HomeMy WebLinkAbout4-39-13
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'1339
NO.
THIS INDENTURE MADE 'I1aII
28th
August 91
day of ..............................",............ A. D.. 1........
between the City of Sebllltlan, a municipal corporation exlstlnc under the laws of the State of Florida, al Grantor and
. , , ' , , . . . . . . . . . .. . . . .. ..... ............ .. :I:l.t.e.:r;~ ~t;l.. .J;>;i, t.i.nQ. . . ... . ... ........ . . . .. .. . . . . . . . . . .. .. .. .. ... . . . ..,.,.,..,.....".,..
321 N. Papaya Circle
.,.',.......... ...... ..,....,..........,.BarefoQ.t..Bay.,. .F.L. .32g.76. ......... .....'.......... .... ... ......,... .,. ......,.
of the County of .JI:1.Q.;i,~~..~;i,y:~.J;....................... an') State 01 ...~;I,~:r.:i4~.......................................,
u Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ . ~ ". ?q 9. ~ R <:>. . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargam, sell, release, convey and conrllm unto the Grantee ~.~!=. . . .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) l.~ ~.\ ~ , Block, . .~~. . .. ,UNIT ....~........ ,of Sebastian municipal cemetery as per Piat Number 1 thereof recorded in Piat
Book 2, at page 6S of the pubHc 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 shan be used solely and exclusively for the interment of the human dead and shall
be used, kept and maintained at aU 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-iuch rules, regulations, resolutions and ordinances and the conditions of the deled 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 first 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.
CITY OF SEBASTIAN, FLORIDA
Attest~~.1.,..O~drU4A~...
.. or.... '(j"- . City Clerk
....-,.---.,
/ /.J;- //---
B, 0<(f...<}7?'<........".....,
Signed, Sealed and Delivered
In.~..~~..............
{?N~.....~~..............
(GIue "tal)
STATE OF FLORIDA
COl'NTY OF INDIAN RIVER
28th
I HEREBY CERTIFY, That on this ....................... .day 01
August
91
1......
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'J
before me personally appeared ~ ...~. ~.. ~<?I:tY.~~.~.... .. . , ..... .. .. .. . , . , .. . .. .. . .. . . ... and 1\~.~h~.Y.~..~ ~.. 5? .'.~~J,~~r~~...
resp<<'ctively Mayor and City Clerk 01 the City 01 Sebastian, a municipal corporation under the laws of the State 01 Florida to me known
to be the Individuals Bnd offleers described In and who executed the fore-going cORveyance to
Theresa Pitino
.0.. ...... ..................................... ...... ...................................... ............................................
. , . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , . .. and leverally aeknowledged the ex.ecutlon thereol to be their Iree act and deed
as sneh officers thereunto duly authorlaed; and that the Otflelal leal 01 said eorporatlon II duly affixed thereto, and the said conveyance
Is the Ret and deed of said corporation.
WITNESS my Ilgnature and official leal at SebalUan, In the County 01 Indian Rive" and
last aforesaid. ; ~
t. ' ..
( N' ~~. P~bU~: 'Stale 1 a r
My commlslloll eiplrt I ,tf'.y'fulll'ffat. of florida
,/ Mr Commission Expires June 18, 1994
Bonded ThlU Troy Foin . In.uronceInc.
.
.
Name
7_,
/) of!' /.:.,cS Ii
/u', ---r', ~) /'
1I;I/fV....l
Unit
"-/
Block
~:2, C\
-..." /
Lot
J ""2,
i....;
Date of Mark-out
I f
/1 /1~/9'l
/ I
/1/18/f'7
I I
Time
J I ; 00 ;::1. 11'1,
Date of Burial
Name of Funeral' Hom,e"""":-; .5TR.u ,V,}< Is.
." ,-" -":':~:t"'~~"/.,:~Io,;:;"/
Authorized by ~.:-"""/".-'<(:" ;""" ,"<
Q~,
-' -~._---_.._--_.__._._-_.._. --,----,.. .-- ..-.--.- ._,,-- -" .--..---.-.-..---- .--.----------- ,-. .
- I~~, Theresa
321 N. Papaya Circle
Barefoot Bay, FL 32976
.......
DEED II 1339
Lots 13 & 14
Block 39
Unit 4
John A. Pitino interred 8/23/91 - Lot 14
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City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
September 12, 1991
Theresa Pitino
321 N. Papaya Circle
Barefoot Bay, FL 32976
Dear Mrs. Pitino:
Enclosed is Cemetery Deed No. 1339 for Cemetery Lots 13 and 14,
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. 685 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.
':rl/;r~l?_ YO?t~1
'->;Trw;t-llJ .UJtf~
Kathryn M. O'Halloran
City Clerk
KMO:lml
enclosure
r
,.
. :...
I$;t5
.
.
