HomeMy WebLinkAbout4-39-29
~1'''"''1'!''''''':ElIl
."
...
Paid by CEMETERY Receipt No. ... .qZ~... . Da.. . .?l?~~.t...............
List Price S. .~.QQ.t QQ....... Maximum No. Burial Spaces.. ...............
.
Lot 29
*k4.
NO.
Net Paid S . .4.00.. QO.......
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
"1333
(Data above thl. line lor City Record 001,)
Eben J. & Martha Porter
12575 Roseland Rd.
Sebastian, Fl. 32958
C!tttll of &rbulltiuu
<ttrmrtrry
i rrb
'1333
NO.
THIS INDENTURE MADE 'I1dI ...... .Z.l)q.......... day of ......... .J".l~),Y............................ A. D.. It.~.t.,
between the City of Sebutlan, a municipal corporation exl.tin<< under the laws of the State 01 Florida, a. Grantor and
Eben J. and Martha Porter
....................... ............. .......... 'i'2's7S"'Rose;i'and' .Ref:......... .......................... ............... ......
............... ... .... ....................... .S.e.bas.t.ian,.. Fl... ..329.5.8........ ....................... .......... ..... ......
of the County 01 ..... ~.~.<;l.:i,.~n ..1~J y:~.r;................... an'.1 State 01 ..... ..~~~r~.4~....................................
u Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ . ~.QQ , QQ. . .. ... .. . ... . .. 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. . t.q.~J~heirs,legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) . . ~.~ .. , Block, . J.~ ... , UNIT ...~......... , of Sebastian municipal cemetery as per Plat Number 1 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 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 f'ust 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.
Alt",~~&..{)-t/~..
..-.--../.... City Clerk
CITY OF SEBASTIAN, FLORIDA
(GIUv 'taJ)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEUEBY CERTIFY, That on thll ...........2nd........day 01 .......Jul.y....................................., 11..9J
before me personally appeared.... ~ .... .~.'... ~.<?~y.~.~.~. .......... '" .. . .. .. ... . ... . . .. and . ~~.~n.~YI?-.. ~ .'.~.~.~~~.~.~~......
respl'etively Mayor and City Clerk of the City 01 Sebastian, a munll'lpal corporation under the laws 01 the State 01 Florida to me known
to be the Individuuls ulld officers described In IInd who executed the forrgolllg cORveyance to
....................... ........... ........... Eb.e.I)..J.,.. .&nd. }.faJ::t.b.&..P.9.J;'.t~:r::....................... '.~'''''''''''''''''.''
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally aeknowledged the execution thereol to be their free act and deed
8S sueh officers thereunto duly authorized; and that the Official seal of said corporation 18 duly affixed thereto, and the said conveyance
is thl' /let Ilnd deed of said corporation.
WITNESS my .Igoature and olflclal .eal at Sebastian, In the County 01 Indian River and State 01 FlOrida, the day and year
last dore.a1d.
N~~;~;f~;.~...................
My commissIon expire.. Notcnr ,. ,,,:~ ~.. .f FI '_'
., 1l!.......,.c::.lIC NluG
My (onll~j~~1~:l f::r!i'c, April 3D, 1994
8ondC!d Thru Troy Fain - fnsurancelnc.
Name
/:55/ e
-"1\he~
t{) p, K
Unh
'-4
Block
:;:; ~
Lot
<7, C\
Date of Mark-out
.....1/ " t rc
/5 . . ~'f t
I
Date of Burial
:"Yf:s-;jq..;
. ,
,,-I-
Time
~
.J, ()O (f";i
Name of Funeral. Home
~ /I .
./,i.i" '-I'
, ' . )("f "-,,, - ',1../ ,,_'
Authorized ~~;- , .~u.. 1t,.d.:, )...e;.-y
C/t
":.,, i-'~_-""'._ .I',
. -.1-1" ~ VV 1\ ::I
I.
~
. _'_"_--~'_----,---_..,-_......,-, -'-"~----'-"----_._-", - '_...,._--,._--_............._.--'~~'"'--".~~-,_._._--_._-_.._--_.-'-~
P:QRTER.,.tEBEN J. AND MARTHA
12575 ROSELAND RD.
SEBASTIAN, FL. 32958
DEED 111333
""\
v'
LOT 29
BLOCK 39
UNIT 4
For Burial of Essie Rhea York - ~ 7-S-ey /
i
'1 -
:-.. -
'.
Paid by CEMETERY Receipt No. . ...qZ~....... . Dated. ... .?/?l~.t.
4 ..............
List Price S . . . .QQ. ~ QQ. . .. . . .
Lot 29
Block 39
Unit 4
NO.
