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HomeMy WebLinkAbout4-43-39 '~':'f;'{.' ~. ,,~..\.". .' '1 attttl of l'fbusttun Utrmrtrry Ilrrb NO. (>1858 THIS INDENTURE MADE TIIlI . ~ ?~.~....... " ".., day 01 ....... AV.Gq~'t........................... A. D..JlJ. ~).) @ between the City 01 Sebutlan, a municipal corporation exlltln, undcr the lawI 01 the State 01 Florida, al Grantor and CLEO WOODWARD . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . p ~ '(J" ~ . . B()'X' . 9 z' 2' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............................................. SE.BASTI!N,.. .FL QRIDA. .3.2.9.5. 7... ."..............................;.......... 01 the County of ... ..INDIAN.. RIY.ER................... an'J State of .... .Fl ORI.DA.................... .................. u Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of S ...7. QQ .-. O.Q . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bugaiD, seD, release, convey and confirm unto the Grantee ... . . . . .. heirs. legal representatives and uslgns the following property situated in Sebastian,lndian River County, Florida, to-wit: All of Lot(s) . . ~ 9. .. ,Block,.. 4 ~ . .. ,UNIT .~........... ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 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 shall be used solely and exclusively for the interment of the human 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. 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 de'ed of conveyance 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 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 seal to be hereto affixed, the day and year fust above written. CITY OF SEBASTIAN, FLORIDA Attest: /7 f71 ' .U":.............................. City Clerk B, .\u.~.W..~..........~..... Mayor (CIlitv ~eal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEU.EBY CERTIFY, That on this ..... ..?.?.~h......... .day of .......... A~g\l.fiI.t;... .......................... .,x1t..2.Q02 " before me personally appeared.....;... W~J.~~~. Yr-.. .~.~.:r;n~~....................,. and .S.~lly.. A... ..M~iQ............... respectively Mayor and City Clerk of the City of Sebaltlln, a municipal corporation under the lawI of tbe State of Florida to me known to be the Indlviduall Ilnd ofllcers deserlbed In and who exeeutl-d the fOfegolng cORveyanee to Cleo Woodward ............................................... ...... ......................................... ......................................... . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . : . . .. .. . .. . .. .. . . . . . . . . .. and severally acknowledged the execution thereof to be their free aet and deed IS such officers thereunto duly authorized; and that the Official seal of '-said corporation Is duly affixed thereto, and the said conveyanee Is the aet and deed 01 said corporation. WITNESS my signature and offlelal ae.J at Sebastian, In the County of Indian River and State of Florida, the day and ,ear last aforesaid. / (I): ., MY~~~ flI.... ....8(~~.. ' . .................. . EXPIRES: April 30, 2006 No Public, State of Florida at LarF. II Ilcr1dIdlhruNalllyPldcIblBnwtln M mmlulon expires. \ - ---'-C-:""'::""21_'f__~.~;'~:'-.'...'" -'-~~~,""-."......._. ~.t~fl::r~;' .... '" -t."I-L / 7\ UODt..J t..tJ .4~i) lb_~ 3,{~. Name w ~ I iJ.. ~ AI'") BloCk 1 13 . C; J ... Unit Lot fj!'A"A .IO.'~ Date of Mark-out Date of Burial 6/:;''5'/0 ?/' Sr/JUd Ie. . Name of Funeral.Home - - :A~';;~' .iil~i1JihA~ I \ ,'. Time ;? / D D /0 . . __J.._ -- i";i';~\L~:________;...~.______.___~~~~_~~_,,_____._,_.~~___.':-~,-,-,-,--,____c.._~'_._;,-.,'___~ ~ --- .