The URL can be used to link to this page

Home My WebLink About4-37-35B . Paid by CEMETERY Receipl NO....... ... . . Dated.... ..7. !.fd.~.~ .. ...... .. ... .. to t .. Bloc~ Lisl Price S .. .. ..~ 7. ~... 9.Q. . . Maximum No. Burial spaces...... . .. ........ Uni t 4 Net Paid S ......~??:. ?~ . . . Monumenl permitted. . . .. . . . . . . . . . . . . . . . . . . NO. 1504 (Data above thl. line 'or Clly R<<ord oDly) <!lUy of &rhastiau atrmrtrry . r rb NO. 15"04 THIS INDENTURE MADE TIWo 7th day 0' July 95 A. D., II"...., belween Ihe City 0' S.hastlaD, a municipal eorporatloD exlltlng under the lawI 0' Ihe State 0' Florid.. D. Grantor and Rene F, Starck ,.,....",., ...,... ................... ......., '2"U"Me-anie-"CtrC'l'e' 'Es's't'" .,....'...,.,.... ...... ..... ....... ..... " s,el:>~~.t.~!'I~?.. ,F~~~.~~~. .3.~~58 0' Ihe Count, of '.. T~~;l.,l;1.~.. R:j.'y,~:r: ... ................. ani SIDte 0' ..... F.J..O,J;' .i.da... .. ...... ......... ...... .. .......... as Grantee, WITNESSETH. Thallhe Granlor for and in consideration of the sum of S .,.~.?? ~ ~9. . . . . .. . . . . . . . 10 il in hand paid. Ihe teceipl whereof is herewllh ao- knowledged, does by this instrument grant, balg.m, seD, release, convey and conrum unto the Grantee .~!'! ~. . .. heirs, legal repre..ntatlv. and assigns the foDowlng property situaled in Sebastian, Indian River County, Florida. to-wit: All of Lot(s) . . ~. ~ ~ ,Block,..~.?.. ,UNIT ...~......... ,of Sebastian munidpal cemetery as per Plat Number I theleOf 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; said land now lying and being in Indian River County. Florida. To Have and to Hold the same fotever; provided that said property shaD be used aolely and exclusively for the Interment of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulation., ordinances and reaolutlons 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 shall be covenaDts running with the land. In the event of the faUure of the owner of any property situated within said cemetery toob- serve and comply with Such rules, regulations, reaolutlons and .ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall terminate and Ihe same shall 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 rust above written. crr:,O'~~ Ma,or Si lod, S erl und Dellvered.~ I the senee oV . / , ...,,?:,.I).~~.......... ~"" . 'Jf(dL,~.f,--:". .J.)t(d~~1"""""" .' --.. S ~rE OF FI.ORIDA COl'NTY OF INDIAN RIVER (QIitu ~elll) 7th I HEREBY CERTIFY, That OD \hla '..... .day of July 95 II.. .., b,'fore me persooally a"pen,..,d ..:~'.:t;.t~':1,:t;..~~...~~~,~,i?~.... and K!'It,h,~}'~..l:1.~..~~.J:I.~P.<?:t;!'I~.. "'p,'dively Mayor and City Clerk of the CIt, 0' Sebastian, 8 municl"al eor"oraUun under the In's of the State of Florida to me known to be the indh'iduuls nnd officers described In and who exeeut.:d the fon'going cORveyonce to Ren.~. .f.,., ~!:.l;I,J;'~~...,....,.....,. . . . . , . , . , ' , . . , , , . . . . .. , , , . , . . . . .. . . . . . . . .. . . . . . . . .. and .everally acknowledgrd the exeeullon thereof to be their 'ree ad ond .leed as s.,ch offleers ther.unto duly authorJaed; and that the Ortlclal se.1 of said corporation la duly affixed tbereto, and the said eonv.yane. I. the lIel IIml d.ed of IIld corporation. WITNESS my algnature and officIal seal at Sebaallan, In the l.sl ",orelald. ~.