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Home My WebLink About4-35-34 ~~ it#~ Paid by CEMETERY Receipt No.... ~.40 ........ Oated........\ I.~V~~........... .Lots 33 & 34 1 000 00 Block - List Price $ .. .1. ... . :. .. .. ... Maximum No. Burill Spaces... ..... ..... .. Uni t 4 Net Paid S ..~? .~?~ :.?~.... Monument permitted. .................. ... . NO. --- . 1488 (Data abo... this line lor City Reeord only) atitl1 uf &tbuattuu 1488 <!Irmrtrry 11Itrll NO. THIS INDENTURE MADB 'I1a1I 26th day 01 ......~ ~~':1.~~!.... .. 0 ............... .. . ... A. D., 1'..~.~ o. bet,,'e.n .h. City of S.baotlan, a munl.lpal rorporatlon ""lllln, und.r th.. laws 01 the Stat.. 01 Florid.. aa Grantor and Mrs. Magda Lehmann ....................... ....................... '11'7' '~a't'rfg'an' 'St't'~l!t'.. .............. .......................... ......... ................ ..... ........ ................ ... .~.~~~l?~?:~~!.. ~~?~.~~~.J~?~8.............. .................... ........ of the County 01 .... ;J;p'c,lJ~n ..Ri,y:~.~.................... an,1 Slate of ..... .~.l~H.::l..da.. .................... 0.............. u Grant..., WITNBSSETH I That the Grantor for lU1d In consideration of the sum of S " ~.~ 9.QR! .Q9.. _.. ....... to it in hand paid, the teceipt whereof Is herewith ac- knowledged, does by this instrument grant, ballun, sell, release, convey and confirm unto the Grantee.. .l,t~~.. heln,lepl representatives and assigns the followilll property situated In Sebutlan,lndlan River County, Florida, to-wlt: All of Lot(s) . ~.~ ~ ~~BJock, . ~.~ . . ., ,UNIT ..~.......... ,of Sebastian munidpalcemetery as per Plat Number I thereof recorded In Plat Book 2, at pap 65 of the public records In the omce of the Clerk of the Circuit Court of St. Lucie County of Florida; Slid land now Iyllll and bellll in Indian River County, Florid.. To Have and to Hold the Slme. forever; pronded that said property shall be used ..lely and exclusiYely for the interment of the human dead and shall be used, kept and maintained at an times in accordance with the roles and regulatIons, ordinances and resolutions of the CIty of Sebastian, Florida, heteto- fore, now and hereaRer adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained In this instrument shan be coYlnants running wtth the land. In the _nt of the failure of the owner of any property situated wtthln said cemetery to ob- serve and comply with inch rules, regulation.. resolutions and .ordlnances and the conditions of the d.... of co~veyance thereof then the title of such owner in and to Slid property shall terminate and the same shail revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the Drst part has caUled this Instrument to be executed in its name and on its behalf by Its Mayor and attested by Its Clly Clerk and Its corporate seal to be hereto affixed, the day and year first abo... written. ....,~2?L.:pppppppppp CITY Otf::1l) F:;?! . . By.........................~. Mayor und Dellverrd . ."~pppp .. y:.4.<V~.I{I;~~....~....... (Glitll ,,;leal) STATE: OF pr.oRIDA COl'NTY OP INDIAN RIVER I HEllEBY CERTIFY, That on thla .. 26 th............ ..day 01 .... Januaz:y..................................., 1..9.5. b,'I"re me person.lIy a~t... A~.~~~~. ..1;-.... .f.;~ ~~.l?~...... .. ........ .. ........ and . ~.~py. ..~.'.. .~~.~~............... respt't'lIvoly Maypr .nd~oC'lty.l:J..rk 01 th.. City pi Seb..tl.n, a munlelllAl ~orpor.Uon under lbe. J",'a of the State 01 Florlda to me known 10 b. Ih. h.dh'iduals IUld of lice.. described In and who ""e~uled the fort.golng eo.v.yan.,. to ....... . . ...................................... .ij;t s.... .Magda.. Le.hmann............................ ........................... . . . . . . . .. . .. .. .. . . . . . . . . . .. . . . . . .. . . .. . . . . .. . .. .. .. .. . .. and s....rally acknowledged Ihe exec:uUon therrol to be their free .et and .leed as such oWee.. tller.unto duly 8ulhori.zed; and thaI th.. Oflld.r se.1 01 d corporation Is duly affixed th..reto, Bn!t Ihe said .onv.yanee is thc .ct on" deed of said rorpontlon. (I, UNOAM.QALLEY L 1M CCJNMlSSIllN' CC 171724. -,' i ~: .....1.. I. .....1181"*',.... ~ and year WITNESS my signature and olllelal aeal at SebasUan, In the l..t oforcaald. Name Hes,ber+- E.LIf h 1">")CI,nn Unit '1 Block -::;,..- ....;;;.,) Lot ___""'./1 ..::::; '1 Date of Mark-out I. "'" "', (1' <\ QI.;r - Date of Burial I .. ;a4( - q 5- "-",," ".'-""1 Time ;;(: 00 P,I"'1' .. ! Nam. of Fun...' Hotn.1' 5+..." '>l " ',;;, . , jI / 7" ,If ----:> " .. '\ / /1 ./,.t \ Authorized by V.Jt.,.._. C/, .. / if!x..of/..-~"', ,c<,,""'~"'- . 3 1= State of Florida, Cepa.t of Health and Rehabilitative Services, ViWtatistics APPLlcWON FOR BURIAL - TRANSIT PERMIT ~ 83/3)/ /3 85' iI~ A. 1. Name of Deceased (Type or Print) First Herbert Middle Ernst Last Lehmann DATE OF DEATH Month Day Year 01/21/95 2. Place of Death County Brevard Me I bourne Name of (If neither, give street address) Hosp. or Inst. Holmes Regional Medical Center Address 1281 S.Hickory Street Melbourne, Florida 32901 (407)728-8400 Fla. Lic. No.1 Reg. No. Phone Number (Area Code) Phone Number City, Town or Location 5. Check Appro- priate Box --3 Medical Examiner """X'J Physician Address 1623 North Central Avenue Homes, P.A. Sebastian, FI 32958 1228 (407)562-2325 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. M.D. 3. Name of Medical Certifier Thomas E. Rose, 4. Name of Funeral Home/ Direct Disposer Strunk Funeral b gg Linda was contacted on 01/23/95 within 72 hours after death. He/she verified that this -.death was.. fro.l1l naturGl.cf>uses, that there was no accident nor other external cause of death, and that TJ:1omaS .t,; . ROSe, M . .' . . 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 SebastIan Cemete Final Disposition: 7. Funeral Director/ Direct Disposer B. . . . .' BURIAL - TRANSIT PERMIT . Permit No. 1228-95-0051 ..,iermlsslon IS hereby granted to dispose of this body. lIi1J' 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 th eath certificate requested. Registrar or I Subregistrar Signature Indian River F.E. No.1 Reg. No. Removal from state Donation Date Signed 01/23/95. Date Issued: / _;).3_ 9s- g~~~ Certific,r~ :J 7- 'Is- C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA Signature ' Medical Examiner Date or Medical Examiner, ' 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 o CREMATION o STORAGE o OTHER (Specify) CEMETERY OR CREMATORY Place of DispOSition J,~~ ~n ~~ Date of Disposition tZ.-lJ"~ ,,?~/ /fJ9r / D. Signature of Sexton ) or Person-in-Charge) ,-:!L._ ..J. r.!Iir-~ 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) (Slock Number. 5740-000-0326-2) s.