HomeMy WebLinkAbout4-38-25
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Paid by CEMETERY Reeelpt No.,.. :....... Dated..... .~.~~.~:.~...............
400.00
Ust Price S .. . 4'00; 1:10' . , . .. Maximum No. Burial S"eeI.. ... ... ..... ... .
Net Paid $ -....,............. Monument permitted. .. .. , .. .. .. . .. .. .. .. . .
..
LotZ'
Bloc
Unit
NO.
lJi'o
(Dala a....n till. Jlne 'or aty Reeord only)
atttv nf &tbastiatt
at f ttt f t t, r y
'.13'78
Ilrib
NO.
THIS INDENTURE MADZ ......
9th
day 0'
September
92
A. D. I......"
bet,,'e.n the Clly of S.baatlan, a alunlelpal eorporatlon exlllln, under the laWI of the State 0' Florid.. aa Grantor ancl
, , . . , .. , , , , , .. . .. , , , , .. .. . .. .. . .. .. . .. , . .. ' , . , . , ,~J;''' ,'.. ,Wnll:, ex. .. .. .. . .. .. .. .. .. .. , , , , , . .. , .. .. , , .. .. , . .. .. .. .. .. .. . .. .. .. .. ..
103 Lancaster Street
".,,'..,.., ..... ......................... "'" ,Sebas.tian,.. Florida ..3295.8..",'....."'..,.., '........, ...........
0' lhe Cuant)' of ........~1).4.~~n..~;f,Y:~.r;................ ani Slate 0' ..........,~J.9,d~~..................,.........,..
.. Grantee, WITN88SBTH,
That the Grantor for and In conlicleratlon of the 10m of S " ..~~9. ~ ~Q............. to It In Iwtd ..lei, the receipt whereofllherewlth ac-
know1edpd, does by thlllnstrument pant, barpIft. leD. release, coJmY and conflrm unto the (;rantee .. . !t.~~. heirs, lepl repreoentatives and a...PI
the foDowlfll property lItuated In Sebastian, Incllan Rmr County, FIorlda, to-wlt:
AU of Lot(l) . . . ?~. ,Blode,. ~~. . .. ,UNIT ,.!J.,........ ,of SebUlIan manldpel cemetery .. per Plat Number 1 thereof recorded In Plat
Book 2, at .... 65 of the public reeordsln. the .ofllce of the Clerk of the CIrcuit Court of St. Lude County of FIorlda:.1d land now lyInc and belfll
In Indian R_ County, Florida.
To Haft and to Hold the ~e fore...: pro""'ed that ... property shall be used ..lely and exetul!ftly for the Interment of the human dead and lhall
be u..., kepi and malntalned at aD U-In aocordanee with the rulea and felUlationl, ordlna_ and re..lutlonl of the CIty of Sebastian, florida, hereto-
fore, now and h_fter adopted or prooricIed for the .-nment and opesatlon or .w cemetery. The conditions, rellrlctionl and reqalrementl contained
In thll iIlIt_t shaD be ccmlnanta I'UIUIlnI with the land. In the _ of the failure of the own.. of any property a1tuated within .w cemetery to ob-
- and comply with inch rules, f81UlatlnnS, reIlIllttlon. and .ordlnancea and the condltlonl of the de'ed of conftyance thereof then the title of suc:h owner
In and to .Id property shaD terminate and the .me shall reftrt to the CitT of Sebastian, Florida.
IN WITNESS WllEItEOF, The ... party of the fInl part hal caulllll thhlnstrument to be exeeutedln Ita name and on Itlbehslfby It. Mayor and
attested by It I CIty Clerk and III corporate seal to be hereto afftxed, the day and year first a~ tten.
.....~lJJ~~~q
\ By "
(GI!tv $eat)
ATE OF FJ.onJDA
COl'NTY OF INDIAN RIVBR 9th 92
September
I HEnEDY CERTIFY, That 011 thla ..'"",'.....'.."".. ,day of ",..,""..,.......".......................,...." I.,...,
Lonnie R. Powell Kathryn M. O'Halloran
b.'o,e me penonally appeared. .................',.' '...."",..,..'.',.,.""...,.,..". and .'""", ....................., ........
relJM'cllv.ly Mayor and City Clerk 0' the City 0' 8ebaotlan, a munlel'181 eorpo,allon under the Iawa of the State of P'Io,lda to me kn_n
to be the Indivlduul. and o'fIetor. desc:rlbecl In and who executed the 'on'lOln, eOll".,.anc:e to
, , , , , , , , , , .. .. .. . .. .. , .. .. .. . .. . .. . .. .. .. .. . .. , , . ,MJ::~" , , W(l,1.t ~ r. . .. .. , .. , .. .. . .. .. . .. , , , , , , , , , ; . , , , . .. , , .. , , .. .. .. . .. . .. . .. .. . .. .
, .. .. .. .. .. . .. . .. .. .. . .. . .. , .. .. .. .. .. .. . .. .. .. .. .. . .... and len,ally ....._Ied.... the execution thereo' 10 be their 'ree ad .nd deed
as IlIeh o'fle.rs lhereunlo duly authorlaed I and that the Official .e.1 0' laid o:orporatlon I. duly arnxed therelo, and the ..Id o:on..yanee
is Ih. "el and tired 0' aald c:orpurotlon.
WITNESS my ....ature ancl offh:lal Hal .t 8ebaltlan, In the Cou!'ty 0' Indian
I..t afo.....id. .
~...l.OMIl.
..., NIIo-8IIIIIlI........
My CoInmlMIoIl......... ".1IM
COIoU.ce 0IJ74&
Name
.
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Unit
~l
Block
?p
,....) \,-)
Lot
)...5-
Date of Mark-out
113/9~. .
7 / "1/9::/1...
.
