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Home My WebLink About4-44-01Paid by CEMETERY Receipt 350.00 List Price $ .................. Not P~id $ .... 10.O..0~ .... Lo ~ 1t~ _.. 9/1/87 ~ umN 2 ~ o; Bot~ Spaces ................. Parker S. & Maggie J. Yates Monumonlmr~Jtted .... ~1~ ............ 11055 S.R. 507 Fellsmere, Fl. (D&in above ~ ~ for City lla~oed oaly) & 2, BLK. 44, UNIT 4 NO. 1134 (tlitll .f ebastian ( emetery NO. 1134 THIS INDENTURE MADE ~ ....... ~..~.~- ..........di~y of ................... .Sep.~.e..m..b.e.?. ......... A. D, 10.8..7.., between the City of Seb~tlun, a municipal narpormtlon exlstin~ under the laws of the State of Florida, es Grantor and .................. ~.a..L~.e. ~...~. ::. ~.d:. ~.~.~.e...~ .... ~ .~..~.~. ............................................................... .................... .1. !.0..%5....s. ,..K,.. 5..0.7,. ~e.!l~m~x.~,..E1.0~.~.a..... 3.~. ~.4 ~ ......................................... of the County of ............ .I..~..d.1.'.a.~..,R.$.v..~..r. .......... ant State of ........... F. lo=ida ...................... i ....... as Grantee, WITNF. SSRTH~ That ~ Grantor for and in considetasion of tho sum of $ ...... ?.0. ,0.: .0..0 ........... to it in hand paid, the ~eceipt whereof is herewith an- knowledged, does by ~ insttun~nt grant, bargain, sell. release, convey and confirm unto the Grantee ., th~i~ heirs, [e§al representetive~ and assigns the following property situated in Sebmsfialt. Inalnn Rivet County, Florida, to-wit: All of Lot(s) .1.. ,~.o .~, Block,..~..~. .... UNIT ..~. ........... of S~b.,~i=- municipal cemete,y as per Pht Number 1 thereof recorded in Phi Book 2, at page 65 of the public records in the office of ~ho Clerk ~f the Circuit Court of St. Lucie County of Florida; said land now lyi~ and being in Indian River County, Florida. To Have and to Hold the s~ua fo~ver; p~vidad that said property shall be used solely and exclusively for the interment of tho human dead and shall be used, kept and maintained at ail times ia accordance with the rates and teguletlom, o~dinunce s and ~esolufions of the City of Sebastian, Florida. hereto- fore. now and heraafter adopted or pwvided for the 0ovenunant and operation of said cemetery. The conditions, resUlofions and ~clui~emeots contained in this instrumant shall ho covenants running with the land. In the event of the faiin~e of the owner of any property situated within said cemetery to ob- serve and comply with inch rules, regulations, rcsoinsions and.o~di.nnces and the conditions of the de~d of conveyance thercof then the title of such owner in and to said propat~y shall terminate and tho same shall revert to tho City of Sebastian, Florida. IN WITNESS WI~REOF, The said party of the fLrot pa~ has caused this instrernent to be executed in its name and on its hohalf by its Mayor ami attested by its City Clerk and its corporate seal to be hereto affixed, the day and year lust above written. City Clerk Signed, Sealed and Delivered In the~'eiienee ofz ,~ · .................... STATE OF FLORIDA CITY OF SEB,kSTIAN, FL RI COUNTY OF INDIAN RIVER ~ I HEREBY CleRTIFY, That on this ..... 1.~.,~. .............. day of .......... .~,e~. ,~, .~..l~.b. ?,,~. .......................... 10. ~ '~_~ ..... ~.__.~ ....... J ...... %;. i.~;L. 7. ~~ .......... i,X andK~ ~kr~. ~.~.. Q J.~ ~.~.