HomeMy WebLinkAbout4-43-24
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PaidbYCEMETERYRCQlliPtNo.~.?~9......Da~......8,/.~~(.~?......... Lots 24, 25, 26. NO.
" 200.00. . . ...' Blk. 43, Un. 4
ListPric:c$................... MaxiJD~NO.BurialSpa~.................Ch 1 tt G S 11
' '.') . . ... . ar 0 e · ewe 12 3 ~
NetPaid$ ...6O'O...OD...... NoDumontpo.rmittocl.......................& Lois Payne . U
. , 13690 Old Dixie Hwy.
Sebastian, Fl. 32958
(Data abo.e tbJIliIIe lOf City Beeord OAIy)
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atrmrtrry
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NO.
1235
THIS INDENTURE MADB TItJa
18th
day of ............ A~~.l;1.~ ~...................... A. D.. 19"~~'f
between the City of SebutJan, a Dumlclpal eorporaUoD ezlatlDg under the laws of the State of Florida, 8' Grantor and
Charlotte G. Sewell and/or Lois G. Payne
. . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . '. . . .. . . . . . . . . ... . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . .
13690 Old Dixie Hwy., Sebastian, Fl. 32958
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. ..................... -'. . . . . . . . . . . . . . . . . . . . . .. .......~................................
......
Indian River Florida
of the County 0' ............................................. an1 State 0' .......................................................
u Granlee. WITNESSETH I
That the Grantor for and in consideration of the sum of $ .. QQ O. , Q O. . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargam, sell,' release, convey and conium unto the Grantee . J:.Q~ ix heirs,legal representatives and assigns
the following property situated in Sebastian,lndian River County, Florida, to-wit:
All of Lot<a..,) AS , i~dc, .~.3.... ,UNIT'. .~.......... ,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 shaIlbe.used solely and excIusively for the interment of the human dead and shaII
be used, kept and malDtained at all times in accordanc:c with the rules and regulations, ordinanc:cs and resolutions of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for the government and operation of said c:cmetery. 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 .or~ces and the conditions of the deed of conveyance thereof then the title of such owner
in and to said property shaII 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 corporate sealto be hereto affIXed, the day and yearfust above written.
At..... n4-r!~'L..'. ' )?Jj.J ....lI aM:i~
y. '~r~. CltyClerk
CITY OF SEBASTIAN, FLORIDA
B7 .ff~.~:.V~.......:.....
Mqor
(GrUll ~ea1)
STA'fE OF FLORIDA
COUN'fY OF INDIAN RIVER
18th August 89
I HEUEBY CERTIFY, That on tbla ..,................. ....day of ................................................. H' 18....,
before me personally appeared . .R~.~h~+.4..~,. .YR!:.~.P~~........ ...;.............. andK.~.t:h~.YR-..~~.. R".~~.~~~~.~~...
respectively Mayor and City Clerk of the City of ~bastl8n, . municipal eorporation under the l.ws of the State of Florida to me known
to be the Individuuls Ilnd officers described in and who executed the :forc'gulng cORveyance to
Charlotte G. Sewell and/or Lois G.payne
.. ....................................................-.............................,."'...........................................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and several,!y acknowledged the execuUon thereof to be theIr free act and
deed
as such officers thereunto duly lluthorl&ed; and that the OfticiMJ sell I 'of s.I~-c:orpol'ation Is duly affixed thereto, and the said conveyance
is the act and deed of saId corporation. . , _-
WITNESS my signature and offlclal seal at Sebastian, In the Coli.,nty of Indian River and State of Florida, the day and Jea:-
last aforcsaid.- .:.-
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.... Pd<o s. }~.q:.q~. ..... -.... -_....... ...... "'Charlot te G. sewe1l1235
& Lois Payne .
Net Paid $ .. .60.0...00...... Monument permitted........"....".... "13690 Old Dixie Hwy.
Sebastian, Fl. 32958
(Data aboYe tbll One for Clt, Record ooly)
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City of Sebastian
POST OFFICE BOX 780127 a SEBASTIAN, FLORIDA 32878
TELEPHONE (407) 588-5330
September 1, 1989
Mrs. Charlotte G. Sewell
13690 Old Dixie Highway
Sebastian, Florida 32958
Dear.Mrs. Sewell:
Enclosed is Cemetery Deed No. 1235 for Lot(s) No. 24, 25, 26,
Block 43 . , Unit 4 . If you wish to have this deed
recorded, you may d.o so at the office of the Clerk of
the Circuit Court, 2145 l4thAve'nue, Vero Beach, Florida.
