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Home My WebLink About4-35-30 Paid hy CEMETERY Receipt No.. .?........ Dated...?/ .5.t.~?................. ~~~c~. List PriceS. . . .. ?Q9.: ~9.. .. Maximum No. Burial Spaces........ ... .. .. Uni t 4 500.00 NO. 15\10 ( ~ Net Paid $ Monument permitted. . . . . . . . . . . . . . . . . . . . . . . (Data above this line lor Clly Reeord only) atUl1 of &rbuattuu 15uO <!Irmrtrry mrrll NO. 5th THIS INDENTURE MADE 'I1a1I ........... day of .... May 95 A. D., 19.. between Ihe ClIy of SebasUan, a municipal corporallon exlsllng under Ihe laws of the Stale of Florida, .s Grantor and ....................... .Mt;.. ..Fred..F... RQb.w.eddex................ 673 Atlantus Terrace ........................ .Sebastain).. .Florida. .:3.2958......... of the County 01 . ];ml:i..~p...I;t.:i.:'1"~r....................... ani Slate 01 ... . f.l.9.r;:i9:a................ aa Grante.. WITNESSETH. That Ihe Grantor for and in consideration of Ihe sum of $ .... ?Q~ : .Q9. . .. . .. . .. .. .10 it in h~nd paid, the receipl whereof is herewith ac- knowledged, does by Ihis instrument granl, barg.m, sell, release, convey and confirm unto the Granlee . .l:J.:I;::'... heirs, legal represenlatives and assigns the following property situaled in Sebastian, Indian River County, Florida, to-wit: All of Lolls) ... }9. ,Block,.. ~ .5.... ,UNIT. ... ~ ... .... ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 65 of the public records 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 Ihat 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 Ihe City of Sebaslian, Florida, hereto- fore, now and hereafter adopled or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with Ihe land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply wilh iuch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then Ihe title of such owner in and to ",id propcrty shalllcrminate and Ihc same shall revcrt to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the flrst part has caused Ihis 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 afUxed, the day and year Urst above written. Allesl';~-i~<dY0. .O.fla!.lidA~ .' ..', II City Clerk ./ ~ !jlgm'd, S "led und Delivered /" ) Ifn Ihe sence oM..// ,J( . G/ ./..). /:?~'----'" )J(V~~. CITY OF ~STIAN, FLORIDA By ok{/;;;) ~~~\ M a10r (CIIitll ~el1l) STATE OF FLORIDA COl'NTY (n' INDIAN RIVER I HEREBY CERTIFY, That on this ....... 5.th....... .day 01 ...... .M1;IY....................................., 199. 5.. bet",e tne personally appeared .}\~~.~.~t;..~.~..~i.r.ti?n. and~at~r:r~..~.'...~.'.~~.~.~?r.a.~. respl.{.tively Mayor IInd City elerk of the City of SebastiAn, (I municipal corporution untIn the laws of the State of Florida to me known 10 bl' the Indh,jduuls nml officers descrllx'd in bnd who executl~d the forc'going cORveynnce to ...... .............. ..... ....Mr.,..F'r.e.4 r. ,.. ~Rnw~M~x............... . . . . . . . . . , . . . . . . . . . . . . . . . . .. . . . . . . . . .. and severally acknowledgt'd the execution thereof to be lhdr free act find (Iced KS such officers t11t~reullto duly authorized; and that the Orficial senl of said corporation is duly affixed thrreto, And the said ("Ol1vtyuncc is th~ net utili deed of 5aid corporation. WITNESS my signature and otrlcfal seal at Sebasllan, In Ihe Co nly IRst uforesald. LINDA M. 8AlLEY MY COMMISSION' CC 375724 EXPIRES: Juns 18, 1. 1londItI11InI-,. NIIIc tnlorwrIlorI -'t"" -I Name .J 1.). :S I ,'^i p-, it--i"_,, Ii . { J= [\0 },~ i:;) >''" _ ' . V'J . '_' .-' '-" ...>,.::..., Unit .ll Block ~?- '>...1 Lot 30 Date of Burial '(IA 8/9 c;-- ~/~9/q~- Time I/,,.l. ; CO iI I'll ' ; Date of Mark-out / L ~,.; .r Name of Funera( Home-- oJ 1 J< lJ l'f h-- . , /~";~~~::-:;/ )<~:, i/<;;~'/:':'I . Authorized..bV-'/- ",,/ /04:1' i_K:V'-~< )....1:./ -.f ./ \ \ \ \, ""-. - _0-_- _,_......... ,...._______..__ _J. . "!:ed.,- loa) aId q5 -Roh{).)edrkrl Fred-;P to 13 P-Uan*0 lerr ~;an, (L ~q6~ l.o+ 3D .-'51 oc1~ 3~c\ Un " + ~ '- Paid by CEMETERY Receipt No... ?~~....,..... Dated...?i ?.t.~?..... Lo t 30 UstPrice$ 500.00 . .............Block 35 . . . . . . . . . . . . . . . . . . Maxunum No. Burial Space .u' 4 500.00 5............... TIlt NO. Net Paid $ Monument permitted 1500 (Data above this line lor City Reeord only) . ,,"'1Y >.0" \ :. ,.;,~ ~./:::- ~ ~ . \(" /"'. ~ ,/ '+o-.'<..T4 s~ ~ "'~ 0". PEU~ ,,, . . . