt will complete and sign the medical certification of cause of death, was contacteD on . He/she verified that medica!certification. , Medical Examiner, will complete and sign the --/~ Signature . ' / Fla. Lic. No./Re~..~. B. BURIAL-TRANSIT PERMIT Permission is hereby grantea to dispose of this body. ,, , Permit No. 19?R-RR-'{R7 [] 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 ne 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 th~,death certificate requested. \ ~ , Registrar or /~'} '~ ~f// "' ' /~' ff.~l/~ Date Date Certificate ' ' Subregistrar Signature ~ _6"~ ...... Issued: 8/15/88 Due: . AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Sig - ,' nature "~ '; :~ .... Medical ExamJr{~ 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. ,~: ~ CEMETERY OR CREMATORY Method of Disposition: ~ BURIAL [] STORAGE [] CREMATION [] OTHER (Specify} Signature of Sexton or Person-in-Charge I / / 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. Place of Disposition Sebastian Cemetery Date of Disposition Aumust 16, 1988 HRS Form 326. Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740-00C-0326-2)