HomeMy WebLinkAbout4-42-15
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',:. by CEMETERY R._ N~... pt....... .D"....~.1. 7.19.9..................
.' List Price s. ~f.~ ...Q~....... Maximum No. BurialSpaces.................
Net Paid S ..~ ?~ .. .9R . . . . . . . Monument permitted. . . .. . . . . . .. . . . . . . . . . . .
Lot 15
Blk. 42, Uni t 4NO.
Robertino Maldonado interred 3/5/90
(Data above thl. Une tor City Record ooly)
1260
Maria Maldonado
POBox 586
Fellsmere,Fl.32948
Qtitl1 Df &rhustiuu
<!trmrtrry
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1260
NO.
THIS INDENTURE MADE TIaI8
2nd
day 01 ......~~~.9h.............................. A. D.. 19.9.Q...
between the City 01 Sebastian, a municipal corporation e:dstlnJr under the laws 01 the State 01 Florida, a. Grantor and
............... ............... ......... ....~~~~.~. .~?~.4~n?<l.q.......................................... .......................
POBox 586, Fellsmere,Fl.32948
.. ... ........................................ ... ,.. .............................6........ ........ .....................................
Indian River . Florida
01 the County of ............................................. ani State of .......................................................
u Grantee, WITNESSETH,
That the Grantor for and in consideration of the sum of S .~.??: .q~ . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargam, sell, release, convey and confum unto the Grantee . . . . . . . .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) . .1.5... ,Block,. .42... ,UNIT.. .4......... ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat
Book 2, at page 6S 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 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 fust above written.
CITY OF SEDASTIAN, FLORIDA
Atte~~-I~. ::..Yl1:.0<<~~...
: 7~' City Clerk
B1 ....~(!:..~.......
Maror
Slgnt'tl, Sealed ami Delivered
~tb'i:~q~'l..q...q.
~a~~.~.~~.....
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on thla ...~~.4................dIlY of ...M?x.Gh........................................ 18..9Q
(GIit1l Ji~aJ)
btlore me personally appeared . .~.~.<:h?~.4.. ~~.. yq ~.?P~~....................... . and Kat.hryn. .M... Q! .Rallo.ran.
resp('ctlvely Mayor and City Clerk 01 the City 01 Sebastian, a munlelpul corporation under the laws of thl' State 01 Florida to me known
to be the Indlviduuls lllld offierrs described In and who execukd the IOrl'golng CORveYllnce to
Maria Maldonado
....... .....6.................................. ....... ..6.... .....................6........... .......... .... ............6..............
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledJrt"d the execution thereof to be their Iree act
and deed
as such officers thereunto duly authorl&ed; and that the Official seal 01 said corporation Is duly affixed thereto, and the said conveyance
is the act and deed 01 said corporation.
WITNESS my signature and officIal seal at Sebastian. In the County of Indian River ond State ot Florida, the day and 1ear
last do resaid.
N&bIk, .... ;,FIo,;.t1d.......q...qq..
My cOlDIDlulon expire.. tfotary ftublic, Stafe of Floridcr
My CClmmisslon Expires Dec. 10, 1992
Ionded Thrv Troy fain - Insurance Inc.
...
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Paid by CEMETERY Receipt No.... 9.Qp........ .Dated.~.1. 7-.L 9.9....................
List Price $ . ~+.~ ...Q9... ..... Maximum No. Burial spaces............. ....
Net Paid $ . ~ ~.~ : .Q 9.. .. .. .. Monument permitted .. .. .. .. .. .. .. .. . .. . .. .
Lot 15
Blk. 42, Uni t 4NO.
Robertino Maldonado interred 3/5/90
(Data above th\a Doe for CltJ' Jl,eeOrd 0017)
1260
Maria Maldonado ','
POBox 586
Fellsmere,Fl.32948
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City of Sebastian
POST OFFICE BOX 7801270 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
FAX 407-589-5570
March 8, 1990
Mrs. Maria Maldonado
P.O. Box 586
Fellsmere, Florida 32948
Dear Mrs. Maldonado:
Enclosed is Cemetery Deed No. 1260 for Cemetery Lot No. 15,
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. 606 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,
Elizabeth Reid
Administrative Secretary
LR
Enc.
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'l'HB SEBAS'l'IAN CEHBTERY
C.1ty of Sebast.1an
Sebast.1an, Flor.1da
RECEIPT IS HEREBY ACKNONLBDGBD 01' 'l'HB SUN OF:
~u. P.I~<../n;;N'~4~
FROM: 914A.~~ ~dV~.L~
/d,/!3d~ Q~~
0_L~.Lp.-. "c-L. a~~y8'
Dollars ($ .3~s. p'O
)
on this' ,h.,,/ clay of ''If.....d . .199t! . for the purchase of the fOllo'llng
described Cemetery Lot(s) pen the terms and cond.1t.1ons as stated here.1n:
Descr.1pt.1on of Property:
, ,
Cemetery Lot(s)' /S Block' ~d2. Un.1t' ;I
Purchase Prlce'~,&~../J_;f.6:lo~DollarS($ ..1~s. d'l:I )
Terms and' cond.1t.1ons of salet
This contract shall be b.1nd.1ng upon both part.1es, the seller and the purchaser, when
approved by the owner of the property above described.
