HomeMy WebLinkAbout4-42-13
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Pu' by Ci..mTERYR...... No. .:.1J:::: ;.::- : : o,i..( :;:. ..g {~~ lM",.: ::.:. .
List Price $ . . 2,(;)0 ,. .Q 0 . . . . .. ' Maximum No. Burial Spaces. . . . . . . . . . . . . . . . .
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Lot13
Blk.42,Un.4
NO.
Net Paid $ .. 200..00......
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
Shaun Eckert
P. O. Box 657
Roseland, Fl.
125.7
Kevin M. Eckert interred 1~/29/89
(Data above this line lor City Reeord ooly)
32957
(!tity of &fhastian
C!!rmrtrry
IIrrb
NO.
1251
28th
THIS INDENTURE MADE T1lII 000..........."".""... day of
December
89
A. D.. 19.. 0" of
...... .... '" ............. ...................
between the City 01 Sebllltlan, a municipal corporation exlstln, under the laws 01 the State 01 Florida, as Grantor and
. , , , , , , , . . . . . . . 0" .. . 0 . ....... 0.... '" . .. .. 0" . . . . . . .Shaun . Ecker.t 0... . ..... . . . . . . ' , . . . , , . . . . . . . . . . . . .. ....... 0" .........
0" ..
P.O.Box 657, Roseland, Fl. 32957
..... .... ..... ............................... ...... ........ .............................. ......... ...................................
01 the County 01 ........ J.lJ.4;i,~:t:l..~;i, Y.~.J;...... 0.... 0" 0 an-] State of '" EJ..O.J;'.:tA~....................................... 0
II Grantee, WITNESSETH I
That the Grantor for and in consideratio~Q.e ~Q of $ .......................... to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargaiit, sen, release, convey and conrum unto the Grantee. . h~.~ .. heirs, legal representatives and assigns
the fonowing property situated in Sebastian, Indian River County, Florida, to-wit:
An of Lot(s) . . ~. ~.. ,Block,.. ~.? . .. ,UNIT ...i........ ,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 shan be used solely and exclusively for the interment of the human dead and shall
be used, kept and maintained at an 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 shan 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 shan terminate and the same shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the rust 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 rust above written.
CITY OF SEBASTIAN, FLORIDA
Attest:
.k~J~~..JI{:..t?:J/:~
! /' l '.~. .~ '(' CI~' Clerk ~)
B, .~~jl.~..........
MaJor
Slgnt-d, Sealed and Delivered
In~re&ence of: ,
<4"1-Y'U:C..e, .;;f...ft
STA':::~~tf.q)j .l~.:..q.....
COUNTY OF INDIAN RIVER
I HEUEBY CERTIFY, That on thla 0.... 28 t.n........... .day 01
(QIitv "tal)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'J
December
89
19.....
before me personally appeared .~.~~hCjl.J;4..a. t.. V. P. t.GlPka. .. .. - .. .. .. .. .. . .. .. .. . '" and Ka t.bry.n . Mo....O' ~ Hall.or an..
reSIll'etively Mayor and City Clerk of the City of Sebastian, a municll)al corporation under the laws 01 the State of Florida to me known
to be the Indh'iduals und officers described fn and who executed the for<>golng cORveyanee to
Shaun Eckert
..................................................... ...................................... ........ ..... ...............................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . . 0 . . . 0 . . . 0 . . . . .. and severally acknowledgrd the execution thereof to be their free act and
deed
as snch oflleers 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 Jea:-
last aforesaid.
/f?/:. ~ ..~. ~~ ~~.... ~ ~.........
Notary ~~~t Larre.
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. . 603 12/28/89
Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Lot13
B1k.42,Un.4
NO.
list Price $.. 2,00 ~.QO......
Maxim.um No. Burial Spaces............ .'... .
12,5:1;
Net Paid $ ..200..00...... Monument pel11littelt:'":';'... . . . . . . . . . . . . . . . .. Shaun Ecker t
P.O. Box 657
'Kevin M. Eckert interred 1~/29/89 Roseland, Fl.
(Data above iii... Uoe tor City Record oDly)
32957
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. .