~... respectively Mayor and City Clerk of the City of Se~stlan, a municipal corporation under t~ laws of t~. State of Florida ~ me known Parker S. and Mag~ie J. Ya~es i~ thc .ct an~ d~-o( ~id ~rpor~n. UNIT 4, BLOCK 44, LOTS 1 and 2 DEED #1134 YATES, PARKER S. & MAGGIE J. 11055 S.R. 507 Fellsmere, Fi. 32948 Block Lot / Date of Mark-out Date of Burial ¢i=g of Sebastian Sebastian, Florida FROM: RECEIPT IS ~EREBY A~KNO~Z~Dg~D OF THE SUM OF; Dollars ($. Description of Proper=g: Terms and conditions of sale: ~t~/~ Dollars ($. This contract shall be binding upon both parties, the seller and the purchaser, when approved bg the owner of the propertg above described. I, or we, agree to purchase the above described propertg on the terms and conditions s~sted in the foregoing in=turnout~ The Citg of Sebastian agrees =o sell the above msn=loned .propertg to the above named purchaser(s) on =he =erms and COnditions stated in £he above insCrua~nt. Ci=~ of Sebastian L Gene Harrle Mayo~ City of Sebastian POST OFFICE BOX 780127 [3 SEBASTIAN, FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kath~yn M. Benjamin Oily Clerk September 3, 1987 Mr. and Mrs. Parker S. Yates 11055 S.R. 507 Fellsmere, Florida 32948 Dear Mr. and Mrs. Yates: Enclosed is Cemetery Deed No. 1134 for Lots 1 and 2, Block 44, 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. We are also enclosing 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, Elizabeth Reid Deputy City Clerk LR Eno. State of Florida, Oepartm~l~l~f Health and Rehabilitative Services, Vital ~'stlcs APPLICATION FOR BURIAL -- TRANSIT PERMIT (Type or Print) t. Name of First Middle Lasl Deceased Parker S. Yntes DATE Month Day Year OF 06/28/1992 DEATH 2. Place of Death County Indian River 3. Name of Medical Certifier David Jaffee, City, Town or Location Roseland 4. Name of Funera[ Home/ Direct Disposer Strunk Funeral Homes, P.A. a [] 5. Check Appro- priate Box Name of (If neither, give street address) Hosp. or Inst. Humana Hospital-Sebastian Medical Examiner Rhysician Address 1300 36th. St. # 1-C Veto Beach, Florida 32960 Phone Number (407)770-4911 Address j Fla. Lic. No./Reg. No.I Phone Number (Area Code) 1623 North Central Avende I Sebastian, F1 32958 / 1228 I (407)562-2325 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b [] X l~PhbiR was contacted on 06/2911~8in72 hours after death. He/she verified that this death was from natural causes, that there was no accidenl nor other external cause of death, and that Day id Jif £ee t H, D. will complete 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. 6. Place of Sebast lan Cemeter~yq__ In state cemeterA//f FinaiDispositio,: /V ,[~lrematory. y.y~n .~couety: Indian EJver 7. Funeral Director/ .~/ /J~'//~igrrat~ ~ ~ F.E. No./Fi~'gT1qO. Removal -]from state --]Donation Date Signed 06/29/1992 B. BURIAL -- TRANSIT PERMIT 1228-92-0318 Permission is hereby granted to dispose of this body. Permit No. [] 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.,~h the Local Registrar of/)he County in which death occurred, [] No extension of time for fili~/thp d~)t.t.t.t.~_ertif~,~e requysted. Registrar or /// /,~////j //~/ /~.~...., ~ Date /' ~) ~ Date Certificate Subregistrer Signature .,~.~¢./~'~..,~;..~ .~..-..~/¢,c~ ~.~ -- Issued: ~ ~.o</- ?~_., Due: AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT--SEA Signature , Medical Examiner Date or Medical Examiner, , gave authorization by telephone to 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. CEMETERY OR CREMATORY Methods ot Disposition: ~ BURIAL [] STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton ) or Person-in-Charge) ~'~/',~ ~.-,-,~,..-~**~ 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 Sqx, t, on) 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 edi~io~ which may be used)