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Home My WebLink About4-41-06 · Paid ~YCEMETERY Receipt No.. .?....... . Dated .....~ t.~~(~~............. , 400.00 List Price $ . . . . . . . . . . . . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Lot 6 Block 41 Unit 4 NO. Net Paid $ . .40Q...Q'O....... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . 1277 Dorothy Skelly interred 5/26/90 (Data above this line lor City Record only) Mr. Joseph Skelly 507 N. Marlin Circle Barefoot Bay, Fl. 32976 (!titt! Df &rbuBtiuu <!trmrtrr!) I rrb 1277 NO. THIS INDENTURE MADE TIllI 0" ,.49 1:.l:1...' day of ..M~.Y..o.oo.,....,....o...o..o....o,....... A. D.. 18..9.9" between the City 01 Sebastian, a municipal corporation existing under the laws 01 the State 01 Florida, as Grantor and ".'......'......!1-~ '.0. o-!o<?~~.Pol:t, 0 ~~.~.~.ly..... 0.0........... 0" 0 o. 0'.'....,...,.......... 0'.... 0.......". 0 0 0' 0... 0 0 0 o. 0.... 507 N. Marlin Circle .................... 0 .Bar:e.fDo t. .Bay." Flor.ida ..3.29 7.6.............. 0...... ...... 0...... 00.................... 0..' 00 0" 01 the County 01 ..... oo~:r: ~ Y.~.~ ~ .. .. . .. . .. , 00 . 00 . .. 00 .. ... ani State 01 ....!' ~~. ~.~ 4? .. .. .. . .. . 00 . 00 00 0 .. .. 00 00 00 00 .. . .. .. 0 al Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ .~~~.'. ~.~.. ........ ...... to it in 4and paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaID, sell, release,' convey and confirm unto the Grantee . .~?-. ~ . " heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . . . . .~. ,Block,... ~.~ .. ,UNIT .. fJ. . . . . . . . .. ,of Sebastian municipal cemetery as per Plat Number I 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 t~e 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 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 fust above written. Attes~:~~ J.f)., .{)~d~ .tf~o."... . . fl' . . City Clerk CITY OF SEBASTIAN, FLORIDA ~ . BT~Hiiq~7.~ Signed, Sealed and Delivered In th~ Presence oIl .."C~~~"o:~~o..........,. ~~7'~~,y _/1 -Y J~~)?;~f.!t!(t.~........,.. 0'...... 0....... (Gritv ~taJ) STATE OF FLORIDA COllNTY OF INDIAN RIVER I HEIlEOY CERTIFY, That on this.. 00 00. 0049 t.n....... ..day ot ........ May......, 00...... 0" 0" 0 00 00.... 0..... 00' 18..90 brlore me personally appeared ......... ~ ~.. .~ "0 ..9.(n~y~.:r;.I:!.. .. ... 00 . . .. . .. .. . .. .. .... and 00 ~~ t,l:101;y'J;'\ ..Q. 'off~J.J,.!.H'.~.lJ..... 0 respt.('tively Mayor anel City Clerk 01 the City 01 Sebastian, a munieillol corporation under the laws of the State 01 Florida to me known to be the Indh.jduals and officers described in Ilnd who executed the fOrl'golng co.veyance to . . . . . 0 . . . . . , . . . . 0 . 0 . . 0 , . 0 . 0 . . 0 0 0 0 . 0 . 0 .~ ~ ~ ~.J?~. . ~ ~.~.~ ~ y. . . . . . 0 . . . . 0 . . , , . , 0 0 . 0 0 . . 0 . , . 0 . 0 . . . . 0 . . . . , . . . . , . . . . 0 . . 0 . . . . 0 0 , . 0 , . 0 . . 0 0 . 0 0 0 . . . . . . . 0 0 . . 0 0 . . . . . . . . . . . . . . . . . . . . . . . 0 . . . . 0 . . 0 0 . , , 0 . , , . ., and severally acknowledged the execution thereol to be their free act and deed 85 sneh officers thereunto duly authorlsed; and that the Official seal 01 said corporation Is duly affixed thereto, and the said conveyance is the IIct and deed of said corporation. WITNESS my signature and offlelal seal at Sebaltlan, in the last aforesaid. County 01 Indian River and State 01 Florida, the day and 1ea:- dU~<(L /7J~. ..U~L.L-............ Notary Public, StaO '~Jorlda at r e. My cODllDIIslon expire.. Notay . State o' Rorida My Commission Expires Marth 26. 1993 londed Th!u Troy flln . Insullnel 'nc. Lot 6 ttaid by CEMETERY Receipt No. ..E?~~......... . Dated .....~ {.~~.(~9............... Block 41 Ust Price $. .~9.Q ...9.Q....... MaximUm No. Burial Spaces................. Uni t 4 Net Paid $ ..4 o.Q...Q.o. . . . . . . NO. 12" Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Mr. Joseph Skelly 507 N. Marlin Circle Barefoot Bay, Fl. 32976 Dorothy Skelly interred 5/26/90 (Data above thla Une lor City Record only) -, -... ~ o 11 o rt ::T '<l Ul \l';' CD I-' I-' '<l .... =' rt CD 11 11 CD p.. VI - N 0' - \0 o tot o rt 0' - txl Vl~' >o~ l:itl ......t;&\St'- t.::I .~ i'2:jZ~ o' .K: o .. 1-3:3: >'-' txllXlO >totUl I..p-l t.::I .. Z l1j ::r: i'2:jn totH olXl l:itln Htot ~t.::I > VJ N \0 ...... 