HomeMy WebLinkAbout4-42-28AName n -a Ccs b. Nol�9rUn (P�.� SSI
Unit 4 -
Date of Mark�out —
Date of Burins 3/aI/aotcle -Time 9'•ao
Name of Funeral a 5- r—AK ( t ner-I 140m-
Authorized by�14,4(�4� —
Name —70Pf\ ' `GrQGrc-r 0i 0l o. Hoiagrur%
Unit LA
BloN a
Date of Mark -Out
Date of Burial 3 9'1! a01 l T,_ _✓:06
Name of Funere�Tf Uh 1z v�cro-1 Nan'L
Authorized by
(('I4NW+MS)
Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Beach, Florida 32960
We hereby certify that these are the cremated human remains of.-
Joan
f:Joan Margaret Diana Holdgrun
November 8, 2018 November, 212018
(Date of Death) (Date of cremation)
Strunk Funeral Home and Crematory
(Funeral Home in Charge)
5849
(Cremation ID Number)
Vero Beach, Florida
(City and State)
B
K �(Cr,�,gntujrO-
7725620983 P.2
Feb 201901:39P Cox Gi9Crd Seswinds F.H.
A�
—^C L i/ C6 1 -Q yolWwe��M eloa
8002 '9 H380ZD0 WCaGloaloc
•AIRI1UJ dILALil N9=top°� Ub L -C :YL-H(YNlNweu°neumi_
nri3S9R3H'S9-3[rOA�'1tl11y N111 swimve5; 4
Petiaoaaem svcwa eyL' LE£E$
N089010H "8 S3WVI`'OSHoua•ayl e•o eray11Cy1.yymo Agamy eM,
££61-695 (ZLD
wery�rymrnvw.n
S"zi P.+otd vn,•agas.aa•54vn'9i SfL
iPl+°id •uens°gag
X6,01VII9Ruol SfINFmvas
s CH lojounj spluMesg d9q.Zt'6L OZ ysd
1.d 666L -699 -UL .-
MOF
5Ej4=-"AJN
HOME OF PELICAN ISLAND
Certificate No. 2621
CITY OF SEBASTIAN
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
James & Joan Holdgrun
637 Collins Street
Sebastian, FL 32958
In and for consideration of the sum of $500.00 is entitled to full interment
rights in the Sebastian Municipal Cemetery for the following lot:
Unit 4, Block 42, Lot 28A
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 15th day of March, 2019.
CITY OF SEBASTIAN, FLORIDA ATTEST:
Paul E. Carlisle
City Manager
�¢anette Williams, MMC
City Clerk
(WOf
HOME OF PWC1N HAND
City of Sebastian Municipal Cemetery Purchase Receipt
To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate
regulations, proof of City residency of purchaser or person for whom lot is intended for interment must
be provided at time of purchase..
JOAN MA-g6F4kO7 &O-r—rV—Ff J- 7-L)6,� rj / n l
Name(s) CIO . f. �5 00vt; ( 15-9S' JNi1Rt1 Kt✓c� &1 Vt..Vt� o
w�nv
Address Vtwo oyeq-ctf, FL 3a9LKs
Area Code & Phone Number /� /
.i �,4mcS {+CLo-6QcLJ 637 OoLLwS 3-
Name & Residence Address of Intended Occupant if Other Than Purchaser
OFFICE USE ONLY
Receipt is acknowledged in the sum of:
i`lJ6 "g-"— Dollars ($ �a • °p 1
on this /Z`� day of I q&(Z- A 201q for the purchase of the following described
Cemetery Lot(s) and/or Niche(s).
Unit E , Block `Q , Lot(s) oRPA Niche(s)
for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed
therefore by the City of Sebastian.
Additional Fees paid at time of purchase:
Corner Markers (set of 4 - $20) Opening & Closinc So'co /W O H
Circle One
Vase and Ring for Niches (cost) Interment Disinterment
Temporary Marker Preparation & Installation
C�nL
Signature of Purchaser
I:\WW-DATAXMs-Cemetery,RECEIPT.doe
�( TO�TA J$ ISS -11, OG
C-l`I'l� l/ U .