Net Paid $ ..4.00.. QO.......
Maximum No. Burial Spaces
.................
Monument permitted
. . . . . . . . . . . . . . . . . . . . . . .
"1333
(Data above tbll line lor at)" Reeord oDl,)
Eben J. & Martha Porter
12575 Roseland Rd.
Sebastian. Fl. 32958
r--~-~~ --
..
..
, ..
'"
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
July 9, 1991
Mr. & Mrs. Eben Porter
12575 Roseland Rd.
Sebastian, Florida 32958
Dear Mr. & Mrs. Porter:
Enclosed is Cemetery Deed No. 1333 for Lot 29, Block 39,
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.
V~. ru1:y_ yo~r,~' .
, flJ V~~"J
Kathr n M. O'Ha110ran
City Clerk
KMO: j s
enclosure
.
'.'
-'
~ 71
..
..
THB SElJlISTIlIN CEMBTERY
cIt9 oE SebastIan
SebastIan, FlorIda
FROM:
RECEIPT IS HEREIJY lICKNONLEDGED OF THE SUM OF:
~~.(.,J cfl.L4r.._(U;..eL >>Ollars ($ 7"/d'. CI'?:J
c%~ y ~~ 'ld ??Ja.~, /~
(/ /
/Ql57s e~~ d
~~~,d. 307?S-.?
)
on this M da9 oE ~c..4 , 191/ Eor tIle purcllase oE the EollowIng
descrIbed Cemeter9 Lot f(j( uJXUf the terms and condl Hons as stated hereIn:
DescriptIon oE Propert9:
Cemeter9 Lot (s)' c:l 7' Block.' 37' Unl t' y
Purchase Price: ~Nt.{) &~ Dollars($ 7"M.CV J
Terms and' condItIons of sale:
F ~ 4wd,.:f ~L ~,;;-<-- J?{,i
This contract shall be bIndIng upon both parties, the seller and the purchaser, when
approved b9 the owner of the propert9 above descrIbed.
I, or we, agree to purchase the above described pt'opert9 on the tet'ms and condl Hons
stated in the fot'egolng lnstt'umentt
The Cit9 of SebastIan agt'ees to sell the above mentIoned Pt'opert~ to the above named
put'chaset'(s) on the terms and condltlons stated In the above lnstrument.
~.
'.
WItness
In_~..
....
!L~y
~ 31
k elf
tv
~~
?
..
..
~~
~~~
~.~~
;--.
J' .
r
"
:
..
..
,;
..
..
N
o
I
oo:t'
o
o
N
I
CO
,....,
:. ,.. -
"
o
~
z 0
.. (\/
..
~ >I
~ eJ
=l:J...
~m ~
~f:,.:
lJ)
Z
;;:
~
LLI
c::
Z
<
~
:;:)
:t:
I.J..
o
Z
o
t:
lJ)
o
a..
lJ)
C
a::
o
I.J..
t:
~
0::
LLI
a..
'l"-1lI
= Z
~ ..;
jjjCOO
'l"-::l
... 0
~ 010.
~ ~ ~
vi 0
~
...
....
U
a=
>- ~ ~
~i5"'Hi
~~!I:
! '" ~
..
I-
... ~
'" p::;
:5 8
!:i
...
..
a=
i::
l
~
a
..
U
..
a tf.l
~~
~ fa e
~
~
gi
~
"~
.......
ze
"ze
00"
"'Ole
",,,,a
.....
'IA.
...
=~
....
::
....
a"
....
~"
_0
..
....
..
..
..
..
..
Cl
...
...
e
:IE
...
a=
u
II.
o
l-
ll:_
=;
a=...
~=
!a=
"'::1
a:!
a..
~~
::I
!i;d
...:z
:IE =
a=",
~!
Zc
~~
"a=
..
~lI:
o
t:::
in
o
...
'"
Q
...
o
'"
101
...
>-
~
'"
..
a
::I
....
U
!
-
....
e
;;;
::I
III
Q
lI:
e
...-
z...
..z
:IE"
a=:I
"ID
":I
!e
!!z
caw
vi
;:
Z
101
:II
Z
a:
::I
z
II:
W
'" ::
.. ...
~"'~o
z .... z
.. U 0
: ! .;::
:s - ;;
o .... 0
... e ...
z :; ..
; ; :
ca Q z
:: ~ C
~m: ~~
_ :II :lEw
!! ~ =~
~ u .uu
~'0"
....
C
;;;
::>
III
Q
lI:
C
lI:
0_
s=
~~
a=z
ua=
ii
..-
;::
...0
...::1
!~
"'z
c::'
..
z
o
;::
in
o
...
