HomeMy WebLinkAbout4-40-24
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'Paid b~ C'EMETERY Receipt No. .. .6~H... .. .. ..d.. ~ /.12-1 92. . .... . ... .. ..... Lo t s . & 2 5
List Price $ .1'12,00. .00..... Maximum No. Burial Spaces................ UBl~ck440
nlt
NO.
1. (~i19
Net Paid $ .l.~ 200 ..00.....
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
Lois M. Blanchard interred 2/12/92 Lot 25
(Data above this line for City Record only)
Q!itv of &thustiun
Q!r~rtrry
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'\1349
NO.
THIS INDENTURE )fADE TIaII ....lZ.th........... day of ...F.e.b.ruar.y............................ A. D., 19.9.?..,
between the City of Sebastian, a municipal corporation existing undcr the laws of the State of Florida, os Grantor and
Anthony Blanchard
. . . . . . . . . . .. .. . .. . . .. . .. .. .. .. . .. . .. .. . .. . . ... . '705 "L'an tani a "Dri ve .. . . . . . .. .. . . . . . . . . .. . . . . . . . . . . . . . .. . . .. .. .. .. .. . .. .. ..
Barefoot Bay, Florida 32976
...... ....................................... . "0 ........................................ . ,...... ..0..... ............................
of the County of ..... J~4~~.~.. R~.Y.~~.................. an-J State of .. ..~.~q~.t.4?'!-.......................................
IS Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ . .1. .2.00., QQ... . .. .. . ... to it in hand paid, the receipt whereof is herewith ae-
o '
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . . h i..S.. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) ;74 &-25 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 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 ~d the same shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the first 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.
CITY OF SEBASTIAN, FLORIDA
All"tc;;!~..Odatk~..
_.~. . . .(;1. .. City Clerk
B'tVT~~........
Mrr
Signed, Sealed and Delivered
In the Presence ofl
(Glitu jitta()
ST ATE OF FLORIDA
COUN'fY OF INDIAN RIVER
1 HEUEBY CEriIFY, That on this ....J..?tP-.............day of ...lf~p.+.1.,1.~;r::y..................................., 19.9.2,
before me personally appeared. W ..E... Con:yer.s...... ........... . .. . .. . . .. . . . ., . . . .. and Ka.thr.y.n..M... O.'.Ha.llor.an..
respl"ctively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known
10 bl" the individuals and officers described In ond who executed the fOrl.going cORveyance to
. . . . . . . . . . .. . . .. .. .. ... . ... ........ A~.1;:hRnY. . ~;I;?I,1.~h~~.q.... ........ .... ....... .... . . . . . . . . . . . . . . . . . . .. ........... .. .;.... .. .,.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free aet and deed
as slIch officers thereunto duly 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 leal at Sebastian, In the Coun~y of
Inst aforesaid. i
!
Name An{i-,oNf
Unit !I
6lanc.hc.RJ
Block
'-10
lot
,;;.4'
{oj 1\-1 ~'3
I..,.. 7
/0//3 /93'
I I
Name of Fune~fHome '::&"
(---., ,/ IJi /)/..
A"lhO<~e4.bj<' ... . ,.' ./~. . ."~
Date of Mark-out
Date of Burial
Time
//: 00
14. rYJ
J.
----.._~_...~_.., --~
~ Anthony
~ia Drive
Barefoot Bay, FL 32976
Deed /I 1349
2/12/92
~~,
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Lots 24 & 25, Block 40, Unit 4~ $1,200.00
Lot 24 _ flllJhtJn~ :B1uJ&hvel....ilJfet-r't!-/ It) 11(3/~
Lot 25 - Lois M. Blanchard interred 2/12/92
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Paid by CEMETERY Receipt No... .697....... . . Dated.. I') I
lC1 .12.192................. Lots 24 &25
ListP' $ 1 2.0
nee "1 0 . .0 0. .. .. Maximum No. Burial Spaces.. .. .. .. .. .. .. .. UB 1 ~ c k4 4 0
Net Paid $ 1 200 00 nl t
..~ ....... Monument permitted
. . . . . . . . . . . . . . . . . . . . . . .
NO.
1 '.{ ,. 9
- ,./. '-
Lois M. Blanchard interred 2/12/92 Lot 25
(Data above this line for City Record only)
'1
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-,
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.
~9/
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
FROM:
($601~~ ,r)
on thi!lfl cJ:h- day 0
described Cemetery Lot(s
, 197f~for the purchase of the following
upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)&::J4~cf(CJ Block# 10 unit# 4
Purchase pricet)JIkI4t-1j~ ,Jl4/i!rO'/ Dol1ars($IJIJ~,~)
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:
~:d-"(jl ~~ /lA/bd/
The City of Sebastian agrees to sell the above mentioned property to the above named
purchaser(s) on the terms and conditions stated 'n the above instrument.
~Me_ sI~
("'ff i tness
v/
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POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
. TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
I
February 19, 1992
Anthony Blanchard
705 Lantania Drive
Barefoot Bay, Florida 32976
Dear Mr. Blanchard:
Enclosed is Cemetery Deed No. 1349 for Cemetery Lots 24 and 25,
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.
We are enclosing two copies of Receipt No. 697 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,
~'rlJ D#~
Kathryn M. O'Halloran
City Clerk
KMO:lml
enclosure
(\ws-form-cem.rec)
IB
State of Florida, Depart.f Health and Rehabilitative Services, Vital.sties
APPLICATION FOR BURIAL - TRANSIT PERMIT
J. ~~, ;2. ~
IS /j C)
L/1
A.
1. Name of
Deceased
(Type or Print)
First
Anthony
Middle
Joseph
Last
Blanchard
DATE
OF
DEATH
Name of (If neither, give street address)
Hosp. or
lnst. Sebastian Hospital
Month Day
10/10/93
Year
2. Place of Death
County
Indian River
City, Town or Location
Roseland
3. Name of Medical
Certifier
Ralph Geiger, M.D.
Medical Examiner
Address
Phone Number
4. Name of Funeral Home/
Qir'i<:t Qi&l3eeer
Strunk Funeral Homes, P.A.
Physician
Address
1623 North
Sebastian,
13840 U.S.#1
Sebastian, Florida 32958 (407)388-0770
Fla. Lie. No.tFlGld. t~o. Phone N~(Area Code)
Central Avenue v'~
Fl 32958 1228 (407)8&2 232~
5. Check
Appro-
priate
Box
a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
b ~ Cindy was contacted on 10/12/93 within 72
hours after death. He/she verified that thi~~tlh wds .f~m na~~ causes. that there was no accident
nor other external cause of death. and that ape 1 e r , .. 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 Sebas"tlan ~emetery
Rnal Disposition:
7. Funeral Director/
13tt89t Qi9138ger
Indian River
F.E. No./r;c~. t Jtr.
1672
Removal
from state Donation
Date Signed
10/12/93
Bo
BURIAL - TRANSIT PERMIT
Pe .t N 1228-93-0449
rml o.
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 the death certificate requested.
Registrar or .
Subregistrar Signature
/
~~~~d: /0. /..1. ,..r
Date Certificate
Due:
C.
AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA
Signature
or
Medical Examiner, I
, Medical Examiner
Date
. gave authorization by telephone fa
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 !'lours after
death is required for all cremations.
D.
Methods of Disposition:
. BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
CEMETERY OR CREMATORY
Place of Disposition <, ~ ~ A:'\ r;" ~ (2 l-: "." u"; r;, ~ y .
Date of Disposition / t!.' / (:3 / tt :~
Signature of Sexton )
or Person-in-Charge )
K'i' '}.
;(~~~
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)
s.