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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 $. ..400, OQ...... Maximum No. Burial Spaces................. Block 39 Unit 4 Net Paid S .. .~.OQ. no...... Monument permitted. ....... .. . ........... . NO. :1351 Sean M. Whelan interred 3/5/92 (Data above thll Une tor City Reeord ooly) .. ~ {) .. ~ .. J . ,'1y 0" '" ~. , IJ" r; ~ <<> " -:r ~o ./ 1 <, \ ",Q lis- Of: PEUCP-t4 \s....Ti- . 1>-' . City of Sebastian POST OFFICE BOX 780127 D SEBASTIAN. FLORIDA 32978 TELEPHONE (407) 589-5330 D FAX (407) 58g.5570 March 11, 1992 John B. & Karen Whelan 1346 Dewitt Lane Sebastian, Florida 32Q58 Dear Mr. & Mrs. Whelan: Enclosed is Cemetery Deed No. 1351 for Cemetery Lot 28, Block 39, Unit 4. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. We are enclosing two copies of Receipt No. 699 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Very truly yours, c:::.~>>:~~1.~a.- City Clerk KMO:lml enclosure (\ws-form-cem.rec) . . . . ~ . . &19 -. . .' . THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT I~ ":Y.AfK_LE~ED OP::E SUM OP, d~~J ~ Dollars ($~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)