-- ....~ LINDA M. 8AJ.lEY. . .. ,. MY COIoIIS8IlII , CC 315724 ElCI'R8: .....1.. 111I ......1IlIII....,.... ........ ,- Name /:! C /l t? J r: S0Je C,j( . ( c.I!,E- PI') /J ! // ~ ) Unit '1 Block 51 Lot ....,." ,-',",} ....(. A ~ fC, ......I --) 1,.->-' Date of Mark-out' 9/& Irs- -'"'.;--/~7?;--' '--, Time ;0 " () 0 4, ~~-, Date of Burial \ Authori~ by \ ~ck~e F d}/ meanle ~;r~Je W- ~m6+,anJ rL 0Qq5~ Lo+ 3S-o,13/a:k01, lln',+ 1 ~J~-~~ I~~ J . 0-- --- '.-.-. ,,_. ..--._ ___ .-..--._"_'--_.__._._.n..._.'_____.__......___ ..__..__" ..... _. .__ _ ".__' ..~~_.,_~:'..";;;'..._' ':':A~l',-!.,.-,._ ~ 150~' '/7/15 '- - ~ - Paid by CEMETERY Receipt No. .,.. ~.~~..,... .Dated.... J!.fd.~?... ,.,...,..... Lot 35B 375 00 Block 37 List Price $ . . . . . . . . . . :. . . . . . . Maximum No. Burial Spaces. . . . . . . . .. , .. . . .. Uni t 4 Net Paid $ ,..... ~ Y. ? ... ?~ . . . Monument permitted. . . . . , . . . . . . , . . . . . . . . . . NO. J504 (Data above this Une tor 017 Beeord only) . .E SEBASTIAN CEMIfERY CITY OF SEBASTIAN, FLORIDA ~~~5 X HEREBY, ACKNOWLEDGED OF THE SUM OF: (fy Dollars ($ \"51(). ~Cf'. ) FROM: the purchase of the the terms and Description of Property: Cemetery Block )7 ,. ,j!JJ-- unit L "7 ~{)O Dollars ($\ ) / ~~ ) Purchase Terms and Condition of sale: . LD~ -:$<67-PJ.IJD (!Ju!fi{L~ot<-J-L-~Y){()/t+ fy f /6..!J11- 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 City of Sebastian agrees to sell the above mentioned property to the above named purchaser{dfrf' on e terms and conditio stated in the above instrument. i~~ ~tness ;'/ ~~~ / --y \ ,- i ~/ .L\..':h<:.:.~..~. . ,,",Y 0" ,,~ , IJ' r; ~ ~(;' . , -:r -1<0 'J '1 ~ ~ ~Q 'lr(" s'-'" Of: PELJC~~ \ . City of Sebastian 1225 MAIN STREET IJ SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 IJ FAX (407) 589-5570 July 12, 1995 Rene F. Starck 211 Meanie Circle East Sebastian, Florida 32958 Dear Ms. Starck: Enclosed is Cemetery Deed No. 1504 for Lot 35B, Block 37, Unit 4. Also enclosed is a form - 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, Vera Beach, Florida 32960. We are enclosing two copies of Receipt No. 858 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 convemence. Sincerely ~m. O'l/~A- Kathryn M. O'Halloran, CMC/ AAE City Clerk KOH:lmg Enclosures " 2~ r- ~ ~ ; ~ ~ a- - \-J) 1 \ f-o ~ en co U <.0 ~O\ P:::<"l~~ <;;:;u...J f-<.oJ:l::1oLo t/) ,,",0 ' cr:i~~~ ...J~~~ ~.~< o :Effi Z ::: en M . Vl CI: . I I I I I I I i ~ ~~ ['- ..r cc cc r1"I r1"I I ; I 1. i i i @ 4 . ~E SEBASTIAN CEM~RY CITY OF SEBASTIAN, FLORIDA 2?~5o HEREBY, ACKNOWLEDGED OF THE SUM OF: /' t[y I L {pc.. -i.." 7 Dollars ($ \'31(). ~tfl ) FROM: tL~ (1 ,::- . (- ' /). (' r J '/-- j"'~ ,/r,\/'I ,/, <... (. Il/{ :' I o( ( " t. r v'- ~r biJjJ {II i J J ' t~.llff /1 \-_~;(J~5 r:; on this .Jri/, day o~t. (~~ f , 19..2:::2 for the purchase of the following described ceme~y Lo _~/Nigha(~) upon the terms and conditions as stated herein: ~ ' Description of Property: BIOCk)7 ~ J../J 7- Unit L Dollars ($I ~ 1)J!P; Terms and Condition of sale: , L D1130 7-P), () D (! Ju3/'I-/.1~l~ Jr,-itA-/}0{Jl~--I ff ;j /6 ..f!t2- 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: ~ ~~< ./ JkuL The City of Sebastian agrees to sell the above mentioned property to the above named purchaser wrr on be terms and condi tioD.S stated in the above instrument. i~/ ~tness .'