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Home My WebLink About4-38-39 -'. .. 703. 4/1/92 LA9 Paut by-CEMETERY Receipt No. , , . . , , , , . . , . , , . . Dated. , , , , , , , . , . , , , , , . , . , , . . , . , . , , . , Block 38 List Price S.,., ~Oo.. OQ."., Maximum No, Burial Spaces,...,...,..., ,., Uni t 4 500.00 Net Paid S ...,.,."..,.,.." Monument permitted, , . . , . , , . , , . . . . . . . , , , , , / NO, 1355 (Data aboye tIllI line for City Reeord only) C!titl1 of &tbasthll1 Cltrmrtrry Irrb 'l1355 NO, THIS INDENTURE MADE TIdI ....1 at... .. .. .. . . ... day 01 ...... ApI: i.1.. .. .. .. .. .. .. .. .. .. .. .. .. .... A. D.. 11.9.+.., bet\\'ern the City 01 SrbOlUan, a munlelpal eorporatlon exlstln, under the JawI 01 tbe State 01 Florida, al Grantor and Joseph S. Allu . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . , . , . . . . . , . . . . . 410-4, .}: l.t h' . S t're e t. . . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . , . , Vero Beach, Florida 32960 ............................................. ............................................ ........ .................................... 01 the County of ..~.t:l.q.~~t:l..~;i; y.~.t;...................... an') State of ... ..f~.<?t;?:~~...................................... .. Grantee. WITNBSSETH. That the Grantor for and in consideration of the sum of S ,.. 5.QO .00. ' , , . , , , , , , , , , to it In hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument pant, baJpift, seU, release, conYeY and confirm unto the Grantee " his" heirs, legal representatives and assigns the foUowina property situated in Sebastian, Indian River County, Florida, to-wlt: AD of Lot(s) , , 39., ,Block,., 32. .. ,UNIT ".. ,4, . , , , " ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at paae 65 of the public records in the office of the Clerk of the Circuit Court of 8t, Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hoid the same foreYer; provided that said property shaD be used solely and exclusiYely for the interment of the human dead and shall be used, kept and maintained at aD times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained In this instrument shaD be coYenants running with the land, In the event of the faDure of the owner of any property situated within said cemetery to ob- serve and comply with such rules, reglllations, resolutions and ,ordinances and the conditions of the df!ed of conYeyance thereof then the title of such owner in and to said property shan terminate and the same shaD reYert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first put 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 first aboYe / en, / CITY O~' SE8M / All.d'~-<.OJ.:OI.!.~ . . . . . . ! . -. City Clerk (GIitu JieaJ) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIPY, That on tbl8 ....~.~.t...............d.y 01 ......~P.I';;i,J.........,............................J 19.~,4J before me person.lly appeared.. .Lonnie.. R... ..Powel.l........... . ... ..... ... . .... and Ka.thr.yn..M... O.'.Halloran.. respectively Mayor and City Clerk of the City 01 Sebastl.n, . munlcl)I81 eorporatlon under the lawI 01 the State of Plo,lda to me known to be the Individuals and officers described in and who executl'CI the 10rl'lOln. eo.nyanee to ...........,............ .,.,.. .'.. .".. .~~~.~ph, ,~.~. .A~.~,':1.,.. ..,......... .,...... ,...................,....,..,....,.......,.... . . . . . . . . . . . . . . . . . . . . . . . , , . . , . . , . . . . . . . . . , . . . . . . . . . , . . . ,. and seyerally aeknowledged the execution thereol to be their free .et and deed IS sneh offieers tbereunto duly authorllled; and that the OfllelaJ seal 01 said eorporatlon I, duly affixed thereto, and the ..Id con"eyance Is the aet and deed 01 ..Id oorporaUon. WITNESS my signature and oIllelal aeal .t Sebastian, in the County 01 Indian Rlyei' and State 01 Plorlda, the d., .nd 1ear I.st .loMald. ....... ====== ..... -- -.... .... _. ~- Name ...) f)' S r~ C'l \- ' A \.. \" " \, </ I{' '~:., i"i-.> Unit Block -, k J ',.f Lot ) '1. Date of Mark-out I I ..,.... " . - .... , "". ',-'" 10 ,,0' J - ;:./ -.... J. .- / I.' "1 't;" 0 ') . Time 7 'c;;()/J. ,- 0/"' t.> H' [. ,L ,;./,... '//' ij~. l" t."""".r. ',-~.. /..:" ~.... l ~/ ,I"""'" Authorized by ";..,> "..- r-I ).: ~ -<...-.-~---,._.._--_., ._-~- '-'---'-'.'.-.-. --'--~'--~--"- .~._-----_..,_._...., _"__, .____.w._______..._._.-____.__.... ~__ _...