HomeMy WebLinkAbout4-35-35
Paid bYCEMET~RYO~;iP~~O.... ......... Dated....)/. P !.?~.............. ~~~~k 3.
List Pricc $.....1.... ......... Maximum No. Burial Spaces............... .Uni t 4
Net Paid $ ....~ !.?~?: ??.. Monument permitted. .. .. .. .... . . .. . .. . .. ..
36
NO.
'14t15
IData above this line lor City Record only)
atitl1 of &rbuattuu
<!Irmrtrry
111 rrb
'14~5
NO.
THIS INDENTURE MADE 'I1a1I ....
17th
March
95
A. D., 19......,
day 01 ..........
hetween the City of Sebastian, a municipal corporation existing under Ihe laws of the Slate 01 Florida, .. Grantor and
Mrs. Melba Bishop
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . . .. . . . 481' . C andl e . A venu-e' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . ... .. ....
Sebatsian, Florida 32958
01 Ihe Counly 01..... ;r:n.d.:i,~~ ..~:i V:~.I;................. Inl Slate 01 .......... !,~o.r.~~~................................
I. Grantee, WITNESSETH,
That the Grantor for and in consideration of the sum of $ .~. t .Q9.9:. ~.Q... ... ...... to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrumenl grant, bargam, sell, release, convey and confirm unto the Grantee.. ~~;r:.. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lotls) .~? ~ ~ 6, Block, .. ~. ~ . .. ,UNIT ...~......... ,of Sebastian municipal cemetery as per Plat Number I thereofrecorded in Plat
Book 2, at page 65 of the public records in the office of the Clerk of Ihe 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 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 the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shall be covenants running 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 iuch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such owner
in and to said property shall 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 fust above written.
Altest~~.lr)...r!) iI~..........
City Clerk
C>T:,~R?~u
Mayor
Slgnl'd, Seftlect and DeJlvend
In th: r ~ene Of~.. ~~...... ........
...L..;j.~~.
I
STATE OF FLORIDA
COl'NTY OF INDIAN RIVER
I HEREBY CERTIFY, That on thl. ..........U t.h...... ..dlY 01 ............ ..~.~I:~.J:1.........................., 19.?~,
Arthur L. Firtion Kathryn M. O'Halloran
b.fore me personally appeared ...................................... Ind .......................................
resl,,'c1ivdy Mayor and City Clerk 01 the City 01 Sebastian, a munlell'1I1 eorporlltlon under the laws 01 the Stale 01 Florida to me known
to be the flldh'iduuls uruJ officers described In and who executed the foregoing cOAveyance to
(CIIitll ~eal)
.. ~r.s. ~. .~~.1.~~. .~.~.~~?I?............
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .. . .. . .. and severally acknowledged the cxeeutlon thereof to be their Iree aet nnd deed
ft. snch officers thereunto duly lIulhorlzed; and that the Ofliciat selll of said corporation I. duly alflxed theeelo, and the said eonveyanec
is the lIet and deed 01 said corporation.
.?~ UNDA M. 9AlLEY
l.:~.~ MY 00MMlSSI0N' CC 375124
~ . . EXPIRI1S: Juoo 18, I.
, ..m, . IIGodId 110nr NDtIIy NIIIlIhllrwdllll
the day Ind year
WITNESS my slgnllure and official .eal
l.sl alor.sald.
Linda M. Galley
Lofu &5t31o, 1Sloci3~, Uni+4
~~-~tR 8//IPI15 inf 810
})oed 1+15
3~1'q~
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mel~
~~r '. dIe /1ve
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Name' M iSA 1)11
g JI.
I.. IS en IJ
I
f"x'/O .
. ;<,II~.'
Unit
1
Lot
35-
3~
Block
Date of Mark-out
3/~ 101
~ . J
Date of Burial;
3./a/o1"
.~ "', -.;', . -.: .~' -' . . .' .' - >
Time . -3 ~ Of) {). (C 114,OEJ J...)
.' ',' . I
:';
Name of Funeral HO~ 5 n ?f N K .
AUlhori,ed byt! ..CV d-lW/rYVl,;
PaidbYCEMETERYReceiptNo.....~~?......Dated....}/~}!.?.~.............. Lots 35 & 36
1 000 00 Block 35
Ust Price $.... .1............. Maximum No. Burial Spaces............... .Uni t 4
Net Paid $ ....~ ??~?:. ~.?. Monument permitted........ ...............
