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HomeMy WebLinkAbout4-44-36 ",'Jll"""~jl . Pai4 b~ CEMETERY Realipt No. . . .?3; . . . . . . Dated. . . . . .~ I. ~.~ I. ~ ~ . . . . . . . . . . . . . . 'List Price $..... .?~9. ~~~... Maximum No.BurialSpaces........,~....... Lot 36 NO. Blk.44,Un.4 (Data above tbla line tor at)' Record oo1y) Adolph Sdebel 667 Sembler St Sebastian, Fl. 32958 1169 Net Paid $ ..... .2.00..00... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . <!titv l1f &rbastian QIrmrtrry mrrb NO. 1169 THIS INDENTURE MADB 'l1aIa .... ..... .19. th...... day of ...... .Ap.ril............................. A. D.. 18..88.. between lhe CJty of Sl!'butlan, a ".lclpal corporation exlatloc under the laws 01 the State of Flor1cl.. as Grantor and .............................. .hdp.l.pb..Sde.b~J......................................................................... ........ 667 Sembler St., Sebastian, Fl. 32958 . ..... ......................................... ... ,. ....................................... .. .......................................... of the County of .. ..;r.D-.4.i.~n .~;i,y:~X.................... an') State of ... .fJ.q~:j.,c;l.~....................................... as Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ ..? ~ 9. ~ ~ 9. . . . . . . . . . . . . . . to it in hand paid, the realipt whereof is herewith ac- knowledged, does by thisinstrwnent pant, bargam, sell, release, convey and confum unto the Grantee.. .l};i;~.. heirs, legal representatives and assigns the following property situated in Sebastian. Indian River County, Florida, to-wit: All of Lot(s) . ~.~ . .. , Block, . ~ It . . .. , UNIT .. ~. . . . . . . . .. ,of Sebastian municipal almetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public records in the ,offial of the Clerk of the Circuit Court of St. Lucie County of Florida; uland now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shaD be used solely and exclusively for the interment ofthe human dead and shall be used, kept and maintained at all times in accordanal with the rules and regulations, ordinanalS and resolutions of the City of Sebastian, Florida, hereto- fore, now and heJbfter adopted or provided for tho government and operation of said almetery. 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 conveyanal 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. AU"" ciI.d..,. ;iJ?,..t!.~....., ~"~r City Clerk CITY OF SEBASTIAN, FLORIDA BI .d~f{..~........ MaJor and Dcllvl!'red w ~ .""...4. . . fA. .Y?~.................... STATE OJ!' FI.ORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on thla .....J~.~h...........day of ..........~p.:r:~.~.................................. 1'.Sa. before me personally appeared . ~~ ~.l?-.~:r:~ ..~.... .Y. 9.~~P.~.~..... .. .. ........ .. .. .. ... and ~I!l.~h:r:y.t,l.. !1.... .9.'. ~~~.~~:r:~.~:. respectively Mayor and City Clrrk of the City 01 Sebastian, a municipal corporation under the Jaws of the State of Florida to me known to be till!' Indivic)ulIls lInd officers described in and who executed the lorl'/(Oln, eoaveyanee to (Q!itv $,a1) ........................ ........~Ap.J,..pb..S.de.b~J......... ...... ...... ........................................... ................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . .. and severally acknowled,ecJ the execution thereof to be theJr fne act and deed as such officers thereunto duly authoril!edj and that the Official seal of said corporation Is duly affixed thereto, and the said eonvl!'yanee is the act IInd deed of said COrpor~Uon. WITNESS my signature .and offlclal aeaJ. at Sebastian, In the County of Indian River and State of Florida, the day and ll!'a~ ,.., .....- ~a ~ .~I,:, 14...15.~............. Notary PUb~~orkla at Larp. . My eommlsalon expires. IOTAI' PUBLIC STATE OF Ft.llRIOl MY COMMISSIOM EXP DEe 10,19S& toNOfD 'HRU GENERAL INS. UNO. ""~~:V',II"" ""W'~""""_,,,,,;II') ,- --,. ~ 'r) -., C"I rt') ~ .-lCO ..:t rt')..:t..:t \O..:t rt') ..:t U) .E-l . E-l~H E-l~ . O...:l~ O..:l~ ..:l~ ..:l~ 0 (\ 0 a- rt') \0 .-l r4 .-l .-l ",' * * A ~ ~ ~ ~ ~ A A Q) E CO i= tl'\ ...... 0\ <tl C"I ..:l rt') 0 H l:> as '"Cl ~ ...-1 . ~ ::r: ~ 0 P-tU).-l ..:l r:r.c 0 '"' AQ) ... <tl.-l ~ "X ,0 as ... a...-I ...:lCll~ ~ (, ~U) 1O q "-Y Q) ~ as 0 E ~.....,o ,~. ':-- 0 A\O Q) " . :J: <. - "ii U)\OU) ;:, 0 .. ~.J. oX "ii Q) ~ .. "C: c: as ;:, 2 ;:, ~ 'C' lD - Q) Q) - '0 0 N ~ 0 "C: .E - u Q) ! Q) 0 as 'c 0 (5 iii E s::. Z :::l in as - ...l C C ;:, Z c( -:i- . ~ ,- :t ::::t 1 - " (0 ~ -J 00 ('lo - -..: v, \...: ~ -- o \- ::t: (1.1 -./ \!.,\ ~ ~ .---.---"- _.__._._.._-~~._.._-,-,----_.----'-_..,._.~~ ---- Lot 36 NO. Blk.44,Un.4 116~ . 515 .4/19/88 Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 200.00 1 List Price S . . .. . . . . . . . .. .. . . . Maxbnum No. Burial Spaces. . . . . . . . ... .. . . . . NetPaidS ......200..00... Monument perlDlttecl. . . .. . . . . . . . . . .. . . . .. . . Adolph Sdebel 667 Sembler St Sebastian, Fl. 32g (Data ..... 61.. Une 'or all Record oa1)o) . . Sl5 ~HE SElJAS'l'IAN CEHE'l'ERl' CJ. ty oE Sebastian Stij}Jastian, Flori.da RECEIP'l' IS BEREBl' ACKNOWLEDGED OF 2'HE SUH OF: ~ ~JJ. /)/1 00/'00 7 ~ 7w..~tL2-<f ~A~ fL llollus ($ :J-.:> '" . 0 0) FROH: ?<!~_ ~.zLJn I.~ L b 7 Sr:E=H 61- e f? 5-1-, S~d;qIt1."" FL_ ?n-'f58 ~ ) on th.ls l1. tt. deM oL ,4 ff? J L ,l9'i for the PU_. of ths follow.lng dtijljcribed CelAettijry Lot (a) upon tha terlU and condJ. tions as sta tCtd htotr.:1n; l)tjjscri.pti.on oE ProJJtjjrty: . Cemetery Lot(s)1 31:. Block' 'f"f Uni.tI 'f ~ .p .. (;,01 Purchase Pri.ce: l/.,(rn fut....J/l..1 ~ //Civ DoJlars($ 'l'erms and condi.ti.ons oE sale: '2.1;:> jJ. .) 0 ) "his contrect shsll be bJ.ndJ.ng ulIOIJ both /l4rUss, the seller end tho purchaser. when approvtijd by the OWner oj' the propertU abovCt dtijscribed. I, or lie, agrH to purchase the above dtijscri.])tjjd prOperty on the terms and conditi.ons stattijd i.n elw J'ortijgoi.ng JntrUllJent I .~ . ~JdJ 7'he Ci ty oj' Stijb.isti.an ilgretijS to stijlJ tM above mentJontijd property to the aboVB lWmed purchaser(s) on the terlrl8 iUld condJt:1ons at~tBd In the above instrwIlSnt. .. cri~~be<~~ ?,~~ ~Ah Q-tJ~ Wi t:IWS.:J "",,",':<III!II!"" '-;'."7'.