HomeMy WebLinkAbout4-44-33
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hictbyCEMETERY Receipt No... ......... .Dated.... .~.?I).~(.~7...........
. Lots 33,34,35
· Ust Price $.. 2QO .ao....... Maximum No. BurialSpaces...... 3......... B1k. 44, Un. 4
Net Paid $ .......... ..6QO..00 Monument permitted..... Ela!....... ..... Frank Hindra
~d;re-th Hindra interred Lot ~ - 12/18/87 526 Mi~hae1 St.
-".4 .33. Sebastl.an, Fl.
~ .AlII/,T (Data abOve tbla line for City Record ouly)
NO.
1149
C!!ity of &tbustiun
Utrmrtrry
mrrll
NO.
1149'
THIS INDENTURE MADE'11aJa .......l.5.th........ day of ..........De.cember..................... A. 0., 11.8.7..,
between the City of Sebaatlan, a municipal corporation alltin. under the laws of the State of Florida, al Grantor and
....................... .........;.... .f.:r.qnk. .lI:indJ::a............. ......................................... ..... ................
526 Michael St., Sebastian, Fl.
...,. ......................................... .......................................,..... . .'... ......'......,...........................
of the County of ............ ;r;~.c;l':!'~m ..~.~ ~ ~;-. .. .. .. .. ... an') State of ........ .~;I, P.:r.:i4A . .. .. .. . .. .. .. .. .. . .. . .. .. . .. .. .. .
u Grantee, WITNESSETH I .
That the Grantor for and in consideration of the sum of $ ... ~ ~ 9. ~ ~ 9. . . . . . . . . . . . . . to it in hand paid, the receipt whereof is hereWith ac-
knowledged, does by this instrument grant, bargaiia, sell, release, convey and confmn unto the Grantee ......... heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s)~13.,. 3.4,)~ck, . .4 Ii . .. ,UNIT ..... .4. . . . .. ,of Sebastian municipal cemeterY as per Plat Number 1 thereof recorded in Plat
Book 2, at page 6S 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 shaD be.U$Od solely and exclusively for the interment of the human dead and shaD
be used, kept and maintained at aU time. in accordance with the ru1esand regulations, ordinance. and resolution. of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for tho government and operation of said cemetery. The condition.. restrictions and requirements contained
in this instrument shaD be covenant.l'UJUIing with the land. In the event of the failure of the owner of any property sit\lllted within said cemetery to ob-
serve and comply with iuch 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 shaD tmninate and the sarno shaD 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
atteated by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written.
Al"'h~~. ..!J1....()..d~~.........
# . City aerlt
Signed, Sealed Ilnd Delivered
In I'elience of, -.t"./
.. . . qqqqq7.)q,)j~~7...
.~..a....~.....................
(GIitv jieaJ)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
15th
I HEUEBY CERTIFY, That on thla ...................... ..day 01
.... .p.~.C;:~~P.~.:J;'... ............... ........... .... II. .e.7
before me petlonally appeared... .L....Ge.o.e..Harris............................... and Ka.thr:yn. .M...D.'.Hallor.an...
respectively Mayor and City Clerk of the City of Sebastian, a municllJ81 corporation under the laws of thc State of Florida to me known
to be the IlldlviduuJs and officers described in and who executed the foregoing coaveyanc:e to .
Frank Hindra
.......'.......................................-...,.....,.................................................................................
. . . .. . .. . . .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. . .. .. .. ... and severally acknowledged the execution thereof to be theJr free act and deed
as sucb officers tbereunto duly authori&ed; and that the Official sell I of said corporation Is duly affixed thereto, and the 8IlldconyeYllnee
is the act Ilnd deed of said corporation.
WITNESS my signature and official leal at SebaatJan. in the County of Indian River and State of Florida, the day and ,ear
last afllreaald.
IOTARY PUBLIC STATE OF FLORIDA
HY CONHISSION ElP DEC 10,1988
BONDED THRU GENERAL INS. unDo
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. 497 12/15/87
r CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO.
Lots 33,34,35
ice $ . . 200.00. . . . . . . Maximum No. Burial Spaces. . . . . . 3 . . . .. . . . . B1 k · 44 , Un. 4
id $ ........... .6QO.,00 . Monument permitted..... El.at............ Frank .Hindra .
.. ~~ ~ / /8 526 Michael St.
.dreth H1ndra 1nterred Lot ~ - 12 18 7 Sebastian, Fl.
