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Home My WebLink About4-44-13 . 1?~13 & 14 'oif Paid by CEMETERY Receipt No.. ~........ .Dated.. ..;I;qaN~? ........ .~_ 44, Unit 4 .t List Price s.... ~.~??:.??..... Maximum No. Burial Spaces....?............ Net Paid S .... S.4oo..00..... Monument permitted..... J?lat........ .... NO. Anne Klinger interred in Lot 13 - 10/20/87 (Data above thla Uno tor City Reeord only) Paul Klinger 643 Wimbrow Dr. Sebastian, Fl. 1140 32958 atUy Df &rbastiau 1140 C!trmrtrry Irrb NO. THIS INDENTURE MADE TIlIa ... ..28.th. .......... day ot ...... 'Oc.tober............................ A. D. 18. B7.., bctwern lhe City of SebUitlan, a municipal corporation watlol' under the Jaws of the State ot Florida, 118 Grantor and ................... ....I??W..p;i.:qgE)~...... ....... .......... ..... ......... ...... 643 Wimbrow Drive, Sebastian, Fl. 32958 ..,.,.................................... ............................................ ..........,.,.......................... ot th. County ot ....I~~.~~~;t:....................... anI St.te of .........~;I.,qr.:i,W!.................................... as Gr.nt.... WITNESSETH. That the Grantor for and in consideration of the sum of $ . .~99...9~................. to it in hand paid, the receipt whereof is herewith ae- knowl.e:dged, does by this instrument grant, bargaiD. sell, release. convey and conf1IJt1 WIto the Grantee . h=!-~.... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to--wit: All of Lot(s) 13. & .l,1110ck, . . ~~. . .. , UNIT ...~......... , of Sebastian municipal cemetery as per Plat Number I thereofrecorded in Plat Book 2, at page 65 of the public recorda in the office of the Clerk of the Circuit Court ofSt. Lucie County of Florida; said land now lying and heing in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be.used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated wit~ said cemetery to ob- serve and comply with Such rules, regulations, resolutions and .ordinances and the co~ons of the deed of conveyance thereof then the title oC such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF. The said party of the fust part has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto affIXed, the day and year first above written. AlI..t:q(~ b.!)It!~~....... .....: ;,--'" City Clerk Signed, Scaled und Delivered In the PreJience oIl ~..~,.~~t........................... ~./<.~........ COl'N'fY 01' INDIAN RIVER I HEllE BY CEll'fIFY, Th.t on thlB ........ ~!?;;1;.....; (Cl!iIU ~'1I1) ....u"*) vi .....;...Oc~..'""O-;-:--=-:-.-..-................"""----.---.-...,._.~ b,tore me personally appeared... L;. . Gene ,Harris. .................................. and Katlwyn .M...O.'Ha1loran....... respectively Mayor and City Clerk of the City of Sebastian, 0 municipal ~orpol'ation under the laws of Uie State uf Florida to me known to be the jndivillu~l& .uuJ officers deficrJbed in und who executl'tl t1u~ Ion' going cOQveyance to ............. .~~':ll.. Iq.~'?~~:r:!..?~~. .I!,;imlJr~w D~.~Y.E!,..~.E!~?t;if\l:l~.. n~+J94.. )~95.~...............,................. . . . . . . . . . . . , . . . . ,., . . . . . . . . . .. . . . . . . . . . . . . . .. . . . . . . . . .. aud severally acknowledged the eltecuUon thereof to be thelr free act and deed as snch officers thereunto duly authorized; and that the Otficill.l sC1l.1 of saId corporation Is duly affixed thereto, and the suid conveyallce is the lict and deoo. 01 said corporation. WITNESS ~y .igrtature and otlic)al aeal at Sebutlan, In the County 01 Indian River and State at Florida. the day and 7ear last lIfureBaid. .~....- ............'i;~........... Notary PubUc. 8t 01 Florida at Lar~. My .onwalsaloo ..plre.. NOTARV PUBLIC sun Of FLOBIDA ~y COM"ISSIO" EXP DEe 10,1986 BOOOEO IHNU GENERAt IMS. U~. "'Ilrl ' [.I:fY.'(' , ! ~l, ' ~,~,; i':IM~rri" :\'~. 'li~,:init liPl ,Ij';-: !\." irOCk I'l,' 't-' ~ot 8, 'l,c ." \.r L '-~ . '~.....,. 'J '; .~; , f}tI;/~ 'I "'1'/ IN a, l:, e /3 10 J;9 /'8 7. .;"0 of 8u,'ol /6/;?''O/8'7' ~:~ ' , 'k:~lTleOf.Fun~ralHome, ,: ,~;i,:'~':UhjiC' f~hOr~OdbyJJ~ t;..J,I;-/' :'P\W' , ,r I~j':\;i -"\;', th ':~.te ofMai'it-out', Time '1: ,"&0' ,'- '-""",. C'",,'..'.""'-' ,'>.:;i':;;,.;li,;.,":: ;:;~t{'l: .>)< .? :5, , j !~Ir~. sebastian, Fl. 32958 DEED 111140 LOTS 13 & 14' BLOCK 44. UNIT 4 ANNE KLINGER INTERRED IN LOT 13 - 10/20/87 M ~ -u 17' - s- 31-dc1 '. UNIT 4, BLOCK 44, LOTS 13& 14 DEED 111140 PAUL I<LINGER. 