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Home My WebLink About4-39-21 Lots 21,22 " ..,. Paid by CEMETERY Receipt No..... ~.f:}Q. ... oat.... 7.l.~ UU................ ~~. 43. List Price $..:t. ,Q9.Q ...9.Q... Maxbnum No. Burial Spaces................. Net Paid $ .. ~ , .Q9.Q .'. 9.Q . . . Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. "1334 Lucy M. Pryor interred 7/5/91 Lot 22 (D.t. .bove tltls line for City Record only) Helen Pryor P.O. Box 1 Wabasso, Fl. 32970 otitv of l'tbustiun <!trmrtrry I rrll ';1334 NO. THIS INDENTURE MADE TIaJa ....5. .to............. d.y of .......... Jv.l-Y............................ A. D.. 1..9.L. between the City of Sebutl.... . municipal corpor.tlon alstln<< under the I.ws of the St.te of Florida, .s Gr.ntor .nd . .. . .. .... ................................. >>~J..~.I).. r~.Y.Q;r::.................. ......... ... . .. ........... ........................ P.O. Box 1 ............................................. . Wal>.E;l.~~~,.. f.;I.o.r.:i~a. .~.Z9. 7.0.... ............................................ of the County of .J.t:l.4;l;~~..~;i;y~.~...................... .n~1 St.te of ....~~~~.~4~....................................... u Gr.ntee, WITNESSETH. That the Grantor for and In consideration of the sum of $ ..~ ,.QR9.'. 9.Q. .. . . . . .. . .. to it in hand paid, the receipt whereofis herewith ac- knowledged, does by this Instrument grant, bargam, sell, release, convey and confum unto the Grantee. . h~.:r; .. heirs, legal representatives and assigns the following property situated in Sebastian,lndlan River County, Florida, to-wit: All of Lot(s) .,:l t 2 4 Block, . . .3. 9. .. ,UNIT .....4....... ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 6S of the public records in the office of the Clerk of the Circult Court of St. Lucie County of Florida; said land now lying and being In Indian River County, Florida. To Have and to Hoid the same forever; provided that said property shall be used !Olely and exclusively for the Interment oCthe human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and re!Olutions 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 fallure 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 Sebastlan, 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 first above written. AtI",:~~...{)ri.~ --.- f'" ....Clty Clerk CITY OF SEBASTIAN, FLORIDA 8, . /drz~........ bU- ';/ (GIitv -'tal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEIlEBY CERTIFY, Th.t on this....? ~.l:t.............. .day of ........ ..-!~;l;y.................................... I..~.t before me person.lly .ppeared ...W~.. ~.'" .9.(mY~.~.~................................. .nd ~.~.~h~.Y.~. .q~.~~~~.C?t;~~....... respl~tively M.yor and City Clerk of the City of Sebastian, a municipal corporation under the I.ws of the State of Florid. to me known to be the Individuuls und officers described In and who executl-d the fOrl.golng cORveyanee to . ........ ..... ................................ ..... fl~.l.~n. .l'.J;'Y.Rf..................... . ....... .................................... . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .nd severally acknowledged the execution thereof to be their free .ct .nd deed a8 slIch officers thereunto duly authorlsed; and th.t the Offlcl.1 seal of s.ld corporation Is duly .fflxed thereto, and the said convey.nce Is the act and deed of said corpor.tion. WITNESS my signature and official seal at Sebastl.... In the County of Indl.n River and St.te 01 Florida, the day .nd 1e.r last aforesaid. cf;(~... . .~.. ..~~~.................... Not Public, St.te of Florid. .t ~" My ommlsslon expires. N _..,.!:. r.. ,.' fl. :"a ota" ,.::....... olo.c:.1l ~ 1 cr.", My CemrnbrlCl::l E~r:;~3 r.ptil 30, 1994 Ionded Jhru Troy fain.. In,urane.lnc. Name e: DE/.... 