'"
a
Q
z
C
z>-
gel
......
c'"
:IE:IE
......
a=U
Ue
..,:z
z-
wz
:EC
a=:
w'"
~f5
in:
as
,.:
e
!
z
c
:z
..
III
...
:::I
U
;;:
;:
z
...
U
'"
~
Q
Z..
ClI:
",101
!ti
e:IE
::IEW
wU
a:c
a!
!ez
::IEC
..=
Ill'"
u.
.....
0=
!i;~
...z
:EO
eiE
.....
zo
Ui~
aa
Ai
..
o
...
..
>
o
..
..
0:
..
Z
..
..
..
..
..
z
;::
..
..
~
...
z
..
.
..
..
..
z
Wi
a
..
i
..
..
..
..
i
..
..
z
;;
..
~
..
..
..
..
..
..
..
:>
..
..
'"
..
..
..
..
..
u
:5
..
..
..
;::
il
..
..
..
..
..
z
..
o
.
..
o
..
..
o
;:
;;
o
..
..
ii
..
o
..
u
..
...
..
..
..
;::
il
..
..
II
..
Z
o
II
o
:::
..
z
:c
..
w
..
Z
..
..
:>
'"
.
o
;:
~ ~ ...
:: p::; ~~
E =~
a~ ;1"
: H U^ r=
~ I~ ~ ~ r"'; ~
.. I-I",\J
~ e ~j
= -< ~
.. z 0
~~~!~
~ O''i~ ~ ~
:~~ra;;;!
N N f:CX)
:c I"
:E
'"
II:: co
::: N
..
~ N
..
>
o
...
..
..
..
;::
il
..
..
..
..
i
..
..
'"
..
..
..
..
..
..
..
'"
..
..
e
..
..
..
;;
..
..
..
II
..
!:
z
u
..
..
..
..
..
...
'"
.
o
u
Z
o
;:
Wi
o
'"
..
ii
..
o
~
E-i
~
to
fa
>I
E-I
1-1
i
;:0
~ ~ t
~ ~ :
g ~ =
'" il
~~
"'tQ
III %
vlo....
.:5o~
a. 0
u~
"l:J
ca
..
...
c
:IE
III
a=
'"
III
III
o
I-
...
'"
C
III
Z
;:
:IE
III
II::
'"
a:
'"
:c
~
>-
II::
o
...
C
:IE
101
a:
'"
...
o
'"
'"
'"
II::
a
"
C
"
Z
C
III
:IE
C
Z
Z
o
;::
<
::5
UJ
a::
V
... z
ffia:52
:EIII'"
a:"'<
1II1o.:E
...<11I
Z a:
- V
a
..
II::
a:
..
~ !
1-1 l::
I!
1Xl;
:z: ~
<II::
tIJ:;:
101
~ i
)0>1
>lgei
I!I
oS
!l ::ij
"1-1
CE-i
:i l:1J .,;
iii
~
S;!
.
E-I
:I:
;!
Hz
~ 0
~;::
lZ! ~
...
..!!!
~:
H ~I
&1!i;
<==
IXl 0
I':r:l U
~ ~
, C
W
U
C
....
...
....
C
Z
j;;
)0
...
;:
z
...
!:
o
...
...
z
...
U
j;;
II.
:::I
...
Z
o
;:
...
ii:
'"
'"
..
"
'"
...
:
...
o
a=
o
...
!
....
...
II::
g
in
z
o
...
z
o
...
...
'"
101
a=
i:'i
z
:;:Ul&llt
....zQ...
-<::c-..
sa:~w
WW:::IIS
~.o~
~~:
...
z
C
U
:i
...
...
0<
II.
o
w
a=
::I
...
C
Z
III
in
i1
'0]1;
= a II =
'!.c~~
-;;it.,
tClIIg.
.:1:...
=iiCl~1I.
Jf.!,e
....8.
- 0 c ..
~..!;
:;-;11
"Vi C:.,.
o>'II~
.. 0 J: "
....D"t
.ca.",,:
g~".
.. CI I. ~
':]::1
.. :t .....
en.. : 0
==0"
'>~f'i,
.:!.~
= CI III 0
~ '111 =
..'IIi ..
CI CI 0 1/
a.ec.~
..DoMin
.c = ..
- D"
e:>.E
DO -: t
_.a .. a.
..' II II
DC1.c.=
.c.c_.c
-.. ..
>''k 1 ..
;oaJ.
.. IIlIt ..... E
~.: -: 'II
o D 0 = >-
-EU!~
':f~:l
.. ." =
:CJll~
.....11I:10
.,j~ ~
~"''''~
z:lo-
:0:" ....
