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Home My WebLink About4-42-30 ;- 'Pa: by CEMETERY Receipt No..... t~...... Dated... ~~!:~.~. .~~............ List Price $. .?QQ............ Maximum No. Burial Spaces................. 200 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . LOT 30 Block 42 Unit 4 NO. 90 For interment of Emery M. Hutto (Data above this line for City Record only) 1267 Barbara Gale Mahoney and/or Sylvia Jenene Colvin 541 Saunders St. atitv of l'rbustiuu (ttrmrtrry I rrb NO. 1267 THIS INDENTURE MADE 'I1aJa ...~.9.t;.h.."."... day of ......M~.:r;.Gh.............................. A. D., 19.~9... between the City of Sebastian, a municipal corporation existing under the laws: of 'the State of Florida, as Grantor and .................. ..~.~.r;~~~.~.. ~~~.~.. ~~~.<?~~Y ..~pA!.<?r;. .?yJ~~?. .-!~~~.n.~.. ~~.~~~~............................. 541 Saunders St. .................. ..S.e.bast.ian.,...Fl... .3.2.958....... ......... ........ ........... ....................... ......... ...... ...... of the County of . Indian..R-iver....................... anol State of . ..f)..Q~;i.,<;l.~........................................ as Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ . ?QQ t QQ. . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confIrm unto the Grantee. . th~J~heirs,legal representatives and assigns the following property situated in Sebastian,lndian River County, Florida, to-wit: All of Lot(s) . . . ? 9. ,Block,... ~?. ,UNIT ...4......... ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 6S of the pubUc 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. Attes~~b.:..f).'.tl~~.~. (j City Clerk By Signed, Sealed and Delivered ~=hd~.:.............. ~M~Jl.~-fi'><................ (QIitu ~taJ) ST ATE OF FLORIDA COlTNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this ...29th.............day of .......Ma.I'ch.................................... 19..9.Q before me personally appeared .. ~ .... .J? ~ .. ~.<?~y.~~.~. .. .. . .. .. . .. 00 . . .. .. .. .. 00 00 ... and .~~.t;.h:rY.1J... R ~ .I;I~;I,J..9.J; ~m.. .... respt'ctively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the Indlviduuls llnd officers described In ond who executt~d the foft.golng cOAveyunce to .................. ~~.:.~~~~. ..~~~~.. ~~~?~~y.. .~?~f.?~.. ~r~.':"~~ ..~.E7~~.~.~.. ~~~y~~............................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free act and deed as slIch officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance is the Rct and deed of said corporation. WITNESS my signature and official .eaI at Sebastian, In the County of Indian River and State of Florida, the day and yea: 18 st aforesaid. ~"t.~U"~.. ?f7<<~........... Notary Publlc, State ~j~rl~ .!t. ~ My cOIDIIllsslon expire.. -- No.., PuWic. Stde of Aorida My Commission bpires March 26. 1993 lend" 'hra Trow I.a. * ...........' ,',J-" "",< '?'"~':'~"'i~~;,~,"~"",,,, ,W.,'''',-o;;.,n,:;,J;!l:r#'.__",""._i.,^'',. LOT 30 Block 42 Maximum No. Burial SpaceS......,.......... Uni t 4 . 614 March 29 Paid by CEMETERY Receipt No. . . . " . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . list Price S . .~Q9. . . . . . . . . . . . Net Paid $ .. ~~~............ ~~-?~:',_'l?~".~- - :.,;~1K;,,'~l'''. ' NO. 90 1267 Monument permitted....................... Barbara Gale Mahoney For interment of Emery M. Hutto and/or sylvia Jenene Colvin (Data above tbla tine for CitJ' Beeord onl7) 541 Saunders St. - ~ o 1"'\ f-I. ::3 r1' (1) 1"'\ 51 (1) ::3 r1' o I-t) t:r:l 53 (1) 1"'\ '<l :x . == ~ dt:1:lt"4 r1' ::3..... 0 r1' f-I. 0 r1' o r1'O ll';"w ~ 0 ~ tv ~e9astian7 Fl. 32958 tI.lU1t1.l~ CD .~ to< "', o"l-'t"4 l>> <0 tntl.ll-l!;a r1'l>>>l;g f-I. ~ to< l>> ::3 c... .. ::3 p.. l;g .. CD Z c:l I"'\l;g> l-1jtnZi:tl ..... t<:It:1:I . tI.l > r1'ni:tl w. 0> tv t"4 1..0 <en U1 1-1> CX) Zt"4 t:r:l > Z t:' - o i:tl ~. Z _.' III '::r 3 ,g \1) IN" a \! .' ;r ~ .::J \ }-'l- ~~. .!!. \~' r\, ~ ~ \ \3 ~, \' III t=' t:r:l l;g t=' :::::. I-' tv 0\ ..... <..... p o III CD o - lD c ... !! o a \1) a .i: III ... :r o c - ~. 