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Home My WebLink About4-35-09 'l' , - , Palel bYCEME~~ R~~1pt No... .~....... Dated....?!. ~.~ !.?~...........;... ~~:c:A List Price S...... ............. MaxlmumNo.BurlaISpace.............. ... . Unit ~ 500.00 Net Plid S ....... ... ........ Monument permitted..... ..... ......... ~... '1470 NO. (Data abon tld. line for Oty Reeord onl,) CltUv nf &rhasttau "14'70 <l!fmftfry I ffb NO. THIS INDENTURE HADB '111II 19th 94 A. D. I........ ...... day 01 September ............................................. beh....n Ih. CIl)' 01 Sobutlan, a municipal rorporatlOll ...lltln. under t... la... 01 tbe State of Florlel.. al Orantor and Diane Iacoviello ... ................. ................. '1"104' 'U; s.;. .t............................ ............................................ ...... ........... .........................~.~1?~~~.~.~~!. ..~~~~.~.~~..~.~~~~...... .................... .......... .......... .... or I'" Cooonty of ....... ;J;P.c;l.tAP.. .~.:l,Y:~.:f................. an'J State of ....... ..f'.l.p.r.i.da.................................. II Orantee. WITNBSSBnf, That tbe Grantor for and In conllcleratlon 01 the sum of S ..~ 9.<? ...9Q ...... ... ... .. . to It In hand palcl, the receipt "hereofl. herewIth ae- knowledJed, doe. by thlllnllrument pant, barplft, seD, release, convey and conOrln unto the Grantee . . h ~.r. .. heln, lepl reprelelltatl_ and anlp. the foBowlng property lIItuated In Sebastlan,lncllan River County, FIorlela, to-wlt: AD of Lot(.) . . ? . .. ,Block,.~~..... . UNIT ..4.......... ,or Seballllan munldpal cemetery .. per Plat Number I thereof recorded In piat Book 2, al JlI8e 6S or the pOOHc recordlln the office or the Clerk or the CIrcuit Court or St. Lucie County or Flor1cla; IIId land now Ir1nI and belllll In Indian R1_ County, Florida. To Have and to Hold the lItRe forever; provided that aIid property shaD be used soleI)' and excluliYely ror the Interment or the human dead and shall be used, kept and maintained at all times In accordance with the rule. and replatlolll, Ordlnancel and reaoludon. or the CIty of Sebastian, Florlcla, hereto- rore, now and hereafter adopted or prOY1decI ror the lO"",ment IIId operation or aIid cemetery. The condition., restriction. and requirement. contalned In thlllnlllrument shall be covenant. rurmlns with the land. In the event of the rliture or the o....er or an)' property lituated within aIid cemetery to 0b- serve and comply with iuc:h rules. replatllllll, resolutloM and .ordlnance. and the COndlt1oM or the deed or COme)'allce thereof then the title or such owner In and to aa1cI property shall terminate and the lime shall revert to the City of Sebastian, Florlcla. IN WITNESS WHEREOF, The aa1cI party or the first part h.. caused thil1nllrument to be executed In It. name and on It. behalf by It. Mayor and attested by It. City Clerk and It. corporate .al to be hereto affixed, the day and year first abon! written. CITY~~ ~........~.......................... Mqor . ..Itl...()~. ell)' Clerk .~. u~?~~uu C:.~.~~u....u........... COl'NTY OF INDIAN RIVER 19th 94 September I HEREBY CERTIFY, That on this ....................... .de)' of .................................................... I...... brfote me perlOnally appeered .... ~~~.~~~. .~.~ J~.~.t~?t:l....................... and ~~ ~.I:t.~Y.~. .~.~..~ ~ .I!~gl?~~~.. re.pertlv.ly Meyor and City CI..k of the CIty of 8ebaltlan, a monkl)..1 corporation und.r the I..... of the State of Florida to me known 10 be the IndIvidual. and offl.... d_rlbed In and who ...eeutt-d the lOfl'lI"ln. eORveyaRC!e to (Qlitu 'flll) ........................................... .1?j,.~P'l[!.. ;J;~~.Qx;l,~.lJ,Q............................................................... . . . . . . .. . . . . . . . . . .. . . . . .. . . .. . . . . . . . .. .. .. . .. . . .. . . . . ... and ......a1I)' aclrnowled...,t the e....utlon thereof to be their free ad and deed as .neh offlr.rs thereunto duly authorkedl and that the Omelal .eal 01 .ald ""r.-atlon la duly affixed thrreto, and the IIld eon...)'ance I. the aet and dftd 01 IIId corporation. WITNESS mJ alpature end orllclel aeeI at 8ehaatlen, In the County of Indian RI..er end Stete of Florida, Ihe day and )'ee, I..t afur_ld. Notary PublJr, State of FIorlda at Larp. M, 00IIIIIltni0n e"pI..., Linda M. Galley Name :i~ c!- f ;, J ----"" . ....t..-c /f C~ "" :/ / L. /.... i,::) Unit j Block .- .,J!.',., w< ,.~) l,) Lot '"I Date of Mark-out " '7;/ / /1 /"., d I~r-I Date of Burial '/' / c'. / ;' .:) 7' Time / ,.;"'. CI' () I~( l .l1,'~; \ ~ Name of FuneraIHo~,~'l S~0. L~ ,'l.~' , .... -"--"'~~<" /. ._,i../(j/I j/':.,fj / ! Authoriz:ed bY, .,/>. '(,1--..".(. /- ,,,.,/ ~/-.,.,<,-: " ",.. . \.J . . " j .