1-. eH , Pri Oe ' Unit 4 Block ,,,",' J'\ .,j'i Lot JI Date of Mark-out /I II tj/1'8 I I Date of Burial j) 1;20 i 9 e; J / 3 ' 0.0 p. (,r?' . Time o. ", DEED 111334 !~ HELEN P.'O. BOX 1 WABASSO, FLORIDA 32970 LOTS 21 & 22 BLOCK 39 UNIT 4 LUCY M,PRYOR INTERRED IN LOT 22 ON 7/5/91 ~ 71. r - 4Cl-/- /j-dtJ-f8 i ~ - ..... - .. .. .. City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 July 9, 1991 Helen Pryor P.O. Box 1 Wabasso, Florida 32970 Dear Mrs. Pryor: Enclosed is Cemetery Deed No. 1334 for Cemetery Lots 21 and 22, Block 39, 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. 680 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, Y t--tJ'.-.,!)J Uf/t k~<~ Kathryn M. O'Halloran City Clerk KMO: j s enclosure . . &:"j L ., .. .. THE SEBASTIAN CEMETERY city of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNONLEDGED OF THE SUM OF: FROM: (7)~ /~-"A--?L-L &~AtJ ~J /.c1./~ / ~)A~, F../. Jd-77cJ Vollars ($;: ~. tfi'zJ ) on this .j-z;t day of 2,J:, , 19f/ for the purchase of the following described Cemetery Lot(~ terms and conditions as stated herein: Description of Property: Cemetery Lot(s}' ,;2./ ^c201... Block' ..39 Purchase price:(jJ?l; 4~~.AJ Terms and' conditions of sale: Unit' ~ IJollars($/'Ntf.1"-z1 } r#-6 kJ -7'~;7 7-?J. ~ r 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: 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. Q.~ d_/~ ~1.ty of Sebastian , . . Witness .. .. . .-.- ~-A" ~.... lD_A i .... OJ UJ o ilS' iht if :::I lII:'" ... .... ... - .. o U':I -.:J o o U':I U':I .... o - .. i .... o -.:J U1 .D o OJ " tn ;I ...c I~ rR~.... ~~i - om ~m:D - ~. " :if ,. ~~:I: II ~o zl: ffim ... ~ ~ ~ tAl I-i- I~ A. 1. Name of Deceased (Type or Print) First 2. Place of Death County I ndian River 3. Name of Medical Certifier Eric Kurtz, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral 5. Check Appro- priate Box '1:~~;:r'iM;~ '?,<~""'?'-")~.":'~$*-~> ,:-<"'-"";-- ~:T';'-"-- . ".,~c"f~ L cP~ ~ 13 3:1 I/i ,.-~ '.""..<.,; '-m~?___" State of Florida, Deparbnent of Health, Vital Statistics APPLICAe FOR BURIAL - TRANSIT PERMIT Middle Last Edelle City, Town or Location DATE OF Pryor DEATH Nov. Name of (If neither, give street address) Hasp. or Inst. Health South Treasure 1998 Month Day Year M. 17 Vero Beach U Medical Examiner Address Center Coast Rehabilitatic Phone Number ~Physician 1600 37th Street, Vero Beach, FI 561-778-2106 ,6.ddr~sli. h C I A .~ Fla. Lie. No./Reg. No. Phone Number (Area Code) 162::5 Nort entra venu.e Sebastian, FI 1228 561-589-1000 Home a 0 I The medical certification has been completed and signed. A completed certificate of death accompanies this application. b~ Robin was contacted on 11/17/98 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 0 r . Kurtz 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 / Qi8iet ~iel!..er 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. R .;11 '~ Subregistrar Signature B. Removal from state Donation Date Signed 11/17/98 I ndian River F.E. No./Reg. No. 1862 BURIAL - TRANSIT PERMIT I. Permit No. 1228-98-0494 \\ \ " \ea , ~~ Certifi~~' ~~ \11 Date Issued: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature or Medical Examiner, , Medical Examiner Date , 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: litBURIAL o CREMATION o STORAGE o OTHER (Specify) _.mo~~ ~ Date of Disposition .;1..0 Signature of Sexton ) or Person-in-Charge) ?~ ~ This permit must be endorsed by the Seeton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the County where disposition occurred. DH 326. 10/96 (Replaces HRS Form 326 which mey be used) (Slock Number: 5740-000-0326-2) ~J/