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HomeMy WebLinkAbout4-40-16 Name_ A. • - ., • Unit / Block It) Lot l Date of Mark-out /z /5 / /A5 Date of Burial 1 / 2 //Y- Time : OD • (/'-,6/4,-iDe; / Name of Funeral Home 5/ .e_ ,( , Authorized by / .-i( _tt (--401.4160- I RICHARD E. GILLESPIE Mr. Richard E. Gillespie, 83, died December 28, 2013 at his residence in Vero Beach. He was born August 2, 1930 in Lowell, Massachusetts and lived in Pelham, NH and wintered in Vero Beach, FL since 1969, moving permanently to Vero Beach in 2000. He graduated from Lowell High School, Massachusetts in 1948 and continued his education at Indian River Community College receiving his Associate Degree. He was a US Navy veteran and served aboard the USS Perry DD-844. He retired from the Naval Shipyard at Boston in 1970. He was a member of the American Legion, Concord, NH and was active in USS Perry, DD844, Reunions. He was also a former member of the Indian River Region AACA antique car club. Survivors include daughters Kathleen Gillespie and Shirley Endicott (Paul) of Vero Beach, son Richard P. Gillespie, also of Vero Beach, four grandchildren and five great-grandchildren. He was preceded in death by his wife Shirley C. Gillespie and a grandson Richard E. Gillespie. Lots 16,17,18,19,20 ,. Paid b'CEMETERY Receipt No.. .6.7.6..... . Dated. ... .fll.~J.9.\.............. ~*~.40 NO. List Price S. .?.J.9R9.~ R9.... Maximum No. Burial Spaces................. Net Paid S . .~.,.Q.QO., QQ.... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . 1330 (Data above lbl, line lor Clt, fteeord 001,) Gillespie 1589 Pleasant View Sebastian, Fl. 32958 Cltity of l'rbustiuu (ltrmrtrry Irrb NO. '1330 THIS INDENTURE MADE TIlIa 5th . . .. day of June 91 A. 0.. I........ ..... ......... ....... ..................... ... between the City of Sebastian. a munlelpal eorporatlon existing under the laws of the State of Florida, a, Grantor and ....... .~.~~~~.~~. .~.~.. ~~~.~.E7~P.~.E7.,... ~~.~~~~.~.. ~.... .~.. :.r;~.~.~.~~. .<;;.~~~e.~.p.~~ 1.. ~~ ~.I:t.~~~~.. ~~~.~.~.~p.~.~. 1589 Pleasant View ....... .............. ........................ .... .Sebas.tian,. .Florida. 329.5.8............................... ........... of the County 01 ..... ;I)l.c,i.i,.At1 ..~;i.Y:~.J;................... ani State 01 .... .F.1.QI: id.a.. .................................... u Grantee, WITNESSETH. That the Grantor for and in consideration of the su~ of S ? ,. Q ~ 9... 9. Q . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargam, seD, release, convey and confum unto the Grantee.. t.q.~J~heirs, legal representatives and assigns the foDowing prope,rtJ'Jituated in Sebastian, Indian River County, Florida, to-wit: .11>1.17,18, AD of Lot(s) 19.or 2.0, Block, . .40... ,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 shaD 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 shaD 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 shaD terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust put 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 first above written. CITY OF SEBASTIAN, FLORIDA Attesfi-d~. In ,.. [)t!alh?4~....... . . 0" . City Clerk Signl.'d, Sealed and Delivered /~;~fl .. ~~:1<<<k.q~. STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEUEBY CERTIFY, That on thl, .........~.t; h .. .. .. .. ..day 01 ..... ..J.\,lm~ .. .. .. .. . .. .. .. .. .. . .. . .. .. .. . .. . . ..., 19 ..9.l By q.~..q~-e-= M,/ (QIitv 'tal) before me personally appeared .... ..