HomeMy WebLinkAbout4-43-31
i""--:-::T':-~-~'~~>_;,::, -,~,~~,,!,c-:~F:'i-,:._:,~
/.'I':i
7;';!/;<' ,. i "~'-~-'tj,J'~~_'i~:l'
:'i;:;"%J~'-" :'?,
Wt''''l
,
,. ;}
". .
Paid brCEMETERY R~ No... ..L.... Dated....n t.~~) 9.~.............. Lots .32
1 800 00 Bloek
LIlt Pdee S.. ..I.............. Maximum No. Burial S.._................ Un! t
1.800.00
Net hJct S .................. Monument permittecl.. . . .. .. .. . .. . .. .. ." .. . .
NO.
~ .
14'79
(D.ta ....... .... Ilne f. at, a-nI ooIF)
caUl It! .,hasthltt
(ltftttftttg
IItfb
"1479
NO.
28th November 94
THIS INDENTURE IIADB '11111 ...................... '" of ............................................. A. 0.. ........,
hel..-un Ihe Clt, of ~baatJa... . _1dpa1 corporation esI.ttn. ......, the faWl of the 8t.te of Florld.. II GI'lIIItor ....
Clarence F. Duval
. ." . ....................................... '8600"U; S'; "1';' 'I;O't. .143'............"............................................
...................:... ....... ............. .~~.~~C?,.. r.~C?~.~~~.. .~~~?~........... ................................. ...........
.f the c....., of .. ..lmU,(l.I)..RJ..v.~~.................... ...J St.te of ..... ..F.l.oride.......................... ..........
II Grantee, WI'I'NB8IBTH.
'tIat the Orllltor ror and. ClOUlIentlon of the 181ft of S ..\ ,.~RQ... 9.Q............ to It In hantI paid, the -'!It whereoflllttmrtth ao-
knowlllcJaecl, .... by tItII ..u-.. ptIIIt, ....... .u. reIeit.. co""' and conftnn unto the trantee .. h:J..!! .. ................~..........
the ro..... propert, lituateclln Sebaltlu, I.... lUftr Count" FIorilfa, t~
""1.32 43 4
AD of Lot(.) ..f~.. . BIo., ... .. . .. ,UNIT ............. . 0' SebattIu tlI1UIldpal-terr .. per Plat NIl'" I the_f NconIecl .. Plat
Book 2, at ... 65 of the paltlIc __In the ofllce of the Clerk of the Clradt Ccnat of It. La_ Couty of FlorIda: ........ __ .,...-lIeJna
III IntIItn Rn Conaty, PIodtIL
To tIml and to Hold the .... ro_: pro..... tItat ... property.... lie .....1Dle1y.... ex""'" for the --. ofttae ~.IIII.... tfIIIl
lie ...... kept ... maIntalnecl .t .. ... fD -...- with till....... ........... ~... ____ of the Otpo,.........1'IorIIIt, hInto-
fore. ... .... .....ftor ..... or proftIt4 for the ......... ... opantIan of... _...,. The ---.. mIrlcCIoM... ............._tUIed
fD thlt ~ "'D lie COWMIIt'11IIIIIinI with the..... I. the __ of the .... of the _ 0' _ preparty ...... wItIIln ... -IWY to oil-
- IIICI comply wttII _ III'" ........ ftlIOluttolll....cmllntncea IIICI the ClOIIlIItIoM of the ... of ....,..ce theNol.... the title of lIICII_r
In'" to IIId preparty................ the _ tfIIIl..... to the CIt, 0'........,......
IN WITNESS WHEREOF, The ..... paty 0' till ftrIt part ... ca'" tide .......-. to be exoc.tellln It. _ ... 011 It. heW br ltI Mayor IIICI
attetted br ltI CIty CIeIt IIICIlta CDqIOfIlt. ... to lie ..... 1fIbIecl, the tlay .... ,., tint .,,. writ....
AU ~.{~-... m....{)tI~..
~ CItr am
rt: "
II....... /. Iecl .ntI ~~7' ..-J
:' ~ p .... .O~'. /(!.. !;.'~.....
l:::::~:~..."""....
COUNTY OF INDIAN RIVER 26t November 94
I HEREBY CERTI", .....t ... thII .......................~, of ............. ........... ..........................., It....,
,
""fore _ penonall, .ppe.retI .~~.~~~~. J..... .n~H.(m............................ ... . ~~~.1,1~~ .~.....9.~n~n.<?~~':l.
reIplrll.ely ".,..r .nd (''It, om. of tile CIty of~"... a _1r....1 eor.....tlon IIndtr the ...,. of tile State of Jt10rfcla Ie me ~
10 he the Indf,.idll.l. .ntI oflleen tIeterIttetI In anti who nUllt... the r........... _.'7'_ Ie
Clarence F. Duval
=Y";};1)~
8, . . . . . .. . . . . . . .. .. .. .. .. ..f... . .. .. .. .. .. .. .. .. .. ..
II.,.
(Gltfv .hi)
..............................................................................................................-..........................
.. . .. . .. .. .. . . .. .. .. . .. .. .. .. .. .. . .. .. .. .. .. .. .. .. . .. . .. .ntI _erall,... Iecl..... the ...-lIon tIleneI to lie their f_ ad anti deed
II .ueh oflken themllto 'u1y ...thorlled I anti thet the orflc:leI _I of eorpontlon II ...., .rn... ......... anti _hi eotIftJ.nce
I. the ad .ntI cIeetI of ..Id eorperatJon.
WITNUlI "'F .......re ... offletal -' at ~"n, fa the
",at .fo........
..... tIIm'
._'fIll....
..........
.........,..........
, ':.<.d'
1',..,
f~;"M\'~iJ-l
.
\'"1
Q)
e
- i=
d
J
~ Jl
..
fJ .~
\--=.
\f)
\~'" ~
v'l ~.\.~
-'."" Q)
- ""'''''~
"-
-- ()<. ,
"v :r.
6 - iG
::I
0 ....
<.!l ('/) .:l.e iG Q) :B
c:
":r .... -c: ::I
l'') CIl ::I u.. '0
~ ~ m Q)
- '0 ~ ...
0 -c:
Q) ~ Q) 0
i - u ~ Q) e .s;;
c 0 :3 "tii -
in CIl -::I
Z .:;) 0 0 Z c(
00
?:: ...;t
0'\
. N
~ ~ . C"'l
E-l .
.......... tf.l ....... r-I
"' ~ Hr::lOO~
ZZr-I
ZH ...
~ r::lU><OJ
QP:::O$.l
~ I k ;j j:Q OJ
... e
\;) Cf.l .tf.l
l.-- ...-ie:t::Or-l
>0 r-I
~ ~ <- . OJ
Q~P-l~ 0'\
00
-
K)' LI"I
~ -
i 0
r-I r-I
~ ...;t
N
~ r-I
~ r-I
~ ~ C"'l
~ Q
~ ~
~' ~ ~ 0
Q ...:l
't.l ~
~~~ .......... "t:l
I'\) ,~ OJ
$.l
.... $.l
'{? I N OJ
f~~ -...... ,
~ ~ .L./\ C"'l ~
.~~ s:: '-
I ~ '.-1
C"'l
~~~ A I ...;t r-I\ OJ
I ...;t C"'l s::
A' ~ '.-1
I E-! U tf.l ()
t I HOE-! $.l
18.~ , Z...:IO <<l
! ::J j:Q ...:l ::E:
'~
. ~~
Paid by CEMETERY Receipt No. ..... .~.:n..... . Dated. .. .t~!.~~.(~~.............. Lots 31 &32
1 800 00 Block 43
List Price $... .1.............. MaxiJnum No. BurialSpaces........... ...... Uni t 4
Net Paid $ ...~! .~~?:. ?~... Monument permitted.......................
