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Home My WebLink About4-39-06 ~". ':"'EtERY R...1pt No... .QZ~....... ........ .QJ. WH................ ~H~~ ~ NO. List Price $.. .~9.9... 9.q...... Net Paid $ ...~~9...9.q...... Maxbnum No. Burial Spaces. . . . . . . . . . . . . . . . . 1328 Monument permitted....................... Jennie Pasqualone 8410 95th Ave. (Data above ibis line lor City Reeord only) Vera Beach, Florida 32958 atitD uf &fhastian <!trmrtrry IIrrb ':13:.:~8 NO. THIS INDENTURE MADE 'l1lIa ....~.th............ dAY of .......J.\ln~............................... A. D., 19.9.~... between the City of Sebastian, a municipal corporation exist In. undcr the laws 01 the State of Florid.. as Grantor and .,....................... ....... ......J~n~.~g. .?~.I?~~?J.(n~~.. .................. 8410 95th Ave. ",.,................. ..... ..............V~~o.. B~a.c.b.~ ..f.l.Q(j,d.a. .~296. 7-... ... ..... .......... ............................. ........ ....... ............................ of the County 01 .... Indian. Ri y.er.................... anol Stote 01 .. ..Flor.i.da....................................... u Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ ?QR: .QQ. . . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confum unto the Grantee. . .q.~:r.. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . . .6. .. , Block, . . .~ 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 fust above written. Al..."X~fn .l)dU44= (j City Clerk CITY OF SEBABTIAN, FLORIDA B, ~....C~~7:.....=..... Ma1/ . .. ...: . ...~........ ...!..~~.... (QIitu ~~aJ) STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEUEBY CERTIFY, That on thla ...5.th................day of ..........J:une.................................., It.9.~ bt'fore me personally appeared... ~ .... .1;:.... .9.<?~Y~.~.~..,.............................. and K~.~h~Y.t:l.. Q .'.~.~;P.;9.~.~n....... respf'(~tively Mayor and City Clerk 01 the City 01 Sebastian, a munlclpol corporation under the laws of thc State of Florida to me known to bc the individuuls lInd officers described in ond who executcd the fon'going cORveyance to ............... ......... ..... ..... ..... .......Jennie.. .Pas.q.ualo.n.e........ .... ...................... ... ...."........ ....... ... . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their Iree act and deed as such officers thereunto duly authorized; and that the Official sell I of said corporation Is duly affixed thereto, and the said conveyance is the Itet ond dt'ed 01 said corporation. ' WITNESS IDY signature and official seal at Sebastian, in the County of Indian River ond State 01 Florida, the day and 1ear last aforesaid. N~f~~;~.................. My ~~~:~ expire.. t~:~::;y r~.' "', ~"'; ~. ~:."::~1J ri1V (cm~:'<::) ;".->; ,':."J ::'), In4 Bonded flirt.! Tr;:;' rCi;18 lnnr;.:....::3Inc:. Block 1 39 ~ ()/I<5 ~u4. J Or/I!: I t 1f /0 5.....;, If,;oJ '5 of'}.... Name 4r.: 111"// L / Unit . Lot Authorized by ,)-/7/D~ , ~~// 5', /0 "s 5 r; t~"J- ,,.,/...."'t " 7"" \l i.' Time //,10 'v /1 . Date of Mark-out Date of Burial ;/ / Name of Funeral H",';'e :'5 ,'1!.~4.4t __0'0.....::,____'..'_____ _':-._,_ ,_~".___,___...+_.:..._ ___..:...__'...:.._"__.____._,_._,_.__~__,,__._____.____..._. ,",'(/ ~~()N!, JENNIE' 8410 95th Ave. Vero Beach, Florida 32958 DEED 111328 J\ Lot 6 Block 39 Unit 4 I l - I \,., -" "''-, Lot 6 Paid by CEMETERY Receipt No. . ..Q.7.~........ . Dated. . ..9.1. ?1.9.l................ ~~~~k 439 List Price $.. .~9.9...9.q...... Maxbnum No. Burial Spaces ................. Net Paid $ .. .~9.9:.9.q...... NO. 1328 Monument permitted................ ....... Jennie Pasqualone 8410 95th Ave. (Data above ibis line lor City Reeord only) Vero Beach, Florida 32958 . . POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 ,June 10, '1991 Jennie Pasqualone 8410 95th Ave. Vero Beach, Florida 32967 Dear Mrs. Pasqualone: Enclosed is Cemetery Deed No. 1328 for Cemetery Lot 6, 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. 