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HomeMy WebLinkAbout4-39-03 , Lots 3 & 4 Paiiby CEMETERY Receipt No. . .9 ~~. . .. . . Dated. . . ?~ ?~? ~. . . . . U~1. t.~ Ii ~ ~ . List Price $. .~~9:. ~.q....... Maxbnum No. Burial Spaces................. Net Paid $ . .~~?:.?~....... NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . -\1338 Daniel R. Pottinger, Jr. 1018 Landsdown Dr Sebastian, FL 32958 Daniel R. Pottinger interred 8/9/91, Lot 3 (Data above Ibll Une lor at, Reeord only) atitD uf &fhastian <!trmrtrry IIrrb NO. '11338 THIS INDENTURE MADE 'l1lIa 7th day of August 91 A. D., 19......, ............................................. between the City 01 Sebastian, a municipal corporation exist In. undcr the laws 01 the State 01 Florid.. as Grantor and ............................ .................. .:O.~n;i..E;!.l..R,. ..l?Rt..t.:J.ng~.:r.J ..J::r.L _......................... ............. ...... 1018 Landsdown Drive ................. .... ........................ Sebas.tian,. .F.L. 329.5.8.......... .................... ................ ........ of the County of . ..J.J?.4;i,~~.. R;i, Y.~.J;'..................... an') State 01 .. .lf~~FJ.4~........................................ u Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ .;.~ 9.q :. 9 ~ . . . . . . . . . . . . . . to it t hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, sell, release, convey and confirm unto the Grantee .. . ?-. ~. .. heirs, JegaJ 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 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 condition., restrictions and requirement. contained in this instrument shall be covenants running with the land. In the event of the fallure 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 Sebastlan, Florida. IN WITNESS WHEREOF, The said party of the fhst 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. Al...~~ !/.;;:.f)rfk(t.~':~:. '-'"''''''''''', City Clerk CITY OF SEBABTIAN, FLORIDA hTT:""~ ~ B, H bV'GH . H . iir H . H . H H H H H . H Slgnt'd, Sealed and Dellverei:J In L= :': H' ~ ~ ./ ~~~H H. H H... ~~~~.~~~ 7~' \(j-~.....~............... (Grifu ~,aJ) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on thla ..1 .th ....... ......... .day of ... Augu.a t....................... .. ............., 199.l., W.E. Conyers Kathryn O'Halloran bt'fore me personally appeared ........................................................ _ .. and ....................................... respl.'Ctlvely Mayor and City Clerk of the City 01 Sebastian, a munlc1J}81 corporation under the laws of the State of Florida to me known to be the Individuals and officers deacrlbed In Bnd who executed the forl'golng cORveyance to Daniel R. Pottinger, Jr. ......... ..................................... ........ ........................................ ......................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereol to be theIr Iree act and deed as such officers thereunto duly authorlsed; and that the Official seal 01 said corporation Is duly affixed thereto, and the said conveyance Is the act and deed of saId co'JlOratlon. WITNESS my signature and otnclal leal at Sebastian, In the County of Indian River and State 01 Florida, the day and 1eal' last aforesaid. Name 'j) I/){ J f.., J.. ;( Uo if;,~ Or Ct: I -Unit 1 6fock 39 Lot . n .,j Name of Funeral Home 8./7,/9 I 8/ 9 / q J F J . e. .._,~. <r-..-CL.,. .