HomeMy WebLinkAbout4-44-03�idbyCEIdETERYReceiptNo...02�......vatea.....6./15/89,,,,,, .....�5 3� �F� 5� 6
$350.00 k. 44, Un. 4
List Price $ . . . .. . .. ... .. .... . Max'vnum No. Bu�ial Spaces . . .. 4. .... .. ..
J
NetPaid$ ..�-.4QO..O.Q..... Monumentperntittod ....................AJ_Pred & Wanda
13625 103rd St.
Fellsmere, F1.
. (Data above t6ie W�e tor Gty Record only)
fditg nf �Pbttsti�n
�PIriP#PXIj' �PP�1 N�.
NO.
Pi�kr�22
32948
1222
THIS INDENTURE MADE 7i4 .....�,5.�}�7.......... dsy ot ..........J11212 ............................ A. D., 18.89..�
betx�een ihe City of Sebastlaq a munlclpd corporation ezlaHng under the l�we o! tAe 3tate of Florid�, ce Grantor u�d
_,..,,,,,,,, Alfred„B,,, and/.or„Wanda„M.,,Pickron, ..
.. ...... ..........................
13625 103rd St., Fellsmere, Florida 32948
...................................... ............................................ ............................................
or ine co��sy or .....Indian, River..,,, ,,,.a s�.�e ot ...Florida
...........................................
w Grantee, WITNESSETH�
That the Cranror for and in conadecation of the sum of $, �:400 . �� , to it in hand
paid, the �eceipt whereof is he�ewith ac-
knowkdged, does by this inscrument gcant, bargaiiy sell, release, convey and conFirm unto the Giantee the i r_ nei�, legal repcesentatives and assigns
[he following ptopeRy situated in Sebastian, Indian River County, Floxida, to-wit:
3 4,5,6
All of Lotts) . ... . . . , Block, ..4 �}... , UN1T , , ,�+, , , , , , , , , , of Sebastian muniapal cemetery as per Plat Number 1 tlte:eof recorded in Plat
Book 2, at page 65 of the public iecords in the ofHce o[the Clerk of the Cucuit Court of SL Lucie County of Flocida; said land now lying and being
in Indian Rivec County, Florida. �
To F1ave and to Hold the same fo:evec; pmvideA tfiat said property shall be �used solely and exclusively foc the inteiment of the human dead and slull
be used, kept and maintained at all timea in accoidance with the rules and tegulations, ordinances and reaolutions of the City of Sebastian, Florida, heieta
fore, now and heieafte� adopted oc provided foc the government and operation of said cemete�y. The wnditions, cestrictions and requi[ements contained
in this instiurt�ent sliall be covenants running with the land. In the event of the failuie of the owner of any pmperty situated within said cemetery to ob-
serve and comply with such iules, :egulations, resolutions and ocdinances and the conditions of the deed of conveyance thereof then the title of such ownec
in and to said property shall tetminate and the same ahall ievert to the City of Sebastian, Floride.
IN WITNESS WHEREOF, The said party of tlu f¢st part }us wused this instrument to be executed in ita name and on its behalf by its Mayor and
atteated by its City Clerk and its corporate aeal to be huero atfixed, the day and yeaz fust above written.
Attest: .... ' .X.C!...�"/.QG4.Gr4.!�5�..
Gty Clerk
tifgned, Sealed nnd Delivered
ln the � nce oL• �^/
. . .. :�. v`..,.. �.��� ..............
-.... �... . .. .............
STA'fE OF PIARIDA
COUNTY OF' INDIAN AIVER
CITY OF SERAfiTIAN, FLORIDA
B7 ���� i��."p� .".':'.".'. . .R-!. t .0 . .r�..�. , . .�.:�...... .
