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HomeMy WebLinkAbout4-39-37 J ~ . jI , . . · Paid b; CEMETERY Receipt No. . Q 9.? . . . . . . Dated. . f./. ~. ~ J. 9.4 . . . . . . . . . . . . . . . . . List Price S .. ~.9R: R9....... Maximum No. Burial Spaces............. .... Net Paid S .. ~.9~: .~~....... Monument permitted.. .'.................... Edward James Craig interred 1/15/92 Lot 38, Myrtle B. (Data above this line for City Record only) Ta 37 & 38 ~k 39 Unit 4 NO. 1345 Craig interred 1/16/92 Lot 37 Cltity uf &thnstiau (ttrmrtrry i rrb 1. :.~ 4 ~ NO. THIS INDENTURE MADE TIdI 15th day of January 92 A. D.. 19......, between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J.&{I}e.l;J. . W... . .eX ~;i,g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Sunset Drive ........................... ..'............. ..Sebas.t.ian,.. FL. .:3.2958............ ............................................ Indian River Florida of the County 01 ............................................. an-J State 01 ....................................................... 18 Grantee, WITNESSETH. That the Grantor for and ui consideration of the sum of S . ;~9.9... 9.q...... ... .. .... 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 .l:t.~~. . .. heirs, legal representatives and assigns the foliowing propertf situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s):~ 7. ~.~ ~ 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 theofftce of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. I I. To Have and to Hold the ~ 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 aft times in accordance wit'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 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 afllXed, the day and year lUst above written. CITY OF SEBABTIAN, FLORIDA All'~C;~~"'" 1/ rr- ~ BT 'U/~"""'M~'"'''' , (ClIitu ~~aJ) STATE OF FLORIDA COUNTY OF INDIAN RIVER J HEUEBY CERTIFY. That on this ...20th..............day of. .J.anuar:y...._.......__..______...__._.__.._._~ l.IL q2 before me personally appeared . ~...~~.. ~~J;lX~~~..................................... and ~~.~h~y.t:l..~.... .9.'.~?J.~~~~.I?-.. respectively Mayor and City Clerk of the City of Sebastian, 8 municipal corporation under the laws of the State of Florida to me known to be the Individuals and officers descrIbed In find who executed the fore-going cORveyance to James W. Craig .0.0 .......... ................................. ...... .............................................. .................................... . . . . . .. .. . . . .... . . . . .. ... ................ .'.............. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance Is the RCt Dnd deed of said corporation. ' , , WITNESS my signature and official IC81 at Sebastian, In the County of Indian River and State of Florida, the day and Tear last aforesaid. Name M "I RTi......E: .' ...:...>, - '~,;-< ,..~, O. GL'~ ,.Gr. Lot 1 39 31 '. Unit Block. Date of Mark.out II J~jq~ r 'I,' ,/ I ~.Jf ~. "time .<. IT: 00 ,k1A.. Name of Funer~tHo~V: ..,..:5 r7j'tA r"t {". / r ",<""--"" ... /' < 1. l. /' .I /1 /' / //JL-:' /", ;~C/~/A" /:;;)/// Authorizel:1.,b(;~ /j.~4t.;,;r ,t"ttt/II "':l.,/ n l' . 4.h , ,,- _.---- - ~-- --- ----------- -- -"-_.~.._._----_._..__._._-,.._' ",-,: ".--. .'_... -" -.-...-.-...-...-----..... ___ .._,...._.u_. _.... .___..c..___ .~_ ._. ... m " '. ,pRA.:L.G1 James W 14 Sunset Drive Deed 1/ 1345 1/15/92 ..- 9J;; Sebastjan, FL 32958 '" Lots 37 & 38, Block 39, Unit 4, $800.00 Lot 37 - Myrtle B. Craig interred 1/16/92 Lot 38 - Edward James Craig interred 1/15/92 ~ - \." ....bYeJlMETE!lY_N...99.L.. ......D.....J.n~J.R........... ..... ~~~~k 3~9 & 38 NO. List Price s.. ~.qR: ~9....... Maximum No. Burial Spaces................. Unit 4 1345 Net Paid $ .. ~.