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Certificate # 1871
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Margaret Kamakaris 821 Doctor Avenue, Sebastian, F1 32958
(name) (address)
(name)
(name)
(address)
(address)
in and for consideration of the sum of � i, o 0 0. o o , has purchased and is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following plot:
Unit 4 , Block 3 9 , Lot(s) 11 & 12
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYEDTHIS 16th dayof January � 2003
City Manager
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Sally A.
City Cle
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O*Th's ertificate issued to replace original dated 2/23/98 that cannot O
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Date of Mark-out / � � �y��z '
Date of Burial 1% �(�%� Time ll •D7 ff . la(� f�Gl /eG/� )
Name of Funeral Home
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Authorized by _ /�.--
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FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING 1N SEBASTIAN MUNICIPAL CEMETERY
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Hon� a cEUUn �suw
For information contact:
Kip Kelso - Cemetery Sexton
Se6astian Municipal Cemetery
(772) 589-2545
City Clerk's Offrce
City Hall, 1225 Main Street
Sebastian, FL 32958
O�ce (772} 388-8215 or 388-8294
Fax: (772) 589-5570
STRU�lK �UNERAL HOIHE & CR��A; �I�iY
FUNERAL HOME: 1623 �fo. Central Ave.
SEBA
ADDRESS: (772� 589•100A
PHONE #:
( k One}
OPEN BURIAL LOT
OPEN CREMAINS LOT
OPEN COLUMBARIUM NICHE
BURIAL DATE AND SERVICE TIME
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FOR DECEAS ED: �" CLY - C� ���
Name
Lot �_ Block �(� Unit �
Lot Block Unit
Niche Block Unit
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NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
�ust provide proper documentation of ownership) .
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Name �ignature Date
I certify that I have determined the ownership of the above described site, that all site fees and
administrative fees have been paid and authorize opening of same.
NA�AE AND SIGNATURE OF LICENSED FUNE AL DIRECT
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Name �gnature Date
Ceme#ery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming
with Clerk's o�ce and that all fees have been paid:
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Ce te S xton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon cornpletion.
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City of Sebastian
1225 MAlN STREEf o SEBASTIAN, FLORIDA 32958
TELEPHONE (561) 589-5330 o FAX (561) 589-Sb70
MEMO
To: Janet Isman, Finance Director �p
From: Kay O'Halloran, City Clerk ,'.,� ��
Subject: Check Request �� `
Date: February 10, 1998
Please issue a check as follows:
AMOIJNT• $800.00
PAYABLE TO: Anthony J. and/or porothy M. Bachiocchi
703 W. Fischer Circle
Sebastian, FL 32958
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PURPOSE: Repurchase of Cemetery Lots 11 & 12, Block 39,
Unit 4 by City.
SUBMIT TO: Linda Galley
ACCOiTNT NO.: 001-30-590-995 $400.00
601-27-539-995 $400.00
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TOTAL THIS
CHECK
THE FACE OF THIS CHECK HAS A SECURITY VOtD BACKGROUND PATTEflN - DO NOT CASH IF THE WORD VOID IS VISIBLE
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BACHIOCCHI, ANTHONY J. AND DOROTHY M.
703 W. FISCHER CIRCLE �
SEBASTIAN, FLORIDA 32958
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DEED ��1332 �'
LOTS 11, 12.
BLOCK 39
UNIT 4
SU lc�. !� ��.�. � �
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Lots 11 & 12
678 6/28/91 Block 39 xo.
Paid by CEMETERY Receipt No. . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . .jJll l t �+
List Price $ . . 8 � � � � � � . . . . . . Maximum No. Buriai Spaces . . . . . . . . . . . . . . . . . 13 � 2
Net Paid $ .. 800� ��� Monument permitted . .. .. ...... ..... .. ... . •
"" """'� Anthony J. and Dorothy M.
Bachiocchi
� (Dsta above ffiis line for Clty R,ecurd an1Y) 703 jqj. Fischer Circle; Seb. Fl .
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PritP#�e�� �ePd
No. `13�2
TH1S INDENTUAE MADE Th1s ......�$�kl.......... day of ...........���1e ............................ A. D., 18.91..�
betw•een tl�e City o! Sebastian, a municipal corporation exieting under the laws of the 3tate of Florida, ae Grantor snd
............................................. Anthony..J,, and, DorothY...M,_. Bachiocchi.........................
. . .. . ........
