HomeMy WebLinkAbout4-39-28
;: ~id~~~MET!RY Receipt No.. ..699.... ..ated.. .J/.~.f.g.2..................
List Price S . . .400,00. . . . . .
Net iBid $~~:~.OQ . no. . . . . .
LO.8
Maxbnum No. Burial Spaces................. Block 39
Unit 4
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
NO.
11351
Sean M. Whelan interred 3/5/92
(Data above till. line lor Clt)' Record only)
<!titl! of t'tbusthtu
Cltrmrtrry
Urrb
NO.
"1351
THIS INDENTURE MADE 'I'IlIa ......5. t.b. .. . . . . . ... day of ......... M~+,c;h.. .. .. .. . .. . .. . .. .. .. .. .. ... A. D.. 19.. ~,?,
between the City 01 Sebaltlan, a municipal corporation exlltlng under the lawI 01 the State 01 Florida, al Grantor and
John B. Whelan, Jr. & Karen M. Whelan
. . . . . . . . . . . . . . . , . . . , , . . , , . . . . . . . , . , . , . . . . . . , .. . . 134,6, . De-wi t t ' 'L'ane- . . , , . . , . , , , . . . . . . , . . . . . . . , . . . . . , . . , . , , . . . . . , , . , . . . . , . . . . , .
Sebastian, Florida 32958
..... ........................................ ... ......................................... ... .... ......... ............................
of the County 01 . ..rI?-q.~~J?.. R;i; Y.~,:r;..................... an-J State 01 ...... f~,<?:r;~~~.....................................
u Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ ..... 40Q...QO.. . .. .. . .. . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargam, sell, release, convey and confirm unto the Grantee their,. 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 I 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 an times in accordance with the roles 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 conditiops, restrictions and requirements contained
in this instrument shall be covenants ruMing 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 roles, 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 shan revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the first part has caused this instroment to be executed in its name and on its behalf by its Mayor and
attested by its City Clerk and its corporate Ileal to be hereto affixed, the day and year first above written.
AIl..I~~-'-.Jlh,{)~...
--- -----f --- City Clerk
CITY OF SEDABTIAN, FLORIDA
B,tir.~~..........
Ma,"
Sign~d, Sealed IInd Delivered
In the Presenee of I
G~~,(t.~:."....,.
C::mD~'"''''''''''
COUNTY OF INDIAN RIVER
I HEUEDY CERTIFY, That on thll ..,..., 5.th., , . . , ... ,.. .day of
(OIitU ~eaJ)
. .... M~.t'.<;h..,.".. .,........,....",..".,...,.., 19. .r:},t
before me personally appeared.. W .,E.. ,Co.nyer.s..... .,.... .... .. . .. . .....,. . ... . . ., and Kathr:y,n.. M... .O,'.Hal~or:an...
resp~ctively Mayor and City Clerk 01 the City 01 Sebastian, a munici)lal corporation under the laws of the State of Florida to me known
to be the Individuals and officers described In and who executL'tI the foregoing cORveyance to
John B. Whelan Jr. & Karen M. WHelan
.. .......,.,."..,."..,..,.....,..,.,..,....... .,.",... .,...,.".,.............."...,.....,.. .,......"..,.,.,.,.,.......,....,...,...
. . . . . . , . , . . , . . . , . , . . . , , . , , . , . . . . . . . . , . . . , . . . . . . . . . , . , . .. and leverally acknowledged the execution thereol to be their free act and deed
as slleh officers thereunto duly authorized; and that the Official leal of said corporation II duly affixed thereto- and the said conveyance
Is the act and deed of said corporation.
WITNESS my .Ignature and official Ileal at Sebaltlan, In the Count
last aforesaid.
and ,ear
Name ..:J E A tV P\ >
Unit
1_\
Block
")(}
....),
Lot
':" ')~
:;~, C:J
Date of Mark-out
'2 ,. f7:~ c;:,
-"'t~" "~
Date of Burial 3 - '.;"- Ci;...
Time
t I OD A. H .
Authorized 6' ,.'
I
_..;. "-+ ---....- '------""-"-'--' - - _._----.-~ .
;r.w~;, John B. Jr & Karen M.
1346 Dewitt Lane
sebastian, FL 32958
"
Deed /I 1351
3/5/92
~
Lot 28, Block 39, Unit 4, $400.00
Sean M. Whelan (infant) interred 3/5/92
,
~ -
'-...
