HomeMy WebLinkAbout4-44-21
,
.
.
Paid by CEMETERY Receipt No. . . . . . !+. 9.J: . . . . . . Dated' . . . A ~ J. . . . . . . . . . . . . . . . . . . . . .
List Price $ .. ?q~.: ~~....... Maximwn No. Burial Spaces............. ... .
(Data above tbla line tor eu, Record 001,)
Lots 21 & 2tlO.
B1k.44
Unit 4 1195
Wm. & Linda Bo1uk
530 SW Drawdy Way
Sebastian, Fl. 32958
Net Paid $ . .4.0Q. 00. .. . . ..
Rita Murphy interred
Lot 21 - 11/16/87
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
arity of &rhustiun
Q!tmtttry
mttlt
NO.
1195
THIS INDENTURE MADE TI1Ia ...19.th.......... day of ..........O.~.tPP.?J;"....................... A. D., 19.~.~...
between the City of Sebustian, a municipal corporation existing under the laws of the State of Florida. 0& Grantor and
....................... ...... ..w.:i-.JJ,;i..lil.~..h.... .9n9:1.9X. .H;i..~.4~. .~.!.. ~~+.':l~............................ .. .
. .... ...........
530 S.W. Drawdy Way, Sebastian, Fl. 32958
..... ........................................ . '.0... ..................................... ............,. ..0... "0 .....................
of the County 0' ..... ;r;nc;l.:i-~n ..~.:i,.y~.;-................... an-J State 0' ... ~~.<?;.~~?.......................................
a& Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ . ~~.q :.9~......... ...... to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargam, sell, release, convey and confirm unto the Grantee ~.1:.e: ~.Z;. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
22
All of Lot(s)2.L . &.. ,Block,...4~... , UNIT ~............ ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat
Book 2. at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being
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 within said cemetery to ob-
serve and comply with such rules. regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of 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 fust above written.
CITY OF SEBASTIAN. FLORIDA
Alt""~~ /r.,. .(').~~
. ~ City Clerk
By .~...~:.v..~.............
Malor
Signed, Scaled and Delivered
~ Presence of:
~.. .. u-.~...~............'
. .' r17fail;,HHHHH'HHHHH
STATE 0 FLOUIDA
(C1IitU ~eul)
COUNTY OF INDIAN lUVER
I HEREBY CERTIFY, That on this .19.th................duy 0' ........Q~t.QJ:?~r................................ 19..~~
before me personolly appeared R:i-.~J:H~;-.q... ~ .....v ~ ~.?P~?:....... . ... . . . .. ... . . . ... .. andK.~ ~~.;Y? )~. ~.. ~ .'.~I.~.~~?~.~?...
respectively Mayor and City Clerk 01 the City of Sebastian, a municipal corporation under the luws of the State of Florida to me known
to be the individuals a/ll) officers described in und who executed the fon'going cURveyance to
William T. and Linda R. Bo1uk
.. ............'................................. ........ ........... .......................... ,.. ...... .... ..... ..........................
. . . . . . . ; . . . . . . . . . . :. ..; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., and severally acknowledged the ex.eeution thereof to be their free act und
deed
as snell ofticei~ the~eunto duly uuthorized; and that the Official seul of said corporation is duly affixed thereto, and the suid conveyance
is the act una deed of said corporation.
WITNESS my signature and official Ileal at Sebastian. In the County of Indian River Ilnd State of Florida, the duy and lear
last lIforesald.- ..
~.. '. . .....~..~~...............
Notary Public tate 0' l!'lorlda at UrBe.
My eOIlWlI&slon' explre&1 NOTARY PUBLIC STATE OF nORtoA
"V COMMISSION EXP DEC.IO.1988
BONDED THRU GEHER~l INS. U~r
"","","
Paid by CEMETERY Receipt No. . . . . . A ~.~ . . . . . . Dated. . . A 9.:1.. . .. . . . . . . . . . . . . . . . . . .
Ust Price $ . . f.q9. : 9.9. . . . . . . Maxbnum No. Burial Spaces. . . . . . . . . . . . . . . . .
Net Paid $ ..4.0U. 00....... Monument permitted.......... . ........ ... .
Rita Murphy interred
Lot 21 - 11/16 /87 (Data above thla Une lor City Rec:ord ooly)
1
-"~".,._-,-..,.., ~---
~l ',r A- 0.. . 11~ rt"(
\, ( , A/1U(,J
/( ,
G: ~ \ fI" (II ,C: 11 l19lJ .
?- \ ~
J,..01
---';".,~
.~
'..,...;>'-..........;...,.... ...'. '-j
Lots 21 & 2~o.
