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Home My WebLink About4-41-11 ,.,- .. A.ots 11 12 Paid by CEMETERY Receipt No...6. ........ .Dated... p.i.8/.90.............. '~lock 4i List Price $. .?~9.~ ~9....... Maximum No. BurialSpaces............... .l!ni t 4 Net Paid $ .. ?~~. ~ ~~. . . . . . . Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. 1282 (Data above tIIla line for City Reeord only) Denise Pelkey 124 South Magnolia Fellsmere, Fl. 32948 atitl! nf &rhustiuu Utrmrtrry mrrb 1282 NO. THIS INDENTURE MADE TIlJa 8th ..... ............. day of ........ .J.l.,l.~ ~ . . . . .. .. . . . . . .. .. .. . .. . .. . . ... A. D.. 19.~ R ... between the City of Sebllltlan, a municipal corporation exlstln, under the laws of the State of Florida, as Grantor and . . . , , , . , . . . . . . . . . . .. . . .. .. . . . .. .. .. . .. . .. . .. .. . r'2'4;i; ~ b'u.i Ii ~.~:y iiori a" . . .. . . . . .. . . . . . . . . . . .. . .. .. .. . . . . .. .. . .. . . .. . .. . .. .. .. Fellsmere FYorida 32948 . . . . , . .. . .. . . . . ... .... ....................... ................. ,. . . . . .. .. ..... . ..... ... . .. ".......................................... of the County o' ... ..l.I:1.Q..:i. R:p, ..E.;i. Y: (!.J;'.. . .. .. .. .. .. . .. ... anJ State of .... .f.l ~H:: j.. Q..a... .. .. .. .. .. . .. .. .. ; . .. . .. .. .. . .. .. .. . .s Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ .? ~ R ~ ~9. . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaID, 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(ll) :t.1..~ l.2, Block, . . ~ J. . .. , 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 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 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. Atte~!~:L ,.}n.:.{):rI~br-.. sr: ~,. ~!'-:"r City Clerk CITY OF SEBASTIAN, FLORIDA B'~~~:!'~''''''~' Signed, Sealed und Delivered ~the Presence of: l'~...,.. .~~.. ......................... '""" . c..=}:'2 .'. . . 'T' /1 . ~-~,U<y.Z!CU/-:-)........ ~.~....... (QIitu 'eaJ) STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HRUEDY CERTIFY, That on this....... 8 t.h.........:. .day of ......' ..J.t,l.n~..................................., 1119.0., brfore me personally appeared......W!.. ;F;.... .C~my.(!.J;'~............................,. and . Ka.thx:y-u. . Q .'.Ha..llo.t'.an...... respt'ctively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Plorlda to me known to be the Individuals Ilnd officrrs described In and who executed the foft'going cORveyance to ............... ......... ...................J?~ni.~~. .f.E;!.J,.k~y.. ................. ... ...... ............... .... ................... ... . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., and severally acknowledged the execution thereof to be their free act and deed 8S sllch officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto. and the said conveyance is the RCt and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the County of Indian River and State of Florida, the dB)' and Jear last aloreaald. If( / ^./ /. ~~ . N~i' '>'';';i.U~ si~i,; ';'; 'p;.;ri.i~ .~. .. ... . . . ... . . . . , . My ommlsalon explrel' . rh'~,V r~J'~~:~, !ti:!to d flmida .... (,.,.....1'...'~.1 r....'".~. ~,-, .'1 ?on H94 h"~ i.;;L;~ ..~rJ'_.'. ; ,\;...0'.-" I~..h v Iii' e;)nd'Z~ Thru ire)' rain .lns~rQnco 'nc. ~ame 5/tJ I' N -1 F;21 ,(/ f: \0. " . - 1 I linit Block <// Lot If Name of FUl1eral Home G" /S/90 , - '-$ - (,;, / /c, I !jD ; ..1"". ..... .5-rlElAH K' . Time /:2 'OQIJ #1 ' , Date of Mark-out Date of Burial /') , ((:.:// _' ./.,~~~/'t-, ~ Authorized by );';'\.Z,"~!>11_Ar".;>.c.{v'( -.7'. , /:? -,/ (/ I ,-(' \ -....J. / " FELKEY', DENISE ,ff~tl~~~i~,M~f~O!