NO.
14tii9
(Data above thll Hne lor City Record oulf)
"';;I~{f'1" DENNIS F. &/OR MARCINE T.
P. O. Box 187
Fe11smere, Fl. 32948
J
".
DEED /11241
Lots 31 & 32
Block ~3
Unit 4
Marcine interred - Lot 31 - 10/5/89
~ 16a4~ 4
/~/J77'7 - c.,J.1 #(P/f'.I9Y
_'i.",,;,,:,,,;.
A.
1. Name of
Deceased
(Type or Print)
First
Gladys
Middle
Dale
Last
Duval
DATE
OF
DEATH
I """"-'~-'7/!:!!Ii"'''';:'''!J<''
A 3/1....
;3 /j3
!/1
Month Day Year
11/11/94
[1P~
State of Florida, Department of Health and Rehabilitative Services, Vital Statistics
APPLIC. FOR BURIAL - TRANSIT PERMIT .
Medical Examiner
Name of (If neither, give street address)
Hosp. or
I~t. W. Melbourne Heath Care Center
Address Phone Number
2. Place of Death
County
Brevard
3. Name of Medical
Certifier
John H. potomski
4. Name of Funeral Home/
Direct Disposer
City, Town or Location
w. Melbourne
D. .
X Physician
Address
1623 North Central Avenue
P A. Sebastian F 9 8 2 4 7
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
St k Funeral
5. Check
Appro-
priate
Box
s
a 0
b iii
was contacted on 11/lJ/g<1 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 John R. Potomlllki T n 0 will complete
and sign the medical certification of cause of death.
c 0
was contacted on . He/she verified that
, Medical Examiner, will complete and sign the
medical certification.
6. Place of Sebast ian Cemetery
Final Disposition:
7. Funeral Director /
.J;)ir:em ei~~r
Indian River
F.E. No.lEiei. ~19.
Removal
from state Donation
Date Signed
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body.
o A five clay 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 extension of time for filing the death certificate requested.
Registrar or
Subregistrar Signature
Permit No. 1228-94-0525
Date
Issued:
Date Certificate
Due:
C.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA
Signature . Medical Examiner Date
or
Medical Examiner, ' 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.
Methods of Disposition:
. BURIAL
o CREMATION
Signature of Sexton )
or Person-in-Charge )
o STORAGE
o OTHER (Specify)
~~rr' ,r'~7~
CEMETERY OR CREMATORY
Place of Disposition s.i!JE A ~ r; ~~ ~,p. -.1 1i.L!'.\
Date of Disposition /1/' 'S"'" ,J 9 ~ . . /
D.
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 HRS County Public Health Unit in the County where disposition occurred.
HRS Form 326. Feb 89 (Replaces Oct 87 edition which may be used)
(Stock Number: 5740-000-0326-2)
:L
~
'-'~'-':;:m<~~il'<ff;'r-"""'7:'"-"'!,,;':~~ ~'v"-'.-~;~T'
~'-'J!. . <.'/"~\<,,,,~..'.**,9.!i'ill~i1:!,',>-_-;F,~,,,~_~':,,~. -,~~
'~l t
.
.
~I
4
THE SEBASTIAR (;Kr1!!Y
em OF SEBASTIAR
SEBASTIAR, FLORIDA
(s/1tJj, .~
FROM:
on thi.%'1s.-- day f
fo~~owing described C e
stated herein:
Descri.ption or Property: . _ I.
. C....t:ery Lot:(S~ Bl<J7k.~ 4<3 unit: ~ .
Purc1Jase Pr:L~ . '8fJ ~~llars ($/'&'I1.~
Xerms and Cond:Ltion or sal.e:
ror the purchase or the
terms and conditions as
Xb.:Ls contract sb.al.~ be biJttfof "g upon bo1:b parties, the se~~er and the
purchaser, when approved by the owner or t:he property above
described .