"," ...
Il(W ~
f; _',
'"
z
:c
:E
...
a=
III
z
;;
W
u
...
0:
)0
...
;;;!
U
C
...
...
o
'"
...
...
a=
"
a
00:
Q
Z
C
w
~i1
V
i:i:
;::~
~::l
V
UI
".
J>
';~"'';..~~,J.ot#...~, ~':
.. ~.
..
:c
..
E8
.. .
~(\/
~-
o
..
..
~ ~
0;
.. .
.. .
0..
! :
r>>:
::..
z!": ~
i!! ;:
..... ~
'" ... A.
i~= ~
:C! D
~~Q III
c..... i:
a:a~ U
- z U w
.... ..
:~~ III
;=~ ~
... ..
!:! i ~
~:e to-
.~Q ).
:~.. ....
"'c:l: ;:
U.. 0:
.!... III
Z Z 0 "
.. .. ~
a:
....<
<It:
V'"
o~
....CI
III
a:
..
CO
N
~
"'
:::l
s..
..0
Q)
u..
".'.
..~
....
i:
:-
-..
~!
....
a'"
...
cz
.....
=5
==
..
..-
....,.
1~
S&
~..
II"
0=
U...
0:..
00
....
....
.....
s;
z"
0..
:'.
.....
....
!'J~.
2;
.....
lii..
f...
;~
.....
0"
=:
.. ...:>
!; ;:::
.. uO
E !~
~ ~ E
:E
....
..-
..
..
='"
..u
.i
~3:
t:!
...
Ou
..-
....
-..
a..
~: ~
~~
......
"0
a..
....
....
....
....
.-
..:;:
=..
.....
0..
..u
:g
-w
..",
=.... c ,..:.
. ~:: C"I
!:~
:'J~~
-00:
z-:;) z
Si: ~
8:: ~.
~=: ii
i:~ D
-1.1I. fit
.......
......
......
z....
......
........~
o~:a
-o=:
)ouu
~~=
u....
..
o
..
..
..
..
..
..
3:
.(
~z
!::o
...-
a::'"
I&J
V
------...-
.!"'~'-:':'""",-
.~
~
..
~
"
:
u
..
o
~
..
w
..
w
;:
U
..
o
..
..
..
..
..
..
c
o
'"
c
..
~
z .
~
..
..
>
CO ::
~ ~
C\l
~
:;
~
;:
..
.. ..
.. ..
~ CO t....
i~
i
..
..
..
..
..
::l
..
~~
.. l:J
e.E-l
! ~
=:1:
i
S:
~~~
I!i
O=~
~
I
~
rIf
(\/
...Ia: >
-cO It:
a:"'olll
IIIVZ'"
ZIII-Clll
::lD: :I:
11.- III
o y
11D.~1
State of Florida, Department of Health and Rehabilitative Services, Vital Statistics
APPLlCA. FOR BURIAL - mANSIT PERMIT .
f":- J' c; - ,21
A.
1. Name of
Deceased
(Type or Print)
First
Middle
Last
DATE
OF
DEATH
Month Day
87/01/91
Year
Essie
Rhea
York
2. Place of Death
County
Brevard
3. Name of Medical
Certifier
City, Town or Location
Name of (If neither, give street address)
Hosp. or
In1telbourne . Terrace
Address
Phone Number
Melbourne
D.O.
~'. 720 E. New Raven Aye. ,.:
Melbounre Florida 32901 ; .HH 124-4545
Fla. Lie. No.1 Reg. No. Phone Number (Area Code)
,~ ;.
5. Check
Appro-
priate
Box
bX 0 Pat was contacted on 07/02/91 . 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, arid thalohn H. Pot~Bki. dr.' D.O.' 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 ~ebastian Ce.etery
Final DIspoSition:
7. Funeral Director/
Direct Disposer
River
FE No.1 Reg. No.
Removal
D from state
D Donation
Date Signed
,I
I.
B.
BURIAL - TRANSIT PERMIT
Perrt1it NJ.228-91-0309
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 IImltfA "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 e death certificate re sted.
Registrar or
Subregistrar Signature
Date
Issued:
/- :2..-9)
Date Certificate
Due:
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:
D( BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
Place of Disposition
Date of Disposition
Sebastain Cemetery
Tuly 5.1991
Signature of Sexton )
or Person-in-Charge )
~~'~J'\ (l~
This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no ~
and returned within 10 days to the local HRS County Public Health Unit in the County where disposition occurred, \}J
HRS Form 326. Feb 89 (Replaces Oct 87 edition which may be used)
(Slock Number: 5740-000-0326-2)