HomeMy WebLinkAbout4-36-13
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Paid by CEMETERY Receipt No. .?..... ..Dated.... .?/.?N~? ... .......... ~~~~k .14
Li.t Price $ . . .~ ! ~ : 0? . . . . Maximum No. Burial Space. . . . . . . . . . . . . . . . .Uni t 4
1,000.00
Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
NO.
.
1533
(Data above this line for City }keord only)
atitll nf &thustiuu
O.trmrtrry
mrrb
"1530
NO.
THIS INDENTURE MADE TIola
24th
doy of ....
May
96
A. D., 19.......
between lhe
City of Scbnstlan, a municipal ""rporatlon existing under the laws of the State of Florida, 01 Grantor alld
Joan Mahoney
'226' Del' Monte' Road, . . . . . . .
Sebastian, Florida 32958
of the County of In#an R~ y:e~.. .. .. .. . .. .. . .. .. .. .. .. . ... ani Slate of .... J?l()ri,q,a.
II Grante.. WITNESSETH,
That Ihe Grantor for and in consideration of the sum of $ .1. ~ ~: 0? . . . . . . . . . . . . . . to Iltf' hond paid, the receipt whereof Is herewith ac-
knowledged, doe. by this instrumenl grant, bargain, sell, release, oonvey and eon firm unto the Grantee. .t:;:. . . .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) .~~..~ . ~'!Iock, . ~~... .. ,UNIT ..~.......... ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat
Book 2, at page 65 of the public reeords in the office of the Clerk of the Circuit Court of St. Lllde County of Florida; said land now lying and being
in Indian River County, Florida.
To Have and 10 1I0ld the same forever; provided that said property shall be used solely and exelusively for the interment of the human dead and shall
be used, kepi 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 shaD 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 ;uch rules, regulations, resolutions and ordinances and the eonditions of the deed of conveyance thereof then the title of such owner
in and to said property shall terminate and the same shall revert 10 the City of Sebastian, Florida.
IN WITNESS WIIEREOF. The said party of the nrst part has caused this instrument to be executed in its name and on its behalf by ils Mayor and
attested by its City Clerk and its corporate seal to be herelo affIXed, the day and year nrst above written.
CITY OF SEnASTIAN, FLORIDA
All;?i~)~tn. .O;/aL(Ah~...
., .-./... C City Clerk
S' ned C.:~I:~ell~er d
tI res:::,;.'
...~.......
~~~~........
(/ - Y
STATE OF FLORIDA
COl'NTY OF INDIAN RIVER
I HBUEDY CBUTIFY, That on thll .. ..2~.t;J:t..d.y of .... ~?Y........ .... .. .. ... .. .. ..., 1996..,
Louise R. Cartwright Kathryn M. O'Halloran
b,'lure ule personally appeared ............................ .. and ...... .................,........,.....
re,pl'('lively Mayor nnd Clly Cltrk of tho City of Scba,tlon, 8 munlci",,1 corporutlon under tho lows of the Stulo of Florl<la to mo known
to bt, the Indhridlluls Ilrul officers described In IInd who t'xt'cutt~d tlll~ fort. going cOII\'eyrlOce to
By ~,,~.~~~~~#.......
(€itl) 18.111)
. . . . J()all. ~?l1o!1ey . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . .. and severaIJ)' acknowledg('d the executJon thereof to be their frer act nnd deed
0' sllch ortlccr, thereunto <luly 8uthorLzed; and thot the Orfiei.1 sell I of said corporation Is duly afflxcd thoroto, on<l the ../d conveyance
is the net Ilnd de~d of Slid corporation.
WITNESS my olgnature and offlelal oeal at SebalUan, In
last aforesaid.
......... UNOA M. lIALLEV
!,~~~ MY COMMISSlOII' CC 375724
Y : J EllI'IAEIl: J... 18, 1998
"~ ..... 80ndsd T1lnr NoIIry NIle .........
, ,.,
~E SEBASTIAN CEM&RY
CITY OF SEBASTIAN, FLORIDA
'gqcQ
OF THE SUM OF:
Dollars ($) JJJ.fl- )
FROM:
on this c1-3rd- day of
following described Ceme y
conditions as stated herein:
, 19 for the purchase of the
t(s)/Nic.be(~T upon the terms and
Descrip1:ion of Proper1:y: . .~
Ceme1:ery L01:(S~~
Purchase Pr~ce.
