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HomeMy WebLinkAbout4-37-33 ..' Paid by CEMETERY Receipt No.. .?...... . Dated. ....~ !.~ !~.~................ Lots . 34 1 200 00 Block LIIl Price S .. ... i'~ 2'00 ~ Oi) Maximum No. Burial Spaces... ..... ... ..... 'Uni t 4 Net Paid S .......~.......... Monument permitted. . . ..... .. . ... . . .. . ... . NO. 13','7 (Data abo... tIola line lor CIty R<<ord ooly) ",-, <!lttv nf &fbusthttt QtrmrttfY 'flb I 13 'i"7 NO. THIS INDENTURE MADE TIrlI 8th d., 0' September 92 A. D.. I......., bet,,'een the Clt, 0' Sebutt.n, . munl.lpal eol'J!llflltlon qlatlnl .1In4n the la,.. 0' the Stlte 01 Florida. .a Grantor and MrS. ~va ~chumacner .. ..........,......... ............ ............ .12~.7..H.....BJu:e.f.QJ)t.. .C,!J:c,le..'.....,................. ......... ............ Barefoot Bay, FL 32976 ............................................ ............................................ ............................................ Indian River Florida 0' the County 0' ,.....,...................................... an:1 State 0' ......,............................".................. II Grantee. WITN8S88TH I That the Gratltor for and In consIderatIon of the sum of S ..);,.~ ~9. '. 9.Q .. . .. . .. .. . to It In hand paid, the leceipt whereof Is herewith ao- knowJed&ed, does by tills Instrument pant, baqaIit, ..u, relea.., IlOn"y and confirm unto the Grantee . .~~. ~. .. helrs,.1 lepre_tat!vel and ..signs the following property a1tuated In Seballlan, Indian RIYer County, Florida, to-wlt: AU of Lot(.) }~~. ~ ~ , Block, . .~ 7. . .. . UNIT .. ~ . . . . . . . .. ,of Sebastian muntdpal cemetery as per Plat Number I tbeleOf lecorded In Plat Book 2, at pap 65 of the pubHc..cords In the office of the Clerk of the C1rcuJt Court of St. Lucie County of FlorIda: aid land now lying and being In Indian River County, FlorldL To Ran and to Hold the ame'fole_: prodled that aid property shaD be used IDIeIy and excluslYely for the interment of the human dead and shan he uaed, kept and maintained at aU time. In accordance with the rulea and rep!atlonl, ordinances and relDlutlons of the Cit, of Sebastian, Florida, heleto- to.., no.. and hereafter adopted or proYided for the IOYerIlment and operation of aid cemetery. The conditions, restriction. and requirement. contained In this InIlrvment shaO be ~. rlllllllna with the land. In the event of the faUure of the owner of an, property altuated within aid cemetery to 00' - and comply with inelt rulea, repladons, retoIutIonsand ,ordinance. atId the condition. of the deed of comeyance theteOf then the title of such owner In and to aid property lhaO terminate and the __ shan rem1 to the City of Seballlan, Florida. IN WITNESS WHEREOF, The aid party of the lint put has cauted this Instrument to be executeclln Its name and on It. behalf by It. Mayor and altelled by III CIty Cierk and Its IlOrporate .... to be hereto afftxed, the day and year fIrIl abo" written. ..~ /. .utll.t)tI~ ( ~ City Oerk '- e ell .nd Dell.ered ...... .. ~O'..,&{.Yb......................... CD~~U..U....... COl'NTY OF INDIAN RIVER 8 h t September 92 I HEREBY CERTIFY, That on thla ........................d.y nl ...,.".........................................,.., I....., bef"re me peraon.lly .ppeared ..~?t?-~~~...l!.....~.<?~~~.~............................ and .K~~~~y.~..~~..R:.I,I.~g~.~.~~. relpf.'(!Uvely Mayor and City Clerk 01 the City .., Sebastl.n, a munl.111I1 eor""raUon under the Iawa 0' the State of Florfda to me Ianown to be the Indh'icluala and omara "-rlbed In and who ezecut.-d the 'or"lJCIln, .......,.nee to Mrs. Eva Schumacher (<<lift ',al) ........................................................................................................................................ .. . .. .. . .. .. .. .. . .. .. .. . .. . .. .. .. .. .. .. .. .. .. .. .. . .. . ... .nd &eYerally acknowlellse<J the ea....Uon thereo' to be thel. free .et .nd deed as .ueb o,tIee.. thereunto duly autho.1aed I .nd that the om.I.1 leal 0' aalel eorporatlon la duly atnxed thereto. and the aald ...n.ey.nce I. the net .nd deed 0' tlld corporation. WITNESS mJ "'llIatare and offk:lal _I at 8ebaatlan, In the Cou lut ator,,"",d. . . . tJIlO4l1. LOla "*' NlfIt.8MIt III........ ~ CIII'RmIIIIOft--..tUN tt. tIN COMM.CC 0I27.w : Name ~ V C1 , ' :.r . . ..1 .