HomeMy WebLinkAbout4-42-21
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1262
~ Lot 21
Pa~!CE~ETERY Receipt No. .~~?......... . Dated. .. .~/.9J.9.Q................ ~~~~k 4 42
lIst Price $ .. ;3.~.5., $)0.. ..... Maximum No. Burial Spaces................ .
325.00 MichaE;l Kelleher 1262
Net Paid $ .................. Monument permitted....................... 2025 Magnolia Lane
Thomas J. Kelleher interred 3/8/90 Vero Beach,Fl.329&7
(Data above thll line for Clt, Reeord ool,)
NO.
NO.
THIS INDENTURE MADE 'J1lJa
6th
day of ....~~~<;.J:l................................ A. D.. 19.9.Q..,
between the City of Sebastian, a municipal corporation exlltlng undcr the laws of the State of Florida, al Grantor and
Uichael Kelleher
................................ '2025" Magnc;iia ..i;ane......................................................................
................................ .V~r:.9.. .:e~a,~.b.,. .Fl.... 3.Z.9.63.................... ............................................
of the County of ... ..~.1'.l.4;i;?1'.l.. R;i, Y~.J;'................... an" State of . ..F.1.orida........................................
u Grantee, WITNESSETH.
That the Grantor for and in consideration of the sum of $ . ~.?? : .Q9. . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargaID, seU, release, convey and confum unto the Grantee ......... heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
AU of Lot(s) . .?~. .. ,Block,..4 ~ . .. ,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 shaU be used solely and exclusively for the interment of the human dead and shall
be used, kept and maintained at aU 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 shaU 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 shaD 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.
AI"'IRl~rnl?:..r.f~.....
CITY OF SEBASTIAN, FLORIDA
B, ~!(..~...........
MaTor
Sign...d, Sealed and Delivered
In the CIIence of I
~-~~..........
;~CL";;z:.~..
(QIitu "eal)
STATE OF FLORIDA
COllNTY OF INDIAN RIVER
I HEIlEDY CERTIFY, That on thlB ...().t.h................day of ....Max:c.h...................................... 19.9Q
brfore me personally appeared... R~<;.l:t.~~q. .J,3.... .Y9.t;.~:m~l;l........................ and Ka t.bry.n. .0.'. Hall 0 r.an. ......
relpectively Mayor and City Clerk of the City of Sebastian, a municipal corrlOrntlon under the laws of thcState of Florida to me known
to be the Individuuls IUld officers described in ond who execut...d the forl'golng CORveyance to
Michael Kelleher
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledgMl the execution thereof to be their free act and
deed
85 such officers thereunto duly authorized; and that the Official selll of said corporation Is duly affixed thereto, and the said conveyaDCe
is the nct and deed of Raid corporaUon.
WITNESS my Ilgnature and official leal at Sebastian, In tbe County of Indian River ond State of Florida, the day and 1ear
last aforelald.
~..................'~.................
Notary ubll State 01 Florida at LarJe.
My comml.llon explrel'
flotor, Public. State or Florida
M, Commission Expires D~(. 10, 1992
Sanded Thru Trey fain. Insurance Into
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Lot 21
Block 42
Unit 4
Paid by CEMETERY Receipt No. .~R?......... . Dated. ...~ I.~J.~.Q.................
List Price $.. 3.~.5. I.QQ....... Maximum No. Burial Spaces.................
Net Paid$ ..;3.?~:.Q 9. . .. .. . Monument permitted .. .. .. .. .. .. .. .. .. .. .. .
Thomas J. Kelleher interred 3/8/90
(Data above tbla Uno tor C1t)' Record only)
NO.
Michael Kelleher 1282
2025 Magnolia Lane
Vero Beach,Fl.329&7
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POST OFFICE BOX 7801270 SEBASTIAN. FLORIDA 32978
TELEPHONE (407) 589-5330
FAX 407-589-5570
March 8, 1990
Mr. Michael Kelleher
2025 Magnolia Lane
Vero Beach, Florida 3296~
Dear Mr. Kelleher:
Enclosed is Cemetery Deed No. 1262 for Cemetery Lot No. 21,
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. 608 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
Ene.