~... .. ~ ~ .. ~ ~~.Y~ ~~. .. .. . .. . .. . . . . . .. . . . .. . .. . .. .. and .~.~ ~ h~.Yn.. 9. ~ HA ~J.Q,t;' A:P.. .. .. . respc'etively Mayor and City Clerk of the City 01 Sebastian, a municipal corporation under the laws of the State of Florida to me known to bt, the Indlviduuls llnd officers described in ond who executed the fOfl'going eORveyanee to .......... .~~.~~~~.~.. ~.... .~.~~~.t;.~p'~.e.~.. ~~.~.~~~A. g.... .~.. :J;~~.~.~~. .<;;.~.~~~~.P~~ 1.. ~~ ~.~t~~~. .G~;tJ.~.~p'~e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally aeknowledged the ex.ecutlon thereol to be their IreI.' aet and deed as slIch officers thereunto duly authorized; and that the Olllelal seal of said corporation Is duly affixed thereto, and the said eonveyanee is the Rct und deed of said c:orporatlon. WITNESS my signature and offlelal leal at Sebastian, In the County of Indian River and State 01 Florida, the da, and ,ear last aforesaid. ~~.... ..-fl.;1.t..-L,. .~. . ." ~.-< ~~ ." .', ..... ............. Not 'ublle, State 01 Florida at Lario/ My oromlsslon expire.. ':';;;:rv t.:.. '>, ~..:~ (' ~ ~::~i-.'] 11., (:;;<1::;:-+;] r::.: :;-;',--:1 3~, lB4 Bonded Ihru T,':1)' fU:1I . r;l~'-'r~DC\) tnc. CITY OF SEBASTIAN CITY CLERK'S OFFICE 4 8 3 1 RECEIPT Name 5 I r LAXLk_/ G 11 1 ea S p I C ❑ Cash 2 Date 1 Z—I 'i [;(Check# 3 2 C No. Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots u Lot/Niche / ,Block T U ,Unit 4 001501 343805 Cemetery Fees r/ 5 C 00 C/C, / LLtte ""•4 "i'�'�' '� Total Paid `5o,Q 0 Initials White—Dept.of Origin• Yellow—Finance •Pink-Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 589-5570 FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 he k One / OPEN BURIAL LOT Lot 'Block /IQ Unit OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit NS E W BURIAL DATE AND SERVICE TIME: ( ,.R.1-1)-0e6.t 8 e__ &RL/1E e_ J,`1N 2-/ ZUl c Zi CO p✓Yt FOR DECEASED: c Pr R—cl- 8. 6-1 L-eS'pc Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) /0,5/3 7:;;;;i me Signature Date I certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin %` // 0 / SS`/ -g// Name ignature Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: Ce ery exton Da e This form to be provided to lerk's Office by Sexton for permanent record upon completion. .f •ti FLORID?aDFI' 0ni TOF'• State of Florida, Department of Health, Bureau of Vital Statistics HEALT BURIAL TRANSIT PERMIT DATE PRINTED:December 30,2013 TRACKING NUMBER: 2013184309 1. DECEDENT INFORMATION Name of Deceased Date of Death RICHARD GILLESPIE December 28,2013 • Place of Death-County City,Town or Location Name of facility,or street address if not a facility INDIAN RIVER WABASSO 9515 SEA GRAPE DRIVE Name and Address of Funeral Home/Direct Disposal Establishment Fla.Lic.No./Reg.No. Phone Number STRUNK FUNERAL HOME-SEBASTIAN F041870 F041870 (772)589-1000 1623 N CENTRAL AVE SEBASTIAN,FLORIDA,32958 Funeral Director/Direct Disposer Fla.Lic.No./Reg.No. TIMOTHY W.MARVIN F022789 2. BURIAL -TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. ilt.44-G4 :Li' Permit Number: 2013-F041870-5170 Date Issued: December 30,2013 Meade Grigg,State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY Place of Disposition: SEBASTIAN CEMETERY > Method of Disposition: BURIAL Date of Disposition: /A% EDRS maintains all statutorily required information regarding the death record and related burial transit permit, therefore, returning the permit to the county health department is no longer required. If the Place of Final Disposition wishes to retain the copy of the permit for their file they may do so. DH 326E,10/12 64V-1.011,Florida Administrative Code \/' GILLESPIE, RICHARD E.,RICHARD P. & TERESA GILLESPIE & KATHLEEN GILLESPIE 1589 PLEASANT VIEW SEBASTIAN, FLORIDA 32958 DEED 111330 LOTS 16,17,18,19,20 BLOCK 40 UNIT 4 Lots 16,17,18,19,20 . Block 40 Paid by CEMETERY Receipt No. . .6.7.6. ........ . Dated. ... .fll.~/.9.\.............. Dni t .4 List Price s. .?.J.9R9.~ R9.... Maximum No. BurialSpaces... ........ .,..... Net Paid S . .~.,.Q.QO., QQ.... Monument permitted................ ......, NO. 1330 (Data above this line lor City Reoord ooly) Gillespie 1589 Pleasant View Sebastian, Fl. 32958 ~ POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589.5330 0 FAX (407) 589-5570 May 29, 1991 Mr. Richard Gillespie and/or Shirley Endicott 121 Ogden Avenue Sebastian, Fl. 32958 Dear Mr. Gillespie or Mrs. Endicott: We are writing to inform you that the moratorium on the sale of cemetery lots at the Sebastian Cemetery has been lifted and the price for Sebastian residents is $400.00 per lot. We have reserved Lots 16 through 20, Block 40, Unit 4 for you and would like to know if you are still interested in purchasing them. Please call me at Sebastian City Hall, 589-5330, between 8:00 a.m. and 4:30 p.m. and let us know if you are still interested in those lots. Thank you. Sincerely, ~ M<-C"v!" ~L7<!C'" & Joanne Sandberg City Clerk's Office /js . . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 June 10, 1991 Mr. Richard E. Gillespie 1589 Pleasant View Sebastian, Florida 32958 Dear Mr. Gillespie: Enclosed is Cemetery Deed No. 1330 for Lots 16, 17, 18, 19 & 20, Block 40, Unit 4. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. ~erY tr ly yourl)s liJ/ ~" ,fh. ~~ Kath n . O'Halloran City Clerk KMO: j s enclosure ,. /(~ ,0> . . THE SEBASTIAN CEMETERY CIt~ oE SebastIan SebastIan, FlorIda RECEIPT IS HEREBY ACKNO'NLEDGED OF THE SUM OF: cZ/TJ e::7'~~-A~ 1Jollars ($d', tf;'tI. #'-d ) FROM: g/~;(,oA! ~ ~~.L~_) /f1.~~~Lu// 4Zd~L- ^ qh"dA/ 4u#" ZT..d~Af/ ~d#_ /.s-~9 &~J-A~ ~ ~~d~4u ~.L- ~~0l96~ , , on this .s-a da~ of ~4l.L- , 199'/ Eor tIle purchase of the Eollowlng described Cemeter~ Lo~) upon the terms and conditIons as stated hereIn: DescriptIon of Propert~: Cemeter~ Lot(sJ'/t.l/; It; It ,20 Block' ~tJ Purchase prIce:c..~C~h1..14LL UnI t' ~ lJollars($,;?,,#t7. pY } Terms and'condltlons of sale: This contract shall be bIndIng upon both parties, the seller and the purchaser, when approved b~ the owner oE the propert~ above described. I, or we, agree to purchase the above descrIbed propert~ on the terms and condItions stated in the Eoregolng Instrument: J/~ " ~ ~~ The Cit~ of SebastIan agrees to sell the above mentioned property to the above named purchaser(sJ on the terms and condItIons stated In the above Instrument. ~p- s/L ~L,"!1 c;:1CIt~ of SebastIan , . , Witness .. ,~ ...~ . r U-J [J"2 ,] U1 U1 o o ... .................~, r .'_.., (;; f:. ~y: ~ - . .;; o '2 nJ (;; nJ ~i o ;'! 0(1) .~1 0;' OJ t~ [J"2 OJ - .. OJ - .. ... o U1 ,] ... nJ ~ ,,'~ , '? i -.~ f', l:>. .at . ~.........,..........~ .......... '-..... ~ --4 MI ~ ~~id om m :u ., eJJ -1'" :+: ...r... :+: "'.., * :;0 CW'., ,.._ J ~'1 rn ..-f -<-< mo z "fl 1:::, ~) m .m o IJ:' -...., ;,'[) -f en * -f....... :5;: -, z ""=-:: o t::'" ;o~, '.;';t '1:11.:' ;U- 01 (01 o ~ {"-:. 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