Mn,�or
(Glitg p�6Y8I)
I HEREDY CERTIFY. That on thla 15 Cl'1 .................duy ot ........... June................................., IY.a9,
nrro�e � ps�.9�any.P�Bna .Richard,.B.,, VotaP.ka .......................... ,,,a Katnryn.-1�f::;Yt:,`:3a�i�-
reapectively Muyor and City Clerk of the Clty ot Sebastian, n munidjml corporutlon under the Irws of thc State oP Flodda to me known
to br t6e.individuule und utticerx described In und wlw executid the forrguing coxveyunce ta �
Alfred B. and/or Wanda M. Pickron
..............................................................................................................................
......................................................... and severally acknowledgrd the executlon thereot ta be thefr trce aM und deeJ
ua such otficers t6ereunta duly uuthorised� and that Nie Officid srul�o! srid mrporntian la duly aifixed LhereW� and the suid conveyunce
is thc nct un� dred of sefd Wrporalion.
WITNLSS my eignature end offictal w1 st Sebaetian, in the County ot Indien ftiver nnd 3tete ot Florida, the dey and �es:
las[ ufuresa(d. . ' � •- �
� _
..��: ' ..... ........ ..�/�-� ................
Notrry Publlc, tatt o( FlorWa at I.arge. �
-� -My rommlacton rxplrni yotary Pu61ic Stote of Florida
����� My Commission Expires Dea 10, 199T
bond�d ihrv Trry Foin• Mwronu I��.
Name l ��
Unit `
Block�
Lot � �
�
Date of Mark-out
S�/�� / ��
, ��� .
Date of Burial ��/�� // Z Time �
. .
Name of Funeral Ho e
/'� ! IZ • l0/l
f �
Authorized by
'ti. .
�
�
m
I
O
!"
. �
<
=
i
e
m
m
•
v
�
� �
> °T'u
�
g �
�j d
d d
�
�
�
t'�i
0
�
0
A
W
(�1i
o g o 0 0 °o 0
0 o j o v, o
0 0 0
A A j A W N
�-`� -+ N OOo
O W (D (O (D O
O O O O O �
(7 r C7 T r C� Gi Cn
O
� � � f�'� v � � �
p f0 y
� fD .� G. � � N
-n r c`n � a d '�
m � n� o N m
�� y � a � y
� �('')
�N y
x
J
� ,
� �
i 3
�
�+
1 �
� ..
J Y ^ '
, _ �..�,,, �
- � c�
� d
� � N
� �
�
� �
O
� �
d (�
� n
n
��
�
mm0
�
�
N
� M W
� O y
T i
T s
A Z
m
\
\
J/
�
Page 1 of 2
Floyd L. Yates
Funeral information
Home: Clewiston, FL Piace of Birth: Fellsmere, FL
Date of Death: May 16, 2012 Birthdate: May 9, 1942
Age: 70
Service information: Tuesday, May 22, 2012 10:00 AM Clewiston
Gospel Ministries, Clewiston, FL
Visitation: Tuesday, May 22, 2012 1 hour prior to service at
Clewiston Gospel Ministries, Clewiston, FL
Interment: Sebastian Municipal Cemetery, Sebastian, FL
Biography
Floyd L. Yates, age 70, of Clewiston passed away Wednesday, May
16, 2012 at home in Clewiston. Floyd was born May 9, 1942 in
' Fellsmere, FL. He is the son of the late Parker and Maggie (Johns)
Yates.
He was a member of the Clewiston Gospel Ministries Church.
He is survived by his wife; Patricia A. Yates, sons; ]ason F. Yates
(Wanda), Mike Yates, daughter; Michelle Cochran (Barry), brothers;
)im Yates (Donna), Gene Yates (Shelia), sisters; Wanda Pickron
(Bennett), Elaine Green (Johnny), eight grandchildren; five great
grandchildren, stepson David Smith and stepdaughter; Vickie Walker.