(Data above thla One for Ci17 Record only)
1149
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City of Sebastian
L. Gene H.rrll
Mayor
.
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978-0127
TELEPHONE (305) 589-5330
Kathryn M. O'Halloran
City Clerk
Mr. Frank Hindra
526 Michael Street
Sebastian, Florida 32958
Dear Mr. Hindra:
December 18, 1987
Enclosed is Cemetery Deed No. 1149 for Lot(s) No. 33, 34, 35,
Block4~ 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
Enc.
Very truly yours,
~ - ~
El~~
Administrative Secretary
~~ .
I
.0
.
'197
'l'HB SBBM'l'IAN CEHB'l'BRY
CJ ty of Sebastian
SebastJan, FlorJda
FRON:
RBCBIP'l' IS BBRBBY ACKNOWLEDGBD 01' 'l'HE SUII OF:
~ L..t....--1. ~ <>ioo Dollars ($ '::00, 00 )
/
.
11{1: /.1<. ;/1 A/ .J> R A-
S J-" I1Ic-HA-t;L. 5--1-,
S€8A-Srl/JN ;:=1-. .3')..5'S8
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on thJ.s.1..f1f::.dalJ Ofj)~~~~, 1981. for the purchase or the followJ.ng
descr.J.bed CemeterlJ Lot(a) upo the t'erms and condJ.ti,ona u stated her,dnl
Descri,ptJon of Property:
cemet~rlJ Lotta)' 33 3Jf.35 Block' #-1 Unit' f
) ,
(" (Ju,l'D
Purchue Price: ~/'I.. 1f-vA/.:) RE, A-n (L'" Dollars ($ 60 o. o'b
)
'l'erms and condJtions or s41e:
This contract sh41l be bindJ.ng upon both partJes, the seller and the purchaser,
when approved b!/ the owner or the property above descr.J.bed.
I, or we, agree to purchase the above described property on the terms and
conditi,ons stated in the foregoing i,ntrument:
"
~~~
.
'l'he City or Sebastian agrees to sell the above mentJoned propertlJ to the
above Milled purchaser(s) on the terms and condJ.tJons stated In the above
instrument.
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hL"'AHn.U,.N I Ot- tll-,,\l.rH AND
ttl:.tiAtwLlTAfl\-"fo: !*.:KVtU'--S
STATE OF FLORIDA
eARTMENT OF HEALTH & REHABILlTAeSERVICES
VITAL STATISTICS .'
APPLICATION FOR BURIAL-TRANSIT PERMIT
L33
13 ~r
tl1
A.
1. Name of
Deceased
Middle
Last
DATE Month Day Year
OF
DEATHDECEMBER 15. 1987
ANNA:
, HINDRA
2. Place of Death
County
INDIAN RIVER
City, Town or Location
VERO BEACH
Name of (If neither, give street address)
Hosp. or
Inst. INDIAN RIVER VILLAGE CARE CENTER
IlPhysician Address VEROBEACH . Phone Number
o Medical Examiner 2300-5TH AVENUE FLORIDA 567-7111
Address Phone Number (Area Code)
1623 N.,CENTRALAVE. SEBASTIAN. FL 305-589-1000
3. Name of Medical
Certifier GARY SILVERMAN. M.D.
4. Funeral Home/ Name ,
~ STRUNK FUNERAL'.HOME
5. Check
Appro-
priate
Box
a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
this application. , '
.b. El.. " JOANNE "was.,con~<;ted on12/15/87 within 48
hours after death. He/she verified that this death was from natural causes~lthatthere was no accident nor
other external cause of death, and that GARY SILVERMAN. M.D. 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/
-GireGt D;~"u~",
Fla. Lic. No./Fh:y. 14u.
Date Signed
~,..::~
/ & 7..2-
B.
BURIAL-TRANSIT PERMIT
Permit No. 1228-87-471
Permission is hereby granted to djspose 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 Dispo~er Report" will be filed with the Local Registrar of the, County in which death oc-
curred. .
o No extension of time for filing t
Registrar or
Sub-Registrar Signature
~:~:d: j::},../5 -- 17
Data 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 cremations.
D.
Method of Disposition:
DI BURIAL, 0 STORAGE
o CREMATION 0 OTHER (Specify)
4~. /k~
CEMETERY OR CREMATORY
Place of DiSPosition~~S?/~
/~-IP.'7
~~.
Date of Disposition
Signature of Sexton )
or Person-in,Charge )
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. .I