The URL can be used to link to this page

Home My WebLink About4-38-10 ---" . . 700. 3/17/92 Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . l/ Net Paid S List Price S.... 8QO ,.00.... 800.00 Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Lots 9 & 10 Block 38 Unit 4 NO. Monument permitted. .. .. . .. .. . .. . .. .. . .. . . 1353 Margot J. Metzger interred 3/17/92, Lot 10 (Data above thllllne for Cll7 Rec!ord ooly) Qtit1l nf l'fbUl1tiutt Cttrmrtrrg mrrb .'1353 NO. THIS INDENTURE MADE 'I'IIfI ... .1.7.th , . .. .. . .... day of ... Mar.ch.. .. .. . .. .. .. . .. ... . .. . .. .. . .. ... A. D.. 19. 9. 2. .. between lhe City 01 Sebutlan, a munlcipel corporation exl8tlng under the law8 01 the Stete 01 Florida. D' Grantor and Arnold Metzger ,... .. .................................. p.;O ~.. 'Box' .7809.11......................... ...... ..................................... Sebastian, Florida 32978 ............................................. ............................................ ... ............. ............................ of the Counl7 of ..... .+R-~~~.~.. R~.Y.~~.................. an:1 State of .. ..:f,J,~:rJ.4~....................................... u Grantee, WITNBSSETH. That the Grantor for and in consideration of the sum of S . .~~9... 9.Q. ..... ...... ... to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargalit, eeU, releaee, convey and conium unto the Grantee . h.i & . .. heirs, legal representatives and assigns the foDowlng property situated in Sebastian, Indian River County, Florida, to-wit: AU of Lot(s) .9& 109 ,Block, . . ..3 8- .. ,UNIT .... .4. . . . . .. ,of Sebastian municipai cemetery as per Plat Number 1 thereof 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; provided that said property shaD be used solely and exclusively for the interment of the human dead and shail 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 conditlon8, 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 eeal to be hereto affixed, the day and year first above written. CITY OP s~ A;, p CIl7 Clerk :.lll:. DrIa~.,,-~ led Ilnd Delivered ~.~.. .?l!~................... . ~....~ (Glitv ~eaJ) Na~e . JV) Ill!. C;" 0 r x N\E1Z(Jr /:~. Unn .y Block 3t3 Lot /0 Date of Burial 3 lIb /9X 3Jl1/9?,.. Time );/-, !) ;) L:J. JV} . ( Date of Mark-out Name of Funeral Home.'. :5/ If (A nt, /(". \'.'_'/' .' < , . /1 _.". ..,.'.. ~~1" \"\ ~.ft ,lj '-, ,; . . ';,' l ,1/ )',h/..-f ".""i' /; J1 V' / / Authorized bYJr';(;:/~'" :':3(; f;:!.(,f\ 'y.'.p/ ,l~ f . J. Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Lots 9 & 10 Block 38 Unit 4 NO. . . 700 3/17/92 Paid by CEMETERY Recelpt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . list Price $.... 8GO ~.oO.... . 800.00 Net P31d $ .................. 1353 Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Margot J. Metzger interred 3/17/92, Lot 10 (Data above this Une for City Beeord only) .. State of Florida, Departmen.ealth and Rehabilitative Services, Vital S.s APPUCATlON FOR BURIAL - TRANSIT PERMIT t. 9/ I t) 13 38 (j~ A. 1. Name of Deceased (Type or Print) First Margot Month Day 03/13/92 Middle Year Last Metzger DATE OF DEATH J. 2. Place of Death County Indian River 3. Name of Medical Certifier Noor Merchant, M.D. ysician 4. Name of Funeral Home/ Address Direct Disposer 1623 North C t 1 A Strunk Funeral Homes, P.A. Sebastian, FIn3~~58 venu 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box Permit No. 1 ??A-Q?-n130 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 fili he d certif e req ed. Registrar or ~ Subregistrar Signature 6. Place of Sebastian Final Disposition: 7. Funeral Director / ni~ ni~PQi'i'r B. C. City, Town or Location (If neither, give street address) Roseland Medical Examiner Phone Number b []{ Nurse was contacted on 93/15/9& within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other exter~a1 cause of death, and that Nool' Mp.rC'!hlllnt. M n 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 Indian River F.E. No.lR89 ~Je. Removal from state Donation Date Signed BURIAL - TRANSIT PERMIT Date Issued: Date Certificate Due: AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or 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. D. Methods of Disposition: ilBURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) CEMETERY OR CREMATORY o STORAGE o OTHER (Specify) /1 1 t,u~jr' Place of Disposition Date of Disposition Seb~stain Cemetery MilrCR 17,1992 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326. Feb 89 (Replaces Oct 87 edition which may be used) (Stock Number: 5740-000-0326-2) 5.