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Home My WebLink About4-40-27 ~~ Lots 27 & 28 ! Paid b;CEMETERY Receipt No.... 6.7.1.. ...Dated.... 5.1 .31.L9.1........... ~~~~. List Price $ .,. ~.Q9. ~ R9...... Maximum No. Burial Spaces................. Net Paid S ... ~.Q9. ~ R9. .. ... Monument permitted... .. ... ... ..... ... ... . NO. 11327 (Data abo"e this Une for CIty Record only) Laura and Philip Ciano 1574 East Lake Lane Sebastian. Fl. 32958 atitv of &thusttun <1!rmrtrry Irrb 1 ~~~~7 NO. THIS INDENTURE MADE TIaII .....).l ~ t. . , day of ......... ..M.a y .. .. .. . .. .. .. .. . .. . .. . .. .. ... A. D.. 19..91., between the City of Sebastian, a municIpal eorporatlon exlstlns under the laws of the State of Florida, as Grantor and ..",................... .... .... ....... ........ .~.~~~~...~~~. .~h;i,~.t.p..G~.~~q........".... ............. .... ... .............. 1574 East Lake Lane . , . . . . . . . . , . . . . . . . .... . ...................... . .S.ebas.t.ian J. . Flo.r ida. .329. 5.8 . . . . . , . ' . . . . . . . . . . . . .. . ......... . ... ........ of the County of ..Ind.i.an..Riy.er...................... an'l Stale of .......Flo.rida................................... IS Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ . .f}R9.". 9.Q. ..... . . . . . . ... to it in hand paid, the receipt whereof is herewith ae- knowledged, does by this instrument grant, bargam, sell, release, convey and confum unto the Grantee . t:.b~i!: heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(S~ ?S: ? ~ ,Block,...4 9. .. ,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 de'ed 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. CITY OF SEBASTIAN, FLORIDA AII"':1I~/J1....{}d~.. , . . . ' , '/1 ~ ~ ~ CIty Clerk B, ~qY==...... (Cltitv Jital) STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEUEBY CERTIFY, That on thIs .......31.S.t..........day of .......May......................................., 1991, before me personally appeared.... W .".. .~.".. .~.QPY~X.~.,.....................,...... ' and .Ka.thJ:y.n.. 0 .'.Rallo.ran...... respt.ctively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of thc State of Florida to me known to be the Indh'iduuls and officers descrIbed In IInd who executed the fOrl'golns cORveyance to ....................................... ......... .~.~~~~.. ~~~.. .~h~.~.~p.. .9.t.~~~..,............................................ .' . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be theIr free act 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 Rct and deed of saId corporation. WITNESS my sIgnature and officIal le&l at Sebastian, In the County of Indian RIver and State of Florida, the day and fear last aforeaald. .bn.. :-.::::;a~......:.......... mmlsslon explrell tl":"~1 ',',' "', c: ',', ' 'd', .~,.... ~ ..:~~ r-.... _.~ ~.. ~'I Z~, r:74 My (ClT.~'!~" ~ I, ~ '.' .' :, ..', , '"t. Bonded lhru 1r\)}' rem. h',J.....'.~ Not My "I Name /0/1, ) I.. ';0 .1./ A./O ,P. C- ,119 I'll V Unit Block Date of Mark-out ;;..1 , __..__j~i1i.._L2.~ ' 1~117/9 ~") Time 10 o c) If 'IYl - "'i';. Lot Date of Burial Name of FuneraltHome ' 5'113 Y N K~- l>e // /;If :.' ...---....\...' i' /; /' J/ / - /' <" ;1,'//, i. /i" / '''''1;1 f // t/.-..t Authonz~f -.,.""'14cx,;r;. d ~- ,y, I' / CIANO~ LAURA AND PHILIP 1574 EAST LAKE LANE SEBASTIAN, FLORIDA 32958 J' DEED 111327 ~ ",""- ---,'- . . LOTS 27 & 28 BLOCK 40 UNIT 4 )Jlu.nL {liMO - inJe.rrd //I~/tf~ L{)f ~ l!~ Th~/hp(!ja{)O- if\tet'reJ ~//7Jq.3 I..D+-,Q~ ~ "-.., - ~ - Lots 27 & 28 Block 40 Paid by CEMETERY Receipt No. . ..6.73....... .Dated.... 51 .31.L9.1........... -Uni t 4 List Price $ . . . ?Q 9. ~ Q 9. . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Net Paid $ ... ?Q~ ~ Q9...... Monument permitted....................... NO. ;1327 (Data above this lJne tor City Record only) Laura and Philip Ciano 1574 East Lake Lane Sebastian. Fl. 32958 . City of Sebastia POST OFFICE BOX 780127 0 SEBASTIAN, TELEPHONE (407) 589-5330 0 FAX (40, June 10, 1991 Mr. & Mrs. Philip Ciano 1574 East Lake Lane Sebastian, Florida 32958 Dear Mr. & Mrs. Ciano: Enclosed is Cemetery Deed No. 1327 for 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. V~~l}rv#~ Kat~~. O'Halloran City Clerk KMO: j s enclosure " . THB SEBlISTIJlN CBMBTBRY. CIt9 of Sebastian Sebastian, Florida &J3 FROM: RECEIPT IS HEREBY JlCKNOHLBDGBD OF THB SUM OF: ~ iP~"l.Lc~.- - I10llars ($ t5'iltI.#CJ l ~LU..4~ 4At-d /~:~.6 C / /; /lI (J /S-7-Y L~~ ~_ ~~.IU_- ~.k~~ ~-,-'. 3,;JsP's-.y , ) on this 3/~ da9 of ~I ' 19'1/ for the purchase of the follOttIng described Cemeter9 Lot(s} the terms and conditIons as stated herein: Description of Propert9: Cemeter9 Lot (s)' 37 ^ d 6~ Block' 11 c') Unlt' 7" Purchase prke: 9lC .rf'~Af ~,.../ Dollars ($ ,f'~t1.t:?'7:J } Terms and' conditIons of sale: This contract shall be bInding upon both partIes, the seller and the purchaser, when approved b9 the Ottner of the propert9 above descdbed. I, or we, agree to purchase the above descdbed propert9 on the terms and condItions stated In the foregoIng Instrument: (fUif< , &;'/YlA) TIle Clty of SebastIan agrees to sell the above mentIoned propert!/ to the above named purchaser(s} on the terms and condItions stated In the above Instrument. I~~ WI ess f {L~~ .aL,--/,~ dIt9 of SebastIan '. .' . - \. ... ~............. . 11'1' . '"-"'_.. . DflU_. 'N...'''B DlIIl "'" 111.0.: ...... -"" - ~ .. ru 0 lID en...> [p W~C -,] en~::D 0 ~en)> OJ .Z~O r if ;n~::D - ~i~ .0 .0 :<81 m ~ - ;!l .. ru i 0 0 0 ~ "'T1 ); [p ! en z 0 m 0 0 ~ I\) 0 ~' f 0 U-J i . , ~ & - 'D I ..... ~/! ..... ..... .- CD '-... I''; i ' Y';:~ ~ ',. " ::~'~~:.J..!:.~i'~6:' :: ~ A. 1. Name of Deceased (Type or Print) Phifnl F. Middle C . Last lano DATE OF DEATH Name of (If neither, give street address) Hosp. ar--4 Elk Inst. 10 I ast a e Lane /-- rP 7- cJ. J>' (3 ,/0 I./i Mor~/1B~3 Year fla~] State of Florida, Departm~f Health and Rehabilitative Services. Vital Statistics APPUCA" FOR BURIAL - TRANSIT PERMIT . 2. Place of Death ~an River City. Town or Location Sebastian 3. Name of Medical ~~Wael Zimmer, M.D. Medical Examiner _ Address 2300 5th. Avenue Vero Beach, Florida 32960 Phone Number (407 )567-7111 5. Check Appro- priate Box a 0 X b 0 (407)s-6Z :3;:':; .. Co) The medical certification has been completed and signed. A completed certificate of deatli accompanies this application. Michelle X Physician Adf~ North Sebastian, C t 1., Fla. Lie. No.1 en ra .",venue Fl 32958 1228 Phone Number (Area Code) 4. Name of Funeral Homel D~l~6~neral Homes, P.A. 12/13/93 . . was contacted on within 72 hours after death. He/she verified that this ~Mi flPAUlMi~al flf~~es, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death. was contacted on . Helshe verified that ,Medical Examiner, will complete and sign the c 0 6. Place of Final Disposition: 7. Funeral Director I Dire;t ~i8l5eaGI Indian River F.E. NcJ.~' I~v. Removal from state Donation Date Sig,.ned 12/13193 B. BURIAL - TRANSIT PERMIT 1228-93-0551 Permit No. 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 requested. Registrar or . I Subregistrar Signature Date Issued: /~.1J'.9~ Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or: BURIAL-AT-SEA Signature ' Medical Examiner Date or Medical Examiner, ' gave authorization by telephone fo 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. Signature of Sexton ) or Person-in-Charge) o STORAGE o OTHER (Specify) ,I( J~~ CEMETERY OR CREMATORY Place of D;spo~l"" .5~/;/2. .~"d1'; /.Z;2 1 Date of Disposition __ __ - - D. Methods of Disposition: . BURIAL o CREMATION /... /"};o '7' 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) .T.