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HomeMy WebLinkAbout4-38-28 .'M: ~ (!tUy of &rbu.atiun " l' m l' tHY it 1'1' b. !~1683 - . NO. THIS INDENTURE MADE 'I1IIa .........4.th........ dRY of ............Juo.e.......................... A. D.. 19.9.9.., between the City of Sebutlaa, a munlelpal eorporatlon existing under the laws of the State of FlorIda, as Grantor and ................... ....... ........ ......... N~nc.Y...l ,. .lU.gl1.b.e;r:g~.J;.......... P . 0 . Bd>x 11 ...................... ...... ...... ........... . .laug.blint.own ,. ..I'A..l.5655.... of the County of ..... J.I].~;i..I;l.I]... R.:j...v.~;r:.................. ancl State of .... )~';J,9.:t;.~~~.................................... u Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ ....5. 9.Q .. .9R . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith al>- knowledged, does by this instrument BIant, barsalD, sell, release, convey and confum unto the Grantee.. h~.~.. heirs, lepl representatives and assigns the following property situated In Sebastian, Indian River County, Florida, to-wit: All of Lot(s) .?~... ,Block,. ~.~ . . .. ,UNIT ;............ ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded In Plat Book 2, at Pille 65 of the pubHc records In the .offtce of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used soleiy and exclusively. for the interment of the human dead and shall be used, kept &nd IIlalntalned at an tinle.in accordance with the rule. &nd relUlatlona, ordln&nce. and resolution. Of the City of Seba.tlan, Florida, hereto- fore, now and hereafter adopted or providecl for the lovemment and operation of said cemetery. The oonditiona, restrletlon. and requirements conlaJnecl in thla Instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with iuch rules, Ielulationa, resolutions and .ordlnances and the conditions of the deed of conveyance thereof then the title of such owner In and to said property shall terminate and the same shell revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust part has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year fust above written. Attes~/~~ -(to. f)!la~~. ....... .- .7/..-'. CIty Clerk CIT:,OFl d d RI:)A .... ...)~ M."or /......... ."'\.. m Signed eale und Delivered I, 'F~d'<d~ddddddd .f:Jj:~dd..dd (CIIitU ~elll) STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEREBY CERTIFY, That on thla ..... A t.o............ .day ot ............. ..hH\e..............................., 1~9.., Martha S. Wininger Kathryn M. O'Halloran b~fore me personally appeared ........................................................... and ....................................... respectively MaYdr ancl City Clerk of the CIty ot Sebastian, a munlell.al corporation under the laws of the State at Plorlda to me known to be the Indlvidulll. ,,"d officers deserlbed In llnd who ellecuted tbe flm.soln, cORnyanee to ..................... ............ ................ .~~.~.~y .:~.~. )~:!-.ghR~.+g~F............................... .......... ...... ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally aeknowled,ed the ell n ereot to be theIr free aet and deed as snc), officers thereunto duly aulhorbed; and that the Offlellll selll oC said corporation uly affix thereto, and the .ald conveyance I. the lIet and deed of .ald corporation. WITNESS my .Ignature and official aeal at Seba.tlan, In tbe lasl aforesaid. rp. ~ Name '.: ')(7' {~( ;,-~ .J: i--l\ ".J b 4 Unit ~ Block .38 Lot '11') 0(.:\ Date of Mark-out . '11 <::. &j2/: i I i Date of Burial "/ 3;/ () 7 ' ; Time if (}r~) Narne-ot.Eune~1 HoroA /" -'''.'"'-,:.,,, /, . " ~~, 4,' -/ ,.,~ " Autho~ized bySb \ ". / ~,/" ;,-~) .7:'/e~~ ,;J;~(~ .:> '>- t:"'- / it.",( z;,t.f (\ \_- Ov Paid by CEMETERY Receipt No. . ...... ........ . Dated. " .91.~.~9.~................. """"" $ .~!!9., !!9........ ......... No. ._........................ N".... $ . ?~~.: ~~........ lion...... """""""....................... !~J NO. f 16" 9 d. 0 (Data above U1f1line lor City Record only) THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA ~--.A7; U'c:r....--. (~~J the Description of Property: ' Cemet:ery Lot:'"'~~ ,.-B10ck,--qr Unit: Purchase Price. . 'Y Dollars. ( . Terms and Condition of sale: J This contract shall be binding upon both Parties, the se:Ller and the purchaser, when approved by the OWl'Jer of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: . ~ ~"'(/-4l:f,L-;?~'~ 'v'/t) The City of Sebastian agrees to sell the above the above named purchaser(s) on t e t s d above instrument. Witness :.- , " .. . ,,",Y 0" "'~ " I,/' !~J ~ ~/, ,Y" 1-0V'1 S i ~<) "'~ \so,)' 0,," PELIC~" . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 June 10, 1999 Nancy J. Highberger 561 Bos 11 Laughlintown, FL 15655 Dear Mrs. Highberger: Enclosed is Cemetery Deed No. 1689 for Lot 28, Block 38, Unit 4. Also enclosed is a fonn - Return for Transfers of Interest in 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, P. O. Box 1028, Vero Beach, Florida 32960 or you may call or call the Department of Revenue at (904) 488-9487 for more infonnation regarding the completion of this form. Weare enclosing two copies of each the receipt and ask that you sign and return to us the copies marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convemence. Sincerely, 4m. t)'l/t1M-I~. Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures ;~-0-, :,),!, "",.~,.,j};'~';:"'.ff::,,~~; StatAFlorida, Department of Health, Vital StliCS AJI!I[ICA TION FOR BURIAL - TRANSIT PER I-,;lg 133g' t1~ A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Doris June Minda Death May 30 1999 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial Hospital 3. Name of Medical Address Phone Number Certifier Frederick Hobin, M.D., M.E. 2500 S. 35th Street fXlMedical Examiner n Physician Fort Pierce, FI 561-464-7378 4. Name of Funeral Home/Din 1116' r~1iia/ Address Fla. Lie. No.lReg. No. Phone No. (Area Code) Establishment 1623 N. Central Avenue Strunk Funeral Home Sebastian, FI 1228 561-589-1000 5. Check Appropriate Box a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Iiilifl;! Qil~inr b. 0 was contacted on He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death within 72 hours. c. ~ Merv . as contacted on 5/31 /99 He/she verified that Dr. Hobin , Medical Examiner, will complete and sign the tion cause of d In n hours. ig tu / F.E. No.tReg. No. Date Signed 1862 , 5/31/99 6. Funeral Director/ B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-99-0285 o A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. ONo extension of time for filing the death certificate ha~ been requested. Subregistrar Signature Date ~ Issued: S . '3 0 \ q \ Date Certificate . Due: C. Ls..l q 4\ ~;~L~u vr- C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA Approval Number: Date Medical Examiner, , gave authorization by telephone to Funeral DirectorlDirect 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. Method of Disposition: CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery D. ~BURIAL DSTORAGE Date of Disposition June 3, 1999 OCREMATION Signatcre of Sexton or Person-in-Charge DOTHER (Specify) -;Awo (.:..... .:lo. l!.1. ~ ~~ } 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 ::::~=~::~ He." eep_;n llie cou~ -~ d;._ occu:- ~L:e.~~~&p08<< {\ (StOCk Number 574O-Oll().O326-2) n"'-....- \."-..