Paid by CEMETERY Receipt No.... 699...... .. Dated.. ::U.~.f. 9.2..... ... .......... Lo t 28
List Price $. ..400, OQ...... Maximum No. Burial Spaces................. Block 39
Unit 4
Net Paid S .. .~.OQ. no...... Monument permitted. ....... .. . ........... .
NO.
:1351
Sean M. Whelan interred 3/5/92
(Data above thll Une tor City Reeord ooly)
.. ~ {) ..
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lis- Of: PEUCP-t4 \s....Ti-
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City of Sebastian
POST OFFICE BOX 780127 D SEBASTIAN. FLORIDA 32978
TELEPHONE (407) 589-5330 D FAX (407) 58g.5570
March 11, 1992
John B. & Karen Whelan
1346 Dewitt Lane
Sebastian, Florida 32Q58
Dear Mr. & Mrs. Whelan:
Enclosed is Cemetery Deed No. 1351 for Cemetery Lot 28, Block 39,
Unit 4.
Also enclosed is a form - Return for Transfers of Interest in
Florida Real Property - which must be filled out by you and
completed by the office of the Clerk of the Circuit Court when
and if you have the deed recorded. If you wish to have this deed
recorded you may do so at the office of the Clerk of the Circuit
Court, 2145 14th Avenue, Vero Beach, Florida.
We are enclosing two copies of Receipt No. 699 and ask that you
sign and return to us the copy marked with an "X" and retain the
other copy for your records. A stamped, self-addressed envelope
is provided for your convenience.
Very truly yours,
c:::.~>>:~~1.~a.-
City Clerk
KMO:lml
enclosure
(\ws-form-cem.rec)
. .
.
. ~
.
.
&19
-.
. .' .
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT I~ ":Y.AfK_LE~ED OP::E SUM OP,
d~~J ~ Dollars ($~lJ(). ~
FROM: - -r;., b.c:r> Whe 1 Qnl .J,.- i k a Yf YI m. W he JaY)
/~~4L, 7DeaJ;+I- Lane
Seb~~(}n I rl(Y,cl.& 3c';)96~
on this e)':J;!::J day OWl"h /It, , 1:99:J.for the purchase of the following
described Cemetery Lot(~ terms and conditions as stated herein:
)
Description of Property:
Cemetery Lot{s)' &~ Block' ~
Purchase Price..:... /}t{))J.L~..d.A/)d
Unit#
;)
Dollars(~t?~ )
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:
~J~Al~ f\\. Wtu)4 '
~~~b2
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~
Witness
/
AcJ~
/3 37
!;/f
..
State of Florida, Departme.Health and Rehabilitative Services, Vital S.tlcs
APPUCATI OR BURIAL - TRANSIT PERMIT
A.
1. Name of
Deceased
(Type or Print)
First
Sean
Middle
Matthew
Last
Whelan
DATE
OF
DEATH
Month Day Year
03/03/1992
2. Place of Death City, Town or Location Name of (If neither, give street address)
(A)unty rklsp.or
Orange Or lando Inst. Arnold Palmer Hos i tal
3. Name of Medical Medical Examiner Address
Certm~ 92 W. Miller Street
Brian Lipman, M.D. ~hysician Orlando, Florida 32806 4 7
4. Name of Funeral Home/ Address Fla. Uc. No.lReg. No, Phone Number (Area Code)
Direct Disposer 1623 North Central Avenu
Strunk Funeral Homes, P.A. Sebastian, Fl 32958 1228 7
5, Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box
Phone Number
b OX
Bernie was contacted on g3/g4/19,,~in 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 Br i an L i oman. M. D. 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
Final Disposition:
7. Funeral Director /
n,.......t niep9i9r
Removal
from state Donation
Date Signed
B,
BURIAL - TRANSIT PERMIT
Permit No. 1228-92-0113
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 deat c rt~icate sted,<=)
~g~~:t;:" Signature . ~ ~::d: 3 _ J..j __ 9.;2. g:~ Certificate
C,
AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA
Signature , Medical Examiner Date
or
Medical Examiner, , gave authorization by telephone to
Funeral Director/Direct Dispos~. 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:
I!l BURIAL
o CREMATION
Signature of Sexton )
or Person-in-Charge )
o STORAGE
o OTHER (Specify)
/1' '1 ;t:..e >. '/'
Place of Disposition
Date of DispOSition
Sebastian Cemetery
March 4.1992
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)