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. 1520
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NO.
TillS INDENTURE MADE TIl..
29th
dRY of ..
November
95
A. D., 19... ....
between the City of Sebastian, a municipal corporation existing under the Jaws of the State of Florida, o. Grantor alld
Linda Carraway and/or Doreen Vinski
. . . . . . . . . . . . . . . . . . . . 64t . Br6bkedge . Terrace' . . . . . . . .. . . . . . . . . . . . .
......................... .~~~~~~iaIl! .F~~~~~~. )~9?8..................
of the County of ...Indian.Riyer......................... ani State of ...Florida.
.. Gr.ntee, WITNESSETH,
That the Grantor for and in consideration of the sum of S ...... ,?9Q! 9R . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confrrm unto the Gralltee . .~l:I~.~~. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) J?. .. ,Block,.. ?q. .. ,UNIT ...~......... ,of Sebastian municipal 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; said 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-
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 covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob.
serve and comply with such rules, regulations, resolutions 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 the Same 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 Mayor and
attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written.
Attest~j~. ..m..t)~l/U.l:4~#.c1~
<<- ., City Clerk
WY:PJ~7~
B..... ............................................
Mayor
Signed, Sell led IInd Delivered
In the !~re.cnce of: / / I
/.i~l7~H ....H.
(. .~~. ~ ,. . t.~~..
(QIitu ",eat)
STATE OF FLOHIDA
CUl'NTY OF INDIAN RIVER
I II.EIlEBY CERTIFY, That on thl.
29th
. . . . . .doy of
November
95
..... .........................., 19....,
b,'f'''e me personally appellred . A.r.tl:I~. .L.,. .f.~r.t~.qn.. and Ka.t~. t1~. .9.'J~P(;n::<;lr........
resp,'elively Mayor and City Clerk of the City of Sebastian, H munld!'.1 corporation under the laws of the State of Florida to me known
to lJt. the illdi"jduuls nm) officrrs described in and who executt.d tlw tongoing cOAveyance to
Linda Carraway and/or Doreen Vinski
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally aeknowledged the execution thereof to be their free act nnd deed
.s snch offieers thereunto duly Huthorb:cd; and that the Official se,,1 of said corporotion Is duly nfflxedZhe eto, and the sHld eonveYHnce
is the lid 11m! deed of said corporation. )
WITNESS my signature and official .eal at Sebastian, In the of Indian .. te pf Florida, the day and year
1051 oforeaaid. A'-- .~.. ~
...~;f!\J-:' UNDAM.GAU.EV (p, 1/1 ~.
~':E:l:: I' ~f~~~:{;;pM.;.lA;DPpppp
liE SEBASTIAN CEMARY
CITY OF SEBASTIAN, FLORIDA
iJ73
FROM:
~/J s+
on this CY'I ~
the purchase of the
the terms and
Description of Property:
Cemetery LD~p.y/JJfC:W:'''71 /~.M
Purchase pr~ce:-l-~~_~<-{tfu/y
\..J
Terms and Condition of sale:
Block
;2~ Uni t -I
Dollars ($QCU.~)
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:
cI~a~
/
property to
stated in the
The City of Sebastian agrees
the above named purchaser(s)
above instrument.
.
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City of Sebastian
1225 MAIN STREET a SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 a FAX (407) 589-5570
November 30,1995
..
Linda Carraway
641 Brookedge Terrace
Sebastian, Florida 32958
Dear Mrs. Carraway:
Enclosed is Cemetery Deed No. 1520 for Lot 12, 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. O. Box
1028, Vero Beach, Florida 32960.
S~m. OifaM-tA-
Kathryn M. O'Halloran, CMC/AAE
City Clerk
KOH:hng
Enclosures
Name
,.::>7 l:; P f! E f\f
V'7 N. <, V ..
'"'"T" ......, 1\ ......,...-.
Unit Lt
Block 3LD
Lot 1'-
Date of Mark-out
n/l\ )7"':).-
t . I
Date of Burial (. J 2 L I 9 ,,,-
I
.I / : ()Q 17. pl'
Time
Name of Fun~nil Hom~;;l :5 Tf?. 4ltl f:' is
A~lhciriz~~t:(i1~~~;:2:;lc<,
, ".- \
.:r
"'~
Yfn~~1 (~hen)lbreen
Lo41 '~r9old~C levY
SeV~4.{W'\,(L ~qs 0
ieeJ/(P{)
II pl!i5
lot !;)~?-io I U~A+
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I_A 'I Lin~
lL7il "&-Ol) --r
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~t ~1~1~k%/Un;+4
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State of Florida, Departme~ealth and Rehabilitative Services, Vital S.iCS
APPLlCATIO~OR BURIAL - TRANSIT PERMIT
1.. /;2
/336
!It
A.
1. Name of
Deceased
(Type or Print)
First
Stephen
Middle
Last
Vinski
DATE
OF
DEATH
Month Day
11/18/95
Year
Hami 1 ton
M,E.
Name of (If neither, give street address)
Hosp. or
Inst.8226 106th Avenue
:J Medical Examiner Address
2500 S, 35th Street
Fort Pierce, Florida 34981 (407)464-7378
Fla. Lie. No./Reg. No. Phone Number (Area Code)
Phone Number
City, Town or Location
2. Place of Death
County
Indian River
3. Name of Medical
Certifier
Frederick Hobin, M,O"
4. Name of Funeral Home/
Direct Disposer
Strunk Funeral Homes,
5. Check a 0
Appro-
priate
Box
Vera Beach
I Physician
Address
1623 North Central Avenue
P,A, Sebastian Fl 32958 1228 (407)562-2325
The medical certification has been completed and signed, A completed certificate of death accompanies
this application.
=
b 0
was contacted on 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 will complete
and sign the medical certification of cause of death.
He 1 en was contacted o~ 1 /21 /95 ,He/she verified that
l-reaen~K HOCln, M.O" M,t:. ,Medical Examin&r, will complete and sign the
c>tJ
7.
Indian River
F.E. No./Reg. No.
~ 11 ~2..
Removal
from state
Donation
Date Signed
11/21/95
6.
B.
BURIAL - TRANSIT PERMIT
Pe 1 228-95-0511
rmit No.
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 certificate requested.
~!!rli [I ..... ~ M (J
~....L. IIdv(1
Subregistrar Signature - -- ~ ~ ~ - - !!! r-
Date j l
Issued: II I 8lftJ~
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,
Methods of Disposition:
. BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
CEMETERY OR CREMATORY
Place of Disposition 5 p, f3~ sT: I'} A (?e,.n.E.U Ie y .
Date of Disposition /1 / ~ ~ .I 7' S-,
D.
Signature of Sexton )
or Person-In-Charge )
{/fl ;1. ,~~'5)'
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)
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