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Home My WebLink About4-39-36 Name C-'" ~,h '" I JfJ....,J'C V n ,,~,fYll. J;c.1 1-. .~nit ' <-f' BloCk --.:l9 v' Lot 3l,o Date of Mark-out 7- 9 9 I Date 9f Burial 7- /1- '1! Name of Funeral Home ,jlltt...< n 1<5 ~J<' ~' {' . / . . '. ..,., . ~ ../ ,() ..., " Aulho,~.d by / W, fi"~ )'C/4 , / ,L/ ~ Time . J/e.) 0 A. /IA. {l ,~, v ---- Paid by CEMETERY Receipt No... Q.~~.... List Price S .. . aOQ ~.oa... .. Net Paid S .. J~QQ ...QR..... Lots 35, 36 / / 1 ,Blo . 39 .. Dated.....'Z .l.l, .~............. .l1ni 4 NO. Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Monument permitted. . . . . . . . . . . . . . . . . . . . . . . '11335 / Joseph F. Smigiel interred 7/11/91 Lot 36 (Data above this line for City Record only) Marie Smigiel 842 S.W. Jamaica Ave. Sebastian, Fl. 32958 -- Cltity nf &thnstinn OIrmrtrry i rrb '1335 NO. THIS INDENTURE MADE TIdI ......:I:~. ~.h.. .. .. ... day of ...... .,1.l,l),. y. .. . .. . .. . .. . . .. .. .. .. .. .. .. . .... A. D.. 19..~. L betwern the City of Sebastian, a municipal corporation existing under the laws of the State 01 Florida, as Grantor and . . . , .... ...... ................................. . ......... ~~~.t.~.. ?I!l.tg~~.~........... . .............. ............................. 842 S.W. Jamaica Ave. .. . . ......................................... ........... Se.b.as tian.,.. .F.l.... 3.2.958. .. . . . ........ ............................ of the County 01 .....+n4:j...~.t:l..Ri.v.~;r:................... an-J State of ......~i.9X;i,Ii,f;l..................................... a. Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of S .~RQ.~ 9.Q................ to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargam, sell, release, convey and conIum unto the Grantee . .1~~ ~. .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) 3.5 ..t6., Block, . .3 9. . .. , 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 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 first above written. CITY OF SEBASTIAN, FLORIDA Attes~~ln.:..Ot!~~..,... ' , {} . -. . City Clerk //n:-~ - B1~?.........~~ Ma/, Slgnl'd, Sealed und Dellverrd ~;~r,~~.................... ~ A-c. .A..Jd1 "~~"""""""""':-:"~""""""""'" (Grif'v JitaJ) STATE OF FLORIDA COl'NTY OF INDIAN 'R1V....'R. ,: r ~I POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 NOTE: THIS IS FOR INFORMATIONAL PURPOSES REGARDING MONUMENTS AT SEBASTIAN CEMETERY: PLEASE RETURN TO: CITY,OF SEBASTIAN P.O. -BOX 780127 SEBASTIAN, FL. 32978 ATTENTION: CEMETERY SEXTON E /11 r a. 0 J4 ~ ,- Pu r S 'IoN e IN 6) II "7/ B / ~:3 , 4arJ~ SIZE: V.A. GRANITE-62"xI6"x4nWITB VASE--(2}-V.A. BRONZE-24"xI2n EACH NAMES & DATES: HIS: GEORGE F SMIGIEL D.O.B. JUL 28 1917 0.0.0. JUL 8 1991 HER: E KARlE SMIGIEL o .O.B. FEB 29 1928 0.0.0. LEGAL DESCRIPTION: UNIT: '"' BLOCK: 39 LOT: 35' i"'.3(o SQUARE FEET: APPROVED: K. (;-. \<. CHECKED BY: "'..6-.'1... J S:.... DATE: ~q.3 BY: K.G.-,"'- ' . !' .$,,- . EXAMPLE OR PICTURE OF MONUMENT IN QUESTION: / 10/07/2005 23:20 5615892583 .113/ !tl:.!t!.,~ l::I~: ::l2 7725S2:t~27 STRUNK FUNERAL HOME PAGE ell PAGE 02 STRUNK FUNERAL "OHE OBITUARY 7/9/81 OEOROI F. 8HIGIIL a~ORaE r, SMIGIEL, 73, of 84Z s.W, Jam.Cia Avenu., Seba.ttan, Flo~lda, di.d on Jul. 8, leUi, at Hol... Rellanal Medical Center, N.lbaurne, r1., tollowing . prolon.ad illn.... Mr, Smi,iel wa. born on Ju17 28, 1817 in Que.na, New Yor~, and had be.n a r..ldent of 'lorid. .inc. 1958 and 8 resident ot S.b..t!.n for 11 year. .ovin, here trom Dooa Raton, Florid.. Hr. Smi.iel va. a aeneral ContractDr. H. -.. a U,S. Arm, Voter.n and a ...b6~ of the Sebastian El.. Lod,. , 2714, Saba.tian, Survivors include hi. wife Harle. ot Seba.tian; three eonl, aarr SmiCiel, David Tibb. and Stoven Tibbal rou~ dau,htera, 0.1. kp.~pr, Jane Jen"in.., Robin Brick and Bronda Jenkina, Ten ar.ndchild~.n and one ,r..~-.r.n~dau'ht.r. The fa.ily will receiv. friend. from 1 to 8130 P.K., Wedne8day, J~ly 10, at the $trunk Pun~ral Hoae, a.b..tian. S.b.etlen. A Funeral B.r~lc. will be held at 11:00 A.H., Thur8~.Y, Jul, 11, 1991 at the PUneral Ho~e. Burial will tol10w at S.b..~lan C~".tery. Arr.n,e~.nte are under the direotlon ot the Str~nk Pun.r.l Ho.o, Seba.,tian. -----' -v -~- - -- --:-;.:--- -, . "'_"'1 Illl~] State of Florida, Department of Health and Rehabilitative Services, Vital Statistics i J.5' q... :3 b APPU.N FOR BURIAL - mANSIT PERMIT . 13:31 vi A. 1. Name of Deceased (Type or Print) First Joseph Middle Last S.igiel DATE OF DEATH Month Day 07/08/91 Year 2. Place of Death County Brevard 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Hol.es Re ional Medical Cent Address Phone Number Melbourne Ti.othy C. Poirier, 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Ho.es 5. Check a 0 Appro- priate Box M.D. X Physician Address 1623 North Central Avenue P.A. Sebastian FI 32958 1228 The medical certification has been completed and signed. A completed certificate of death accompanies , this application. b IJ Nnra~ was contacted on 07/09/91 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,and that Tillothy C. Pnh'ip.r, Man. 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 Ce.etery Final Disposition: 7. Funeral Director / Direct Disposer Indian River F.E. No.1 Reg. No. Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit No. 1228-91-0321 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 fili the death certificate quested. Registrar or Subregistrar Signature Date Issued: /--c;-f/ Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA Signature , Medical Examiner Date 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 Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) ~i' 9. /~0. Place of Disposition Date of Disposition 6 E.8 A~ r;A~ eL!.N1':;;",Jt'j' i/" /91 Methods of Disposition: . BURIAL o CREMATION 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) a /l. ....