__hn.___ ~___~____.___.____.._..__ ""'\ -.. Joseph S. ~11th Street Vero Beach, FL32960 Deed /I 1355 4/1/92 ;J Lot 39, Block 38, Unit 4, $500.00 l... .- '- . ,703 4/1/92 Lot 39 Paid by CEMETERY ReceIpt No. ,... ,.".,...., ,Dated..".""",.""", ,....."" Block 38 List Price $,., ,~OQ., OQ."., Maximum No. Burial Spaces.".",.,....,. ,Uni t 4 500.00 Net Paid $ ,.."..,."",..., Monument permitted, , , , , . , , , , , . . . . , , . , , . , , (Data above tbla line tor ell)' Record oaly) NO, 1355 ~ " ..q N L!) : ('f') ..q ,....j o ,....j - - Ie ~ ;& 'J I() \n en a:: :s ..J o o .' ..: z .( a:Ci oa: ~<~ t; ;:)<~ a: Ii i: I-~a: ZlIlO ;:)~Z cn<J)1i ',> ~z ~'l; ~ ia !~ ~I ( <J) ~~; ~ '. 0. ::E \ .. - ~ ..:r ru 'Ln' ,." ..:r - o -.^ - (1" ~ o ~ a:: o u. CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 1750 ~.:~.~ O~ Total PaPS:a1 Initials . White - 0..... of Origin. Y IIlow - FIMIICI . Pinlc ' APlllicant Nam ! Date 001001208001 001501322900 001501 341920 001501 341910 001501362100 001501362100 001501 362150 001501 3438llO 6010103438llO 001501369400 o []" ~ o o - - tlI o .. - 001501 369400 680800 220681 680800 220682 6808llO 220683 o Cash . ~a/~/P~ AmountPa Sales Tax Garage Sales CopiesJBid Specs. LDClCode of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lot~ I LotINiche -1-. BIock~ Interment Fee .un~ /~t?t Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit CC(O)~1f' . . 70 , . THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida FROM: Dollars (6M 1:9- ) .. on this ,.:,si.. day o~ ' 19tf;;kor the purchase of the fOllowing described Cemetery Lot(s) upon the terms .:md conditions as stated herein: Description of Property: ee...tery Lot(s)# ~qr.. I/BlOCk' Cf"l Unit, 4 ~ Purchase pric.t3~~ DollarS(i5~~,~) Terms and'conditions of sale: /9'- "Sf)1) ~ M V ~adJ 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 conditions 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. 6iJ~~ C~., ' Witness ~ .... . ,'1" 0 '" ~, ' , ..,. ~ J -i': ~ ~ ~, " ioo~l'>\ ,,0 ff!-, OF PEtiCP.t'i ,S",'Y- . City of Sebastian POST OFFICE BOX 780127 [J SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 [J FAX (407) 589-5570 April 2, 1992 .. Joseph Al1u c/o Phyllis Mandara 1076 41st Avenue Vero Beach, Florida 32960 Dear Mr. Allu: Enclosed are Cemetery Deed No's. 1354 & 1355 for Cemetery Lots 39 & 40, 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's. 702 & 703 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 convenience. Very truly yours, q/~.~ Kathryn M. O'Halloran City Clerk KMO: lml enclosure (\ws-form-cem.rec) J FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased Joseph S A1lu of 5-1-03 Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vera Beach Inst. Palm Garden of Vera Beach 3. Name of Medical Frederick Baker, MD., Address 1265 36th Street Phone Number Certifier Vera Beach, FL 32960 772-567-6340 Medical Examiner 4. Name of Funeral Home/Direct Disposal Establishment Cox-Gifford 5. Check Appropriate Box Physician Address 1950 20th Street Vera Beach, FL 32960 Fla. Lic. No.lReg. No. Phone No. (Area Code) Funeral Hom.e a. 0 1423 772-562-2365 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. [i] Dr. Baker was contacted on 5-1-03 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that he will complete and sign the medical certification of cause of death within 72 hours. c.D was contacted on He/she verified that , Medical Examiner, will complete and sign the 6. Funeral Directorl Direct Disposer medical certification of cause of death within 72 hours. Signature F.E. No.lReg. No. Date Signed 5-2-03 B. 1423-077-03 Permission is hereby granted to dispose of this body. Permit No. D 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. ~No extension of time for filing the death certi Registrar or Subregistrar Signatur BURIAL - TRANSIT PERMIT me":;?',;; Date 5-2-03 Date Certificate 5-6-03 Issued: Due: 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. JjBURIAL DCREMATION Signature of Sexton or Person-in-Charge o STORAGE CEMETERY OR CREMATORY .-.--' Place of Disposition 5 ~ i!J 11-'1/, J4- ~ . Date of Disposition r/i 10 ~ I / D. Methoc1 of Disposition: } DOTHER (Specify) ;(.(:21' ?h? 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 County Health Department in the county where disposition occurred. DH 326. 8/97 (Obsoletes all previous editions) (Stock Number 5740-000-0326-2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar