HomeMy WebLinkAbout4-41-03• Paid by CEMETERY Receipt No... 0......... Dated ... , 5 / 14 / 9 0 ... Lots
T11 11
List Price s .4 Q Q.. 00 ....... .
Net Paid s .400 t o........
U
3,4 NO.
41
Maximum No. Burial Spaces ................. n 1 t 4
Monumentpermitted .......................
(Data above this line for City Record only)
1274
Morris and /or Pauline
13366 Roseland Rd.
P.O.Box 524
Roseland, F1. 32957
Titg of Orhastian
CIPmrtery OP!'ii NO. 1274
Capps)
THIS INDENTURE MADE Tids ..... 14th.......... day of ... May ..... ............................... A. D., 19.90 .•
between flee City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
Morris Capps and /or Pauline Capps
...... ........................1336'6" ................. ...............................
............................. Roseland, .Florida 32957................................. ...............................
.............
of the County of .,Indian River ..... anal State of .. Florida .......... ...............................
as Grantee, WITNESSETHe
That the Grantor for and in consideration of the sum of $ . 400 .. . .............
,•,0 ........... 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 , thip i r heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
All of Lot(s) ,3 & 4. Block, , , 41, . , , UNIT 4 , , , , , , , , , , of Sebastian municipal cemetery as per Plat Number I 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 first above written.
Attest:
City. .ark
Signed, Sealed and Delivered
In the resence of.
...... ... ... .... ... ..............
... ........ ............................
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By.........
May
(Citg 'Seal)
I HEREBY CERTIFY, That on this ......14th ...........day of .... May ............ ............................... 1990,
W. E. Conyers Kathr n O'Halloran
before me personally appeared ............. ..... ...... ........................._..... and ...................... ..............
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
Morris Capps and /or Pauline Capps
.................................................................................................... ...............................
......................... ............................... and severnlly acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorised; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the act and deed of said corporation.
WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year
last aforesaid.
.......................
Notary Public, ate of Florid at Large.
My commission expirese
i'., .
i —,
620 ..... Dated ....5 / 14 / 90 No.
Lots 3,
Paid by CEMETERY Receipt No............ B l k . 41
List Price $ .4A Q. • QQ........ Maximum No. Burial Spaces ................. Unit 4 1274
Net Paid$ .400..00........ Monument ....................... Morris and /or Pauline Capps
13366 Roseland Rd.
P.O.Box 524
(Data above this line for City Reeord only) Roseland, Fl. 32957
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City of Sebastian
POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589 -5330 ❑ FAX (407) 589 -5570
May 16, 1990
Mr. & Mrs. Capps
P.O. Box 524
Roseland, Florida 32957
Dear Mr..& Mrs. Capps:
Enclosed is Cemetery Deed No. 1274 for Lots Number 3 and 4,
Block 41, 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 truly yours,,1�,
Kathryn O'Halloran
City Clerk
KMO : j s
enclosure
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
Dollars
�J f��00, Od J
FROM: /
on this /Y day of IMW 19 9Qfor the
Purchase
described Cemetery Lots) the terms and conditions aso stated fherein:
Description of Property:
Cemetery jot (s) !f Blockp
Y/ Uni t�
Purchase Price: P7
- - "A' • °� Dollars($ DO•l/YJ )
Terms and•conditions of sale:
This contract shall be binding upon both parties, the seller and the
aPProved by the owner of the property above described. Purchaser, when
I, or we, agree to purchase the above described property on the terms and conditions
stated in the foregoing instrument:
The City of Sebastian agrees to sell the abov
purchaser (s) on the terms and conditions stated in the above instrument. V
Witness
jItYof Sebastian
156 411
ao -7
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT,
HEALTH, AND NATURAL RESOURCES
DIVISION OF EPIDEMIOLOGY
VITAL RECORDS SECTION
BURIAL - TRANSIT PERMIT
MORRIS CAPPS
Place of Death (Name of Insti tution or Street Address
ST. JOSEPH'S HOSPITAL
_-j • _
� 3dy
U �1
BUNCOMBE
County
Date of Death (month, day, year
DECEMBER 23, 1990
City County
ASHEVILLE I BBC
• AU tau* yr Attenaing Physician
DR. DAVID TROXLER 30 CHOCTAW STREET, ASHEVILLE, N. C.
28801
Destination (Name and Address)
STRUNK FUNERAL HOME 1623 NORTH CENTRAL AVENUE, SEBASTIAN, FLORIDA 32958
Name and addrizee P%f c.,.._ --i u___
OMBE
ANDERS —RICE FUNERAL HOME, INC. 1428 PATTON AVENUE, ASHEVILLE, N. C. 2880
A Notification of Death having been filed, 6
granted to remove the body from this state. permission is hereby Date Issued
Signature of Local Re istr DECEMBER 26, 1990
DeputAN 2. t4 fG w ar, t,-
s HE, INC. Address
BY, ojg,, .,�•�1
IMPORTANT INSTRUCTIONS ON BACK OF FORM.
VS 9
DEHNR 1184 (Revised 1/90)
Vital Records FUNERAL DIRECTOR'S COPY
iu
1428 PATTON AVENUE
ASHEVILLE, N. C. 28806
•