HomeMy WebLinkAbout4-36-15
Paid by CEME~E~e:t NO...... ... . . Dated.... ...~ (?-.~(?~. ... . .. .. ..... i~~~k 1.6
Li.t Price $ . . . . ! . . . . :. . . . . . . . Maximum No. Burial Space. . . . . . . . . . . . . . . . .TJni t 4
1,000.00
NO.
15.:'>3
Net Pald $
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
(Data above lbl. line 'or CIty fteeord only)
<!tUy of &l'bnsthttt
O!rmrtrry
irrll
· , 1 :j ,j :)
NO.
THIS INDENTURE MADE 'I1aIa ....
26th
day of
April
A. D., 18.
96
bet "'ern Ibe City 0' Seba.tlan, a municipal corporation exlsUng under the law. of the Slate of FlorIda, D. Grantor and
MrS. Munro
. . . . . . .. . . .... . ....... . .. . .. .. . ".241. Watercrest'Street ' ,.. ,. . , , , .,
Sebastian, Florida 32958
.........................
., Ihe County 0' . I.~(;li~l1. R:j.y~;t: . .. .. .. .. .. .. .. .. .. . . . .... ani Stale ., ....... F,J,.9J;':j.qa. . .. .. .. .. . .. .. .. ..
a. Grantee, WITNESSETH.
That the Grantor Cor and In consideration oC the .um of $ ~.,.99.q ~ ~. . . . .. . . . ... .. .to It In hand paid, the receipt whereof I. herewith .c-
knowledged, doe. by this in'lrument gr.nt, bargaln, sell, rele..e, convey and confirm unto the Grantee . ~~~. . .. heir., legal representative. and a..ign.
the following property .ituated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(.) ~.~. ~ .1,Qllock, .. ~?. .. ,UNIT...~......... ,of Sebastian municipal cemetery a. per Plat Number I thereoC recorded in Plat
Book 2, at page 65 of the public record. in the office of the Clerk oC the Circuit Court oC St. Lucie County oC Florida; ..Id land now lying .nd being
In Indian River County, Florida.
To Have and to Hold the ..me Corever; provided that ..id property .han be u.ed solely and exclu.ively Cor the Interment of the human dead and .hall
be used, kept and maintained at all time. in accordance with the rule. and regulation., ordinance. and resolution. of the City oC Seba.tian, Florida, hereto.
Core, now and hereafter adopted or provided Cor th. government and operation oC ..Id cemetery. The condition., restrlelion. and requirement. contained
In thi. in.trument .hall be covenant. running with the land. In the event oC the Callure of the owner oC any property .ituated within Bald cemetery to ob-
serve and comply with such rule.. regulation., resolution. and ordinance. and the condition. oC the deed oC conveyance thereof then the title of .uch owner
In and 10 ..id property .halltermlnate and the ..me .hall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The Bald party oC the first part has caused thi. In.trument to be executed In It. name and on it. behalf by it. Mayor and
atte.ted by it. City Clerk and It. corporate ..al to be hereto affixed, the day and year fIr.t above written.
CITY OF SEnASTIAN, FLORIDA
Allest:~k~)1?,oll4-.~,
. "'iT . .~. City Clerk
By ~..~,~:~,~,,~!:.,.,..
Ma70r ~.~~..
Aignl'd, SCRlect untl Delivered
In the Presence of:
'J?ttLi~~~~ ~,~".......
,U / I
J>i-//...M:' .QV~ 2't-,~~......
i.STATJo: OF I'LOntnA
COl'N'fY 01' INmAN RIVER
I HEnEny CERTIFY, That on thl.
(Cllitl! ~Plll)
26th
April
96
Ie. ....