I, or we, agree to purcb.&se tl1a above described property on the terms
and conditions stated in 1:be ~oregoing ins~t:
x, ~p IJ~
, ".1." ~ _''', ..
Xb.e City or Sebastian agrees to e~~ the above mentioned property to
the above named purchaser(s) 0 t:he terms and conditt. stated in t:he
above inst:rumenr.
?/
~
"'.t'i~f;~'r'.n'"
;~"-':'~~"f';;;:'~:r;'i::,;"
-c-:-::-_--"~~
.
, "( YO,.,
"" ~
\
'" j i!:
~ ,-:r
"ro~fl<,~...:!'..Q
f1(: OF PEUCto.t4 \S
.
City of Sebastian
1225 MAIN STREET C SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 C FAX (407) 589-5570
December 2, 1994
Mr. Clarence F. Duval
8600 U.S. 1, Lot 43
Micco, Florida 32976
Dear Mr. Duval:
Enclosed is Cemetery Deed No. 1479 for Cemetery Lots 31, & 32,
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.
We are enclosing two copies of Receipt No. 831 and ask that you
sign and return to us the copy marked with an "X" and retain
the other copy for your records. A stamped, self-addressed
envelope is provided for your convenience.
V~U~lY yours,
~m. O'l/tiDuA..
Kathryn M. O'Halloran
City Clerk
KMO:lmg
enclosure
(\ws-form-cem.rec)
r
I
"j' "\fY~J:fi':,I':f1:,;j_~"
"';;;'~"iii;t~?:"l~T'
.
.
.
Z3/
~ ,
. .
.
TIlE SEBASmR CI1ETERY
em OF SEBASTIAR
SEBAmAR, FLORIDA
(s/r(1J. .~
FROM:
for tb.e purchase o~ the
terms and conditions as
Description o~ Property: I .
C_tery XDtIS~~, B~ ~ unit -SL .
. Purc:I14se T!r~78.f.J.~~llars IS/'{/(J.!fl--;
Xerms and Condition of sal.e:
Xl2.:i.s con'trace shal.I be bintf-l ng upon bot:l1 part:ies, the se.I.Ier and the
purchaser, when approved by the owner of tb.e property above
described.
I, or we, agree to purchase the above described property on the terms
and cond:Ltions seated :1n the forego:1ng ins~t:
rb.e City o~ Sebastian agrees to ell the above mentioned property to
tl1e above named purcbaser( s) 0 the terms and co.ndi.t:i stated in the
above ins'trtzzDel1e.
~
......
;,..,~. ~-'
c.", -I:~';,';:,
-,:-::-:'.--=---,-o"-~:7-'r;%:~A~~,--=~~:~'~~~<<~ ~
J
> ..... .,CEMETERY R.- No.. ...s.t....... Do......? !.?? I.~~.... ...........
Ust Price S . . . . . ~ ~ ?.. ~.~ . . . . Maximum No. Burial Spaces. . .~ . . . . . . . . . . . . .
NetPaidS .....650..0.0.... Monumentpermitted....................... Dennis & Marcine !~~
P. O. Box 187
Fe11smere, Fl.
(Data abon thy line lor C1t7 Reeord ollly)
Lots 31 & 32
B1k.43,Un.4
NO.
32948
Qtitv of &rhastiatt
Cttrmrtrry
irrb
1241
NO.
THIS INDENTURE MADE 'I1aII
27th
day of ......... ~~~.~.~~~f!!.~.................... A. D.. II.. ~.?.
betwern the City 01 ~butlan, a municipal corporation exlatln. undcr the laws of the State of Florida, aa Grantor and
...,............... .J;>.~nn1-.I1I..;Ii: .... .~mU.9.:r.. ~~+.c;Jn~.. .l... .P.~~;i;~.........................................................
P. O. Box 187, Fe11smere, Florida 32948
.............................................. ............................................ ... .........................................
of the County 01 ........ .~~~J.~~..~.;~~~................ an') State 01 ...... !'~~.~.~~~....................................
u Grantee, WITNESSETH I .