I, or we, agree to purchase the above descr.1bed property on the terms and cond.1t.1ons
stated .1n the foregolng .1nstrument:
"
X~~~
The C.1ty of Sebastlan agrees to sell the above ment.1oned property to the above named'
purchaser(s) on the terms and condidons stated .1n the above instrument.
. k.__,_ .~~
cJ!1ty of Sebast.1an
~~~~ Ra-~
W.1tnes,y
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City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN. FLORIDA 32978
TELEPHONE (407) 589-5330
FAX 407-589-5570
March 22, 1990
Mrs. Maria Maldonado
P.O. Box 586
Fellsmere, Florida 32948
Dear Mrs. Maldonado:
Thank you for returning the signed cemetery receipt to us. The
other form that you returned - Return for Transfers of Interest
in Florida Real Property - must be completed by the office of
the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach,
Florida, not at Sebastian City Hall.
I am returning this form to you so you can have this recorded
at the above location.
SinCere1Y~
~,;;';andberg ';7
City Clerk's Office
Sebastian City Hall
js
enclosure
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ii!"Y::!f7~~:}'?:';~'':i'<{
HOME OF PEUCAN ISLAND
1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570
October 21, 2004
Ms Maria Maldonado
PO Box 586
Fellsmere,FI 32948
Dear Ms. Maldonado:
Re: Sebastian Cemetery Unit 4, Block 42, Lot1S
It is with regret that we inform you that the marker and/or vase on your Sebastian
cemetery lot was damaged during the recent hurricanes. The city has made
arrangements with a local monument company to repair the damaged markers at
$225.00 per marker and $20.00 per vase.
According to the rules and regulations governing the cemetery (copy enclosed),
interment site owners are responsible for damage to markers and/or vases, therefore,
we are enclosing an invoice for the reimbursement of this fee.
Thank you in advance for your cooperation in this matter and I would like to assure you
that the upkeep and maintenance of the cemetery is very important to the City.
If you have any questions regarding this matter, please do not hesitate to contact me
at the cemetery or by telephone at 772-589-2545.
Sincerely,
Kip G. Kelso, Jr j{ . ~ . t.
Cemetery Sexton
Enclosure
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HOMi. ,Of ,PfJ..K'JUf ISlAND
INVOICE
CITY OF SEBASTIAN
TO: Ms. Maria Maldonado
P.O. Box 586
Fellsmere, FL 32948
INVOICE:
Date:
Amount: $
05-069
10/25/2004
225.00
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 42, Lot 15
AMOUNT "
DUE
225.00
DUE UPON RECEIPT
TOTAL AMOUNT DUE
225.00
Remit To
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
Account Numbers:
Dr:
Cr. 010059534685
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State of Florida, .ment of Health and Rehabilitative Servlc~1 Statistics
APPUCATION FOR BURIAL - TRANSIT PERMIT
A
1. Name of
Deceased
(Type or Print)
First
ROBERTINO
Micldle
last
MALDONADO
DATE
OF
DEATH
Month Day
2/28/90
Year
2. Place of Death
County
INDIAN RIVER
3. Name of Medical
Certifier
City, Townlor Location
VERO BEACH
-1 Medical Examiner
Name of (If neither, give street address)
Hasp. or
Inst. INDIAN RIVER ~ORIAL HOSPITAL
Address Phone Number
STRUNK FUNERAL
5. Check
Appro-
priate
Box
HOME.
a 0
XI Physician 2050 40TH. AVE. VERO BEACH, FL 567-7111
Address Fla. LIc. No.lReg. No. Phone Number (Area Code)
1623 N. CENTRAL AVE.
SEBASTIAN SEBASTIAN, FLORIDA 32958 #1228 407-589-1000
The medical certification has been completed and signed. A completed certifICate of death accompanies
this application.
GEORGE WILLIAM GRAY, JR. M.D
4. Name of Funeral Home/
Direct Disposer
b egc
KATHY was contacted on 3/2/90 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 DR. GRAY will complete
and sign the medical certification of cause of death.
c 0
was contacted on . He/she verified that
,Medical Examiner, will complete and sign the
medical certification.
6. Place of
Final Disposition:
7. Funeral Director/
..Direst 9i8Jil8S&r
y:
F.E. No.lReg. No.
#1672
Removal
from state Donation
Date Signed
3/2/90
B.
BURIAL - TRANSIT PERMIT
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 re$Ult 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 fill the death certificate ted.
Registrar or
Subregistrar Signature
Permit No.
1228-90-117
Ps~: 3/2/90
Date Certificate
Due:
C.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA
Signature , Medical Examiner Date
or
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.
CEMETERY OR CREMATORY
Methods of Disposition:
m BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
,((..;0 J. J:.~ ~.
Place of Disposition
Date of Disposition
SEBASTIAN CEMETERY
3/5/90
Signature of Sexton )
or Person-in-Charge )
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 HRS County Public Health Unit in the County where disposition occurred.
HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used)
(Stock Number: 5740-000-0326-2)
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