/ ~t~ -Y of Sebas 13;:]1 l!~!!!~I!L~ . . State of Florida, Department of Hearth and Rehabilitative Services, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A 1 Name of Deceased (Type or Print) First Rene ;:. 8S /3 13 37 III( last Starck Middle Frank DATE OF DEATH 2, Place of Death County Indian River 3, Name of Medical Certifier Pedro Espat, Month Day Year July 1, 1995 City, Town or Location Roseland Name of (If neither, give street address) Hasp. or Inst. Sebastian River P Medical Examiner Address 13855 U.S. #1 IYJ Physician Sebastian, Fl. 32958 407 589-8992 Address Fla. lic, No./Reg. No. Phone Number (Area Cedel 953 Old Dixie B-6 Cremations, Inc. Vero Beach, FI. 32960 KB0000235 407 234-5961 a []l The medical certification has been completed and signed. A completed certificate of death accompa:lies this application. D.O. 4, Name of Funeral Home/ Direct Disposer Indian River 5 Check Appro- priate Box b 0 Hedical Center Phone Number was contacted on hOllrs after death. He/she verified that this death was from natural causes, that there nor other external cause of death, and that and sign the medical certification of cause of death, within 72 "Nas nc 3C';',(l;:;r,t Will complete c 0 was contacted on , Hel she verified that , Medical Examiner will complete and sign the medical certification, in state cemetery/ Gulf Cremations ame/coUQty: ~lm Beach County F.E. No./Reg. No. ~ KA0000235 Removal ~m state rI Donation ----~---- Date Signed 7-2-95 G Place of Final Disposition: - Funeral Director! Direct Disposer B. BURIAL - TRANSIT PERMIT 19C::: 9::: " 2 Permit No, ..J- ..J-....l.. Permission is hereby granted to dispose of this body, o A five day extension of time for filing the death certificate (exclusive of weekencs) has been requested and granted as undue har,jsl,ip would result from tiling 'Nltllin the normal time limit. If the certific&te cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with troe Local Registrar of the County in which death occurred. ~ No extension of time for tiling e'death certificate lIested, ~., " . . Registrar or ~ J.'" Date /7. 2...A07~--eate Certificate Subregistrar Signature - ~ Issued: -L..:...~ Z=- Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Cremation Authorizatic " No. t::f>$'<-/:;7- C;7 7--bO 2 Signature -- _ , Medical Examiner Date _._ , :edical Examiner, Frederick Hobin, M.D. ,gave authorization by telephone to Paul Goodrid.~€ Funeral Director/Direct Disposer, Date 7-1-9": -----rhe Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting periOd Qi ,t8 hours after death is required for all cremations, D. CEMETERY OR CREMATORY "Aethods of Disposition: o BURIAL Ii CREMATION o STORAGE o OTHER (SpeCify) Place of Disposition 51 ~S1-"'\ '" Date of Disposition __~qs.- Signature of Sexton ) or Person-in-Charge ) ,.(_.~. . ~ .L ('... VY\~A,~_ This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sextor2.- and returned within 10 days to the local HRS County Public Health Unit in the County where disposition occurred. .J.