703 W. Fischer Circle
............................................. Sebastian�.. Florida..32958.. ............................................
of the county o� ..Ind.ian. River Flori.da_.._... �
........................... anl State of ....... ...........
as Grantec, WITNES3ETH�
That the Grantor for and in consideration of the sum of $ 8 0 �: � 0.... , .....,, to it in hand paid, the
knowledged, does by this instrument grant, bargain, sell, release, vey nd confirm unto the Grantee , their neuS,
the following property situated in Sebastian, Indian Riv oanty, o'da to-wit:
All of Lot(s) ,11 S:1 ? Block, .. 3 9.,, U IT ..... 4, .. , of Sebastian municipal cemetery as per t u
Book 2, at page 65 of the public records in t office of the C of the Circuit Court of St. Lucie County of id
in Indian River County, Florida.
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To Have and to Hold the same forever; provided �t• aid property shall be used solely and t
be used, kept and maintained at all times in accordance the rules and regulations, ordinances a
fore, now and hereafter adopted or provided for the government and operation of said cemetery. T
in this instrument shall be covenants running with the land. In the event of the failure of the owner
serve and comply with such rules, regulations, resolutions and ordinanoes and the conditions of the d�
in and to said ptoperty shall terminate and the same shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the t"ust pazt has caused this instrument to be e
attested by its City Clerk and its corporate seal to be hereto affixed, the day and yeaz first above wri�
Attest:� . .!.! �...�."Y. f�a��
City Clerk
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STATE OF FI�ORIDA
COUNTY OF INDIAN AIVER
is herewith ac-
ves and assigns
thereof recorded in Plat
land now lying and being
for e interment of the human dead and shall
s of the Ci of S bastian, Florida, hereto-
i' ns, restri ' ns an requirements contained
property sit t thin said cemetery to ob-
�nvevance f hen the title of such owner
in its name and on �s behalf by its Mayor and
CITY OF SEI3A91'IAN, FLORIDA
BrL%G%�.........Q ..... .....
Ma�
��"5 p�EMl�
I HEREBY CERTIFY, 3'hat on this ......2$.t�...........day of .........lU.TI� ...................................., 19.9�,
before me personally appeared .....Wr„ E.,, Cony.ers ... 8�d ..Kathryn„0'Halloran.,,,,
..............................
respectively Mayor and City Clerk of the City ot 3ebastian, a municipal corporation under the laws of thc State of Florida to me known
to be tlie individuuls und ofPicers described in und who executed the foreguing cowveyance to
..............................AnthonY.. J.... and Doroth�' . M.� ..Bachiocchi ........................................
........................................................ and severally acknowledged the execution thereot to be their free act and deecl
as such officers tt�ereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is thc act and deed of said eorporation.
WITNESS my signature and oiticial seal st Sebastian, in the County of Indian River and 3tate of Florida, the day and �ear
last aforesaid. �
.� ................ ....... ..... . ...............
Nota ublic, 3tate ot Florids at Lar
My commiseton expireti C` _ ._ �;�
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• � � • Lots 1� 12
�aid by CEMETERY Receipt No. . . . . 6 � $ . . . . . . . Dated . . 6 � � 8 � 91. . . . , , , , , , . . B 1 o c k 3 9
' 'Uh i t 4
Ljscp�cea.. 800;.00,..,,.
Net Paid S . . 8 � �.•.0 � . . . . . .
Maximum No. Butial Spaoea . . . . . . . . . . . . . . . . .
Monument permitted . . . . . . . . . . . . . . . . . . . . . . .
NO.
1332
Anthony J. and Dorothy M.
Bachiocchi
( Data sbove tfiis line tor Gty ltecord only ) � � 3 W. F i s c h e r C i r c 1 e; S e b. F 1.
t�i#� nf �rbtts#ittri
��ritP#P�1� ��P� No. �1332
THIS INDENTURE MADE �L ......�S�II......... dey of ...........�I�l}�� ............................ A. D., ie.91.�
betw�een il►e City ot 3ebastian. a municipal corporstlon ezist(ns undcr the laws of the 3tate ot Flo�ida, ee Grantor and
............................................. AntY�ony..J,, and_ DorothY...M.,. Bachiocchi.........................
703 W. Fischer C'rcle
............................................. Sebastian�.. Flor,i�a..32958.. ............................................
ot the Connty ot ..Ind,ian.,River ...................... .,,..i State ot ....Florida.......................................
aa Grsntee, WITNES9ETH�
That the Grantor for and 'n� considetation of the sum of S 8QO • �� ................ to It in hand paid, the receipt whereof is herewith a�
knowledged, does by this instrument grant, batgain, sell, release, convey and confirm unto the Gtantee , the i r he�S, legal cepresentatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) ,11 & 1?Block, ,, 39 .. , UNIT .,...4. ...,,,, of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat
Book 2, at page 65 of the public recorda in the of6ce of the Clerk of the Circuit Court of St. Lucie County of Flotida; said land now lying and being
in Indian River County, Florida.
