HomeMy WebLinkAbout4-40-01
. '. ___ots 1 lit
. 7 . 11/13/90 ~lock 40
~ bYCE7~~Yo~ece1pt No................ . Dated. ............................. Uni t 4
List Price $ .. . . . . . . .. . . . . . . . . Maxhnum No. Burial Spaces. . .. . . . . ~. . . .. . .. ,.
Net Paid $ fJ 5.0...00.. .. .. ..
NO.
\1301
Monumentpermitted.......................Joseph F. & 1<athleen L~ Gertze
4310 Blst Place/P.O.Box 697
Wabasso Florida 32970
(Data aboye thll Une lor al7 Record ollly) ,
cnitv of &rbusttun
Brrb
<1Irntrtrry
NO.
1:l01
THIS INDENTURE MADB TIIJt
13th
day 01
November
90
A. D.. 1........
..................... .
.............................................
between the CJty 01 Sebutlan, a munlelpal corporation exlltln. under the lawI 01 the State 01 Florid.. a. Grantor and
Joseph F. and Kathleen L. Gertzen
. .. , . , . , .. .... , ............. '4'310" 8'1'5 t' . PI'ace ~.. 'p'; (j:' ':Box' .697.........' . . '" ............ .. . ........................
. , , , . . . . . . . . . . . . .. .. .. .. .. .. . W ~.);).~ ~ ~9.J.. F: J..<?J;' ;i.9:~.. .~ Z 9. 7.Q. .. . .. .. . . . . .. . . . . . . .. ...."......................................
01 the County 01 ..lnd.i.~J:)...Ri.v~~...................... an') State 01 ... ..:F.lQJ::i.d.EJ.......................................
u Grantee, WITNBSSETH, ) ~ .. .
That the Grantor for and in consideration of the sum of $ ......: .Q9. . . . . . . . . . . . . . . . to it in band paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, blllJabt. lieU, releelle, Convey and confirm unto the Grantee .~ \1.~ J... ~. heirs, lep1 reprelleDtatives and assigns
the followina property lituat Sebastian,lnciian River County, Florida, to-wit:
All of Lot(s) 1.. . .2, lode,.. ~.Q . .. ,UNIT ... '* . . . . . . . .. ,of Sebastian munidpal cemetery as per Plat Number I thereof recorded in Plat
Book 2, at page 6 e pubUc records in theoftlce of the Clerk of the Circuit Court of St. Lude County or Florida: iaid land now lying and being
in indian River Count ,Florida.
9>()-.~ 11J,"JloO
To Have and to Hold the same forever: provided that said property shan be used IOlelyand 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 relOlutions of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for the IOYernment and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shan be covenants running with the -.00. In the event of the failure of the owner or any property situated within said cemetery to ob-
lIetVe and comply with iuch rules, regulations, relOlutione and ,ordinances and the conclitiom of the deled of conveyance thereof then the title of such owner
in and to said property shall terminate and the .me shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the Ont part has caulled this instrument to be executed in its name and on its behalf by its Mayor and
attested by its City Clerk and its corporate 8eal to be hereto affixed, the day and year first above written.
CITY OF SEBASTIAN, FLORIDA
Attest~.t -~. .~. /JJ",{),'li~......
"7'~ City aerk
8, ~y..~..,""..:.....
,
(GJitv $tal)
ST E OF Fl.ORIDA
COUNTY OF INDIAN RIVBR
I HEREBY CERTIFY, That on tbil ..13th.............. ,day of ..... Nov.ember................................. 1.9.0.,
belore me personally appeared .. W ..; ..~.~.. ~<?"Y.~+.~... .... .. ..... . .. . .... .. . .. .. ..... and .~~.th~.~.~n.. 0. ~ nAJJ.Qt.~~ ....
respectively Mayor and City Clerk of the City 01 Sebaltlan, H munlellJlI c:orporatlon under the law. 01 the State of Plorlda to hie known
to be the Indlviduall and ollleerl deICrlbed in and who executed the lor('lOln, eOllveyanee to
........................ ........,.9.~~P.I:t..~... ..I\lmt .~.~.~h~.~~n..~.L.~~.~.t~~~................ ............ ..... .............