~~48 DEED 111282 Lots 11,12 Block 41 Unit 4 John Felkey interred 6/10/90 Lot 11 ~ i ~ - '- Lots 11,12 Paid by CEMETERY Receipt No. . .6.28 ........ . Dated. .. p.L a/.9P.................. Block 41 650 00 .' Unit 4 List Price $ . . . . . . . ~ . . . . . . . . . . MaxJJnum No. Burial Spaces. . . . . . . . . . . . . . . . . Net Paid $ ..?~9.: ~9....... Monument permitted................ ....... ~)~~ ~-/tJ-7tJ U/I ~/l.4f./ n -:-/ (Data above this Dne for City Record oo1y) NO. 1282 Denise Felkey 124 South Magnolia Fellsmere, Fl. 32948 " . . . POST OFFICE BOX 780127 c SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 FAX 407-589-5570 June 13, 1990 Ms. Denise Fe1key 124 South Magnolia Fellsmere, Florida 32948 Dear Ms. Felkey: Enclosed is Cemetery Deed No. 1282 for Lot Numbers 11 and 12, 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. ruly yours, 'rJJ DJf/~ KathrYl M. O'Halloran City Clerk KMO: j s enclosure ~ ~?~ -.....,.- -;'~-"~':~-:F;1"':~'';---' ,- . . . tcltY THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: ~A-/ '1)0 -- Dollars &SO 00 M7a..L . OtJ ($3~'{--u. ) FROM: ( .-- J /10 /7}(.-th P ../ I on this g/iL day of ( ~.XL., 19rb for described Cemetery Lot(s upon the terms and the purchase of the fOllowing conditions as stated herein: Description of Property: Cemetery Lot(s)" // f! / ~ / ~>A (Jo Purchase Price: (p..:...,J L/ -- Block# /-1-/ Unit" ~ (3JJ:~/t-a. }-DollarS($~~ ) Terms and'conditions of sale: a #/,1.~b $~~o t'JO ~ 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: ~ '-V;\.' - ' ~-LA . I ~ L- 1 "'-"a n",,~ n -cr 124 S f.1?vJr-Y"l \ ,2) I Fe- l\ ~J7"" 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. C!{vJU~ .;f~/~ City of Sebastian .~_ ~ ( w tness . 1',:0,>'<<,." ,- ; . ~s: o~ [J":IO ...:J 0 0 [J":I [J":I ... 0 - .. ... I'1.J [J":I [J":I U'1 [J":I i ...:J ~ ~ (') ~ ;J ~ ~ ~ 3!i~~ ~m2J~ en ... iftl&) ~ z fTI ,- m ~;n I ~ !)l~~ _ i III )> 0 z i! iii '\ t ~ ~ ... '" --.... @~ )> N '" m !JI m , ."t ':, ;',r;.;;?/!,.lt . '............ ~ '---- .-....-......,... /.. ;1 /j 1/ !Ii .. State of Florida,.rtment of Health and Rehabilitative serviaital Statistics APPLICATION FOR BURIAL - mANSIT PERMIT A. 1. Name of Deceased (Type or Print) First JOHN Middle Last FELKEY DATE OF DEATH Month Day 6/7 /90 Year 2. Place of Death County INDIAN RIVER 3. Name of Medical Certifier City, Town or Location Name of (If neither, give street address) Hosp. or FELLSMERE Inst. 124 S. MAGNOLIA STREET Medical Examiner Address Phone Number 2500 S. 35TH. STREET FREDERICK HOBIN, M.D., M.E. Physician 4. Name of Funeral Home/ Address Direct Disposer 1623 N. CENTRAL AVENUE STRUNK FUNERAL HOMES/SEBASTIAN SEBASTIAN, FLORIDA 32985 #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 407-464-7378 Fla. Lic. No.1 Reg. No. Phone Number (Area Code) b 0 was contacted on 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 will complete and sign the medical certification of cause of death. HELEN DR. HOBIN medical certification. was contacted on 6/7/90 . He/she verified that , Medical Examiner, will complete and sign the en 6. Place of SEBASTIAN Final Disposition: SEBASTIAN 7. Funeral Director / J;,)ireet ElisJ!eeer SEBASTIAN, FLORIDA Removal nty: INDIAN RIVER from state F.E. No.l~ ~#e.. ~ /t"'- L- Elonation Date Signed B. BURIAL - TRANSIT 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 fili he death certificate req sted. Registrar or - L . Subregistrar Signature { Permit No. 1228-90-312 Date Issued: 6/7/90 Date Certificate Due: 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: KJ.BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) /t 9 ~.tA?1' Place of Disposition SEBASTIAN CEMETERY Date of Disposition JUNE 10. 1990 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: 5140-000-0326-2) J,