HomeMy WebLinkAbout4-40-23
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Paid by CEMETERY Receipt No. .... 9J~~.. .. .. . . Dated.... . ~.1. ~J I. 9.~. . .. . .... ... . . BI ~ 40
. . 200.00 . Unit 4
List Pnce $ . . . . . . . . . . . . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . .
NO.
Net Paid $ 20.Q...OQ........
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
"1319
Eulene Mason interred
4/10/91 Troy Mason
755 Wimbrow Drive
(Data above till, line lor City Record OOIY)Sebastian Fl. 32958
Cltitll of &rhastian
C!!rmrtrry
Irrll
NO.
1319
THIS INDENTURE KADE 'I1IIa .......l.t.th........ day 01 ......Ap,r.i.J............................... A. D.. ll.~.t..
between the City of Sebastian, a municipal C!Orporatlon exl,tln, under the laws 01 tbe State 01 Florida, as Grantor and
. . . . .. .. .. .. .. . ............................... .lr.oy.. . MGl.f?QTI .......................... ... .... ........ .............................
755 Wimbrow Drive
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Se.ba s t.ian,. . .F 10 r.ida. .3.2.958 ............................................
,.
01 tbe County 01 ..lmJ,;i..c;i.I).. Rj..v~;r:...................... anJ State 01 ... rl.O.:t;";i,9,c;i........................................
u Grantee, WITNESSETH.
That the Grantor for and in consideration of the sum of $ . ~.Q~ : .q~ . .. ... . . . ". ... 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 .. hi ~ .. heirs, legal representatives and assigns
the following property situated in Sebastian,lndian River County, Florida, to-wit:
All of Lot(s) .2.3. .. ,Block,...4 Q .. , UNIT ..~.......... ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat
Book 2, at page 65 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.
AIl..rYac4h.lJJ..[)d~~
~/ -- . City Clerk
Signed, Sealed and Delivered
1~,Prese~ce 01, )
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STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEUEBY CERTIFY, That on this ........ .ll.th.. .. .. ..day 01 ..... Apr.i.1... ... .................. ... ..... .. "'J II.. 9.~
By
(CllitV jieaJ)
before me personally appeared .. .W... ..~.,. J:;(l.I)Y~ ;r:~. . . ... .. . .. ... .. .. .. .. .. .. .. .. .... and . K~.t.b;r:YI).. Q .'.llc;i.lA (lx.cm... ....
respl'clively Mayor and City Clerk 01 the City 01 Sebastian, a municipal corporation under the laws of the State 01 Florida to me known
to be the individuals and officers described in and who executl-d the fOll.going cORveyunce to
.. .. ..... ..... ................................. ..... ::r:r:(l.Y.. MfI:~.on..................... ... . ............... .~.......................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereol to be their Iree act and deed
as snch officers thereunto duly authorized; and tbat the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the RCt and deed of &aId corporation.
WITNESS my signature and official leal at Sebastian, In the County 01 Indian U1ver and State of Florida, the day and year
last aforelald.
PI~:. .../?~..~~&~~.................
Not Public, State of Florida at IAr~
My ommlsslon explrel' N -..'c,", ~'"'''' ~ "'~"~..!
otc!'1' h......" ~._,,, c. ""J.~1I
My C .. E . e." SO 1994
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CI1"J1lI"ICn ......--, .1''' ,
Ioftded Thru Trey rein -Insurcn:e Inc.
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........~. TROY
'IMBROW DRIVE
SEBASTIAN, FLORIDA 32958
DEED 111319
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Lot 23
Block 40
Unit 4
, ('.
Eulene Mason interred 4/10/91
,
11f-t)~ tv)~n .. arema;r18 0/.:l:6#3
. ~ Lot 23
Paid by CEMETERY Receipt No.... .v.Q?........ Dated..... ~.1. J.l/;~.~.............. Block 40
List P' $ 200 00 . U . t 4
nce .................... Maximum No. Burial Spaces . n1
. . . . . . . . . . . .. . . . .
Net Paid $ .40.Q...O.Q........
NO.
Monument permitted
11.1319
. . . . . . . . . . . . . . . . . . . . . . .
Eulene Mason interred 4/10/91 Troy Mason
(Data above tilla line lor City Record only) 7 5 5 W im brow Dr i V e
_ ...___.__..._...., ._ _~ebastian, Fl. 32958
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City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
April 11, 1991
Mr. Troy Mason
755 Wimbrow Drive
Sebastian, Florida 32958
Dear Mr. Mason:
,..
Enclosed is Cemetery Deed No. 1319 for Cemetery
Block 40, Unit 4. If you wish to have this deed
you may do so at the office of the Clerk of the
2145 14th Avenue, Vero Beach, Florida.
Lot 23,
recorded
Circuit Court,
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. 665 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,
C/'ft~J?J VJ/f~~__
Kathryn M. O'Halloran
City Clerk
KMO: j s
enclosure
. .