674 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, ~In ~J:;/~~_ Kathryn M. O'Halloran City Clerk KMO: j s enclosure . . & 7~ THE SEBASTIAN CEMETERY Citg of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: ~-/ ~,~- i~~A#' r~~~_k,,~ C7 g~/CJ 9s-d d~, ~ ~~ r~J Dollars ($ .s- c:Jt:J. tJ7J ) ..3' cJl :? S c? on this Sa dag of L , 197/ for the purchase of the following described Cemeterg Lot~ upon the terms and conditions as stated herein: Description of Propertg: Cemeterg Lot(s)I ~ Purchase Price: ~ Block" -37 ~ Uni tI 'Y Dollars($0tJtJ.tf'-tJ ) Terms and' conditions of sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved bg the owner of the propertg above described. I, or we, agree to purchase the above described propertg on the terms and conditions stated in the foregoing instrument: ~~J~~ The Citg of Sebastian agrees to sell the above mentioned propertg to the above named purchaser(s) on the terms and conditions stated in the above instrument. vb::;bafi6~y '. Witness I'. . . _ i!:: .. ~ ;jj~'" :u~m ooz aJ~~ gJ...m 0::1:"'0 .;z:>J> ,,;jjcn ,.... 0 c.>fSc ~.)~ ~lDO ~z c.>m UI ~ Gv ;0 il4 CD I\) I\) ~1! :"i,,~J.::;;.:~~~i- :~ J JJ~ 'I CITY OF SEBASTIAN I"- fl CITY ClERK'S OFFICE 1775 l"- e O. I REC8PT 0 [0 I ... O. CEI (W) on I ~ .. . I/) Nam Cash .., '-1. II: (Q c( ~~77 t- -I -I Date 0 I") ~ Q 0 AmountPlld 001001 208001 Sales Tax tn 001501322900 Garage Sales 001501 341920 CopiesJBid Specs. w 001501 341910 LDClCode of Ordinances ~ c 001501 362100 Community Center Rent 001501362100 Yacht Club Rent 001501 362150 Non Taxable Rent 001501343800 Cemetery Lots 0 601010343800 Cemetery Lots LoVNiche . Block . Unit'75: #t) .. - 001501369400 Interment Fee ~ Z U1 001501369400 Weekend Service ~ 0 .i= ru ~(/) - 680800 220681 Yacht Club Security Deposit .~ 0 680800 220682 Community Center Security Deposit Q.m ~ ~W tll. en(/) 0 680800 220683 Riverview Park Security Deposit W. r .. :i III - o I- &lit) ,. %:Z.-;t')~ t. ~ :;:) (/) ...J C\I ~ -10J:u..~ ~ tJ? F&e-.IJs~~E '" ~o~~~ J 0 w ~ ~inl:: J~ rt't tp Z ~1XI. 0 Total Paid ?GJ :;:) W 0) Ob: 0 U.Offi ~ ~Z > j Whits - Dept. of Origin. Yallaw - Finance . PlnIl . Applicant Z~ f :::)C a::~ I- en%: (/) ~ 0 II: 0 u. ....., Jxn1la 0 ~~jQ)p FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT HEALT !I.. 1. Name of Deceased (TYPE) First Middle Last Date of Death (If neither, give street address) Month Day Year Jennie F. Pasqualone May 8 2003 Vero Beach Name of Holl&. or Ins1. 2. Place of Death County I ndian River City, Town or Location 8410 95th Avenue I. Name of Funeral Home/Dit-c..., t,llOJJulOilIl Establishment Strunk Funeral Home i. .Check a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box Physician Address 10596 U.S. 11 Sebastian, FL Phone Number l. Name of Medical Certifier Edgar Blecker, M.D. Medical Examiner Address 772-581-0016 1623 N. Central Ave Fla. Lie. No.lReg. No. Phone No. (Area Code) Sebastian, FL 1228 772-589-1000 b. ~ Jacqueline was contacted on 5/8/03 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Blecker 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 i. Funeral Director/ Di5ellt 8ill!IIllr F.E. No.lReg. No. Date Signed 5/8/03 l. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-03-0207 D A five (5) day extension of time for filing the death certi~cate (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. Iie!lielrilr 9r Subregistrar Signature Date Issued: 5/8/03 Date Certificate Due: 5/13/03 AUTHORIZATION 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: ~BURIAL DSTORAGE DCREMATION Signature of Sexton or Person-in-Charge CEMETERY OR CREMATORY Place of Disposition Date of Disposition Sebastian Cemetery :)-/13/03 . , ~ } his 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 ithin 10 days to the local County Health Department in the county where disposition occurred. i 326, 8/97 (Obsoletes all previous editions) lock Number: 5740-000-0326-2) Distribution: VI/Me: Cemetery or Cremelory Yellow: Funerel Director or Direct Disposer Pink: Local Registrer