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Home My WebLink About4-42-27 -,~~~. "~'!,~.,,;.! ",,"LP"ii~~"j; ~,:l' 'it-.-:} ~-'-"-_n'---'--Y -~~~.~\"I,q;>'''''''',~:'iII I:.. byCEMEmRY R_ No.... .~...... D........ H~~/~.Q.............. ..~C~ 7 42 · List Price $.... .~.Q9.~ RQ.... Maxbnum No. BuriaISpaces............. ...l!ni t 4 Net Paid $ .... .~.q9.~~9.... Monument permitted....................... NO. 1265 Stephen J. Pastor,Sr. interred 3/17/90 (Data above this line lor City Reeord only) Mrs.Madlynne Pastor 7545 Agwam Rd. Micco, Fl. 32976 Cltitl1 of l'rhnstiau atrmrtrry Irrb NO. 1265 THIS INDENTURE MADE'I1aIa ...l.6.th............ day of ......Ma.rch.............................. A. D.. It.9.Q... between the City 01 Sebastian, a municipal eorporaUon exlsUn<< under the laws 01 the State 01 Florida, as Grantor and .................... ...... .........";r:~..... .~~~J..y.I)n~ ..J;>.q~t.Qx.,,~r.!................................ ..................... 7545 Agwam Rd. ....................................... :MJ:cc'6'~" F'l;" 32"9'70...................... ............................................ 01 the County 01 .... .~X~Y?~.4............................ an~l State 01 . ..:F.:t.q;r::J..<;l.q........................................ AI Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ ~ ~.q :.9 ~ . . . . . . . . . . . .. . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, seD, release, convey and confirm unto the Grantee ..l:t ~~. .. heirs, legal representatives and assigns the foDowing property situated in Sebastian, Indian River County, Florida, to-wit: AD of Lot(s) . .47... ,Block,... ~.~.. , UNIT ...4......... , of Sebastian municipal cemetery as per Plat 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 shaD 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 shaD 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 fust 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 SEBASTIAN, FLORIDA Atte~~. ' ../h.. DII~~.... l:-,. .~ City Clerk B1 ...T~.4...V~....... Ma10r Signl'd, Sealed and Delivered IO~tt[l~!~........................ ,~~#~:........ (QIitv ~taJ) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this ... A P. t.Q.... ......... .day 01 .... .:M~.:r;.Gh...................................... 19. .9.Q brlore me personally appeared R~s.4~~<:l.. .~.... .Y.Q.~!3:P.~.~........................... and .I.<.q,t;hryn..o. ~ .IJ~;U.Q.:t;'An...... respc'ctlvely Mayor and City Clerk 01 the City 01 Sebastian, a municipal corporation under the laws 01 the State 01 Florida to me known to be the Individuals Ilnd olllcrrs described In ond who executed the lorc'golng cORveyance to ................. ............................~~.f?... .~.~~;J,yI);Q.~ ...p.~J:!t.9.J;"JS.J:'.,............. ....... ... .... ........ ....... ...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereol to be their Iree act and deed os snch olfieers thereunto duly authorl&ed; and th.t the Olllelal seal of said corporation Is duly affixed thereto, and the said conveyance Is the IIct and detit of said COrporation. WITNESS my signature and official leal at Sebastian, in the County 01 Indian River ond State 01 Florida, the day and leal' lost aforesaid. ~...g~............. tate of Florida at ~~. explrell Notary Public, State of norida My Commission Expires Dec. 10, 1992 Iond.d lbrv lr"l foln -In,ulon.. Ine. 612 3/16/90 Lot 27 .... byCENEIJ!Ry_No. ............... .Dal<4.... ......................... .Block 42 UotPri<e $.... .4i!9., P.Q.... _No. _..................... !!nit 4 NetPaid$ .....~R9.~~9.... ,~ ~ 'F: ?~l j..$1 f- ~~ i;;'il:""~ . '.", '~>~r~1~~'"" '~"I~ Irt \0 N ...-l ~ ~ ~ o '0 0) 0) A Q) e j;: '- " ~ "J'~ N ..::t ..::t /'. << ~ N ').. E-I () .} H 0 .j.) i ,d :2;..-1 0 " \"-, - ~ ~ ...:I ::J i y;- 0 .:Ii: 'ii Q) ~ ... ;.-;: c: aI ,"'::J ::J ~ CD LI.. ~ Q) '0 .... Q) "'" '0 0 N e - .u Q) ";: aI .c 0 - Q) ! e 0 z ::l ii{ -0.- 10 s::. ,. aI aI. - ..J C C Z .~ < $.l \0 o /'. .j.) 0'\ rJl N ell C'I1 Pol . ctI 0)'0'0 s:: Pi::..-l ~s~ ..-IctI..-I 'O~r:.t ctIbO ;:e:: < .. o . Irt () rJl..::t () $.l Irt ..-l ;:e::/'.::E: o 0'\ - /'. ...-l - C'I1 '0 0) $.l $.l 0) .j.) s:: H $.l tI.l .. $.l o .j.) rJl ctI Pol . IJ s:: 0) .c Po. 0) .j.) tI.l NO. 1265 Monument permitted....................... Mrs. Madlynne Pas tor Stephen J. Pastor,Sr. interred 3/17/90 7545 Agwam Rd. ("...._......... aq B..........l MiccO, Fl. 32976 ------------~ ;'.