HomeMy WebLinkAbout4-44-31Name AOA40 / ITY
Unit
Block
Lot 4.J D
Date of Mark -out
Date of Burial Time
Name of Funeral Home j / ,F� 0 ,C - -
Authorized by
CITY OF SEBASTIAN
CITY CLERK'S OFFICE /, 7
RECEIPT `+ I
Name J 6 I/ (.t-f 6k— ❑ Cash ,!
Date 3-5- I -3 Oheck # 60,63
' No. Amount Paid
001001208001
Sales Tax
001501322900
Garage Sales
001501341920
Copies/Bid Specs.
001501 341910
LDC /Code of Ordinances
001501 341930
Election Qualifying Fees
601010 343800
Cemetery Lots
LoNNiche .3 1 —, Block L '�, Unit
001501 343805
Cemetery Fees
Total Paid 15U. UC)
Initials
White - Dept. of Origin • Yellow - Finance • Pink • Applicant
12/1/87 LK.44 UN.4
Paid by CEMETERY Receipt No..... ...... Dated .......................... � 4JOTS 31 & 32 NO.
•
List Price $ ....... 2JD 0•. 00.. Maximum No. Burial Spaces ................. 1147
Net Paid $ .......4AO. Q0.. Monument permitted..... Flat ........... Edward & Dorothy Cesky
801 Barber St.
Sebastian, Fl. 32958
(Data above this line for City Record only)
Titg of Jorhafittan ,�
114
W.rmrfrr jj DPr% No.
THIS INDENTURE MADE TiL ...18.t .............. day of ......... ...December................... A. D., 19...87.
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
. ............................... Edward „and . DoKq.thy...G.q,a y........... ...............................
801 Barber St., Sebastian, F1. 32958
...................................................................................................... ...............................
of the County of .......Indian River and State of ............. Florida..... ..... ............
as Grantee, WITNESSETHi
That the Grantor for and in consideration of the sum of $ , , 400,.0 * 0 .. . .......... . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and cofirm unto the Grantee their, heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
All of Lot ' &
32
, Block, , A . , . , UNIT , , ,4......... , of Sebastian municipal cemetery as per Plat Number 1 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 add 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 corporate seal to be hereto affixed, the day and year rust above written.
CITY OF SEBASTIAN, FLORIDA
%%jj %
Atteat T.�. �. j%...U. � 'lam'..... By . _ ..
City Clerk Mayor
Signed, Sealed and Delivered
In the Presence of:
STATE OF LORIDA
COUNTY OF INDIAN RIVER
Wit *al)
I HEREBY CERTIFY, :"sat or. thin ....... 1.S.t _ .........day of .......... Deoember ........................... 19--8-7
before me personally appeared .. L 1. , Gene Harri s . . . . . . . . . ................. . and Ka.thryr�.. M,...O.'. Hall o an.. .
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known
to be the Individuals and officers described In and who executed the foregoing eoaveyance to
Edward and Dorothy Cesky
............ ...............................
........................................................ and severally acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorised; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is the act and deed of said corporation.
WITNESS my signature and official seal at Sebastian, In the County of Indian River and State of Florida, the day and year
last aforesaid.
Notary PuAroj-6; f Flri da at Large.
My commission expires: NOTARY PUBLIC STATE OF FLORIDA
MY COMMISSION EXP DEC 10,1988
BONDED TNRU GENERAL INS. UNO.
DOROTHY CESKY
Mrs. Dorothy Starr Cesky, 99, died February 28, 2013 at her
home in Winter Springs, Florida. She was born May 12, 1913 in
Baltimore, Maryland and moved to Sebastian in the late 1970's
from her place of birth. She was of the Methodist faith. Mrs.
Cesky was President of the Homemakers Group in Baltimore, a
member of the Sebastian Crafters in Sebastian, the Tropical
Fruit Club in Melbourne, Florida, the Pine Needle Basket Club in
Fellsmere, FL and a member of the Pastel Painting Art Class in
Sebastian.
