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Home My WebLink About4-42-32 1,/. . 6L 3/27/90 , Lots 31,32 PaId by CEMETERY ReceIpt No................. Dated.............................. . . 400 . BI~ck 42 LIst PrIce S.................. Maximum No. Burial Spaces.................. Un1 t 4 NO. (Data above this line lor City Record only) 1266 Delos P. and/or Nellie L. Turner 906 Schumann Dr. Sebastian. Fl. 32958 Net Paid S ..4R9............ Monument permitted. . . . . . . . . . . . . . . . . . . . . . . ~---.....~ mity pf &rbastiau C!!rmrtrry IIrrb NO. 1266 THIS INDENTURE MADE TIaIa 27th day 01 March 90 A. 0., 19......, between the City 01 Sebastian. a 'munlclpal corporation existing under the laws 01 the State 01 Florida, IS Grantor and Delos P. and/or Nellie L. Turner ....................... ................ ......9.0.6.. Sc'humaiiri' 'Di:' :...... ..... .... ....... ........ ...... ..... ...... .......... ...... ................ ...... .................... ...S.ebast.ian,..Flar.ida..3.295.8... ........................ .................... Indian River . Florida of the County of ............................................. an I State of ....................................................... u Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of S .. A 9.Q ... Q Q .. . . . . . . .. . . . . to it in hand paid, the receipt whereofis herewith ac- knowledged, does by this instrument grant, bargam, sell, release, convey and confum unto the Grantee ..1;. 11 ~.i; ~ heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ~.~ ~~}~, Block, . . . ~.?. ,UNIT ....~........ ,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 shall be used solely and exclusively for the interment of the h~ 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 de'ed 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 rust 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. Attesi~~)n.: DvlaJ!.~tIr............... {J City Clerk Signed, Sealed Illld Delivered ~n th Presence 01. efAi'" , " ' ~ .' {..t..~J?~-:Ct--. . .. ..~...... ..?u-cej2..<)....K:.... 'L ,~ ~~:~. ..sL?.,L&.~......... ....... STATE OF FI.ORIDA CITY OF SEDASTIAN, FLORIDA /tt% c::::2 D, HHH=.H~....... (QIitu jiil!aJ) tJ ~ ~\ ~ l ~ ~ -- ....:! :c) -l en\C ..1'4,.... t;l:jO~'; t:x' 0\ ~ > Z enen J::r:j ~C1 ~ .I-I~ ... ~i> . Z t:::l '">tz:l Zt-l ~.~Z 0 t-l en Ot:::l l=C ~ I-d 1-1. . t:::l > ~ w t:::l N _ \C 0 V1 l=C CO Z t;I:j t""I ~ t;I:j t""I . e;- -t- OJ V C::t:x't""I Zt-lO HO~ ~C1en ~ ~ w ~..... N Q'> W N t:::l t;I:j tz:l t:=' ~ ..... N 0\ 0\ s>> !!l. a ;;.. 3 CD CD 0 ... ::l CD a a '1C' CD a lXI ~ 'TI C \II C ... k -t I ::J !: if .l.JJ '- CD 1/"1:",,.,. 0 )-' c - ::t 0 3 ~ CD -l 3" CD \:) Q ~ ~ , .~ __ ..--1 [lll~] State of Florida, DeparAt of Health and Rehabilitative Services, Vi.tistics APPLlClPr'ON FOR BURIAL - TRANSIT PERMIT J31;3;L /01;2- IIi A. 1. Name of Deceased (Type or Print) First Middle Last Turner DATE OF DEATH Month Day Year Delos P. 03131/97 2. Place of Death County Indian v 3. Name of Medical Certifier City, Town or Location Name of (If neither, give street address) Hosp. or Inst. Medical Examiner Address Phone Number 4. a 0 The medical certification has been completed and signed. A completed certificate 0 this application. Physician Address 13885 qs Hi Strun 5. Check Appro- priate Box bxD Ian was contacted on 94/al/97 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 thatNa7ir Rhwi, M D will complete and sign the medical certification of cause of death. ./' was contacted on . He/she verified that , Medical Examiner, will complete and sign the c 0 medical certification. 6. P!ace ~fSeb.ast ian Cemetery Final DIsposition: 7. Funeral Director/ ..Qireet [)ie~e~~1 , Removal from state Donation Date Signed F.E. No.1 Reg. No. 11(.2. B. BURIAL - TRANSIT PERMIT Permit No.1228-97-0155 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 rtormal 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 the death certificate requested. -fllb1::j;dL,..1 er. ~ .. ~... ~ (", ~~ II Subregistrar Signature ~- .. ~ ~ Date L I Issued:' ~/ ~ 7 g~~~ Certificat~ /7/9 ;7 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: 1KI BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition ..t J~_7::.' . a'-ll:iJ Date of Disposition CYWJ JfI ~ / 9 ? , Signature of Sexton ) or Person-in-Charge ) .J., -'- .:.. ~, CJ-L - 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.