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Home My WebLink About4-39-30 ~ . Paid b; CEMETERY Receipt No.. .6.96....... ..ted.. .l.! 2.2./.9.2................ List Price S... 600...QO..... Net Paid S ..... 6.0 Q . 0 O. . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . LO.O Block 39 NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Unit 4 '1:i48 (Data above thla line lor City Record only) Cltity nf &thustiuu (ttrmrtrry i rrb ", 1 "~48 NO. THIS INDENTURE MADE TIdI ......28 t.h... . . . ... day of .... ..J.anuar.y.. .. .. .. .. .. . .. . . . . .. . .. ... A. D.. 19.. 9.2., between the City of Sebastian, a municipal corporation exlailng under the laws of the State of Florida, DS Grantor and Eleanor McMann ..............,......... ........... ............. 9803"RT'Ve'tvte'W"Driv~"'''''''''''''' ........... .................. ...... Micco, FLorida, 32976 ..... ........................................ ...... ...................................... ... ,..... ................................... of the County of .... .+.q.4~~.t:l.. R:j...v.~;r:................... anJ State 01 .... ~l9.:r.:iAj:\...................................... as Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of S .; 600 ...00.. . . . . .. ... .. . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaJD, sell, release, convey and conIum unto the Grantee ..h er. .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . .~9... , Block, ... ~.?. , UNIT....~........ , of Sebastian municipal cemetery as per Plat Number 1 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 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 shan terminate. and the same shan revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the lUst 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 lUst above written. ..rn...{):tI..~ City Clerk CITY OF SEBASTIAN, FLORIDA B,tiEC::;;;;~........ , Mar Signed, Sealed and Delivered In the Presence Ofl ~..... . ...... ......... ..~~...C~....... (QIitll ~eaJ) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this .... .2.8.th........... .day 01 .. . Januar.y.. .................................., 19.94 before me personally appeared ..W.. ,Ii:... ..G.ony:e.I'B.... . .......... .. . .. .. . .. .. . .. . .. ... and Ka t.h'l:Y.:n ..M'I"O I.Ha:l:l-e'l:an. respectively 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 Individuals and officers described in IInd who executed the foregoing cORveyance to .. .. ..... ............................ .Ij:~~.~.t:l.q;r:. .:t:1.c;Mj:\~.~............................. ............................................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authoriaed; and that the Official seal of said corporation Is duly. affixed thereto, and the said conveyance is the IICt and deed of said corporation. ' WITNESS my signature and olllclal seal at Sebastian, In the last aforesaid. Indian Rlv~i;. iir.d Unit 6t6,4;j()~j L-/ 39 ;'" . .ffJ ('7.; /ill 11 Ii N . Name Block Lot 3 () 6117/0 ) OatS of Mark-out Oat~ of Burial 6 Time ,/''', /~ no,'\ ,,", .f..J 1" '. :5 r; J.( ;1,CS N~ of Fune..' ~.. , Authorized by .-/' /.,' ','_1 . .//' ~. L,/ J, 11 -~. --_-.:....._--_.:.- , ;. \ ,"/1 .' ~..,.,f" ~...""'''''I' d ~;I' ~; ,,;,.;/ -' ( " ~, a,~ ~, Eleanor 9903 Riverview Drive Micco, FL 32976 "'\ Deed II 1348 1/28/92 Lot 30, Block 39, Unit 4, $600.00 ~~.. ..... ~ ~ ~ ~IWM- ~ 8j,b ~ , ....... Paid by CEMETERY Receipt No.. .6.96.......... Dated.. .1.f2.2.f. 9.2................ List Price S... 600...QO..... Net Paid S .... .6.oU. 00.... Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Lot 30 Block 39 NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Unit 4 1;i48 (Data above this line lor City Reeord oDly) r---~--- I to c; (p -, . . THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECBIPT IS HBREB~I'CKNON;BDGBD OF THB SUB OF: &I~d , /kJl1ars ($ t~.,Pt' FROM: ,t;;/Pfif70r (nt(f(}anf} q~o 3~; vprV let>> ":or m /C'_ct 0: .PL :3d-q7 ? on this rS. [fV!1- day olk.J.J/J!~, '119 tf;Ior the purchase of the following described Cemetery Lot~~ terms and conditions as stated herein: Description of P.mperty: Cemetery wt(s)N .~3[2. ~j( Blot* :31 Purchase pr~c~~ . ) , : 4 Unit# DollarS($~,1t). & ) 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: :- 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. Wi~~ 11~ OJ M CD 0 M ~ B.; 2 'V z ~ :& u :E II: o Z c W ..I W /./ II> ~ < ... ... o o '" ... ~, rJ ~ ..r ..r rt"l ... ... o ..r ..r o D" ... ... c.IJ ..:lll ..L...... C.. ~.. c:g1~1 ~ ~ 1;;~ig .) m !~~ i ~ ~ Iii ~ g Qa \J[\- CI).. c.IJ 0> ~~ ..... - ~ I .II~"""'. AJJM .""""""" '., . /" . .0( . ,'1y 0" '" ~. \ 'J' ~~ ~ ~(. ,<- ,yo j' 1 c;, ~ ...Q ifI~ . \S\-~ OF PELlC~\l . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 January 29, 1991 Eleanor McMann 9803 Riverview Drive Micco, Florida 32976 Dear Mrs. McMann: Enclosed is Cemetery Deed No. 1348 for Lot 30, 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. Very truly yours, ~~~ae~~ City Clerk. KMO:lml enclosure State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT' J. 30 13 at} LI f/ A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Eleanor Florence McMann Death Au ust 17 2001 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne Inst. Tandem Health Care of Melbourne 3. Name of Medical Address Phone Number Certifier H. Joseph Hurlb t,M. D. 720 E. New Haven Ave. Medical Examiner Physician Melbourne, FL 561-.724-4545 4. Name of Funeral Home/Diltat 911"88al Address Fla. Lie. No.lReg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Strunk Funeral Home Sebastian, FL 1228 561-589-1000 5. Check a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ~ Cathy was contacted on 8/17/01 He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of.death, and that Dr. Hurlbut will complete and sign the medical certification of cause of death within 72 hours. c.D was contacted on He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ Dhll,a UI5poser ... se of death within 72 hours. F.E. No.lReg. No. 1862 Date Signed 8/17/01 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose ofthis boqy. Permit No. 1228-01-0415 o A fIVe (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death- section of the death certificate within 72 hours. DNo extension of time for filing the death certificate has been requested. ~1:I:...LIGII"'1 Date Issued: .J...1,., I 0 I Date Certificate Due:~ Subregistrar Signature C. AUTHO.RIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date 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. Method of Disposition: CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery D. ~BURIAL Date of Disposition ~/~//e;1 o STORAGE DOTHER (Specify) } 1ft.'. fl. / 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 County Health Department in the county where disposition occurred. DCREMATION Signature of Sexton or Person-in-Charge ~h 0- Dtl326, 8/97 (Obsoletes an previous edRiona) (Stock Number: 5740-000-0326-2) Distribution: v.hIte: Cemelery or Crem8loly YeUow: FlII1lII1Il DncIor or Direct Disposer Pink: Local Reglslr8r