---- - ---- Ct CLEO WOODWARD Paid by CEMETERY Receipt No.... .Q9.9A...... Dated.......& /.~ 7.L ~9.Q7.......... List Price $...... .?~Q... 9.Q.. Maximum No. Burial Spaces................. Net Paid $ ...... .'ZQQ... 9.Q.. Monument permitted....................... NO. f!1858 LOT 39. BLOCK 41. TTNT1' b. HOME OF PELICAN ISlAND August 29, 2002 Cleo Woodward P.O. Box 922 Sebastian, Florida 32957 Dear Ms. Woodward: Enclosed is City of Sebastian Deed number 1858 for Cemetery lot 39, Block 43, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. .~.~- SAM:js enclosure E:j Goldman Sachs Funds (liE () j(J &;,oUfIf.(l /:J / ,-,:,10. J3tJ)( 9'cJ~ ~ ~/1 8cJ~7 rf' ~{r / \~\~\ U4 /343 L3c; 7 tv',1J6 1 (800) 292-4726 ~ ~ ' ,- ";I~,~lib~~A~i~{;~~.J~ ~..L: ~,. < tt:~{~j'jtt; !~.'t0t:: ::,,,, ::t "~~"'f~1r.f~'1!~'\?'j.>_; The Sebastian Cemetery City of Sebastian, Florida JV. ;f ~~ Receipt is acknowledged in th~ sum of: d4&A - r%A(~/~ (! Ace> lVt3o.D ttJ';J"e ~ /l1. J3tJ)( '7dd.. -5 ~J3 d-.5-71 A A,} I F;t. c ~ /XJ /l- 3r:;;21..6- 7 on this .!l zt;t day of ~.I;C ,20 tJ,J for the purchase of the following described Cemetery Lot(s)/Ni (s) upon the terms and conditions as stated herein: Dollars ($ 7 d-tJ ' tl'"tJ ) From: Description of Property: Cemetery Lot(s)/Niche(s) .31 Block '13 Unit /(. Purchase Price: cy:;, //.e" J Cl-'~!t.. ~j Dollars ($ 7 hf, t1 tJ Terms and Condition of Sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described: I, or we, agree to purchase the above described property on the terms. and conditions stated in the foregoing instrument: Purchaser signature Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. /)- L If r/~ /~AI..-A.1.. ,_....... {---City of Sebastian V' Witness "'''Y'~ .>;t.....,. c' ," 'r,:..~::,J.:i;"~":C. ","'f 't.-'" --~-- ,..... 8~ IJI ./ co 11 ..... 10 .... I It) ill ca C\I i 8i I fa en a: I r :5 I ..J ~ g ~ Q 0 0- .. - Z t'- ct U1 .i= -1 0 cten ~ n.I .ct fI\ ... .:Lm I -:r 0 -w t'- en en J.l w, j' - t.I] :IE I- f5 ct!. 0 .. o z gJU) ~1 -:I- - ::a::)t-=('I)C\j CI)..J~ ~:i ;1 ~ ..JO:I:U-N t'- ~ (')l:::i~ ... (,) ....0.... U1 W ct ~ili18 Z ....lXl. Ii n.I :) w 01011: 0 u. (,) ffi 0 ~z > ~ z~ f 3 :)0 a::ct -0 I- a en::a: en ct (,) a: 0 u. ll'" ~)(n130 l;t CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 0964 Name o Cash ~Checkt :.25/7 AmountPald Date ~/27/0J.. 001001 208001 Sales Tax 001501322900 Garage Sales 001501 341920 CopieslBid Specs. 001501 341910 LDClCode of Orcinances 001501362100 Community Center Rent 001501 362100 Yacht Club Rent 001501 362150 Non Taxable Rent 001501343800 Cemetery Lots 601010343800 Cemetery Lois 700, DO LolINiche .. ~9 . Block '13 Unit~ 001501369400 Interment Fee 001501369400 Weekend SeMce 680800 220681 Yacht Club Security Deposit 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposit ,go) T....... Initials Whitl- Dept. of Origin. YIII_ - Fl.... . Pink. Applicant '7 tJO. OD o DILUXI ... "II 0 ::D -c; 0 )> en : Xen )>-1 r, C::D <c: Ii )>z 0 ~; < Z":: gJ 0'" 0 3!o(Q m c: n.J .lJl.... Z U'1 I s;~~~m - ~~~O~ OJ f~ Ii 'lJ'"T1 Or- ~'-enc: - Ji \)lCl.);-IzX .. ,l ~ -10 0 .i: [J':J enm -.J I m.sn 0 IJI"O - )>" n.J en)> 0 -I" U'1 i> -.J Z - .. 0 o ~ m ';<,-";/~: <','", ,'~'":.,,,, '.'i~~==)!' ., " " '," ';'.' : RECEIPT', ,', .'~ 001501 322900 001501 341920 001501341910 001501 362100 001501 362100 001501 362150 001501 343800 601010 343800 001501369400 001501369400 680800 220681 680800 22lI682 68Olioo ~., t.~ Garage Sales c~Specs. LDClCode of Qrdnances Community Center Rent Yacht Cloo Rent Non Taxable Rent Cemetery Lots Cemetery Lots Lot/Niche . Block Unit_ Interment Fee - Weekend Service Yacht Cloo Security Deposit Community Center Security Deposit , ~iVeMeWM:~1y Deposit " ".;i?ti/U:;/Jl?'