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Home My WebLink About4-39-16 Lots 16 & ~ Paid b;CEMETERY Receipt No. .. ~~.~. ... .Dated. .t~/.1~(.~~................ B_k ~9 ~4" List Price $ .. ?9R: .q9....... Maximum No. Burial Spaces................ . -' Net Paid $ .. ~.?~ : .~~. . . . . .. 17 NO. 1341 Monument permitted. . . . . . . . . . . . . . . . . . . . . . . (Data above thl. line for City Record only) O!ttv of &tbusttun (tttmtttry II ttb NO. "\1341 THIS INDENTURE MADE TIaIa . .1.4.th............. day of . No.v.erobex.............................. A. D.. 18.9'+... between the City of Sebutlan, a municIpal corporation exl.tlng under the law. of the State of Florida, a. Grantor and Carole Phelps ............................ ............... '10'5:3' 'Paimet.to' .Avenue......'........................................... ...... Sebastian, Florida 32958 of the County of ;I;p:<;l.:t~n..~.:i,.x~.+........................ an'] State of :fJ.(n:~9-.~........................................... as Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ ?;q~.: ~~..... ... ..... .... to it ~ hand paid, the receipt whereof is herewith a~ knowledged, does by this instrument grant, b8Igam, sell, release, convey and confum 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 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 iand 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 aD 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 faDure of the owner of any property situated within said cemetery to ob- serve and comply with iueb 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 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 fust above written. CITY OF SEBASTIAN, FLORIDA Attestl~' .-.....m....{)d~ .(..~ City Clerk Bf // JC e vv?....~..... ..........:..... 7.-.... Signed, S aled und Delivered J~t~' P".... <<. >::IF... .~......... ....e~.............. (QIitu JleaJ) . STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this .~.I:14................. .day of ..p.~.G~\ll1;>.~J;...................................., 18.9J. W.E. Conyers Kathryn M. O'Halloran before me personally appeared ........................................................... and ....................................... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known . to be the :..divilluu!s aull officers uescrlbt.d In nnd who ex.:cutcdthc 10['('801n8 coRvcyance to Carole Phelps ......... ............................................ ......................................... ......................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be thelr free act and deed as such officers thereunto duly authorized; and that the OfficIal seul of said corporation Is duly -affixed -thereto, and the said conveyance Is the lid und deed of said corporation. _---~----~~~ WITNESS my .Ignature aDd offlclal seal at Sebastian, in the County of Indian River and' State o~ Florida, the day and fear last uforcsald. Nota PubUc, State 0 PI .tMtlStat. of Florid.. My ommlsslon eXplrell.... ( . io ExplrJ 11 1994 . _ t", omm.ss n .s. un. , . ", Iond.d JhruTroy, Fal,,; In,urancelnc. . . ~, . ~- Name i:? /) .;t.: ~),/ i ,4f7'. ./~~7'/e~, ,/. /e,t<:) ;/~1 tf.,' (, l~. ( L,.~_f. '. t - 3/?'.,... j J Unit ~/ Block -?' Ct' .J ' / Lot / (p Date of Mark-out ;f/~-'Iu '7 , t.' . / ....-... Date of Burial I .; / if i G i. / ie'; '1 .' .' - Time -5 ; Ci '0 ,{) , , Name of Funeral Home 'c:I---~' 11"/ / A., L,(' h' /L Ijl'//)' L,'U.J.."t"t(er1,m,.(L,. Q Authorized by ...-" oj (/ -::~f . l - -_...---._---- ---~------ 'J. .~ I ~ ~ ~ 1 ~ ~ I C\J J , C\J '- ........ :~ ~ .. :!! i! ii 1 ~ I J c3 (,) '2 ! Cl ~ :::> 'I ~ L ZW . :5(,) I I S~1i: I I -'" w: Ifl!"- ~ I ~ I (fI~~ I ~. 5 I ~ ~ s~ &l ~ =j ~(,) a:: en .~ ~ i s ~ s jl (,)~ g ~ .lS 'C: . ~ ~ ~ ~ Ii: (,) '" ~ ~ .. J! 'is u a:: CIl :s .3 3l CIl en U ~ 'C J.l I ~ .~ .g I "- en .g ~ c la c: '~ i CIl ~ j .~ .. . l- t ::3 (3 :ti (3 III E 1: I- 1; E 1: E .1 I ;;j ~ 9 ~ ~ c: i i i J! 3l ld 8 u ~ u u .3 .s 3: >- u a:: I :i J!- ~ ~ ~ 0 8 8 ~ i i ~ ~ m ~ m i .... ~ ~ ~ ~ .s . .... ~ ~ M M M M . 8 ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ i i i E ~ 0 ow 8 8 :3 8 8 8 :3 :3 ~ :3 :3 z '. . . I POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 December 3, 1991 Carole Phelps 1053 Palmetto Avenue Sebastian, Florida 32958 Dear Mrs. Phelps: Enclosed is Cemetery Deed No. 1341 for Cemetery Lots 16 and 17, 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. 687 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. I Very truly yours, ~tllJ;l21~ Ci ty Clerk . KMO:lml enclosure 'f~~'n) " . . r;J?7 THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF 'THE SUM OF: FOOH, &1'i;k~~~ ~~~~~ on this 14'(IJ day ofM-o- , 199; for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Vollars ($?M. ft- ) Description of Property: Cemetery Lot(s)II/ft:,!17 Blockll a9 Unitfl 4 Purch.se prlce4j ,~ Dollars{$ ?()().~ Terms and' conditions of sale: This contrect 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 foiegoing instrument: ,) /) Q /'-,. ( 'Jk..I~A__~ ) 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. ~-Lrt ~ Witness '. U.4 1:/ jq L.11p FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Carole Beck Death 11-05-02 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or I ndian River Vero Beach Inst. 6129 Atlantic Boulevard 3. Name of Medical Address Phone Number Certifier Noor M. Merchant, M. D. 13060 U.S. 11 nMedical Examiner rX1Physician Sebastian, Florida 32958 (772) 589-0879 4. Name of Funeral Home/Direct Disposal Address Fla. Lie. No.lReg. No. Phone No. (Area Code) Establishment 1 ~3North Central Avenue Strunk Funeral Home Sebastian, Florida 32958 1228 (772) 589-1000 5. Check Appropriate Box a. 0 The medical certification has been completed and signed. .A completed certificate of death accompanies this application. b. []g Dr. Merchant was contacted on 11/05/02 He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death, and that He 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 6. Funeral Director/ Direct Disposer Date Signed 11/05/02 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-02-01155 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. ~NO extension of time for filing the death certificate has been requested. -4\cylo:>>L. Gal 01'- Subregistrar Signature Date Issued: 11/05/02 Date Certificate Due: 11/11 /02 C. 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. JalBURIAL DCREMATION Signature of Sexton or Person-in-Charge DSTORAGE DOTHER (Specify) CEMETERY OR CREMATORY .. /J Place of Disposition ....,6I3A~'J)'#~ LL~NJ..~7bey. Date of Disposition II / ~ O?~ D. Method of Disposition: } 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 within 10 days to the local County Health Department in the county where disposition occurred. DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740-000-0326-2) Diatribulion: WMe: Cemetery or Cremetory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar