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Home My WebLink About4-35-28 " Paid by CEMETERY Receipt No.. ......... .Dated.......... :.~:.:!.:?........ ~~~~. & 29 List Price $ .1...9~~.: ~9..... Maximum No. BuriaISpace.s............. .... Uni t 4 1,000.00 Net Paid $ .................. Monument permitted. . . .. . . . .. . . . .. . . . . . . . . '1590 NO. (Data above tltll line lor CIty Record only) (!!itt! of ~tbulltiut1 C!trmrtrry ilrrll '1158Q NO. THIS INDENTURE MADE 'nIa 14th day 01 July 97 A. D. 19......, between the City 01 Sebastian, a D1llnlcJpal corporation ealltlns under the lawI 01 the State of Florida, al Grantor and Michaela Ann Baxter "...................... ........ .... "8050' 'lZ'6th' .S.tree.t.................. ...................., .......... ......~.~bE1~t.~.~~.'. .x.~~r.~.d~. }.~.~.~~..... 01 the County 01 .......,l;n<;l,:j..l'Jn..~,:i,.x~+................. an'! State 01 .....r;L.9.I;'.:i,9:~...................................... II Grantee, WITNESSETH, Tha t the Grantor for and in consideration of the sum of $ ..~,. 9 ~ 9. ~ 9.9. . . . . . .. . . . . to It in hand paid, the receipt whereof is herewith ac. knowledged, does by this instrument pant, barsaln, sell, release. convey and confirm unto the Grantee .l:1~~.. .. heirs, legal representatives and assigns the followins property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s)2..~~?Q ,Block,... }.~. ,UNIT..4.......... ,of Sebastian municipal cemetery as per Plat Number I thoreofrecorded in Plat Book 2, at page 65 of the public records in the oftlce 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 ahall be used solely and exclusively for the interment of the human dead and ahall 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 oporation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants runnins 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 rule.. resulations, resolutions and .ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property ahall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust 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 rust above written. CITY OF SEBASTIAN, FLORIDA Attest~' _mf).It!~........ :~ City Clerk By wollM.W.~.~.............. MaJor Signed, Scaled and Delivered In the resence ot: / / / ....~................. >TA'" 0' '''R~,.q..,....,.,. ,.,...,....,.,.. COUNTY DF INDIAN RIVER I HEUEBY CERTIFY, That on thia .. ..14.th........... . day 01 .......... July.........................., 19.9.7, belore Ole personally appeared .. .~~.~.~~.~.. ~:..~.~~~e.::,......... ....,. and K.~.~~~x.n..~:.. 9.'.~~.~~~~.':l~.. respeclively Mayor and City Clerk pi the City of Sebastian, a municipal corporation under the In's 01 thc State of Florida to me known to be the Individuals nmI officers described In ood who executed the fo[(.going CONveyance to (QIitl! ",eal) ............ 00............. ..........~.~.c;h~~).~. .A.I:ln. .J\~.J!:.t;~+........................ ........................................................ and severally acknowledged the execution thereol to be their Iree ad and deed as sllch officers thereunto duly authllrlzed; and that the Dfliellt! seal of said corporation Is duly affixed thereto, and the said conveyance is the ad ond deed, of said corporation. WITNESS my signature and olflclal seal at Sebastian, In the I.st aloresald. UNDA M. GALLEY IlY COMMISSION' CC EllPIRES: .....18, 1. IIandId ThnI ~ I'ldC IhlIMIIIn " t - , Name E' -,' .,;";, ;,,';c'r'::" F. " I:',,:, :(~ >. : '._-" -"'''-" Unit .G..,: I Block ':"{, <- ,,,,.l.-..I Lot :;;~~ I::\ Date of Mark-out Date of Burial (;, ",:':.. i/97 / l Time /()10,) /1 ,. , Name of Funeral! Home/4-:)r&J ", ::, .,,/\ , '"-"\~:;<lr~;:!J>l1:t"'{j;l'/1<l~/1 Autt10rized by "A-t'/.v ,lit} / "., ''''''--'' ." ," \ ',,,-' , I , ' . j 3. ~ 1'C)b' 0J ~~~~I~3S,Un;t4. I ~c~41l ~ ~ ~/;Hp/q1 lvi A ~+ey; mtcYaek Ann ~060" :-I~l.o':lb- s-.\.- ~~QYII FL- ,3;X1~s~ '-. - '- - 946 7/11/97 lots 28 & 29 Paid by CEMETERY Receipt No................. Dated.............................. Block 35 List Price $.~ .'. 9~9. ~ 9.9..... Maximum No. Burial spaces................. Uni t 4 . 1,000.00 Net PlUd $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . NO. ISBa (Data above this line for City Reeord oo1y) . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA 9-16 OF THE SUM OF: Dollars ($JJd:J, ~ FROM: ~L, on this \.-'j)Yh-- day o~ , 19 '? following described Cem, ery Lot(s)/ . conditions as stated he ein: for the purchase of the upon the terms and Description of Property: Cemetery Lo~~~ Purchase Pr~ :~ _ _ Terms and Condition of sale: Block" g6 Unit d Dollars ($jjf'LJ,!9J 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. mentioned property to itions stated in the ~a l1;z <:::fff.tne ..... . . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 July 16, 1997 Michaela Ann Baxter 8050 126th Street Sebastian, FL 32958 Dear Mrs. Baxter: Enclosed is Cemetery Deed No.1590 for Lots 28 & 29, Block 35, 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. 946 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. Oi/aH#A.. Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA 9% OF THE SUM OF: Dollars ($! Jt2J, ~ FROM: d.,/ day , 19~ following described Cem ery Lot(s)/ . conditions as stated he ein: for the purchase of the upon the terms and Description of Property: Cemetery Lo~~~~ Purchase Pr~ :,,' Terms and Condition of sale: Block\' q6 Unit ~ Dollars ($jdf'.o.!9r 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: '!4t~/id d. ~p/lb(/ " The City of Sebastian agrees to the above named purchaser(s) on above instrument. mentioned property to itions stated in the ~al4 <:::ffftne -... \ (-J.1) " TO: Mrs. Emerick Baxter 8050 126th St Roseland, FL 32957 ClTfl)f SEBAST HOMf, ,01 PELICAN ISUiHD INVOICE CITY OF SEBASTIAN DESCRlPTION 1 Repair of marker at Sebastian Cemetery Unit 4, Block 35, Lot 28 DUE UPON RECEIPT TOTAL AMOUNT DUE Remit To : CITY OF SEBASTIAN Finance Department 1225 Main Street Sebastian, Florida 32958 Account Numbers: Dr: Cr, 010059534685 ---=-~ ,~, ""-:.::::--~, --:::'7:,~~~i. ~~:~~:.:~., '--"n i':'''' ~:!",..-;;-:~_. "-'-~r INVOICE: Date: Amount: $ 05-065 10/25/2004 225.00 AMOUNT DUE 225.00 225.00 ':~~::'~-:-:;-:,:~-'::-.,'".,. ~. ",:"~.'::~..o.:,; ~:~;"""""""",';;.::' _ . _~.:..: -:' CI1Y OF S~ ~ [ ,-,._,", _. - ">'- - '-.' -- . HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570 October 21, 2004 Mrs. Emerick Baxter 8050 126thSt Roseland, FI 32957 Dear Mrs. Baxter: Re: Sebastian Cemetery Unit 4, Block 35, Lot 28 It ,is with regret that we inform you that the marker and/or vase on your Sebastian cemetery lot was damaged during the recent hurricanes. The city has made arrangements with a local monument company to repair the damaged markers at $225.00 per marker and $20.00 per vase. According to the rules and regulations governing the cemetery (copy enclosed), interment site owners are responsible for damage to markers and/or vases, therefore, we are enclosing an invoice for the reimbursement of this fee. Thank you in advance for your cooperation in this matter and I would like to assure you that the upkeep and maintenance of the cemetery is very important to the City. If you have any questions regarding this matter, please do not hesitate to contact me at the cemetery or by telephone at 772-589-2545. Sincerely, Kip G. Kelso, Jr t e.r. {. Cemetery Sexton Enclosure ;R- ........ ",''''' - "' .;"It".. -"'-.'," ...~~,-,..,.,_.~~,.., " ~,,"!,,;~i::~.~~':: '-""~-'.---'.~~-.'- "', - --- -~-><-~~- --- -- , - . Ii ==!~ --'''--'''","""",-,~"---,--,,,,, 111!fi!i~-'-",' ~" .,;;:.~-,' I~ A. 1. Name of Deceased (Type or Print) First Emerick 2. Place of Death County Hillsborough 3. Name of Medical Certifier Gerald Elfinbein, MD 4. Name of Funeral Homel Direct Disposer Florida Mortuary-lo 5. Check a Appro- priate Box State of 'ada, Department of Health, Vital Statistics . APPLI~N FOR BURIAL - TRANSIT PERMIT J cP- g/ ;2 9 13 35 t; If Middle Last DATE OF DEATH Month Day Year Baxter June 21, 1997 City, Town or Location Tampa Name of (If neither, give street address) Hosp. or Inst. H. Lee Moffitt Cancer Center Medical Examiner Address ( p)hone Number 12902 Bruce B. Downs Blvd. 813 979-7202 Tampa, FL 33612 Fla. Uc. No.1 Reg. No. Phone Number (Area Code) Physician ss 4601 N. Nebraska Ave. Ie s Olapel Tampa FL 33603 1608 (813) 237-2900 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b 0 was contacted on 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 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 T 16.,...) Final Disposition: Co 7. Funeral Director I Direct Disposer M. Travis C. Signature or Medical Examiner, f\~W ~~ F.E. No.1 Reg. No. 3869 Removal from state Donation Date Signed 06/23/97 Date Issued: 06/23/97 Date Certificate Due: 07/03/97 , Medical Examiner Date , gave authorization by telephone to Funeral Director IDirect 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: )fJ BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) CEMElERY OR CREMATORY . ~.L2 ~ace of D;spos;'''~~ff~ ~ Date of DIspOSItion :'J.L:"'- ..t . dc..vL- This permit must be endorsed by the Secton or person-in-charge (or by the Funeral Director/Direct 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. 10/96 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) J,