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Home My WebLink About4-39-09 ,,," ~- '; Lots 9.10 . ' ,f. . 671. 5/29/91 Block Pr:1~ by C.~~TERY Receipt No. . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . Uni t 4 Llst.Priee '$ ~8QO.. QO........ Maximum No. Burial Spaces,................ Net Paid $ .8.QO.. QO........ Monument permitted....................... NO. "1325 (Data above this line lor CIt, ftec:ord onl,) Dale K. & Elizabeth J. Allieor 454 Banyon St. Sebastian, Fl. 32958 C!titl1 nf 1'fhastiau C!!rmrtrry Irrb 1325 NO. THIS INDENTURE MADE 'I1aIa ......49 t.b.. . .. .. ... day of ...... .~~y.. .. .. ..... .... ............... .... A. D., I'. 9. ~... between the City of Sebutlan, a munlelpal eorporatlon e:dstlnlf under the laws of the State of Florid.. as Grantor and , . . . ...... .......,.................. P~.1-.~. . ~.... .l;l.I)~ 1.9.1;.. J!;.1-.:j..:?~p.~.t.Q.. ~~. ..~),~~.fjl.(m... ............................. 454 Banyon Street .,,',............. .......,..........,..,Sebastian.".F.I.orida.. 329.5B. ...... ."..,............, .... ..,.,..... ... .... ..., of the County 01 ..... J.ry~~.l;l.ry.. R~.Y.~~.................. an'J State 01 .... ..~~~.~.~4~................... .................. u Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ ~.QQ r .QQ. . . . . . . . . . . . . . . . . to it in hand paid, the receipt whereof Is herewith ac- knowledged, does by this instrument grant, bargalD, seU, release, convey and confirm unto the Grantee . t:.l}~.tr:: heirs, legal representatives and assigns the foUowing property situated in Sebastian, Indian River County, Florida, to-wit: AU of Lot(s) ,9. .~. . 1, ilock, . . .~ 9. .. ,UNIT ... A . . . . . . .. ,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 shaU 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 shaU 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. AlI"',<~~"'m,.[)II~ . . (1"-' City Clerk CITY OF SEBASTIAN, FLORIDA Signl'd, Sealed nnd Delivered ~t>resenee of: ( (p;~~17;*~~""" ~. . . . .' . )ytii.-.: ........ ... .. . .. . STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEREBY CERTIFY, That onthw ...... ~9.th.. . . ...... .day 01 ........ ..~'Y...................................... 1..9.:1.. BTft~............ /,a10r (GJitv Jieal) brfore me personally appeared........ W.... .E.... Co.oyer.s......, ... , . . . . .. ... . '" . , " and Ka.thr.yn.. Q.' .Hallo.ran....... respt'ctively Mayor anti City Clerk of the City of Sebastian, a munlclpol corporation under the laws of the State 01 Florida to me known to be the Indh'idunls IUld officers described In Bnd who neeuted the fore'golng eoaveyanee to Dale K. and/or Elizabeth J. Allison . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :a' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . .. and severally acknowledged the execution thereof to be their free aet and deed as such offieers thereunto duly authorized; and that the Offle/al seal of said corporation Is duly affixed thereto, Rnd the said eonveyance Is the ae! Bnd deed of said eorporatlon. WITNESS my signature and off/eta. IeBI at Sebastian, In the County of Indian River and State of Florida, the day and 1ea:- last aforesaid. ~~~:~~...~~~4:..,...,........ Not~tublle, State of Florida at Lar.;-V ~ ., My ommlsslon explrClI r',.-'""" !"..' .", ~::: ~ .,: . ~." ,,) t:.,.,~..t ~ h_" . _ '1...."l 1"~4 r~,~ (r:'1"\"r.,:; :'::: 7~': r. - .? : :1:l:.r.~n~~"I~.C. I, B:mt'cd Thrv lr~ll elll.. ... Name D\\ \... '5- K. (-=i ~'k i SO \0 Unit q ~(1 ~ Blt)ck Lot Date of Mark-out i ;;....12.7 I C() Bate of Burial I'" r "~l')') .J.... ' ""'0, ( (, 'Time \ ~;'~ () C=) . ,"'. , C" .<::.,'~:-<~" "" ' . Name of funeral Home _ ,0 I,'I~. \;i:" .\.;) K \~ ... ' .i"'"l ',' "', ", ..; _ _, " ,.