HomeMy WebLinkAbout4-38-24
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Paid by CEMETERY Reeelpt No.. ,?~P
LIst Price S. .~~q...95?......
Net Paid S . .800_00.......
.....Dated...~.~?~!.?~................ Lots"'" & 24
Block
Maximum No. Burial S.._................. Uni t 4
Monument permitted.......................
NO.
1368
Jerald interred in Lot 23 6/27/92, Jane interred in Lot 24 6/27/92
(Data abomllllla line for at)' Reeord only)
Cltitv nf &,bastiau
Qttmtttry
IIttb
1,H)~
NO.
THIS INDENTURE MADB TIIIa ......26th......... day of .......June............................., A. D. 1...9.2..
beh,'een tile CII, of Srbaatlan, a lDunlelpaJ eorporatlon exlat"'- under the lawl of the Stale of Florid.. aa Grantor and
,.,.,'.."...., ....., ...... .................l<.iJII, ,Ma.ria.,C.rowe... ...,........, ..~,..,....,......., .....".. .............. .......
1234 Clearmont Street
"",'....,..,............... ........... ...Sebast,ian,.. .Flor.ida ..],2958..., ,.,"',.,.....",.....,..".....,.......,..,
of tbe Count)' of ......);n(;l:I.,~n..:a.:\.:I1'~t:.................. a.i State of ....f.'l().:r:,:\.sl~.............................,........
u Grantee, WITNB8SBTH,
That the Grantor for and In condcleration of the sum of $ " ~9,q ...Q~.............. to It in Iwtd paid, the receipt wheseofllherewlth ao:-
knowledsed, duel by thillnstrument pant, barp!io, leU, re"'Ie, con.ey and conl1nn ....to the Grantee. ber... heln, lapl reprelentallYCll and outan.
the foUow!fll property sltuat'- In Sebastian, IncUan Rmr County, FIorlda, to-wlt:
AU of Lot(s) ..~ ~ .Iode, . ~~. . .. ,UNIT .. ~ . . . . . . . .. ,of Sebastian munld..1 cemetery al per Plat Number 1 thereof recorded In Plat
Book 2, at pap 65 '" the pubUc reoordsln the offlce of the Clerk of the Clreult Court of St. Lude Count)' of FIorllla; ..Ill land now 1]Iinc and belfll
In Indian R_ County. FloridL
To HaYe and to Hold the _e fo_: provided that .w property shaD be u'" ..lely and exclutloeJy for the Interment of the human dead and shall
be used, kept and maintained at aU tlrnelln accordance with the rulel and replatlo.... ord.....nceland resolutions of lhe City of Sebastian, Florlcla, hereto-
fore, now and hereaftes adopted or prooricIed for the 10000ment and operation of.w cemetery. The conditions, restrlctlonl and requlrementa contained
In this Instrument IhaD be cmenantl runnlna with the land. In the _ of the failure of the owner of ally property lItuated within .w cemetery to ob-
sene and comply with inch rules, reaulatlonl, reIlIJutloM and ,ordinances and the condltlonl of the deled of con.eyance thereof then lite Utle of such owner
III and to said property ....n terminate and the same 1..11 revert to tlte City of Sebastian, Florlcla.
IN WITNESS WHEREOF, The said party of lhe fInl part hal cau.... this iIlItrurnent to be executed In lis name and on It I behalf by III Mayor and
attested by It I City Clerk and itl corporate _I to be hereto affixed, the day and year I1nt above written.
Atteslo~~,m:.,QtI~~
(f elt)' C1e....
!II_I, SelIled and Dellnred
'n the Presenee of,
......;...................................................
(CIIitv jleal)
STATE OP pr.oRIDA
COl'NTY 0.. INDrAN RIVRR
I HBREBY CERTIFY. 'I1uat on thla .....2.6,th...........,da,. of ..,......,June................................... 1...9~
brfore me pes.....ally appeared ..LGnni:e.. R~.. ,Powell................ .... , .... .... ancl Ka t:-hr3':n ..M,...O! HaJ.l@.tian.
reopt'cll..ly Mayor and City ClesIr of the Clt)' of Se....atlan, a munlcll..1 ~rJ1Oratlon un,l.r the la"l of the State of Florida to me known
10 be the Indlvidualo nad offieen dl!lC1'lbed In and who exeeuted the f.....lOlnl cOll.er.nee to
"","', ".",....,'..........,..,.,.....,..' ,~;I.I;l\, ~~J:::l..l;!.. ~J::O,lf~........,.,..,..."".,.,..,...,..",...,......,..,....,.,..,.
, , , , . .. .. .. .. .. ... . , ..... .... , .. , , ......., ......... ...., and Hnrally arknowledlM Ihe exeeullon the""f to be thel. free ad and deed
.. snm offlcenlhereunlo duly authorlsed I and that the orn.lal ani of aald ~rporallon I. duly afflud thereto, .nd the aa'<I .on.rya...e
I. I"" nel and d..,d of aald """","lion.
WITNBSS my al....ture ancl offlclal -' at Sebaatlen, In the County
loot afo~ald:a.....
!.iI':L,. ~- , -, .".l
,~..,. !"'Jt'I:,=..~:;:!!"; ..f ~k"ir'';.
My ConItnE3ion EQIi'" JUN 111,I!lIl;
COMM 'CC 0227....
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1IIIIlIlII............ AIIIoN
WfaI'''WNn
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Linda M. Lohsl
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REGISTRAR'S
FII.E NO.
TRANSIT COpy
trhIs copy must ac:compllny
body to final destination I
NAME 0...'
DtECEASED
1.
DATE OF DEATH
IDENTIFICATION
OF
DECEASED
MANNER
AND
PLACE OF
DISPOSITION
REGISTRAR'S
AUTHORIZATION R
FOR
DISPOSITION
DISPOSITION
OF BODY
STATE
REGISTRAR USE 21.
VS.? REV. BI88
c:l S cJ
A.
S. ..'DD\.C
MARIE
PI.ACE OF DEATH
A. TOWN 0 Cl TY
Meadview
Mohave
Arizona
"'UNERAI. HOM,E A. NAI"'C
o OTHER Deser1: View F.I,,;.
ts..CC'I'Y/
8.
2215 No~tlie~Hs~ve.
Kicn'gfficm :TAltZ
O. BURIAl.
o CREMATION
){" Rl!:MOV AI.
..
1.10 UR AL.
OTHER DISPOSITION
A 'YJ~i8f>2/ 92
0)
. N ..
strunk
II.
C.,:ITY "f!D. STATC
SeuaS'1;1an,
Florida
8.
22 A. 22 a. \
...,. CEMETERY MGR.: MAIL. TRANSIT COpy IN to DAYS TO VITAL. RECORDS, P.O. BOX 3887 ..
DEPARTMENT OF HEAL.TH SERVICES. PHOENIX. ARIZONA 811030 ~
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