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. and seyerally ac:kDowledred the exec!utiontbm9l.tO be their free aet and
deed
81 such olfleers thereunto duly authorised, and that the Olllelal leal of..id corporation I. duly .,ft{ed .lb1~..and the laid conyeyanee
,{ .,..'" f\r ".
Is the act and deed 01 laid c:orporatJon. / ".~, ~ i' '7 ".
'. . . ,/;'-,:--;;r~.""" ,j /'.; .
WITNESS my IIBllature and oIllclal leal at 8ebaltian, in the County of Indian RI!ft'~1lilt ~tate of Jpld~ the day and Jear
18st aforenJcl. I ~f :;{~: i:" '-:-_~_
.. . ~-
Not": P~bU~.8~ij.~..~il.i ..:, ...................
My COIIUDlIaion explti!fp. Notary PubI!t, Sttite of Florida
-.. lit COIIIIIlhskm tr-piros Ar-rll 30. 1994
.,. ....td.l""'-TlCly 'Clln. In.u,ancelnC.
~
~
-,
~
~
'"
~
t"u
N-
"
l'~
:(
~.l~1
'-..!J
LL
~
c:::s
Q)
E
j::
...~.
...",
t' t" - ,
\ :
Q; o:~~,
tI1 - ~)/\
\) :J
'h 0
"'i-- r""-~ ~ ti ~f <~\
J -...,.,... ... ';: .r i -01
'. III :J
~ CD "1-4' Q)~
Q) '0 '0 Ol'~
~ Q) 0
E ~ 0 Q) Q) E .-,=
III c: 0 - Cii Cii -
iii 0 III :J
Z ::;) ...J C C Z <l:
-
Name'
Unit
Block
Lot
liAg.6 t
..(./
'I
_l~1
'-(' .t: l~
-<I iJ
I
Date of Burial
/ J.....
"
~::. 7/)/
?\/7/0 /
;! .'
Date of Mark-out
Name of Funeral Home )/"12 l/ l,l )::'5
Authorized by
......."
(.:,/
~1,1l ~~>~l' ,;l! l~
J
, "'. .....;'):" '..-if"
}'" "/'L.<)f\../:.;",~"~,: ' '"t>/[~
- "",;I'
"f
(// .
..-
/ .A.li /1/
Time
~~~
~~
~~
~
...,
.-l
o
C'f'l
.-l
~
A
p;:j
p;:j
A
.
...:I
Z
p;:j
p;:j......
...:10"1
l:I::\O
E-4
< ><
~ 0
I:t:l
A 0
Z .......
<00"1
. N
. ~ C'f'l
~
..<<I
l:I:: Q) "c
~ CJ..-I
p;:j<<ll-l
rn...-to
O~...-t
IJ ~
+J
... tI.l ..
Z ..:~ 0
f:I;':I. <Xl tI.l
t'l3 tI.l
E-I.O <<I
~ ...J ,0
~C'f'l<<l
d)4':3
/,'//
)< ,-.'.-~~
I I :,1
...., "',, -.,
. . I:.'/!"/ }J ,
I
~
'"
~
~o
4'
.-l 4'
~ '"'-
tI.l CJ +J '--:z:.
+J O'.-I~
O...-t j:l .
...:I~:::>
........
~
---
\
~
f--
~
~
-..:::::.
t'-
~~
~ I
-- "\
\
\...L..
~
\J
, (1
n
~' "\
~ ~-
-
,/
I'
I /' ;.' ' ..
\. /'''. ,(", ~h/:.i /:/;, /:.,.' "l
C1' it I
s:;
Q)
N
~
~,.....
Q)O'\
t!h.O
..... o ><
1 . <:,) ....:l 0 0
~,.....
roS::OO'\
~ Q) ON
.' Q) 0 C"")
.....tP-.
..c:........<<1
~Q)'t:I
<<1 (J'r-i
~<<1~
.....to
C<SP-......t
/Z.i
o ~
~rIl ..
,....lO
..;:t ..c:COrll
,....l ..;:t Po rIl
~ Q) 0 ctl
rIl(J~ rIl,....l,.Q
~ O'r-i o C"") <<1
O.....t s:: ,";>..;:t:3
....:l~p --
t
'2
!
t-
O
0: .. ..
