HomeMy WebLinkAbout4-45-33· iP' - 200.00
Lot 33
NO.
Blk.45,Un.4
Max~nm No. Bm~ Slices .................
,onumeut pemdtted Fred Seindl 1 ~4
....................... 933 Streamlet Ave.
Sebastian, Fi. 32958
(Data abo~e this Uue for City Renard only)
Net P~d $ . .200.. OO .......
Jane Donohue interred
Lot 33 - 11/2/89
( emetery leeb
1246
NO.
THIS INDENTURE MADE T~ ...1.s.t .............. day of ............. Nay.ember .................. A. D. 19.89..,
between lime City of SehaBtiafl. a munielpu] eorpotatinu ~lnt~g ~der t~ inws of the State of FJotid~ es Grnn~r arid
.................................... Fred .~e.in~l ...........
933 Streamlet Ave. ' .........................................
............................................. Sebast.ianr..F~ ...... 3~95.8 ....................................................
o~ th. ~..ty o~ Indian River ......
............................................. ant State of ..
H Grent~ WITNEBSE~, .................................
~t the G,~tor for ~d ~ ~nddaraQon of ~e sum of $ .......
~owiedged, does by t~s ~atu~nt ~nt, ba~, ~g, vel~, ~n~y ~d ~n~ ~tu
the fo~w~ pro~y ~t~t~ ~ Seba~n, l~hn ~er County, ~or~a, t~it: .......
AH of Lot(s). 33 moa,. ~ ~. .... UNIT
....... · ............ , of Seba~ian muni~pal ~metety as ~r Pht N~ber 1 ~f ~rd~ in Pht
Book 2, at page 65 o f the public ~rds ~ ~e offi~ of the C~tk of t~ Cb~t Co~ of gL Lude County of F~flda; ~M ~d ~ow 1~ ~d ~i~
~ Ind~ Riv~ County, Flog4~
To Have and to Hold the same forever; provMed that said property shall be used solely end excindvely fur the interment of the human dead end shell
be used, kept end maintained at aH times in accordence with the ales and regnhtions, ordinances and resolutions of the Ctty of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for the government end operntton of said cemetery. The conditions, restrictions end requirements contained
in this instrument shall be covenants runn~g with the land. In the event of the fntinte of the owner of any property situated within said cemetery to ob-
serve and comply with ~uch rules, reguhtions, resolutions and otdinancea end the condiUons of the de~d of conveyence thereof then the title of such ownat
in and to said property shall t erminat~ and the same shall revert to the City of Sebastian, Findda.
IN WITNESS WHEREOF, The said party of the first pert has caused this instrument to be executed in its name end on its behalf by its Mayor and
attested by its City Clerk and its corporate seal to be hereto affixad, the day end year first above wfirten.
Clerk
Signed, Sealed and Delivered
CITY OF SEBASTIAN, FLOEIDA
Mayor
STATE OF FLORIDA
COUNTY OF INDIAN RIVER :
a e,,d .... V..o. ................... :... d
........................................... l~r. ed..He.indl. ................. i ......................................................
...................................................... ;. &nd severally ac~nowledgad the execution thereof tu be their free act and deed
WITNESS my signature and official seal ut Sebastian, in the County of Indian River and State of Florida, the day and year
last aforesaid.
sty Public, 9tare of Florida at Large. .......
My eommlsainn explreal J~ofal~ Publk, Stole of/1~.~
Heindl, Fred
933 Streamlet Ave.
Sebastian, Fi.
DEED NO. 1246
Lot 33
Blk. 45
Un. 4
Jane Donohue interred 11/2/89
DONOHUE, JANE
Interred Lot 33
Blk. 45
Un. 4 - 11/2/89
Fred Heindl
933 ~treamlet Ave.
Sebastian, Fi.
