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HomeMy WebLinkAbout4-42-13 .. ....;,/f9'!'),~'J~,;;' .~>-,,,,;, ;,~~N"~;'~"" _ ~'.' ,.""~!>\~","'",,_,-',~"'1!l:;".:-:"""'-"'!_'i;.i}~.:.:<,.,,,,:::,.,.~:"rJ,,~'~_:.::'::"_,;,,;.'If{)'\h: "'_ Pu' by Ci..mTERYR...... No. .:.1J:::: ;.::- : : o,i..( :;:. ..g {~~ lM",.: ::.:. . List Price $ . . 2,(;)0 ,. .Q 0 . . . . .. ' Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . "." ->>'<~:-";"';;'~t"J_t,r~",~:,t:::::~~~,.--,,_:;.~:--r.';::::;gi~::;/> ""'."'~,~ 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. My eOlDlDllllon expire.. 'NIt ~m --. __ _ ~ -""'or7l., IOnd~~,!~,Sq:1J\tt19~ nSf/ranee 'nc. .----- >~~" \~ .' I'- 1.1"\ 0'1 C"I ('t1 0'1 co - ,j".) ...-l 0'1 \..II'- ~ C"I OJ 1.1"\ - ~\O .. C"I () "d ...-l I'- r::I><S:: "d 1.1"\ o as C"I S::~...-l OJ ...-l ~ . OJ \..I asoO) \..I .s:: . 0 OJ 0 UJP-t~ ,j".) Z s:: 'M "d ,j".) OJ OJ \..I A OJ ~ () r::I . .~ s:: 'M s:: > OJ >=:: '- C"I 4' 4' ('t1 ...-l, ,j".) . 'M~ ,j".) S::...-l 0 :::> ~ ~ ,Q) E j:: ~ ',- - ~. '--". ::I ! .~ 0 iii CD ~ " .k c ... ';: ::s "D CIS ::I LL. Q) ~ co .... N '0 '0 0 ;: CD 0 Q) ~ CD ~ E s::. - E ... ~ '0 .. CIS ::I' Ilt 'c Q Q Z c( Z :3 m ..J . . 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 ",~,. ''''-:,~:;7:,"_~_d._IWI'iii~~-.:~,:',~:T'(~A'$':~'fi,:~~:':::~ _7'_. . . POST OFFICE BOX 780127 0 SEBASTIAN. FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 January 8, 1990 Mr. Shaun Eckert P. O. Box 657 Roseland, Florida 32957 Dear Mr. Eckert: Enclosed is Cemetery Deed No. 1257 for Cemetery Lot No. 1257, Block 42, Unit 4. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. We are enclosing two copies of Receipt No. 602 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Very truly yours, --t~WL 7\4 Elizabeth Reid Administrative Secretary LR Ene. . ... . . 603 'r1lB SBBASTIAN CEMETBRY CIty of Sebastian Sebastian, FlorIda RECEIPT IS HBREBY ACKNOfILBDGBD OF 'l'HB SUN OF: ~HI L~Ad ()~ Oo)v.J FROM: 'SUA-VA! 'BG,<~1tr. f. 0 . ~o ~ . t,S- '7 ~~ 71-..., '.>"l-7>7 I ~llars (I ].---vO. 00 ~ ) on thJe' ~& It cla9 of ~ G:<!f'.}f ~j5' J~ . for the purehae. of the foll""Jng descrIbed Cemetery Lot(s) upon t terms and condItIons as stated hereIn: DescrIptIon of PropertYt .f Cemetery Lot(s)' .. /3 Block' If v UnIt' {- --- ~ .f / 00/ Purchase prIcet./w-v ~~ ~ /lov ~llars($ -,...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 ',,' . . !J;;,~~-'~~Y-~--- -\t'f;-(;'\~.~-:r.:~~"-'~"~A--:':;;';;;~' .. -~. ~,~~ih'v;"~_,_...-_"""",,~+T-:_:-----"'- -~':~'!(-,$TJl;f iT.;,~~;\"'-- -;,j\~';:.i-;--,-,,:'{;'~-'~":~'\';::~_~i:'r,:w~'~:::~~"':j;;:~.~:,\<~: . . MEAL H. ECKERT 120588 BETTY A. ECKERT 589-7735 1590 S.W. QUIESCENT LANE SEBASTIAN. FL 32958 .zo. 380 41883-121 67il .~ I L J;-I'~ ..2, .V 19/7 I C:I 6 Is ,;}.CJd --- ; Pay to the Order of (~~ cl;/"d1/~3z~'~ J --I' i I d 1 1 ~ ~~~ A.Lt~4~~Jl ~ - --.. . .~ L""ttt.. SunBank/Tre.Bure Co.st, N.A. nIIJ =.~32958 018 /' J - 1.{.-...j- '~, '~ -? .of:? i/ /'..- For~) /Jf<'.A,-U'J I~. ~.L '_~- '-:- (J./ (LA~/--- .1;01;100 ~ 2 ~11:00 ~800 ~~1;8 2 ~qn' O~ 0 I I Dmlars ~~rfrl:J e~. If:; ~.\ "';..~ ',.,.\.,1.., c, _~. ;'t;"'.. .Co /. /3 /j f cl- t;~ -- 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.