~~O .,.SC~"'. \.l I,r'"h (,.~ C .n 'Z"...f\i;: Unit 't Block :;;,j , ""- Lot ? .3 , Date of Mark-out '8' J.- 73 Date of Burial Time I I ; (yO (~ 1'7'" ,. Authoriz" 3. , ---..... &hILNltclJer; Eva.. J)~d# /877 /~47 AI -aareM ~'reb ~-i'o~-t ~~/ f:L .3.2q7~ '0 -~ 33a./ 33bJ 34 ~/~ ::57 Unit "f lhom%~lY\aeher-"nkred q h /9;;) 1 ,,{- aia.. EYa.:r. S~er - i t1-1-erred. 8'/I/)}q~ J...o..f33 I...., _ '-- - , ~ . . 7d8' 01 THE SEBASTIAN CEMETERY Ci ty of Sebastian Sebastian, Florida 1IBCEOH~=ED OF T~<-_ ~ ~ AI ~ PA.J2d'" Dollars FROM, ~J/18M1 ~.t.l~dhA , / 4- ($ ~C:?Oj. ~ ) on this ~ day described Cemetery Lat(s) 19~for the purchase of the fOllowing terms and conditions as stated herein: Description of Property: Cemetery Lat(s)#8~ t~ BlOCk#~Unit# J./- Purchase priC~HJ ~oJ ~ Dollars($~c!l~tJ, ~ Terms and' conditions of sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the osmer of the property above described. I, or we, agree to purchase the above described property on the terms and condi tions stated in the foregoing instrument: The Ci ty of Sebastian agrees to sell the above ment:ioned property to the above named purchaser(s) - on the terms and conditions st:at:ed in the above inst:rument:. /:' c/~-7 ~-<7"~ - ,/ffi tness ( " v' ":0, , . . '" City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 September 15, 1992 Mrs. Eva Schumacher 1247 N. Barefoot Circle Barefoot Bay, Florida 32976 Dear Mrs. Schumacher: Enclosed is Cemetery Deed No. 1377 for Cemetery Lots 33 & 34, Block 37, Unit 4. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. We are enclosing two copies of Receipt No. 728 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Very truly yours, ~m. tJ~A.. Kathryn M. OrHalloran City Clerk KMO:lml enclosure (\ws-form-cem.rec) .' . . 7;28' . THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RBCE~U;ED OF r~ ~ ~ tt.ed" Dollars FROII, ~V1 & ~.l'~d.LA 14, ($~~~. ~ ) on this 3.rd- day 199c;;(for t:he purchase of the following described Cemetery LDt(s) upon the terms and conditions as stated herein: Description of Property: Cemetery LDt(s)#8~ ~~ BIOCk#~Unit# 4 Purchase pric~~~ ~J ~ Dollars ($ I. c2tJtJ, ~ Terms and' conditions of sale: This contract shal~ be binding upon both parties, t:he seller and t:he purchaser, when approved by t:he owner of the property above described. I, or we, agree to purchase t:he above described property on the terms and conditions stated in t:he foregoing instrument:: 'A c?f~~ ~~~~~r;~LJ- r v The Ci ty of Sebastian agrees to sell t:he above mentioned property to the above named purcbaser(s) 'on the terms and conditions stated in the above instrument. (l ~-<7'~~ /~i tness ( . v o/~ A. 1. Name of Deceased (Type or Print) First Eva Middle Josephine Last Schumacher DATE OF DEATH '-, _ _ ' ' "-~';~'-~'<;' :f.,'i~:!hli1illt'_'i ) 33/l1 3313/ . . 3~ /337 I./~ Month Day Year 08/07/93 [ID.~] State of Florida, Depart~ of Health and Rehabilitative Services, VitaWtistics APPLlC~ FOR BURIAL - TRANSIT PERMIT 2. Place of Death County Indian River 3. Name of Medical Certifier Nasir Rizwi, M.D. 4. Name of Funeral Home/ Bireet 9ieli'l989r City, Town or Location Roseland Name of (If neither, give street address) Hasp. or Inst. Medical Examiner Address Phone Number ysician Address 13865 t!.S.#1 Strunk 5. Check Appro- priate Box 1 1623 North Central Avenu Funera Homes P.A. Seba t' a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b Dc . was contacted on 68/88/98 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 Nqil r IliIWi, N. D. 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. 6. Place of Sebastian Cemetery Final Disposition: 7. Funeral Director / Di~Gt e;.!o~.as6r F.E. No.l~e!!l. PJe. Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT 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 ertificate request Registrar or Subregistrar Signature Permit No. 1??8-93-0371 Date Issued: Date CertifICate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature or Medical Examiner, , Medical Examiner Date . 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 .,,'~ A 5 r;,4 N ~ ~ ...... ~ _;;: If2 v Date of Disposition 8 / "0 / 9 ' "3 f Signature of Sexton ) or Person-in-Gharge ) ~. -r ?' I):.il,,?, 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) j.