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Home My WebLink About4-39-05Name Unit 41 Block -639 st ia�t • 4x la e Lot tO i �/l XAr7Z�44& Date of Mark -out Date of Burial � / /� � Time L�•oa� 4/I'A OOOe e Name of Funeral Home JrA t Zq Authorized by Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of.- Steven f: Steven Raymond Pasqualone June 8, 2016 (Date of Death) Strunk Funeral Home and Crematory (Funeral Home in Charge) 4579 (Cremation 1D Number) June, 13 2016 (Date of Cremation) Sebastian, Florida (City and State) By: 1�rema*r Signature) ~ ,. < . 668 . 5/23/91 ~~. 39 PaId by CEMETERY ReceIpt No. ...... . ... .. .. .. Dated.. .. ... .. ... ... .. . .. ... .. ... Uni t 4 List Price $ . .? ~ 9. '. 9.q. . . . . . . Maxbnum No. Burial Spaces. . . . . . . . . . . . . . . . . NO. 1322 Net Paid $ . .500... 0.0....... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Jennie Pasqualone 8410 95th Ave. Vero Beach, Fl. 32967 Andrew J. pasqualone interred Lot 5 on 5/24/91 (Data above ibis line lor City Reeord only) atitD of &f hastian <!trmrtrry IIrrb '1322 NO. THIS INDENTURE MADE 'l1lIa .. .2.3rd.. ... . .. ... day 01 ...... ..May....... .......................... A. D., 19.9. J.,.., betwern the City 01 S~bll5tlan, a municipal corporation exlstln. under the laws 01 the State of Florid.. as Grantor and . . . . . , . . .. , .... ............................... ..,J.E;!nn:J..E;!.. r~~.q~~J..9.I;1~.............. . . ... . . ..................................... 8410 95th Ave. ..,.................. ........................ .V.ero.. .l3.eac.b., ..Fl.oxid.til...~Z9.6.7....................... ..................... of the County 01 '" ..J.n4iao.. JU, v.ex................... an:1 State 01 .... .J:'.lp:r:J..q~...................................... u Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ . ~ .Q9. ~ RO. . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, sell, release, convey and confum unto the Grantee . .l:1~ r. .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . . . 5. .. ,Block,....19.. ,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 shaD 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 fust above written. CITY OF SEBABTIAN, FLORIDA Atte~~.~m.:.[)d~... ~ :-: ! . -.'"7". City Clerk B1~'" (Grit~ ~eaJ) STATE OF FLORIDA COllNTY OF INDIAN RIVER 23rd May 91 I HEIlEBY CERTIFY, That on thla ....................... .day of .................................................. ..19..... bt'fore me personally appeared ......~!..;E;~.. .G~nY.~~ ~ .... .. ... . .. .. .. .. . .. .. .. . ... and . ~~.~hF.Y.I?-.. q ~ .~.~~ ~.9.t;.~~...... respt.ctively Mayor and City CI~rk 01 th~ City 01 Sebastian, a municl)lal corporation under the laws of thc State 01 Florida to me known to be the Individuals tlnd officers described in Itnd who executed the fort'going cORveyance to ....'....................................... .J~.I;1n;i,~.. .l?~~q\l.~;I,9.I).E;!................................. .~.......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thercol to be their free act and deed as slIch officers thercunto duly authorized; and that the Official sctll of said corporation Is duly affixed thcreto, and the said conveyance is the IICt und deed of Ilald corporation. WITNESS my signature and offlclal teal at Sebastian, in the County of Indian River ond State of Florida, the day and 1eal' last aforesaid. 1'1 ~:~(!~...~~d&~.................. NO~:~llC, State 01 Florida at Lar~ My commission expire.. f!;~'l!ry L: "', ~;.:::~ (~r~~<.