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Home My WebLink About4-36-36 .. 'paid.bY~EME~~~ R~~iPt NO............ Dated... ).I.?:i'd.~fJ................ ~~~:~. List Price $ . . . . . . . :. . . . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . .. . .. Un i t 4 500.00 NO. Net Paid $ Monument permitted. . . .. .. . .. . .. . .. . .. .. . . .1530 (Data above thl. line for City Record only) Cl!ity uf &rbustiult O!rmrtrry m r rb , 1530 NO. THIS INDENTURE MADE TIoII ..... 28th dAY of .. March 96 A. D.. 19. ...... betw.en the City of Sebastian, a municipal corporation existing und.r the laws of tI.e State of Florida. a. Gr.ntor and of the County of .. Jm\;i..~.Q. .R:j..v~;r:.. .a Grante.. WITNESSETH, That the Grantor for and in consideration of the sum of $ ...... ?9Q ~ .Q9.. . . . .. . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, doe, by this instrument grant, bargain, seD, release, convey and confirm unto the Grantee .~;i,~.... heirs, legal representatives and a..igos the foDowing property situated In Sebastian, Indian River County, Florida, to-wit: AD of Lot(s) .~~. . .. . Block, }~. . . .. ,UNIT ...~......... ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 65 of the pubUc 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. RQbert.~...BateB................ 330 Main Street . Sebast!an-f. .F.IQr,i.a.a.. 32-9.58 . Flo.d.da.. . . . . . . . . . . . . .. an I Stale of To Have and to Hold the same forever; provided that said property shaD be u,ed solely and exclusively for the interment of the human dead and shall be used, kept and maintained at all times in IIccordance with the rules and regula lions, 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 ,hall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the r",t part has caused this instrument to be executed in It, name and on it, behalf by Its Mayor and attested by its City Clerk and It, corporate ""al to be hereto affixed, the day and year r",t above written. / Alt..i;~i~.~ in t)i!alhu~.... II City Clerk CITY OF SEBASTIAN, FLORIDA I By Yu~ r.( tu, b.</t ."'1'. t........ ~ Ma70t V.",:~ Slgnl'd, Sealed und Delivered In the P e ce of: _ / --------I / .2'11 U~{~;;( _ ~YA.~~.~....... STATE OF FI.Onm/ COl'NTY OF INDIAN RIVER I HEnEBY CERTIFY, ThAt on thl. .....28t.h. ..d.~' of ..Mar.ch...............................1996., h..fure me personnlly app..r<d ....1. ?1!.~ ~~.. .R... . ~.artw:righ t and K.a.tl:1~yn. M.... 9.'. Ha)..19r.a.,? rrnpf.(.tivl'ly Mayor and City Clerk of the City 01 Sebastian, H municipal rOT po ration tinder the 18ws o( the State of Florida to me known to b(. the indi\'iduulfil nnd oHlerrs described In und who execuh:d th(' fongoing CORveYllnce to (QJ:itfJ ~eal) .. .RQP!'\f.t.. W ,.. .131'l!:.~.l;l...... ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severnll)' acknowledged the execution thereof to be thefr fr~e Act And deed as such officers thereunto duly authorized; and thftt the Official St~f11 of said corroration Is duly 8ffJx~d thereto, And the said convf'ynnc(~ ilt the net and dt'rd of said corporation. .?'.>>~~ LINDA M. GALLEY ( t.: :. MY COMMIll8IllN , CC S7157204 ;,.; . EllPlAES: Juna 18, Ieee "1.:j;Ri " _ltwu ~NlIIo"- fL'l '" .~" ~~~ R',., , ~~'l'"'." ". .."."'."'."" No a1'f Puhllc, St.t. lorld. At Large. M~ comIDI..lon .."Ir i Linda M, Galley - WITNESS '"y .lgnAture and official ...1 at Sebastian. Inst u fort'seld. Name f.<' F L}- 2 ~ 1'" - ......--;-' ...-.,-" " ,,~ C){-,\! t...:J i. Unit~' Block r-..LP. . """ . _1 Lot ..."") " .,::)V I ,..'\ ' Date of Mark-out \.".J7 I i '..\"{ ~ j' . \.:' i '1 , Date of Burial Lei I b I lR . y Time ; () , DC) f\ '({\ , ,...,....'....1 ""...?-;. f"".-"'/ 'roo " Name QtFuneral Hom!,'" .i ):::.) \ 5X'v, 1(:: ,,-.,:, t,."".' .....~'~"'::.;?'i~~~::~~/;/>';;j?~~..... AuthQr~~:d~~~ .-,\.-i~1'>'~ <41-<;...., . (" ," " "',/" ~: I ~.' ,...,e/" i.' f. I ; i d J. Paid by CEMETERY Receipt No. .... ~~A...... . Dated. .. .~J.~.f}/.~.q............... 101;- 36 .. 500.00 Block 36 List Pnce $ . .. .. .. . .. .. .. . . .. Maximum No. Burial Spaces U . t 4 ................ nl Net Paid $ .. .~?~ :.?~...... ~b ;f\cbeA- S:f) m(ll Yl ~ +- -<.. __t\~~ _. r ".- -" - &<1--50 -J~ 1, \--L , 0+ 3G~}DC-l3L" Un. ol.\- ~I hk/J~-7:'~5 -~d &/10/ 1~ \..., - Monument permitted. , . . . . . . . . . . . . . . . . . . . . . " 1ked 15~ '3\c+~\ q ~ 9;;r '-.. - NO. ,1530 !E SEBASTIAN CEMEtRY CITY OF SEBASTIAN, FLORIDA 'e8<1 FROM: HEREBY ACKNOWLEDGED OF THE SUM OF: I)(J Dollars ($<2:JU.t 7 ) on this ~-b- day r;>f following described Cemet ry conditions as stated here~n: the purchase of the the terms and Description of Property: Cemetery Lot!B1 /Ni.~.9?tvX' :>~ .12 Purchase Pric~: ~!Ltll dly,. ~ Block ,30: uni t ~- Dollars ($'W, ~() ) Terms and Condition of sale: (t~ek/yJ). &/1.0 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 the above named purchaser(s) on above instrument. sell the above mentioned property to the terms and cond~tions stated in the , ;:./ / I ' L&#_ cL~. . ~itness . _ V i (/ o ... ~ ~ lil en N I,l:.l 0:1' !-< ~ ~ g; Lr) O~~ ~!-<~<Xl << -~ ::Ec:QQJN o .~...., !-<~Ui'ii: I,l:.l!-< I: - ...J c=::'n; fa ...J1,l:.l'<:::':;: 1,l:.lc:Q":::;", !-<oo.E ~c=::~J; . . ~B ~\ "- ~ ~ IE .~ ~ en .~. fF7 ~ ,.." o I:C ,.." I:C ..:r - ~ 0 1i 0 III I:C o _ 5~~~g m &l ~"~ ~tIJ: ~[\- ~5LL '_ C 'C ~ r!.i:i ru 5~~ (fI~:' ~'O .9~ ~ c:i:: , ' . . , . City of Sebastian 1225 MAIN STREET [J SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 [J FAX (407) 589-5570 April 8, 1996 Robert W. Bates 330 Main Street Sebastian, Florida 32958 Dear Mr. Bates: Enclosed is Cemetery Deed No. 1530 for Lots 36, 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. 884 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 convenience. S~m. O'fjaHPA.- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures . . !E SEBASTIAN CEMElRY CITY OF SEBASTIAN~ FLORIDA 't8zJ ACKNOWLEDGED OF THE SUM OF: {J(J Dollars ($<1)0./ 7 ) FROM: on this ~~ day f following described Cemec ry conditions as stated here~n: the purchase of the the terms and Description of Property: Cemetery Lot iB1 /-N.J.~... a ~~. .. Purchase Pric~: -JLl-l./ Xdlf,. ~ Block .36 Uni t .;j Dollars ($.&J, to ) Terms and Condition of sale: (!J/.1{lk /yJ). (Pl!o 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~e~~ The City of Sebastian agrees to the above named purchaser(s) on above instrument. sell the above mentioned the terms and 7ttions property to stated in the L~f_ qi~ ;:Witness V [~I.~I State of Florida, Depa.nt of Health and Rehabilitative Services, v..tatistics APPLI ON FOR BURIAL - TRANSIT PERMIT L30 1:3 3& tlt-j A. 1. Name of Deceased (Type or Print) First Estelle Middle Last Bates DATE OF DEATH Month Day 06/14/96 Year Medical Examiner Name of (If neither, give street address) Hosp. or Inst330 Main St reet Address 2. Place of Death County Indian River 3, Name of Medical Certifier City, Town or Location Sebastian Phone Number Philip P. COrrao, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Homes, 5. Check a 0 Appro- priate Box Physician Address 7955 Bay Street Sebastian, Florida 32958 (407)388-1700 Fla. Lic. No.lReg. No. Phone Number (Area Code) 1623 North Central Avenue P.A. Sebastian, Fl 32958 1228 (407)562-2325 The medical certification has been completed and signed. A completed certificate of death accompanies this application. bXD Darcey was contacted on 06/14/96 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 thatPhi 1 i p P. COrrao, 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 / Direct Disposer River F.E. No.1 Reg. No, 1672 Removal from state Donation Date Signed 06/14/96 B. BURIAL - TRANSIT PERMIT P 'tN 1228-96-0281 erml o. 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. 'Rv~I";)L1 UI VI Subregistrar Signature Date Issued: ~11",J9(,. 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 Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) /1{j1 9' ,~k /L Place of Disposition Date of Disposition -- d ..- 6J!./J.4; /1J4v1 LM'I,f1 IF../!' j . 10/ J A ,I '9 t;:.. . ' Methods of Disposition: . BURIAL o CREMATION 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) J.