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Home My WebLink About4-38-40 II> / f . Paid ~YCEMETERY Receipt No, ,. ,.?~?. . Dated. . ,.~(.~~,(~?". ".,."", ,., List Price S". ,~RQ,.. (},9,..., Maximum No. Burial Spaces...,.,.,...,..,., . 40 Block 38 Unit 4 NO, "1354 Net Paid S ,.. ,500,.0.0...., Monument permitted. , , , , , , . , , , . . . , , , , . , , , , Rose Allu interred 3/31/92 (Data above till. line lor City Reeord only) Qtitl! of &thastiatt Cltrmrtrry mrrb NO. "135il THIS INDENTURE MADE TIIII ,.... 31.s,t..". ..... day 01 .... Marc.h............................... A, D.. 1..9.2... behl'een the City 01 ~boltlan, a munlelpal eorporatlon e:lI.tln, under the laws 01 the State 01 Florida, as Grantor and Joseph Allu ,........,..... ...., ... ,..,..,...'...,.,..........,. '4105' ''1 Ith..Stre.et'...' ..,.........". ..., ...... ......,........,.. ....,. ...............,....,. ..,.. ....,......,...... ...... y~~?,. ~~~.~.~,'. ..~.~.~;t:~.~.~. }2.?~~...........,.......................... 01 the County 01 ..lnA;i,~,I).. R:j.,V,~1;...................... an:1 State 01 ... ..fJ.(n::;i,<;l.~....................................., u Grantee. WITNESSETH. That the Grantor for and in consideration of the sum of S ,.,500.00""."",..,. to it in hand paid, the receipt whereof is herewith ae- knowledpd, does by this instrument grant, ballaID, seu, release, convey and confirm unto the (;rantee ,hi-s, , " heirs,legal representatives and assigns the following property situated in Sebastian, Incllan River County, Florida, to-wit: 40 38 4 . An of Lot(s) . , , , , ., , Block, . , , . . . .. ,UNIT ,."..",.". ,of Sebastian muniapal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public records in the ,office of the Clerk of the Circuit Court of St. Lucie County of Florida; laid land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shan be used solely and exclusively 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 lovemment and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shan be covenants runnJns with the land, In the event of the faDore of the owner of any property situated within said cemetery to ob. sene and comply with inch rules, rqdIations, resolutions and .ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shan terminate and the ame shaD revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first 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 first above written, Altest~~J?J:.,O:t!~,~ ..- -"!" ~. City Clerk Signed, Sealed and Delivered In the Prhenee 011 I ' " ) ...~c.tytf.':.,.f .,~.,..,....".......,.., ..~~.rz.~..."...". (GIitv ~tal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on tbl. .. ;n,~.t............. ..day 01 ..... .:M.~):;'~l;1...................................... I'.~ h. before me personally appeared, ..Lonni,e.. R... .Powe.l.l............................ and Kathr.yn..M...O !.Hallo.ran.. rellpt.octlvely Mayor and City Clerk 01 the City 01 Sebastian, a munlcllJOI eorporallon under the laws of the State 01 Florida to me known to be the Individuals and officers described in and who executl-d the fongoln, cOllveyance to . . . . . . . . . . . . . , .. .. .. .. . . , .. .. .. . .. .. .. .. . . .. . . . .-1 ~~. E;!.ph. ,~l.J:. M. . .. , . .. . .. . . , . . .. . . , . .. . . . . . . . . . . . . . . . . . . . . , , . . . .. , . , . . , . . , . . . .. , . . . , . . , . , . . . . , . . . . . . . , . , . .. , . . . .. . .. . . .. . .. . . , .. . .. . .. . , .. and severally aeknowledgt'd the execution thereol to be their free aet and deed as such officers thereunto duly authorlred I and that the Offlelal seal of said corporallon I. duly affixed thereto, and the laid eonvey.nee 18 the Ret and deed of laid corporaUon. WITNESS my .Ipature .nd olflclal leal' at Seba.tlan, In the Cou last afore.ald, I Ida ."--.... i ~r-l .. " -- Name Xo,S ~ 4.j A Li-U. Unit Block '''-8 '..i' Lot 4.Jo Date of Mark-out 3/~?o / 9 ;;:,. ) I 313rl~1 '). l ( Name of Funeral Home COX" /1/ [.i'o 1'-1) rJ./' /L/ Authorized b~ /fr>(j.d4"->::r~'i/Y:-'{1" (/ "'"" / ..; Time /J:6tJ ft- {1.1.. Date of Burial ........ J. " ALLU, Joseph 4105 11th Street Vero Beach, FL 32960 Deed /I 1354 3/31/92 ....... Lot 40, Block 38, Unit 4, $500.00 w Rose Allu interred 3/31/92 '- . . 702 3/31/92 Paid by CEMETERY ReceIpt No""",.,..""" Dated"",,""" 0'" 0'.""""", List Price $ , , , ,~ ~ 9, '0 9,Q .. , , , Maximum No, Burial Spaces 0 ... , . .. . .. .. .. . . Lot 40 Block 38 Unit 4 NO, "1354 Net Paid $ .., ,500,.0.0"", Monument permitted, , , , , , , , . . , , , , , , , , , . , , , Rose Allu interred 3/31/92 (Data above this line tor Cit)< Record only) " . . 7~c:( .. THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida .. RECEIPT I~~BY ACJ}'O"LJIIDGED OP THE BUll Op, ~~ ~oI .t:J-. '-.? /7 /J J FROM: ~ on this 3/ ~ day oitk.at . rg(f.;l for the purclaSe of the following described Cemetery Lot(s upon the terms and condit~ollS as stated herein: Dollars (6t1J~ ) Description of Property: Cemetery Lot (s) fI 3~_Unitfl 1- fl?- Dollars (Ctj~}!t ) 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 conditions stated in the foregoing instrument: " 41UL~ "</ - . The City 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. ~ <xf tZ.t~ ..! ... '" {! MA I'U~ Witness . v . .. ~ lI'" o ... Llt D:J' D:J lI'" ...' "'\J' , =- . ! " = .~ o ..,... o ;N> f .a L.a ::: c: .... t..) CCI ...., \/t. HI o 11 t:==~ , ~ t ... i.. :0, i IP' I YoI. ... o o N ~ ~ - .. . FOIN NI n III EI . I, If II It , 1"""- t".--;; -=1: S .' Ct r~ ;~~~~ ~~i~: ia~ lili!-< :11m ~ en III cr '.Ib . r't. ..... QI. ::I, 8 1.'.1,11 .!, a il D ;i ~!i!iC!! ;:,;.,:1','" .. .0'. : 'Wi. 0 K /'III x I\) I't () :r \N o ... * .... * '" VI I~ 0 0 Co,) '=' 0 Q 0 0 * , ~ l:"'" .* ~ l:"'" ; > ~ := en !! i t t ! ! l I l I ~ t 1 . 1 1 t ... to' . ,"1Y 0 '" ~ " , \J' 'J ~ ~/ ,;'" "'() j 1 '> \ ",'0 -.f1~ Of:" PEIICP.t4 \s\.,."?-- . City of Sebastian POST OFFICE BOX 780127 [J SEBASTIAN. FLORIDA 32978 TELEPHONE (407) 589-5330 [J FAX (407) 589-5570 April 2, 1992 .. Joseph Allu 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 - wOich 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, ~~.~ Kathryn M. OrHalloran City Clerk KMO:lml enclosure (\ws-form-cem.rec) [1Il~) State of Florida, Depart.f Health and Rehabilitative Services, Vital Statistics APPUC~ FOR BURIAL - TRANSIT PERMIT . L 'I~ /j 38 111/ A. 1. Name of Deceased (Type or Print) First Middle Last DATE OF DEATH Month Day Year ROSS ALLU March 281 1992 2. Place of Death County Indian River 3. Name of Medical Certifier Richard A. Franco, M.D. 4. Name of Funeral Home/ Direct Disposer Cox-Gifford Funeral Home City. Town or Location Name of (If neither, give street address) Hosp. or Vera Beach lnst. 1076 41st Avenue Medical Examiner 1300 36th Stre~dress Physician Vera Beach, Florida 32960 Addre:M50 20th Street Fla, Uc. No.lReg. No. Phone Number (Area Code) Vera Beach FL 32961 1423 (407) 562-2365 ( 4~r~-'f224 5. Check Appro- priate Box a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application, , b OX Richard A. Franco. M.D. was contacted on 03/30/92 within 72 hours after death. 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, c 0 was contacted on ,He/she verified that ,Medical Examiner, will complete and sign the medical certification, state cemetery / ~ t,1C1.1l c.,.., t,tJI"'Y matory - name/county: Indian River , nature F.E. Reg, No. Removal from state 6. Place of Final Disposition: 7. Funeral Director / ftireet 9isJ!lSliIK B. BURIAL - TRANSIT PERMIT Permit No. 1423-86 -1992 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 filing the death certific e requested. Registrar or Subregistrar Signature Date Issued: 03/30/92 Date Certificate Due: c. 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. CEMETERY OR CREMATORY Methods of Disposition: ~BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition S P- b a c:; t a i n r. pmp t pr y Date of Disposition March 31,1992 Signature of Sexton) "L or Person-in-Gharge) r~ .1. t'1a_L 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 (Replaces Oct 87 edition which may be used) (Stock Number: 5740-000-0326-2) 3.