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Home My WebLink About4-38-06 . .. '~id by CEMETERY Receipt No... .?Q~... ..Dated..... .4/.?1.9.~.. ... .......... List Price S.. .1',.(;)000,0(;)... 1,000.00 NetPaidS .................. .6& 7 Block 38 Maximum No. Burial Spaces................. Uni t 4 NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . 1356 (Data aboye till. line for Cll)< Rec!ord only) Qtit" nf l'fbUl1ttUtt Cltrmrtrry mrrb NO. '\1356 THIS INDENTURE MADE 11da ..... .2nd.. '" .. .... day of ... Apr.il................................. A. D.. .9.92.., between the City 01 Sebutlan, a municipal corporation al.tln<< under the laws of the State of Florida. e. Grantor and Shirley & Eugene Mahalick . . . . . . . ... . . . . . ..... .. ........................ . . . . . 6 t7'C)" 9 8t'h" S t't:'"E!e t........ ... . . . . . . . .. .. '" . . . .. . ........................ Sebastian, Florida 32958 ............................................. ............................................ ... .... ...... ............................... of the Count, of ... .;r.J;l.4;i,~J;\.~;i, ~~.:r;.................... an:1 Stete of ....... ?;L9.:r;.:i.4~................................... II Grentee, WITNESSETH I That the Grantor for and in consideration of the sum of S .. ~ .'. 9.Q 9. ~ ~ 9. . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargalit, eeD, releaee, convey and confirm unto the Grantee . the i r heirs, legal repreeentative& and assigns the foDowlng property situated in Sebastian, Indian River County, Florida, to-wit: 0&7 38 4 ~- the AU of Lot(s) ... . . .. , Block, . . . . . . .. , UNIT ............. ,of ~bastlan municipal cemetery as per Plat Number 1 reof recorded in Plat Book 2, at page 65 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; proYided that said property shaD 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 resobrtions 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 shaD be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob. eerve and comply with iuch rules, regufations, resolutions and ,ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shaD terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caueed this instrument to be executed in its name and on its behaif by its Mayor and attested by its City Clerk and its corporate eeai to be hereto affixed, the day and year first above written. TIAN, FLORID0 ~.... Atte~Jd~.1n....[)d~~... _.- '~rT-"CJt:' Clerk ~~'\~::;T~ . ~e~:::::::::.:... (ClIitu ~al) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HRUEDY CERTIFY, That on thla .... 2.nd...... ........ .day of ......... ApI:il................................., 11.9.2, bt'lore me personally appeared.. .Lennie.. R... .P-owel.l............................ and Ka.t:hr.yn..M ,.. O.'.HalJ.or.an.. rellpl'ctivf!ly Mayor and City Clerk 01 the Clt)' of Sebastian, . munlcll.al corporation under the lews of the! Stete of Florlde to me known to be the Individuals and olllcf!rs described in lInd WIIO aecuh.od the lor{'JOlng coanyenee to .................................. ...S.l:l.:i.klfi!Y. .61. .J::~g~~.~. .M~.l:t.Q..1.j,C.~...................................................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., and severally acknowledged the execution thereol to be their lref! act and deed as such officers thereunto duly authorlRd; and that the Official seal 01 said corporation Is duly affixed thereto, and the ..Id conveyance Is the act end deed 01 ..Id corporation. WITNESS my .Ignature and offlclel Ie8I at Sebe.tlen, in the last eforeaald. UNOA M.lDta ...,,..11 I ........ ,.Qll.... .IV'!......... ..... COUII'_"" . Name 6:::" C (..(. 9 en e U //". /)' ~"l/ a . a lir ;( l,.,," Unit i -56 Block Lot (~ Date of Mark-out ;;;.. ..jl'- j'i(.; Date of Burial ! ~..~ j../- '1 [3 Time I' (')0 /'.'