City oUSeba�tfal
,
The following documents were provided as Proof of
Residency:
and
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
For information contact:
Kip Kelso,. Cemetery Sexton
Sebastian Municipal Cemetery
Phone: (772) 589.2545
Fax: (772) 228-9927
City Clerk's Office – Cathy Testa
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388-8215 or 388-8214 ctesta0citvofsebastian.ora
FUNERAL HOME: Strunk Funeral Home and Crematory
ADDRESS: 916 17th Street. Vero Beach, Florida. 32960
PHONE#: 772-562-2325
(Check One)
XXXX OPEN BURIAL LOT
_OPEN CREMAINS LOT
_OPEN COLUMBARIUM NICHE
Lot-28A—Block-42—Unit 4
Lot—Block—Unit
Niche Block Unit
N S E W
BURIAL DATE AND SERVICE TIME TBA
FOR DECEASED: Joan Margaret Diana Holdgrun 4
Name Q
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
James P. Covev
)CIA"%P. C-Dve;, 3/15/2019
Name Signature Date
1575 Indian River Boulevard, Vero Beach, Florida, 32960
1 certify that I have determined the ownership of the above described site that all site fees and administrative
fees have been paid and authorize opening of same.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
William B. Whittaker, Jr. ckJifl axR `1VAittawl, Jt. 3/15/2019
Name Signature Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's
office and that all fees have been paid:
Cemetery Sexton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
CITY OF SEBASTIAN 11670
ADMINISTRATIVE SERVICES RECEIPT
Name \7MRLLOY,I4CLJ) 6RUIN ❑Cash
Date .3n1'1�a I I )Check# `v-'16
WILES �VL�/ AR7�R�
15?S IR 91V Cl2e ❑Credit
V A. P— 32,9&u? Amount Paid
001001208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010369900 Airport Badge
001001 218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
(001010 -S4-,v9cc
G 157DI; -' 015 cls ,bo
lsrr AWA
°55e."r
-- Total Pat
Initials
White - Dept. of Origin - Yellow - Admin. Svcs. • Pink -Applicant
CITY OF SEBASTIAN
CHECK REQUEST
Accounting Use Only
Input Date Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
To Be Completed By Department
Due Date 12/14/2007 Single Check Y / N Y Vendor Number
Document
Organization
Object
Project
LN
TC
Reference
Code
Code
Code
Amount
5
$800.00
Amount $800.00
Description Hannah Pastor is selling back cemetery lots 28 & 29, Unit 4, Block 42
to the City. Proof she is related to the deceased deed owner is on
file in the clerk's
ISSUE CHECK TO
NAME Hannah Pastor
ADDRESS 1670 SW 44th Terrace
Ft. Lauderdale, FL 33317
Check Drawn By
APPROVED BY
DATE
BUDGET APPROVAL (534000 A 35450 ONLY)
CERTIFICATE # _1269_
Lots 28 & 29, Block 42, Unit 4
Original Purchaser: _Mrs. Madlynne Pastor
Court Ordered Personal Representative:
- - -- ti ----------------------------------
Date conveyed: _April 5th 1990_
Refund amount: $800.00
Address: 7545 Agawam Road
Micco, FL 32976
IT O7S"aE,u TI�
Surrender of Burial Rights
THE UNDERSIGNED holder of burial rights in the City Cemetery for the following
plot:
Lots 28 & 29, Block 42, Unit 4 of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
having misplaced the original certificate granting said rights but desiring to sell back to the City
all of the burial rights in exchange for a refund of the original payment amount of $800.00 do
hereby surrender all such burial rights with full acknowledgement of the cancellation of the
original certificate /deed to said lots.
IN WITNESS WHEREOF, the said first party has signed and sealed these presents
the day and year set forth above.
Hannah Pastor — Daughter of Madlynne Pastor
Proof Attached
STATE OF FLORIDA
COUNTY OF
The foregoing instrument was acknowledged before me this / ay of A 6 l� , 2007 by
Hannah Pastor, daughter of Madlynne Pastor who has produced a r r as
identification.
Signature of Notary Public
State of Florida
Ms- Cemetery\Surrender of burial rights.doe
of
7.
4 Co MAI*n EXPWU OBa 7, 200
C4MffdWm I W 497591.
BW49d By NBWW N01M Man.
gi
IV m
,Ilk
rr)
cq
m
�j
V)
I
NIS
mqq
C '
4t
Paid by CEMETERY Receipt No... a... , , , ,
.Dated.... .................
� List Price $ .... $ 0 �; 00
Maximum No. Burial Spaces .................
Net Paid $ .... $ Q Q ; 00 . • , , , Monument Permitted r .......................
(Data above this line for City Record only)
Ti #g of 61phicattatt
01emetrry herd
Lots 28 & 29
Block 42 NO.
Unit 4 1269
Mrs. Madlynne Pastor
7545 Agawam Road
Micco, F1. 32976
NO. 1269
THIS INDENTURE MADE Tris .....5th.. . day of ...April
............................. A. D., 19.90-1
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
........ ............................... Mrs, . Madlynne Pastor
7545 Agawam .........................................................
......................................... .Micco, Floridda 2976..........
of the County of Bregard ...................... and State of. Florida
as Grantee, WITNESSETHi ..... ...... ...............................
That the Grantor for and in consideration of the sum of $ 800.9
.. to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , , h e r
the following property situated in Sebastian, Indian River County, Florida, to -wit: ' • • • heirs, legal representatives and assigns
All of Lot(s)' .:W2 9, Block, .. !t,%, , , , UNIT ... 4, ........ , of Sebastian municipal cemetery as
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 an in Pint
in Indian River County, Florida. ym8 and being
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 deed 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 first above written.
Attest
City Clerk
Signed, Sealed and Delivered
I of:
.............
Y-4146
. .....................
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By ... ..
Mayor .........
............
(19itp viral)
I HEREBY CERTIFY, That on this ......5.th .............day of ......April ..................................... 19.9:0,
before me personally appeared W �L t . , C my.e u F .......... . ... and Ka t h yn.. Q 1 jja j j Q r aR .......
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known
to be the individuals and officers described in and who executed the foregoing cowveyance to
...... ...........................Mrs. Madlynne Pastor................... .............. ...............................
and severally acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the act and deed of said corporation.
WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year
last aforesaid.
C_
Notary Public, State of Florida at
gee
My commission expires
Notary Pubic. State of florid:!
My Commission Expires AMrch 26, 1"3
loaded Thew troy fain - bourne be.
rn
N
A
W
W
A
d\
N
^N
N
x
U] U +-J
+•) O •ri
o r--1 0
1.4 Pq , D
n
z c M
Z o ro
a x b
cc o
H row
CLO
O O
H cn U
ul -' U
Q Ln 'ri
PL4 I— H
CO .°
W
(d b %.0
7-4a CO r-
d
z
O rn
O AY N
i." M
N
>� ca
C-6
H 'r 1.4
N
rd ca f=a
00
.7
ca w
x
o
Cl)
U +)
tI1 U
+W
O •ri
cn U
O r-I
$4 t!1 •rl
14
PA
n
•
z
� v
'
q
M
A
�O
r-4:
o
z
O:
O:
$
O.
O.
a
C;
o:
a
o:
o:
w
00:
ao•
w
w
�O
w
a
b
a
z
April 6, 1990
`tZ Y U
City of Sebastian
POST OFFICE BOX 780127 o SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589 -5330
FAX 407- 589 -5570
Mrs. Madlynne Pastor
7545 Agawam Road
Micco, Florida 32976
Dear Mrs. Pastor:
Enclosed is Cemetery Deed No. 1269 for Cemetery Lots No. 28
and 29, Block 42, 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.
We are enclosing two copies of Receipt No. 616 and isk 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.
Very tr ly yours,
Kathryn M. O'Halloran
City Clerk
KMO :js
enclosure
i
•
r"I
Oil
UI �
4-
L w
Ln
M rm
.a
OFF .a
� c
ru
Pn
3 La
O
Ln
Ad cc]
O
� h
boo
.4 o po to rm
Wed t � cc
�_ LL�
deCO LD
ru
tM JYN
C
THE SEBASTIAM CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACRMOwLEDGED OF THE SUM OF:
Dollars ($ �D O • dYJ )
FROM:
O
on this day of ,:1'9 9D for the purchase of the following
described Cemetery Lots) pon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)N ,9� e ^ a 9 Block #_ Unit# "7/
Purchase Price:: Dollars($
Terms and'conditions 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:
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.
1tLyo Sebastian
witness