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Home My WebLink About4-43-36 /, I Paid by CEMETERY Receipt No. . . . .-. . . . . . List Price $... ~.~.~ ?~ ~Q.... Net Paid $ ... $~.50-. OQ.... Julius Walter interred 11/9/89 r s 35 & 36 ....Dated............................ - Bi.1<:.43,Un.4 NO. Maximum No. Burial Spaces. . J. . . . . . . .. . . .. 1 7...5 Q Monument permitted...................... ~rs. Auguste Wal ter " P.O.Box 2167 Lot 36 11/9/89 Vero Beach, Fl. 32960 (Data above this line for City Record only) mitv af &rbustiau (!trmr'trry II r rb 1250 NO. THIS INDENTURE MADE 11aIa 9th day of November 89 A. D.. 19....... between the City of Sebastian, a municipal corporation existing undcr the laws of the State of Florida, as Grantor and Mrs. Auguste Walter (Residing at: 2450 53rd Ave. . . . , . . . . . . . . . . . .. 'p'.' O~.. ]OX' .2107..... . . . . . . .. . ..... . .... . . . . ... .......... "Vera' 'B'eacn;' . Fl: ~. . .. 3 2~'60""" ...... Vero Beach Fl. 32960 . . .., .,..............................2........ ...,........................................ ....."..................................... Indian River Florida of the County of .,........................................... an'l State of ....................................................... u Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ .. P. 5 Q , .QO. . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, sell, release, convey and connrm unto the Grantee . h~.:r;. .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) 35. . .&~~Iock, .. .~..3 .. ,UNIT .... ~. . . . . . .. ,of Sebastian municipal cemetery as .per Plat Number 1 thereof recorded in Plat Book 2, at page 6S of the publlc 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 shall be used solely and exclusively for the interment of the hUndn dead and shall be used, kept and maintained at all times in accordance with the rules and 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. ~e 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 tbe condItions of the deed of conveyance thereof then the title of such owner in and to said property shan terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused tbls Instrmnent 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 tirst above written. CITY OF SEBASTIAN, FLORIDA Attestl(~f-.t~~.m:.c.I.d~~~............ . () City Clerk BJ &J!!:..~.......~..... MaJor Signed, Sealed and Delivered I.~,pm .. .r,..~ ~~.......... ~.. ,(" ~ . ..-,. .~~:;I.( J:U tt .f1:{... ... . ~z.({CJ..C1- (GIitu eSeal) STATE OF FJ..ORIDA ~\ ~ -t 3' CD 1 J, __I .;,~~k!:~~~i';~~~~:;;:::'E;o".'.4/,,-::'- '-"?{.~~~~mr~~_".,.,,"It~. ".&1 ".:~.-'\': ,; .~ "", "~"~'7;31'!t~." , 10 13 /)1 .~ 1.:~':_; 1m DEPARTMENT OF' HEALTH AND IltEHA8tUTATIVE SF.RVKF.5 a \ STAn OF FLORIDA . ~PARTMENT OF,tiEAl TH & REHABIUT E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSit PERMIT A. 1. Name of Deceased (Type or Print) First Middle l~St WALTER DATE' 01= DEAtH M()nth Day Year NOVEMBER 6. 1989 JULIUS 2. Place of Death City, Town or location Name of (If neitherl give street address) County Hosp. or INDIAN RIVER ROSELAND Inst. HUMANA HOSPITAL-SEBASTIAN 3. Name of Medical IJ[Physiclin AddreU Phone Number cBUH MU1IAMMAD FAROOQ. H.D. o Medical Examiner 777-37TB. ST. VERO BEACH. FL 567-2277 4. Funeral Home/ . Name Address Phone Number (Area Code) DilLJR~JIf STRUNK FUNERAL. HOME 1623N. CENTRAL AVE. SEBASTIAN, FLA.. 32958 407-589-1000 5. Check a 0 The medical certification has been completed and signed. A completed certifi~te of death accompanies Appro. this t1pplicitlon: ~~:te b 10 DEBBtE was contacted on i 1/MR9 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor ()ther external clUse Of death, and that ""D;lh . FAROOQ .."",.. .;.. .,,_...... ."'....:"" \. will complete and Aign tAl ffli(flcal ceftiticatibri bf cluli 6f death. ; l. ' was contacted on . He/she verified that , Medical Examiner, will complete and sign the c 0 6. Funeral Director/ 9i. ~l 15;~...."".tfM Fla. Lie. No./RcfI. tJu. ~?L Date Signed il/6/89 medical certification. B. BURIAL-TRANsit ~ERMIT Permit No. 1228-89...493 Permission is hereby granted to dispose of this body. o A five day extension of time for filing the death certificate (exclusIVe ot Weekends) has ~en reqUested. and granted as und1Je hardship would result from filing WIthin the normal time limit. If the certificate cannot be filed within this extended time llnilt, a "Funeral Director/Direct DIsposer Report" will be filed WIth the Locial Registrar of the County In which death bccurred. o No extension of time for fll' g the death certificate requested. Registrar or Subreglstrar Signature Date Issued: 11/6/89 bate Certificate Due: C. AUTHORIZATION for CREMATION, DISSEctioN or BURiAL-AT-SEA Signature or Medica' Examiner, , Medical Examiner bate '. , givtlil1thoi'lzation by lel~pli6lie 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. CEMETERV OR tRENlA ToRY Method of Disposition: JCXI BURIAL 0 STORAGE o CREMATION 0 OTHER (Specify) Signature of Sexton) V' 1/ ~_ or Person-in-Charge ) .{ vir" ';,( .c,J1iJ.A7 . This permit must be endorsed by the Sexton or person-in.charge (or by the Funeral Director/Direct Oisposer when there is no Sexton) and returned within 10 days to the local County Health Department in the County where disposition occurred. Place of Disposition SEBASTIAN CEMETERY Date of Disposition NOVEMBER 9. 1989 HRS Form 326, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740-000-0326-2) J.