HomeMy WebLinkAbout4-43-23B
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Paid by CEMETEII.Y Receipt No.. ~.l...... .Dated......~ 1.~p'{.~I;+..............
LIlt Price S .. .~ ~.q... 9~ . .. . . . MaxImum No. lariat Spa.. .. . .. . .. . .. .. .. . .
250.00
Net PaId S .................. Monument permitted . . . .. .. . .. . . .. .. .. .. .. .
Lot~
Blo
Unit
NO.
, ,
1459
(Data ....... tilt. Une tor atr ..... ...,)
CltUv Itf .,basUatt
1459
(tttwtttry
Ittll
NO.
26th July 94
THI8 INDBNTURB MADa TIdI ...................... d., 0' ............................................. A. D. I........
between the Clt, 01 .....tIae, . .uIeIpaI eorporat'" alat", ...tIn the Ie.. 01 the 8t.t. 01 Florida. . Orulor .nd
........................... ............... .............. Dav.id..He.ek............................................ ........ .........
592 Cross Creek Circle
.. .. ......................................... .......... Sebaat1:an.,. .'.lol71:d.... 329.58....................................
01 the C-ty 01 ... Jm:U,(l.~.. Rj..v.~J:.................... ..:1 81.t. 01 ........ .F.1~n:ida..................................
. 0...... WITNB88tn'H,
That the Grantor for and In conaklerotlon of tho 111m of S ...... ~ ~ Q : .Q~ . . . . . . . . . . to It In honcI paid, tho IOeeIpt whereof t. hemrith ~
Imowledpcl, doea by tlllt ~ pont, ......... ... reM.., _y u4 _ftrm unto the Grantee .I:};i, ,. . .. holrt, lepllOplOllllltatMa and .......
the followm, pIOJIOIt, *-tell III Se1IoItlu, IIIlIIIn RMr Count,. FlorIda, to-wit:
AD of Lot(.) . ~ ~ ~.. . BIoek, .4~. . . .. . UNIT .....4....... ,of SebutIlJl munldpa1-m, a. per Plat Nu1IltJer 1 thereof oecordecllll Plat
Book 2, at fNII' 65 of the pttbUc oecordllll the ofBce of tho CIeIt of tile CIrcuit Colllt of lit. LacIa ColIIIty of PlDdda; said Iud -1JbII u4 bebw
In IIIlIIIn River Count" PlDrIda.
To Have mcl to Hold the __ 10-: pIOftIecI that said property IhalI beulld solely mcl exclallftly for the Interment of the human dead mcllhall
be ulld. kept and -mtaInecI at aD timoa In aCllOl'llaace wltIa the ralea mcl oepIadoaa, ~ mcl_1Iodona of the at, of SebaIClall. FlorIda, hoIeto-
foro. now mcl "-"_ adopted or prot'idad for tile eo-mnent and oporatioII of said -terr. The-oIItiont, mtrIctIon. and oequke_nh contained
In tllll m.r-t ..... be co-u ,... with the 1IRd. I...... of the .... of. ownor of an, property lit_tad within .... -terr to oil-
..,. u4 eomply with ..ell ruIeI, replatt.s, ....tiona and ,ordinance. and tlte conolltlonl of tile cJllIlIl of _...,..ce thereof then the title of 1lIcII_
In ancI to said property IIoaII tormlllate and the __ ..... romt to the City of Sebastian. PIorIda.
IN WITNESS WllEltEOP, The .... party of the fir_part he. call1ld tlllt IIlItramont to be .xecuteclln Its na_ and on It. behalf by It. Mayor and
att.ated by Its CIty Clerk and It. corporat. _I to be hereto afftxecl. the day and year tint above written.
Att~d .h.1.o.d~...
~ CIty aerk
<=O~/~
B, ... ..............Ld'~
Mayor
"ifi~~' Sealed a:::, Dfl~lnn:d
.... ... . .................
. ' ....z!:..... .~:..~.~.~...~...........
(CfIV ~
STATE OF FI..oRIDA
COUNTY OF INDIAN RIVRR 26 h 1
t Ju y 94
I HEREBY CaRTIFT, TIlat _ tills ....................... .day of .................................................... I......
brfore me penonall, appean:d ...... ~~.~~~~.. :r:-.... .~.~~~~.<?~.... ... ................ and . ~~.~~~y.~.. ~.'. ..Q.'. ~~~.~~~~.~.
ftIlpt'rltnly Ma,... ond City Clm 01 the CIty 01 8eboatlon, 0 _nkl...1 eo"",..tlon undrr the Ian 01 the Stat. of.FIorIda to ... ~
to be lhe Indlrltlu.I. and offleen deae.Jbed In .nd who nenled the lort'pI", _nyonee to
......................................................... .O.$y.!d. ""(!.lc............................................................
. .. .. .. . .. . .. .. . .. . .. . .. .. .. .. .. .. .. .. .. .. . .. .. . .. .. . ... ond .enrally aeknowledrcJ the ell_I'" u.e-f to Ioe theW lree ad ond deed
II aueh offleers thereunto dul, .uthorlaed I and thot the Offldal _I 01 ..Id eerporatlon Ie dot., .lfIud thereto, and tIoe aid -.,..,-
I. the lIet ond o1eed .., ..Id -.....tIoa.
WITNB88 I1IJ' ......tore and oIfleIaI Mal .t 8ebaotlon, In tloe Coot
10" .fo.-ld. f
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__. CO II1II4
........... -
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Paid by CEMETERY Receipt No.. ~J.A......... . Dated ......7. /.~~l.Q~..............
list Price $ . . .~ ?q:. g~ . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . .... . .
z::ebdl..... -_.......................