POST OFFICE BOX 780127 0 SEBASTIAN. FLORIDA 32978
TELEPHONE (407) 589-5330
FAX 407-589-5570
January 8, 1990
Mr. Shaun Eckert
P. O. Box 657
Roseland, Florida 32957
Dear Mr. Eckert:
Enclosed is Cemetery Deed No. 1257 for Cemetery Lot No. 1257,
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. 602 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.
Very truly yours,
--t~WL 7\4
Elizabeth Reid
Administrative Secretary
LR
Ene.
.
...
.
.
603
'r1lB SBBASTIAN CEMETBRY
CIty of Sebastian
Sebastian, FlorIda
RECEIPT IS HBREBY ACKNOfILBDGBD OF 'l'HB SUN OF:
~HI L~Ad ()~ Oo)v.J
FROM: 'SUA-VA! 'BG,<~1tr.
f. 0 . ~o ~ . t,S- '7
~~ 71-..., '.>"l-7>7
I
~llars (I ].---vO. 00
~
)
on thJe' ~& It cla9 of ~ G:<!f'.}f ~j5' J~ . for the purehae. of the foll""Jng
descrIbed Cemetery Lot(s) upon t terms and condItIons as stated hereIn:
DescrIptIon of PropertYt
.f Cemetery Lot(s)' .. /3 Block' If v UnIt' {-
--- ~ .f / 00/
Purchase prIcet./w-v ~~ ~ /lov ~llars($ -,...oO.OD )
Terms and' condI tIons of salet
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 Instrumentt
The CI ty 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.
4~~k{
CIty' of ebastIan
{t~~~1iU'~
rWltness
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MEAL H. ECKERT 120588
BETTY A. ECKERT
589-7735
1590 S.W. QUIESCENT LANE
SEBASTIAN. FL 32958
.zo.
380
41883-121
67il
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; Pay to the Order of (~~ cl;/"d1/~3z~'~ J
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L""ttt.. SunBank/Tre.Bure Co.st, N.A.
nIIJ =.~32958 018 /'
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For~) /Jf<'.A,-U'J I~. ~.L '_~- '-:- (J./ (LA~/---
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Ilt"--P^RTMENT OF .tF-"I.TH ^NO
RUi.o\mUTATlvt: SF.RVICF_'i
. STATE OF FLORIDA .
PARTMENT OF HEALTH & REHABllIT E SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL-TRANSIT PERMIT
A.
1. Name of
Deceased
(Type or Print)
First
Middle
Last
DATE
OF
DEATH
Month Day
12/27/89
Year
KEVIN
MICHAEL
ECKERT
2. Place of Death
County
City, Town or Location
INDIAN RIVER
ROSELAND
Name of
Hosp. or
Inst.
(If neither, give street address)
3. Name of Medical
Certifier FREDERICK HOBIN. MD.. M.E.
4. Funeral Home/ Name
~r STRUNK FUNERAL HOME
o Physician
Xi Medical Examiner 2500
Address
1623 N. CENTRAL AVENUE
HUMANA HOSPITAL-SEBASTIAN
Address 464-7378 Phone Number
S. 35TH. ST. FT. PIERCE, FL 34981
Phone Number (Area Code)
SEBASTIAN, FL 32958 407-589-1000
5. Check
Appro-
priate
Box
a 0
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
b 0
was contacted on 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 will complete
and sign the medical certification of cause of death.
HELEN
DR. HOBIN
medical certification.
was contacted onI2/27/89 . He/she verified that
, Medical Examiner, will complete and sign the
cg
6. Funeral Director/
-nirA~t nicpnc~r
Fla. lie. No.lReg. No.
11672
Date Signed
12/27/89
B.
BURIAL-TRANSIT PERMIT
Permit No.1228-89-571
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 extension of time for fil' the d th certificate quested.
Registrar or ~
Subregistrar Signature
Date 12/27/89
Issued:
Data 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 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.
CEMETERY OR CREMATORY
Method of Disposition:
go BURIAL 0 STORAGE
o CREMATION 0 OTHER (Specify)
Place of Disposition SEBASTIAN CEMETERY
Date of Disposition
Signature of Sexton )
or Person-in-Charge )
~ fj' ;:L$' 7' .
This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton)
arid returned within 10 days to the local County Health Department In the County where disposition occurred.
HRS Form 326, Oct 87 (Replaces May 86 edition which may be used)
(Stock Number: 574o-~0326-2)
J.