B1k.44
Unit 4 1195
Wm. & Linda Boluk
530 S\-l Drawdy Way
Sebastian, Fl. 32958
Block
Lot
Date of Mark.out
Date of Burl,al
Name of Funeral Home
Authorized by
fJ "'/
~, J
I /1
..' / '
I )
) J '-7""
it .' I ,;'7 ,1 (-1 _
Time
I
f
,~
_' .I ;>:' iJ
'J ,(.
'R
':7
..(-)
. -
-",; ..~l
'f--:\ :~~ ."',
)r) ,
.....
>-
c
0
"tl
..
J
>-
Q
'" ..
8 0
...
,.. .,
c..
tJ:l ~
"0 "0
r-i' ';::: S III
0\: ::l '~ ;e
-:t: co
0 ... II
4) >-
;z c.. .8
....
:: I =
e :; ..
:.": E ";j
0 '3 c Q
~ :E
r-
,..;
~l
0-)
v.l
rl
N -:t -:t
-:t
(I) . ~
~~,.-{
Or-i~
~;:o~
rl'
Q":
-:t:
i
'3 0:
~ 0:
;>- 0:
ffi 0:
tJ N:
:E
w ""
u "
E g
11:) co
-jj t.n
.-1 ~
'1"4 ~ >,C"'l
::l m
r--t:3:
o
::0 >, r-l
"'Cj~
C\1 ~
"'Cj C\1 ~
C ~ C
'r-! 0 C\1
....:l ..-{
;3+J
t,(jU)CJ)
C\1
. O.D
E C"'l Q)
3:t.nUJ
l@~Pfttj, RITA INTERRED IN Lot 21 - 11/16/87
Wm. T. & Linda Bo1uk
530 S.W. Drawdy Way
Sebas tian, Fl.
DEED 111195
Lots 21 & 22
B1k. 44
Un. 4
_,<'Ii/1nr-\rI~\ .' ,~_, _"__._._<
j
.....<.' ., .....
::!~jlitn{.; WM. T. & LINDA
530 S.W. DRAWDY WAY
Sebastian, Fl.
DEED #1195 LOTS 21 & 22
BLOCK 44
UNIT 4
Rita Murphy interred in Lot 21 - 11/16/87
.~
'ti
Q)
~
~r-
Q)co
~-
c...o
,.-{ r-i
d -
a >,r-i
..c:r-i
d 0..
~ ~ I
;:E:r-i
N
~ C\1
';:j +J +J
'" ..-{ 0
4) O::..-"l
z
~
...
C2~ ~ ~ ('" .t)
E~~.& ~ ~ c.h~ ~ 6tJ~ V\--. ~
.~<>{., dI <s::,"JSI. "'<> ~ oy... ~~
Lt>.~ ~ \ . '3> lac Ie:.. Lt Lt ~\ '-' .
O-..<.un~ \.e ~ ~UtrL€lo ~
.~~~p~~~~
.
~.C-Q..,. ~ ~.2. 6o~ ~ <..A:lQ-t L Q ~ ~
~~Q~ f\Q.~ ~ ~ ~
~\>k.~~ ~C-( ~C~ ~~ 16~
~ D ~ ~~ ~ J..Ar. (j.... ~G.~ ~ ~~ It~ca..-
~~
~ ~~~ "
.
.
Oeil
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS BEREBY ACKNOWLEDGED OF THE SUM OF:
~ -tAAJJ.-., a-""I O~JU Dollars ($ ~v :;; 0)
~,~ /)II L-LlhMT /3oLu1Z
~ 30 S LII.. ]) ~ I-)- tAl .:P'1
s-' G y) /{s r (./t""';V. F L -
r
on this~day of ~ , 1987/ for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein;
FROM:
1-, ( ,/f/]J /J
W,1-~
3 '1--7~ 8'
Description of Property:
Cemetery Lot(s)# :2-1 J- '}...~ BlockN ifL/
Purchase Price: !1 ~O ()! c> D
Uni tN 4-'
Dollars ($
)
Terms and conditions of sale:
LoT If- J-/- fe,( ~ ~OO. DO
...- :II- 2--7.-- - It ). cd>. 0'0 c/ u E.. - }i,l, ~'-' -?~ 10/''1168'- t..{\
/-Of h' h 1 ". h
T ~s contract s al be b~nd~ng upon both part~es, the seller and the pure aser,
when approved by the owner of the property above described.
I, or we, agree to purchase the above described property on the terms and
condi tions stated in the foregoing intrument:
"
~J- ~ ~~~~~~
The City 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.
d.~~<j4L 1?~
City of bastian
Purchase price $
Paid z..o<':i.oODate
Paid .:;o.(){) Date
'fo O. 0 C>
Balance$ ~oo,c ""
Balance$ 157>, (/0
Paid 5O.tJD Date l!i/kg' Balance$ 100. ~o
Paid 5O'D0 Date 1/1(,/8'8 Balance$ .Yo. 0"0
Paid ~7u 00 Date /o(19h.:?Balance$ --
fJ )/1~~ ~ I o/tcr/tl 1- ~
.
