The URL can be used to link to this page

Home My WebLink About4-38-13 ,. . Palelby CEMETERY Receipt No... .?..... .D.ted.. .~I.~~.t.~?................ il~~k. Ust Price S..... .gOg.. 00.. . Maximum No. BurlalSpaces........... .. .... Uni t 4 800.00 Net PaIcI S .................. Monument permitted . .. .. .. .. . . . .. .. .. . .. . . 14 NO. '1J69 (D.t. ......e thl. line for Clt, Reeorcl oat,.) <nlf" n! l" hltllttutt (tttmttfry Ilftb '11369 NO. THIS INDENTURE KADE TIlle ......2.6.th......... eI.y of .........J.\,1n~............................. A. D~ I...~~., beh,-..,n Ihe City of lJ"hutl.n, . munlelpal corpor.tlon exl.t.... uncler the 1._ of the St.te 01 Florlela, .. Or.ntor .ne1 John Rodriguez ..............,............. ......... ..... ..... '26-6' . Eane' .A:venue......................................... ......... .......... ................... ........ ...... ......... . .~.t;!~~~~.~~~~.. .~~~~.~~~. .~.~~~.~............................... ......... ..... of the ColInt, of ... J;~c;1J~HL~.:l,~~r.................... .n-J State of ......... ~;1,9.~.:l,~~................................. .. Orant"", WITNESSETH I That the Grantor for .00 In conlllclentlon of the 111m of S " ~.q~ : ~~. . . . . . . . . . . . . . . to It In hand paIcI, the receipt whereof II herewith .c- knowledged. doea by thls Instrument pant, barplir, aeU, releaae, COtmlY and confirm unto the Gr.ntee . h ia . .. heln,,,,1 repre_t.tIYes and .sslptl the foJlowl.. propert, Iit..ted In Sebastian, lnellan IUoer County, FIorlcl.. to-wIt: '13&14 38 4 AU of Lot(l) . .. . . .. . Block. . . . . . . .. ,UNIT ............. . of Seb.stlan municipal cemetery II per Plat Number I the....,f recorcleclln Plat Book 1, .t pap 65 of the pabBc records In the office oUhe Clerk of the C1rcult Court of St. Lucie County of FIorJcla: aid Janel now lying and bel.. In Indian River County, FlorlelL To H..e .nd to Hold the lIIIIe fore..; prorlded that said property ....n be uaed IIOlely.nc1 excluslrely for the Interment of the human dead and shaD be used, kept and maintained .t .n tlme, In .ccordance with the rules and resuJatloM, orc1lnancel and relOlutionl of the CIty of Sebastian, Florida, hereto- fore. I\OW .00 hereafter adopted or prorIded for the ..remmertt anel operation of said cemetery. The concllticms, restrlcttonl and requlrementl contained In thls Instrument shan be CO_ntl nntlIIns with the land. In the mint of the failure of the owner of.ny property lituated within said cemetery to ob- aerre anel comply with iuell rules, resuJatlOllS, reaohttlon. .nd .Ordlnancel and the conclltlon. of the deed of conreyance thereof then the title of such owner In and to said property shaD termln.te and the ame shaD re\lel't to the CIty of Sellaltlan, Florid.. IN WITNESS WHEREOF, The aaIcI party of the first part has cauted this Instrument to be executed In lun.me anel on It. beh.1f by ItsM.yor.nd .ltelted by It. CIty Clerk and It. corponte aeaI to be hereto afftxed, the eI.y .00 ye.r first .boWl written. Alles" ~!.~:~:.. .h:....DtI.~c.-.. ~7"~' ~I~ C1er" !'llp.d, Se.led and D.II..red In the P.......... 01. (CIllli 'eaJ) STATE OF FI..oRIDA COl'NTY OF INDIAN RIVER I HEREBY CERTIFY. That 011 thla ..... ..Ui ~l;l. .. .. .. .. ..day of . ,lQI;1.e. . ... .. .. .. ...................... .. .. . .. ..., ....Q ~ brlore me perlOnally .ppe.red ..Lonnie.. R... .Powell............................. and1{a thr:yn..M...O !.Halloran. res",,,,tlvrly M.yor .nd City C1.... of the City of Se"".U.n, . munltll..1 corporation under the I.w. 01 the St.te 01 PIorlcl. to .... "nown . to he th. Individual. and oW.rrs eleacrlbed In .nd who exe.uted the lOIl'JlOlnl .o...y...... to .................. ............. ................. J~~.r:t. .R9.~.t;';f,g~ll!.~......... ................................ ..................... _ . . . . .. . . . .. .. .. . .. .. . .. . .. .. . .. .. . .. . .. .. .. .. .. .. .. .. .. .nd ....r.lly ",,"nowledl"" the cxeeutlon the...,f to be their free .d .nd d.ed IS ,"ch ollkers thereunto eluJy authorbed I .nel that the Olll.laI ...1 01 uld corporation I. c1ul, affixed thereto, .nd the ..Id .onrry....., ,. the Rrl .nd deed 01 ..lei corporation. WITNESS my ......tare .nel offlcl.1 -' .t Bebaatlan, In the Cmtn~ of Indl.n lilt alor...ld. '. ..... II. LOHIL ...., NiIIo-8IIIIttl..... "'CIlInIIIIIIIn....... ..... COUM.OC .,... Name &/:R l/ A [ ~. f? {)c!R" "14 (:' 5 I '" /: . \ ( (?,e E/7':I/'), ,'I)s) Unit 'I Block '-;(2 ')0 Lot /3 Date of Mark-out .....ll,J~/' I ,-,0 I ~ I I Date of Burial ' '7/3 f I 'l? '. , f~- . , ,j""'" NameOfFUn4!al~ . Z/O?",fti/lYft-1 i" . -~""'5<..