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Home My WebLink About4-40-02 . t fClttly of &rbnstinu t M ~ ~ ).. mt try :u~ ~ 11 ,"166G # NO. ~ THIS INDENTURE MADE TIIIa 20th day of December A. D.. I~~.... between the City of Sebutlan, a municipal corporation existing under the laws of the State of Florida, .. Grantor and ..,.,........ ...........P.hilip...J.. ..and.lQf...Cathe.rine..I... ..Bmr.a... 557 Park Avenue ...................... ....Se.bastian.,.. Fl.. 329-58.............................. of the County of .lnd:i..I'Hl. .lU~~r............ ............ ani State of ..f.:!..Q;r:;l..9.~............. ........... ............. .... .. Grantee. WITNESSETH. That the Grantor for and In consideration of the sum of $ ..... ?Q9. ~ R9. .. . . . . . . . . . to It In hand paid, the receipt whereofls herewith ac- knowledged, doel by this instrument arant, batplit, saU, releasa, convey and confirm unto the Grantee . ~.~ ~ ~ F. heirs, Jepl representatives and auigns the foUowl1l8 property situated In Sebastian, Indian River County, Florida, tlM1l/lt: 2 40 4 . All of Lot(s) . . . . . .. ,Block,........ ,UNIT ............. ,of Sebastian munlapal cemetery as per Plat Number I thereof recorded in Plat Book 2, at pase 65 of the pubUc records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lyina and belna in Indian River County, Florida. .. To Have and to Hold the iame forever; provided that said property shaU be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at aU times in accordance with the rules and relulatlons, ordinances and resolutions of the City of Sebastian, Florida, hereto- fbr., now and lI.rhft. _fte. or Jlro'WtdN flit the ,lImntlllllt ifill O...,adon of IIIid OIl1ll1ttry. Tilt 1lO1I4Iilon.. ttstrllltlOhllnd raqllita""ni. CIOntalnecl In thi. In.trument shall be cov_nil rUlUllna with the land. In the event of the fallure of the owner of any property Iltuated within IIId cemetery to ob- serve and comply with inch rules, l88\llation.. resolution. and ,ordinances and the condltloftl 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 rust above written. Attesllal&ktJt}O~............. City Clerk CITY OF SEBASTIAN, FLORIDA ., fd-~H...HH..H. Signed, Sealed ond Delivered In the Pr of. _ / ~~............ ..,;;)~................... . (GIit\! Ji~al) STATE OF FLORIDA COUNTY OF INDIAN RIVER 98 20th December I HEUEDY CERTIFY, That on thil ....................... .day of .................................................... I...... before me personally appeared ...~~~.~..~~~.~~y':l.~................................. and ~':l.~~~y.~..~.....9...~~~.~~~':l.~.. respectively Mayor ao<l City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the IndiVidual. and office,. delC:rlbed In IInd who ex.eeuted the foreluln. cuaveyance to ................. ..... .f.Q.:i.;l.:J...P. .~.... .~}}~/.O.:r:.. CatlmJ::j..l).~.:.I:...;aP'Y.~.......,............................................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the ex.e as slIch officers thereunto duly authorized; and that the Official seal of said corporation Is y is the oet and deed of &aId corporaUon. WITNESS my signature and official seal at Se Isst afore.aid. ereof to be their free aet and deed fix. there7 the said conveyance e of Florida, the day and 1ear 1 ,.,./l" l'i l" "l"," ~~. :fi' Name v /"" /. C/':':',;i,:.", 7~' /5.) /;!-, ~) ./~'" ,,1'-:: _) Unit ,1 Block -1/~1 . {/ Lot /-l r, Date of Mark-out -./-/ .1 /j') i (/'L,o Date of Burial ~ /, q Ir, '7 .f-' "/ / I / c, l....~_......'~ Time / I:) ,:j C':' /1 / -, /:1 {'" /V-.~,\ Name of Funeral Home . ( Authorized by' Name i/./ I"~ /- Ii l J f' / /.) ( .,.,..........' ( ...) , i,e f.. /..) ,:) ;/ .Ii .jf)( f< ! .; ('" "'::.h'iH//{ ,.' \ ;, I .') , /'/'(':: Unit ~I Block c:/ ?) Lot "'-, /'.... Date of Mark-out , / >'~I A . )',!..'. (') '(.... Date of Burial ). //< ( . Ie,) '!-/ ! . f Ie Time /~.:::> Ii c.> c,) i"r ' Name of Funeral Home .~-' '/' :5 i L fA /'/ J:.. Authorized by j;../ ..-..... "/ \"", .."..- Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . list Price $. ?~9. ~ ~Q........ Maximum No. Burial Spaces................. Net Paid $ . ?~?: ~9........ Monument permitted....................... NO. 1666 (Data above tbla Une for City Beeord only) . . . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA FROM: ($:f){)~ ) on this' day 0 ., l~ ror the purchase or the :tollowing described Cemetery Lotts) fNi<;. upon the terms and conditions as stated herein: Des=iption or Pro~: . ~ Cemetery Lot(~,' . Purchase PriceS:Uu~. .