643 WJ:MBROW DR. SEBASTIAN, FL. 32958 ANNE KLINGER INTEIlllED !NLOT 13 - 10/20/87 Lots 13 & 14 ....,bYCEMETERYR.""".No...~~?..........D.t.d....~.q!!-.~{~L.......!l.~9~ 44, Unit 4 $200.00 2 List Price $,.............._... Maxbnum No. Burlal Spaces . ..........., .... Not Poid $ .... SAW..QO..... Mo....... _"'..... Jrlllt............ NO. Anne Klinger interred in Lot 13 - 10/20/87 (Dab above thb 11ne tor CJ.ty Record oolf) Paul Klinger 643 Wlinbrow Dr. Sebastian, Fl. ~14P 32958 . - . ,1:'1' 0 "'0." It- $\ I ,'~ . rJI';;;" , fie ~ ~ .o~4 S~> 01 PfUC~"\ . oJ City of Sebastian L. G_ Harrll Mayor POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978"()127 TELEPHONE (305) 589-5330 Kathryn M. O'Halloran City Clerk October 29, 1987 Mr. Paul Klinger 643 Wimbrow Drive Sebastian, Florida 32958 Dear Mr. Klinger: Enclosed is Cemetery Deed No. 1140 for Lots 13 and 14, Block 44, Unit 4. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avemre, Vero Beach. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and com- pleted by the office of the Clerk of the Circuit Court. Very truly yours, ~~~ Elizabeth Reid City Clerk's Office LR Ene. .1 . . '-! 'j b oJ THE SEBAS2'IAN Cl:H82'ERY City or S~bast.iilll Sebastiilll, Florid4 FRON: RECEIP'I' IS UREBl( ACKNOWUDGED OF THE SUN OF: 7iM.~d1.,d ,~_h; ~~~A (~_E: ~~) h K3 ftJimJidw elM . \..~~,t;Jle:c- , ff... ~27rr ( ~ LblJars ($ ..LftJ1J. (J() ) an W. day or , 198. r= the Jlurchase or the fOllowing d~scr.ibed Cemetezy Lot(s) UJlOn the terlll8 iIlId conditions as stated herBin; Description or Property: Cemet~ry Lot(sJll~ l J~ Block' 41./ Purchase Price: ~ ~dAJI/'/ TerlllS iIlId COlldi ti ons of sala: pd. ~ f.t<- Unitll ~ DoJJars($ 4tJ11. ()tJ ) This contract shall be binding UJIOlI both partias, the seller and the purchaser, when approved by the owner or tha property above described. I, or wa, agree to purchasa the abova described propert!l on the terlllS and conditions stated in the roragoing intrumellt: " VJ~~ /~_ . The City or Sebastian agraBs to sall the above lllentioned property to the above n.uned purchaser(s) on the terlllS and conditions st"t..d in the ..bov.. instrument. s~ t1. ~~ Ci ty of S sti;m DB] OCPM rNE"T Uf'. HI:-...I..TH hNO ~T^TlVE!iEII\lK:t;S STATE OF FLORIDA APARTMENT OF HEALTH & REHABILlTAA: SERVICES - VITALSTATISTICS ''W APPLICATION FOR BURIAL-TRANSIT PERMIT .t,/3 t3 ~7" tit A. 1. Name of Deceased (Type or Print) First Middle Last A AUNE EVELYN KLINGER DATE OF DEATH Month Day Vear OCTOBER 15, 1987 2. Place of Death County INDIAN RIVER 3. Name of Medical Certifier NASIR RIZWI, M.D. 4. Funeral Home/ Name ~r STRUNK FUNERAL HOME City. Town or Location ROSELAND Name of Hosp. or Inst. (If neither. give street address) HUMANA HOSPITAL-SEBASTIAN Jql!I Physician Address o Medical Examiner 13885 US III Address 1623 NORTH CENTRAL AVE. Phone Number SEBASTIAN, FL 589-8559 Phone Number (Area Code) SEBASTIAN, FLA. 305-589-1000 5. Check Appro- priate Box a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b JI!) LTT.T.TAN was contacted on In/I f../R7 within 4B 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 DR. RIZWI will complete and sign the medical certification of cause of death. c 0 was contacted on . He/she verified that . Medical Examiner, will complete and sign the 6. Funeral Directo Direct Disposer Fla. Lie. No./Reg. No. Date Signed 3 7. B. BURIAL-TRANSIT PERMIT Permit NoP28-87-384 Perm ission is hereby granted to dispose of this body. __ ______ .-- . 0 A five-day. extension of time for filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death oc- curred. o No extension of time for filing th Registrar or Sub-Registrar Signature Date Issued: 10/16/87 Data Certi~a'J/y Due: //J:Z 7 - C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT -SEA Signature or Medical Examiner, , Medical Examj ner Date . 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; D. CEMETERY OR CREMATORY Method of Disposition: (l3:.BURIAL 0 STORAGE o CREMATION 0 O~) Signature of Sexton ) or Person-in-Charge ) Place of Disposition p~j[M'_";," ~:tt:'~ ~~~~ , 5. 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 County Health Department in the County where disposition occurred. HRS Form 326, May 86 (Replaces Apr 81 edition which may be used) (Stock Number: 5740'000-0326-2) J. J