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Home My WebLink About4-39-18 ., """7" , , paidbyCEMETERYReceiPtNo....~.~~... ..Dated...~~i?:?~?~.. ... ..... ..... .~8 39 LitP' $ 400.00 M' N B ialS . 4 s lIce ... . . . . . . . . . . . . . . . axnnum o. ur paces. . . . . . . . . . . . . . . . Unl t 400.00 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. 1342 (Data above thlJ line for City Record oDly) C!titl1 nf &tbustiuu (JItmtttry m ttll NO. ", 1342 THIS INDENTURE MADE 'l'1aIa 2nd................ day of . .D.ecembez:............................. A. D.. 1191.... between lhe City of SebutJan, a munIcipal corporation existing under the laws of the State of Florida, as Grantor and Alice J. Eaton ............................ ................ 35'1' 'Wat'e't'~re's't. 'St'r~~t'......................................... ............ Sebastain, Florida 32958 .... ......................................... . ........................................... ..... ....................................... of the County of .. ;I;nc;1.J~HL.~,:i,.~~.+...................... an'] State of ..f.l.Q):;';i.Q..Gl......................................... as Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ .; ~ ~ 9. ~ 9. Q. .. . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, d~es by this instrument grant, bargam, sell, release, convey and confmn unto the Grantee . ~.~ F. . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . ~.~ . .. ,Block,. ~.~ . . .. , UNIT ... A . . . ; . . .. ,of Sebastian municipil cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 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 fallure 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 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 afrlxed, the day and year fust above written. HHfn:.~H City Clerk B1 (ClIitU . $eaJ) ,- STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on thlJ 2nd................ ..day of De c.erober....................... .. .. ....... .... 11.91. before me personally appeared .~ ~ .~:.. .~.??r.f!.r:.~..................................... and ~~ ~~~y.~. .~. ~.. ~ ~ .I;I.~~~<?~.~~.. respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me knowD to be the Individuals Ilnd officers descrIbed in Ilnd who executed the foregoing cORveyance to Alice J. Eaton . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the executlon_ thereof. to be their free act and deed as stich officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed ther,eto, and the said conveyance Is the lIet and deed of said corporation. _ :-_~~-~.<- _ WITNESS my signature and official seal at Sebastian, in the last aforesaid. . urp. commission explreal Not Public, Stat. of florida ".... My (ommil~ion Expires Jun. II, 1994 " . Bonded Thru Troy fain. In.ura_ Inc. Name IlLt' CE J': E I}7'ON Unit 9 Block 31 Lot 18 Date of Mark-out /0 ~.. (p" qCf n on D~t~-of Burial ;0...1 - I I NameatF~al~om~ >1'3-rlZtt,4ri( ~ i'i.', . '~/../. ", ..,//).", \ Aut~l'iZed by ,~~_~i""':.e/ 4:.,</ (<;1 ..':......-......_....-.~ ',....~_..._.._~ '> I. Time j: DO iJ . n-l t '-~~~ ~~~.___....__...._, ...... .._..__._~_..,~.~~.....,i~t~[~~.,_._.._......,....,...__"_...,.....,.... u.~, ~ '.1/. Alice J. 351 Watercrest Street Sebastian, FL 32958 "'\ DEED /I 1342 Lot 18 Block 39 Unit 4 qrz ~ ~ - a /8' - /cJ -9"'~~f I 1 ~ - ~ - i i Paid by CEMETERY Receipt No. .. .~.~~........ .Dated...~ ~/~?~9.t.............. Lot 18 . . 400.00 '. Block 39 List Pnce $.................. Maximum No. Burial Spaces................ Uni t 4 . 400.00 Net PaId $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. 1342 (Data above this line for City Record only) \. # . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 December 3, 1991 Alice J. Eaton 351 Watercrest street Sebastian, Florida 32958 Dear Mrs. Eaton: Enclosed is Cemetery Deed No. 1342 for Cemetery Lot 18, 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 enQlosing two copies of Receipt No. 688 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, C::::~~f2ti~ City Clerk KMO:lml enclosure -----:~ c' ,.,,,. \. r;, ~ ,f .. . . THE SEBASTIAN CEMETERY city of Sebastian Sebastian, Florida RECBIPT IS,.!fREB~DGBD OF THB SUH OF. ~dtJi1Jl~d fr Dollars ($#a~ ) FOOH: - {}-fu,L 9- fib :I./rlJ ~~/:t;:A)7#~~ on thi47ib- day of AM , 19 9; for the purchase of the following described Cemetery Lot~ upon the terms and conditions as stated herein: Description of Property: C, metery Lot (s)l /1, .J Purchase pricei~ B1ock"~Unit" 4- ~d Dollars($.I,@~,p--) ~ 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: x O~9'~ 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. ~ ' . ~ . . ~ ty of Seba n (I3'~,x~_. Witness " FLORIDA DEPARTMENT OF f; - ~ ."'\ ~ta.f~~rid~,;D,~p~rtn.'ent ofHe~~~: '(i~1 ~.CS ':;;-,0, . ~ . ,....,- APPLlCATlONJ=9RBUR,IAL.:,..~NSITPERN.lIT -C.' ,;\,-,~ ...: ': '-~'-''' -:.",... r";_~_'-'.....;' _~-4Il ~, LIS 1339 tllf A. 1. Name of -- Deceased HEALT (TYPE) ... First Vero Beach . .. Last Date .. of Eaton Death Name of (If neither, give street address) Hosp. or . Inst. ... Tandem Health Care.. of V.ero Beach Address . . Phone Number 2208 8th Avenue '. Vero Beach, FI Oct. 4 1999 Middle Month ----Day-Year 2. Place of Death County Indian River.. 3. Name of Medical c. Certifier Curtis Da iii i, .0. Medical Examiner Physician, 4. Name of Funeral Home!DiJ'. gi.p...1 Address Fla. Lie. No.lReg. No. Phone No. (Are~ Code) EstabIiSh~en}=.:;r:,' ,. ,.' "1623 N.: Central'Avenue _' _. , Strunk Funeral Home .. Sebastian~' FI1228 561-589-1000 5. Check a. D The medi~1 certification has been completed a~d signed. A completed certificate of death accompanies this Appropriate' application:,." . Box Alice City, Town or Location 561-567-4336 b. "eI Karen wa~~n~~~ed o~ 10/5/99 Helshe verified that this death was from natural causes. JhaUhere was no acciden~ nor other e,xt,err,lal cause of death, , . .ilnd that 0 r. Da I i I i will complete and sign the medical ~ -~-;. ;"-. . ., .......:1< ....,-. '_"";'- certification of cause of death within 72 hours. "'" '.;.' -. c. D was contacted on He/she verified that . Medical Examiner; will complete and sign the 5ilireM Bisl!l"lr eath within 72 hours. F.E. No.lReg. No. 1862 Date Signed ~ ,," l'l'.J'i,. 10 9 6. Funeral Director/ i-> B. BURIAL - TRANSIT PERMIT ,::.,~. ~:~E ::3~';l:3L.<~:~' Permission is hereby granted to dispose of this body. Permit No.1228-99~0457. o A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since t!1e. p,"l:~!ciil~J1~~ been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the deathcer!ificate ~~hin 72 hours. " . ONo extension oftime for filing the death certificate has been requested. ------"..- --- ~1~LldIUI.. Date . _ I ~'. , _.~ .'. Date Certificatew ISSued:~Due: 'I~ c:a q, Subregistrar Signature C. AUTHORIZATION for CREMATION, DISSECTIONs or BURIAL-AT-SEA ,",: ,l~ :~C' S'" ty~ . ~ ~ Approval Number: Date Medical Examiner, , gave authorization by telephone to Funeral DirectorlOirect 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. .J .1'::1:. i~-, - Method of Disposition: CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery D. ~BURIAL DCREMATION Signature of Sexton or Person-in-Charge DSTORAGE Date of Disposition 0(" t;, l...eu 9 , / 9~ '9 / DOTHER (Specify) } y'~ >. f"&d 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 OCCUrredD,.Slribut' 1011' .' () . ~ 'M1~e: Cemetery or Crematory DH 326, 8/97 (Obsoletes all previous ed~ions) Yellow: Funeral Director or Direct Disposer (Stock Number 5740-000-<l326-2) Pink: local Registrar