~~ = ~~....... Monument permitted....................... Edward James Craig interred 1/15/92 Lot 38, Myrtle B. Craig interred 1/16/92 (Data above this line lor CitJ Record only) Lo t 37 -lI . . . POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589.5330 0 FAX (407) 589.5570 January 21, 1992 James W. Craig 49 Sunset Drive Sebastian, Florida 32958 Dear Mr. Craig: Enclosed is Cemetery Deed No. 1345 for Cemetery Lots 37 and 38, 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. 692 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. I I' Very truly tours, q4f/u 1\. f)~ Ka~ ~~Halloran City Clerk KMO:lml enclosure (\ws-form-cem.rec) ~ . 67c:L " . . THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY AC NOWLEDGED OF THE SUM OF: ) ~' FROM: Dollars ($ <(m ,~ ) on this /5'-lb d.y oQ.a.~. 19'1;;JEor the purch..e of the following described Cemetery Lot(~upon t terms and conditions as stated herein: Description of Property: Ceriletery Lot{SJl3'1~ BlockN~Unit' 4. Purchase Price' t1~J ~ Dollars ($YOO. J;!2- Terms and' conditions of sale: ) This contract shall be binding upon both parties, the seller and the purchaser, when approved by.the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: !.l .. . The city of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. fllvc~ (2 · Witness ~ . . . . .. . . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 January 28, 1992 James w. Craig 49 Sunset Drive Sebastian, Florida 32958 Dear Mr. Craig: Enclosed you will find two copies of Receipt No. 695 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. This receipt will replace any previous receipt you may have received. A stamped, self- addressed envelope is provided for your convenience. Very truly yours, 7f~''::!llf2~LI~ City Clerk KMO: lml enclosure (\ws-form-lin-ltr) .' . . t f6 .. . . ~. THE SEBASTIAN CEMETERY city of Sebastian Sebastian, Florida FROM: Dollars ($I!~, ~ ) ~ .~ on this ~ day' , 1J9'1;lfor described Cemetery Lo ) upon t terms and the purchase of the following conditions as stated herein: ..' Description of Property: Cemetery Lot(s)II(,1i3o Blockll 01 Purchase pric4-" ~d Terms and' conditions of sale: unitll ~ JiY)' Dollars ($.1 itJ I. ) 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. ~~ A. 1. Name of Deceased (Type or Print) First Myrtle Last Craig /.' 37 /331 I/i Month Day 01/11/92 Year [IIJ~) State of Florida, Departm. Health and Rehabilitative Services, Vital .tiCS APPLICATION FOR BURIAL - TRANSIT PERMIT Middle Burke DATE OF DEATH Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Orlando Regional Medical Center Address Phone Number City, Town or Location , 2. Place of Death County Orange 3. Name of Medical Certifier Phillip St. Louis, M. D. Physician 4. Name of Funeral Home/ Address Direct Disposer 916 17th street Strunk Funeral Homes, P.A. Vero Beach; Fl 32960 130 407 562-2325 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box Orlando 1801 Cook Avenue Orlando, Florida 32806 (407 425-7470 Fla. Lic. No./Reg. No. Phone Number (Area Code) b [] Oi AnA was contacted on 01/13/92 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident ,nor.other external cause otdeath, and that PhilliD St. Louis. M. D. will complete and sign the medical certification of cause of death. ' '"-'" .A 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/ Direct Disposer Removal Indian River from state F.E. No./Reg. No. ~ell Donation Date Signed B BURIAL - TRANSIT PERMIT . Permit No 0130-92-0016 Permission is hereby granted to dispose of this body. . t3I 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 the death certificate requested. Regiall o!u er, ~ M <::L _ U Subregistrar Signature 0 ... r;;,. ~ Q f..y , ~::d: ---1.\ ,. \ q"1. Date Cer,tflc,jlll_ _ Due:~ C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , Medical Examiner Date Signature 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) , ;:'1 ~. ~~C)i Place of Disposition Date of Disposition j L~. (!,E-H') F-k'1" / //~'/9~ 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 relurned within 10 days to the local HRS County Public Health Unit in the County where disposition occurred. rv f " . HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) LA ,...... (Stock Number: 5740-000-0328-2)