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HomeMy WebLinkAbout4-36-39 ,'lo .,. Paid by CEMETERY Rereipt NO"~'."'"'' Dated..... 9.t.\~.l9.'?............. lat 3. 500 00 black Li,t Prire S.......:.......... Maximum No. Burial Spare'............... .uni t 4 500.00 15~ NO.. Net Paid S Monument permitted. . . . . . . . . . . . . . . . . . . . . . . (Data above this line for City Reeord only) QHtt! nf t;rbusthttt <!trmrtrrg irrb , 1500 NO.. THIS INDENTURE MADE TIlls ....', 14th " '" dRY of .... Octaber A. D., 19 9.?.., belween the City of Sebastian, a munlelpRI corporation existing under the law, of the State of' Florida, DS Grantor alld Mrs. Diane Spadaro. ...... .t4'3' Nebtaskif' Cite'le................ ,.................. ~e.bastiaIl". .F.laridEi.. 3.2.9.58 of the County of ...J:nd.ian..RiY:Ii!.r.. ............ ani State of .....Flo.r,ida... ss Grantee, WITNESSETH. That the Grantor for and in con,lderation of the ,urn of S ...... ?QP .' .QO. . . . . .. .. . . to it In hand paid, the rereipt whereof i, herewith ac. knowledged, doe, by thi, in,trument grant, bargain, sell, release, convey and confirm unto the Grantee .Q~X.... heir" legal representatives and a..lgo' the following property ,ituated in Sebastian, Indian River County, Florida, to.wit: All of Lot(,) . . . .~ 9. ,Block,.~ 9. . . .. ,UNIT . ~ . . . . . . . . .. ,of Sebastian municipal cemetery a, per Plat Number I thereoCrecorded in Plat Book 2, at page 65 of the public record, 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 10 Hold the same forever; provided that ,aid property ,hall be u,ed solely and exclu,ively for the interment of the human dead and ,hall be used, kept and maintained at all time, In accordance with the rule, and regulation" ordinance, and re,olution, of the City of Sebastian, Florida, hereto. fore, now and hereafter adopted or provided for the government and operation of said cemetery. The condition" re,trlction, and requirement, contained in thi, in'trument ,hall be covenant, running with the land. In the event of the failure of the owner of any property ,ituated within said cemetery to 010. serve and comply with such rule" regulation" resolution, and ordinance, and the condition, of the deed of conveyance thereof then the title of ,uch owner in and to ,aid property shall terminate and the same ,hall revert to the City of Sebastian, Florida. IN WITNESS WHEREaF, The ,aid party of the fust part loa, caused thi, in,trument to be executed In it, name and on it, behalf by its Mayor and atte,ted by it, City Clerk and it, corporate ",al to be hereto affixed, the day and year fu't above writtell. A"'''o/~ ~,l?dCUI,4A"',-" Sign/SealJ IIl1d Del::;/ ~ ee of, /, j;,./ /) ,. .../. /. t1.~.. ~M< ,q{,"/1:.!. If ATE 0.1' FLORIDA COl'NTY OF INDIAN RIVER I HERE8Y CERTIFY, Thai on this CITY OF, SE,',JlABT",I, AN,,' F,LO, RIDA,.. ".--;~ C.2t::1., sC;? =f;:) 81 L('/'-<'--\/1,.). ~...,. \" ."..::lv.. ~~... MaTor (ClIitll ~elll) 14th Octaber ......., 19~5., .. .ds}' of b,'forr me personally appenred .... ..AJ;.tl1~r.. ;L ,'.. X.ir: t.i.all, and K:~M1:r:Y.D.. M.'.. .0'. H~J,J,qr~n. reRpl'(~ti\'ely Mayor and City Clt.rk of the City of Sehadian, 8 municipal corporation undf"r the )8\11"S of th(' State of Florida to me known to be the indh'iduuls null officf"fS des(~rilH.'d In unci who execukd the fon-going COAv<:ynnce to Mrs. Diane Spadaro. _ _ _ . _ . _ . . . . . . . . . . . " . . . . _ and sevufllly RcknowledgC'd the execution thereof to be their free art nnd rleed RS such orficers thereunto duly uuthorlzecl; and that the OfriciRI $elll of said corporalion Is duly affixed thereto, and the said ronVf'yonce is the net nml deed of said corporation. WITNESS my signature and ortlelal seal at Sebastian, In the Counly of India" RIver and Stale of Florida, Ihe day s"d year IRst ufore8alcl. Not. ry Public, State of Plorlda at Large. My commission expires. Linda M. Galley Name ]I, c I< ;5pf'1clar-o Unit '-I Block :>,~ ',-,'- Lot 2.'1 '...." Date of Burial i .9/ I?- /9 S~. J ... . ,., Cj /;-3/'15- ~., . Time / j : 00 /4 In. Date of Mark-out Name of Funerji(Home, -'-, 61:'!u n K '5 AUlhO'I~~~~~~/~a.,~ / (./ J. " Dee&. I Cf)Cj }ol,11 <1-6 .'" J tane 143 !\)eb~ha.. 6r 3eb~~-H~1 rt-oa16o Lot-3C1,'BloeJL31o, Un~+ 1 i ~&dc SpokrD J(}kr,J cd,:?)Jq0 GJ~ c{) ~ -~7't1- 7'-,;J.;?