HomeMy WebLinkAbout4-44-23
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Paid by CEMETERY Receipt No..,~"""" .Dated... .~!.~.~ ~.~......... .....
.. 200.00
Ust Poce S . . . . . . . . . . . . . . . . . .
. 600.00
Net PaJd S .........,........
Lots 23, 24, 25 NO
B1k.44, Un. 4 .
Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . 12 3 2
John & Geraldine
Monument permitted.,...................... Grimmich
2165 Cypress Lake Dr.
(Data above tbla liae lor elty R<<ord oldy) P a 1m Bay, Fl. 3 290 5
atitl! Df &fbastiau
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NO.
THIS INDENTURE KADB '11aII ....q~h............. day 01 ..........A\l.i..U.f'ft......................... A. D.. 19.8.9...
between the elty 01 Sebaatlan, a mualclpal corporatloll ex1slin. under the laws 01 the State 01 Florida, as Grantor and
John W. and/or Geraldine M. Grimmich
,..,.................. Z16.S..Cyp.ress..'i.ake"Dr1ve........................................................................
........ ........ ......P.alJD..Bay.,..Elorida...329.05... .................. .... .....,.......... .... ... ......... ........ ....
01 tbe County of ... .~?-~~.~.~.. ~~.Y.E7;t:.................... an'] State 01 ..... ~~.C?~;i;q~......................................
u Grantee, WITNESSETH I
That the Grantor for and in consideration ~f the sum of S . .~~.9 :.9~......... ...... to it in ~d paid, the receipt whereof is herewith ac-
knowledged, does by this, instrument grant, bargain, seu, release, oonvey and oonimn unto the Grantee . . .~ . .~~. rheirs, legal representatives and assigns
the following property situated~baJtian, Indian River County, Florida, to-wit:
AI! of.~. ~ ~" Block, . . ;.~ . .. ,UNIT ...;......... ,0fSebaatian municipal cemetery as per Plat Number 1 thereof reoordecl in Plat
Book 2, at pase 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 sbaU beuseclsoJely and exc:lusiye1y 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 tho government and operation of said cemetery. The oonditions, re~ictions and requirements contained
in this instrument shall be oovenants 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 iuch ruJea, regulations, resolutions and ,ordinances and the oonditions of the deled of oonveyance 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 first 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 oorporate seal to be hereto affixed, the day and year fust above written.
CITY OF SEBASTIAN, FLORIDA
AIl<... ci!~rn.()~.......
-.. .. . . (j .. . City Clerk
DJ ...~.~..~............
MaJor
Signed, Sealed and Delivered
h::j..~.............
~~4.~.....
(Qtit\{ ~eal)
ST A'fE OF FLORIDA
COUN'fY OF INDIAN RIVER
I .HRUEDY CERTIFY, That on thia ......Q.1; h. .. .. " .. .. ..day 01 .............. .!).J.gUS.t.. .. .. .. .. .. .. . .. .. .. .. ..., 19.86,
Richard B. Votapka Kathryn M. O'Hal1oran
before me personally appeared ............................,............................... and .......................................
respectively Mayor and City Clerk 01 tbe City 01 Sebastian, a munlcllml corporation under the laws 01 the State of Florida to me known
to be the Indiviuuuls am) offlcerll described 10 ,md who executed the for('going coaveyunce to
John W. and/or Geraldine M. Grimmich
.0 .......................................................................................... ....-........................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereol to be tbelr IreI.' aet
and deed
as such officers thereunto duly autboriled; and that the Oflicial seal 01 said corporation Is duly affixed thereto, and the Aid conveyance
is the /let and deed of saldeorporation.
WITNESS my signature and olllclal aea1 at Sebastian, in ~be County, 01 Indian River and State 01 Florida, the day and Jear
last afort:8a1d.
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N~t~i~.~~..............
My commlaalon explresl t!,)I::r J L~.:.:, ~l:.oh of Florida
My Commis~ion ExpirC!s Do!c. 10, 1992
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Paid by CEMETERY Receipt No. ...~?}....... .. Dated....~!.?/ ~.~ Lo t s 23, 24, 25 NO
Li Pri 200.00 ................. Blk. 44, Un. 4 .
st ce $ . . . . . . . . . . . . . . . . . . Maximum No. Burial Spaces'
................. 1" 32
NetPaid$ ..R9Q:.QR...... Monument permitted John & Geraldine ~
................ ....... Grimmich
2165 Cypress Lake Dr.
(Data above till. line tor City Becordooly) Palm Bay, Fl. 32905
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State of Florida, Depa~t of Health and Rehabilitative Services, Vitetistics
APPLlC.N FOR BURIAL - TRANSIT PERMIT
A.
