HomeMy WebLinkAbout4-38-14Name
Unit I,
Bio�ll 4 R
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Date of Mark -out '//" g /"q.
Date of Burial 4116, &
G . /
Name of Funeral H(o/t/�}q/1/n/'.){I.`�'7' M�`
Authorized bar ,ve , `^�I;'
(ly
z.A1es -
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Time �Q2�t✓ 5 t n&
CITY OF SEBASTIAN 11680
ADMINISTRATIVE SERVICES RECEIPT
Name❑Cash
Date [I ��'1 )(Check #q
❑ Credit
Amount Paid
001001208001 Sales Tax
001001 220000 Security Deposit
001501 362100 Taxable Rent
001501 362150 Non -Taxable Rent
450010 369900 Airport Badge
001001 218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920
Copies
001501 351140
Parking Citation
001501 342100
Police Security Services
001501 329200
Site Plan Review
001501 329300
Subdivision/Plat Review
001501 329100
3I
Zoning Fees
C5 alb cr
Cc1Zvi
�NIL 4 151k 39 LoT i4.-
t Total Paid
.0. nn
Initials
White - Dept. of Origin • Yellow -Admin. Svcs. • Pink -Applicant
~.
LIst Price S .. ... .aoo.. QQ. ..
800.00
Net Paid S ..................
.....D.ted...~!.~~(~~................. Lots'
Block
M.xbnum No. BurIaISpaceo................. Uni t 4
" 14
NO.
Paid by CEMETERY Receipt No. . . . ?J
1J69
Monumenl permitted.......................
(Oat. ....... tit.. line lor ClI7 Jleeord oalr)
atUtt nf &,huslhttt
Cttfmftfry
Itfll
'11369
NO.
THIS INDENTURE MADE TIIIa ......2.6.th......... da, of .........J.1Jn~............................. A. D.. l...~~.,
bel,,'een lbe Clt, of Sebatl.... . municipal eorporatlon ""lltlnl under the 1.",1 of the St.te of Florid.. .. Orllltor .nd
John Rodriguez
.................................... ........... '26-6' '~ane' .A:venue.................................................. ...........
Sebastian, Florida 32958
............................................. .........................................................................................
of tbe Counl7 01 ... J;"Q..;~m ..~.:I,~~~.................... .n:l Sl.te of ........ )~';I,9.r;.~~~.................................
u Oranter, WITNESSETH.
That the Grantor for and In eonsldentlon of the sum of S .. ~.q~ : ~~. . . . . . . . . . . . . . . to It In Iwtd paid, lhe receipt ",hereof II herewith .e-
kno..ledsed. doel by thlt Instrumenl pant, batpln. .D, reles.. COtmlY .nd conflrm unto the Granlee . hi.s... heln,lopl repro_tattY. and '''''''1
the foDo..11II property sftuatedJ!&.Sebastllll. IndlanlUftr County. florid., tlMlrit:
13&14? 38 4
AD of Lol(l) . . . . . .. . 81ode. . . . . . . .. ,UNIT ............. . of Sebastian municipal cemelery II per Plat Number I the_f recorded In Plat
Boot 2. It pap 65 of lhe pubUc records In lhe oftlce oUhe Clerk of the CIrcuit Court of SI. Lucie County of Florid.; said land no.. lyIttJ and bellll
In Indian River Count,. Florida.
To HaYe .nd to Hold the lIItI1e fOle_; pro\'lded that said property ....n be used IOlely and exclumly for the Interment of Ihe human dead .nd shaD
be used. kept and maintained at .n tlmet In .cconIl1Ice with lhe rulel.nd replatlo.... ordln.ncel.nd teIOlatlonl of the Clt, of Sebastian, Florid., hereto-
fore, now .nd hereafter adopted or proYkIed for the so-nment and operation of aid cemetery. The llOftdltlons, reltrlctlonl and "",wementl eontalned
In IhIt Ittatrumtmt llhan be covenants runninl with the land. In the _I of lhe failure of the o....er of .ny property s1tWltecl within aid cemetery to ob-
_ and comply with iuelt rules, replatlons, teIOlatloftl and ,ordlnancel and the condltlonl of the cItIed of COtmlyance thereof lhen the title of such owner
In .nd to said property shall tennlttate and the _ shan revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF. The said puty of the first put hal Clused Ihls Instrument 10 be executed In It I n.me and on III beh.1f by 11.I M.yor .nd
.ttested by III Clly Clerk and Itl corponle sea1 to be hereto aflIxed, the d.y .nd year first .boft written.
Attest! ~!.~: 7:.. !r.!.... D.tI.~c.-..
~7""'-:-:-:~' CJ~ Clerk
Rlped. Se.led .nd Dell..ered
In the P"-l!e of.
(Glitv Jil,al)
STATE OF FT.QRlDA
COl'NTY OF TNOlAN RIVER
I HEREBY CERTIFY. That lilt tit.. ..... ..Ui th......... .d.y of . J"ne. .........................................., l...~~
btfllre me penon.lly .ppe.red ..LQnni.e.. R... .Powell................ ......... .... and Ka thr~n. oM...O! .Halloran.
rrtl",,,,tlvtl, M .yor and City Clerk of the City of Se.....t1.... a munlel,... eorl'Or.t1on under the I.... of ~ State of Florid. to me known
10 '"' tI.e Individual. and orneen d_rlbrd In .nd ..ho rxec:uled the forrplnl eo...ey.nl!e to
. . . . . . . . . ... ........... . .... .................. . . ;r ~~.~. . R9.Q..~ ;l,g1,l;~.~......... ... . ..... .. . . . . . . .... . .... ....................... . . . .
. .. .. .. .. . .. .. . .. . .. . .. . .. .. . .. . .. .. .. .. .. . .. .. . .. .. .... .nd _er.n, ",kno..ledged lhe ex_tlon thereof to be their fr"" .et .nd deed
II sueb officers t1.e.....nto duly .uthorlled I .nd that ~ Ornelal ar.1 of Slid eorporatlon I. duly .rn.ed thereto, .nd the Slid eon..ey.ner
I. the .et .nd deed of ..Id corporation.
WITNESS my .Ip.ture and offld.1 aeaI .t 8eb.ltlan. In the Coun~ of
1..1 alorrlald. .
~ ".1.DHlK.
..,......... c11'lD11i1l1
..,eo.l........~.ItJN 11.1114
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