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HomeMy WebLinkAbout4-42-22 , i;""'-~~" '\!i;;~ ,~:""~,,,')<":.:.: ~ ''-',:>;<-::ff.;t:",'{~ ~ ....,_,.-0"-' .. - ..-' . "~:";&,~!''''''''''''''''' -- .\. .. . ... Paid by CEMETERY Receipt No....~............ Dated.. ~.~f.~/?q.... ............. List Price S . ~ .'. ?~ ? : ~ 9.. . . . Maximum No. Burial Spaces. . . .. . .. .. . .. . . . . Lots 22,23,24,25,26 Block 42 Unit 4 NO. (Data above tills line lor eu, Record only) 1264 Michael Kelleher 2025 Magnolia Lane Vero Beach, F1.32967 Net Paid S .l.,. 6.2 5.. QO. . . . . Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Cltttu nf l'rhastiau <t!tmtttry II tt~ NO. 1264 THIS INDENTURE MADE 'I1aII ....l4t:h........... day 01 .n~:r.~n.................................... A. D.. 19.9.9... between the City 01 SebllStlan, a municipal corporation existing under the laws 01 the State of Florida, as Grantor and Michael Kelleher ....................... ..... "202~i'Magno'iia"Laiie""""'" ........ ..................... .......... ........................ ............... ...... ........~eJ:o..Beach.,. .F1.orida.. 329.63...... ........... ....................... ............... ...... 01 the County 01 ..~.~.~~~~..~~y.~.1:...................... ani State 01 ....~~~~.~~~....................................... u Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of S .;\,.9 ~? ... 9.Q . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaJD, sell, release, convey and confltm unto the Grantee. . hi.f? .. heirs, legal representatives and assigns the following pro~ si~ed~~bastian, Indian River County, Florida, to-wit: All of Lot(s) . . ~.! . . ~ Block, . . ~. ~. .. ,UNIT .....~....... ,of Sebastian municipal cemetery as per Piat Number 1 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 fltst 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 fltst above written. Attes~-!..'. ~ .m...{)~;j~~......... tl~.~ City Clerk CITY OF SEBASTIAN. FLORIDA B'~~{(~"'" Ma:ror Signed, Sealed und Delivered In the P~ee O!l, ) AJ~uy(i..l(h~........ ~~... STATE OF FLORIDA eOL'NTY OF INDIAN' RIVER 14th I HEUEDY CERTIFY. That on this.............. ......... .Ilay of (QIitu "eal) March . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0' 90 I'. .... befure lIle personally appeared .. .~.~~h?J;.4.. ~ ~.. y ~ t..~p~ql..... . . . . .. . .. .. . . . . . .. .. and KClt:n+,yn.. O. ~ nf\J)..Q~ ~~.. ...... resprctively Mayor and City Clerk 01 the City of Sebastllln, a municipal corporation under the laws of the State of Florida to me known to be the Indh'illuuls and olfleers described In and who exeeutl-d the for('golng eORVI'Yllnee to Michael Kelleher ., ............................................... ..... ..................................... ... ..... ..... ............................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally aeknowledgrd the ellecutlon thereof to be their free aet and deed as snch offleers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto. and the said conveyance Is the Ret and deed of said eorporaUon. WITNESS my 81gBature and olnelal leal at Sebastian, In the County 01 Indian River and State 01 Florida, the day and :rea:- lasl aforesaid. ~.'