HomeMy WebLinkAbout4-36-32Name
Unit "l
Block 3 (0
OfEf-UIAAt
Lot
Date of Mark -out �0
d�1001�
lv o !6 • 0 p0 . '
Date of Burial Time
Name of Funeral Home
Authorized by
~,
,
Paid by CEMETERY Receipt No... ......... Dated..... 9.!J~./.9.?............. Lot 3.
Block
List Price $ .. . .. .~9.Q.'. 9.Q. .. Maximum No. Burial Spaces. .. . .. .. ... .. .. . Uni t 4
500.00
NO.
.1510
Net Paid $
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
(Data above this line for City ae.,ord only)
QUty nf &rhustiuu
(fi.rmrtrrg
111 rrb
'1510
NO.
THIS INDENTURE MADE Thla ..
18th
. .S~pt.em.h.~.~....
95
A. D., 19......,
day of
belween the City 0' Sebastian, a municipal corpontion existing under the laws 0' the Stale of Florida, DS Grantor and
Mrs. Vivien Howle
..................................1'366.. "Pleasan tview' "Lane.....
........................ S~bas.t~a.n.~. .F.l.o.r~d.a.. .3~9.?8..
of the County of ...IndJan..Riy.er..... ........... anI Slate of ..Flor.ida...
as Grantee, WITNESSETH.
That the Grantor for and in consideration of the sum of $ ........... 5.QO.1 QQ.. . . .. 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 .Q~r. . .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) . . ??. ,Block,.....) {1, UNIT .....4....... ,of Sebastian municipal cemetery as per Plat Number I 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 shall be used solely and exclusively for the Interment of the human dead and shall
be used, kept and maintained at aU times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or prov.Jded for the government and operation of said cemetery. The conditions, restrictions and requirements containcd
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 fllst 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.
Atle~~~ )J7t)d(4#~.....
',,..., c, .-'-; . City Clerk
CITYOF~~
ny~~..~......................
Ma:ror
Signed, Sealed und Dcllvend
in thlresellce of, J
/\)~.e~..~~.~~....
~J'(/. )lJ~..........
STATE OFc{LORJDA
COl'NTY OF INDIAN RIVER
I "RUEDY CERTIFY, That on this
(<lWll Jjelll)
18th
September
95
..., 19..,.,
. day of
bdorc me persooally appe"recl .A.r.t~,:,.r..l:~. Firtion and l(a.thr:yn..!1.....Q.'.Ha).J()I:?p.
re~pt.ctivf.ly Mayur ftnd City Clerk of the City of SebR!;tinn, " municipal corporntion under the lnrs of the State of Florida to me known
to bf' the indi"iduuls nud orffcns des(~rtbcd In ond who exeeutf~d tlH." (Oft. going cORvf'yonce to
Mrs. Vivien Howle
. . . . . . . . . . . . . . . . . . . . . , . . . . . . .. and severally Rcknowlec1gt>l1 the l'xecutiolt thereof to be their fref' Bet and deetl
as snch officers tht'reullto duly authorized; and that the OrtldKl serl) of said corporation Is duly affixed thereto, And the sHld convt"yonce
is the 'tel Ilnd deed of said corporation.
WITNESS my signature and official leal at Sehastlao, In
lAst yforesaid.
LINDA M. &ALLEY
MY COMMISSION' CC 315724 "-
EXPIRES: Juno 18. 19111
_11IIu"*JNIIIC I.IndIIWIll8n
Linda M.
Vero Beach Crematory, LLC
1830 Wilbur Avenue
Vero Beach, Florida 32960
We hereby certify that these are the cremated human remains of.-
Vivien
f:
Vivien J. Howie
June 22, 2016 June, 27 2016
(Date of Death) (Date of Cremation)
Strunk Funeral Home and Crematory Sebastian, Florida
(Funeral Home in Charge) (City and State)
4599 By:
(Cremation ID Number) em for Signature)
CITY OF SEBASTIAN 10103
`A(DMINISTRATIVE SERVICES RECEIPT
Name v + UN K ' ❑ Cash
Date 711t. j (o *Check # %q�07
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit
001501 362100
Taxable Rent
001501 362150
Non -Taxable Rent
450010 369900
Airport Badge
001001218010
CobraServe
001501 354100
Code Enforcement Fines
001501 347557
Community Center Revenue
001501341920
Copies
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 329200 Site Plan Review
001501 329300 Subdivision/Plat Review
001501 329100 Zoning Fees
co 1 s -or 3LF38o5_ ('*—)
Aw< 3& Lo -r 3;
1239" Total Pai SO • UD
I 'eIS
Security Dep Held - Amount $ Check #
White - Dept. of Origin • Yellow -Admin. Svcs. • Pink - Applicant
06/29/2016 16:04
85752 P.001/001
FUN
ERAL DIRECTOR'S REQUEST TOC
Y OF SESt
TIAN
FOR E
URIAL OPENING IN SEBASTIAN ML
NICIPAL Cq
ETERY
i
For information contact:
!