That the Grantor for and in consideration of the sum of $ .;.~ ?~:. ~.~ . . . . . . . . . . . . . . to it In hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, ballaID, seD, release, convey and confirm unto the Grantee . t h~.; ~ heirs, legal repre8elltatlve& and assigns
the foDowing property situated In Sebastian, Indian River County, Florida, to-wit:
AD of Lot(s) 3.1.. .~: ~Bloclc, . .43. . .. , UNIT ..!t......... , of Sebastian municipal cemetery as per Plat Number 1 theieof recorded In Plat
Book 2, at page 65 of the pubUc records In the ,office of the Clerk of the Circuit Court of St. Lucie County of ~said land now lying and being
In Indian River County, Florida. / 0
C;t, I/)
To Have and to Hold the same forever; provided that said property shaD beuseclsolely and exclusively for the Interment of the human dead and shall
be used, kept lIJ1d maintained at aD times in acc:ordllJ1ce with the rulesllJ1d 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 shaD be coveDllJ1ts running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob-
serve lIJ1d comply with Such rules, regulations, resolutions and ,ordinancesllJ1d the conditions of the deled of conveyance thereof then the title of such owner
in and to said property shall terminate lIJ1d the same shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the first pUt has caused this instrument to be executed in its name and on its behaif by its Mayor lIJ1d
attested by its City Cierk and its corporate seai to be hereto affixed, the day and year first above written.
Attestlc;;(~I.n.-:. .t:JtI.~........
..... r'~' City aerk
CITY OF SEBASTIAN, FLORIDA
B1~.~.;...;.....
Ma10r
RI8nl'd, Sealed and Delivered
1.t:1t!..7J!~...................
, . . . , . . . . . . . .. . . . . .~....................
(QIq JjeaJ)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY. That on tbll ..??~h.............. ,day of ..... .~~p.~.~~~~.~.... ...... ..................... I'~?.
Richard B. Votapka Kathryn M. O'Ha11oran
before me personally appeared .........................................................,. lIJ1d .......................................
respl'ctlvely Mayor and City Clerk of the City 01 Sebastian, 8 munlcllNlI corporation under the lawl of thc State of Florida to me known
to be the Individuals and offleers described in and who executed the lorl"80ln. COIIveyanee to
Dennis F.and/or Marcine T. Davis
.............. .........................................................................................................................
.. ......................;,.............................. and leverally acknowled.ed the execution thereof to be their IreI' act and deed
as such officers therrunto dul)'luthorlaed. and that the Official leal of aald corpontlon la duly affixed thereto, and the aald conveyance
Is the ad and deed 01 aald c:oiporaUon.
WtTNESS my algnature and offlclal leal at Sebaatlan, In the County of Indian River and State 01 Florida, the day and 1ear
last alorelald.
A//;- ~ I..~ ....~...........
Notary P~~~at ~ge.
My COIIIIIlII.1on expires I . Rotary hblif. State of Florid,
My Commiuion Expires Dee. 10, 1992
~ed TIuv Troy fain . Insurance I....
<...~~"":";~:":
":'f'Wm:~J_'~~,~~'"
"--'~,:,,'T:t:1'Z?<::!:'f~~:',~~_.t.ft7~
,
. -'~i
.,
1
.~~
S\OCk . . .lIS
:'t
~';
1:
'," Fi
.', .', 'j.:.'
1i"
~', rf.~~~ .
:...-.t
.~
. "...0<
, . , . ~)-"
.. ........:..'.:..'..
, ,,-H
. . "'. ~\:
Ltt ' :3./.
.-"
,
. '1'
, ", '-' ,'.. .",
. Time'
>
. ;~,.
f.
