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Home My WebLink About4-38-18 ... Paid by CEMETERY R...lpt No... 7lJ....... ..Dal.d.. ..'In\/.9.2................ Lht Polce S . . . .400 . 00. .. . Mulmam No. BarlaI Spo_ . . . .. . .. . . . .. .. . . Net PalfI S .... ~.~~ : ~? .. .. lIoaamen! pennlttocl .. . .. .. . .. .. .. .. .. . . .. . Lot 18 Block 3. Unit 4 NO. ..'" '1363 Lawrence P. Conradsen interred 5/21/92 (Dale .he.. IItIo Une 'or CIlI' -... ....,.) GHtv of fhbasttau atrntrtrry Irrb NO. 1363 THIll INDENTURE MADZ nto ..... 21 s. t. . d., 0' ... .......... ...May.. ..................... A. D. '..92... bet..... th. CIt, 01 _..... . ...1dpoI eorpor.t.... exlollo. ......r the .... 01 the lIt.t. 0' Florid.. .. O_tor .... Hartha Conradsen ................................. ... 78Y' . Bllyfyont. . Ten.ace....... ......................................... ........... ....... ........ ....... Se.b.~.~~~.a.~.... .~.l~~~.~.~.. ~2.~.~8 ....................................... 01 the c...tF 01 ... Jm~"~.t:t..!lJ.V.~~.......... .......... .al IIt.t. 0' ..... r,1..9.J;.:l,!\a...................................... " Gnnl.... WITNlllllIlTH. n.1 the Grlllltor lor .... In _.....ntiaa or the 10m or S " .1tG0 , O{} . . . . . . . . . . . . . to It In hand pold, the ....Ipt whereor I. .......lth .". b.",f.dae<l. d... by thh Inol......at ....... boqalft. ... _., ......, .nd _linn unto the Gnntee .. he-r.. heln, .........ut.lIves.... ....... t'" r_.. "",perty sit_loci" _.... lI.flon _Connty. -'t<MV\t: AD of Lot(s) . . ~. ~.. . Blott. . . ~. ~. .. . UNIT ...... ~ . . . .. . 0' Seb.stlan munlc:lpol .....tery .. por Plot Number f the_r ..cordoclln 1'101 _ 2. .t _ 65 0' the pnbBc ..co"'" In t'" oflko or the CIerIt or the CIrcuit Court of 51. Lade County or FIorId.;.1d Iond now 'rlnlmd bel.. In fndlan RM County. FloridL To II... ....10 IIoId the _10.....; ........ocIthat .... Pf-" ..... he ..... "'Ia.,.... .....-, lor the Interment or the hum... cIeod .... ....11 be u,"", bpt .... m--" at 00 _ .. ............ with t'" "'Ies.... ....1It1o.., 0IdIn0acu.... ....._ of the CIt, or _lIlIon, Florid., he,.to- I'oJe, now .nd heraoftor adopted or prooIdocI for the _t.... _.tiaa or soIcI DOmetery. n. _.. __.... ...........t. con_ In thh Imt_ ,boO be ..._at. ramInI with tbo Iond. fa the ...at or the r_ or t'" .....or or..., propert, _mt wltldn soIcI.....tery to 00- _ ...d comply with iuch ....... ....1otIoao, _lion..... nnl_. .... the conditio.. or the ..... or co...,.... thenor then the tllle 01_ _r In ."to eold "",perty _ termln.1lI .... the eome _ _ to the CIty of Sebo"'n. FIorIdo. fN WITNESS WHEREOF. The .... port, of tbo lint port boo ....... thh Indrumeat to be .-... In lit name .... on It. beh.1f by It1 M.yo, .... attestocl by Its CIty Clerk .... I. corporat. _I to bo _0 ofllxocl. the clay .... year _ ...... __ AIl.~;N'~.%.~d#~~.~. III...... SeoIecI and 0.,...."" .. the 'reteIICe of. Y71_ - A. e ( .~.....~................. (Gl",~.1) ...~.............. ATE OF Ff,ORJDA CtJl'NTY OF INDIAN IUVIlR I Hl!lUmV CI!RTIPV. Thol .. lhh ..... 21st.. ....... ..d.y of ..... May.............. ....... ................ ..... ,,92. ....'0..... penon.lI, .ppeued ...lonnie..R... Pow.ell... ............ .......... . and Kat.hEfn.H.,..O! Hal1Gt!'an.. fHpt't'tinly Mayltl' _ CIf, Of'ft: of tM Otr of 8elNa1t'a... . tII1lnlrl,... ~~r.tlon und.., the "WI of the St.te of Florid. to me .nmm to bt- the fndh'ldual. and offlfton deIc:,fW In .nd who n:ft!.t~ tile fon,..I.. eottyqanee to ... .~.8~~.1:1.8.. C9.t:I.r;A!f.~.~n...... ......... ......................................... ............... .nd ......lIy ...oo...led..... the ex....l.... the..., 10 be their 'Off ad .nd ct.ed .. IItdt olner" llwRwnto dul,. nthorlsech ami that the Ol&lal leal of uld corporation It .'7 .ftlx", thereto. .nd the laid conny.nee I. I"" ad .nd ...... 0' .Id ..rporat..... WITNESS my ......ta... .od 0I1IeIaI -' at IIebo.t..... 10 the Coen I... .forrlald. -...... -.............. .................. co..__ Linda M. Lohsl , ... . _~'1- .~.a k... \"\. CLI~.,. Name .... '..... . : :..':, . :: .. . . <.'.:.. . c' ".' '. p. GOri KA D S 12.f'\ Block 4 :<e, )8> Unit Lot Date ()fMllrk-out ~-I '. I CfJ"!!