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HomeMy WebLinkAbout4-36-21 -,----" --=- QIUy of &rbustiult "1518 arrmrtrry 1!lrrll NO. THIS INDENTURE MADE TIWI 27th day of November 95 A. D., 19.. ..... between I he City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor alld - - - -. - -.. - - -..................... .Mr;~.~_ _M~d. .EG~~:!:'.t;..........................._ 1590 Quiescent Lane ............. -..... ....... ....... ..Sebastian,. Florida. 32958............... _................................... of the County of _ .. ~.t:I~!3:t:I..~y~.:r;.. .. _ . .. .. .. .. ...... ... an-I Stale of _. X;1,(;l1::~~~.. _ _ .. . .. .. . ..... .. .. . .. .. .. .. _ . _ ... .. .. .. aa Grantee, WITNESSETH. That the Grantor for and in collslderation of the sum of $ ~.~ 9~: ~q. . . . . . . . . . . . .. . to it ill hand paid, the receipt whereof Is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . ~~~. . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) .~ ?~.~9 ,Block, . ~~. . . .. ,UNIT .... ~ . . . . . .. ,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 River County, Florida. ....................................... To Have and to Hold the same forever; provided that said property shaU be \lsed 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. Attestl~A. ~m....Q.'&~~.... 1 ~"""" City Clerk C>TYOF~'7~ B~_................................ MaTor Sign,'d, Se r Dill Delivered In the sellee, , L:;~.,k~HH.......... P:7~ STATE OF FLOnmA COl'NTY OF INDIAN RIVER I HEllEDY CERTIFY, That on thla ...... 2.7.4Q... _...... _ ,do)' of .N.Qy'~Q~,r:............",.."......"..........., 19.9:5.. Arthur L. Firtion Kathryn M. O'Halloran b,'fore me personally appeared .................... _ . . . . . . . . . _ _ . . . . . , . . _ . . _ _ _ . _ _ and _..... _ . . . . _ .. . .. . .. . . . .. . . . . . . . .. . . . . . re.p"ctively Mayor alld City Clerk of the City of SebaRtlan, 0 municipal corporation under the 10"'. of the Stale of Florida to me known to bc the indh'iduul. umj officers described In und who execukd the fore'going CORveyunce to (ClIitu ~..aI) ~I?._ .M~r+. .lj:~~~I;'~.. .................... . - - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free "ct nnd deed .. such offleers thereunto duly authorized; and that the Offlclol .cul of said corp<>n,t1on is duly affixed thereto, nnd the .old conveyance i. the uet ulld deed of said corporation. t1 WITNESS '"y signature and official se,,1 at Sebastian, In the Cofnty of Illdlan nlv~en tat~ of Florida, the day snd Tear Inst aforesaid. , )_ ~ Wi\lf>\~ UNDAM. GAllEY (.- - .';(';Jj. I'. ,./Jltr24\"..".. . .. ... . _ . . .. i.: ;'1 MY COMMISSION' CC 375124 uhlie, State f _.P'lorlda nt Lar... =. . . : EXPIRfS: June 18. 1898 ' ~ '~ThnI /Io\IIy PullIc \hIIrwItlIn alsslon expir ( ~ , . ~'~"-.~-_ M. Galley --r- ~ ~ ..------ ------~---- " , N~me I, t ~' Unit fit E' Rf~ /-I, E(. k ,:: iE'T '1 Block 3IP lot ~ () Date of Mark-out ,1'1 Ji ',' i i -"'.- , i '1, t Date of Burial ii/.i::/;;:;,- I J1 Time / I (> 0 A _ t'). Name of Fune/al Homii~) ,.5 T R G. ~X) i<" i~ \.,~- 1.-.,,/. ./ >7:- /7 "./// ./ ,- Authoriz'edJ2)!__~'~/">' '~Y'/",{,o(,'(,_: ,/( ({ ) ,/ .. ---. -, -_._----._-. ---..---. ~ 11B.~1 State of Florida, Departme_ Health and Rehabilitative Services, Vital .tics APPUCATI~FOR BURIAL - TRANSIT PERMIT A If/C}O f3 3~ {j/f A. 1_ Name of Deceased (Type or Print) First Merl Middle Howard Last Eckert DATE OF DEATH Month Day 11/10/95 Year Medical Examiner Name of (If neither, give street address) Hosp. or ~ Inst'590 Qui escent Lane Address Phone Number City, Town or Location 2. Place of Death County Indian River 3. Name of Medical Certifier Nasir Rizwi, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral 5. Check Appro- priate Box Sebastian Homes, a 0 Physician Address 1623 North Central Avenue P.A. Sebastian, Fl 32958 1228 The medical certification has been completed and signed. A completed certificate of death accompanies this application. 13865 U.S. #1 Sebastian b~ .JanAt was contacted on 11/10/95 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and thafolasi r Ri zwi. 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 oSebastian Cemetery Final Disposition: 7. Funeral Director / [)treat B:':'~'}a!lr Indian River FE No./Reg. No. Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit N01228-95-0500 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 filing the death certificate requested. i::l8!lii~IIJ H Subregistrar Signature ~1 . . J 1. A.. }...A C',c ~ -(U Date ,( l I ~ Issued: I & 1" ~ Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA Signature ' Medical Examiner Date or 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 CREMATORY Methods of Disposition: ~ BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition cAt L'AL Date of Disposition -Ijp. J-,-->L (1_ ;f;1 13, I~'ls Signature of Sexton ) or Person-in-Charge) dl/~:'" .i-. f'l-,J-u' 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 ediltol1 which may be used) i.Stock Number: 5740-000-0326-2) .1 Paid by CEMETERY Receipt No... .8'6 ........ Dated.......... J9(?7/?~......... Lots 2.1 & 22 Block List Price $ .. . ~ ...Q<?9. '.99. .. . . Maximum No. Burial Spaces.. .. . . .. .. . .. .. . Unit 4 1,000.00 NO. Ner Paid $ Monument permitted. . . . . . . . . . . . . . . . . . . . . . . 10.15 (Dat. above till. line for City Record ouly) <lIity of ~ehn.6tinu QIrmrtrry ilrrll NO. 1515" THIS INDENTURE MADE TIolo _., _ _ _ 27th day of October 95 A. D., 19_ between lhe CUy of SrbusUaD, .. municipal eorpordion ex.1iliul' under the hAws 01 the State 01 (I'Jorida. &S Grantor &lId _ . , . . _ _ , . _ _ ,Rose .A.. . ~ran _ 1125 Landsdowne Drive - - - - - - -"......, -......... - -.., - -. - Sebastian, Florida- -32958- .f tbe County of . Jnd;Ll;l11 JU-Y:~r. , , , _ , _ _ _ . . . _ . _ . _ . .. _ " ani SI.te of - - - s. Grantee; WITNESSE1'Ha That the Grantor for and in consideration of the sum of $ . _ . . .l: 199C?: 9Q. . . . . . . . . . . to it in hand paid, the receipt whereof is he,ewith ac- Imowledged, does by this instrument grant, bargatn, seD, release, convey and confirm unto the GEantee h.::~. . . .. heirs, legal representalives and assigns the foDowing property situated in Sebastian, Indian River County. Florida, to.wit: AD of Lot(s) .~~!i<.~? , Block, . .. .~9.. ,UNIT ...~......,.. ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plar 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 River County, Florida. r::!-Q:t;';Ld!3,_ To Have and to Hold the same forever; provided that said property shaD 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- forel 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 Ihe uwner of any property situated within said cemetery to ob. ser;e and comply with such rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then lhe 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 rust part has caused this instrument to be executed in ils name and on ilS behalf by its Mayor and attested by ilS Cily Clerk and its corporate seal to be hereto affixed, lhe day and year rust above written. - / . .j Altek/hiy.~~t.J).()tIM(~t-:~~ , ~-- - -; - City Clerk 'nYOFiJ~j7 8r u:;/b;L' (~~g "".."". Malor Signl"d, Settled oml Delivered In the Pa"eltenee 01: ~ / ~~U .CY4"fiJ! p p p.. P..... yt:L.;:(A;,~, (Q!ity ~elll) STATE: 01' )o'LOnJDA COl'N'fY OF INDIAN RIVER J JlEIlEBY CER'fU'Y, That on this 27th _ _ _ _ _ _ _ _ , , , _ _ _ duy of October 95 19_ b"'",e Ille 1'<I8"nally appeared _. ~_~~~_ ,~.._, F'irtion and Ka_th~.~: _ (?'.~_~~,<?~.'!~__ lespi"{otivcJy Mltyor and City Clerk of the: City of Sebastian, ij municil)al corporation under the ha\l"s of the Sta.te 01 Jt"'loridu to me known to be the iIHJi\'iduul. anu offict~fS tlescribcd in uau) who executed the ton'guing CUMvcyuncc to Rose A. Maran . " ' 0 0 . , " 0 " " ' , , , 0 ' , aud severally Rcknowledgt.d the execution thereof to be thdr fnc act and deed tiS such uHiccrs thereunto duly uuthor~cdi Bud that the Officild SCld ur soill curporulioH ItJi July uffix{Od thcrctu, &Hul the suitl cunvt'yu.ucc is the lIet ulIll tIt"cd or .&aid corporation. WtTNI!SS lilY slgnoture and official seal at Seba.Uan, in Ibe Coufty uf ]ndior ~iV"~U ill/Stole ot l'lorida, the day and rea: lost .fore.aid. "- /; '''C ~ /, / -. 0,~ ''J i?: ~' ~c --;?:t.'.eJ ~'_ '" ,/~<:,L':'<-'~__ _.. _ _, __ __,_ No ary I'ublic, State of ~Iorldu at Lar e. My coooul..lon cxplre.( \ Linda M. Galley '-- UNDA M_ 8AU.EY MY COMMISSION' CC 376124 EXPtRES: June 11, 19111 8ondod 11Iru NoIoIy I'lIIlIIc .--. . . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 November 7,1995 Rose A. Maran 1125 Landsdowne Drive Sebastian, Florida 32958 Dear Mrs. Maran: Enclosed is Cemetery Deed No. 1515 for Lots 21 & 22, 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. 869 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. ~m. 01-/~A- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures . . . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA 't0Q SUM OF: Dollars ($! j-JiJ,~ FROM: on , '/) , 19 S::::2 for the purchase of the Lot(s)jNiche(s) upon the terms and Description of Property: Cemetery Lo~{~~~~ Purchase Pr~c : ,. .' ;2 BlOCk'30 Unit L Dollars ($)/1)().~ 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: i -Lf1~ a. ~ The City of Sebastian agrees the above named purchaser(s) above instrument. ~ &,;Y ; ~' Jl'ftness uL~ property to stated in the '- . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA '6toq THE SUM OF: Dollars ($! iJt?O ,.~ FROM: on this ' following described conditions as stated i ';) / 19 ~ for the purchase of the Lot(s)/Niche(s) upon the terms and Description of Property: Cemetery Lot(~,~~ Purchase Pr~c : " . :.Z Block '~5 to Unit L , C(J; Dollars ($jm/)..7) 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 tOBll the above mentioned property to the above named purchaSe,r(s) on the ter, ms and cO,n, itions stated in the above instrument. rf /[~ \.,' //. ,,----. -- /~ - Ci uL /~~ ~Af,1Yl/ .y:;-itness 1,- J Name JZ"vc";O i;' , /,'1._, /'" . "- (I;,// k:fiA) ,Unit '-I Block :;, I ,-' \.p Lot dl. Date of Mark-out Date of Burial 10 /~7fis- I F TI'm"'. //'1' /) /-..4 AV' ~ ,r ~ $' c.".' LI ~ ! .. ;, j " ,.'\ _,.N-.,e of Fun,e~~1 HOmE}/' ..5 fl(:i:;i, !J~ ' ; :Au:~rz~~~'=~:, j;:i);;;:;'~;l ,-,~"'" j '\ ! (.~/' J. -" :red 161ZS lo]a 7 }q~ mo.Yan:R~ 1+. \ \as lJJf)d~dvw~ Dr: ~af\ rL 3act-6o w~ ~ltd~,-:5lcxk&,Un'/ttf Joseph l"Ytaran inkr-rfJ) /O);?);5 &i~ ... Paid by CEMETERY Receipt No. ... ~?Q ... .... .. Dated 10/27/95 Lots 21 & 22 List P . ce $ 1 000.00 . . . .. . . . . . . . . .. . . .. . . . . . . . . . .. Block 36 n . . . . }. . . . . . . . . . . . . Maximum No. Burial Spaces Uni t 4 Net Paid $ ... ~ ! .~~ .. ?~. . . . . Monument pernutted . . . . . . . . . . . .. . . . . ....................... NO. 15.15 (Data above this line for City Record only) [lD.~1 State of Florida, Departmea Health and Rehabilitative Services, Vital .tics APPLlCATI~FOR BURIAL - TRANSIT PERMIT t.. c2/1 cQ c9. /3 3~ Vi A. 1 _ Name of Deceased (Type or Print) First Joseph Middle Last DATE OF DEATH Month Day 10/23/95 Year Maran 2. Place of Death County Indian River 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hasp. or Insl125 Landsdowne Dri ve Address Phone Number Sebastian Pedro Es at D.O. 4, Name of Funeral Home/ Direct Disposer Strunk Funeral Homes 5. Check a 0 Appro- priate Box 7965 Bay Street Sebastian Florida 32958 407 589-5600 Fla. lie. No./Reg, No_ Phone Number (Area Code) 1623 North Central Avenue P.A. ebastian Fl 32958 1228 407 562-2325 The medical certification has been completed and signed, A completed certificate of death accompanies this application. ~ Li <;a was contacted on 10/24/95 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and th~ed ro Esoa t. D .0. 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 c$ebast i an Final Disposition: 7 - Funeral Director / ~,..t n;li~8Eler Removal Indi an Ri ver from state F.E. No./Reg. No. t.'Z,. Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit Nc1228-95-o482 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 w~ich death occurred. o No extension of time for filing the death certificate requested. ReQi~tr~,. Qr ~ L. " · ~. l' "- r-\ "'-~ Subregistrar Signature ~ ~ Date \ f " Issued: \ 0 :t ':) q ~ Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA Signature , Medical Examiner Date or 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 CREMATORY Methods of DispOSition: !Xl BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition ...J~ 1- /\ f;;, ~ flu>'> Tf;"J> (')ro +r-\...v- ~ '7 . ,q '9 '->o- f Signature of Sexton ) or Person-in-Charge) '''7L.U:'''' ~ {'I,,~ j 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 <lditlun which may be used) I Stock Number: 5740-000-0326- 2\ :r