. . . . . . . doy 0'
b,.fure lIle personally a"pm.d ,l,Ou;i;~~.~: ..CElr~wr.i~h~,. and I<a~hI)m. .M.~ ..q.'!!~.~l.~~Eln......
reRpf'etivrly Mayur Rnd City Clrrk of the City of SeblldlRn, H municipal corJloration untlrr the Is"'s of th(" State of Florida to mr.: known
to bt, the Indh'idunls "fld orfierrs des{~rlbcd In Bnd who f'xecult'd th(', forc'golng COln'(~ynnce to
.l1r.s.. .Mtmr:9..."..,.,....".,....,......
. . . . , . , , , . , , . , . . , , , , . . . . , . , . . . , . , , . , . . . . . . . , . . .. and .e.ernlly R,knowledg,d Ihe executloll thereol to be Ibelr Ire. Rct Rnd de.d
as such officers thereunto duly authorized; and that the O"lclHI sr.1I1 of Slid corporation 18 duly affixed therdo, nnd the sard conveyance
if:; the net nod deed 01 said corporaUon.
WITNESS my .lgnRture and official .eal at Seba.lIan,
IRSI ufort'sah1.
Ihe day and yea:
_........_.~-..._.':.....
-.-..- UNDAM.8AllEY (
Iotv t;OMMlSSlOIl , CC 3m24 "---..
ElCI'IAEll: .luna II, 1191
_llwu..,....... .......
v~
1
Name
2) I ( /e t , 1yt, aIl/eo 1 x4=3 3/4e
Unit X./
Block 3 6
Lot / 5
Date of Mark-out 8// ` /f
/ e7 . (CA410 /_L—)
Date of Burial n/ ! i/ Time /
Name of Funeral Home
s //fev,1IC5 .
Authorized by
/CONI--d:&
I
EDITH ELAINE MUNRO
May 24, 1932 - August 16, 2011
Mrs. Edith Elaine Munro, 79, died August 16, 2011 at her residence in Sebastian.
She was born in Boston, Massachusetts and lived in Sebastian for 32 years
coming from Lexington, Kentucky.
She worked as a waitress at the Vero Beach Inn, Duke Snider's and Bono's
Restaurant before her retirement in 1996.
Survivors include her son, Eric S. Munro, daughter, Debby Munro both of
Sebastian; 8 grandchildren and 11 great-grandchildren. She was preceded in
death by her husband, Eric Milton Munro in 1996 and her son William K. Munro
in 1978.
1/.41L( nit " r
5--t- Vl ��
. Sep 26 2008 2: 45PM HP LASERJET 3200 p 1
FUNERAL DIRECT R'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENI G IN SEBASTIAN MUNICIPAL CEMETERY
5E'13A-511
•
hunk c;PI;KM.ISIAND
For Informatior contact:
Ki Kelso -Cemetery Sexton
Se tastian Municipal Cernefery
(772) 559.2545
•
I City Clerk's Otlice
Ciry Hall, t225 Main Street
Sebastian, FL 32958
Olh'ce(772) 388-8215 or 388.8214
Fax: (772) 589.5575
FUNERAL HOME STRUNK FUNERAL HOME & CREMATORY
• • . t r. -
ADDRESS: S BASTIAN, FL 32958
P�1oNE # (772) 5894000
( ryeck One)
1■ OPEN BURIAL LOT LI t �5 Block Si, Unit �--
OPEN CREMAINS LOT LSt Block Unit
.OPEN COLUMBARIUM NICHE r Bloc ---e Unit
•
BURIAL DATE AND SERVICE TIME: tibrI• PH 422)/1
FOR DECEASED: Edith Elaine Winn) Pa"
(vane
•
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Name
i mss+=�cc/ S. !9'
Signature
Q;te
I certify trial I have determined the owne ship of the above described site That all site fees and
administrative fees have been paid and authorize opening of same
NAME AND SIGNATURE OF LICENSE( FUt AL DIRECTOR.
Glenn A. Strunk
M I n�.
arne
N Signature Date
•
Cemetery Sexton Certification:
I certify that I have ohecked the ownership information by viewing the owner's deed and confirming
with Clerk's office :ind that all fees have been paid
Cemetery Sexton pate
This fora, to be provided to Clerk's Off.c by Sexton for permanert record upon comp etton.