V ~ (Data above this Une for atJ' Beeord ooly)
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Lot 23B
Block 43
Unit 4
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NO.
1459
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THE SEBASTIAN CIIrl'ERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
Dollars
(c2 /.,3, ~)
FROM:
~
for the purchase of the
terms and conditions as
Description of ProPerty:
UJUt--:L
62 ollars (Sc:?~ 1~
Terms and Clfndftion of ~e: M~' 1_" _ I 0 aPt ~JJ;6/3
~.~ I-D-I o?36;f/6. ~ /(}'teYrYlefN +ee.. e
This contractsball be binding upon both parties, the seller and the
purchaser, when approved by the owner of the proPerty above
described.
Cemetery Lot(s)
I, or we, agree to purchase the above described proPerty on the terms
alJd cond1.t1.ons stated :I.n t:lIe eorago~~t: .
/~~/
The City of Sebastian agrees to sell the above menti d property to
the above named purchaser(s) on the terms and condi noS stated in the
above instrument.
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City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
August 8, 1994
David Meek
592 Cross Creek Circle
Sebastian, Florida 32958
Dear Mr. Meek:
Enclosed is Cemetery Deed No. 1459 for Lot 23B, Block 43, Unit 4.
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 when
and if you have the deed recorded. 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.
Kathryn .
City Clerk
KMO: lmq
enclosures
:';'Ui!..~""~~' >-,~i:
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State of Florida, Department &Ith and Rehabilitative Services, VItal Staa
APPUCATION FOR BURIAL - TRANSIT PERMIT
'f 13 .. ;2.Jj
Name Of
Deceased
Middle
Jiyder
Last DATE Month Day Year
OF
MadiBa1 DEATH July 25, 1994
Name of (If neither, give street address)
.. Hosp. or
Inst. Sebastian River Medical Center
Address Phone Number
777 37th St.
Vera Beach, '1.32960 407567-2277
FIa. Lie. No.lRea. No. Phone Number (Area Code)
Place of Death
County
IDdian River
Name of MecIicat
Certifier
Muh....d Farooq,
Name of Funeral Home/
Direct Disposer
City, Town or location
I'DtIeland
Medical Examiner
M.D.
Physician
Address
20th St.
era Beach, Fl. 32966 KB8000166 4t11 234-5961
The medical certification has been completed and signed. A compIetecI certifICate of death accompenies
this application.
Check
Appr0-
priate
Box
aiJ
b 0
was contacted on within 72
hoots 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 comDlete
and sign the medical certification of cause of death.
cD
was contacted on . He/she verified that
. Medical Examiner. will complete and sign the
Place of
Final Disposition:
Funeral Director/
Direct Disposer
medical certification.
In state cemetery/ Gulf ere.ltions
cremat - narne/count)PeJa Beach Ooun't
F.E. No.lReg. No.
Removal
from state Donation
Date Signed
7-27-94
t
..... ..~
BURIAL - TRANSIT PERMIT . 19s:94-120
Permit No.
Permission is hereby granted to dispose of this body.
10 A five day extension of time for filing the death certificate (excIusNe c:I weekends) has been requested and granted as ul1liJe hardship
: would result from filing within the normal time limillf the certificate cannot be flied within this extended time limit, a UFunerat Director/Direct
I ~,. Acporr, will be filed w~ the Local Reylstrar or tne COUnty In WIllen deatn occurrea.
il No"-oI_tor~_~_ . .
RegIstrar or . .' Date ,., / -" Date CertifIcate .
I Subregistrar Signature . ~..d~.. ..~;;tR.~.+ Issued: ? ~ '7 ~ Due:
I
AUTHORr~110N tor CREMAnON, OISSEC1J~~,?!;: ~RIA.L-AT-~_ tian AutbDrlza~
. ". No. r ~. ~ /t'J?LJI!7--J 5 2.
Signature , Medical Examiner Date --
~1caI Examiner, Frederick Hobin, M.D. , gave authorization by telephone to Paul Goodridge
Funeral OlnlCtOr/Oifect Disposer. Date 7-29-94
The Medical Examiner's approval must be obtained before d'1SPOS8I by any Of the above melt ~ " waiting period of 48 tlOurs aner
death is required for all cremations.
FOR FUNERAL DIRECTOR/DIRECT DISPOSER USE ONLY
Date BuriaI-Traneit Permit (pink copy) wee flied with Local Registrar:
Date Temporary Certificate was filed with Local Regiettar:
Date complete Certificate was filed with Local Regisbar:
Follow-Up Efforts & Activities (Note parties ~ dates C):
Name and place of disposition: _~~-j-..-, ~ "J-
Funeral Din!lCtor/Direct Diaposer Report filed: ~8 _ No
+........ ~~t'.~.J
Date FIted:
FUNERAL DIRECTOR/DIRECT DISPOSER COpy
~
arm 326. Feb 89 (ReQIaces Oct 81 edition which may be 1.-1)
NunlD8r. 5740-000-0326-2)