..1,'" /,.) l '/: - Name of Funelj8l H~' ,,"S1l?t,( /':', k is ___.._._, _" /.... - Ii,,,,,,,,, ,,/,' . '''\./ / ,...-- "~., -".'.. ..If.' ./!.' ,...' .- "'~ ,l/~, ..7ft f /. i A~ized by .r~, ~~<::Jf-.?V J!l-:: i<';I-Cd - .- ,........ I. ---_..~ J( , ---.-.~..__....+- -', ,-- ""\ - Shirley & Eugene ~8th Street Sebastian, FL 32958 Deed /I 1356 4/2/92 Lots 6 & 7, Block 38, Unit 4, $1,000.00 : ~ 'Pfa4li - U t - /J-I'I- 18' ~ - ~ - r' . , ~ 7{)1- . . THE SEBASTIAN CEMETERY city of Sebastian Sebastian, Florida e Dollars (1etJ~. ~ ) m&hd./t' kJ FROM: , latI, . sc2~ ~ 'A-J. on thi day 0 , 197~or described Cemetery Lot(s) upon the terms and (3 C).Q@ the purchase of the following conditions as stated herein: ..' Description of Property: Cemetery Lot(s)1I0i 7 Blockll 8F Purchase pricerf)~ ~ d . r unitll -<I Dollars ($/trltJ. ~. } Terms and' conditions of sale: _ pl.fio dd: AJa, /tJtJ/t; 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: . ~~~ ~nL# / ~~~ 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. ., ~~ ttJ~-A.J Witness ~~ . . ,'1'" 0" "'" ~. , lJ' .; ~ ~. ~ /, " yJl'-\ Q o.fff' ""> \S\.'!-..:- O~ PfllC~tl . " .," City of Sebastian POST OFFICE BOX 780127 [J SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 [J FAX (407) 589-5570 April 2, 1992 Shirley & Eugene Mahalick , 6170 98th Street Sebastian, Florida 32958 Dear Mr. & Mrs. Mahalick: Enclosed is Cemetery Deed No. 1356 for Lots 6 & 7, Block 38, 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 truly yours, C:Mf:t~. {)d~a- Kath~M. ~'Halloran City Clerk KMO:lml enclosure 2. Place of Death County B reva rd 3. Name of Medical Certifier James W. Batta lini, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Home 5. Check a 0 Appro- priate Box Permission is hereby granted to dispose of this body. o A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the local Registrar of the County in which death occurred. o No extension of time for filing the death certificate requested. Fleg;"'.~"''' ~.. ~. J"""\ SubregistrarSignature U...A....... ~ k \..... ...L Q. t I~ A. 1. Name of Deceased (Type or Print) First 6. Place of Sebastian Final Disposition: 7. Funeral Director/ Dir1~ n;"'pM~ B. C. Signature or Medical Examiner, State of Florida, Deparbnent of Health, Vital Statistics APPUCeN FOR BURIAL - TRANSIT PERMIT Lt/7 13 3g I./i . Middle Last Melbourne DATE OF Mahalick DEATH Dec. 10 Name of (If neither, give street address) Hasp. or Inst. Holmes Regional Medical Center Address Phone Number Month Day Year Eugene City, Town or location 1998 Medical Examiner Physician 1601 S . Address 1623 N. Central Sebastian, FI A olla Blvd., Melbourne, FI 561-768-2816 A Aa. Uc. No./Reg. No. Phone Number (Area Code) venue 1228 561-589-1000 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b's Sandy was contacted on 12/11/98 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. BattaQlini will complete and sign the medical certifICation of cause of death. c 0 was contacted on . He/she verified that , Medical Examiner, will complete and sign the medical certification. emetery River . . No./Reg. No. Removal from state Donation Date Signed BURIAL - TRANSIT PERMIT Permit No. 1228-98-0531 Date ~ \ Issued: \ ~ \ c. 4\ ~ Date Cerifictte _;(~ Ca . Due: '2.' ~ , a AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA ,Medical Examiner Date , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiner's approval n"ist be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. D. Methods of Disposition: . BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) CEMETERY OR CREMATORY Place of Disposition S~J1~H !;A# af<,WJb~Jt?-'t. Date of Disposition /~ / rr /9 e - . o STORAGE o OTHER (Specify) ~ 9' j(~9""' This permit must be endorsed by the Seeton 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, 10/96 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) :T.I