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Home My WebLink About4-36-16 ~ ........D.led......M?-.~(?~..............Lots l' 16 Block :'...- Maximum No. Burial Spaces............. .. .Unit 4 Paid by CEMETERY Receipt No....f, '-- ....' List Price $ .. .~ ! ~.' .q<?.. .. . . 1,000.00 NO. Monument permitted....................... 15.:>;) Net Paid $ (Data aOO.e till. line lor City Reeord only) Cltity nf &rhnsthttt C!!rmrtrry Ilrrx. , , 1 ~i .i ~.) NO. THIS INDENTURE MADE TIaIo ..... 26th 96 A. D., 19....... d.y "f April betwrrn Ihr City of Srbaatlan, a municipal eorporatlon exlatlnr under the law. of the St.te of Florid.. o. O.antor and MrS. Munro 241. Watercrest. .Street............. .Se~a.s~~~!. X~o:r:::~~. .~~9?~........ 01 the County 01 .I~~I). )~:j.Xl;!,t: .. . . .. . . . .. . .. . . .. .. .. .... an.I State 01 ....... f.1,9.r;:j.~.. . .. .. . . .. .. . .. . .. . . .. . . .. .. .. .. .. .. . a. Orantee, WITNESSETH, That th. Grantor for .nd in eonslderatlon of the sum of $ ~'" 99R: ~ . . . . . . . . . .. . . . . to It in hand paid, the receipt whereof is herewith ac- knowledged, does by thls instrument gr.nt, bargain, sell, reI...., eonvey and eonfum unto the Gr.ntee . h~;-. . .. heirs, legal represent.Uves and assigns the following properly sltu.led in Seb.stlon, Indian River County. Florida, t<>-wlt: All of Lot(s) f. ~ . !i! .1.~\oek, , . ~fl. . .. ,UNIT ... ~. . . . . . . .. . of Seb.stlan municipal cemetery as per Plat Number I thereof reeorded In Plat Book 2, .t p.se 6S of the public reeords In the office of the Clerk of the Circuit Court of St. Lucie County of Florid.; said land now Iyins.nd belns In Indian River County, Florida. To Have and to Hold the same forever; provided th.t RaId property shall be used solely and exclusively for the interment of the human dead .nd shall be used, kept and maintained at aU times in accord.nce with the rules and resulaUons, ordinances and resolutions of the CIty of SebasUan, Florida, hereto. fore, now and hereafter adopted or provided for the sovemment and operation of said cemetery. The eondlUons, restrictions and requirements eontained in this instrument shall be eovenants runnins with the land. In the event of the failure of the owner of any property situated within said cemetery to ob. serve and eomply with Such rules, r..ulatlons, resolutions and ordInances and the eondiUons of the d~d of eonveyance thereof then the title of such owner in and to said property sh.llterminate .nd the same sh.1I revert to the City of SebasUan, Florida. IN WITNESS WHEREOF, The said p.rty of the first part h.s ","used this instrument to be executed In its name and on its behalf by Its Mayor and allesled by Its City Clerk and Its eorpor.te se.1 to be hereto a(fixed, the day and year first .bove wrlllen. CITY OF SEBASTIAN, FLORIDA AII.st;~~)17..01l~~. ....{.....c.ty Clerk By ~..~~~...... Hlgnrd, Seale<l ulld Drllvrr.d In the Presence of I ~~~ti'~~~~,.. .(?)~....................... {' / // .. ,Y'J'i./.t..~_.. ..QV~,;I(.,d../Y""""""'" !..STATF: OF FLOIlIOA COl'NTY 01' INDIAN RIVER I lIEltEDY CERTIFY, That on thlll ....................... (ClIilg ""pal) . day al April 96 It... .. 26th Louise R. Cartwright Kathryn M. Q'Ha11oran br((Ire lite perlonally .ppeftred ........................................ and ....................................... ,eopI'ollv.ly Mayor and CIty Clerk 01 the City 01 Sebutlan. . munlei".1 eo."a.ollon und.r the I.,.,s al tho Stat. 01 Flarid. to me kllown lo b(~ lhe Indh.j(hmI8 land offlcrrs desc~rt~ In find who f'xecutt~d tht! 