The funeral service will be held 10:00 a.m. on Tuesday, May 22 at
Clewiston Gospel Ministries, 6800 Flaghole Rd., Clewiston, FL with
Rev. Jim Yates officiating. Interment will be in Sebastian Municipal
Cemetery.
Arrangements by Akin-Davis Funeral Home - Clewiston
/a � r �._�- � /-� � �--+` �: �":�� �%i, �' d ���_if" 0/l� ! �' (I .' '_ ( +.� �-1
V-
� Q F' �, �' � � {R' �
http://akin-davis.com/obituary_view/ 10030240?print=l 5/23/2012
��
�
HOME OF PELICAN ISLAND
Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me
Alfred B. and Wanda M. Pickron
(Please print name and address of purchaser)
Unit 4, block 44 , lot (s) 3, 4, 5, 6
(Lot/niche, block, unit description)
Deed # 1222
are intended for interment of the following individuals:
Please print name(s):
1.)
2.)
3.) Floyd L . Yates
4.) Patricia Yates
5.)
Interment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be
passed on to heirs but the City requires a certified copy of relevant probate or other
court documents.
I have read and understand the terms of this agreement.
�� /,,�� � r����� �o - f��
Sign�Iture Date �
J
criqed and swom to before me this (, day of � v�'e
�� � � Ci n who is personally known to me, or
� � -J as identification.
� � --,..�_ .. �"�,r,' ••. MAf21A I. MARRON
Nota Public, State of Fla ida *� �s ����760
����� � 21, 2013
8pdid iMu Tw/ filn M�aurew 100385d019
� ' -' bY
has produced
+ � FL�i$�A DpPARTMFNf QF
State of Florida, Department of Health, Vital Statistics
HEALT � APPLICATION FOR BURIAL - TRANSIT PERMIT
A, {TYPE}
1. Name Of FirSt Middle
Deceased Floyd L.
2. Place of Death Ciry, Town or Location
co�dry Clewiston
Last Data
Yates or
death
Name of (If neither, give street addre&S)
Hosp. or ggQ No�th Palm Street
Inst.
Month Day Year
05 / 16 / 2012
3. Name of Mediql Charles P. Friedrich D.O. address Phone Number
certlfer 1201 Wings Way
MetliCal Examiner Physician Lehigh AcrfS, FL 33936 (239) 368-2040
4. Name of Funerdl Home/Di�ect Disposal Address Fla. LiC. No./l2eg. IVo. Phone No. (Area Code)
EstabGshment 438 E. Sugariand Hwy.,
Alvr0.�isF�u�r'ali-iane Clewiston, Florida 33440-3126 F040407 (863) 983-9411
5. Check
Appropriate
Box
6. Fun8rdl0ireCtOr/
a. � The medicaf certifir,ation haS b9en Cpmpleted and signed, A COmpleted Certiflcate of death accompanies this
appliqtion.
b[� Naomi Hopsice Nurse was cont2cted on May 17, 2012
He/she verified that this deatn was trom nsturzl causas, fhat there was no accident nor other e�cternal cause of death,
and that Charfes P, Friedrich D.O. wiu compiete and sign the medical
CeftifiCation of cause of death within 72 hours.
c• ❑ was contacted on He/she verif�ed that
, Medical Examiner, will Complete and Sign the
i l c ification of Cause ot death within 72 hou�s,
��j r� gnature F.E. No./Reg. No. Qate Signed
B- ;/ BURlAL - TRANSIT PERMIT
PArmisslOn is her0by gr8nted to dispose af this body. Permit Np. ���04�712�J�0
�A flve (5) day eMenSion of time for flling the death certifcete (exGlus�ve of week9hds) has been requested and granted since the physieian has
be9n ContaCted by the funeral director and will not be able to COmplete th0 mediC21 certitcation of cause-of-death seGtlon pf the dedth CARifiCBtA within
72 hours,
�No extension of time for filing the death certificate has be9n requested.