0' ctxlt"'" Zt""'O HOI-3 I-3n :;0::0' ~ ~ ..... :> c:. - :T o ~ N ~ 0. ~, .~ ."i ~ t.::I t.::I t:::l ~ ..... N ...... ...... '- ~\~ o !. e a a:J c: ~ !: o 0) cD o - .- 9. a:J g 7/:' c- ::J -::; ~ 0) ~ 'f o c: - ~ ., ""- "- \) -, -4 3' ~ ...... (} o \\. .Z 0) 3 ~ -, ~ '0) r..., v c) .,- 1 D '\ "I '"-l...:.. ..:::t:, ! ~ t ,', . '-::f:''-A;.i'~il/c,ry~i1fr.'~!~,~~~------- ~ . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 May 30, 1990 Mr. Joseph Skelly 507 N. Marlin Circle Barefoot Bay, Florida 32976 Dear Mr. Skelly: Enclosed is Cemetery Deed No. 1277 for Cemetery Lot Nunber 6, 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. We are enclosing two copies of Receipt No. 623 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 b;uly you[j' I rl~l \.t.. .' ~.1,. I'J I,~~.d-~ . '-ri1u ti',,1 /! V~~__-~ Kathryn M. O'Halloran City Clerk I I KMO: j s enclosure , . '~O'.'C' ,~c '.. . . ~'~'3 'l'HE SEBAS'l'IAN CEME'l'ERY City of Sebastian Sebastian, Florida RECEIP'l' IS HEREBY ACKNONLEDGED OF 'l'HE SUM OF: /~A-J tf:{~~/ FROM, ~# sd~ . t7 ~~ ,--S-t1 7 ?J. 0~ . ~/- .' ~,r~ Dollars ($ 511t11J. ~ ) 8d1? 7~ on this 02? d day of -:?~q , 19.??' for the purchase of the fOllowing described a:tmetery Lot(s) u the terms and conditions as stated herein: Description of Property: , , Cemetery Lot (s) II' /" . Purchase Price: ruw Blockll ~ / a!~~ Uni ell ~ Dollars ($ ~~ .tIzj ) Terms and' conditions of sale: 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: 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. /1 ~ ~'"'''''....- ~ ~ity of Sebastian ~.~ .~ ' N tness . >-1.if;:'~);;::Hffii'!L~~7~-.:'\" ~ . q- N ~ zl~ . - ' ',. $PD 2?~A:) % -: -.:;kJPff-f -..J~tl1 . Jb'7 p. /J1,4~L/~ ~d'~LIi 84~/F/21 ~( rf,:l,l?7~ #/d 4c;f~~~~f-?*e ~.e Jod~J'. lI-~ /*~I!.r. ALI.-'!/ "I)hd A Ue, AJJ~ ( (~h(S' 3t:'~) .... Cf C'I ... w W=> ~ffi~ o ~ Rl %..JC") "'~..J .c~LL a::ffiz w 0 ~ Z:I:t; ::>> ~ <( II ~ m -Zm ~~ Zco ::>>'- a:: I- eI) -.~ .................. .~il;;::-:::~,;~",";"';J1i';-: --:-~~_. "".'~' I I ! f~\ , is} ; ~\ ", ~; <Z! I;: 0) .... \. "--> ~ , ' t) - ,! ~ ~ ~ ~ " \ ' ~ \I ~IL ~ ...0 ~ ffi\ I~ > Q "" ea: "- a.O (J). a: ~ ..J ..J o Q ~~ ~ o 0- U1 C\- o ... .. - i o ... t.D t.D o o C\- t.D o .. - < . Z ~.... C . ~~ ~ 1~.1 ~ ~ !Iil~ " o a ' ~ P- @ "'- IX o LL. V NY>t.lwv . ~ ....- ...... .........................~~~ .......~..,... ......~~~.................--- lJ 4 ,4,,~,,'" ;~~'.~ t;'i:.'~':~'.~~~;'~"t:::~.:t'.-. ".;'" _:":"-":"',"; -~,:~.:.~<>~ /'.;l'tilc; /{p 61/1 !Ii (IIJ.~ State of Florida, .ment of Health and Rehabilitative servle.al Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. 1. Name of Deceased (Type or Print) First Middle Last DATE OF DEATH Month Day Year DOROTHY A. SKELLY MAY 23, 1990 2. Place of Death County INDIAN RIVER 3. Name of Medical Certifier MUHAMMAD FAROOQ, M. D. 4. Name of Funeral Home/ Direct Disposer STRUNK FUNERAL HOMES 5. Check a 0 Appro- priate Box City, Town or Location ROSELAND Name of (If neither, give street address) Hasp. or Inst. HUMANA HOSPITAL-SEBASTIAN Address Phone Number Medical Examiner PhySidian Address 777 37TH. ST. VERO BEACH, FLORIDA 32960 567-2277 Fla. Lie. No./Reg. No. Phone Number (Area Code) bt:l S~ftlS'tA~ENffAL3~~~A 1228 407-589-1000 The medical certification has been completed and signed. A completed certificate of death accompanies this application. NURSE was contacted on 5/24/90 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor bther external cause of death, and that DR. FAROOQ 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 Final Disposition: 7. Funeral Director/ Oil ",,,l D;spo;!er SEBASTIAN CEMETERY INDIAN RIVER COUNTY Removal rematory - name/c9l! (SEBASTIAN, FL from state . F.E. No",~e~. t~ "z:...~ /c:..?~ Donation Date Signed 5/24/90 B. BURIAL - TRANSIT PERMIT Permit NJ.228-90-287 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 filin e death certificate requested, Registrar or '/' Subregistrar Signature . . Date Issued: 5/24/90 Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA Signature , Medical Examiner Date or Medical Examiner, , 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: ijJ BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition SEBASTIAN CEMETERY 5/26/90 Signature of Sexton ) or Person-in-Charge ) 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) (~tnr~ Nllmhpr' S7 4n-nnn-n~?R-?) :).