. .. .. ..s..~........ Notary Public State 01 Florida at LarsI'. My commission expires. Motary Public, State of Floridtr My Commission bpires Der. 10, 1992 ~ Ibru r,,,\, fain. In...,ance I.... \1~lM.IiI~t1\rt[,';;t;'~R':~~' - -;',;,t1;Ui'iIiI!J~!I1j;c:: - '- ~"7"":-:":';'l;:;\"'J\i,;~j >, , :-' :;:,,\,,~/i,::""ffl'W~\"t!h!~~)\;iOi'-~"";;",'r!~1c::'''t:..,~ ,!j' _i'~ "./ .~ II) E 0 J: n ~ iii , , ~ 0 - \~ I .c6. ]i II) of C .0 I - ~ I III ~ u.. 'C ~ CD II) -I a N a a ";:: II) 0 II) ~ . 11). E .r: E "",+- (,) ~---^.".~ 'J\.E 0 0 a; ii III 'S 1 J!l. , m 0 0 Z < 'Z ::::l ...I I ~ ~ , ~ \ -4' ...... ~ \0 Q)\o N S::O'I l""'l <<IN ~ ~ 1-1...:1("1") Q) . 't:l ..c:<<I...-I Q) Q)'r-I I'E4 ~ Q) ...-1...-1 .. ~ ...-Io..c: Q)S::O ~ bO <<I ctlQ) tf.l;:E::,:q ~ <<I SIrIO ON 1-1 ..c:OQ) E-IN> ~ \0 N IrI N -4' N ~ .. '- ("I") N N .. -4' N ~ -4' N ~ E-IO tf.l J HO +J Z...-I 0 ~,:q ...:I 1JIo. %. " ':)" i.U J:.. ..u ...J -i. Ut 2L II) E i= ~,f') ~ t: j ~ + '>f) Paid by CEMETERY Receipt No... .~~.~......... Dated.. ~.O..~/?q................. List Price $ '+.t. ?~? : ~9. . . . . Maximum No. Burial Spaces. . . . . . . . . .. .. . . . . Net Paid $ .1.,.625.. QO..... Monument permitted............. .......... Lots 22,23,24,25,26 Block 42 NO. Unit 4 (Data above thla One lor City Record only) 1264~ Michael Kelleher 2025 Magnolia Lane Vero Beach, Fl.32967 '.'~~~;:;;:il'''1~,]}W'~''.";,:':;:',;;:-~.;'~!'"~rJfI~ _ JilI--:;l~,!f."i~",- -;"",. ~i,.~,ki_;,-rr::''','" ;:fo:. ,:~",' '="1:" -- >~_.. ':~f"'_ _~ !~; .~ . , . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 March 15, 1990 Mr. Michael Kelleher 2025 Magnolia Lane Vero Beach, Florida 32961 Dear Mr. Kelleher: Enclosed is Cemetery Deed No. 1264 for Cemetery Lots No. 22, 23, 24, 25, 26, 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. 611 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. .-- . " . (, II ,. . !il!l~" flHB SBBASflIAN CBIiB'rBRY Clty of Sebastlan Sebastlan, Florlda RBCBIP'l' IS HERESY ACICNOfiLBDGBD OF flHB SUN OF: FRON: </~~ / cflLd"~'t'A"; ~~ ~~-"~ y:/~~-/), fZ~ ;:!r;}~)~~ Dollars ($ ~ ~ PIS, t:J () ) on thls' /~d day of ~, :19'~ for the purchase of the fOllowlng descrlbed Cemetery Lot(s) pan the terms and condltlons as stated hereln: Descrlptlon of Pzoperty: , . Cemetery Lot (s) , ~~. d.~~f';f;/.Block' ~d Unltll 7" Purchase Pr1ce,~.(d;-<, &.J~~~llarS(' UJIS db) Terms and' condlt1ons of sale: Thls contract shall be blndlng upon both partles, the seller and the purchaser, when approved by the owner of thepzoperty above descrlbed. I I, or we, agree to purchase the above descdbed property on the terms and condltlons stated In the foregolng lnstrument: x~~ The Clty of Sebastlan agrees to sell the above mentloned pzoperty to the above named' purchaser(s) on the terms and conditlons stated In the above lnstrument. ~- .dcd fi n ss .e~ .~~ ~lty of Sebastlan , l<~ . . ",' '. ::""iI;;,:T""'" -:::;:f'~.