1. Name of
Deceased
(Type or Print)
First
Middle
Last
Grinmich
DATE
OF
DEATH
Month Day
03/20/97
Year
John
w.
2. Place of Death
County
Brevard
3. Name of Medical
Certifier
Jose Reilova, M.D.
4. Name of Funeral Home/
Direct Disposer
Strunk Funeral Homes,
5. Check a 0
Appro-
priate
Box
Grant
Name of (If neither, give street address)
Hosp. or
Inst. 2165
ress Lake Dri
Address
Phone Number
City, Town or Location
Medical Examiner
Physician
Address
1750 Cedar Street
Rockled e Florida 3
Fla. Uc. No.lReg. No. Phone Number (Area Code)
1623 North Central Avenue
P.A. Sebastian Fl 32958 1 28
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
b 0
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 will complete
and sign the medical certification of cause of death.
Carla
JOse Hel/ova, M.D.
c~
was contacted or03/22/97 . He/she verified that
, Medical Examiner, will complete and sign the
medical certification.
7.
Indian River
F.E. No.1 Reg. No.
esz..
Removal
from state
Donation
Date Signed
03/22/97
6.
B.
BURIAL - TRANSIT PERMIT
Pe 't N 1228-97-0132
rml o.
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 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.
o No extension of time for filing the death certificate requested.
~98i8tF8r 8P""
Subregistrar Signature
Date -/ f
Issued: <i:J 2.4 91
g~~~ ~i1:S $ j" 7
C.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA
, Medical Examiner
Date
Signature
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.
D.
CEMETERY OR CREMATORY
Methods of Disposition:
gj BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
Place of Disposition
Date of Disposition
~.k",7;;._ t1?Andh/lJ
-h7&.",.L ~ <//1'97
Signature of Sexton )
orPerson-in-Charge) 7"'-": ~. {'In. 4-
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 edition which may be used)
(Stock Number: 5740-000-0326-2)
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City of Sebastian
POST OFFICE BOX 780127 a SEBASTIAN. FLORIDA 32878
TELEPHONE (407) 588-5330
August 31, 1989
Mr. John W. Grimmich
2165 Cypress Lake Drive
Palm Bay, Florida 32905
Dear Mr. Grimmich:
Enclosed is Cemetery Deed No. 1232 for totes) No. 23, 24, 25,
Block 44 . , Unit 4 . If you wish to have this deed
recorded, you may do so at the office of the Clerk of
the CfrcuitCourt, 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.
Very truly yours,
! " ~ '7,d
El~d
Administrative Secretary
LR
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~HE SEBAS~IAN CEMETERY
City of Sebastian
Sebastian, Florida
FROM:
RECEIPT IS HEREBY ACKNONLEDGED OF ~HE SUM OF:
Ji,~~~ ~~!too
J 0 HAl W. "" G-(J:;t.A-L~, ~G=
:z.. I ,5" C 't f 1{ e ~ SLit Ie e.
DOllars ($ :3 0 o. 00
)
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./1. (;.!..II'1.Mlc!f
J>R.
f,.., Lt1 (3 /I- '1) F i- .3 ')... '7 s:> f)""
on this hI? day of A-Cl(;..V sr , 1987 for the purchase of the fOllowing
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)1I .2-3, ::J-I./, 4t" Blockll tf'f Unitll 4-
()J .,'" TIJ '-
Purchase price:7L<rlJ ~.LJ ~ .:>illlo gl(cU Dollars($ b()o.o 0 )
~erms and' conditions of sale:
fJ, ,( /Do,at>-1I!J3/g7
of UJO.llb "'1/I4Jgcf
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f If- I'~ ( d FuL.L..-
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~his 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 property on the terms and conditions
stated in the foregoing instrument:
~he 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.
4~~ ~...~/.
City of ebastian
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'Witness . .
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416
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~ _ ~:;' "",,-. ,-/, <( '\..f' ,',. ,I",~.,\:,~, ,.('\')',/ '1'~ -~~~}" ~~"''$. f' ','if I'~- 'L.r
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,. City of Sebastian
POST OFFICE 80X 780127 Q SE8ASTIAN, FLORIDA 32878
TELEPHONE (407) 688-6330
FAX 407-688-6670
July 27, 1989
John (, Geraldine Gri.nmich
242 Delware Ave.
Sebastian, Fl. 32958
Dear Mr. (, Mrs Grimnich:
Ie: CEllleteI'y IDts 23,24 (, 25
Bleck '44 Unit '4
In reviewing our record8 it camEl to our attention that you ~ve
not made any payments t:awaxd the 'pu:chase of the above refererlced
CEmetery lotS since July 14, 1988. 'lbere is a r8IBining balance
due of $300.00.
