HomeMy WebLinkAbout4-35-31
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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
'~~~~~~
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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
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.,. '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"/
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Time
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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
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.
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)
"
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