Time
"-' -/1m
.; J ,,- -,.-; l ." ...
I ~. ~ ....... "'...I"
Date of Burial
. .. rq f
Name of F~e."l' 7J (" " >zt/"'-,- /.
, ~~ tr~/'d' // //
; ,,;' - # / 1 \ ./, ..~)(. ,,,,)~,;I"'~- ./)/ " .; /' ,/
A th "dl hv/.. ,- ".'.'.. l."'.."'~ ...,
U onz~_;..s;r~ . . ..,~ ___ .'
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Paid by CEMETERY Receipt No. . . . ? ~.~ . . . . . . , . Dated
list Price $ 400.00
" '4'00'; 00......
Net Paid $ ..................
Lot25
.............................. Block 38
Maximum No. Burial Spaces................. Uni t 4
9/9/92
NO.
Monument permitted
.......................
1J' ... -'.
. . )",'
1.0
(Data above this line tor City Record only)
.. J ..
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City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
September 15, 1992
Mrs. Walter
103 Lancaster Street
Sebastian, Florida 32958
Dear Mrs. Walter:
Enclosed is Cemetery Deed No. 1378 for Cemetery Lot 25, 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.
We are enclosing two copies of Receipt No. 729 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.
truly yours,
KMO:lml.
enclosure
(\ws-form-cem.rec)
.
.
7c21
, .
...
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS
Dollars
(~<~
)
FROM:
,-~~,~A,~~7~
on this #- dag *~ ' li?,;J.,for /:he purchase of /:he follOf#ing
described Cemetery Lat(s upon the terms and conditions as stated herein:
Description of Property:
Cemeterg Lot(s)# ~---:llock~_ 0"'8 Unit# A/
Purchase Pric' . ~id ~ Dollars(s-fLtftJ.~)
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:
of ~~uV~
The Ci ty of Sebastian agrees to sell the above mentioned property to the above named
purchaser(s)on the terms and conditions stated 'n the above instrument.
~~- ,~kt
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HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958-(772) 589-5330 - Fax 772-589-5570
October 21, 2004
Ms. Anna Walter
103.Lancaster St
Sebastian, 1=1 32958
Dear Ms. Walter:
Re: Sebastian Cemetery Unit 4, Block 38, Lot 25
It is with regret that we inform you that the marker and/or vase on your Sebastian
cemetery lot was damaged during the recent hurricanes. The city has made
arrangements with a local monument company to repair the damaged markers at
$225.00 per marker and $20.00 per vase.
According to the rules and regulations governing the cemetery (copy enclosed),
interment site owners are responsible for damage to markers and/or vases, therefore,
we are enclosing an invoice for the reimbursement of this fee.
Thank you in advance for your cooperation in this matter and I would like to assure you
that the upkeep and maintenance of the cemetery is very important to the City.
If you have any questions regarding this matter, please do not hesitate to contact me
at the cemetery or by telephone at 772-589-2545.
Sincerely,
Kip G. Kelso, Jr j( /? r
Cemetery Sexton -l--7 . I( ·
Enclosure
--
--'
. ---'--~--....ii_ ~rjlil@lfl..._! . .~:_~;I,;,~<,~;.~. ..~,_..
.-..'...... ...-. ..."".~'~ - =.....~~"'"
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HOMf. . 01 ,PELICAN ISlAND
INVOICE
CITY OF SEBASTIAN
TO: Ms. Anna Walter
103 Lancaster St
Sebastian, FL 32958
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 38, Lot 25
DUE UPON RECEIPT
TOTAL AMOUNT DUE
Remit To
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
Account Numbers:
Dr:
Cr. 010059534685
INVOICE:
Date:
Amount: $
05-067
10/25/2004
225,00
AMOUNT
DUE
225.00
225.00
'.___."~~-::-'c,~
-
Middle
Joseph
A/2S
/!; 3g
I/~
DATE Month Day Year
OF 09/01/92
DEATH
State of Florida, Department of Health and Rehabilitative Services, VltaTStatistics
APPLICA4FOR BURIAL - TRANSIT PERMIT .
A.
1. Name of
Deceased
(Type or Print)
First
Friedrich
Last
Walter
2, Place of Death
County
Indian River
3. Name of Medical
Certifier
13855 US It 1
Pedro A. Espat, D.O. physician Sebasti
4. Name of Funeral Home/ Address Aa. Uc. No./Reg. No, Phone Number (Area Code)
Direct Disposer
1623 North Central Avenu
Strunk Funeral Ho.es P.A. Sebastian Fl 32958
5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box
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 death certificate reque d,
Registrar or
Subregistrar Signature
6. Place of Sebastian
Final Disposition:
7, Funeral Director /
OiI:&et Diel'08e1
B,
C.
City, Town or Location
Name of (If neither, give st~t address)
Hasp, or
Inst
Hu
Roseland
Phone Number
Medical Examiner
b Ox
r.yrlA~ was contacted on 99/92/92within 72
hours after death. He/she verified that this death was from natural causes, that there was no accident
nor ott,er external cause of death, and that PArfrn A. F.!llpJllt:, n 0 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
Removal
from state Donation
Date Signed
Indian Rive
F.E. No.1
BURIAL - TRANSIT PERMIT
Permit No.
1228-92-0411
9- t1- C?;;..
Date CertifICate
Due:
Date
Issued:
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:
[J BURIAL
o CREMATION
Signature of Sexton )
or Person-in-Charge )
CEMETERY OR CREMATORY
o STORAGE
o OTHER (Specify)
4-~
. cr
Place of Disposition Seb as t ; an Ceme t er y
Date of Disposition Sp-ptember 4. 1992
;(.-r ~
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 (Reptaces Oct 87 edition which may be used)
(Stock Number: 5740-000-0326-2)
J.