If there is any p:ra:.1E11l regardi.nq payments of the balance due,
please cxntact this office; if not please rsnit bal.aD::e due.
Sincerely, ~
(l~1 (~~##
Carol Carswell
Finance Director
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JOHN W. GRIMMICH 06-87
OR GERALDINE M. GRIMMICH
OR RITA E. MURPHY
242 DELAWARE AVE
SEBASTIAN. FL 58
..
13655 U.S. Highway 1
Sebastian, Florida 32958
I MEMO .
.1:O(;?008S?QI:02l? 338al
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217
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DOLLARS
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City of Sebastian
POST OFFICE BOX 7801270 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
June 2, 1988
Mr. and Mrs. John Grimmich
242 Delaware Avenue
Sebastian, Florida 32958
Dear Mr. and Mrs. Grimmich:
On november 13, 1987, you contracted to purchase
Cemetery Lots 23, 24, and 25, Block 44, Unit 4, and
made a down payment of $100.00. Six months has now
elapsed and while no specific schedule was set up for
payments, we would appreciate, receiving a check from
you for at least $50.00 and a check in the same amOunt
each month until the lots are paid for. A total of
$500.00 is due.
Thank you for your cooperation.
Very truly yours,
t; - ~
El~
Administrative Secretary
LR
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'l'U SIlIJAS'l'IAN CBJu:2'BRl'
City of SebastJan
Sebaatian, Florida
0'
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R8CBIPf' ~S lIBRBBl' ACXNOWUDGBD 0' 2'HB SUN OF,
,
{)~ L~~L /{A~J ~t()o.
Dollars ($ I~o. c) 0 )
JoJ.l.u j)/. .J- G-~~~,- l1/ue
. :u.f'l- Yr:=l-/}.W IrRe Ift/G_
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S6~~,f'r',*,N, p,-.,. 31.- C; S 8
"" thl.aJltf:t:;.!/aM "",.Vo"q,~ JI.l, r~ .CIta _ua or tho roll_Jng
duorUHt4 C_tuy l.ot(a) u the teru and CQncUtions as stated herein I
FROII,
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Desc:riptJon of Property,
C-~"M Lotta)' ~', ~oJ) :J,. t:" 1/JOCk' Jf4
purobue Pzoice, I ~ () (). 0 0
Uni t# -I
2'41'_ and COllditJO/UI of aale,
lJ.. .1; b IJ, "0 - 70 rlfL 1?S/:,,,t/411 Nt- -"5 0 0, " '"
Dollars ($
)
~h1a -'~aat IlbaJJ 110 bJadJng u_ both s>ut:J.., tho soller and tho purchaser.
when approved by the OWner of the property above described.
I, or w, .grM to Purcluas. the above ..c:ribed property on the teru and
ooncUt.1OlJ11 aUt:ed in the I'oregoing JntrUlll8nt'
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2'he City of Sabauti." .greq to ...U the above. -ntionect property to the
. above naaed }nUoluuler(s) on 'the tar_ and COlUUtions stated in the above
,instrUllllitnt.
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'City o,l~-::~6tlCU1
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2'HB SBBAS2'IAN CBllB2'BRr
Ci ty of Sebastian
SebastiaIa, Florida
RECBIP'l' IS BBREBr ACKNOfiLBDGBD OF 2'HB SUII OF I
IJ/Jd/ I<~,~~J-q~./ O"&C)
Dollars ($ J oD . "0 )
FROM: Jo 11-111 1)/. ~ r;-~ R ITJ- J I AI E.. .Jl.. G Ie 1M M Ie. ff
;-'-f7- .) et-A-WJJ-L e ;rve
5G..t;1J-.r'l1l~-A/ p-L,. ~-:1-~,6
,
an this.1.2.1iLday ofA,6/Jel1~f, 1981, for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein;
Description of Property:
cemet~ry Lot(s) , ~~ 2,"'f '}..5 Bl~ck' 'f~ Unit/l 1-
'. J
. Purchase Price: ~k~.~~'ij)(}DollarS{$ 6t>o.oO)
2'erms 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 property on the terms and
condi tions stated in the foregoing intrument I
"
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The City of Sebastian agrees to sell the above mentioned property to the
above namedpurchaser(s) on the terms and conditions' stated in the above
instrument.
A . -.JL
tHy b~an
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Purchase price $ 6 0 D, c) D
Pai' /00-0';' Date 1llt.~lBalance$ ~().f)o
...p...PaJ.d ,""CD.a oDate1V:.{jS'8 Balance$3po, 00
~R Paid .:30IJ.lJO Date g/{/gr Balance$ -:::::-
: I
pald Date Balance$
Paid
Date
Balance$
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