THE SEBASTIAN CEMETERY
city oE Sebastian
Sebastian, Florida
R&C&IPT IS R&IlI<Br nCKNONUOO&n ~H OF,
OfiU-Y~o!J~/{J ,t/fl-
Ther~i?h'nD
,3:J I AI. f6..pa ~: (! 'r--de
<B:}L~~ll 12 -3$'1&
on this~3.cd day oEflnrVI,/lJ , 19<1/ Eor the purchase oE the Eollowing
described Cemetery Lot(~ terms and conditions as stated herein:
, 00
Vollars ($l.fI t:JtJ , ~
)
FROM:
Description oE Property:
Cemetery Lot(s)' /'-~ i /4 Block' ~ Unit' 4
Purchase Price 1)/U__1ku.tYl.4tJk L1ud)J,/ Dollars ($?;? Mg:!- )
Terms and' conditions oE sale:
This contract shall be binding upon both parties, the seller and the purchaser, when
approved by the owner oE the property above described.
I, or we, agree to purchase the above described property on the terms and condi Hons
stated in the Eoregoing instrument:
;(:~R~
The City oE Sebastian agrees to sell the above mentioned property to the above named
purchaser(s) on the terms and conditions stated in the above instrument.
~~
. g-~~ ~./7
Witness
(,
.
.
...,... ,~~-
FLORIDA DEPARTMENT OF
, "j<,:,;~.fLfbC:~6~;~~t~~::~~;:~~t:..i~
...'-" ;.-:;'" ,,' 1;. .~.,,' -". ~', .:~~ '"'_; ;';;!)~
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1337
Iii
HEALT
A.
1. Name of
Deceased
First
-- - -, Middle
t.,..-:....,.
, - Last -- - .. -- -., Date
....',-,,. 4,. ~';_ ;r~'~ \. of
Pitino Death
Name of (If neither, give street address)
Hosp. or
Inst,o 2599 Ma'estic Avenue
Month
.. . Day
.Year
2. Place of Death
County
B reva rd
3. Name of Medi~! ,
Certifier Sandeep Raha dale, M. 0
Medical Examiner Physician
4. Name of Funeral HomeJliilt:el B:~~"~dl Address Fla. Lie. No.lReg. No. Phone No. (Area Code)
Establishment '- < ':. -",' ~",i-1623 N.' Central Avenue ';C:"-':"U:i"
Strunk Fu'neral Horne". __ ~ebastian/ Fl' "k. 1228;' . 561-589-1000
5. Check a. 0 The medi~lc.:ertjfjcation has been complete~ ,and signed. A completed ~~cate of death accompanies this
Appropriate application. ' .. . . '
Box
Theresa
City, Town or Location
M.
Nov.
12
1999
Melbourne
Address _ ,
"2100: N: Wickham Road
Melbourne, FI
Phone Number
0'''', ,', - 'o:.,:bi11
321-2S1f-4900
b:'f9 Janet wa~ con!acted on 11/12/99
He/she verified thaUh,is, death was from natural causes, that there was no accident nor other extemal: ~use of death,
a~? that Dr. RahanQdale will complete. ~~c:' s!gn th~ medical
certification of cause of death within 72 hours. .' . '
- .'""\:~ -~ .:: ::~ ',".
was contacted on
He/she'verified that
. ; Medical Examiner, will compl~te and sign the
c.D
6. Funeral Director/
Direct Disposer
use of death within 72 hours.
F.E. No.lReg. No.
1862
Date Signed
11/12/99
B.
BURIAL - TRANSIT PERMIT
;", .!'\ ',.
-61~.
Permission is hereby granted to dispose of this body. Permit No.' 1228.:.99"",0528 sf;T
o A five (5) day extension of time for filing the death certifica!e (exclusive of weekends) has been requested andgraritedsi~cethe'physician has
~. , ~ .,' ~ :.,~". ,J" _.~ . '. l,Jli:-,'_"'~
been con~acted by the funeral director and winnot be able to complete the medical certification of cause-of-death section of~he death,,~rtifi~J~.~i!~in
72 hours. " .
ONo extension oftime for filing the death certificate has been requested. ....._.._.,______
-Ragiotlll. 8f. . . Date, Date Certificate
So....;,.., S~..tu.. ~. ~:~ H' ~, ~ ,..""", Doe,
C.
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA
.:3 <I\,,: : '_~ .""
::.:;-Ci'.iU"J
'-:)"),~r;
Approval Number:
-,
Date
Medical Examiner, , ga~e 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
r~uired for all cremations.
D.
Method of Disposition:
CEMETERY OR CREMATORY
Place of Disposition
Sebastian Cemetery
@BURIAL
o CREMATION
Signatl:re of Sexton
or Person-in-Charge
DSTORAGE
Date of Disposition 'f) Of ~ ~~. ^, iu A. 1 P, I l 9. '1 9.
DOTHER (Specify)
}
~ ../.v;~ "
('.( '-_ .J-
This 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
:'::, ~::::::7 Health Department;, the coonty whe.. d~po"~, """"=- : '='o~...,.., (\( () .
(Stock Number' 57 4~326-2) Pink: Local Registrar LP )f'-"
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