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Home My WebLink About4-40-13 ',;,~.;~~~,~,~3"'f'""'-"'-' i;J:;':"r>~~34t PaidhYCEMETERY Receipt No... ..l?~?... . Dated. ... ~/~.? !.~.~............... *k 126 400 00 Unit 4 Ust Price S . . . . . . : . . . . . . . . . . . Maximum No.. Burial Spaces. . . . . . . . . . . . . . . . . Net Paid S . ~.q~: ~9........ Mo.nument permitted...................... , 14 NO. , 13lJ9 Sophie I. Milano interred 1/25/91 Lot 13 (Data above thl. line for City Reeord only) Ettore Milano 1581 Emerson Lane Sebastian, Fl. 32958 atttg Df &fbastian (!trmrtrry mrrb " 1. 1\"9 NO. THIS INDENTURE MADE TIaII 25th day of ...~~~':l.~~Y............................. A. 0.. 19}~.., between the City of Sebastian, a municipal eorporatlon exlsUn. under the laws of the State of Florida, a. Grantor and Ettore Milano . . .. . . ........ ................"..... is'aI'' EI~le~~o'ri" ta.x't.e........................ . . ... ............................,........,. Sebastian Fl. 32958 .. .. ..................."...,..,."".",.,.. ....... J.................................... ............................................ of the County of ..... .Indiao.. Ri v.er .. .. .. . .. .. .. .. ... an'J State of ..... F 1 ar.ida .. .. .. .. .. .. .. . .. .. .. .. .. .. .. . . .. .. .. u Grantee, WITNESSETH, That the Grantar far and in consideratio.n o.f the sum af S ,,4 ~9,., 9.Q, , , , . , . , , , , , , . . to. it in hand paid, the receipt whereof is herewith ac- kno.wledged, daes by this instrument grant, bargam, sen, release, convey and confum unto. the Grantee ,. ,q. ~ ~ ., heirs, legal representatives and assigns the fanawing praperty situated in Sebastian,Indian River Caunty, Flarida, to-wit: AU af Lat(s~.~ .', ~.~ ,Black,. ~ ~ . . .. ,UNIT ... f+. . . , . . . .. ,af Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Baak 2, at page 6S af the public records in the o.ffice af the Clerk af the Circuit Caurt af St. Lucie Caunty af Florida; said land naw lying and being in Indian River Caunty, Flarida. To. Have and to. Hald the same farever; provided that said praperty shan be used solely and exclusively far the interment af the human dead and shall be used, kept and maintained at aU times in accordance with the rules and regulatians, ardlnances and resolutians af the City af Sebastian, Flarida, hereta- fare, naw and hereafter adapted ar pravided far the go.vernment and aperation af said cemetery. The conditians, restrictians and requirements contained in this instrument shan be covenants running with the land. In the event af the failure af the awner af any praperty situated within said cemetery to. ab- serve and comply with Such rules, regulatians, resolutians and ,ardinances and the conditians af the de'ed af conveyance thereaf then the title af such awner in and to. said praperty shall terminate and the same shall revert to. the City af Sebastian, Flarida. IN WITNESS WHEREOF, The said party af the first part has caused this instrument to. be executed in its name and an its behalf by its Mayar and attested by its City Clerk and its corporate seal to. be hereto. affIXed, the day and year fust abave written. AU",Q>(adw., J.!l?. {)tI~ ,-.~ ~... !I"'~' City Clerk CITY OF SEBASTIAN, FLORIDA .,~.~~ M~ .,>>f&................ . STATE OF .ORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on thlJ .... 2 5.th.... .. .... . ..day (Gritv ~eal) of ....... .January........,......................, 19.. .9,1 before me personally appeared ...~!.. ~ .... .9.(my.~.~ ~ .. ...... ....... . .. .. ...... .. .. ... and ~.~.~h~.Yp.. q ~ .It~JJ..,9.~~n....... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the Individuals and officers described In and who executl.-d the fort>golng cORveyance to ........................ .............~.~.t;Rt:'.~. .H;i.,l.~nR......... ..... ........... .......................... ............. ........... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledgoo the execution thereof to be their free act and deed as such officers thereunto c:'uly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the County of Indian River and State of Flor:lda, the day and year last aforesaid. ,,~~.