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Home My WebLink About4-36-03Paid by CEMETERY Receipt No... List Price $ ..1, 500 .00. , . Net Paid S . , 1,500.00 ........ Dated ....8./ 1.5 f 95 ............... Maximum No. Social Spaces ................. Monument permitted ....................... (Data above this line for City Record only) Tifg of Orhaottan NO. 15crif (9rutrtrr!j 0PPb NO. 15071 15th August 95 THIS INDENTURE MADE This ...................... day of ............................................. A. D., Ill......, between tlhe City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ..............................................Barbara.. E, - -Ti lt.on................. ..................................... ..... 638 Braddock Street ............................................. Se•bastian,...Flor•ida..32958............................................. of the County of ...... II}d Pox.RF.ar.................. an -1 State of ..... Flor.ida ....................................... u Grantee, WITNESSETHe That the Grantor for and in consideration of the sum of S .....1,500..00 , , , , to it In hand paid, the receipt whereof Is herewith so- knowledged, does by this instrument grant, bargalit, sell, release, convey and confirm unto the Grantee .1' K ... heirs, legal relmuentstives and assigns the following property situa;ed In Sebastian, Indian River County, Florida, to -wit: AB of Lot(s)1, 1 Block, , 3 6, , .. , UNIT ..4 ........ , of Sebastian municipal cemetery as per Plat Number I 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; acid 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 solely 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 regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto - lure, 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 covenants running with the land. In the event of the failure of the owner of any property situated within aid cemetery to ob- serve and comply with such rules, reguladons, resolutions and ordinances and the cohditions of the deed of conveyance thereof then the title of such owner in and to mid property shall terminate and the arra shall 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 Meyor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. Attest.: "- .. .!.!.!.. City Clerk Signed, Scaled and Delivered In the resenee oft / q 40t- Spo ......................................................... CITY OF SE V 7;�196. By Mayor (Ofq o$eal) STATE OF FLORIDA 'COUNTY OF INDIAN RIVER 15th August 95 I HEREBY CERTIFY, net on this ........................day of .................................................... 10...., before me personally appeared ,..Arthur L. Firtion . and KBthrytl,M., O,'H811or8n„ respretively Mayor end City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the Individuals and officers described In and who executed live foregoing conveyance to ................................................ Barbara..E T,?Xton......................................................... ........................................................ and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorised; and that the Official seal of said eorporation is duly affixed thereto, and the said conveyance Is the net and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the Count�of Indian ver and 3rotFlorida, the day and yea - last aforesaid. / ./ ,/ /Ili - J1,4 .... OT .............. Note Public, State al or at Lege. My nuniaton expires Linda M. Galley \, Name A•✓wG �o cZ�L_yz /a iG �Lnn,4L Unit Block 3 Lot Date of Mark -out - Date of Burial S Time�t,� w Name of Funeral Home Authorized by SEAWINDS CREMATORY Sebastian, Florida A 735 Fleming Street • Sebastian, Florida 32958 www seawindsfh.com (772) 589-1933 We hereby certify that these are the remains of ANNE L. ROWE # )6 7 r . The remains were received from SEAWINDS FUNERAL HOME AND CREMATORY Cremation Permit No 13-41682-5009 Issued at INDIAN RIVER COUNTY Date of Death JANUARY 9, 2013 Date of Cremation By Cremator 1!l6im 1 O �I o .s m c � m y3 s G c O o VVV o m Z O z o $ g o o c ANNE L. ROWE Anne L. Rowe, 79, Micco, FL, passed away on January 9, 2013, at Sebastian River Medical Center. She was born on May 28, 1933, in Mount Kisco, NY. She was a resident of Micco for the past 23 years coming from Fort Lauderdale, FL. Before retirement, Anne worked for Motorola as a technician. She was a member of Roseland United Methodist Church, Roseland, FL, volunteered in the Roseland Methodist Thrift Shop and participated in various line dancing groups. Mrs. Rowe is survived by sons; Rex G. VanMehren (Nancy), Coral Springs, FL, Randy C. VanMehren (Robin), Redmond, OR, Gary P. VanMehren, Pompano Beach, FL, and daughter; Robin L. Lehman, Plantation, FL; sisters; Jean F. Koss, Micco, FL, Joyce F. Pearce, Micco, FL, and Barbara E. Tilton, Micco, FL, 6 grandchildren and 2 great- grandchildren. egg' 'o"r`�� State of Florida, Department of Health, Bureau of Vital Statistics HALT BURIAL TRANSIT PERMIT DATE PRINTED: January 11, 2013 TRACKING NUMBER: 2013004660 1. DECEDENT INFORMATION Name of Deceased Date of Death ANNE L ROWE January 9, 2013 Place of Death - County City, Town or Location Nacos of facility, or street address It not a facility INDIAN RIVER SEBASTIAN SEBASTIAN RIVER MEDICAL CENTER Name and Address of Funeral HomMDirect Disposal EstabUshment Fla. Lie, No./Reg. No. Phone Nwnbw SEAWINDS FUNERAL HOME & CREMATORY F041682 F041682 (772) 589-1933 735 SOUTH FLEMING STREET SEBASTIAN, FLORIDA, 329W Funeral DlrectorlDireot Disposer Fla. Lia, NoJReg. No. ANTHONY GABBARD F044749 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number. 2013-FO41682-5009 01"4- �:jj Date Issued: January 10, 2013 Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL -AT -SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District 18 Approval Number. C13-19-01-199 4. CEMETERY OR CREMATORY Place of Disposition: SEAWINDS CREMATORY Method of Disposition: CREMATION Date of Disposition: Sig r person -in (or by the funeral director/dimct disposer when there is no sexton) DH 326E, 1/11 64V-1.011, Fbride Administrative Code FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY mss NOME OF F r -m IfIAPD For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32956 Office (772) 388-8215 or 386-8214 FUNERAL HOME: Q0 eV'c- j (T eyyi e ADDRESS: rZ IS S. aaym N F S`F PHONE* `� S �' " t -33 (Ch One) OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME: FOR DECEASED: Name Lot Block Unit•— Lot Block — Unit Niche Block Unit N S E W NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Ehy-4" Name Signature Date I certify that I have determined the ownership of the above described site, that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: a,,oic6 ✓r �d �1 1-1 y -„(3 Name Signature Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and th all fees have been paid: C etery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. May 7, 1997 I, BARBARA E. TILTON, legal owner of Lots 1, 2, and 3, Block 36, Unit 4, of the Sebastian Cemetary, Sebastian, FL, grant all rights to use for the purpose of interment of cremains to family members as follows: ke t 1 iZ�ine�« E. Fa►t+S.►tt Den 'R. T 1+0t% W& ;. A Marrrefi . Faia�it 5atiipom V..1111hm L o+ 3 A J*OA F r. 8 Rowe This assignment is irrevocable and shall be honored by my heirs and legal representatives, and all officials of the City of Sebastian and the Sebastian Cemetary. pl;�j a are E. ilto Witnesses: State of Florida Indian River County tary Public ersonally Known ��;;c, �iANICE M. IQItINS COMMIS810N 0 CC 577012 + E EXPOES; quest K M �� Bonded no NOWY PAft w dwo n Jan 171301:33p jimyoung Sep 06 20I2 3:03PM HP LASERJET FAX 772-465-7949 p.2 P.1 Gp-k r(6MwlrXlt6 P -L a.a a 11-ri> �.2,C.E(,`--�-53�(�- doh ✓t - Nar : Tits % for 1Nbta Oomsj ptirpp" rcxefrG:r6 .'•:v::� .:: ii ua....ar�w %cai+K� . least rsnnn to obit{leM CegAer7 voiMdatt.sr Rn+il lq'[i-1'l�:'t>t Cr_tc,t Ate. 32M by : �cne�t�a Lft"O� lone : tcry 3Eito■ ?' 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