*(:l,-y"~I(:'" i,~::G~l"tr!1:+2{1~)/' ,', ; d)'lf, ,lA,43 t. .3q'" .,.... . . . <", . .~--,',..." .., .':,;.;.:.,',:,',:, .',:::.:..," ." ._-~..".<>:~'.' " ,'I' ;;:'L<>". ',~',_. " ",' ',.il 'Total'Plkf'75?~ . ',~ , . '-.. . . ...;' . ., ,..' -' .,. '. .... :-" .~ · ,Inltlalii ::,," , ,,' , " " '" '" ' ,,'" " ',,: ,,~,":i; ".~,~~~~~~:,:,.'.~~~~~~,:,P~.~~"~ll~' ,~h"Jl 0 ~ 0 ..1 r ... 5: .. ::D :fI\ en , , !' 8> 0 I\) or () ~ en III .... .... !!l i I C> CD , ",<::'},:1:,.t.;!;.Ji?.r;>~, ,~".-,;:,:".:!, CI DELuxe RIF CS :D c: 0 )> en r :r:en )>-1 r, C::D <c: .. )>Z 0 ~I < z" ~ 0 "TI 0 3!O{l) m c: nJ . aJ.... Z L11 r ~!:~~m ... ~~SO~ DJ ria I)) "TI :I: 0 r- .. ~"CJ)C: - [i I)lc.>~z:r: .. o l 4- ~ -10 0 i ' I 3: [)":I enm -,J I m,9) 0 tD"D ... )>. nJ en '1> 0 -I v L11 :; -,J Z - .. 0 o ,. -r m c ~ 0 ..l .. .. I )> il(\ :II fI) fl I Eb it) . I N ~ en iO en III ..... fool. I ~ CD I H c:> " Name Date 001001 208llO1 001501 322900 001501341920 001501 341910 001501 362100 001501 362100 001501362150 001501 343800 601010 343800 . 001501 369400 001501369400 680800 220681 680800 220682 680800 220683 / J crrv OF SEBASTIAN crrv CLERK'S OFFICE RECEIPT 0961 ~~ AmountPald Sales Tax Garage Sales CopieslBid Specs. LDClCode of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lots LotINiche , Block ,Unit_ Interment Fee _ Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit c;hfI!N($' ".CI~".:vc;,. ('(v/df1LJ{;~'" tl7S'~ Total Paid 25:n , Initials White - Dept. Df Origin. Y IIlew - Fi.._ . Pink. Applicant f_p_37 .. ...-i':7r:"';~~~~;i~~':;.?'~i;:;.. _,;~::/~:":",,,';_"C,< tAL{ B 43 L 3q FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. 1. Name of Deceased (TYPE) First Middle Last Month Day Year Melbourne Date of Woodward Death Name of (If neither, give street address) Hosp. or Inst. Aug. 21 2002 2. Place of Death County Brevard 3. Name of Medical Certifier Peter Marzano, M.D. Medical Examiner Physician 4. Name of Funeral Home/Oire81 Bial'aaal' Address Establishment 1623 N. Central Avenue Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5. Check a. D The medical certificatiQn has been comple~ed and signed. A completed certificate of death accompanies this Appropriate application. Box William Howard City, Town or Location 290 Michigan Avenue Melbourne, FL Holmes R ional Medical Center Phone Number Address 321-727-0911 Fla. Lic. No.lReg. No. Phone No. (Area Code) b. ~ Barbara was contacted on 8/21/02 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Marzano will complete and sign the medical certification of cause of death within 72 hours. c. D was contacted on He/she verified that , Medical Examiner, will complete and sign the DiNl;t Dilp~eer f death within 72 hours. F.E. No.lReg. No. 62 Date Signed 8/21/02 6. Funeral Director/ B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-02-0352 o A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. ONO extension of time for filing the death certificate has been requested. ~l1illtllllr QL.." Subregistrar Signature Date 8/21/02 Date Certificate Due: 8/26/02 Issued: C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA Approval Number: Date 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. D. tethod of Disposition: I!lBURIAL DSTORAGE CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition s; /.?t ::s/O~ . DCREMATION Signature of Sexton or Person-in-Charge DOTHER (Specify) } /yj 9'f'~')1' 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. DH 326, 8/97 (Obsolete. en previous edftions) (Stock Number: 5740-000-0326-2) DisIrlbution: IMlfte: Cemetely or Crematory Yellow: FU'18l'III Director or Direct DilpDHr Pink: Local Regi8lm