Kip Kelso . Cernet�ry S
Sebastian MUniolpal Cem
ry
(772) SW2545
city CI erk's Office
City Nall, 1225 Main S
Sebastian, FL 82958
Office (772) 388-8215 or 38
244
'
Fax: (772) 585.5570
FUNERAL HOME; St(
nk Funeral Horne and Crematory
SASTIAN
ADDRESS: 1623 North
entral Avenue Sebastian Florida 3295
PHONE#. - -
Check Anel
hoc ,OPEN BURIAL L.
T �.ot,,,_,_52
lock 6
n''
4
OPEN CREMAI
LOT LoL.Block
Uni
OPEN COLUMB
RIUM NICHE Niche 3
oCk__..J
Inli
f
BURIAL PATE AND SEI
VICE TIME. THIS WILL BEA DROP-IN
LY...NO SERV
C
I
I / call when ready
FOR DECEASED: Vivien
J. Howie
N
me
NAME AND SIGNATU
OF LOT OWNER OR REPRESENTATI
i
: i
(Must provide proper do umentation of ownership)
William Tilden Howle IV
942ant T
esta IV
6129/2016
Name
Signature
Date
1 certify that I have date
fined the ownership of the above describ
site that all s
te
ees and administrative
fees have been paid an
authorize opening of same.
NAME AND SIGNATU
OF LICENSED FUNERAL DIRECTOR:
Gary D. Evansagg6/2912016
w
'
Name'
Signature
Date
Cemetery Sexton Certi
ation:
cert"�fy that I have the
ed the ownership information by viewing h
owner's doe
nd confirming with Clerk's
office and that all fees h
ve been paid:
I-eO a,.. 1�4Z,4'
Can-4terysexton
Date
This form to be prowl
to Clerk's Office by Sexton for permanen
cord upon bc In letion.
o
, .
/j
, '
"'-, .
II ou) L ft._
;
Name /V-' I t;" If I:::" J /-, L
Block
"i
3b
Unit
Lot
.3~
Date of Burial
9/1:1. ./9'.1-
/
Sf /1/;/9 ,,-
Time
A : c' 0 iJ, /V", '
I
Date of Mark-out
Name of FuneraI'Home,/\ ;? P tI ;.1 K. ' s .
"\:r/~~'~< .l., /../ )i~! i ,
Authorited'by/<'-~<-'-? ..' ..A.~_/"' ~;,f/..,;,~" Lf
.~~) V \ V \ €i'\
\6to~\~iew 1-P
3ctll~ a1), FL- ~q 0 (S
D~ '510 "
ctl ,~'q6
lo+3.;);7:>IDc-k Ck. Un;+ 4-
rnic1Je//et. 4/lJ/e -il)/<<rd Q)Ip/f:5
'- -
'- -
Paid by CEMETERY Receipt No..... 864
............Dated 9./18/95
ListPrice$......~9.0.00 ..... . ...................... Lot 32
Net Paid $ 500"0'0'" MaximumNo.BurialSpaces.... Block 36
.. ........ :....... ......... ... Uni t 4
Monument permitted
......
.................
NO.
,1510
(Data above this line tor City Record only)
.'
.
,"1 y _0,,-
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~~ ' ,7'
+0 "1S' ~Q
"'~ \"',)'
0" PEUCP....
.
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
October 9, 1995
Mrs. Vivien Howle
1566 Pleasantview Lane
Sebastian, Florida 32958
Dear Mrs. Howle:
Enclosed is Cemetery Deed No. 1510 for Lot 32, 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, Vera Beach, Florida 32960.
We are enclosing two copies of Receipt No. 864 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,
~m. O'/-j~A-
Kathryn M. O'Halloran, CMC/AAE
City Clerk
KOH:lmg
Enclosures
""
~E SEBASTIAN CEMPmRY
CITY OF SEBASTIAN, FLORIDA
oloz/-
IPT IS; HEREBY ACKNO~LEDGED OF THE SUM OF:
.,;y:tivuI/ulrJi IJO Dollars ($~~ )
FROM:
the purchase of the
the terms and
Description of Property:
cemetery Lot (.$1 f~1icbe (-ffj , ~
Purchase Price,.1 +-.b).-fJ 4.1~/J ~_.