1V 0
~~. '/"'~\~
-0;1~ I J \
~\~,Jr.J,\,'. \
(,,,,i'";, Ii ~< '~I
VI,~:d',~ .:.. :...~/
~~...,.>~~
'\'<~A 'S'1 ;/~\~
~~.;'7lI1 ;~
'O""PEt.IC"tIl
.
City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
October 20, 1988
Mr. and Mrs. William Boluk
530 S.W. Drawdy Way
Sebastian, Florida 32958
Dear Mr. and Mrs. Boluk:
Enclosed is Cemetery Deed
Block 44 ,Unit 4
this deed recorded, you
the Clerk of the Circuit
Vero Beach, Florida.
No. 1195 for Lot(s) No. 21
If you wish to have
may do so at the office of
Court, 2145 14th Avenue,
& 22,
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.
Very truly yours,
-i'kf.Jd'i\J
Elizabeth Reid
Administrative Secretary
LR
Enc.
.
'1y O.
~.,/. , .,"., ~,~
"'~'\~"";;; '\
""Ill.'.,, J' 'j'': I
i..... v.;'iln' ',I ,,,,,L.i
V"\,II'" " '* ',f!I;./
~",,"-, /.~I
~:~;'i ' /,~'
'''~. ,A'S'1. '~.",
~,~ I .....:.00II
'~;~LlC"'" '
.
City of Sebastian
POST OFFICE BOX 7801270 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
June 2, 1988
Mr. and Mrs. William Boluk
530 S.W. Drawdy Way
Sebastian, Florida 32958
Dear Mr. and Mrs. Boluk:
On November 13, 1987, you purchased Cemetery Lot 21,
Block 44, Unit 4, at a cost of $200.00. At that time
you entered into a contract to purchase Lot 22 for the
same price on a time-payment plan. While no exact
schedule was set up for payments, six months has now
elapsed and if it is your intention to purchase this
lot, we would appreciate receiving a check from you
for at least $50.00 and a check in the same amount each
month until the lot is paid for.
Thank you for your cooperation.
Very truly yours,
1~ ~uL
Elizabeth Reid
Administrative Secretary
LR
[=J
OEI'^lnMEr"1 01' HE....LTH A!'..U
HHj..\Bll.JTAl'IVE !'>EH\..u-..;...
STATE OF FLORIDA
eARTMENT OF HEALTH & REHABILlTAe SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL-TRANSIT PERMIT
'I - L/ '1- 2/
A.
1. Name of
Deceased
(Type or Print)
First
RITA
Middle
ELIZABETH
Last
DATE Month Day Year
OF
OEA TH November 13) 1987
GRIMMICH-MURPHY
2. Place of Death
County
Indian River
Roseland
5. Check
Appro-
pr iate
Box
Name of (If neither, give street address)
Hosp. or
Inst. Humana Hospital-Sebastian
IX! Physician Address Phone Number
Khawja, M.D. 0 Medical Examiner 7754 Bay Street Sebastian, Fl 589-3000
Name Address Phone Number (Area Code)
Strunk Funeral Home 1623 N. Central Avenue Sebastian. Fl 305-589-1000
a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
City, Town or Location
3. Name of Medical
Certifier Farhat
4. Funeral Home/
()jmcx~lllser
b I[)
Terry was contacted on 11/13/87 within 48
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. Khawi a will complete
and sign the medical certification of cause of death.
c 0
medical certification.
was contacted on . He/she verified that
. Medical Examiner, will complete and sign the
6. Funeral Director/
DiltGt E)i5~^Pu'
Fla. Lic. No./rt'by. r~u.
~~~7L
Date Signed
/(": r-FY<
B.
BURIAL-TRANSIT PERMIT
Permit No. 1228-87-421
Permission is hereby granted to dispose of this body.
o 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 o.r the County in which death oc-
curred.
o No extension of time for filing
Registrar or
Sub- Registrar Signature
Date
Issued: 11 / 13/87
Date Certificate
Due:
C.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT -SEA
Signature
or
Medical Examiner,
, Medical Examiner
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 creroations.
D.
Signature of Sexton )
or Person-in-Charge )
STORAGE
OTHER (Specify)
4c;./h?
Method of Disposition:
R(BURIAL 0
o CREMATION 0
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 ApI' 81 edition which may be used)
(Stock Number: 5740-000-0326-2)
ctl