Reg�strar or Date Oate Certificate
Subregistrar 5ignature Issued; 5/18/2012 bue: 05/28/2012
C. AUTHQRIZATION for CREMATION, DISSECTIQN, or BURIAL-AT-SEA
Apptoval Number; Date
Medic�l Examiner, , gave authorlxation by telephone to
Funeral Director/Direct Risposer, Oate
7he Medical Examiner'S apprpval mu5t be obtained before disposal by any of the above methods. A waiting period of 4$ hours dRer tledth is
required for alf crematlons.
o• CEM�TERY OR CREMATORY
Mathod of pispo5ition: Place of Disppsitl0n Sebastian Municipal Cemetery
�BURIAL
�CREMATION
Signature of Sexton
Or Person-in-Charge
� STO RAG E
�O7HER (Sp6Cify)
� ___fl -!!L1__c..�_ 71 � `
Date of Disposition May 22, 2012
This permit must be endorsad by the Sexton or person-in-c arge (or by the Funeral Director/Direct Disposer whe� there is no Sexton) and retrned
within 10 days to the local County Health DepaRment in the county where disposition occurred.
pN 326, B/97 (Obaoietea elt pravloue edluone)
(Swck Number, 5y40-oo0-032�2)
Z '� 11�61 '�N
D�sWbudcn; Whlte: Cemetery or Cremstory
Yellow Funerol Dlrectpr Or �Ir�t 019po7sr
Plnk Lotal Regl�r
au�oy ��eaaun� sinpP—u!�� Wy9l�Ul ZIOZ '8l '��W
r. ,,. ,..
FUNERAL
FUNERAL DIRECTOR'S REQUEST TO CITY �F SEBASTlAN
FOR BURIAL OPENING !N SEBASTIAN MUNICIPAL CEMETERY
unv
HOME OF PEIlCAN 1SlN�D
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemefery
(772) 589-2545
City Clerk's Offrce
City Hall, 1225 Main Siraet
Sebastian, Ft 32958
Office (772} 388-8215 or 388-8294
Fax: (772) 589-5570
E: � k�� ���
ADDRESS: '�"�Y� I;
PHONE #:
�
�One 2 lr ��-�-v`-'
OPEN BURIAL LOT Lot �J Block T� Unit�_ ��-�-�
OPEN CREMAINS LOT Lot Block Unit
OPEN COLUMBARIUM NlCHE�Ff�che Block Unit
BURIAL DATE AND SERVICE TIME: � u� ��� S� ��
FOR DECEASED: �� O(,,G� � • �G���J
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
( st provide pro documentation of owne hip}
�nn � � IL� � �� ia-
Name Signature Date
I certify that I have determined the ownership of the above described site, that alf site fees and
administrative fees have been paid and authorize opening of same.
�,IIE AND SIGN TURE OF LICENSED FU RAL DIRECT�R: �
��l'1►'� ��1�-►�1 I�., �l �, I � /a--
Name Signature Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming
with Clerk's office and that all fees have been paid:
' � /7�
Ce tery � xt n D�
This form to be provided to Clerk's �ffice by Sexton for permanent record upon cornpletion.
5
��:
' ,�Y � �.
�
�/ o o , +�O-u�n�
�
•
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, F2orida
RECEIPT IS BEREBY ACKNOWLEDGED OF TXE SUN OF:
� _� Dp
��fJ,u7.(n.•�,,._� ...O�r�� P.� �d0 lbllars (S eD�Dcj )
�� V
.
FROM: �. F�'r-7 l3 -�,�-� lv ,� �,�p ,�/. �"� Gic r3o �,/
I 36 1- S�/ o,3 R S�- •
Fr_��sh�,Rc ��-����� 329�
on this �% day oF��i;l�ti,�Ll/, 198�� for the pnrchase of the following
described Cemetery t(sJ upon the terms and cond�tions as stated herein;
Description of Property:
Cemetery Lot(s)N_,�S �. .S�_glock# �� Unitp �
T r,�rj'
Purchase Price: /�� .%�,,., �,�„ 1I s,�,� Do2lars(S /�o �, �� U)
Terms and conditions of sale:
This contract sha21 be binding upon both parttes, the se2ler and the purchaser,
when approved by the owner of the property above describad.