--"" 'j- /.~t /9'A. Time II : ,,0 A I IYl ' Date of Burial J. "J:ked# /a~ """, MIa cB/od 3~ tf/)i./ ;f lrMyen~;:P f!onrtul.\Sef) inferyed 6'PI Jfld.. k+ff ~ ''-1 - '- - 711 . Dated....~ .I.?\ I.~.~oooo......oo... Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Maxin1um No. Burial Spaces. . . . . . . . . . . . . . . . . List Price $ oo oo 4Q 0 , 0 Qoo . oo 400.00 Monument permitted....................... Net Paifi S .................. Lawrence P. Conr.adsen interred 5/21/9C12 ~MOoly) (Date above tills Dne for t, Lot 18 Block 38 Unit 4 NO. 'f1363 ..-" . . 7/1 THE SEBASTIAN CEMETERY Citg of Sebastian Sebastian, Florida MCEIn I~r ~1J'BD OF '7:. SUR OF, ;}A!!l1 ~oI Y Dollars (~J. ~ FROM, V1( 1l)..::tJ A.I t',r,<.AA A".o LAJ 7JD:i;~~ on thisc:J( I~ dag oJ-FIAd , 19q~or the pu~chase of the fOllowing described Cemeterg Lot(~ terms and conditions as stated herein: ) Description of Propertg: Cemeterg Lot(s)1I f6 . Bloc:Jcll 8'0. anitll 4- Purchase pric~:"lfntl>t ~AJ ~ DollarS(~O I ~ Terms and' conditions of sale: This contract shall be binding upon 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. ~-A J ~~.,4~ wi tness f .- . ,"1Y 0" '" ~, " 'J' ~J ~ ~ - ~ ,'< """./1 ~ ~ -<-<:) C'trF' , ,~\.~ u'"' PEl)C.e..~ . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 May 26, 1992 Martha Conradsen 787 Bayfront Terrace Sebastian, Florida 32958 Dear Mrs. Conradsen: Enclosed is Cemetery Deed No. 1363 for Cemetery Lot 18, 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 t~e 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 enclosing two copies of Receipt No. 711 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. Very truly yours, ~~,)?1.0~~~ Kathryr/M. O'Halloran City Clerk KMO:lml enclosure (\ws-form-cem.rec) - . . 7/1 THE SEBASTIAN CEMETERY Ci ty of Sebastian Sebastian, Florida RECEIPT I~ rr MjF"'U~D OF 7:. SUM 01" ( ./ /A A. g, ;))9!!lJ ~c1JY Dollars ~V. ~ FBDH, V'1.1J},-iJ ~./ (lhUtA A"Jtl V;U 7JDft;~ on thisc::( I ~ day OfW/),1 , 129Q;J..ror the purchase of the following described Cemetery I.ot(~ terms and conditions as stated herein: ) Description of Property: Cemetery Lotls)' 1 . Block' 6"3 Unit' ~ Purchase Pric :f:ln1J.>t ~J ~ DollarS(~()' ~ 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 condi tions stated in the foregoing instrument: ~~ ~ The Ci ty 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. .L1I ~. ~J_ Witness .. State of Florida, Departme.....1th and Rehabilitative Services, Vital SWicS APPUCATldlllJOR BURIAL - TRANSIT PERMIT /-..18 /3 36 tI/f A. 1. Name of Deceased (Type or Print) First Lawrence Middle Paul Last Conradsen DATE OF DEATH Month Day 05/16/92 Year City, Town or Location 2. Place of Death County Indian River 3. Name of Medical Certifier NasirRizwi M.D. 4. Name of Funeral Home/ Direct Disposer 1623 North Central Avenu Strunk Funeral Ho.es P.A. Sebastian F 32 5 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priste Box Medical Examiner Name of (If neither, give street address) Hasp. or lost Hu.ana os Address Phone Number Roseland 13865 U.S.11 Sebas . b Cl was contacted on 9&/18/93 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 NIUt i yo R i ~w i. ,- 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 medical certification. 6. Place of Sebastian Celletery Final Disposition: 7.. Funeral Director / Dite<.l f)ilJJ.lUI:il:n Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit No. 1228-92-0260 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 It 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 death certificate requested. Registrar or 6 Subregistrar Signature D~: s.- J f _ 9'v ~~ CertifICate . C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , Medical Examiner Date Signature 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 ot the above methods. A waiting period of 48 hours after death is required for all cremations. ..~ - D. CEMETERY OR CREMATORY Methods of Disposition: tl BURIAL 0 STORAGE o CREMATION 0 OTHER (Specify) Signature of Sexton) .i/'. j/ /7 . or Person-in-Gharge) ----P ~{l ,. .7>....Jf~?- Place of Disposition Sph n <; t n i n r pmpt/::lr y Date of Disposition May 2 1 t 1 9 9 2 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.