~~.~--~-'-"-\'ij'~',~~7~jS'~~'t~-",-~t'JMi:_'i;'fr':,":"}'2-~~T;:, .!~?"Jit.a~~~'Y~:< _~-,.,--~i' . . , POST OFFICE BOX 7801270 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 March 19, 1990 Mrs. Madlynne Pastor 7545 Agwam Rd. Micco, Florida 32976 Dear Mrs. Pastor: Enclosed is Cemetery Deed No. 1265 for Cemetery Lot No. 27, Block 42, Unit 4. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. We are enclosing two copies of Receipt No. 612 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Very truly yours, ~ I - .-tvd- R~c( E{f~ Reid Administrative Secretary LR Ene. .-- . . t I :;-. 'J!HB SBBAS'J!IAN CEIirl'BRY CJ.ty of SebastJ.an .SebastJ.an, FlorJ.da RECEIP'l' IS HEREBY ACXNONLBDGBD OF 'l'HE SUN OF: ~--U &4t--i4/ ~~A1~' _#-y<~Ar-/ /' ~__ 7o-7"S- ~ /d/ o/~.: ;k"/'~_ a~?71!, on this' /(, t;t day of ~ ,.1;9?~for the purchase of the fOllowing described Cemetery Lot(s) upon the tenu and condJ.tions as stated herein: FROM: Dollars ($ -7/ (Jt~, d () {1nJj~) ) DescrJ.ptJ.on of Pzoperty: . . Cemetery Lot(s)' ~7. Block' ~:L Purchase price:~~.~,L 'J!erms and' condJ. dons of sale: Unit' ?I Dollars ($ ~e1IJ. t1 0 ) 'l'his contract shall be blnd1ng upon both partJ.es, the seller and the purchaser, when appzoved by the owner of ~hepzoperty above described. I I, or we, agree to purchase the above descrJ.bed property on the terms and condi t10ns stated in the forego1ng instrument: x~~p~ 'l'he Ci ty of SebastJ.an agrees to sell the above ment10ned property to the above named purchaser(s) on the terms and conditions stated J.n the above J.nstrument. l__h~ c:ftJ.ty of Sebast1an ~ -4-rl ~~ "lt~.A.A , . ",';I:'"C;j'-'c<X'....'.:., I I .~1;:';:'.1'1~~J.f';~~.~_~.~!'_';;.' ~"'L;~.,_. .. ~~I!I;.,~If~..Yi.-:~-t.:',;;:S.,,... !r'~;:::~-;,' .-;~'+'5i~'~{'::'v!l,.f:'; I' . Afft..:- '-7 ,: .; ~.f~ ~ /14 t-t 32- 97t 7,tf5" ~~~ } <5~' II (rIff, 'V m ~ ~ ~l ~ ~ -M- en ... ~ ... w!!f ~ ~18 :a:..J~ "'~ri -c ffi . ffio~ z ~ ~ :;) a: ID u.~m ~~ :;)- ~ U) . '" a: :5 VI "- \ ~ o ... .. - o ... I ~ z ~L ~ efij >Q ca: GoO II: ~ V......--fk "".,~~",~j~1ti~'l;.7~tTIT~J' -r;:; ~ "",_,',::_T:\.1<l"..."""",~_T.,_"If;J;lIIh/1-'~~f:'?;\",,?:,,\ <"', .. State of Florida, .ent of Health and Rehabilitative Servlceml Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT c:J7 13 .y c?- 1/1 A. 1. Name of Deceased (Type or Print) First STEPHEN Middle JOHN Last PASTOR, SR. DATE OF DEATH Month Day 3/14/90 Year 2. Place of Death County BREVARD 3. Name of Medical Certifier GEORGE A. MITCHELL, 4. Name of Funeral Home/ Direct Disposer STRUNK FUNERAL HOME, 5. Check a 0 Appro- priate Box City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. HOLMES REGIONAL MEDICAL CENTER Address Phone Number MELBOURNE D.O., PA Physician Address 1623 N. CENTRAL AVENUE SEBASTIAN SEBASTIAN, FLORIDA 32958 #1228 407-589-1000 The medical certification has been completed and signed. A completed certificate of death accompanies this application. 13855 US # 1 SEBASTIAN, FL 32958 589-8992 Fla. lic. No./Reg. No. Phone Number (Area Code) bii DR. MITCHELL was contacted on 3/14/90 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. HE will complete and sign the medical certification of cause of death. c 0 medical certification. was contacted on . He/she verified that ,Medical Examiner, will complete and sign the 6. Place of SEBASTIAN Final Disposition: CEMETERY 7. Funeral Director/ Direct Disposer SEBASTIAN, FLORIDA t ry - name/count. INDIAN RIVER iL d~ F.E. No./Reg. No. ..-,......... #16 72 Removal from state Donation Date Signed 3 14 0 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 flied with the local Registrar of the County in which death occurred. o No extension of time for filing e death certificate requested. Registrar or ~ Subregistrar Signature ~ Permit No. 1228-90-142 ~'_~I/fO 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: ~ BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) ~~~. fA 7" Place of Disposition Date of Disposition SEBASTIAN CEMETERY MARCH 17. 1990 This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Ditect 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.