3' \1) ~.. , o o ..: ' , , '~' . ,... 2. D:J o o '}(" ~, W () -f.'... }.J = C ::J ;:;: Z III 3 \1) .~ ~ tt\ 'i r .~ ..>. ~ '\S f~ ~. ~ c;) \' ". . . ~, POST OFFICE BOX 780127 C SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 April 3, 1990 , , Barbara G. Mahoney and/or Sylvia J. Colvin 541 Saunders st. Sebastian, Florida 32958 Dear Mrs. Mahoney & Mrs. Colvin: Enclosed is Cemetery Deed No. 1267 for Lot Number 30, 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. verY~r. yours[)L I / . fh ~~ Kathryn . O'Halloran City Clerk KMO: j s enclosure '~':'I>",""~~-'~.?''''~';~~ff'~t~ !' . . ~ Ilj 'rHB SBBAS'rIAN CENE'rERY Clty of Sebastlan Sebastlan, Florlda RECEIP7.' IS HEREBY ACICNONLBDGED OF 7.'HB SUN OF: c-ZM ~,~, FRON: ~/U~ ~ ~~ ~ - s 1'./ / ~/.-n.~A-4- ,J/, .~.~~- I,.c:-J, 3dl1'6-t? , Dollars ($ c2 tf tf, t1'7:J f; II ~(J /t~1t G- trL c 11/1 ('fD# 6 y ~J// 1) /0 R. . , ~ S If L v l'A- J i? p!f.K.€ c C7 L V I tV } on this' :;t 1. L4ay of ~/ , .191 () for the purchase of the followlng described Cemetery Lot(s} Upon the tezms and conditlons as stated herein: Descrlptlon of Property: ., Cemetery Lot(s}' -30 Block' 7';J Unit' ']I Purchase Price: ~M &----"/',.A' - Dollars($dltJ~, ~'t:J } 7.'erms and' condltlons of sale: pol\. I "vff 1../1 (;#''I 0 f t:l1.c (\'f 11... HUTTo This contract shall be blndlng upon both partles, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above descrlbed property on the terms and condl tions stated ln the foregoing lnstrument: ~ ?n~_ r The Clty of Sebastlan agrees to sell the above mentloned property to the above named' purchaser(s) on the terms and condltions stated ln the above lnstrument. I!.~~n ~--/~ dClty of Sebast an l/ ~~ 9.,~ Witnes "'~0)5f'I!!,; ="""",,,";;7~-::'-''''i;;i7;''::R-':'~~~~,;:~ ,. . . ~ u ~o '0 t Iii (J ~ 0 ~~ (,4 . I j- '" :g~ C I <il' .... ~ z. ....~ ~ ~~.~ ~ = ~....'" 0 ~ a ~~ ~ ~~ ~~'f) i ~ ~ t! ~ ! Ii ~ ~ ~ 1 ~ t~lrt ~ti .~ ~.~ alu E"e~....tI cl ~~~~ .Jlj~J ~,~~~~\.) (i .- r .. ,,~\.,-: "~l (~\~~~'ll ~'~-'i ~. .... '~~:--::'~-~'~~'_h_'_ __ ,.. flNYltfW" ' _~%<:';'::}, "'t.1S:t_;i["~~"'*i)~i<"' . ( n.J - - o r::a n.J 111 111 n.J oJ - .v. ... r..e o ~~lf1'''f!W':. - [1Il.~1 State of Florida, Depart.Of Health and Rehabilitative Services, Vital.istics APPLIC~ FOR BURIAL - TRANSIT PERMIT f-f2 -3D A. 1. Name of Deceased (Type or Print) First Emery Middle Merlon Last Hutto DATE OF DEATH Month Day 01/13/96 Year 2. Place of Death County Brevard 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Holmes R ional Medical Center Address Phone Number 1400 Pine Street Melbourne Florida 32901 407 676-6000 Fla. Lie. No.1 Reg. No. Phone Number (Area Code) Melbourne Parvesh Bansal, M.D. 4. Name of Funeral Homel Direct Disposer Strunk Funeral 5. Check Appro- priate Box X Physician Address 1623 North Central Avenue Homes, P.A. Sebastian, Fl 32958 1228 407 562-2325 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b IX! Jodi was contacted on 01/15/96 within 72 hours after death. Hel she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Parvesh Bansal. 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 Cemeter Final Disposition: 7. Funeral Director I Dmes! Qi'ip-rer Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit No. 1228-96-0018 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 f11i e death <(ertificate requested. Registrar or ~ Subregistrar Signature Date 1.1 / Issued: I L 3 q, 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 I 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: Oil BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition " /J ",JJ-,;f.4.- (~d-j 9c.-~~J I~,' IN, Signature of Sexton ) or Person-in-Charge ) .., L . I"'; ..,/ This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sext n) 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 Numher: 5740-000-0326-2)