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HomeMy WebLinkAbout4-35-31 .. ... Paid bYCEM~E~~~ece;~ NO............ D.ted.....~ Y ~ (.~~.....,........ '~~~~k. List Price S .. .). .. . . . ~ .. .. . .. M.xbnum No. Burial Spaces... .. . .. ..... .. Uni t 4 Net Paid S } !.~~?: ~~.... Monument permitted...'..............:.... 32 NO. 14t~6 (D.t. abon lbl. line for Clt, Reeord oal,) atUg nf &rbulItiau Qtrmttrry I ttb fI14',S NO. THIS INDENTURE MADE 'I1Ila 3rd .....d.yol November 94 A. D.. I......., beh....n lhe City 01 &.butl.... a munlelpal eorpor.tlon ."lltlns und"r the l.wI 01 tbe SI.te 01 Florida, II Grantor and ..................................... Nancy. Diamond. .&.. 'Iho.l1Iaa. .C.OJ.l,l,J,I1I......................... ..................... 437 Seagrass Avenue . . . . . . . . . .. . . . . ... ........ . . . . .. ..... .Sle bas.t.ian " . Flo.r-i da. .3295.8. ... . . . ... ............................................ Indian River Florida 01 the Counl1 of ............................................. .n'l SI.t. 01 ............................................:.......... as Gr.nl.... WITNBSSEm I That the Grantor lor and In consideratlon of the rum of S ...~ l.q!}'Q... 9.q . . .. . .. . . . . to It In hand paid, the receIpt whereof Is herewith ac>- knowledged, does' by this Instrument pant, batplft. sell, rease, convey and conflrm unto the Grantee ~.I;t ~ ~.r.. heln, Iepl repre_tatlYllI and aulsnl the followl"ll property situated In Sebastian, Indian River County, Florida, to-wlt: All of Lot(s) ~.~ fs.~~, Blodc, ~.~..... . UNlT...~......... ,of Sebastian munldpal cemetery as per Plat Number 1 thereoflecorded In Plat Book 2, at page 65 of the public recordt In the office 01 the Clerk of the CIrcuit Court of Sf. Lude County of Florid.; said land now lyina and be.1"ll in Indian River County, Florida. To Have and to Hold the same fore_: provided that said property shaD be used IOIeIy and exc1ustvely for the Interment of the human dead and shall be used. kept and maintained at aD times In .coordance with the rules and replatlolll, ordinanceo and resolutions of the City of Sebastian, Florid., hereto- fore, now and hereafter adopted or provided for the ,overnment and operatlon of said cemetery. The conclltion.. restrIctions andlllqulremenu contained In this InJtrument shall be covenants runntna with the land. In the event of the failure of the 0_ of any property situated wlthln said cemetery to 00- lCtVe and comply with iuelt role.. replatlOll" resolutlons and .ordlnances and the conditions of the dl!lod of conveyance thereof then the title of such owner In and to said property shaD terminate and the same sha1\ revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused thlslnstrumenl to he executed In Its name and on Its behalf by Its Mayor and attested by Its City Clerk and Its corporate seal to be hereto afllxed, the day and ye.r lint above written. Allesll ifU4Nm...O &t.!I..:~....... 1/ CII, Clerk '~~~~~~ ..~.)/(V~. c"::.m-;(~ M.,or (QIitv ",,'111) STATE OF FLORIDA COl'NTY OF INDIAN RIVER 3rd November 94 I HEREBY CERTIFY, That 011 thla .... ,...... .. ..... .. ... .da, 01 ...................................................0 I....., ....for. me personally .ppe.red ~~~.l:J.'!~. .~. ~ Ji.~.~!()t:1............................ and Ka.~~~:Y.t:1..~.'...<?.'.~~.~.~~~.~.~... reop"ctlvrly M.ynr and City CI.,k 01 the CIl, or s......tI.n, . munl"'"., ~rporatlOft under the I...s 01 tho St.le 01 Florida to me known 10 be the Individual. and olllCt'rs desc:rlbed In .nd who ex..,,,t.,,, the lo..roln. """voy.nee 10 .................................. ....~~n~y.. .I).:l.aIJ\Qml..&.. :thO.I1IMf. .C.O,Ul,J,I1I........................ ...................... . . . . . . . .. . .. . . . . . . . . . . . . . . . .. . . . .. . . .. . . .. . . .. . . .. . . . . .. .nd seyerally aeknowledgrd the execution the_' to be their lree aet and deed .. .lIeh olllurs thereunlo duly .uthorlud; and that the OIlk!I.1 .eal 01 s.ld corporation la dul, .rtIxed th.reln, and the said ~nv.y.nc. Is the acl .nd deed of said ~rpor.tlon' WITNESS "" .I....ture and oflk!I.1 _I al 8ebaltt.O, In the last .lo_aId. Q) l\NDA M. Ul.lEY lIYex-.'CCm7M fIlIllREI: .... ft. ,. ....1lIlI...,.