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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)