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Home My WebLink About4-39-26 f' Pa'bY CEMETERY Receipt No. . .q 9.f} .. . .eDated . . .~ 1.1 ?l.~ 7-. . . . . . . . . . . . . . . . . List Price $ .... 800...QO.... Maximum No. Burial Spaces............. .... , 800.00 Net PaId $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . ~ 26 & ~39 Unit 4 27 NO. 1 ~.~ :3 0 C. Marion Fisher interred 2/13/92, Lot 26 (Data above this Une for City Record only) ._~,. i . mitll of &rhastiau 1~ ~n . ..... J <1!tmtttry 111 ttlt NO. THIS INDENTURE MADE 'I1a1I ..13.th............. day of ....Febr.uary............................ A. D., 19..92," between the City of Sebastian, a municipal corporation exl!ltlng undcr the laws of the State of Florida, bS Grantor and Jean Fisher ..............."....,.. ,.,...,..'.....l'5'7..Pe.tiwi'n.kl~"Drfve."" ,...,.". .............,.",..... .., "......, ,..,...,.... Sebastian, Florida 32958 ...... ....................................... .... ........................................ ........ ......... ........................... of the County of .... J)l.q.,:i,.i3:n ..~;i, y:~x... ................. anJ State of .... ..Jflp-t:'.i.da................... .................. .s Grantee- WITNESSETH. That the Grantor for and in consideration of the sum of $ .;. 800...00 . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargalD, sell, release, convey and confirm unto the Grantee . he l' . .. heirs, legal representatives and assigns the following property sitUated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . ?~~.? ~ Block, . ~.~ . . .. ,UNIT .. ~. . . . . . . . .. , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at pag~ 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 rust above written. CITY OF SEBASTIAN, FLORIDA AI;~.<.lJ?:..D~da,t.0.~ . .f........,..-.. City Clerk By tuLc:::;;~..:.... TTor Sign...d, Senled IInd Delivered I~.~...... (..~/l.lJ/~................... STATE OF FLORIDA COUNTY OF INDIAN RIVER I UEItEDY CERTIFY, That Oll &.18 .. ..13.th,.. . .. ...... .d!lY of .... Fe.bruar:y.. . . ....... ....... . . ..... . . ... ..., 19.92, (<llUy 'tal) b...fore me personally appeared,.. ..W'~ E \" Gony.e:r:.... ............ ... ... ..... . .... . .. and Kathryn"M ~.. 0 "'Hal:I:or.an.. respcetively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individullls 1111I) offieers described in llnd who executed the forc'going CORveYllnce to . . . . . . . . . . . . ., .." ...., ,..,........... ,.1 ~~J;l. .J;i. ::J.b.e;r::.,. ., .. ,.. , .,...,.., ,., ,.., .., ... . . . .., . . ., , . . .... , ,....,.,....,..,....., ,... . . . . . . , . . . . , , , . . . . . . . . . . , , . . , , . , . . . . . . , . , . . . . . , . . . . , , . ,. and severally acknowledged the execution thereof to be their free act and deed as snch officers thereunto duly lIuthorlzed; and that the Official selll of said corporation Is duly affixed thereto, IInd the said conveyance is the lIet and deed of said co.-poratlon. WITNESS my signature and official leal at Sebastian, in the last aforesaid. F Ida at Larlc. commission ellplr I' Notary Public, State of Florida My Commission Expires June 'I, 1994 Bonded Thrv Troy Fain. Insurant. Into Name /7..' J L r/llf<..J'O N Fi6 HeR. Unit '1 Block 39 Lot .;l(p Date of Mark-out "/.' I r .., 04- If. 14 f I ~ Date of Burial .;,l.,..1 {J 1e;:J.. I j { Time ,;:1,'00 f.J. 1"-1 / . r '" (\1 " ~ Jean 757 Periwinkle Drive Sebastian, FL 32958 Deed 111350 2/13/92 Lots 26 & 27, Block 39, Unit 4, $800.00 YJA Lot 26 - C. Marion Fi~he~ interred 2/13/92 Lot 27 r r~ - /-.3-~ l., - ~ - List Price $.... 800...QO.... . 