Also enclosed i8 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,
t~ 'I\d
El~za6et~ Reid
. Administrative Secretary
LR
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'l'HB SBBAS'l'IAN CBJIB'J.'BRr
Ci. t!l of. SebastJ.an
Sebasdan, FJ.ori.da
RBCBIP'l' IS HBREBr ACKNOfiLBDGBD OF 'l'HB SUN OF:
J' ('/... !+vAl'') 1le l> A-;r,/l.> t>'too ~ Do1.J.ars ($ bOO. d () )
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FRON: CHAf{~~ rre 6-. fe.weL..l- A-A/!J/of{
'/-01'5 fll'1I/t:.- r3690 01,.]:> :;I>/x../G:. Hwy,
.s ~Btt-.ITIA/I 'F J-. 3 ;:l.1S-S
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on th.is I ff/a.. day of 11-1/&-(I rr , 19 8.7 rfJr the purchase of the foJ.J.owi.ng
descri.bed Cemeter!l Lot (II) upon the tenu find c:ondi ti.Onll all IIta ted herei.n:
Dellcri.pti.on of Propert!ll
Cemetery Lot(II)' '-~; J. s-, J-' BlOCk',! 3 UnJ.t' if.
Purchalle prJ..ce~ !/vp),f,eJJ tf/J) t>'iQo c.~# DoJ.larll($ 6~':>. ..>0)
'l'erlU and' condi.tJ.onll of lIale:
'l'hJ.s contract shall be bi.ntUng upon both parti.es, the seJ.J.er find the purchaser, when
approved by the owner ,of the property above descri.bed.
I, or we, agree to purchase the above descrJbed property on the terlU and condi. tJ.onll
IItated J.n the foregoi.ng i.lUrtrument:
t!}t.,/ot7Z, l ;S~vd-&
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2'he Ci.t!l of Sebasti.an agrees to sell the above mentioned pr;pert!l to t e above named
purchaser(s) on the tenu find c:ondidons stated in the above i.nstrument.
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C1t!l ~ S~stian
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Witness /
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, ~;~~;:~f;i~:EX:';...~m',!j:, '"
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lOIS G. PAYNE OR
MRS. W. U. PAYNE
13880 OLD P'XlI HWY. ....
seBASTIAN. FL S2II8
FOR
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OEP"RTMEN I Of' ttE"'.TH "Nfl
REII"HIIH"lIV', SI',RVK:ES
STATE OF FLORIDA
.PARTMENT OF HEALTH & REHABILITeE SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL-TRANSIT PERMIT
A.
1. Name of
Deceased
(Type or Print)
First
Middle
Last
DATE Month Day Year
OF
DEATH NOVEMBER 27, 1989
JOHN
H.
SEWELL
2. Place of Death
County
City, Town or Location
BREVARD
Name of (If neither, give street address)
Hasp. or
Inst. HOLMES REGIONAL MEDICAL CENTER
(J Physician Address 984-1981 Phone Number
KARTSONIS, M.D 0 Medical Examiner 1355 S. HICKORY ST. MELBOURNE, FLA
Name Address Phone Number (Area Code)
STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 32958 407-589-1000
a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
MELBOURNE
3. Name of Medical
Certifier ATHAN P.
4. Funeral Home/
~
5. Check
Appro-
priate
Box
b m
DR. KARTSONIS was contacted on 11/27/89 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 HF. will complete
and sign the medical certification of cause of death.
c 0
6. Funeral Director/
DlI e...t E)b...u~t:1
medical certification.
/7 ,.f /
/ :"Signature~'/ '
t:>, /'c -- -c..---, '.-
''-"'C' C:.~'-r~
was contacted on . He/she verified that
, Medical Examiner, will complete and sign the
Fla. Lie. No./Reg:-Htr.
e"~7..L
Date Signed
11/27/89
B.
BURIAL-TRANSIT PERMIT
Permit No. 1228-89-525
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 ~xtension of time for filin he death ce!tificate requ~st .
Registrar or Date
Subregistrar Signature . 4.. Issued: 11/27/89
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 DisDoser. 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
Method of Disposition:
~ BURIAL 0 STORAGE
o CREMATION 0 OTHER (Specify)
Signature of Sexton ) ,/ ~ ca.. _ 1/ ~" CIl-
or Person-in-Charge) ~...,. ~lI.:.M /
Place of Disposition
Date of Disposition
SEBASTIAN CEMETERY
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 He.lth Department In the County where disposition occurred.
HRS Form 326, Oct 87 (Replaces May 86 edition which may be used)
(Stock Number: 5740-000-0326-2)
:).