- .......... Linda M. Galley J ---- :t- - ~ &>ceo l{) w'lj I ~rO I ~ Eli ""\:? h- C::\T)~ j~~ ~ -J- ....... ~-- ,r<) V)--\-.. r<)~ ~~ f]'~ J'()'S- ~ "- 10~ ~ .:r .~ ~ ~ j ~ ~ 9l~ t'! r, 'i) Name Unit' 'ON /J I'll":; , ~. . 1'0-0 J..... 1 ~ ~ ~ ~ J ~ i "--- R\ ~ ~ ~ ~ ~__ 'rl ~ t~ j~ tt ~ V ---, - I...- I '- 1 r ~ I ~ (),j ~ J ~ ~ ~ \ ~ (lIUO p.l~ .(lJO .101 aU!1 SJ'tJ aAoq_ -t-O) ~ ~ -- ~ f8= :;" ~ f ~ ~eJ ~ :p. '-- ~~ ~ ,V'" ~ f t ~ 6J ~ ~ ~l DJ ~~ ~ -:l -- D r ::t-:-~.:3 ~~\ ('~.~ (\I .~ Q) ~R; ~({) D ~ y ~ ~ ~ ~ ~' 6' l ~ ~ 41 ~-i . . . . . . . . . . . . . . . . . . . . . . . pan!UUOO lUQwnuoN /~ II. 'j C 0 /, i.A /l'} \, .,. '0'0 :'ooo',':i' $ PTlld lIlN +. 4 L. un . . . . . . . . . . . . . . . s-....s "".ms: 'ON wnWPCllY>T ~E"~~OTg: _tlU IV, n ""0'0:"000"'1"S OO!.ldlsrI ZE 'g IE 840'1.............. '~6iE /i:[.... PQlllQ......." 2"ZS'" 'ON ld!ooQlI..UI3:~3J'l3:J Aq P!1ld II /7/9"/ , I /" ii, /", ;' f/OIY' 1/' Time /. '/',0 Block 3;;;..... Lot 3 I Date of Mark-out Date of Burial to. /lj , . . o;>~ THE SEBASmR CM'TERY em OF SEBASTIAR SEBASmB, n.oRIDA l' X1IE SUM OF: ($)~j.~ / FROM: ~ on t:b.:i.s day or Io22owing escribed C e~ery Lo~(s) st:at:ed herein: ror t:11e purc:b.ase or t:he e t:erms and condi t:ions as Des=:iption or Prope. Lg ~ Cemetery ~t(~ ~ock Purchase Pric . Xerms and cor;}'-f,t:i9n or sale: IJ~ "l (JI~ /YLiJ. ~~ Xl1:i.s cont:raC't sl1a1.2 be bin"oJ ng upon botb parties, t:be purcl1aser, when approved by tbe owner or t:l1e propert:y described. ,) 6 !1n:it L Dollars (S~#t1.~ se22er and tbe above I, or we, agree t:o purchase t:he above descr1.bed propert:y on the t:erms and condit:ions s~at:ed in tbe roregoizJ.g t:rtz.men~: .~ rhe Cit:y or Sebast:ian agrees the above named purchaser(s) above inst:rument:. ~a."llf- Witnes .. t. , . ..'1y 0 " " "'\ IJI 'r-J ~ ~ ~". ' ,'Y" -I-o'V" '1 S ~ ~Q :t.,~ \s-.....r,; OJ: PEUCl).t4 . City of Sebastian 1225 MAIN STREET a SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 a FAX (407) 589-5570 November 10, 1994 Nancy Diamond & Thomas Collum 437 Seagrass Avenue Sebastian, Florida 32958 Dear Mrs. Diamond &.Mr. Collum: Enclosed is Cemetery Deed No. 1476 for Lots 31 & 32, 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, 2145 14th Avenue, Vero Beach, Florida. Very truly yours, m. {)if~,-- Kathryn . O'Halloran City Clerk KMO: lmg enclosures A. 1. Name of Deceased (Type or Print) First Middle Last J 3~ 3(}/ 13 3S LI'f Month Day Year [lB.~] State of Florida, Department of Health and Rehabilitative Services, Vital Statistics APPLlCeN FOR BURIAL - TRANSIT PERMIT . COLLUM Name of Hosp. or Inst. DATE OF DEATH CAROL 2. Place of Death County Indian River 3. Name of Medical Certifier Jerem R. Geffe 4. Name of Funeral Home/ Direct Disposer Cox-Gifford City, Town or Location NI)~Tembe-r 05> 1 (If neither, give street address) 981 37th Place 770-5800 Fla. Lie. No.1 Reg. No. Phone Number (Area Code) 1950 20th Street 5. Check Appro- priate Box a 0 Xhe medical certification has been completed and signed. A completed certificate of deatli accompanies this application. b 0 f) J R D was contacted on within 72 hours aftef deatfi~~,Yghe 've~nth~f ttill a~ath 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 Final Disposition: 7. Funeral Director/ Direct Disposer Burial Removal o from state o Donation Date Signed ~- B. BURIAL - TRANSIT PERMIT Permit No. Permission is hereby granted to dispose of this body. 1423-302 -19f 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 limit, 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 filing the deat c .. te re u d. Registrar or Subregistrar Signature Date Issued: 1l/U(/~4 Date Certificate 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. D. Methods of Disposition: . BURIAL o CREMATION o STORAGE o OTHER (Specify) X..p 7' -K.,L~?l' CEMETERY OR CREMATORY Place of Disposition S It. A~ ~ 17 .:I:' ~.J ~ M L..UJt. " Date of Disposition n. / g / 9 ~ . / , , Signature of Sexton ) or Person-in-Charge ) This permit must be endorsed by the Sexton or person-in-charge (or by t~ Funeral Director/Direct Disposer when there is no Sexton) and returned witl'lin 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) (Stock Number: 5740-000-0326-2) " J,