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Home My WebLink About4-36-37 .1a Paid by CEMETERY Receipt NO~~~."""" Dated...... ~~~??/??............. L' P' $ 500.00 M' N B 'I S 1st nce ... 50lf:OO' . . . . . . axunum o. una paces................. Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Lote Bloc Unit NO. 1514 (Data above thl. line lor City Record ouly) aIUl1 of &rbnBtinn (!Itnttttry m t tb NO. 1514 27th October 95 THIS INDENTURE MADE TIIIa ..... day of .... A. D., 19. between lilt: City 01 Sebu.iUan. a municipal corporBtion exlaUn&, under the laws 01 tile State 01 Ji'lorida- alii Grantor and Bormie L. Buchanan . . . . . . . . . . '448 'Tunison' l.ane . . . . . . . . . . . . . . ..... ..................... .Sebasti~n.'.. ~~()ri.~~. 32958 Indian River Florida .1 .he County of . . . . . . . . . . . . . . . . . . . . . Ai Grantee, WITNESSETH, T"'t the Grantor for and in consideration of the sum of $ ............. ?Q9:.Q9.. . . . to it in hand paid, the receipt whereof is berewitb ac- knowledged, does by this instrument grant, bargain, seD, release, convey and confirm unto tbe Grantee. . . .~~::. beirs, legal representatives and assigns tbe foDowing property situated in Sebastian, Indian River County, florida, to-wit: AD of Lot(.) . .~? .. ,Block,.... .~9. ,UNIT ..... ~ . . . . .. ,of Sebastian municipal cemetery as per Plat Number ltbereof recorded in Plat Book 2, at page 6S of tbe public records intbe office of tbe Clerk of tbe Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. .. . .. .. . .... ani St.te 01 To Have and to Hold tbe same forever; provided that said property shan be used solely and exclu.ively for tbe interment of tbe buman 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.restrictiol1s and requirements contained in this instrument shaD be covenants running witb tbe land. III the event of the failure of tbe 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 properly s"'D terminate and tbe same shall revert to tbe City of Sebastian, Florida. IN WITNESS WHEREOF, Tbe .aid party of the flfst part .... 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 bereto affIXed, tbe day and year flf.t above written. Alte.t; /\i~'4rn7,: (): lkf!.e~.~~. City Clerk CITY OF S~J '1'1ANJ-l...ORIDA. /4~::' - ~ /y . 1/~) By L 1. . ;f!/~::-:-t <.- d~j,... :?:~~~7?' MaTur Signl"d, Seuled und Delivered In the Preiaience oft / 0tif!?~ (QIitll ~~ll') STA't'I<: OJ' 1"\.OIlIDA COl'N'fY 01" INDIAN IUVER I lIEIlEBY CER'I'II'Y, 'fhat on this .... ,day 01 October 95 27th 19. bel"re me personally appeared.. ~.~h~. .~.... ~i:r~~o~. and Ka~h~~ .1Y1~. .<?'~~.~~.~~~~... reslwctivdy Mayor and City Clerk of the City of Sebastian. a municipal corporation under the la~'s of th(:' State of Florida to me known to be the iudiviJuuls UIlO officu!::i d~!;cribcd in LInd who ell.ccuh:d the ton"goillg co...veynnc~ to Bmmie L. Buchanan . . . . . . . . . .. . . . . . . . . . . . ......... .... .., ...... and severally ackllowledgt.J the execution thereof to be their free act nnd deed us buch of fleers th~rt:unto duly uuthorized i and that the Official bc<<1 of said corporution Is duly affixed tberdo, 8ml the said conveyance ,~ the ncl uml d~ed of said corporation. WITNESS 10Y slgnatore and official seal at SehaaUan, 111 tbe Cou~'y of IlId.lal~" River In ,sr;;te) 01 Florida, the day and 1ea, lust ufordaid. '\ ' I J UNDAM.8ALlEY ---------- - ;; --, -) '(1. 1}1 MY=~~~1:724 ( /<~.. --I-e~t.!.. 7~tc-'\""""""""""" Ilonl1odllwHolallyNllio............ ---.' Nula Public, State 0 ~ld'~ at Large. My c lIuula.lon expire.. . Lin a M. Galley ',-- _ ' I Name S;I ;/.!..l i ji } f'- . V'It;.' 1)/:- 1'11/>; N L: I).... Unit ./ Block ,~j l.~) Lot :T Date of Mark-out ./ .0/; '6 / ,r/? t; ..'--' Date of Burial I /', /:) z-'-' /{)//7 fl' ,::;: Time ,.-<: "() 7-;" i~:,"""'" Name of Fune~al Home , '1 -~\~~~-:---,~./"/ Autho~ized by _ ":>.'~;~,,'1:: __......".".~..,._.~.__;:r- \ /1 ,l>:.( "~:1-,;:;';'~~~'~~~':,,{ , \ '...............~.--"-''',..,.,..-. ~/'611 ~ IDFL1 q5 '--0+ 071 J310:!1.6tp I Un i t 4 ~~ ~-~ /oj;?fto ~ "" - '-- - 868 10/26/95 Lot 37 Paid by CEMETERY Receipt No. . . . . . . . . - . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Block 36 Ust Price $... ~gg.:.gg....... Maximum No. Burial Spaces................. Unit 4 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. 1514 (Data above this line for City Record only) ~E SEBASTIAN CE~RY CITY OF SEBASTIAN, FLORIDA Y0Y , ~- . - OF THE SUM OF: Dollars (0'2)O'p ) FROM: ;J~ ~~ on this <9 tr~"If:y day of, , 19:Jj. for the purchase of the following described Ceme ery LotJs17Niche upon the terms and conditions as stated herein: Description of Property: Cemetery Lo~J$17~id~/ ;~~ Purchase Pr~ce~ _'~/~ Terms and Condition of sale: Block 3to Unit 4 Dollars (~~, ~ 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 the above named purchaser(s) above instrument. sell the above mentioned property to he terms and conditions stated in the 7 / -!td!!d- C. SJUUh oL~~ !fitness . . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 November 7,1995 Bonnie L. Buchanan 448 Tunison Lane Sebastian, Florida 32958 Dear Ms. Buchanan: Enclosed is Cemetery Deed No. 1514 for Lot 37, Block 36, Unit 4. Also enclosed is a fonn - 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. 868 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. S~ ~m. ()1-/~A- Kathryn M. Q'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures [ln~] State of Florida, Departm.f Health and Rehabilitative Services, Vital .tics APPLlCATI FOR BURIAL - TRANSIT PERMIT (3(.-37 A. 1 . Name of Deceased (Type or Print) First Middle Last DATE OF DEATH Month Day 10/16/95 Year Shirley Lee VanDenHandel City, Town or Location Name of (If neither, give street address) Hosp. or Ins. Medical Examiner Phone Number 2. Place of Death County 3. Name of Medical Certifier 4. Name of Funeral Home/ Direct Disposer 981 37th Place Fla. Lie. No./Reg. No. Phone Number (Area Code) Avenue 5. The medical certification has been completed and signed. A completed certificate of death accompanies this application. ~ G81"\dy was contacted on 10/18/96 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 thatleremy R ~ffen, ht 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. P~ace ~ebastian Final DIspositiOn: 7. Funeral Director/ Dicect ni~~e8~ Indian River F.E. NO./~/~2 Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit NcJ 228-95~6 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. Ae~istrr- M Subregistrar Signature ~L~'1..A. M c..~ Date i)" Issued: / a I" 9.) 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 ~J..u;t;,:,MU /l2#Y!~1;'!I Date of Disposition ~(' ~ J. u./ 1 ~ I I ~ 9 s- Signature of Sexton ) or Person-in-Charge) ~:-.. .:. . (' j-1. This permit must be endorsed by the Sexton or person-In-charge (or by the Funeral Director/Direct Disposer when there is no SextrL 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)