- / ' " I ,/",-, -::r:; f /. ", ,', " , .' , (,' I, ,,"'. ','., c..r Auth"",.." by >,0 (,~~. ., Lr ":) QJ. ALtI'SON~;0y.DALE K. AND ELI ZABETH J. 454 BANYON STREET SEBASTIAN, FLORIDA 32958 .j\ DEED 111325 LOTS 9 & 10 BLOCK 39 UNIT 4 ~ ~ E h '~tlhe+h.:r: fil//slJ/J ; r1.Jerre,f 11/1/41 ,()~~ &f 1;I~#g'cP(#J i ~ " " '~ I \,... 1\ ~ . " . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 May 31, 1991 Mr. & Mrs. Dale Allison 454 Banyon street Sebastian, Florida 32958 Dear Mr. & Mrs. Allison: Enclosed is Cemetery Deed No. 1325 for Lots 9 and lO, 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. ve~rr~ ~ _i,M ~~I/; Kath n M. City Clerk yours, U"i~~ '-"" ." - O'Halloran KMO: j s enclosure ,- ", r/- . . to 7/ . ' THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: ~. C C L ) FROM: ~s.y ~~ #. ~~~~J . ~~~ . a~9S-~ on this ~ 1't;( day of ~,/, 19? / for the purchase of the following described Cemetery Lot(s) u the terms and conditions as stated herein: Description of Proper~y: Cemetery Lot(s)' ? '" / C) Block' 37' Unit' 7"', Purchase Price: ~~~ ,~~:";.:L___ Dollars($ .f"cJtJ .#lj } 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: dJ.(, K // i2 C( ~~/' 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. ~i -- -' . ~~ Wi n~ ~u~p ~ ~ity of Sebastian " -] . . , , . @HAAlANO 19M' It' .& aa o [J'2 ..., o o [J'2 r ...... ru - .. M~oo II) r: :D )> )10 II) mm ,... !t)lo,... ~~~?\ ;!!faJ ~ tJ' mfi Ii c..O 'Z )> r-... r-... rn~ o z .~ "" ~ ~ ~ 0 0 ~ 0 ru r- ru r- (X) > ~ (f) S.f Florida, Department of Health, Vital ~tics APPLICATION FOR BURIAL - TRANSIT P~ ~. /... y/ / tJ /0 3t t;i A. 1. Name of Deceased (TYPE) First Middle Last Month Day Year Vero Beach Address Date of Allison Death Name of (If neither, give street address) Hosp. or Inst Dec. 23 2000 2. Place of Death County Indian River 3. Name of Medical Certifier Mi Dale K. City, Town or Location Ie Maholtz, Medical Examiner 4. Name of Funeral Home/l)jn.,;;l i'1..I'u.r Establishment Strunk Funeral Home 5. Check a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box D. Physician Address 1623 N. Central Ave. Sebastian, FL 777 37th Street Vero Beach, FL I ndian River Memorial Hos ital Phone Number 561-567-0081 Fla, Uc. No.lReg. No, Phone No. (Area Code) 1228 561-589-1000 b. ~ Jane was contacted on 12/27/00 He/she verified that this death was from natLlral caU5l;tS, that there was no accident nor other extemal cause of death, and that Dr. Maholtz will complete and sign the medical certification of cause of death within 72 hours. c.D was contacted on 6. Funeral Director/ 9i.... 8ia~ser He/she verified that , Medical Examiner, will complete and sign the Date Signed 12/23/00 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body, Permit No. 1228-00-0593 o A five (5) day extension of time for filing the death certificate (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. ONo extension of time for filing the death certificate has been requested. ~iol.aIUlll ~. " ""'-- /ll.. (l ~ AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Date Issued: /:4,/.3/,., Date Certificat, ~ Due: /-.,_ rtJ Subregistrar Signature C. 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 DCREMATION Signature of Sexton or Person-In-Charge CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery D. DSTORAGE DOTHER (Specify) } Date of Disposition 7}, 1....... L ..z,~. Zoot::> , , "7h"'~ ..- I"/~' This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectorlOirect Disposer when there is no Sexton) and returned ~ within 10 days to the local County Health Department in the county where disposition occurred. (l DiItriblAlon: WhIta: Camatery or Crematory DH 326, 8/97 (ObIoIetes 811 previous edftions) YeNow: FUIIllI'III Dlr8cIor or DinIcl Dispoaer . I (Stock NL.mber: 574Q.000.0326-2) Pink: LoceI Regialrar