~.:.:............. My ommlulon expire., fh~my rd:l/c, S!at' d ;',:;;11l3 My Ccmm!::;"!J !:r;:im tj:,n ~!l, 1994 landed Thru Trey rain . In~ur::JnCC! Inc. '1-Jame '5 C> tJ /1 I f.., , .. ~ M,ANrlO Wnit 1. Block 10 Lot 13 Date of Burial lh~ /9/ I/Q. 5'"'/9 J Time jl.C)D AId}, Date of Mark-out ~ilUHr:. Name of Funer:~ .!"i:,m~.J') /,1 Authorized b~-~~~' I I . 1. -;." ~lLANO, ETTORE 1581 EMERSON LANE SEBASTIAN, FL. 32958_~ J" DEED 111309 .', ~ '. - ,"'-.. LOTS 13, 14 BLOCK 40 UNIT 4 ::. SOPHIE I. MILANO INTERRED 1/25/91 LOT 13 ~~~.8/lllf~UI/f i '-. - '-. - Paid by CEMETERY Receipt No.. .. .l?~?....... . Dated. .. J/~.? !.~.~..........,',.. i~~~k 126 14 list Price s. ~.~~: ~~...,.... Maximum No.. Burial Spaces................ ?ni t 4 Net Paid $ . ~.q~: ~9........ Manument permitted",...,..............., Sophie I. Milano interred 1/25/91 Lot 13 NO. 130S Et tore 11ilano 1581 Emerson Lane Sebastian, Fl. 32958 . -_...-------- (Data above this line for City Reeord only) e . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 January 28, 1991 Mr. Ettore Milano 1581 Emerson Lane Sebastian, Florida 32958 Dear Mr. Milano: Enclosed is Cemetery Deed No. 1309 for Cemetery Lots 13 and 14, 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. We are enclosing two copies of Receipt No. 655 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, ~n, f):fj~ Kathryn M. O'Halloran City Clerk KMO:js enclosure " ~ "".. .. . . . ~ss- THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: ~ ~ Dollars ($ ~th1.~ FROM, cP~ ?P~ /5$'1 ~ k ~~.1 ,,,cf 3o?9Sc? .5"r'1-/t:?dl( , ) on this .;ts-z:;L day of tJ. .. - ... , 19'1/ for the purchase of the following described Cemetery ~ terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# /3, //f Block# ~t1 Unit# Y' " ..sO / / Purchase Price: ;~ f./'1?.A~~L Dollars ($ ~rr/. thJ ) 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: )(e~~~ 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. ~ .L.~ ~ty of Sebastian '...... &- ~ .. .. "-: .. - o -.J "",~"r':'Y"i-",i;' 1>.__1.. lIJ.uM1ICNo A i U) -f :II ....C ~~ fRZ"," m Oc ~~Z :j 0 m ~! :II . ~ ;n r- ~~:a:: 1>0 it: em m ... ~ ~~ -....J J-.." :~ '.' 0> Jlli J1tD I~ I>> - =- If ::I ~ ... \' tJ ~ ... ... co I~ [.~) :fi/':..;r.:.:'!f State of Florida, .rtment of Health and Rehabilitative Serv.ital Statistics AP CATION FOR BURIAL - TRANSIT PERMIT j./3 /d If () !Ii 2. Place of Death County Indian River 3, Name of Medical Certifier Mohammad Idrees, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Homes 5. Check a 0 Appro- priate Box 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 e death certificate re sted. Registrar or Subregistrar Signature A. 1. Name of Deceased (Type or Print) First Sophie 6. Place of Sebastian Final Disposition: 7. Funeral Director / Qj[AI't Disposer B. C. Signature or Medical Examiner, Middle Irene last Milano DATE OF DEATH Month Day 01/20/91 Year City, Town or location Name of (If neither, give street address) Hosp.or Inst. Humana Hos ital-Sebastian Address Phone Number Sebastian Medical Examiner X Physician Address 7754 Bay St. Suite , 9 Sebastian Florida 32958 407 723-2121 Fla. Uc. No./Reg. No. Phone Number (Area Code) b iii 1623 North Central Avenue P.A. Sebastian FI 32958 1228 407 562-2325 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Nn~aE' Pat was contacted on 01/21/91 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 Moha...ad I drees, M. D. 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. Indian River F.E. No./Reg. No. Removal from state Donation Date Signed BURIAL - TRANSIT PERMIT Permit No. 1228-91-0041 ~::d: 1- ~/ - r; Date Certificate Due: AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA , 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. Methods of Disposition: IkBURIAl o CREMATION Signature of Sexton ) or Person-in-Charge ) CEMETERY OR CREMATORY o STORAGE o OTHER (Specify) II"!,, /~'J7. Place of Disposition Date of Disposition Sebastian Cemetery January 25, 1991 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) ]",