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STRUNK FUNERAL HOME 12-87
1623 NORTH CENTRAL AVENUE
SEBASTIAN, FL 32958
.
3.ic
1079
fl3-tI61
670
. ~~~~:E {];- ..,L7~~~~
J ~r;:('2 - ~~ttf- I ~'bJ -- f2 utE .
1929
I sLur;co
o Southeast Bank, N.A.
__lANCING aNnIl 7484
1524 NOIlTH us.,1
SDASTIAN, R :J295lI
FOR /.~.l L/c/{t!&_____,____
11'00 ~O ? qll' ':0 I; ?OO I; I; ~O':
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DOLLARS
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'l'HB SBBAS'l'IAN CENB'l'ERY
C1ty of Sebast1an
Sebast1an, Flor1da
RECEIP'l' IS HEREBY ACICNOfiLEDGBD OF 'l'HB SUN OF:
~n. ~__,L ~.-F~llars ($ 3>-5;"v J
FRON: Hie If /J-t::- L I( i? L '- e.. 1-1 ~ R "
~ 01.-5" j1;rtf-/l/0~/it LI7t1E
if e ({ 1/ l3 cite It F L 3 -L q 6 ~
} -
on this '7 tlv day of /1l1l..L:.-/f , , 191p for the purchase of the following
described Cemetery Lot(s) upon the terms and cond1tions as stated herein:
, .
Descr1ption of Property:
Cemetery Lot (s)' . ;2..; Block' '-I y-- Unit' Y-
Purchase pr1ce:!/VI..<.t./ ~/-;;~~.;_ ~~ Dollars($ 3)..), ,.)e,) )
'l'erms and' conditions of sale:
'l'his contract shall be b1nd1ng 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 cond1 tions
stated in the foregoing instrument:
~~JddJ
'l'he C1ty of Sebastian agrees to sell the above mentioned property to the above named'
purchaser(s) on the terms and condit1ons stated in the above instrument.
. A ~~j-dL 1\~f
1!i ty of Selfastian
~~ cL...d~
~1tness
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State of FloridAPartment of HeaHh and Rehabilitative ser., Vital Statistics
~lICATION FOR BURIAL - TRANSIT PERMIT
1911;L
LI~
A.
1. Name of
Deceased
(Type or Print)
First
THOMAS
Middle
JOSEPH
Last
KELLEHER
DATE Month Day
OF
DEATH March 5, 1990
Year
2. Place of Death
County Indian River
City, Town or Location
Vero Beach
Name of (If neither, give street address)
Hosp. or 2025 Magnolia Lane
Inst.
3. Name of Medical
Certifier Frederick Hobin
X Medical Examiner
Address
Phone Number
4. Name of Funeral Home/
Direct Disposer
Strunk Funeral Home
Physician 2500
Address
1623 N. Central Avenue
Ft. Pierce, Fla. 32958 1228 407-589-1000
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
S.35th.St, Ft. Pierce, Fla. 34981 464-7378
Fla. Lie. No.lReg. No. Phone Number (Area Code)
5. Check
Appro-
priate
Box
a 0
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. Frederick Hobin
was contacted on3/5/90 . He/she verified that
, Medical Examiner, will complete and sign the
c (]
6. Place of
Final Disposition:
7. Funeral Director/
QireGt Di~eeer
medical certification.
In state cemetery/ Sebastian Cemetery
ematory - name/c tSebastian, Fla.
A7 F.E. No.lReg ~Jg. .
~ee- ~7;:z...
Removal
from state Donation
Date Signed
3/6/90
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 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 fill he death certificate reque ed.
Registrar or
Subregistrar Signature
Permit No.1228-90-129
Date
Issued:
3/6/90
Date 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
Methods of Disposition:
IXI BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
47-/~7'
Place of Disposition Sebastian Cemetery
Date of Disposition March 8, 1990
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)
J.