~,' r),y (l)lnti:;,ti"ll r;-.),.'; t;-::I 2'J, 17']' Bonded fflr" Troy Fain ~ Insurcnco h\c. 06/09/2016 09:54 FLI FOR FUNERAL HOME:, ADDRESS: 1623 Nort PHONE#: - - (Check Ones )XX. OPEN BURIAL OPEN CREMA OPEN COLUM BURIAL DATE AND SI FOR DECEASED: S' NAME AND SIGNAT (Must provide proper #5698 P.002/002 JERAL DIRECTOR'S REQUEST TO OF.SEBIAN BURIAL OPENING IN SEBASTIAN M ICIPAL CEM TERY For information contact: n _ Kip Kelso .Cemetery S n Signature I certify that I have dater Sebastian Municipal Cam ery fees and administrative (772) 589-2545 authorize opening of same. City Clerk's Office NAME AND SIGNATU OF LICENSED FUNERAL DIRECTOR: City Hall, 1225 Main StAn t Tim Marvin Sebastian, FL 22958 Office (772) 388-8215 or 38 0214 6!9/2016 Date Fax: (772) 589-5570 Cemetery Sexton Cert, ion: unk Funeral Horne and Crematory I certify that I have chec ed the ownership information by viewing Central Avenue. Sebastian Florida 3295 nd confirming with Clerk's office and that all fees no OT Lot_5 Block 9 Unit 14 . S LOT Lot Block- Unit er pate kRIUM NICHE Niche Block, n e 16, 2016 - ZVICE TIME: 11:00 AM THURSDAY, J AVESIDE SERVICE Ven Ra mond Pas ualone OF LOT OWNER OR REPRESENTATI : mentation of ownership) Frances Franklin n _ 8/9/2016 Date Name Signature I certify that I have dater Tilned the ownership of the above descdb site that all site fees and administrative fees have been paid anc authorize opening of same. NAME AND SIGNATU OF LICENSED FUNERAL DIRECTOR: Tim Marvin Signature 6!9/2016 Date Name Cemetery Sexton Cert, ion: I certify that I have chec ed the ownership information by viewing owner's de nd confirming with Clerk's office and that all fees ve been paid: Z /A 14 . me ery S Edon er pate This form to be provide I to Clerk's Office by Sexton for permane I nword upon conj lotion. CITY OF SEBASTIAN 10095 ADMINISTRATIVE SERVICES RECEIPT Name \Y4RUtlW_ 6(4Rash Date & / 9 / 4, )LCheck # 74(S* ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees OD !so 134a 8a SI S� • °) o-µ iBIK 3.7 Lir'. ap," 4 't_I RC1 Total Paid • M I Oils Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant Name - r :c/' , _.I''j /1 ;/ - J:> I:: I:;' K ~(. jJ, /. -j .~ ;:t .";, _ - ~ 1./ .r;J n ",.,/ I':i , .' [/ UnIt "'7 Lot 39 ~ ,', " {'-'/ . BloCk uate of Builal' 5-,1:l- 8,/9) ~~~ ,//91 Time ;t) /1 (') 1;) .._,:1. .1")1'7 . Date of Mark-out Name of Funeral Home .5 ;;; u r/ r . /I'l /"-, J J . ~. ' ' __..\ . . // ~ r ~ ~ ..'j' ,1 \ Authorized ~~~1f ;.~ &, -'-""''''''''-'--~- .-"._--_.._,,','-.~--'.;..,-,'._.... -.-. -...;._-- .~~AtONS4JENNIE 8410 95th ave. vero beach, florida 32967 DEED 111322 LOT 5 Block 39 UNIT 4 /' Andrew J. Pasqualone interred Lot 5 on 5/24/91 f l, C" '- - Lot 5 . . 668 5/23/91 Block 39 Paid by CEMETERY Recelpt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . Uni t 4 list Price $. .~~9... 9.9....... Maxbnum No. Burial Spaces ................. NO. 1322 Net Paid $ . .500... 0.0....... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Jennie Pasqualone 8410 95th Ave. Vero Beach, Fl. 32967 Andrew J. pasqualone interred Lot 5 on 5/24/91 (Data above ibis Une for City Reeord only) .- l. . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 May 31, 1991 Jennie Pasqualone 8410 95th Ave. Vero Beach, Florida 32967 Dear Mrs. Pasqualone: Enclosed js Cemetery Deed No. 1322 for Cemetery Lot 5, 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. 668 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. Very truly yours, ~!JJ ()iI/~ Kathryn M. O'Halloran City Clerk KMO: j s enclosure ... . tj:v~r r- ~ - .. ~ ~\ L en -t :II ..c !~ fftz"l'l mgc ~~z ::10m >m:ll ~~. ;n:iir- >:1: I ~o zl: c:m m ... t .... ~ \ . ~ ~~ -..I CD 08/28/2016 18:12 IHome HOME OF PELICAN ISIA Sebastian Cemeter) Ph# 772-589-2545 Fax# 772-228-992; Site Plan for Marker Insta #5918 P.001/001 Type & Size Name His Steve of Marker: �� u o e Hers (} 14 DOB: a DOB: DOD: 6 -CS -16 DOD: Unit: 4 Unit: Block: 9 Block: t: Size Foundatim V .. X2 ........................................... Dry mix, cc of concrete Larger than 1' 2'...............................Formed and Approved b Marked out Foundation by: �— g 0'a"" f a bag includes a 'grass marker. i concrete in ludina base. Date Date /6• Foundation Material 5 4 c 4 r 1;Tj (DQ k) b� , u i Date I � /l �3 ✓/ �