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HomeMy WebLinkAbout4-36-10aTV of ~, HOME OF PELICAN ISLAND Certificate No. 2111 Certificate of Interment Rights IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian, it is hereby certified that: Anne L. Rowe (name) 9858 Honeysuckle Drive, Micco, FL 32976 (address) in and for consideration of the sum of $575.00 is entitled to full interment rights in the Sebastian Municipal Cemetery for the following lot: Unit_4_ Block 36_ Lot 10_ of the Sebastian Municipal Cemetery, as maintained on file in the records of the City Clerk for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. CONVEYED THIS 8th day of February, 2007. City Manager FLORIDA ATTEST: f ;' ,,~;. __ -~ -E.~-----_-- Sa A. Maio, MMC City Clerk ,- ._.~ E °' ~' ~. o ~. _ ~~ a ,-; ~ x U~ x 0 ~ D a ~ ~ ~ N ~ ~ ~~w 3 e'~~~~ ~ ~ •~ v ~ ~-~ cad ~ W ~~~~~ ~.VC4 ~U ~~0~~~-oU~~. ~ ~ U O %d .~ O ~~ ~~ ~~ ~~ ~~~~ ~o R o~~ ~~ d Lq ~ ~ ~ .. cC :~-, a a~ ~ ~ a 'oy'c V1 s~o °~ c ~ o '~, ~ ~ R r- uS a+ Q ~, .., a i ,., y `~ ~ E ~~c~d~~ Q A ~~`~" FGN~~ O' c'.~'~ ~ ~;~ ~,~'°~.~ ~Q °' o ;mow ~ ~ ~ ~~r N ~.~yy ~ '~'i .~~Ui+ ~ ~ y ~ y~,~ ~ ~ tom.. ~ ~ ~ y N ~ ~ ~ ~Ci COF=i .~~-r~i~x~i~/~-. V ~! ~x'C VOJx O~Q ~ QIY OF S~B~~~N ,~ _ .. . ~. HOME OF PEUUN ISLAND City of Sebastian Municipal Cemetery Purchase Receipt To enable the City of Sebastian to determine the correct rate, and in accordance with cemetery rate regulations, residence of purchaser or person for whom lot is intended for interment must be provided at time of purchase Area Code & Phon Number Residence Address of Intended Occupant if Other Than Purchaser Office Use Only Receipt is acknowledged in the sum of: r~..~; _~~~ ~~ Dollars ($ ~~ ) ~ l~ ~ on this ~ _day of ~~~~ , 20~ for the purchase of the following described Cemetery Lot(s) and/or Niche(s). Unit ~_, Block ~3 Co ,Lot(s) ~ n Niche(s) for use in accordance with the conditions, ordinances, resolutions, rules and regulations prescribed therefore by the City of Sebastian. Additional Fees paid at time of purchase: Corner Markers (set of 4 - $20) Opening & Closing ~ S ~ ~ ~ O H Circle One Vase and Ring for Niches (cost) Interment Disinterment TOTAL $ tL' 7Q • © ~ Signature of Purchaser of Sebastian Service fees are to be paid at time of need only I:\W W-DATA\Ms-CemeterylRECEIPT.doc :.. 1307 63-643/670 /1 ~ /1 BRANCH 00583 !//L/'~- V. ate ~~ s.~wuy ! oa.n. a~ ~. ~ A DOIIaIS 8 a,au... ~~ 1 ~~ WACHOVIA ` Wachovia Bank, N:A: wacRovia.com L For - - "'" ~:06 70064 3 2~:L1 58 36608 5 2 2 5ii' L307" CITY OF SEBASTUIN CITY CLERK'S OFFICE 3 8 O 8 ~j RECEIPT v l~ Name /~ ~ c~ l.s ^ Cash Date ~ " U ~ ~ ~ ~Check# 1~ No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDCICade of Ordinances 001501341930 Election Qualifying Fees 601010343800 Cemetery Lots ~ . ~ Q LotMiche ~ ~ Bkx~C-, Unit 001501343805 Cemetery Fees ~ J V 0 Total Paid (I/ ~v. dp Initials White -Dept. of Origin • Yellow -Finance • Pink -Applicant JOHN L ROWS OR ANNE L ROWE 9858 Honeysuckle llr 561-664-5129 Micco, FL 32976 Name J .n /T /y Unit Block got Ip ' ~ t. C~'a ~nrli NS l ~ Y `7 Date of Mark-out ~~ ~'` `~ 4~ Date of Burial ~ /~ /~ ~ ~ Time ~ ~ Name of Funeral Horne ` ~~ ~ ~~ Authorized by ~lFLL COUNTY FUNERAL, S07+t~47$ AI.L COUNTY Fcn+t 'Home & Crematory Home 8C Cremet~y 1`reasure.Coast Chapel Palm Baac,~'Cb~pel 1Cl'~1Q l~tW F+i~deral Hwy. 110? Lake A~-enue ' Stuart, FI.34994 Lake Worth, FL 33464 ; Wehereby certify that these ace the cremated remains of: John tv ovw ~_ ..Cremation Permit No. 2~0-7475 ~ issued at_ ~ ~.,,~~o . [date of Death Febn~ary 6~ 2007 . Cremation No. 09-27107 Date of Cremation a _ ~ ~ ~, g m r 65 6 ~ 5~~,1e 4~ o~ 4oC? ~Op~ CTf Y OF SEBASTIAN CHECK RE UEST Accountix4g use only Input Date 9/27/2005 Fiscal Period Document # Entered By Document Amount # of Lines otal HC Hash Due Date To Be Completed By Department 9/30/2005 Single Check Y / N Y Vendor Number LN TC Reference Organization Code Object Code Project Code Amount 601011 534959 $500.00 Description Number of Lines Amount Bu back of cemete lot described as Unit 4 Blk 36 Lot 10 Co of on final Deed # 1511 attached. ISSUE CHECK TO $500.00 NAME Anthony W. & Patricia Clopein ADDRESS 2660 68 Square, Apt. 104 CITY Vero Beach State Fl ZIP CODE 32966 DRAW CHECK FRO SEE BELOW APPROVED BY DATE 9/27/2005 BUDGET APP O © MAII, ATTACHID DOCUMENATtON (Except for remit slips, requesting department should attach a copy of documentation along with the original) OTHER INSIRUCTiONS Please make copy of check. ITYOF,. - - - 63-$43 ~~Gt°~G~~IILiG~. C jTY O B ~ AN [ WACHOVI~ CHECK NO_ O 5 9 7 2 8 670 MAIN` T fiEET ~ 9 7 2 8 SEBASTIAN, FL'32958 `GENERAL ACCOUNT ' ~'NOME~F3FPELICAN~SLAND .r ~. _ - VENDOR ~ ~= CHECK DATE ~ CHECK AN IOk31>IT _ ~ - n. ,-. ~ -. ~. r 3;525. ; 09~~30~200 _ $~O~Q ~~. ~. -_ ;~. * * * * * * * 5 0 0 DOLI:ARS AND NO CENTS ~ ~ ~ ~~~ ~~ - ~ - ` ~AY ~ ~ ~ ~ OID IP NOT PAID WITHIN D Anthony W . & Patr~.~`~.a ,Clopein 90 AYS 25-60 6~8 :Square; Ap~~#- 104; ~ ~TaTHE _ Vero BeaCh~ r~'v 3296 6 - ~,, . , ORDER ~> r r ,. ' f ~,r,;,,_ ~ ~:~,~~s+ ~ ~ o ~ ~ c ~~~Gt~tP~'~JFi~)i~ FiEQl71RED 11'0 59 7 2811' x:06 70064 3 2~~ 20000 2 7 3 i6 29611' .. _ .5 9 7 2 8 ... ---- - --- - -------. . CITY OF SEBASTIAN SEBASTIAN, FL 32958 ::s,.5r;~ ;.,-.~.T.- :. ~s;c ~r'~;;;z~;; ^i~~,-1f>-mss :.;~_ ~~,:~~.:.r,~., S~ 09302005 ~~972Q iivvvi~,~.ur,~~ S ~~ Y~,' ,{lYvvJy? !~y -:x-. ...~ t VVII.C~UtJl~Yt1Y'IIVIV-. .- a~. .~ .-.,_ .. .. .. .. ,. ,.:' .ryC„{=,IIV,V VI ~I~~HMUUIVI i ;; _. ,.:,. L ... ..,. ,~.3 ""h' I~1S1,' ~^ °l r ~~ v" ~44~ arcs ~~igo,'L' tN, 09/27/05 Deed-1511 Buy back deed #1511 at Ce 500.00 47506 i ~~ 35251 Anthony W. & Patricia Clopein y_~~-~~ 500.00 59728 ACP4GL ~b ~ so 3~ ~tf~ Df ~P.~MSftMri C~~nt~e~~x~ ~~~~ NO. r Y~~~~ 5th October 95 THIS INDENTURE MADE This ...................... day of ............................................. A. D., 19......, between ilze City of Sebastian, a municipal corporation existing under the laws of the State of Florida, ne Grantor and ~~~ .................................... .A~thoz~y. W... &. Patricia, Clopein.................................................. iA 1721 Starfish Lane p .......................................... Sebastian.,.. Florida .32958 ........................................................ ~ Indian .River Florida ~'''~ of the County of ....... .......................... an-.l State of ........................... is Grantee, WITNESSETHs 0 500.00 That the Grantor for and in consideration of the sum of $ ,, , , , , , , , , , , , , , , , , , , , , , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,their , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ...10 . ,Block, 36, , , , , ,UNIT , , 4, , , , ,, , , ,. , of Sebastian municipal etery 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 Co rt of St, cie ounty of Florida; said land now lying and being in Indian River County, Florida. p~jjmZ ~ ~~~~ lA Z C!1 ~ . <~o~m o ~~~g ~ ~~~~ ~, a f o ~~~~ To Have and to Hold the same forever; provided that said property shall be used ely and excluszv ly the in rment of the human dead and shall ~„ be used, kept and maintained at all times in accordance with the rules and regulations, o dinances and re lu ons oft City of Sebastian, Florida, hereto- p~ fore, now and hereafter adopted or provided for the government and operation of said cemetery. The di 'ons, 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 roperty situated within said cemetery to ob- serve and comply with such rules, regulations, resolutions and ordinances and the conditions of the dC.ed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first pazt 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 fast above written. CITY OF SE LORIDA r 1 Attest: ...