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Home My WebLink About4-42-31Paid by CEMETERY Receipt No List Price S 400 Net Paid 400 Attest THIS INDENTURE MADE This 27th Signed, Sealed and Delivered in t Presence of: as such officers thereunto duly is the act and deed of said co WITNESS my signature last aforesaid. ))701/7a.apv,.— City Clerk Dated 3/27/90 Maximum No. Burial Spaces Monument permitted (Data above this line for City Record only) Oiitg of #rbastian TPII[PtPxu Breit day of By STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this 27th day of March Lots 31,32 Block 42 Unit 4 CITY OF SEBASTIAN, FLORIDA 1266 Delos P. and /or Nellie L. Turner 906 Schumann Dr. Sebastian F1. 32958 March A. D., 19 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Delos P. and /or Nellie L. Turner 906 Schumann Dr. Sebastian, Flar.ida .32958 of the County of Indian River and State of Florida as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of S 490.Q0 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 the 1r heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) 3 2, Block 42 UNIT 4 of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 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 rust above written. NO. (City Meal) before me personally appeared W. E. Conyers and Kathryn O'Hslloran respectively 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 individuals and officers described In and who executed the foregoing conveyance to Delos P. and /or Nellie L. Turner and severally acknowledged the execution thereof to be their free act and deed authorised; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance rporation. and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year Notary Public fate of Florida at Large. My commission expires: NO. 1266 19..94) Hotory Public, Stote of Florida My Commission Expires Dec. 10, 1998 9onded Thry Troy Fain Insvrana, lnfy 1 Name Unit L+ Block Lot Authorized by 6 Date of Mark -out 2 2, ocI Date of Burial Time Name of Funeral Home 31 (2-WOK CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT Name 3fU.n k fZulee rcLl Date v l3 Dci No. Amount Paid 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC /Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots 1 -rn e r G� Lot/Niche 1 Block 4 2T. Unit 001501 343805 Cemetery Fees 150. t70 v`-' Total Paid f5 Initials White Dept. of Origin Yellow Finance Pink Applicant Cash 'Check# Mfg 7'1 4576 Nellie Lucille Turner Nellie Lucille Turner, 99, died Aug. 10, 2009, at Surry Place Center, Live Oak. She was born in Sterling, III., and lived in Sebastian for 35 years before moving to Live Oak in 2007. She was a homemaker. She was of the Baptist faith. Survivors include her daughters, LaVonne Brandon of New Lenox, III., Linda Shapiro of Live Oak and Sally Erskine of Sebastian; 12 grandchildren; and 24 great grandchildren. She was preceded in death by her husband, Delos Turner. SERVICES: Visitation will be from 1:30 to 2:30 p.m. Aug. 12 at Strunk Funeral Home, Sebastian. A funeral will follow at 2:30 p.m. in the funeral home chapel with the Rev. Dexter Goude officiating. Interment will be in Sebastian Cemetery, Sebastian. Name in IA- A del +JS //�f C G II�fj�1A�1 /I bbe Unit 4 Block "M. Authorized by Lot Date of Mark -out 1 Date of Burial 1 d i Cs Time "0 Name of Funeral Home 5 7 Fit/ L y CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT W 4llia4r E tui trail Cash r-7 C Dab Z- I 0 [ch•ck: `7 I 7 No. Amount Palo 001001208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots Crs k;11 Lot/Niche 3 I Blodc 'f Z unit C 001501343805 Cemetery Fees .5t0.°° q id l j nities Whits Dept of Origin Yellow Finance Pink Applicant 4672 Total Paid J. DO Sally Erskine Sally Ann Erskine, 65, died Jan. 6, 2010, at her home. She was born in Sterling, III., and lived in Sebastian for 13 years, coming from Fairfield, Conn. Survivors include her daughters, Deanna Lynn Nelsen of Lizella, Ga., and Donna Marie Erskine of Shelton, Conn.; sisters, Linda Shapiro of Live Oak, and Lavonne Brandon of Chicago, III.; and two grandchildren. She was preceded in death by her sister, Janet Meenan. A memorial service will be at 11 a.m. Jan. 30, at Strunk Funeral Home in Sebastian. FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY suusailos v. FUNERAL HOME: Strunk Funeral Home ADDRESS: PHONE 1 772) 589 1000 Name Name David HOME a PELICAN ISLAND For information contact: Kip Kelso Cemetery Sexton Sebastian Municipal Cemetery (772) 589 2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8215 or 388 -8214 Fax: (772) 589 -5570 (Check One) _OPEN BURIAL LOT Lot 31 Block 42 Unit 4 ___8 .