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Home My WebLink About4-36-17Paid by CEMETERY Receipt No... Dated 3/21/96 List Price 5 17000.00 Maximum No. Burial Spaces Net Paid $ 1,�O Monument permitted (Data above this line for City Record only) NO. '154::) TIN of 'rbastiun (rmitrr Errs NO. 15c :;) THIS INDENTURE MADE This 2131 day of March A. D., 19 96 beimeen the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Reuel D. Brockway 108 Main Street Sebastian, Florida 32958 of the County of Indian River an l State of . Florida as Grantee, WITNESSETHs That the Grantor for and in consideration of the sum of $ 1 f 000.00 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 his heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s )17 & 18 Block 36 , UNIT 4 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 Rivet 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. r-( AtteS City Clerk Signed, Sile'}I and Delivered In the Fresbnce of: CITY OF SEBASTIAN, FLORIDA i1J, ,v By r7(4� [ t C. Q.' tl�C 7' LUc� STATE OF FLORIDA COUNTY OF INDIAN RIVER Mayor (City (*eat) 1 HEREBY CERTIFY, That on this 21St day of March , 1096 before are personally appeared Louise R. Cartwright and Kathryn M. O'Halloran respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the Taws of the State of Florida to me known to be the individuals and officers described in and who executed the foregoing conveyance to Reuel D. Brockway and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance is the act and deed of said corporation. my g and gtatc of Florida, the day and year FSS m signature end official teal at Sebastian, in the Coo y of 'diet River a gotary Public, State f lorida nt Large. \ My commlasinn explregr' last aforesaid. fl ...' , LINDA M. GALLEY i MY COMMISSION 9 CC 976724 EVIRES: Juno 18. 1998 emend Gov NaWy Pubik Ibl6"11" Linda M. Galley Name A/✓L r CleL ji • 7 X 8 Unit ! Block :367 Lot / 7 Date of Mark -out Date of Burial Name of Funeral Home Authorized by 0 o' • 0 F • 0 Y m 0 Time /,00 PArt .5r= /77 Ezenot,e4 L / -6M'? 8 8 8 0 o cn cr v+ cn 0 0 0 0 0 8 8 8 8 8 8 0 o d m 3 0 P N X G- 0 0 0 en 1 ,E -A" --� 2 W W .p .ya, N co Co (O fD CO N O 8 e o e. 0 m seaueu pJQ ;o apo9/j131 0 d o: 0 LTA 0 0 0 n 0 m m O m m y N o SON -n H Ts m Z m 0) JANET LOUISE BROCKWAY Janet Louise Brockway, 85, of Sebastian, passed away on Saturday, December 10, 2011 at VNA Hospice House in Vero Beach. She was born September 12, 1926, in Cleveland, OH, and moved to Sebastian 34 years ago from Wabasso, FL. Janet is survived by her daughter, Sue Morgan of Sebastian, 5 grandchildren, and numerous great grandchildren. She was predeceased by her husband Reuel Brockway, and son Dennis Brockway. A FLORIDA DEPARTMENT OF HEALT TYPE State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of First Middle Last Deceased JANET BROCKWAY Date Month Day Year of Death DECEMBER 10, 2011 2. Place of Death City, Town or Location County INDIAN RIVER VERO BEACH Name of (If neither, give street address) Hosp. or Inst. VNA HOSPICE HOUSE 3. Name of Medical MELISSA DEAN, M.D. Certifier Address 3745 11TH CIRCLE SUITE 105 VERO BEACH, FL 32960 Phone Number 772- 567 -1500 nMedical Examiner Physician 4. Name of Funeral Home /Direct Disposal Establishment SEAWINDS FUNERAL HOME Address 735 FLEMING ST. SEBASTIAN, FL 32958 Fla. Lic. No. /Reg. No. F041682 Phone No. (Area Code) 772 - 589 -1933 5. Check Appropriate Box a. ❑ b. c. The medical certification has been completed and signed. A completed certificate of death accompanies this application. DR. DEAN was contacted on 12 -12 -11 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, will complete and sign the medical and that SHE certification of cause of death within 72 hours. was contacted on medical certification of cause of death within 72 hours. He /she verified that , Medical Examiner, will complete and sign the 6. Funeral Director/ Direct Disposer flure� F.E. No. /Reg. No. Date Signed F046789 12 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 11- 41682 -236 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 direct •r and will not be able to complete the medical certification of cause -of -death section of the death certificate within 72 hours. 111No extension of time for filing the • :ath cert. icate has been requested. Registrar or Date Subregistrar Signature Issued: -/ `ff Date Certificate Due: 12 -22 -11 C. Approval Number: Medical Examiner, A THORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA 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. D. Method of Disposition: E JRIAL ['STORAGE RUMONMISIW OTHER (Specify) Signature of Sexton or Person -in- Charge /t/�i� �►f / CEMETERY OR CREMATORY r"r+ Place of Disposition Date of Disposition This permit must be endorsed by the Sexton or person- in- ch`drge (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. DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740- 000 - 0326 -2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar ro wa l,te-4 .1 i_071 174 M ao(lAY-14 /6e_e_ez THE SEBASTIAN CEMEMRY CITY OF SEBASTIAN, FLORIDA RECEIPT zREBY ACKNOWLEDGED OF THE SUM OF: VAV ./E.,)( i .1."' l FROM: / . l aj6g 09c' Gon this �� day ,:�' � / -., 19� for the purchase of the following described Cemet =ry Lot(s) upon the terms and conditions as stated here 'n: Dollars (s/ Description of Property: Cemetery Lot Purchase P Block Unit 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 he terms and condtiions stated in the above instrument. /' City of Sebastian City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589 -5330 0 FAX (407) 589 -5570 March 22, 1996 Reuel D. Brockway 108 Main Street Sebastian, Florida 32958 Dear Mr. Brockway: Enclosed is Cemetery Deed No. 1529 for Lots 17 & 18, 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. Sincerely Oviaiga Kathryn M. O'Halloran, CMC /AAE City Clerk KOH:lmg Enclosures Ova- fromld.wpd) ?S'73 THE SEBASTIAN CEMEMRY CITY OF SEBASTIAN, FLORIDA /RECEIPT '' ..REBY "FLEDGED OF THE SUM OF: � /� ' �) Dollars ($ / /t' ' . FROM: on this day ••f following described Cemet conditions as stated here Description of Property: Cemetery Lot Purchase P 1 4Lifot , 19 for the purchase of the ry Lot (s) ,=4« upon the terms and n: Terms and Condition of sale: ! e -k , 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 he terms and co ',t'ions stated in the above instrument. City of Sebast> ian