~. . ,I , :y. ~v)el)D(DI~ HD4 U~ I ~h~"j+,an) F' 1- ~~~ lo+q ~\ocl~7J L1vI\ \- ~ 1Dnt{ Iacov/ello - }'nk.rreJ C;ft~/9~ DeEd JJD, )410 "" ~ - Paid by CEMETERY Receipt No.. ..~?:?....... .. Dated.. ..?! ~.~ /94 Lo t 9 .................... UstPrice$ 500.00 '. Block 35 . . . . . . . . . . . . . . . . . . Maxunum No. Burial Spaces . NetP' 500.00 ................. Un1.t 4 lIld $ .................. Monument permitted d1~~. ....................... (Data above this line tor CUy Record only) NO. 1470 '- '. . ~c2;< THE SEBASTIAN cmTERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA RE13Y ACKNOWLEDGED OF rIlE SUM OF: ~ Dollars (~~iJ().~) FROM.: on this 19 ~ for the purchase of 'the upon the terms and conditions as Description of Propert:g: ~ / .' Cemet:erg Lo1:..l41 ~ Block 3.5 Unit: "'l-. Purchase PriCe..;.~' d ~ Dollars' (~, ~) Xerms and Condition of sale: Xhis contract shall be bi.ndi:11g upon both part:ies, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described propert:g on the terms and conditi.ons stated in the foregoing .:f.nstrument: Xhe Cit:g of Sebastian agrees the above named purchaser(s) above instrument. 11 the above mentioned propert:g to the terms and con ons stated in 'the /!~~~, cL,~ v .. . ,-1Y 0" "\ " lJ'I CJ ~ ~Q , ,7' -S-o .'1 S 1 ~Q ~~ {:,,\..'9' o~ PEllCP.~ . City of Sebastian 1225 MAIN STREET Cl SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 Cl FAX (407) 589-5570 september 26, 1994 . Mrs. Diane Iacoviello 1104 U.S. 1 Sebastian, Florida 32958 Dear Mrs. Iacoviello: Enclosed is Cemetery Deed No. 1470 for Cemetery Lots 9, Block 34, Unit 4. Also enclosed is a form - Return for Transfers of Interest in Florida 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, 2145 14th Avenue, Vero Beach, Florida. We are enclosing two copies of Receipt No. 822 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. yours, m. t)Y-/~A- Kathryn M. O'Halloran City Clerk KMO: lmg enclosure (\ws-form-cem.rec) I - State of Florida, D~ent of Health and Rehabilitative services., Statistics APP~TION FOR BURIAL - TRANSIT PERMIT /-7' 63S- IIi A. 1. Name of Deceased Cf' De or Print) First Anthony Middle Last Iacovie 110 DATE Month Day Year OF DEATH 09/12/1994 I t t i I ! i f 2. Place of Death County Bre'''ard 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp.or Inst. 0 Ba efoot Bav Strunk 5. Check Appro- priate Box Funeral Homes. a 0 Physician Address 1623 North Central Avenue P. . Sebastia." "" 7 5 "_,"> "')" The medical certification has been completed and signed. A completed certificate of death accompanies this application. Phone Number bXO CR8ryl was contacted on 09/D/199l- within 72 hours after death. Hel she verified that this death was from natural causes, that there was no accident nor other external cause of death, and thatRa I ph ('yp i gPT, M n will complete and sign the medical certification of cause of death. c 0 6. Place OEebastian Final Disposition: 7. Funeral Director I D~Qet QiSJ;lQS,er medical certification. was contacted on . He/she verified that ,Medical Examiner, will complete and sign the B. Indian River F.E. No./F1eg:-Ne, '7" Removal from state Donation Date Signed Permission is hereby granted to dispose of this bOdy. o A live day extension of time lor filhlg the death certfficate (exclusive of weekends) has been "'Quested and gmnted as undue harosh" would "'suit Imm tiling within the nannal lime Itmlt.1t the certitlcate cannot be filed within this extended time limit, a "Fune'aJ DI"'ctO<lDi",ct Disposer Report" will be filed with the Local Registrar of the County in which death Occurred. o No extension of time for filing death certificate requested. Registrar or . r SUbregistrar Signature ,/ BURIAL - TRANSIT PERMIT Permit No.1228-94-0435 Date Issued: 7? /'3 4' ~ Date Certificate - . I Due' / . C. Signature or Medical Examiner, AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , Medical Examiner Date , gave authorization by telephone to Funeral Director IDirect Disposer. Date The Medical Exami"",'s apDroval must be obtaJned - d~Posal by any of lhe abo"" methods A waiting "",iod of 48 hou", alte, death is required for all cremations. D. Methods of Disposition: 00 BURIAL o CREMATION CEMETERY OR CREMATORY Signature of Sexton ) or Person-in-Charge ) 1'~ o STORAGE o OTHER (SpeCify) Place of Disposition . "5,.A~ ....j./~" (l~m~ /...~>' Date of Disposition 5"'n/.,p.,..,b~1e /~, 199'-1 I I t' ./r. - ./.. This pe'mit must be end"""", by the Sexton 0' """,0'1-In-cha'OO (0<' by the FUneml Di"'_/DI",ct D~pose' when lhe", is no sexton) and returned within 10 days to the local HRS County Public Health Unit in the County where disposition Occurred. ,S Form 326, Feb 89 (Replaces Oct 87 edition which may be used) 'ock Number: 5740-000-0326_2) :r.