~""....,;'-F; ". p"~JI!Ii'~m"" '~'. . . . ~. . ADOLPH SDeBEL 01-81 OR VIOLA SDEBEL 667 SEMBLER STREET SEBASTIAN, FL 32958 tl;4~t /'l1.9~W 806'1 $I-~o--O()!'f ,__'t2__ '-/I tID mol/III'I '" ~ ~ I .. As. Florida Federal · .. 717 COOLIDGE STREET ~~ ~u P.O. BOX 188 . . ~~ .......... Fe ___ . . ~I:!I; 108 1 ~8 31: 108...001; ~ 2... 3111 08 I; . ~ ^ ~':~~;~i{~";~;''i~11irr."_"""""""~.~T(>*tirti~-;~_,.."......"..,,,,tJ:}';",.,'- l . \~v 0 " .~. ,~ \\ 1/'1 ,;:') .,. '" ~ ~\ ~ ~'.1 .iJ.-c ~'Q v'\p .-. =- " ...;- # v~ ~I tIe.... \,,1,. . City of Sebastian L. Gene Harrl. Mayor POST OFFICE BOX 780127 0 SEBASTIAN. FLORIDA 32978-0127 TELEPHONE (305) 589-5330 Kathryn M. O'Halloran City Clerk April 26, 1988 Mr. Adolpn Sdebel 667 Sembler Street Sebastian, Florida 32958 Dear Mr. Sdebel: Enclosed is Cemetery Deed No. 1169 for Lot(s) No. 36, Block 44 , Unit 4 . If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfer$ 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, ~~ tf\~ Elizabeth Reid Administrative Secretary . LR Ene. . I ."''''t"'"'' ;~~._,:._~~.1.Yit)"Jff:.r:7S':i*"'.;;$;~~; -t:.'i1'1,~~,~,"", ",_~.!'"?D,-",':-'~"'L:'~~;:'Fii"'ir.'i_.__3~!2_iM'~!~':t"""'~;':'ti' [lDJ Dl "/\111 ,",I.~-l C'I H"""UIl ...NO I1Ht...IIU.Il...IIVI."'UiVt(:I:.'> . STATE OF FLORIDA . PARTMENT OF HEALTH & REHABILlT SI:RVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT '- 36 -,6i~ IIi A. 1. Name of Deceased (Type or Print) First Middle Last DATE Month Day Year OF DEATH APRIL 29, 1988 ANNE LEHTO 2. Place of Death City, Town or Location County INDIAN RIVER VERO BEACH Name of (If neither, give street address) Hosp. or Inst. PALM GARDEN OF VERO BEACH 3. Name of Medical Certifier NOOR MERCHANT, M.D. 4. Funeral Homel Name ~ STRUNK FUNERAL HOME-SEBASTIAN 5. Check Appro- priate Box a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b B HELEN was contacted on 4/29/88 within 72 hours after death. Helshe verified that this death was from natural causes, that there was no accident nor other external cause of death, and that DR. MERCHANT will complete and sign the medical certification of cause of death. XIPhysician Address Phone Number o Medical Examiner 13875 USII 1 SEBASTIAN, FL 589-0879 Address Phone Number (Area Code) 1623 N. CENTRAL AVE. SEBASTIAN FL 407-589-1000 c 0 medical certification. ( was contacted on . He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ Birest QiS/il8S11..- Fla. Lie. No./Rell. No. .~ /&7.::z- Date Signed ~~,I'? B. BURIAL-TRANSIT PERMIT 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 e filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in whi h death occurred. o No extension of time for filing the eath certificate requ ted. Registrar or . Subregistrar Signature Permit No. 1228-88-211 Date 4/29/88 Issued: 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 cremations. Signature of Sexton ) or Pflfli6R j" Charge ) CEMETERY OR CREMATORY ~ ~- d-'" . . . 'A.I / /,.:J , F::'t4--ctE { m7 Place of DISposition T ~ . STORAGE Date of Disposition /ZI9/ 07/ / 1 F j' OTHER (Specify) ;y~. ;-:k 71 D. Method of Disposition: ~ 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, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 574Q-00o.0326-2) J.