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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. ;cc;~~ q~- JeedJjjj- lifr/9tc MW/(D- _ /1),/5 &ic {)1. rWt) J<)lkrerc5j.sf ~l:bz,5.j.ja.n I (L 3;}Cf:55 Leis, /t5I/t(]Jcdc~J&lI~~ &ic ry\. rYlunfD . inbred .,t/;l6!Qb Lvnlo . .' . ,'1" 0 " .;., \ cl- 1/1''';#1 ~ ~ ~' - . yo +a;<l4 S'~ ~ 0,," pEuCJ'l'> ,"> . 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