-'~/;tI~ . /5i/;/:;~ Authori~~_~.Pt j>;1" ,~,,~ u:.>,/.:j.J-<.k .. ......../ "'-~t / , ~ ( , Time //:00 /1 'n?' 5,1Ral'v:?<S ~ Name /''''''; L /11;( l?7c II ........... Ie /11JR];'i/ c:z... - --",'k.. ....},'~." .'~, ,,_,N I \ 0 '_I 1"'- I '~\ v~,<c' 'L .j . !)nit <I Block 38 Lot 13 Date of Mark-out 7/30/ft; f r Date of Burial 7}:,1/9(, F" I Time 1/: 00 ,A.I"r{. Name.__?!~~unetl.~' 1 j~~~ ~.~ 1 :;;4 ../,i. {A/ ; / I~~/ I " :YO/. ,I f ~ /'l./ Auth~r~ed / . . ~" :'2< ,'/i:<'~ ......- \ // I '\ i I / s . . 717 6/26/92 Lots 13 & 14 Paid by CEMETERY Recelpt No................. Dated.............................. Block 38 List Price $..... .~OQ., OQ... Maximum No. Burial Spaces................. Uni t 4 800.00 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. Ij69 (Data above this line for City Record oo1y) :Deed Jab r ~ : - -. '-.,. Loh /311<{ 2V~ 3'8; tk;/'J-,;,I ~~~g~ -~7~/q? &/18 ~ - '" - . . 7/7 .II ~ THE SEBASTIAN CEMETERY Ci tg of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOfiLEDGED OF THE SOM OF: FROM: Dollars ($ r~!J,jJ1- ) '8" on thi~ dag ~1--i .I , 199QJ.tor the purchase of the fOllowing described Ce1Ileterg Lo~the terms and conditions as stated herein: Description of Propertg: Ce1Ileterg Lot(s)1I /~ tI/~ BlocJcll <3Y' Unitll ~ Purchase PriceR#-J ~ d-d--DolIarS{$?M ~ Terms and' conditions of sale: ~ ~ah-- This contract sball be binding Ilpon both parties, the seller and the purchaser, when approved bg the owner of the propertg above described. I, or we, agree to purchase the above described propertg on the terms and condi tions stated in the foregoing instrument: The Ci tg of Sebastian agrees to sell the above mentioned propertg to the above named purchaser(s) on the terms and conditions stated in the above instrument. ~; WiLlrJJ-A..I A f? iU A JJJ', wi tness , ,S-''':'':"~="",:,, ". . ,'1y 0" '-'~ , tJ' 'J ~ ~>' ,~ '" j -1 <;' ,,0 o~~ \s\..~ o~ PFLlC.e..'" . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 June 30, 1992 John Rodriguez 266 Zane Avenue Sebastian, Florida 32958 Dear Mr. Rodriguez: Enclosed is Cemetery Deed No. 1369 for Lots 13 and 14, 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, ~ fn. V,/I ai-tp,a-..- Kathryn M. O'Halloran City Clerk KMO:lml enclosures rlll.~] State of Florida, Depart~ of Health and Rehabilitative Services, Vita'.atistics APPLlCA_ FOR BURIAL - TRANSIT PERMIT . J. /3/1/j /!;3t IIi A. 1. Name of Deceased (Type or Print) First Middle Last Rodriguez DATE OF DEATH Month Day Year Carmen 07/27/96 2. Place of Death County O~c801a 3. Name of Medical Certifier City, Town or Location Name of (If neither, give street address) Hosp. or Inst. Address Phone Number Medical Examiner 4. Name of Funeral Home/ Direct Disposer Physician Address q20,N. 5. 1623 Nqrth Central Avenu The medical certification has been completed and signed. A completed certificate of death accompanies this application. b q nose was contacted on 07/29/96 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 Esdras Fi 1 art J M 0 will complete and sign the medical certification of cause of death. c 0 6. Place of Final Disposition: 7. Funeral Director / Elil GGt DiS~6~,=" was contacted on . He/she verified that , Medical Examiner, will complete and sign the Removal from state Donation Date Signed FE No./Reg. No. 1&&2. B. BURIAL - TRANSIT PERMIT 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. Permit No. 1228-96-0349 BQ@ietriilr <;" Subregistrar Signature ~~~~d: 7 /~., /7" Date Certificate Due: C. 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. CEMETERY OR CREMATORY Methods of Disposition: Ii! BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition ~,,~~ (}}/VYjz1()//;)/ 7~ '3~ '99I.P Signature of Sexton ) or Person-in-Charge ) '1k.u ~ . (JkJ- 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. -" ~:_; :--:jfT' ,,~. F.<: _:.~-} r ~ep:i:;ces c.,. ::'- ,~_. }.