DEED NO. 1246
U~it
B~ock
Date of Mark-out
Date of Burial
Name of Funeral Home
Authorized by
Time
City of Sebastian
POST OFFICE BOX 780127 {3 SEBASTIAN, FLORIDA 3297~1
TELEPHONE (407) 589-5330
FAX 407-589-5570
November 3, 1989
Mr. Fred Heindl
933 Streamlet Avenue
Sebastian, Florida 32958
Dear Mr. Heindl:
Enclosed is Cemeter~ Deed No. 1246 for Lot(s) No~ 33, Block 45,
Unit 4. If you wish to have this deed recorded, you may do ac st
the office of the Clerk of the Circuit Court, 2145 14%h 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 end
completed by the office of the Clerk of the Circuit CoUrt,
We are enclosing two copies of Receipt No. 592 and ask %hat you
sign and return to us the copy marked with an "X" and ~etain the
other copy for your records. A stamped, self-addressed envelope
is provided for your convenience.
Very truly yours,
Administrative Secretary
LR
Eric.
THE SEBASTIAN CEMETERY
Cit~ of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF~
FROM:
~/~llars (4. '~g::~o. 00
on this I ~?meterda~ of A/ov~/~K,' 1;9~ for the purchase of the followi g
described ~ Lot(s) upon the terms and conditions as stated hereinn.·
Description of Property:
Purchase Price: ~ f,~,~..~l ~ °%00 Dollars,$ 9-~3~,00 )
Terms and'conditions of Sale~
This contract shall be binding upon both parties, the seller and the purchaser, when
approved by the owner of the property above described.
I, or we, agree to purchase the above described propert~ on the terms and conditions
The Cit~ of Sebastian agrees to sell the above mentioned property to the above named'
purchaser(s) on the terms and conditions stated in the above instrument.
cit -o£ S seian
State of Florldel~partrnent of Health and RehabliltatlV~ Se~ VIt.i
A1R~MCATION FOR BURIAL -- TRANSIT PERMIT
(Type or Print)
1. Name of First Middle Last DA[E. Month Day Year
Deceased " OF
Jane Donohue DEATH 0dtober 28, 1989
2. Ptace of Death
County
Broward
3. Name of Medical
Certifier
Luis Albuerne, MD
4. Name of Funeral Home/
Direct Disposer
Fred Hunter Funeral Home
5. Check a X[]
Appro-
priate
Box b []
c []
City, Town or Location
Hollywood
Name of (If neither, give street address)
Hosp. or
inSt. ~emorial Hospital
I Medical Examiner Address Phone Number
5000 Hol'lywood Blvd, 981-8580
~ Physici~ Ho1 lywood, FL 33021
Address Fla. LIO~ No./Reg. No. Phone Number (Area Code)
6107 Hiramar Parkway
Miramar FL 33023 785 (305) 925-8585
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
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
and sign the medical certification of cause of death.
will complete
was contacted on He/she vedfied that
, Medical Examiner, will complete and sign the
medical certification.
6. Place of In state cemetery/ 5ebasti an Cemeter.,v Removal
Final Disposition: ~ crematory - name/county: ~'~ from state [~ Donation
7. Funeral Director/ ~./)_~.,%, /,~~ F.E. No./Reg. No. Date Signed
Direct Disposer /"~'~ ~ 10/31/89
B. BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. -~oc,,~., ,..,,°n~
r-I 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 ~r'~e death certitic~te requss/ed.
-- Registrar or [//'~ ,~,, ~ ,ii/ .J~_... ~-Date Date Certificate
Subregistrar Signature ~-,.~,~'~,'-,.,---,/1"'- ~' ~=~'~-'~'~'"~ Issued: ~, 0/~,/80 Due:
AUTHORIZATION for cREMATION, DISSECTION or BURIAL--AT--SEA
Signature , Medical Examiner Date
or
Medical Examiner, , gave authorization by telephone te
Funeral Director/Direct Disposer. 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.
Methods of Disposition:
[] BURIAL
[] CREMATION
Signature of Sexton )
or Person-in-Charge )
CEMETERY OR CREMATORY
[] STORAGE
[] OTHER (Specify)
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 HRS County Public Health Unit in the County where disposition occurred.
HRS Form 326, Feb 89 {Replaces Oct 87 edifio~ which may be u~ed)
{Stock Number: 5740-OOO-O326-2)