1
FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics
HEALT APPLICATION FOR BURIAL-TRANSIT PERMIT
A. (TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased Edith Elaine Munro of August 16, 2011
Death
2. Place of Death City,Town or Location Name of (If neither,give street address)
County Indian River Sebastian Hosp.or 241 Watercrest Street
Inst.
3. Name of Medical Eileen Fermin M.D. Address Phone Number
Certifier 13230 US 1 Sebastian, Florida 32958 (772) 589-0300
Medical Examiner nPhysician
4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg.No. Phone No.(Area Code)
Establishment Strunk Funeral Home 1623 North Central Avenue Sebastian, F041870 (772) 589-1000
and Crematory Florida 32958
5. Check a. ❑ The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box _...a I�p I b.2'` \1 0 i a. 'U t✓LU"L ,, was contacted on 1 I((/ 12.01 1 .
He/she verified that t . 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 within 72 hours.
c. E was contacted on He/she verified that
, Medical Examiner,will complete and sign the
medical certification of cause of death (within 72 hours.
6. Funeral Director/ ig j �Ign" `e i`J F04No./Reg. No. ( �t� gne I
Direct aspsCi
B. BURIAL-TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-11-362
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.
El No extension of time for fili,he death certificate has been requested.
44e€iistror ',, �- Date Date Certificate
Subregistrar Signature i'V '/---1 Issued: 8/16/2011 Due: 8/21/2011
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.
D. CEMETERY OR CREMATOR��'^Q ��) /',,
Method of Disposition: Place of Disposition 1> (1C-,!'Y1^6
URIAL USTORAGE Date of Disposition /"CVV1da)./t / 3"2"/2-011
DCREMATION OTHER(Specify) /
Signature of Sexton 1 Ai
or Person-in-Charge f i0 ?, reje., -t •
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 County Health Department in the county where disposition occurred.
Distribution: White: Cemetery or Crematory
DH 326,8/97(Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer
(Stock Number: 5740-000-0326-2) Pink: Local Registrar
CCITY CLERK'S OFFICE 431 I
RECEIPT
Name A,1 Lk • ❑ Cash l l
Date
Q�Check# 524 5 0
Amount Paid
No.
001001 208001 Sales Tax
001501 322900 Garage Sales
001501 341920 Copies/Bid Specs.
001501 341910 LDC/Code of Ordinances
001501 341930 Election Qualifying Fees
601010 343800 Cemetery Lots G
Lot/Niche /5 ,Block ,Unit 4
001501 343805 Cemetery Fees
0/c 1025.00
•
g Total Paid 1,Z5.00
/ Initials
ws,;m-mud of Origin• Yellow-Finance •Pink-Applicant�
w /0,4 7-�e,
X
,ix7
8/il/f
l.i4 X5.00
I-E SEBASTIAN CEMEt:RY
CITY OF SEBASTIAN, FLORIDA
'087
ACKNOWLEDGED OF THE SUM OF:
~ Dollars ($!!)J!)Y)
FROM:
on thiSc:9(o~ day of
following described Cemete
conditions as stated herein:
, 19~ for the purchase of the
Lot(s))Niehc(3) upon the terms and
Description of Property:
Cemetery Lot(S~~
Purchase pr~c~ _ _ __~
Terms and Condition of sale:
Block
& Unit L
Dollars ($! !Jt?t1.~
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 e terms and conditions stated in the
above instrument.
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.
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (561) 589-5330 0 FAX (561) 589-5570
Apri130, 1996
Mrs. Munro
241 Watercrest Street
Sebastian, Florida 32958
Dear Mrs. Munro:
Enclosed is Cemetery Deed No. 1533 for Lots IS & 16, 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.
We are enclosing two copies of Receipt No. 887 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,
4m. [Jij~".
Kathryn M. O'Halloran, CMCIAAE
City Clerk
KOH:lmg
Enclosures