--OPEN CREMAINS LOT Lot Block Unit _OPEN COLUMBARIUM NICHE Niche Block Unit BURIAL DATE AND SERVICE TIME: Mon ,Z jpA FOR DECEASED: Sally Erskin ,,A■ 0// 4 y j Z ,4;Af. x Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR. /a- Date W Signature Date Signature Date I certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same 2/1/10 Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Sep 26 2008 2:45PM Ce FUNERAL HOME: ADDRESS: PHONE Name Sexton HP LASERJET 3200 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENI G IN SEBASTIAN MUNICIPAL CEMETERY S how u PIMA+.LUND For informatior. contact: Ki Kelso Cemetery Sexton Se ostian Municipal Cemetery (772) 589-2545 City Clerk's Office q ty Nat, 1225 Main Street t Sebastian, FL 32958 0f11 (772) 388 -8215 or 388 -8214 Fax: (772) 589.5570 STRUNK FU EIAL NOME CRE 'IATORY 1 23 No. Central Ave. 3 11AN, FL 319S11 (Check One) -XOPEN BURIAL LOT L t 31 Block 42 Unit OPEN CREMAINS LOT L t Block Unit .OPEN COLUMBARIUM NICHE the Block 'Unit BURIAL DATE AND SERVICE TIME: 2:30 p.m., Au ust 12,20/19' WW FOR DECEASED: Nellie 1.. Turner wane NAME AND SIGNATURE OF LOT QWA (I% st provid roper dorumentation of c /'rii l eezcl, Name ER OR REPRESE TIVE: wnershipj Z.Zte4 Date I certify tnat 1 have determined the owne ship of the abode described site that all site fees and administrative fees have been paid and uthorize opening o1 ::me NAME AND GNATJR OF LICENSE FUMEVTOR. azure d.45 Date Cemetery Sexton Certification: I certify that l have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have Jbeen paid Date Signature /4 o This form to be provided to Clerk's Offo by Sexton for permanert record upon compietton. p. 1 A. (TYPE) Name of Deceased 2. Place of Death County Suwannee 3. Name of Medical Certifier Dr. Andrew C. Bass n Medical Examiner MC Physician 4. Name of Funeral Home /Direct Disposal Establishment Harris Funeral Home, Inc. 5. Check a. Appropriate Box 6. Funeral Director/ Direct Disposer B. Approval Number: Medical Examiner, BURIAL ❑CREMATION Signature of Sexton or Person -in- Charge c. Nellie C AU DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740 000 0326 -2) First State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL TRANSIT PERMIT City, Town or Location Live Oak medical certification of ca ❑STORAGE ❑OTHER (Specify) Middle Last Lucille Turner Name of Hosp. or Inst. Address 315 Scriven Avenue Live Oak, FL 32064 (If neither, give street address) Date Month Day Year of Death August 10, 2009 Surrey Place Care Center Phone Number 386- 362 -4822 Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) 932 N. Ohio Avenue Live Oak, FL 32064 9002272 386 364 -5115 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. was contacted on 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 within 72 hours. of dea within 72 hours. was contacted on He /she verified that F.E. No. /Reg. No. F044661 BURIAL TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 2272-09-37 A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within 72 hours. No extensio time for filing the deat certificate has been req sted. Registrar -,r Date Date Certificate Subregistr- Signature Issued: 8 -10 -09 D ye: 8 -14 -09 RIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Date Medical Examiner, will complete and sign the Date Signed August 10, 2009 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 Method of Disposition: Place of Disposition Sebastian Cemetery, Sabastian,FL Date of Disposition August 12, 2009 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 County Health Department in the county where disposition occurred. Distribution: white: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar Rer,d d Pape March 29, 1990 Mr. Mrs. Delos P. Turner 906 Schumann Dr. Sebastian, Florida 32958 Dear Mr. Mrs. Turner: Enclosed is Cemetery Deed No. 1266 for Lots Number 31 32, 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. Ver% truly yours, v im` Erizab th Reid Administrative Secretary LR Enc. City of Sebastian POST OFFICE BOX 780127 o SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589 -5330 FAX 407- 589 -5570 RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: o nl FROM: _Pis .17 A R /v64-1-1 r� 9 o 6 S /b///4701/ Purchase Price: Terms and'conditions of sale: THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida City of S bastian ars iGL. vo on this ?-1 day of Mg 1C-1/ CH 1970 for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)1 3 1 yl- 3a BlockI 4 7 1 -2/ Uni tI Dollars lead. This 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: Ti P The City of Sebastian agrees to sell the above mentioned property to the above named' purchaser(s) on the terms and conditions stated in the above instrument. REDIFORM. 8L808/01808 M Autism 18 Ai MI "1 Z rn r Th. r C r lq 4 4, 4 4 4, 4 D 1f 4 AD*. •M ;40 o AA W z de r+ M W N v W .N co •,4 .0 z ccn -1. o r -1 .0 A N o AZ�01 H to 0 o rl a E. w H o A a co wwrn Z N H M. 3 as OA a 0 8 N a� C.) H Cr z a p 4, W O W A i