~a. .. .~~~~~ By .. ............ ...... ..... .... City Clerk Mai!or `~ - Signed, Sealed and Delivered - ~ " ~~~ In the resence of: ~ ~ s Q ~ ., Y~~G r ..... .. ..........~i (fi,~ ~ ~ ~ . .... ~.~._ . .................... ~~~ F>.. ~~ `` a ~I~~~~ eff. / 'r~.. .. (F .. STATE OF FLORID , ~ 't ~~' " COUNTY OF INDIAN RIVER `£r, ~'~= .~-'` _~.~ ~ ,,.& .. i I HEREBY CERTIFY, That on this ...~t~ . . .. . ...... . . ....day or ............October , , , . „ . .. .......:., 1995. .,. r before me personally appeared~.thllr L. Flrtlon Kathryn M. 0 '~allOran ........ .................................... and ....................................... respectively Mayor and 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 the foregoing cowveyance to ~ww ........................................Anthony,.W.. &. Patricia,.Clopein.................................................... ........................................................ and severally acknowledged the execution thereof to be their free act and deed as srzch officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance ti's is the act and deed of said corporation. Q WITNESS my signature and official seal at Sebastian, in the my of 'an Riv r and St of Florida, the day and dear ".'"'"' last aforesaid. ~r,~,~, ~ n ! ~~ ~%. LINDA M. GALLEY .z ~ ~/ / W Af ll COMMISSION / lx 975721 E~IRES: Jssn 18,1998 .. ... .. . 8ondsdThNNotsryP+:bNeWsifMwzNezs Notazy Public, State of o da at La~e,_~.._ My eo ission expires z r Linda M. Galley (\ ~~~ ~a ~ ~ ~~ ~., ~~ ~ ~~ . ~, r- ~~ . ~, ~. ~ -- ~` ~~ =~-- _ ,, ~- j Th ',, ` • • City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 ~ FAX (407) 589-5570 October 9, 1995 Anthony W. & Patricia Clopein 1721 Starfish Lane Sebastian, Florida 32958 Dear Mr. & Mrs. Clopein: Enclosed is Cemetery Deed No. 1511 for Lot 10, Block 36, 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. 0. Box 1028, Vero Beach, Florida 32960. We are enclosing two copies of Receipt No. 865 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, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures `,r , ~~ • • ~E SEBASTIAN CE R Y CITY OF SEBASTIAN, FLORIDA RE EIPT IS EREBY ACKNOWLEDGED OF THE SUM OF: FROM: /O/X~~G~. C9 G~/, 4~ . ~__~/~a'~ .. ( -~i~.~-L/)C. v iii 1 on this _~~ day o ~. 19~ for the purchase of the following described Cemete y Lot(s)/Niche(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) /Ni a (s) Block ~ Unit Purchase Price• 1 .~ Dollars ($ ~j Terms and Condition 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: 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 • ~~5 ~E SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA RE EIPT IS EREBY ACKNOWLEDGED OF THE SUM OF: ~~/ 011 ars ( $~d ~ /~ J FROM: ~ GrC.~ I ~ -C' ;~... , n/, o , ,~ /~ ~ ~ v ~ -~ on this _~~ day o "~ ~. 19~ for the purchase of the following described Cemete y Lot(s)/Niche(s) upon the terms and conditions as stated herein: Description of Property: r--~ Cemetery Lot (s) /Ni a (s) Block ~`L~_ Unit Purchase Price• .~~ Dollars ($ ~j Terms and Condition 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: ~,i 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