> ."" '" -":ij..::;':.;"--:',::"
. N:- Yo 1J Jl V tJt n~~ J~!SI IH )). /.. ",' ~ r It}\~ ~ BIY~1
Ct; /'t'l/}ei J;-p frt/ A 1?"VI ^f\y C. p:. jl/l!:>'TAPj" I
J-. FS. .5 f)tC ~ t H l>[) My Wi PI;:: J r:> / }) J' I
~
/\\.-W [W) 1(/ N? I If l>r;;;: lvo N bB 1) 0 PtHi'r
). (/ T~ )} .- I' )1" ~..... ~ _
--. I- }?-/LI:; :l > T 17 ~ fJ b-f>:.D tI-)~&tl,5Y(
. F'; 'TH-/?!S :d'7's,. J'1/-}J;-7lvj/c;/ PC/f)
T & 0P A. '1J ~ -1(; 'Tl-(! > /I '" r,.'7f? f)- cf P
fh ffr//'p, ""tW' A,,/. )\,\ 17 icy .-r p j\1t~
Q'F.1>bnS LQ.7,Q .
?d ~()+ lfS-2. . v~
[ft.!) /7'J.l Nr-v...::l.?)W
/J.fti1'll; 11t'... 1J27,. \.f~.b3
, ,
om
llI!rARTNENT OF HEAl.1M NCJ
"EHABlUTATIVE SERvICES
A.
1. Name of
Deceased
(Type or Print)
First
, . 1 .
.. i STATE OF FLORIDA .
PARTMENTOF HEALTH & REHABIllT . SERVICES
VirAL STATISTICS
APPLICATION FOR BURIAL-TRANSIT PERMIT
1::..3/
1613
tl1
Middle
last
DATE Month Day Year
OF
DEATH OCTOBER 2, 1989
MARCINE
TOLLEY
DAVIS
2. Place of Death City, Town or location Name of (If neither, give street address)
County Hosp. or
INDIAN RIVER FELLSMERE Inst. 129 S. CYPRESS STREET
3. Name of Medical ~ Physician Address Phone Number
Certifier NOOR MERCHANT, M.D. 0 Medical Examiner 13875 US., 1 SEBASTIAN, FLA 589-0879
4. Funeral Home/ Name Address Phone Number (Area Code)
XDUJD]IJIDr STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 407-589-1000
5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box
6. Funeral Director/
r>;,..ct QioJj&ser
B.
bJtXl
LIZ · was contacted on 10/2189 within 72
hours after death. He/she verified that this death was from natural causes, that there was no accident nor
other external cause bf de.th, and that' . nR t MRRCHAH'r will c()mplete
and sign the medical certification of cause of death.
c 0
was contacted on . He/she verified that
, Medical Examiner, will complete and sign the
medical certification.
Fla. lie. No./Ret. Nfl.
11672
Date Signed
10/2/89
~
BURIAL-TRANSIT PERMIT
Permit No. 1228-89-459
Permission is hereby granted to dispose of thIS body. .
o A five day extension of time for fHing the death certificate (exclusive of weekends) has been requested and granted as undue hardship
would result from tning within the normal time limit. " the certificate cannot be tned within this extencWd time limit, a "Funeral Director/Direct
Disposer Report" will be filed with the local Registrar of the County In which death occurred.
o No extension of time for fir the death certificate requested.
Registrar or ~- Date Data Certificate
Subregistrar Signature Issued: 10/2/89 Due:
c.
Signature
or
Medical Examiner,
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT -SEA
, 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:
rn BURIAL 0 STORAGE
o CREMATION 0 OTHER (Specify)
Place of Disposition SEBASTIAN CEMETERY
Date of Disposition OCTOBER 5 t 1 QRQ
Signature of Sexton )
or Person-in-Charge )
/-0'1/h7"
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 Ma~~ edition which may be used)
(Stock Number: 5740-000-0326-2)" ..
,r;,,~;-'-'''''''~,~;7;'t-''~'~'--.- -"'-:'~7'~'~;~~ ~__-n:."fJl..-'~'f.\If~,,__~_.~~_~ _,,~,,~4~~~~C---.-~
. .
