HomeMy WebLinkAbout4-38-28
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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
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M."or /......... ."'\.. m
Signed eale und Delivered
I, 'F~d'<d~ddddddd
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(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.
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Name
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Unit
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Block
.38
Lot
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Date of Mark-out
. '11 <::.
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Date of Burial "/ 3;/ () 7 '
;
Time
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Narne-ot.Eune~1 HoroA
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Paid by CEMETERY Receipt No. . ...... ........ . Dated. " .91.~.~9.~.................
""""" $ .~!!9., !!9........ ......... No. ._........................
N".... $ . ?~~.: ~~........ lion...... """"""".......................
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NO.
f 16" 9
d. 0
(Data above U1f1line lor City Record only)
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN, FLORIDA
~--.A7; U'c:r....--.
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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
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0,," PELIC~"
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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'
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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\
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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. ~ ~~
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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
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(StOCk Number 574O-Oll().O326-2) n"'-....- \."-..