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Home My WebLink About4-36-38 ,. QUty 'rmrtrry of &tbustiun m r r be ~ d683 NO. THIS INDENTURE MADE 'l1aIa 20th day of April 99 A. D.. Ill....... between lhe City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and , , , ' , . . . . . . . . . . . . . . .. .. .. . .. . .. . . .. . .. . .. .. . . . . . R \l. t.b. . W ~.1.1.a . . . . .. . .. .. . . .. . . . . . . ' . . . . . . . . . .. . . . . .. . . . . .. . .. . .. .. . . .. .. .. . .. .. 199 S. Broadway .,.................... ....................... .... . Fel.1sme.r6.,. ..Fl. .32.948..... ."........................ ................. of the County of ,.. ).I:l.4;i,~~. J~;i, Y.~.:t;".................... anJ State of ........... ..~l~r.i.(hL............................ u Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ 7. ~ ~ : .Q 9. .. . . . . . . . . . . . . . . to It in hand paid, the receipt whereof Is herewith ac- knowledged, does by this instrument grant, bargalD, sell, release, convey and conf1Iffi unto the Grantee .~.~F.... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: AU of Lot(s) . ~.~ . .. ,Block..3.?..... ,UNIT ..~.......... ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 6S of the public records in the .ofllce 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 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, restrlctlons 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 flIst 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 flIst above written. ... ... mod~.... CIT:,O~~~..... City Clerk M&7or ;7........~... (QIitv Ji~lll) I HEltEDY CERTIFY, That on this ........4R!:.~..........day of ..............hp;r:::!..l............................. 11.99.. Martha S. Wininger Kathryn M. O'Halloran before me personally appeared ........................................................... and ....................................... resp,'etlvely Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known 10 be the Indlviduuls nlld officers described In and who execuh,d thc foregoing CORveyance to ............................................... ~~ ~.l,1.. ~~.1)..f1................................. WITNESS my signature and official .... at S 18st aforesaid. UNDA M. GALIEf MY COMMISSION' CC 7 EXPIRES: June 18, 2002 _ ThnJ NoIIry Public UndImIIolI ,). ", ~ t../ . ]0 . ~8 Paid byCE,METERY Receipt No................ . Dated .......... !+.t.~9/f}.?........ List Price $ . 7. ~ ~ = .q~. . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . 750.00 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. (i1683 (Data above this line for City Record ooly) ..._--_.,....~. ~t1Jhl" b ))eJ 1ltf6~ ~\~~ ~4[) .\ t Lo+~;d))ccL3l;:,/in;+4 H&ber{ Q, Krewb-\nkred 41'lb!11 ,.....---_._-_..-~-~-_.__.~---._-_._- . ~b) ~~ ~~'ri'lt~b ~l..\~ ~~ \S \9t( ~. ~\~ we \ ~L- -:DeJ llo 1~ . +~ Loft5o ,thxb 3(P I ~ ~ '-/ ~~Aj ~ IJ}~ Nam~ !ilBjj,ze'r fl. L[ ~;t)00Jes '.3tJP Block Lot - .35 Date of Mark-out 4/ ) <;. / 99 I .: ' ;iijJI(;l;~1; ....., . ..' .'. ." '.' ",c..-",..~., "".,._.,,~.,., Time ."3 ': 00 p.", Date of Burial I' 'i:; .~ ~ e e THE SEBASTIAN CEMETERY CITY OF SEBASTIAN} FLORIDA Dollars ($~~ ) FROM: on this cJ{) day o:f ~ollowing described Cemete' conditions as s'tated herein: ~or the purchase oL the upon the terms and Description o:f Property: . Cemetery Lot Terms and Condition ox sale: Block ~ Unit L Dollars ($~?; Purchase Pric . This contract shall be binding upon both Parties, the seller and 'the purchaser, when approved by the owner o:f the property above described.' I, or we, agree to purc:hase the abo~e d:scribed property on 'the 'terms and conditions stated 2.l1 the :forego~ng l.l2strument: . The City of Sebastian agrees to sell the above en ioned' property to the above naIIJed purchaser(s) on the t s an con itions s'ta'ted in Cbe above instrument. Witness . . City of Sebastian 1225 Main Street Q Sebastian, Florida 32958 Telephone (561) 589-5330 Q Fax (561) 589-5570 E-Mail: cityseb@iu.net April 23, 1999 Ruth Wells 199 S. Broadway Fellsmere, FL 32948 .. Dear Mrs Wells: Enclosed is Cemetery Deed No. 1683 for Lot 38, 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 or you may call or call the Deparbnent of Revenue at (904) 488-9487 for : more information regarding the completion of this form. We are enclosing two copies of each the receipt and ask that you sign and return to us the copies marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. . Sincerely, ~J:~(JjjaUPA- City Clerk KOH:lmg Enclosures FLORIDA DEPARTMENT OF Staa Florida, Department of Health, Vital S.tics APPLICATION FOR BURIAL - TRANSIT PERMIT A38' J3 3i, LI/f HEALT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Herbert A. Knowles Death April 14 1999 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Fellsmere Insl. 199 S. Broadwav 3, Name of Medical Address Phone Number Certifier GeoAe Mitchell, D.O. 13855 U.S. #1 Medical Examiner rx1 Physician Sebastian, FI 561-589-8992 4. Name of Funeral Home.lil;,......l B;"'t'u"dl Address Fla. Lie. No.lReg. No. Phone No. (Area Code) Establishment 1623 N. Central Avenue Strunk Funeral Home Sebastian, FI 1228 561-589-1000 5. Check Appropriate Box a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. ~ Shelly was contacted on 4/14/99 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Mitchell will complete and sign the medical certification of cause of death within 72 hours. c.D was contacted on He/she verified that , Medical Examiner, will complete and sign the IiWllllt 9i81!88er< Date Signed 4/14 99 6. Funeral Director/ B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228- 9 9- 0 19 5 o A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. o No extension of time for filing the death certificate has been requested. Pb:ybltcu VI' Date . . I .. I _ _ Date Certif~'fte _ , _ _ Issued:~Due:~ Subregistrar Signature C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA Approval Number: Date 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. Method of Disposition: CEMETERY OR CREMATORY Place of Disposition D. @BURIAL DCREMATION Signatcre of Sexton or Person-in-Charge DSTORAGE Date of Disposition Sebastian Cemetery ..... bLq , DOTHER (Specify) } r i.~ J.. f'.I....L This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectorlDirect Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the county where disposition occurred. DH 326. 8/97 (Obsoletes all prevIous editions) (Slock Number' 5740-000-0326-2) Distribution: White: Cemelery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar J,