~. ._-,-<...,:--, . '...!1'1' -t , / r o.c;.""-' ' ;\~" .'.' ::I{' ,>", Date of Mar.k-out Date of Burial Time II : p ,;) I1.M Authorized by /'''' ..' / ....,..,.~ /7 ./i J::~./., ,/ A( " . "'. /.,.LA~.r .....pI...' .,,-r.~-(--"h' I I ....,;....{ (} __ _ _ _ b_ __~_ __ -- --- --~~--- --- - " .......; Daniel R., Jr. andsdown Drive Sebastian, FL 32958 Deed/! 1338 LOTS 3 & 4 BLOCK 39 UNIT 4 DANIEL R. POTTINGER INTERRED 8/9/91, LOT 3 " .... i ~ - ....... - Lots 3 &4 Paid by CEMETERY Receipt No.. .9~~......... .Dated.. .~l. ?~ ?J..... ~~rt~ Ii ~~ List Price $. .~9.q:.9.q....... Maximum No. Burial Spaces ................. . 800.00 Net P31d $ .............,.... Monument permitted. . . .. . . . . . . . . . . . . . . . . . . Daniel R. pottinger interred 8/9/91, Lot 3 (Data above ibis Une for City Record oo1y) NO. 1338 Daniel R. pottinger, Jr. 1018 Landsdown Dr Sebastian, FL 32958 .. . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 August 19, 1991 Mr. Daniel R. Pottinger, Jr. 1018 Landsdown Drive Sebastian, FL 32958 Dear Mr. Pottinger: Enclosed is Cemetery Deed No. 1338 for Lots 3 and 4, 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, Ka~~'~!~ City Clerk RMO: lml enclosure lP / . . . THB SBBASTIAN CBMBTBRY Cit9 of Sebastian Sebastian, Florida RECEIPT IS HEREBY AC NONLEDGED OF THB SUM OF: ), , ~ - 'i!fll / /~/y /anc'i~)1 ~br \:j'eh~a/)!.11..- (3RqS~\ on thi s t 7 i!1- da9 ofa~4- , 191/ for described Cemeter9 Lot(~ terms and Vollars ($ 7f()tJ,4/J- ) FROM: the purchase of the following conditions as stated herein: Description of Propert9: Cemeter9 Lot(sJ' 3' ^ .y Block' S Y Unit' Y Purch... Pr1c.~1- tIu~Art.c/L Dollsr.($ ~C-(~ ) Terms and' conditions of sale: ~ This contract shall be binding upon both parties, the seller and the purchaser, when approved b!l the owner of the propert9 above described. I, or we, agree to purchase the above stated in the foregoing instrument: The Cit9 of Sebastian agrees to sell the above mentioned propert!l to the above named purchaser(s) on the terms and conditions stated 1n the above instrument. ~~_ a.!~ c::7'''1tness . . ,,' PE Vital Records Service FOR THE DISPOSITION OF HUMAN RE A 3fl',~ /337' //~ _............1'-'1 _........._1 .....vl...,.J' . .\..t........ ..""''''v.....''''...'''' 2- City, Town or location of Deeth OR Interment Name of Deceased ~ St, Mary's Name of Certifying Physician,l. Coroner or Medical Examiner (Not Used For Dislntermentlneinterment) 5.Athens, Ga e.Cl arke Certifier', Addre.. (Not UIed For Dlllnterment!Relntermend 7. Funerel Home Name and Addre.. Mark Costantino MD 8. 1010 Prince Ave Suite 119 Athens Ga Funeral Home Lie. No. Brown Funeral Home P.O. Box 272 Danielsville GA 30633 9. Method Of Dlsposltlor . OR Burial 0 Transport (21 Storege 0 11. Cremation 0 Donetlon 0 Other 0 ame and Addre.. of Disposition OR Relntermen~ Site Cox-Gifford Funeral Home Disinterment! Relnterment t..ocation of Disposition OR R.lnterment Site (County, City or State' 1~ Vera Beach, Fl.a. 32960 o 10. 7 7 2 Date of Disposition OR Relnterment 8-8-91 12. 13. A Certificate of Death having been filed or the requirements of the laws of Georgia having been complied with, permission is hereby granted to (check only ONE) DISPOSE OF 0 DISINTER/REINTER 0 this body. ~I Vital Re ~u"t 15. Sex .. 17. Form 3834 (Rev. tCHl2) 18. FUNERAL DIRECTOR .~- :,>..>.:~t~...~.-I. . ;"~~:Jj1i.~"1..:'~';:,'~ '';'i\,~-'.'"iI~t7:.,... ,"