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HomeMy WebLinkAbout4-45-32 Price $ 200.00 . ~id $ .... 20.0...0~ .... Roberta~Troup interred 8/18/88 1 No. B~laL S, paces ................. Lot No. 32, Blk.45,Uni~ 4 Monumemp~tt~ ...................... tichard Stroup 217 Easy St. Sebastian, Fi. (D~ ~&ove ~h ~M ~r ~ li~o~ only) NO. 1184 32958 lemetery NO. 1184 THIS INDENTURF- MAnw ~ ...... !.~ ...... day of ......... A.[lg.14. S..~ .......................... A. O~ lt..8..8.., betwer, the City of Sebastian, a municlpml corporation exlating under the iowa of the State of Florida, as Grantor tend ................................ 9..u ............................................................. ............ 217 Easy Street, Sebastian, Fl. 32958 Indian River Florida of the County of ............................................. &hi State of ................................................... m~ Or&nice, W1TNESSRTH* 200.00 That the Grantor for and in consideration of the sum of $ .......................... to it in hand paid, the receipt whereof is herewith ac- knowledsed, does by this instrument grant, balgagl, sell, ielease, convey and confirm unto the Grantee . ~-~..... heirs, legal representatives and assigns the following property situated in S~bastian, Iedian River County, Florida, to-wit: All of Lot(s) .. ~ ~. , Block, .~ ..... UNIT ... ~ ......... of Sebastian muuldpal c~metery as par Pht Number I thereof recorded in Pht Book 2, at l~l~e 65 of thc public record~ in the office of the Clerk of the Ci~cuh Court of St. Luci~ County of Florida; said land now lying and being in Indian Ri~ County, Florida. To Have and to Hold the same forever; provided that said p~operty shall be used solely and excinsively for the interrt~nt of the human dead and shall be used, kept and maintained at all times in accordance with the rules and r~gulatinns, o~dhmnces and resolutions of the City of Sebastian, Florida. hereto- fore, now and hcreafler adopted or provided for the government and operation of said c~metery. Thc conditions, restrictions and reqt~ements contained Attest r ..... r. l / ' / City Clerk CITY OF SEBASTIAN, FLORIDA Mayor I HIqHgBY CICIITIFY, That on thle ......... .1. ~ []~. ....... day of ............ A..u.g~ .~. ............................ lg .~.~, .... - ...... ~. ~O~. ....... ~Richmrdr = - ~'° ~Xathrvn M. Q'Halloran ..................... R..i. 9. ,h .a.r..d.,, .S..t.~;.o..u.p ........................................................................................ .................... i: ................................. and severally acknowledged the execution thereof to be their free act and deed as such officers therefinto duly authorized; and that the Official seal of ~aid c~orporation is duly affixed thereto, and the said conveyance is the act and de~d of aaid corporation. WITNESS ~xly 'Signature and official seal at Sebastian, in thc County of Indian River and State of Florida, the day and year Ja&t ufore~. .' ~ Notary PubUc,/~tuto of Florid~ ~t L~rge. My commisSion explresl SOl'iffy P~IBLIC STATE OF ~LORIOA NY CORMES$ION [XP DEC 10,1988 Stroup, Richard 217 Easy St. Sebastian, Fi. Deed No. 1184 Lot 32 Blk. 45 Unit 4 Roberta Stroup interred 8/18/88 Name Unit Lot -~ Name of Funera~ Home Authorized by City of Sebastian POST OFFICE BOX 780127 r~ SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 August 19, 1988 Mr. Richard Stroup 217 Easy Street Sebastian, Florida 32958 Dear Mr. Stroup: Enclosed is Cemetery Deed No. 1184 for Lot No. 32, Block 45, Unit 4. If you wish to have this deed recorded, you may do at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Veto Beach, Florida. SO 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. 532 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 ie provided for your convenience. Very truly yours, Eliza~et~h~Reid Administrative Secretary LR Enc. THE SEBASTIAN CEMETERY Cltv of Sebastian Sebastian, Florida RECEIPT IS BEREBY ACKNOWLEZ~ED OF THE SUM OF~ This contract shall be binding upon beth parties, the seller and the purchaser, when approved bV the Owner of the propertv above described. I, or we, agree to purchase the above described propertV on the terms and conditions s~ated In ~he foregoing lntrument~ The Citv of Sebastian agrees to sell the above ~ntloned propert~ to the above namsd purchaser(s) on ~he term~ and conditions stated in the above /Cit~ of ~bascian STATE OF FLORIDA DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased ROBERTA ANN STROUP DEOAFTHAUGUST 15, 1988 2. Place of Death City, Town or Location Name of (If Neither give street address) County Hosp. or ' ,- INDIAN RIVER VERO BEACH Inst. INDIAN RIVER MEMORIAL HOSPITAL 3. Name of Medical I~Y~hYsician Address Phone Number Certifier DAVID JAFFEE, M.D. [] Medical Examiner 777-37~[ ST. VERO BSACH, FL 569-8844 4. Funeral Home/ Name Address Phone Number (Area Code) ~u~h'L~Yd{~ STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 407-589-1000 5. Check a [~] The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ~ DR. JAFFEE was contacted on 8/16/88 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 HE will comp{ere 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. B, BURIAL-TRANSIT PERMIT Permit No.1228-88-369 Permission is hereby granted to dispose of this body. [] 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 filin~[~e death certificate requested, Registrar or ~~ C~ ~~Date Date Certificate Subregistrar Signature Issued: 8/16/88 Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT-SEA Signature , Medical Examiner 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 ts required for all cremations. , CEMETERY OR CREMATORY Method of Disposition: Place of Disposition SEBASTIAN CEMETERY ~ BURIAL [] STORAGE Date of D}sposition AUGUST 18, 1988 [] CREMATION [] OTHER (Specify) Signature of Sexton ) or Person-in-Charge ) / . Th}s 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, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740-g00-0326-2)