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" Paid bYCE~ETERY Receipt No... ,7........ Dated... fJ.!.~!.~P............. ~ ~~~ciO 41
List Price $ . . ~.Q9., QO. . ... . . Maximum No. Burial Spaces........ ... .. ... . Uni t 4
Net Paid $ .. ~.qp': 9.9....... Monument permitted...................... .
NO.
1281
Mary E. Hegedus interred 6/6/90
(Data above lbll line for City Record oDly)
Mr. Joseph Hegedus
1227 N. Barefoot Circle
Barefoot Bay,Fl.32976
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atitl1 nf l'rhastiau
OIrmrtrry
11 rrb
NO.
1281
THIS INDENTURE MADE TIa1I .....5.1::.4.....
day of .......hnw.................................. A. D., le.~9...
between Ihe City of Sebastian, a municipal corporation exlltlng under the laws of the State of Florida, 8S Grantor and
. . . . . . . . . . . . . . . . . . ., . . . . .. . ..... .. ... .~:r. ~. . ~ 9.~.~p.h. .l:I.~g~l;i.\l.f? . . .. . .. . .. . .. . . . . ... . . . . . . .. . .. . . . . . . . . . . .
. ........... .... ......
1227 N. Barefoot Circle
. . . . . . . . . .. . . . . . .. .. .. ................ Ba.:ra f oo.t. . Bay., .. Fl.Q;J:;' ida.. 329.7.6.. .. ............................................
of the County of ........ .~,:r;~y.~.:r;4........................ anol State of ........ .Jf~~.~.~4~..................................
u Grantee, WITNESSETH,
That the Grantor for and in consideration of the sum of $ . ~.9~ : .Q9. . .. . . . . . . . .. . .. to it iq hflld paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargaiit, sell, release, convey and confum unto the Grantee .. ~~:'. .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) . .+R .. ,Block,.. ~.~ . .. ,UNIT ...4......... ,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 fo~.the interment of the human dead and shall
be used, kept and maintained at aU 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 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 corporate seal to be hereto affixed, the day and year fust above written.
Aues~i'~I.~"J.~.:.D :d~~1.0~;...
;:; . . . . .. City Clerk
CIT:,0F.S;;;~_..=......
Signed, Scaled und Delivered
In the Jfesence of I
'2"..' k..~... ....-:'.. H.oL....Lk.-4' H' H H'. H
c/~"" V
,.~:y:;~~.~~..........................
(<l1itu "tal)
STATE OF FLORIDA
COL'NTY OF INDIAN RIVER
I HEUEDY CERTIFY, That on this. .5.th................ .day 01 ... ...... .J.une................................., Ie.. 9.0
bl~fllre me personally appeared .. W .'. E... G9.:(l'y~(~.. .. . . .. . .. . .. . . . . . . . . . . .. . . . . . .. . and . Ka.tbJ:yn.. Q.' .lI.allo.t'.an......
respl.ctively Mayor anti City Clerk of the City of Sebastian, a munieiplII corporlllion under the laws of the State of Florida to me known
to be Ihe Individullls IInd officrrs described In and who exeeuh~d the forl'going cORveY/lIlce to
........... .., .......... .... ...... ...... .... .~~.~.~P~. .l:I.~g~~.~.~.................. .......................... .... ......... ..... ...
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; . . . . . . . . . . . . . . . . . .. and severully acknowledgl'd the exeeutlon thereof to be. their free act
und (Iced
as snch officers thereunto duly authorlsed; and that the Official sell I of said corporation Is duly affixed thereto, and the said eonveyunee
is the lIet lint! deed of said corporation.
WITNESS my Ilgnature and official leal at Sebastian, In the County of Indian River and State of Florida, r the day and 1ear
last aforesaid.
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Name
Unit
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Lot
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Date of Mark-out
Date.of Burial
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Time
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'Name of FOnerai'jHome .'
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Authoriz!~JW~><...:;j
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HEGEDUS;> JOSEPH
1227 N. Barefoot Circle
Barefoot Bay, Florida 32976
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DEED 111281
Lot 10
Block 41
Unit 4
Mary E. Hegedus interred 6/6/90
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POST OFFICE BOX 7801270 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
FAX 407-589-5570
June 7, 1990
Mr. Joseph Hegedus
1227 N. Barefoot Circle
Barefoot Bay, Florida 32976
Dear Mr. Hegedus:
Enclosed is Cemetery Deed No. 1281 for Cemetery Lot Nunber 10,
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. 627 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'Halloran
c~e~k 1.,1
~n, {)"1~
KMO:js
enclosure
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THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
/Cd-aA./ ~ Dollars ($ ~tJt1, #CJ )
.
FROM, ~. e...y/)~,,--?..)
r/' /~ M'
/~c2.7 0/ br (<<~.d,
~d~ AS'o/' E.J.-N"-(.h, '7.02'77~
on this S-~ day of ~.-4U? , 19~tJ for the purchase of the following
described Cemetery Lot(~ upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)# /0
Block# ~ /
&~/
Unit# ~
Dollars ($ ~t1#;d tf )
Purchase Price: ~~
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 ill the foregoing instrument:
Xp~d.~
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.
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State of Florida, etment of Health and Rehabilitative servic.tal Statistics
APPLICATION FOR BURIAL - mANSIT PERMIT
A.
1. Name of
Deceased
(Type or Print)
First
MARY
Middle
ELIZABETH
Last
DATE
OF
DEATH
Month
Day
Year
HEGEDUS
6/3/90
2. Place of Death
County
BREVARD
3. Name of Medical
Certifier
City, Town or Location
STRUNK FUNERAL
5. Check
Appro-
priate
Box
HOMES,
a 0
X Physician
Address
1623 N. CENTRAL AVE.
SEBASTIAN SEBASTIAN, FLORIDA 32958 1228 407-589-1000
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
Name of (If neither, give street address)
Hosp. or
BAREFOOT BAY Inst. 1227 N. BAREFOOT BAY CIRCLE
Medical Examiner Address Phone Number
200 E. SHERIDAN ROAD
MELBOURNE, FLORIDA 32901 407-725-4500
Fla. Lic. No.1 Reg. No. Phone Number (Area Code)
THEODORE R. AMGOTT, M.D.
4. Name of Funeral Home/
Direct Disposer
b}Og
CINDY was contacted on 6/4/90 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. AMGOTT 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 /
Dirl>f't Dis~eM:r
SEBASTIAN
CEMETERY
INDIAN RIVER COUNTY Removal
SEBASTIAN, FL from state Donation
. F.E. No.l~ft. ~Je. /._,,/ Dat~ Signed
. ~ /~7'"l.- c.o7-~O
B.
BURIAL - mANSIT PERMIT
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 death certificate requested.
Registrar or
Subregistrar Signature
Permit No. 1228-90-306
Date
Issued: 9/4 / 90
Date Certificate
Due:
C.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT7SEA
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:
Xi BURIAL
o CREMATION
Signature of Sexton )
or Person-in-Charge)
o STORAGE
o OTHER (Specify)
LY,i'-?~),7-
. I /
Place of Disposition
Date of Disposition
SEBASTIAN CEMETERY
9/6/90
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)
5.