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 May 10, 1995 Mr. Fred P. Rohwedder 673 Atlantus Terrace Sebastian, Florida 32958 Dear Mr. Rohwedder: Enclosed is Cemetery Deed No. 1500 for Lot 30, Block 35, 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, 2000 16th Avenue, Vero Beach, Florida, 32960. We are enclosing two copies of Receipt No. 854 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. The previous receipt you received had an incorrect Block number listed. A stamped, self-addressed envelope is provided for your convenience. v~~: Oij~A- Kathryn M. O'Halloran City Clerk KMO:lmg enclosure (\ws-form-cem.rec) # 4tIE SEBASTIAN CEMJlhRY CITY OF SEBASTIAN, FLORIDA '6.5<f - . . on this;3 day 0 following described Cemete y conditions as stated herein: OF THE SUM OF: SIFT I ($t;jJ~ ) FROM: d.-- , 19 S?~ for the purchase of the o ts:r /~Ti :-he (iil- upon the terms and Description of Property: Cemetery LotlR/:J;-r:; ~ Purchase Price.:., _ _ ; :- --;(1;_ . jtJ- Block 55 Unit L Dollars (~(). J0C; ~ere m~ and conditi~ of s~le: .j~{J \7 /. Q . .+~ OIJ 'VY -7S/J{). ?J52/ ((P~J ,-.Jt. 9f! J...ja 'ftad:J~il 'f:QZJ, ~ . Thi contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to sell the above mentioned property to the above named purchaser~on he terms and conditi stated in the above instrument. ~/0JJ(U{b~ " ~ tness tlIE SEBASTIAN CEMIhRY CITY OF SEBASTIAN, FLORIDA '6,5<f l on this;S day 0 following described Cemete y conditions as stated herein: OF THE SUM OF: ~~IPT T 011 ($?t~~ ) FROM: the purchase of the the terms and Description of Property: Cemetery Lot &<r/::r: ~ ~ Purchase Price.:... > .Ji;. :/ f!tJ- Block 05 Unit L. Dollars (~[J. ~ ~. ,ere m~ and conditi~ of sfile: ..j ~ (7 / Q.' .J,~ Cd) m ~S!)(), Q5!/ (tP~Q -..-.JV,!2Q J~a'iad::J~ljy\"""JZ),~ Thi 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: ~04 fJ~ The City of Sebastian agrees to sell the above mentioned property to the above named purchaser~on he terms and conditi stated in the above instrument. c;li0J ;(Utltk&L ,/ itness [lP.~] State of Florida, DepartmeK Health and Rehabilitative Services, Vital 51' tics APPLlCATI.OR BURIAL - TRANSIT PERMIT /-.. 3 0 103S tli A. 1. Name of Deceased (Type or Print) First Justin Middle Last Rohwedder DATE OF DEATH Month Day 04/28/95 Year Paul 2. Place of Death County Indian River 3. Name of Medical Certifier Blaine Lake, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Homes, 5. Check a D Appro- priate Box b xD City, Town or Location Name of (If neither, give street address) Hosp. or Ins~ebastian River Medical Center Medical Examiner Address Phone Number 8005 83rd Avenue Physician Sebastian, Florida 32958 (407)388-3099 Address Fla. Lic. No.1 Reg. No. Phone Number (Area Code) 1623 North Central Avenue (407)562-2325 P.A. Sebastian, FI 32958 1228 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Rose I and Gabrie lIe was contacted on 04/28/95 within 72 hours after death. He/she verified that thisldeath Vltaskfrom natural causes, that there was no accident .B alne La e, M.l). '11 nor other external cause of death, and that WI complete and sign the medical certification of cause of death. c D was contacted on . He/she verified that ,Medical Examiner, will complete and sign the medical certification. 6. Place ofSebast ian Final Disposition: 7. Funeral Director / Direct Disposer Indian River F.E. No.1 Reg. No. 1672 Removal from state Donation Date SiQned 04/28/95 B. BURIAL - TRANSIT PERMIT 1228-95-0230 Permit No. Permission is hereby granted to dispose of this body. D 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. D No extension of time for filing the death certificate requested. Q",',ji I -- CL ""' ~ Subregistrar Signature G · '" t.L.. rv"\ \....... ~~ Date ~ \" Issued: 2. ~ q~ Date Cer1j1ifatEl A ... Due:~ C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature or Medical Examiner, , Medical Examiner Date , 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. Methods of Disposition: . BURIAL D CREMATION D STORAGE D OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition ,'5 E A ..4-1 -r;A~ ec H1 J!:.fi;,Je~ . Date of Disposition /f /:/1, 9' / 9~- . D. Signature of Sexton ) or Person-in-Charge) ,~~ 7 ~b? 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 89 (Replaces Oct 87 edition which may be used) (Slack Number: 5740-000-0326-2) 3