8 .e
0'\: 8.
......... 8
C""): g'J .
~ i ::l
,....l: .~ .lS
......... ii
,....l: l:Q
,....l: ~ 8- ~
5 .8
i ~ .
t; .s e .3
~ =' .
~ = Cl
:j .....
,.....:
..;:t.
\0'
0
:z:
,s.
8
u 0: Q
t:r:
>- 0: 0
t:r: o. "
i 0: q
Lf'\ . Lf'\
\0: \Ct
tl M M
8 ..,
>. ';:: '01
,D ll.t ll.t
.., ~ ~
;f ;.:J
.
.
~1f7
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
~~~ ~llars
FROM: ~.s E/'# r: ,.,,.u~ A":'J?-T#LEeAY ~ .
($ ~ StJ. tJ"t:) )
&E,er2€#
-f..J/t!} J>/ oS, /lAl9fle
/t/A~/1.s ~cJ
,
fi t1 ,,(3tJ~ b? 7
ad '77C>
PL,
on this /3'tt day of '11~ 19 f&for the purchase of the following
described Cemetery Lot(s~pon the terms and conditions as stated herein:
Description of Property:
Terms and'conditions of sale:
Unit#
~
Cemetery Lot(s)#
Purchase Price:
Dollars ($ ~S-t:J.tJ'd )
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:
Yr!'vf11r -r *+~
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.
~,,~ .~~
~ity of Sebastian
Witness
p'
.,.~-'~' ,": .l_
~'-~.
.
.
,.
.
.. ~\~,~, ;.,) ..:. ;~..
..
.
.
City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
November 14, 1990
Mr. & Mrs. Joseph F. Gertzen
P.O. Box 697
Wabasso, Florida 32970
Dear Mr. & Mrs. Gertzen:
Enclosed is Cemetery Deed No. 1301 for Lots 1 and 2, Block 40,
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
and if you have the deed recorded.
ver-12'/~ r;,urlJl!/~
Kat~~ o 'Halloran
City Clerk
KMO: j s
enclosure
r-
[lP.~]
State of Florida, DepaAnt of Health and Rehabilitative Services, Vetatistics
APPLlClF'iON FOR BURIAL - TRANSIT PERMIT
t II ;2
13 ~O
olf
A.
1. Name of
Deceased
(Type or Print)
First
2. Place of Death
County
I ndian River
3. Name of Medical
Certifier
Michael Tonner,
4. Name of Funeral Home/
Direct Disposer
Strunk Funeral
5. Check a
Appro-
priate
Box
Joseph
City, Town or Location
DATE
OF
Gertzen DEATH July 12, 1997
Name of (If neither, give street address)
Hosp. or
Vero Beach Inst. Indian River Memorial Hospital
W Medical Examiner Address Phone Number
rxIPhysician 2300 5th Avenue, Vero Beach, FI 561-567-7111
Address Fla. Lie. No.1 Reg. No. Phone Number (Area Code)
1623 N. Central Avenue
Home Sebastian, FI 1228 561-589-1000
o The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
Middle
Last
Month
Day
Year
F.
M.D.
b ~
Susie was contacted on 7/14/97 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. Tonner 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
6. Place of c;.Qh: .
Final DisPtfsmtl~~tlan
7. Funeral Director /
Direct Disposer
I ndian River
F.E. No.1 Reg. No.
1862
Removal
from state Donation
Date Signed
7-13-97
B.
BURIAL - TRANSIT PERMIT
Permit No. 1228-97-0306
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 the death certificate requested.
il&gh 1 J.J liIi ~. k.t ~ ~ ~
Subregistrar Signature I. <2aJ. . ~
Date l 1
Issued: -, 1- 97
Date Certif~te /9
Due: 7 '" 7
c.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-:AT-SEA
, Medical Examiner
Date
Signature
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:
IE BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
Place of Disposition
Date of Disposition
..L~.};-~ ~77;"1
1 r..J~ I <./, J ? ??
/ 1
Signature of Sexton )
or Person-in-Charge) 7 LrooJ< -' - t'~
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.
() 1-.
HRS Form 326. Feb 89 (Replaces Oct 87 edition which may be uSlld)
(Stock Number: 5740-000-0326-2)