'Uft'golng CIJR\'eynnee to . .... . ...... -0............. ......... ....... . .~~.'. .~9... ... ......... ....... ....... . . . . .. . .. ... ..................... ... ........ . . . . . . . . . . __ . . . . . . . . . . . .. . . . . . . .... . ...... . . . . . .. ... all<l s...."lIy ""knowledgrd the execution thereol to be theIr f.ee act ond Ileed as sneh o(fleer. thereunto duly outhorlled; and that the Ortlcl.' ..01 of ..ld eorp<>ralloll Is duly alllxed thereto, and the sa1<1 conveyance I. the lIet 8"'\ dred of said eorporatlon. WITNESS my signature .nd olllelal s..1 at Sebastian, In i... .Iuresaill. 01 Florida, Ihe <I.y .nd ye8. ---.-......... .,oJII'll',;-' .-.. UNDA M. 8AlLEY .~...."t.l'\ MV COMMISSIOH , CC 37&724 ElU'IIU: JunI t8. tltlll . _ "'"' -, I'UlIIo \JndIIwItM ( '----- v/ Name E'I<I c.. M. M v...NR..o Unit ~ ~.l.o Block Lot l\.e Date of Mark-out 1..J/2. 1--/ c; ~ Time <:,::;,Xf . ~'-\ '",/ -..F . j /'.i',,- { Date of Burial ~/f;2f//91A ,/ l Name of Funera! Hom//7,:')T/~,~~ . . _.~.c \ ...L--"'... h.;1 , . ../ ::1 / /. / / . . "":-. //.i:~/j / /' ( . .~'1:'::"F. . i:.....,./,.. Authortzed.hyi-'''''''.' \ <"'> ' . '_' I.. // /- l" l~ ~ ",A::(,:.-"'\ \. ). ---------------_.~.__._--,_.- . . 887 4/26/96 lots 15 & 16 PaId by CEMETERY ReceIpt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 000 00 Block 36 Ust Price $ . . . . ~ . . . . ... . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . .Uni t 4 1,000.00 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. 1533 (Data above this line tor City Record only) [l;J.~1 State of Florida, Departmejiif Health and Rehabilitative Services, Vital .'stics APPLlCAT~OR BURIAL - TRANSIT PERMIT J. /~ It /33& 1.1 i A. 1. Name of Deceased (Type or Print) First Eric Middle Last Munro DATE OF DEATH Month Day 04/18/96 Year M. 2. Place of Death County Indian River Name of (If neither, give street address) Hosp. or Sebastian Ins1. 241 Watercrest Street o Medical Examiner Address 13840 U.S. Highway .1 ~ Physician Sebastian, Florida 32958 (407)589-2992 Address Fla. Lie. No.1 Reg. No. Phone Number (Area Code) 1623 NOrth Central Avenue Homes, P.A. Sebastian, Fl 32958 1228 (407)562-2325 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Phone Number City, Town or Location 3. Name of Medical Certifier Thomas Netter, 4. Name of Funeral Home/ Direct Disposer Strunk Funeral 5. Check Appro- priate Box M.D. b a Jerry was contacted on 04/19/96 within 72 hours after death. He/she verified that this ~s from natural causes, that there was no accident nor other external cause of death, and that Netter, M.D. will complete and sign the medical certification of cause of death. c 0 was contacted on , He/she verified that . Medical Examiner, will complete and sign the medical certification. 6. Place of Sebastian Cemetery Final Disposition: 7. Funeral Director / .Qi,,,-,vl D;~tJv.::ter Removal Indian River from state FE No.1 Reg. No. 134.L Donation Date Signed 04/19/96 B. BURIAL - TRANSIT PERMIT Permit No. 1228-9EHl197 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 filin the death certificate requested. f\:le~i6tr8r or Subregistrar Signature ~~~~d:~ l~ \~l. 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. D. CEMETERY OR CREMATORY Methods of Disposition: lXI BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition ~bQ...c:;l-;c...", (1 ~ IY'\Q 1(' 2'1 Date of Disposition ~R; L.. d5', I Q9l, Signature of Sexton ) or Person-in-Charge) ".4.~. ,).. (J~c:~ 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) ~