Terms and Condition of sale:
Block
\30 unit I
Dollars ($5m~
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~on the terms and conditions stated in the
above instrument.
1
)t'I.~7t...:1..i
,wi tness
/
/
r / /
.J.4d-7( cz.e-.Y..~ 4
y
./
O!YOE
S~;m:;i>~.~T~'
~..~.~ . ~
'~""~'>>._'
~.'l~
HOMf. 01 PELICAN ISLAND'
INVOICE
CITY OF SEBASTIAN
TO: Ms. Vivien Howle
1566 Pleasantview Ln
Sebastian, FL 32958
INVOICE:
Date:
Amount: $
05-066
10/25/2004
225.00
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 36, Lot 32
AMOUNT
DUE
225.00
DUE UPON RECEIPT
TOTAL AMOUNT DUE
225.00
Remit To
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
Account Numbers:
Dr:
Cr. 010059534685
I
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CITY Cf
S~
~...."",......,.:~...
~-:~'-' .'=-.=.....---
---... ._-- --
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570
October 21, 2004
Ms. Vivien Howle
1566 Pleasantview Ln.
Sebastian, FI 32958
Dear Ms. Howle:
Re: Sebastian Cemetery Unit 4, Block 36, Lot 32
It is with regret that we inform you that the marker and/or vase on your Sebastian
cemetery lot was damaged during the recent hurricanes. The city has made
arrangements with a local monument company to repair the damaged markers at
$225.00 per marker and $20.00 per vase.
According to the rules and regulations governing the cemetery (copy enclosed),
interment site owners are responsible for damage to markers and/or vases, therefore,
we are enclosing an invoice for the reimbursement of this fee.
Thank you in advance for your cooperation in this matter and I would like to assure you
that the upkeep and maintenance of the cemetery is very important to the City.
If you have any questions regarding this matter, please do not hesitate to contact me
at the cemetery or by telephone at 772-589-2545.
Sincerely,
Kip G. Kelso, Jr j( & J (,
Cemetery Sexton
Enclosure
";~~:::'~~"Jct;~~i~: . i!111
,,."..._'-"-~--'---= " ':;~~"li-
. :"~~f~:==;~
:_-:!:. :-"'i~
.-
COpy 3
BURIAL
TRANSIT
PERMIT
OEHNR 2164
(RevIsed 9191)
V,T AL RECORDS
.
.
/. 3~
13 3~
IIi
NORTH CAROLINA DEPARTMENT OF ENVIRONMENT. HEALTH. AND NATURAL RESOURCES
DIVISION OF EPIDEMIOLOGY - VITAL RECORDS SECTION
BURIAL TRANSIT PERMIT / CREMATION AUTHORIZATION
Registration
District No. Local No.
DECEDENrs NAME (First, Middle, Last)
Michelle
Colette
1.
SOCIAL SECURITY NUMBER
UNDER 1 DAY
Hours MInutes
4.
WAS DECEDENT EVER IN U.S.
ARMED FORCES (Yes or No)
8. HOSPITAL: 0 Inpatient B:wOutpatient 0 DOA OTHER: 0 Nursing Home
FACILITY NAME (If not institution. give street and number) CITY, TOWN, OR LOCATION OF DEATH
Charlotte
13&
INSIDE CITY LIMITS ZIP CODE
(Yes or No)
13& 131.
FATHER'S NAME (First, Middle, Last)
13c.
Was Decedent of Hispanic Origin? (Specify Yes or
No-If yes, specify CUbBn, Meltican, Puerto Rican,
etc.) 0 Yes 0 No (Specify)
14.
13c1.
RACE - American Indian. Black DECEDENrS EDUCATION (Specify only highest grada
White, etc. (Specify) completed) Elementary/Secondary (G-12) College (13-17+)
15. 16.
MOTHER'S NAME (First, Middle, Maiden Surname)
17.
INFORMANrS NAME (Type/Print)
18.
MAILING ADDRESS (Street and Number or Rural Route Number. City or Town, State, Zip Code)
19&
19b.
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l-
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a:
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III
AUTHORlrY FOR BURIAL, CREMATION, TRANSPORTATION, REMOVAL, OR OTHER DISPOSITION
This burial transit permiVcremation authorization, when completed and bearing the signature of the medical examiner
constitutes authority for burial, cremation, transportation, or removal from the state. No other permit is required or
authorized for disposition of a body under jurisdiction of the medical examiner.
26e.
2B.
26cl.