Survivors include her daughter Carole Seibert of Winter Springs,
two grandchildren and five great grandchildren. She was
preceded in death by her husband Edward Cesky and a brother
John Thornton Starr.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
n�
HOME OF I McAN KLAAD
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax_ (772) 589 -5570
STFiUNK FUNERAL HOME & CK VV�. -;.71Y
FUNERAL HOME: 1623 No. Central Ave. _
SEBASTIAN, FL 32958
ADDRESS: (77-2 )589 -4o -
PHONE #:
(C', One)
OPEN BURIAL LOT
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TIME:
FOR DECEASED:�62��
Name
Lot Block Unit T
Lot Block Unit
Niche Block Unit
N S E W
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Name ign ure Date
I certify that I have determined the ownership of the above described site, that all site fees and
administrative fees have been paid and authorize opqping of same.
N E D SI NA UR OF LI ENSED FUNE
L ��- I ,L --- -
NaW V I Sigr
�3
Date
Cemetery Sexton Certification:
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:
y �3.
C60 fete S ton Da e
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
mow.kix °Aubtu4rOF ,. State of Florida, Department of Health, Bureau of Vital Statistics
HEALT BURIAL TRANSIT PERMIT
DATE PRINTED: March 1, 2013 TRACKING NUMBER: 2013032765
1. DECEDENT INFORMATION
Name of Deceased Date of Death
DOROTHY STARR CESKY February 28, 2013
Place of Death - County City, Town or Location Name of facility, or street address if not a facility
SEMINOLE WINTER SPRINGS 300 SHEOAH BOULEVARD APARTMENT 309
Name and Address of Funeral Home /Direct Disposal Establishment Fla. Lic. No. /Reg. No. Phone Number
STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589 -1000
1623 N CENTRAL AVE
SEBASTIAN, FLORIDA, 32958
Funeral Director /Direct Disposer Fla. Lic. No. /Reg. No.
R. MARSHALL VOYLES JR F043488
2. BURIAL - TRANSIT PERMIT
The Florida Department of Health, Bureau of Vital Statistics
hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes.
Permit Number: 2013- FO41870 -5045
Date Issued: March 1, 2013
Meade Grigg, State Registrar) J
3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION
Authorization given by Medical Examiner District Approval Number:
4. CEMETERY OR CREMATORY
Place of Disposition: SEBASTIAN CEMETERY Pb noH2 -�
Method of Disposition: BURIAL Date of Dispos ion:
EDRS maintains all statutorily required information regarding the death record and related
burial transit permit, therefore, returning the permit to the county health department is no
longer required.
If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so.
DH 326E, 10/12
64V- 1.011, Florida Administrative Code
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City of Sebastian
L. Gene Harrla POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978 -0127 Ki
Mayor_ TELEPHONE (305) 589 -5330
December 3, 1987
Mr. and Mrs. Edward Cesky
801 Barber Street
Sebastian, Florida 32958
Dear Mr. and Mrs. Cesky:
Enclosed is Cemetery Deed No. 1147 for Lots 31 and 32,
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.
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
En c .
Very truly yours,
Elizabeth Reid
Administrative Secretary
• •
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS BERSBY ACKNOWLEDGED. OF THE SUN OF:
"/ 2/'qz> Dollars
FROM: G Wh- R� &--%a 2)04? 0 J H Y
on this / S day of 2 %Cf1 1,987 for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein;
Description of Property:
Cemetery Lot (s) N 3 /,J- -3 Block# 44- _Uni tN Z/—
Purchase Price:Gx
Terms 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 ,
conditions stated in the foregoing intrument:
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.
--- AS. 0.'(.rA D'-
n� t
411 t 44
a,
EDWARD OR DOROTHY CESKY 152
801 S.W. BARBER STREET
SEBASTIAN, FL 32958
63mlXl 748
yo oa
Southeast Mvk NA
SEBASTIAN BANKING CENTER
1524 U.S. HIGHWAY 1
SEBASTIAN, FLORIDA 32958 748
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