.�
I, or we, agree to purchase the above described property on the terms and
conditions stated in the foregoinq .intrument:
.J� �U 0, � /i�,c,6h.�ft�
-����_�
� �1'D�
G
v�,� ��.,����,�.
�
The City of Sebastian agrees to seIl the above menttoned property to ihe
above named purchaser(s) on tha terms and conditions stated in the above
instrument. -
..�, ¢..E.�liia lr� ( .� ��� .
Wi ness `'
� ,f'�.a_s.� �2�i �
City of S stian
Purchase price S�
Paid oo, oo Date �
Paid ooDate.
Paid OD p0 Da1
Paid� QD d O Dai
Paid�.3o�d,do pd1
PoQ. ��an.uv re
P�_ i��OD. J o rr
PG�. ��OD,p� e!
Pd , �'id�.d�
0�(. �z-�o. o0
P�. �'��o. o�
�i
,.
„
U o. O �
'R'� Ba].ance$ ��;,. �
Balance$
�r% BalanceS l/OO,po
--t—
��j�%Ba2anceS �oDJ,00
t� /� /o°S
ll �IG�88
�� l��laa
�/�ls y
.�/z�189
� /�� ls�
ilance$ � o � 00
" � 6 oo,vo
`` b' s'oo, o�
" '� t�a�,00
•� � 300 . 00
�i � /oo, uD
�� �� ,� ��-
r���.
UNIT 4 DEED N0. 1222
BLOCK 44
LOTS 3, 4, S, 6
PICKRON, ALFRED B. & WANDA M.
13625 103rd St.
Fellsmere, F1. 32948
.
.
�
�
City of Sebastian
POST OFFICE BOX 780127 o SEBASTIAN, FLORIDA 32978
TELEPFIONE (407) 589-533p
June 22, 1989
P4r. and Mrs, Alfred Pickron
13625 103rd Street
Fellsmere, Florida 32948
Dear Mr. and Mrs. Pickron:
Encloaed is Cemetery Deed No. 1222 for Lot(s) No.3, 4, 5, 6
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, 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.
LR
Enc.
Very truly yours,
�°��,3�"" - �.�
Elizabeth Reid
Administrative Secretary
City of Sebastian
schaNun Cemetery
Ph. a It 712) 589 . 25.15
Far X 11772)228.9927
"utv : Tbi+ Is fill lufurntalional purpose repuarding hlunumtnis .I Sehavilan CeNcter.
Note : I'Iti<is For a Rouble 1lfarker under 211. \ over'_ ft. 1 over 2 ft. is .r poured foundation )
11Irase return In ( ity or seltaWin
Sebastian Cenlnrr,
1921 Nurih Ccnlral Atc.
32958
Afleauan Conder) Settun
Sur Base : 5 -0x1 -2x0-8 Die: 2 -0x4 -0x0-8
vmnea&Warn
His Floyd L. Yates 11cr : Patricia A.
D.O.B. 1942 F) 11 1950
)AM). 2012 lu.t m ). 2015
pre -cast
Foundation riourtd
1),v: herntan
date 2/8/17
.nnp• ut+t,tllyd
ht: A -B -C -vaults/ herman
dal'' 2/8/17
Yates --
Unit:
4
Blk.:
44
Lot:
3 & 4
Square Feet:
—
Approved:
K.G.K. _
K.G.K.
Checked By:
Date:
2/8/17
By:
feldner/a-b-c-vaults
FN1>U'LF:. ( Picture
AH) Ntunum veit in questiuu )
V.
wide
8„
60"
thick
24"
14"
wide