~~';;Pl!i~I~~~.;,_",J1'~~,c!1\I!,t'\:~~~"!'~?~:,;;"':' . .. \::',.ii';l!<". ~_":W':i~~:..';::~"f;Y~~~.. ~_ ._-'2>lii>;.:,,;<:: -". " " . I~I.' 'r 4.~" i .~ <0 Jilf t5 ~ ~'I; o f I..x;. o R.~ h~' .0 = U-I F "i '~ Z - ~ > ~ ~~i g } ~ IT' f\. IT' ... o - .. ... o -\J -'- A ~, f ~~ ~ ~. ~ ~ ~ i __~f en iI ...C U~ Gii" ~i!i >1 m z ::II . . i!l r- IU ~~ w ..& ~ ------ ...'"4......~ rHB SBBurIAN CBHBTERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOIiLBDGED OF 'l'HE SUN OF: FRON: ~~'~'#?'4~~ ~p~~--,~ y;/~~./) . j~~;:Z;r;t"~~~ Dollars (I. ~ ~ PIS, () 0 ) on this. / ~d day of 'J~,. J9'~ for the purchase of thefollordng described Cemetery Lot(s} pontile terms and cond1dons as stated here1n: Description of Property: . . Cemetery Lot(s} , ~~. :l.{ ~f ~f.2LBlock' 7",2 Unit'.y Purchas. Pr1C.:..r.e!~.I' cRI~.ah~~usrs ($ ;; ~.;15: dO ) 'l'erms and'conditions of sale: 'l'his 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: 'l'he City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and concUtions stated in the above instrument. 4- ddIv Ji n ss . {}UL"_ ~~ r.:;:tity of Sebastian i<~ ;~J,t'i~'''~,PC',i';''F~::7Br''?~7,r;;,~;'<"i'r.;\r;1::~~'''C'-. ';"'~'~'~"-:~".!'F" ''''''''''J!:'\J'F't',';;Si""::',, ~ "'4"""'7"": ~<" ,..g ~ ~ tli State of FlorIda. 0.8,- of Health and R~abllItaUve Servlces.1 Statistics APPUCATlON FOR BURIAL -- TRANSIT PERMIT 2. Place of Death County Indian River 3. Name of Medical Certifier Noor Merchant, M.D. 4. Name of Funeral Home/ Direct Disposer 1623 North Central Avenue Strunk Funeral Do.es, P.A. Sebastian '1 32958 1228 5. Check a 0 The medical certification has been completed and signed. A cor11)Ieted certlflC8te of death accompanies Appro- this application. priate Box A. 1. Name of Deceased (Type or Print) First Dorene Middle last Kelleher Month Day 11/01/90 Year F. DATE OF DEATH City, Town or location Name of (If neither, give street address) Hasp. or Inst. Indian River Meaoria Address Vera Beach Medical Examiner Physician Address b ()\ I.)'fliP'" was contacted on 11'02'80 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 Moor llaroha.nt:, M. D. 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 Sebastian Ce.etery Final Disposition: 7. Funeral Director/ gj'G,,1 DRifJUser Permission is hereby granted to dispose of this body. o A five day extension of time for .filing the death cert,iflcate (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 filing death certificate d. Registrar or Subregistrar Signature B. c. Removal from state Donation Date Signed Indian River F.E. No.lAeg. fJv. BURIAL - TRANSIT PERMIT Permit No. 1228-90-0632 ~~: 11/0.2/90 Date Certificate Due: 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. Methods of Disposition: RJ BURIAL o CREMATION Signature of Sexton ) or Person-in-Gharge ) CEMETERY OR CREMATORY r /J/ Place 01 ~~J'7-" L,~u..-P~ o STORAGE Date of Disposit~' ~~ J: /''1.16 o OTHER (Specify) , /l /jJ ~' /f~9" 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 HAS 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: 574o-000~.2)