To Have and to Hold the same forevei; provided that said property ahall be used solely and exclusively for the interment of the human dead and shall
be used, kept and maintained at all ttmea in accordance wlth the rules and regulations, ordinances and resolutiona of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for tha government and operation of said cemetery. The aonditions, restrlctiona and requuements contained
in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated wlthin �id cemetery to ob-
serve and comply with such rules, regulations, resolutiona and ordinanaa and the conditions of the de�ed of conveyance thereof then the titk of such owner
in and to said property shall terminate and the aame shall tevert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the firat patt has caused this instrument to be executed in its name and on its behalf by its Mayor and
atteated by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written.
Attest: T . �LC.! . . ! . ! �. . .� ."''. /� R-':...+
`^a� City Clerlc
Si�ned, Sesled und Delivered
the P nce ot:,
. _.�... ... .........
�U?���.�.. C'.��a..�- ...............
STA'PE OF FI.ORIDA
CU[1NTY OF INDIAN RIVER
CITY OF SEI�ABTIAN, FLORIDA
B7Li�%� •�^^. • . . . . . . . . . �r:�4.�..�� . . . .
Ms�
(t�Iii� �ieal)
I iiEliEBY CERTIFY, Thst on thls ......zst�'1...........dey ot .........JLLi�� .. ............ .................... 1i.9�
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betare me pereonslly sppeared .....Wt,,.F'.�....G.Qny,ers ............................... a„a ..Kathryn„0'Halloran.,,,,
respcctively Mayor and City Clerk of the Cfty ot 3ebastien, a municit�al corporatiun under the taws of thc 3tste ot Flotlds to me known
to be tl�e individuule und officers descrlbed ln end aho executed the foregoing cuxveynnce to
..............................AnthonX..J....and Doroth�'.M.�..Bachiocchi................ ...................
........... .. .. . ... . .. ... .,..
.
........................................................ snd severally scknowledged the executton thereof to be their free act and deed
es such officers tl�ereuuto duly authoriacd; snd that t6e Official seul of said corporation Is July atflxed theeeto� and the safd conveyanee
is thc ect and deed of sald corporation.
WITNE38 my signature snd otticial asl at Sebaetia�, in the County ot Indian Rtver end 3tate of Florlds, the day and �ear
lest atorcedd.
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Nots ubtic, 3tste o! F1orWs at I.ar�s...�
Mq commission expirar � ,
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City of Sebastian
POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978
TELEPNONE (407) 589-5330 ❑ FAX (407) 589-5570
July 2, 1991
Mr. & Mrs. Anthony J. Hachiocchi
703 W. Fischer Circle
Sebastian, Florida 32958
Dear Mr. & Mrs. Hachiocchi:
Enclosed is Cemetery Deed No. 1332 for Lots 11 and 12, 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 r ly our
� �����v.� -.!�`�-.i
Kathryn . O'Halloran
City Clerk
KMO : j s
enclosure
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THE SEBJI S�'IAN CEMETERY
C�ty of Sebastian
Sebast�an, F2orida
RECEtPT IS HEREBY ACKNOWLSDGED OF rHL SUM OF:
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FROM:
1iellars fS �f�`Dl�. /.�/i
7� 3 �-� � • �.� a��-�: ��-� r�Q.
r,� .� � _ : ,- �� -- - -
on tht s_ o? �' � day of .� �_ , 19 9/fo.r the purchase of the fol2ow�ng
described Cemetery Lot�( j upon the terms and cond.ttions as stated herein:
Descriptio» of Property:
Cemetery Lot(s)N //�/� Blocka ��_Un�t� �
Purchase Price: �.� A Lz!"" �� �c,,��v � Dr�l2ars(S �l'� •G2? J
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Terms and'condit�ons of sa.ie:
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This contract shall be binding upon both parties, the se2ler a»d the purch8ser, when
approved by the owner vf the ptoperty above descr�bed.
I, or we, agree to purchase the above described property on the terms and conditio»s
stated fn the foregoing �nstruments
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The C.tty of Sebastian agrees to se11 the above mentivned property to the above named
purchaset{s1 on the terms and cond�tions stated fn the above i»strument.
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�`:,ei t y of Sebasti an
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