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Home My WebLink About4-40-29 List Price $.. ~?Q ...QR...... Net Paid $ ..f!~.Q:.Q~...... Maximum No. Burial Spaces. . . . . . . . . . . . . . . . .' 11t3 · .' . .... . . 659. 2/11 /91 PaId by CEMETERY ReceIpt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is 29, ck 40 it 4 30 NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Mrs. Dunham Franklin Dunham interred 2/9/91 Lot 29 6120 River Run (Data above thla line lor Clt, Reeord oDI,) S e bas t i an, Fl. Drive 32958 cnitll of l'rbustiuu OJrmrtrry ilrrb NO. 'l.1313 THIS INDENTURE MADE 'J1IJa ..... J. J t.b... .. .. '" day 01 .... .f.~J:n:\l:t;l.:r;y'... .. . .. . ............... .. A. D.. 19.9. L. between lhe City 01 Sebutlan, a municipal corporation exlltln, undcr the laws 01 the State 01 Florida, al Grantor and . . . . . . . . . . . . . . . . .. .... .. " .. ..... ...... ....... . . . M:r:-.l?... E:r:-.l;\nkl.!.Q.. P.'\l:J;l.b~Pl. . .... . . . . . . . . . .... . . .. .. . ......... ............... ............ .... ............................. .. .~~.6.~~~i.X~~. .~Y~r.:fa.~~~~.9.~a...................... ...... ... ...... ...... 01 the County 01 ......~~~J.~n...~~.y~~.................. an-J State 01 .....~~~.~.~~~...................................... u Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ ..~ ?Q... 9~ . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargam, sell, release, convey and conrum unto the Grantee .... P.~ h heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) .~ 9. ,.~ Q Block, . . !+. 9. .. ,UNIT ...~......... ,of Sebastian municipal cemetery as per Plat Number I 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'j.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 rust 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 rust above written. Atl"'~~.Jn...{)(;j~ ~. - !'- City Clerk CITY OF SEBASTIAN, FLORIDA By ~c;:?........... Ma/ ((lUtl! "eal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on thla 11th day of ........ f.~ p.~~~.~Y............... ..............J IIJ.~.\ belore me personally appeared...W~.. ~'" ..<;:.QP'y~.:r;~........... _.. _.................. and :K~.t;h:J'.".Y.~..Q~.~~;I)-.9.:r;~n....... respectively Mayor and City Clerk of 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 fore'golng cORveyance to Mrs. Franklin Dunham ............................................... ....... ....................................... ...... ..................t................. . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereol to be their Iree act and deed 89 sllch officers thereunto duly authorized; and that the Official seal 01 said corpOl'atlon Is duly affixed thereto, and the said conveyance Is the act and deed of IBid corporation. - - - WITNESS my Ilgnature and ollldaJ aeaI at Sebaltlan, In the County 01 Indian River ol1d State 01 Florid.. the day and 1ea:- last aforesaid. .. ... .... ..... ..... .~~..~~. ....~.. ~ ........... Nota ubUc, State 01 Flor~~~ My ommllslon expires. "tMV re'!,. ......~ ("' n:d~J tl ~., . ;...'~ '.~':""...: ... n94 My ((Immi~~lall [,:r:" .. i _"..1 3"" Bondod Thru Tro}' Foln . 1:lS~rcn::e 1nc. Name r ;::' ~N j.: L ,;; j) wt Ii 1/1iff1 . I U'nit 1 Block 1V Lot 9 ' ;), .-, . Date of Mark-out ;<'/8 /91 ~/~1.lql- ,', :5~w de -~.Time "Date of Burial Name of F"uneral Ho~~ l~,"<! ../.(,,:.. l: \:",:<'1/, Authorized by " /.,./ '\-, "- f (~~,'~"/ / / / L ' ~ . ;;,:"~:"':_.,::~/1_ {'!':{-"'.;J'( I ^"V 'D. ~~,IMRS. FRANKLIN '6120 RIVER RUN DRIVE SEBASTIAN, FLORIDA 32958 tj'\ DEED /11313 LOTS 29,30 BLOCK 40 UNIT 4 9>>l FRANKLIN DUNHAM INTERRED 2/09/91 LOT 29 ~ ; '...... - . . 659 2/11/91 Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . List Price $.. f! l.Q ...QR...... Maximum No. Burial Spaces................ . Net Paid $ " f!?.Q:.Q~...... Monument permitted................... .... Mrs. Dunham Franklin Dunham interred 2/9/91 Lot 29 6120 River Run (Data above thla Une lor Cl17 Reeord only) S e bas t i an , Fl. Lots 29, 30 Block 40 Unit 4 NO. 11t3 Drive 32958 \ . . . . ~~ City of Sebastian ~ aI! POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 k/;ZO ~ & TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 ~ _ -~A. 1:.' _ ,~3;z.rJE ~/ February 13, 1991 Mrs. Franklin Dunham 6120 River Run Drive Sebastian, Florida 32958 Dear Mrs. Dunham: Enclosed is Cemetery Deed No. 1313 for Cemetery Lots 29 and 30, 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. 659 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, Kathryn M. O'Halloran City Clerk KMO:js enclosure ... . . . GREGORY J. GORE. P.A. ATTORNEYS AT LAW 710 WASHINGTON ST.. SUITE 8 . P.O. BOX 780384 . SEBASTIAN, FLORIDA 32978-0384 GEORGE H. GORE OF COUNSEL (407) 589-0055 February 26, 1991 City of Sebastian Attention: Kathryn M. O'Halloran P.O. Box 127 Sebastian, Florida 32978 Dear Ms. O'Halloran, Enclosed please find a copy of original receipt #659, signed by our client, Phyllis C. Dunham with regard to Deed for cemetary lots 29 and 30. We will be recording the Deed for Mrs. Dunham. Thank you. Sincerely, Gr~~ ~ GJG/dhb pc: Mrs. ~hyllis Dunham 01 ~ . . /' _r-.'C (;) ,5 / THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: ~ r%L.-4<: L. h~ 7")' Z?/~ ~ ~: _f.-<L. . --/1'. 7L../ Dollars ($ 6S-tJ,~ ) / t, / ,;l tJ ;ti~,~u /&4L/ ~~~~, _~/~LM/ /A~ 3~1"-5-8' , on this lid day of ~...e-L~ 199/ for the purchase of the following described Cemetery Lot(s) upon terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# ,;/90<30 Block# ?It) Unit# ~ Purchase Price, -r4,~ r-n Dollarsl$tSt!.tIz; } 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: x~~.~ 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. .~~ ~ty of Sebastian ;7 /7 ~(.7a>,; Witness 0~") ''),1 ) ./ / /,. .,.. , ir:!-') {',(.-L..-L- ..,-.". Jill ;II~ltI I.. I Ir :s 'If:" ... Ill_A ~ ... o ~ ~ i ~ :II ...c I~ I~i - om ~~~ ~~r- li~ fiim ... ~ 4 ~ o o '\ I I I ! t I I i" ';.~:J '..;..... -. ".: .~... .. State of Florida, .ent of Health and Rehabilitative serVlce1tal Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT ~d9'<7<.30 /j ~d LI ;j' A. 1. Name of Deceased (Type or Print) First Middle DATE OF Dunham DEATH 2/7 /91 Name of (If neither, give street address) Hasp. or Inst. Humana Hospital-Sebastian Address Phone Number Last Month Day Year Franklin 2. Place of Death County Indian River 3. Name of Medical Certifier Philip P Corrao, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Home 5. Check a 0 Appro- priate Box w. City, Town or location Roseland hysician Address 1623 N. Central Ave. Sebastian Sebastian Florida 32958 #1228 407-589-1000 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Medical Examiner 7955 Bay Street Sebastian Florida 32958 407-388-1700 Aa. Lie. No.lReg. No. Phone Number (Area Code) b []A Nurse was contacted on 2/7/91 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 Dr. Corrao 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 Final Disposition: 7. Funeral Director / Di'l:Pt Oil'lpl'lAP.r. Sebastian Cemeter Sebastian, Florida y.' Indian River Count F.E. No.lReg. No. #1672 Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit No. 1228-91-0068 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 Date Issued: 2/7 /91 Date Certificate 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: U BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) 4a '/. f .JbC/:1.. Place of Disposition Date of Disposition Sebastian Cemetery February 9. 1991 This permit must be enclorsed 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) J.