~ Terms and Condition of sale: Block JQ f11tit L ~ .. Dollars (~7)l). ~ 0) This contract: shall be :binding upon both parties, the seller and the purchaser, when approved by the ormer o:t the property above described.. . I, or we, agree to purchase the above described property on the terms and conditions stated j.n the foregoing instrument: .. ~fA4fJ~ '-( .Ifnu_:.~ ~ r Ii' nnc }. The City o:t Sebastian agrees to 11 the above mentioned property to the above named purchaser(s) on the iJJld 0 itions stated in the above instrument. ! Witness '. . . City of Sebastian 1225 Main Street Q Sebastian, Florida 32958 Telephone (561) 589-5330 Q Fax (561) 589-5570 E-Mail: ci1ySeb~iu.net December 21,1998 Philip 1. andl<< Catherine T. Bova 557 Park Avenue Sebastian, FL 32958 Dear Mr. and Mrs. Bova: Enclosed is Cemetery Deed No. 1666 for Lot 2, Block 40Unit 4. Also enclosed is . form - Return for Transfers of Interest in 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. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, P. O. Box - 1 028, Vera Beach, Florida 32960 or you may call (561) 567-8000 for more information. We are enclosiDg two copies of each the receipt and ask that you sign and return to us the copies marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convemence. m. Oi/~~~ KathIyn M. O'Halloran, CMC/AAE City Clerk .)<, KOH:lmg Enclosures gS )11 l '" ;:a ill """ CI N (Y) ~ ~ eEl or- C\J ~' en CITY OF SEBASTIAN ex: , . <( CITY CLERK'S OFFICE ..., ..J RECEIPT l' ..J 0 ~i&tU/~~Cash Q (A Name t-l ~-~,'"'LJd- X Check. 0 Date B3 '")( - .- W . ~ - . .. Q ... " . .Q . . '" z .; -C .i= -C0 ~~-C . aID .. 0W -: W0 ~:E":' ~ ~ OZ, ~ ~ - :c::>>......J<" . ...0 (/)11. C1I : ~ 8 ~ ~! ~W-CUlW18 .:: Zw Ciio:i B3 ::>> (J It Q. U.Z ~ ~c( z> ::>>Q a:-C "':c 00 c( (J ~ YS ~~o AJ3~YS 41 NYIQYYnE) o n.J o .. - t'-- U1 o n.J .. . o t'-- tJ] o .. - '!:: ..r rn .. n.J o o '!:: 001001 208001 001501322900 001501 341920 001501 341910 001501 362100 001501362100 001501362150 001501343800 601010343800 001501369400 001501369400 680800 220681 680800 220682 680800 220683 () /:- ~:5 :5 Sales Tax Garage Sales CopiesJBid Specs. LDClCode of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lois Cemetery Lois LoVNiche ~ ~J3'1 AmountPalc . Block ?I" . Unit L 75.tlIJ Intennent Fee Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit . 9/. Total Paid 1~tiO t1 Initials . White - Dept. of Origin. Y IIlow - Filwnce . PlnIl . Applicant .. < State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT ;"'-"'-" /-..:1- (3~d vr FLORIDA DEPARTMENT OF A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Feb. Catherine T. Bova Death 7 2002 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or I ndian River Vero Beach Inst. VNA Hospice House 3. Name of Medic1!t N Rao M D Address 787 37th Street, 'E100 Phone Number Certifier ema. ,.. nMedical Examiner rvlPhYSiCian Vera Beach, FL 561-299-11255 4. Name of Funeral HomelDit....'.ulspasai Address Fla. Lie. NoJReg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Strunk Funeral Home Sebastian, FL 1228 561-589-1000 5. Check Appropriate Box a. 0 The medical certification has been completed and signed. A completed cartificate of death accompanies this application. b. r!l Unda was contacted on 2/7/02 He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death, and that Dr. Rao will complete and sign the medical certification of cause of death within 72 hours. c.D was contacted on . He/she verified that , Medical Examiner, will complete and sign the 0116..)1 Bi.$~~gg, ~ medical certification of cause of death within 72 hours. Signature F.E. No.lReg. No. 1862 Date Signed 2/7/02 6. Funeral Director/ B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-02-0060 DA five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. o No extension of time for filing the death certificate has been requested. Regi3tJ41 01 T Subregistrar Signature Date Issued: 2/7/02 Date Certificate Due: 2/12/02 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date Medical Examiner, , gave authorization by telephone to Funeral DirectorlDirect 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 Method of Disposition: Place of Disposition Sebastian Cemetery :{ // 9 ~'7__ , ~BURIAL o CREMATION Signature of Sexton or Person-in-Charge o STORAGE Date of Disposition o OTHER (Specify) } /y?~. ;f:k?" 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 retumed within 10 days to the local County Health Department in the county where disposition occurred. DH 326. 8/97 (Obsoletes all previous editions) (Stock Number: 574?-?oo-0326-2) Distribution: While: Cemetery or Crematory Yellow: Ftln~ral Director or I')ir~ct Dispo.."r Pink: Local Registrar