City of Sebastian
POST OFFICE BOX 780127 a SEBASTIAN. FLORIDA 32878
TELEPHONE (407) 588-5330
October 6, 1989
Mr. Dennis Davis
P. O. Box 187
Fe1lsmere, Fl. 32948
Dear Mr. Davis:
Enclosed is Cemetery Deed No. 1241 for Lot(s) No. 31 & 32,
Block 43 . , 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 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~ 7\d
El~za{et~ Reid
Administrative Secretary
LR
Enc.
'~/f~n;~l~r'~_:)f'f6:}"Bf';'~~~':;,jf?::~~,_~:;:;,~;-i----,
.'j.
: ):~~~r::~" . ,
:eJ'r
~
~:
6"g~
"'liB SBlJASrlAJ1 CBlIBrul'
C1f:U o~ Ssba.f:lan
Saba.t1an,.rlor1da
'.
RBCBIP'J.' IS HBRBBl' AClCNCMLBDGBD or rSB SUII OF:
A.~< ~ ~ "'l,D Jbjlara
FRON: 1) e AI HIS F. J) 4 v i J ~ .v J//of<. ~A i C-I A/ e.
f. o. ~oX I '6 1
rr:; '-I.-.! n~'f e., PL-. ~ 1--7 'l-a
on th1.s ').. 7 t/. day o~.ft;;(re!tt(t!!, J:9'81 ~or the purchase o~ the ~ollowing
descr:tbed CsmeterSl Lot(s) u,pon the te~ and c:ondiUons as st4ted herein:
($ "5"0. 00 )
T. :J>AvJ.5
"
Descript10n o~ PzopertSll
.' CsmeterSl Lot(s)' ~ J ~ J'V Block' 1f.3 Unit' z+
. J.J. I ~ .~_~ ~I +..+-4L
Purchase Pr1ce: 1/tAu,~ ~ ~rv Dollars($ 6~(.)o)
rera and' condit1ons o~ sale:
rh1.s contract shall be binding upon both parties, the seller and the purchaser, when.
approved bSl the owner o~ the pzopertSl abOve described.
I, or we, agree to purchase the above descrlbed propertll on the terms and c:ondltlons
stated ln the foregolng lnstrument:
L lL ~---:.. ql (t A ~..~ '
,
rhe City o~ Sebastian agrees to sell the above mentioned property to the above named'
purchaser(s) on the teru and conditions stated in the above instrument.
-
#;<~~j
e!ty 0 s~st1an
,~t1 ~~
rt1tneaa -
""'.......;
..-...~--_P.~:'-~...
,!'--~
J!lY~~I!I!:I"'-,",':-!-'1";):;'\': "
~."__._,,IJ'1'.'f'~l"-"!'~.=-__~ ..,f7f-"';:.:":'--.,"
- "'--:-'7T:::"~'?;-;:-,~;-< ...~?,7T'_,::n
i
1
~
'j
t-~
1~
~
.
i
. , ,
· -;1 illl\'iili ;;; \:-.-
... .. "'.
.. - ~ .' . . .. <
'.
,'t~
-::;:,://
. '.
t-)'1/ In: 2108
W
$'Ll-~.I "J
I ~. __....
2~oa
.. ~ ..'
- ,g"tiIE:--:
':~;~ijii~f:-;":... ):
....... ". "~".....
, ~:~::~::~:::,~::I'
~.::~:;:::::::::: .
<}{}~:':'
..Hi~~~j~1ijf .
. " ~ ~,. . . .. .."II'" . ~ .' .
,'. .. ,....
'.
. ,
~~, '.~
. .;
., i'
.. , ~ ." "..., .
::'~~~:.::~~>~
'~:()~';JT
... - ~ ... ~
~ "'" . . .. ," .....
:~:~:::::~:::.:
:~~;~~:::\
:rf/~:"
~ A .., .. .. "II .-
, :-..::.....-:.:.
- . ~ ~ ... ....... ~. '....
-"'. - ....