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
May 29, 1991
Mr. Troy Mason
755 Wimbrow Drive
Sebastian, Fl. 32958
Dear Mr. Mason:
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 $400.00 per lot. We have
reserved Lots 24 through 28, Block 40, Unit 4 for you and would
like to know if you are still interested in purchasing them.
Please call me at Sebastian City Hall, 589-5330, between 8:00 a.m.
and 4:30 p.m. and let us know if you are still interested in
those lots.
Thank you.
Sincerely,
(J ~U dL<~~
~ne Sandberg
City Clerk's Office
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THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
FROM:
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
~ ~~~ /' Dollars ($oZth'/, VYJ
/ 7JJ~
.+. uO/u'.. _ _.n. .. . '. ...
7SS- V~ 0~
~~~/. r~ J~9S-g-
.
)
on this //U day of ~ ' 191/ for the purchase of the fOllowing
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s) # c:< 3
Purchase price~
Block# ~ tJ
~~
Unit# ~
Dollars($~t1'zf,/{j )
Terms and"conditions of sale:
This contract shall be bindipg 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:
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rr=.M:[Y '111~
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.
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.
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HOME. O.l" .PELiCAN ISLAND
INVOICE
CITY OF SEBASTIAN
TO: Mr. Troy Mason
755 WimbrowDr
Sebastian, FL 32958
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 40, Lot 23
DUE UPON RECEIPT
TOTAL AMOUNT DUE
Remit To
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
Account Numbers:
Dr:
Cr. 010059534685
INVOICE:
Date:
Amount: $
05-083
10/25/2004
225.00
AMOUNT
DUE
225.00
225.00
- --- -------.-j;j,~::> -r-,-------------c--,---~--------.__::_--~--:-~~--.-- ,,"',..
..
HOME OF PELICAN ISlAND
1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570
October 21,2004
Mr. Troy 'Mason
755 Wimbrow Dr
Sebastian, FI 32958
Dear Mr. Mason:
Re: Sebastian Cemetery Unit 4, Block 40, Lot 23
It is with regret that we inform you that the marker and/or vase on your Sebastian
cemetery lot was damaged during the recent hurricanes. The city has made
arrangements with a local monument company to repair the damaged markers at
$225.00 per marker and $20.00 per vase.
According to the rules and regulations governing the cemetery (copy enclosed),
interment site owners are responsible for damage to markers and/or vases, therefore,
we are enclosing an invoice for the reimbursement of this fee.
Thank you in advance for your cooperation in this matter and I would like to assure you
that the upkeep and maintenance of the cemetery is very important to the City.
If you have any questions regarding this matter, please do not hesitate to contact me
at the cemetery or by telephone at 772-589-2545.
Sincerely,
Kip G. Kelso, Jr !( ~ ) K
Cemetery Sexton
Enclosure
.~ .~",!:1,~,_-:~,;.::;o:.,:"":;-:,:.;
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State of Florida, _rtment of Health and Rehabilitative Servi.ital Statistics
A~CATION FOR BURIAL - TRANSIT PERMIT
.L 023
13 ~o
L/1
A.
1. Name of
Deceased
(Type or Print)
First
Eulene
Middle
Ruth
Last
Mason
DATE
OF
DEATH
Month Day
04/07/91
Year
2. Place of Death
County
Indiail River
City, Town or location
Roseland
Name of (If neither, give street address)
Hosp.or
Inst. Humana Hospital-Sebastian
3. Name of Medical
Certifier
Muhammad Siddiqui, M.D.
4. Name of Funeral Home/
Direct Disposer
Strunk Funeral Homes, P.A.
J Medical Examiner
~ Physician
Address
1623 North Central Avenue
Sebastian, FI 32958
Address
937 Barefoot Blvd.
Barefoot Bay, Florida 32976 (407)664-4349
Fla. lie. No.1 Reg. No. Phone Number (Area Code)
Phone Number
1228
(407)562-2325
5. Check
Appro-
priate
Box
a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
b ~ Diane was contacted on 04/08/91 within 72
hours after death. He/she verified that thi~1'la fmllll!ijU'! fatf.Efj'. that there was no accident
nor other external cause of death, and that 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.
6. Place of Sebastian Cemetery
Final Disposition:
7. Funeral Director/
'OiI~ct DisJ'398W
Indian River
FE No.Htbl:l' '*"
1672
Removal
from state Donation
Date Signed
04/08/91
B.
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.
BURIAL - TRANSIT PERMIT
Permit No.
1228-91-0179
~'V'd:~t, 6.1 VI
Subregistrar Signature
Date .., ~ 'q "" , Date Cerljfjc.te I ~( .
Issued:~Due:~
c.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA
Signature , Medical Examiner Date
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:
o BURIAL
o CREMATION
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.
o STORAGE
o OTHER (Specify)
~w/'(r /A~.
Place of Disposition
Date of Disposition
Signature of Sexton )
or Person-in-Charge )
HRS Form 326. Feb 89 (Replaces Oct 87 edition which may be used)
(Stock Number: 5740-000-0326-2)
J.