800.00 Net PlI1d $ .................. Lots 26 & 27 Block 39 Maximum No. Burial Spaces................. Uni t 4 NO. Paid by CEMETERY Receipt No. . .~~.~......... .Dated.. .~I.l.~f.~7................. 1 ~.~ 50 Monument permitted. . . . . . . . . . . .. . . . . . . . . . . C. Marion Fisher interred 2/13/92, Lot 26 (Data above th18 line lor City Record ooly) ----ul - . . o C18 TH~ SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida FROM: - 7() Dollars ($ ~t'tJ, .P' ) 1 ,11 (L~,-- on this /3Y!J day f , 19tjbfor the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)#r..:f?lofl517 Block# 31 Unit# o 'j //1 j 11 t!;!-...-.. Purchase price:(/(.il( r (,IiL/tlt tlt:ll - . J . Terms and'conditions of sale: 4 Dollars($ ~~Jt1,~) 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. C_. .- of sebast'Yan ,tfJJ,~~ \:Va Wi t~ss . . " . . POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 February 20, 1992 Jean Fisher 757 Periwinkle Drive Sebastian, Florida 32958 Dear Mrs. Fisher: Enclosed is Cemetery Deed No. 1350 for Cemetery Lots 26 and 27, 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. 698 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 your~, C/~fn [)#~ Kathryn M. O'Halloran City Clerk KMO: Iml enclosure (\ws-form-cem.rec) ~ I ~ ~ ~ [\- 0 ... ~ ~ ... aa - W ,....., 0 :2 ... Ow t.D :I: ::J 18 t.D ~~~ 0 0 [\- w~~ t.D zz~ tj 0 =>> W I- aa u.o~ - ~z ~ Z~(I) [Q =>>... a: ~ t.D lii ... ~ I ru C 0 ~~ -~ 0 ~ ~ I~i ell ~., '~lIi G f) a: 0 u. VB NYOQI3I'IY !I)lY'I 113:1YI IOIIVOO . . r. ~-- t " ex> (0 oM N r i JIi ~ ~ '\ib · <( ; ~' -I ~Il~ -I ~ fh . 1 = State of Florida, Departmen.ealth and Rehabilitative Services, Vital St...tics APPLlCATIO OR BURIAL - TRANSIT PERMIT /.. c24/ d 7 15 :3f vi A. 1. Name of Deceased (Type or Print) First Clarence Middle Marion Last Fisher DATE OF DEATH Month Day Year 02/10/92 Jacksonville Medical Examiner Name of (If neither, give street address) Hosp. or Inst. St. Luke's Hos i tal 4500 San P~1~s~oad Phone Number 2. Place of Death County Duval 3. Name of Medical Certifier City. Town or Location S. Petrou M. D. Physician Jacksonville Florida 32223 904-223-2000 4, Name of Funeral Home/ Address Fla. Lie. No.lReg. No. Phone Number (Area Code) Direct Disposer 1623 North Central Aven e Strunk Funeral Homes, P.A. Sebastian, Fl 32958 1228 4 7 5. Check a D The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b D was contacted on 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 will complete and sign the medical certification of cause of death. c D was contacted on . He/she verified that , Medical Examiner, will complete and sign the medical certification. 6, Place of ::ieOastlan (;emter Final Disposition: i. Funeral Director/ QirQgt EliSl'JOael' Indian River F.E. No.l~. 1672 Removal from state Donation Date Signed 02/11 92 B. BURIAL - TRANSIT PERMIT 1228-92-0076 Permit No. Permission is hereby granted to dispose of this body. D 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. D No extension of time for fili he death certificate request . Registrar or ~ ~,. Date ,., / /:>.-, DDauet~, Certificme_/. c-_ D ,., Subregistrar Signature K...,.-- . Issued: ~ -/ '(} ~ 7 ",... d.....,J . z.~ C, AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , Medical Examiner . Date Signature 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: IE BURIAL D CREMATION D STORAGE D OTHER (Specify) <01.(:k?- Place of Disposition Date of Disposition lb~ 0A...,.5 ~~UA".'d '''I l"\G\'\I Signature of Sexton ) or Person-in-Charge ) 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. Ql. HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) (Stock Number: 5740-000-0326-2)