, .. ........ -~,. ..
..~~::::~~:>.
. '. . ~ ",
,.
/
~ , .. "
. '- .,.........
..... ".<.':,'
, . . .,'
~:': oj >:':-~--:.
_::~[[~;;IV -
, , . - . . J'. ,
:<.-:.:<..:"':,:
'f
.1
~
.
o
,
.
,1Y
'""~
,
\I' ';
~.
0'
t/"
-
"
1 ~ \ ~,~)
Ih Pf:L,('\~ ,,"--'1..
City of Sebastian
1225 MAIN STREET C SEBASTIAN. FLORIDA 32958
TELEPHONE (407) 589-5330 C FAX (407) 589-5570
October 31, 1994
Mr. Dennis F. Davis
P.O. Box 452
Eden, North Carolina 27288
Dear Mr. Davis:
Enclosed you will find Check No. 014393 for the repurchase of
Cemetery Lots 31 & 32, Block 43, Unit 4.
If you have any questions, please give us .a call at (407)589-5330.
'"..... '
Sincerely,
Kathry M. o 'Halloran, CMC/AAE
City Clerk
KMO:lmg
enclosure
(ws-form/cem-let)
4- (f)
0" 0 0 0 ('I) 0 ...
" 0 0 c. 0 z
m . . . 0) . I.LI
ru tnlt) 0 0 u
" ruN 111 (Y') 111 f/)
J: 0 (I) (I) ..0 ~ ..0 > C.
.... ..,. ..,. ~ 0
....-f
0 i 0
z Z
w Z <I
~ Ii ~ ~ (f)
Q ~ 0::
-I i Q <I
(f) je < ...I
.... <I( 0. ...I
:> "",-',.:> i 0 .....; .:.
<I ~! ..:t Q .... .."
{:.~ :':>;;j~:'{'. '.
Q ", 0- ~
(I) " Q >
0" m ... - -. .
. g - ,~ ,or.
(l)lJ.. tu lJ.. ".;,.' , . < . .' ~ .: . .'
. .:'~-
..:t ".~ " ....
.... (f) 0 lJ..
0 .... ~ .~ ....
Z Q
Z ~ I.LI
I.LI ~ .....~ 0::
a: Q Q
w Z
m ~ ~
:t 0" 0" \~III J:
::> 0" 0"
z a:
llC 8 0" 0" X
(,) I I ....
w z 0- 0" IIi) tn
:I: W ('I) (I) *
(,) > 111 111 *
I I * ..
E"- E"- * -
ru ru * [\0-
I I .rllJl * U'1
.... .... * Cl
0 0 * 1'\.1
..0 0 * ...
*
~ * Cl
* [\0-
01 * c.D
g I.LI *
0:: J * Cl
w *- ..
~ -
~ ::x:: Z ~ *
U * tn m 'L
<( I.LI ~ c<::::> * .... m ""
0 J: -co * ::> OJ
a: u ~ ""-0 * <I E"- IT
9 i (l)a:o * 0 ru ""
u. <(9< * ru .:r
Z ~ ..:t mu.c * . 10 ...
~ 0" ! w .W * LL ..:t U
'- (I)~'" * Z Cl
~ ct ..0 -" * tn X .
f/) W .l!! u..i=~ =
<( ~ ru '" * .... 0 eo.
a:
m " 1! OCl)- * Z III Z
w 0 <..J * Z W
f/) .. ~mO
. .... I wCl) * I.LI 0 Q
z _CI)Z * 0 Il. I.LI
<( ~ *
i= ('I) () 0 *
en '" 0
<( g E"- O *
m .... I *
w a:: 0 *
en w .:> *
u. J:
0 U 0 * wa:
;:) 0 * ~iEl!J~
~ ~ .::. * ~!:?~
G ~ *
;"r~~if'-f;f~~_,,:~;,::":~/~:,';" '.",'_,e"~:~:"""
.. -. . 'T"""'''''''' "",,"
.
.
..
.