-,M '- .. '-- .' Paid by CEMETERY Receipt No. .?Q~.......... . Dated. .... 9.!.~~.1.9? lot 39 '. 500 00 . .............. list Pnce $.......:.......... Maximum N Bwial S block 36 500.00 o. paces................unit 4 Net Paid $ . . . . . . . . . . . . . . . . . . Monument permitted ...................... . NO. 15~9 (Data above this line lor City Record only) .. . ,-1Y 0,.. "'\ lJ' (;;~ ~ ~ ~(;' ,7 +0' .il S '" ,f.Q ""~'o" PEUCJ'tl ,'ii . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 October 9,1995 Mrs. Diane Spadaro 143 Nebraska Circle Sebastian, Florida 32958 Dear Mrs. Spadaro: Enclosed is Cemetery Deed No. 1509 for Lot 39, 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. 863 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. {)'I/aM-rA- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:1mg Enclosures ~E SEBASTIAN CE~RY CITY OF SEBASTIAN, FLORIDA ')(' / "2 \)lO ,.~ .. FROM: OF THE SUM OF: ($(j)LJ _~ '(3 /'l ~bJvk~I'~CL\~5~ . / on this p/~ day o~~,-.fyhb' 19 ~ for the purchase of the following described Cemet y Lotts1/NicbQ(sr upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (.s1 ftll1:Jl;;/:I3Cf Purchase Price.:. '" Gel ~~ Block ',5/0 Unit 4- . - ~/\~ OQ Dollars (~'-..,{V 7)' Terms and Condition of sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The city of Sebastian agrees to the above named purchaser~ on above instrument. sell the above mentioned property to the terms and condit~ons stated in the ,( ,. ? /~~ ~E SEBASTIAN CEMPmRY CITY OF SEBASTIAN, FLORIDA t~)3 FROM: OF THE SUM OF: Cf)tJ ~ ($ - ) ) '(3 111 1 ~~b;dt~}, ~CL\Jm6~ . / on this /~~ day Of~~fY~b' 19~ for the purchase of following described Cemete y Lotts1/Wi~bQ(sr upon the terms and conditions as stated herein: the Description of Property: Cemetery LO~(.81 ~".I.s;;/I '-;39 ~8 Purchase Pr~ce-:. :!::it..~~d ~ Terms and Condition of sale: Block . ,SLD Uni t 1. 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: \\.~(}(\L ~AnU) The City of Sebastian agrees to sell the above mentioned property to the above named purchaser~ on the terms and condit~ons stated in the above instrument. ~ //) /" ':) Ci .. }( fZY~ /Witness ..... / / The Sebastian Cemetery City of Sebastian, Florida Dollars ($~ Y ) From: on this d P day of 20 M for the purchase of the following described Cemetery Lot(s)/N" e(s) upon the terms and conditions as stated herein: Description of Property: Block 0'6 Unit ?!. Purchase Price: Dollars ($ ~~,. ) 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: Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. Witness [~I.~I State of Florida, Departm",of Health and Rehabilitative Services, Vital.'sties APPlICA" FOR BURIAL - TRANSIT PERMIT /-. a'll 1/ j is 36 vI A. 1. Name of Deceased (Type or Print) First Jack Middle Edward Last Spadaro DATE OF DEATH Month Day Year 09/10/95 City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. S b t . R ' d . 1 e as Ian Iver Me Ica Center Address Phone Number 2. Place of Death County Indian River 3. Name of Medical Certifier Noor Merchant. M.D. 4. Name of Funeral Home/ Direct Disposer Roseland X Physician Address 7744 Bay Street~Suite 2 Sebastian FlorIda 32958 407 589-0879 Fla. Lic. No./Reg. No. Phone Number (Area Code) Strunk Funeral Homes 5. Check a 0 Appro- priate Box biJ 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. was contacted on 09/11/95 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 that Naar Merchant, 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 of Sebast ian Final Disposition: 7. Funeral Director / Direct Disposer Removal Indian River from state F.E. No./Reg. No. :rk ;z. Donation Date Signed " B. BURIAL - TRANSIT PERMIT Permit No. 1228-95-0428 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 iimit, 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 filin he death certificate requested. ~A Registrar or - Ad;'-;--./ Date CjJ. ~ Subregistrar Signature e- ~ Issued: / J '// ~~ Ce~:>-7I.s- , 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. Methods of Disposition: ijJ BURIAL o CREMATION o STORAGE o OTHER (Specify) CEMETERY OR CREMATORY "ace of DispoSt~n ~ ~~;;~ Date of DiSposition ___ _ __ Signature of Sexton ) or Person-in-Charge) cjr/.',; . (,.Ii/....1 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 39 (Replaces Oct 87 edition which may be used) (Stock Number: 5740-00Q-1J326-2) J.