Block ~ Uni1: L
Dollars ($ / !fJ3fPJ
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
above instrument.
,
.
.
City of Sebastian
1225 MAIN STREET [J SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 [J FAX (407) 589-5570
May 29, 1996
Joan Mahoney
226 Del Monte Road
Sebastian, Florida 32958
Dear Mrs. Mahoney:
Enclosed is Cemetery Deed No. 1538 for Lots 13 and 14, Block 36, Unit 4.
Also enclosed is a fonn - 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.
We are enclosing two copies of Receipt No. 892 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.
s~
~m. O'lf~ ""'-
Kathryn M. O'Halloran, CMC/AAE
City Clerk
KOH:lmg
Enclosures
..
~E SEBASTIAN CEM&RY
CITY OF SEBASTIAN, FLORIDA
'gqcQ
OF THE SUM OF:
Dollars ($) Jt1J,ft--- )
FROM:
on this c51:jr1- day of
following described Ceme y
conditions as stated herein:
, 19 for the purchase of the
t(s)/Nicb~(~rr upon the terms and
Description of Property: ~
Cemetery Lot(S~~
Purchase Pr~ce'
Block 4- Unit L
Dollars ($ / !L'tJfP;
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.
~ or we, agree to purchase the above described property on the terms
and conditions stated in the foregoing instrument:
~?YJ~1
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
above inst~lment. /
6~~~~
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ome
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Paid by CEMETERY Receipt N 892
0................ . Dated 5/23/96
List Price $ 1,000.00 ..............................Iots 13 & 14
. .1.000............. Maximum No. Burial S ce Block 36
Net Paid $ , .00 pa s............... .Uni t 4
. . . . . . . . . . . . . . . . . . Monument permitted
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.
First
Lt f"'- L3..?~-
State of Florida, Department of Health, Vital Statistics ~ <<O~ [pJ
APPLICATION FOR BURIAL - TRANSIT PERMIT ~
Middle Last Date Month Day
of
Mahone Death
Name of (If neither, give street address)
Hosp, or
Inst.
L8
FLORIDA DEPARTMENT OF
1.,
I, Name of
Deceased
(TYPE)
Year
t Place of Death
County
I ndian River
Joan Brid et
City, Town or Location
Dec.
2
2002
3, Name of Medical
Certifier Robert Hendley, M. D .
Medical Examiner Physician
t Name of Funeral Home/Ojr...-+ Di'li1ii88B~ Address
Establishment 1623 N. Central Ave.
Strunk Funeral Hom Sebastian, FL 1228 772-589-1000
), Check a. 0 The medical certification has been completed and signed, A completed certificate of death accompanies this
Appropriate application,
Box
Vero Beach
Address
Phone Number
1300 36th Street, 1C
Vero Beach, FL
772-770-11911
Fla, Lic. No.lReg. No. Phone No, (Area Code)
b, C!J
Angela was contacted on 12/2/02
He/she verified that this death was from natural causes, that there was no accident nOf other external cause of death,
and that Dr. Hendley will complete and sign the medical
certification of cause of death within 72 hours,
c,D
was contacted on
He/she verified that
, Medical Examinef, will complete and sign the
IiiAlst git"'Q\''ilr I
use ~f <Ieath within 72 hours,
F.E, No.lReg, No,
1862
Date Signed
12 2 02
5. Funeral Director/
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body, Permit No, 1228-02-1195
o A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within
72 hours,
ONo extension of time for filing the death certificate has been requested,
o.Re fj i&t~" r ar
Subregistrar Signature
Date
Issued:
12/2/02
Date Certificate
Due:
12/7/02
C,
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA
Approval Number:
Date
Medical Examiner, , 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,
Method of Disposition:
~BURIAL
o CREMATION
Signature of Sexton
or Person-in-Chafge
o STORAGE
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
/~ 101 /ov
I I
Date of Disposition
D,
DOTHER(specify)
} ;(jJ 9- j(~?-
DH 326, 8/97 (Obsoletes all previous adllions)
(Stock Number: 5740-000-0326-2)
Distribution: IIIIhlle: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar
This permit must be endorsed by the Sexton or pefson-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and r, tu ned
within 10 days to the local County Health Department in the county whefe disposition occurred,