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Home My WebLink About4-41-07 10- -...- >', """~.CEMETERY R__N~.......... ..D.......9DM.~Q ...... ....... ~~~~k 7 i.~ 8 U P. S 400 00 MaxlmumNo.BuriaISpaces................. Unit 4 st nce . . . . . . .'. . . . . . . . . . . 400 00 Monumentpermitted....................... Doris Villarose NetPaidS ................... 245 S.W. Caravan Terr. John Villarose interred 6/19/90 Sebastian, Fl. 32958 Lo t 7 (Data above this line for City Reeord only) NO. 1284 - OIity of l'rhustiun <!!rmrtrry I rrb NO. 1284 THIS INDENTURE MADE TIaIa 18th ..... .............. day of ......".~~~................................ A. D.. 199.9.... betwun the City of Sebustlan, a municipal eorporatlon existing under the laws of the State of Florida, as Grantor and I Mrs. Doris Villarose . . . 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . /2'4'5' . S : . . w'" . . c'a'r a v a'n' . T e'r'r ace' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . ..... . ............ .S.e.ba~ t.i.an .,. . .Fl Qr.i.da. .3.2.95. 8. .. .. . .... . ... . 0 . . . . . . . . . .. . . . . . . . . .. ......... .... .. ... .. . of the County of .... Jpq.j..~n..R:j..y~~................... an:l State of ..... .f.l.Q.l;';i,dc;l..................................... u Grantee, WITNESSETH. That the Grantor for and in eonsideration of the sum of S .~ Re;>... 9.Q. . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, sell, release, convey and confirm unto the Grantee. . .It.~ -':'. heirs, legal representatives and assigns the following prop~y situated in Sebastian,lndian River County, Florida, to-wit: All of Lot(s).7 ~? .. ,Block,.!+.~.... ,UNIT ..!+....-...... ,of Sebastian municipal cemetery as per Plat Number 1 thereof reeorded in Plat Book 2, at Pile 65 of the public reeords 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 aceordance 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 eonditions, restrictions and requirements eontained in this instrument shall be eovenants 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 eonditions of the deed of eonveyance thereofthen 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 fust 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 eorporate seal to be hereto affIXed, the day and year fust above written. CITY OF SEBASTIAN, FLORIDA Attestr~~. ).m...[)!d~~...... . . (j'- City Clerk hr;:r~ . B1RV?p'M;;~" Slgn~d, Sealed and Delivered In the P eoence of I f '. . .:~~/~?~.. ... .. .. .... .... . .. . .. .. " 'p ~; , {'(/XICL~... . . . I . .~~(";(,..-Ir~. . . . ST ATE OF FLORIDA COl'NTY OF INDIAN RIVER (GIitv ~eaJ) 18th I HEUEDY CERTIFY, That on this ....................... .day of ........ ~~~~..................................... 19. .~Q before me personally appeared....... ~~.. .~.'.. .Y.<?~y.~.~.~.... .... . . . . . . . . . . . . . . .. . . . o. and ~~ ~.l:t.t;y.n. .0.'. R~~J~~?I?-....... respl~ctively Mayor and City Clerk of the City of Sebll~t1Rn, /I municipal corporation under the laws of the State of Florida to me known to be the Individuals and officers described in ond who executed the fon'going cORveyance to .... ..,.. ..... ......... ........................ ........ ...... .... ........................... ... ..... .... ..... ........................... Mrs. Doris Villarose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free ael 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 IICt ond deed of said eorporaUon. WITNESS my signature and offlelal seal at Sebastian, In the County of Indian R.lver and State of Florida, the day and ,ear last aforesaid. ~~~~?e...~~~~~~.................. Notll"" PubUc, State of Florida at I..artr.y" My ~DIlIIlsslon expires. fhtmV rv~!~~, Sfet:! of f!a;;!/a My (elr.mk~i!ln rltlllrc3 Aptil 30, 1994 ~ond~d Thr~ Troy Fain. ImurCIn<e'nc. Paid by CEMETERY Receipt No.... R~~...... ..Dated.. .9J.~.~ I.~~................ Lots 7, & 8 Block 41 UstPrice $. !t9.Q...9.Q....... Maximum No. BurialSpaces. ..... .......... . Unit 4 Net Paid $ ..49.Q...9.Q....... . Monument permitted....................... Doris Villarose 245 S.W. Caravan Terr. John Villarose interred 6/19/90 Sebastian, Fl. 32958 Lot 7 (Data above t:bla tine for City Record oo1y) c... 0 ::r' tj <l 1-'. I--' I--' I>> I'i 0 r/.l CO H H H 1-'- tnN:3: ::I CO .r:- I'i rt C"Vlr/.l CO I>> I'i r/.lOO I'i rt. t:::l CO I-'.~O P. I>> . I'i ::I 1-'. 0'\ .. C1rn - I>> I-' I:<jl'i<l \0 I--' I>> 1-'. - 0<:1--' \0 I'iI>>I--' 0 I-'.tj I>> p. I'i ~ I>> 1-30 0 COrn rt l,..)I'iCO NI'i ...... \01>> Vl(') CPCO NO. 1284 z 0 0 III III III 3 - - CD CD CD 0 '0 a - - tD ~ ." C III ~t::d c:: c .... .... :l !: ;If 0 1-'2: CD rtO I-l .... 0 !. c r/.l (') ~ ,.,... ~ ...... .r:- .. .r:- ~ cpl-' r o - tD 5' n '7': c " Z - :l III ;:;: 3 CD ~ ~ ..., :::\ ;>-- 7-- o '" .'\ -I. 3' CD I "~ I c o ~ s. " '~\ '.-;"'":":.:-'7F' . ~.'jIj..-:, '. 'I . . , POST OFFICE BOX 7801270 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 June 20, 1990 Mrs. Doris Vi1larose 245 S.W. Caravan Terrace Sebastian, Florida 32958 Dear Mrs. Vil1arose: Enclosed is Cemetery Deed No. 1284 for Cemetery Lot Nunbers 7 and 8, 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 when you have the deed recorded. We are enclosing two copies of Receipt No. 630 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 truly yours, Kathryn M. O'Ha1loran City Clerk KMO: j s enclosure '. '. ... , I . .... % ... W W;:) ~~ o ..dB ::c~~ -' l: It c( z . a: ~ ~ wzi= Z I- ~ :)a:m lL~tH ~~ z... :) a: f0- CI) .- / ._--:~'};:-;;~~~~~--.- '. ...... ~~ oM en a: j -oJ o o , . .., ~ I ~ .-~ \~ ~ ~ ~ , ~ ~~ ~ : ~ 1..,., ~:: \ ,"~':8 ~ ~ ~ ~ ~ Jfi~ ~ "J I :If sf . ~ ~ I ~~~~ G ~ I- W I II: ~i 2 GoO 'f~-~rp' ~'7T;,-"., ... " I . . tJJ THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida FROM: RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: r~&"~~~ Dollars ($ ~tltf, tf(j o/~. O,,"a~ ~/nA<d~' c??iS-~W ~~ "~/:'.d~~J.. ~_~-a~) 302 9Sc? ) on this /Jti day of L, 19f1t:J for the purchase of the following described Cemetery Lot(~upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# 7 ^- g- Block# ~ / Purchase Price: r~ ~ Unit# L/ Dollars ($ ~t1z1, ~ ) 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: x ~.//;Jb~ 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. K~~~ ~ity of Sebastian ~ W tness . [In.~] State of Florida, D.ent of Health and Rehabilitative serVice.1 Statistics APPLICATION FOR BURIAL - mANS IT PERMIT "'1 131'/ //1 A. 1. Name of Deceased (Type or Print) First JOHN Middle C. Last VILLAROSE DATE OF DEATH Month Day 6/15/90 Year Medical Examiner Name of (If neither, give street address) Hosp. or Inst. HOLMES REGIONAL MEDICAL CENTER Address Phone Number City. Town or Location 2. Place of Death County BREVARD 3. Name of Medical Certifier CHARLES H. CROFT, M.D. Physician 4. Name of Funeral Home/ Address Direct Disposer 1623 NORTH CENTRAL AVE. STRUNK FUNERAL HOMES/SEBASTIAN SEBASTIAN, FLORIDA 32958 #1228 407-589-1000 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box MELBOURNE 200 E. SHERIDAN ROAD MELBOURNE, FL 725-4500 Fla. Lic. No.1 Reg. No. Phone Number (Area Code) b lJ SUE was contacted on 6/15/90 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 that DR. CROFT 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 Final Disposition: CEMETERY 7. Funeral Director / Oiled D;~pos~1 SEBASTIAN, FLORIDA INDIAN RIVER COUNTY FE No.1 Reg. No. H672 Removal from state Donation Date Signed 6/15/90 B. BURIAL - TRANSIT PERMIT Permit No. 1228-90-328 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 filing e death certificate reques d. Registrar or 'L - Subregistrar Signature ~ Date Issued: 6/15/90 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 Signature of Sexton ) or Person-in-Charge) o STORAGE o OTHER (Specify) /.;0 ~ ;;.~ ~ Place of Disposition Date of Disposition SEBASTIAN CEMETERY Methods of Disposition: K.l BURIAL o CREMATION 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) ;.