(Data above this line for Cay Record only)
NO.
,1485
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HOME OF PELICAN ISLAND . ,1/
1225 Main Street, Sebastian, FI 32958 - Telephone 772-589-53:fO ~ Fax 772-589-5570
CITY OF
April 4, 2006
NJ:XJ:E
Ms. Melba Bishop
481 Candle Avenue
Sebastian, FI 32958
:327 ;1,
RETURN TO SENDER
NOT DE~IVERAeLE AS ADDRESSED
UNAeLE TO FORWARD
ee: 329seee97S9 *1e74-09022-0S-42
I J /Il ///1/11/1/ J / J J J J I, J I J I J II, J I J, J J J J J J 1///1111/ J J ,1,/ J 1/1,1
24 04/07/0e
Dear: Ms. Melba Bishop
This letter is to remind you that a permanent marker has not been placed on the grave site
of your beloved deceased. The City of Sebastian requires that permanent markers
(bronze, marble or granite) be installed within 120 days after burial. I am enclosing a
copy of the rules and regulations that are applicable in the municipal cemetery.
Temporary markers have in the past been pulled up and discarded by vandals or have
been damaged by lawn maintenance equipment. At the end of 120 days the City of
Sebastian will no longer be under any obligation to replace the temporary marker.
Where this regulation renders a hardship or presents any special problems, such as an
estate not settled, special consideration will be given. Request for special consideration
should be made to Sally Maio, City Clerk, 1225 Main Street, Sebastian, FI 32958.
Thanks for your attention to this matter and if I can be of further assistance, please call
me at 772-589-2545.
Sincerely,
Jj;f;(~9'
Kip G. Kelso, Jr.
Cemetery Sexton
KGK/ar
.
· mE SEBASTIAN CEIE1ERY
CITY OF SEBASTIAN, FLORIDA
24~
OF THE SUM OF:
Dollars ($,~Jr1j.~)
FROM:
on this /1;ib- day oft
following escribed Ce' ete
conditions as stated herei
, 19n for the purchase of the
y Lot (s) l<Niche (87 upon the terms and
Description of Property:
Cemetery LO~(S~~~ 6% BLock
Purchase Pr1..ce ------:. _ I ~
Terms and Condition of sale:
0.5 Unit j
Dollars ( $,//JlJtJ,9')
This contract shall be binding upon both parties, the seller and the
purchaser, when approved by the owner of the property above described.
I, or we, agree to purchase the above described property on the terms
and conditions stated in the for going instrument:
~ -/~ ;(, /l~,g'j~
The City of Sebastian agrees to sell the above mentioned property to
the above named purchaser(s) on the terms and condit~ns stated in the
above instrument. //
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OF: PELlCPotl
.
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
March 28, 1995
Mrs. Melba Bishop
481 Candle Avenue
Sebastian, Florida 32958
Dear Mrs. Bishop:
Enclosed is Cemetery Deed No. 1495 for Lots 35 & 36, Block 35,
Unit 4.
Also enclosed is a form - Return for Transfers of Interest in
Florida Real Property - which must be filled out by you and
completed by the office of the Clerk of the Circuit Court when
and if you have the deed recorded. If you wish to have this deed
recorded you may do so at the office of the Clerk of the Circuit
Court, 2000 16th Avenue, Vero Beach, Florida, 32960.
We are enclosing two copies of Receipt No. 8486 and ask that you
sign and return to us the copy marked with an "X" and retain
the other copy for your records. A stamped, self-addressed
envelope is provided for your convenience.
Very truly yours,
~m. O'lf~A-
Kathryn M. O'Halloran
City Clerk
KMO:lmg
enclosure
(\ws-form-cem.rec)
· mE SEBASTIAN CEIeTERY
CITY OF SEBASTIAN, FLORIDA
S/i ~/
OF THE SUM OF:
Dollars ($.~J!Jj.~)
FROM:
on this lle'/JJ- day 0
following escribed Ce ete
conditions as stated herei
, 19~ for the purchase of the
y Lot(s)jDicbe(87 upon the terms and
Description of Property:
Cemetery Lo~(s)~~~0~ Block
Purchase pr~ceU~~J~
Terms and Condition of sale:
05 Unit J
Dollars ($,!/JiJiJ,fP)
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 sell the above mentioned property to
the above named purchaser(s) on the terms and condit' ns stated in the
above instrumen t .
(
iZ-4ua_ ~./--iL4.
~ tness -y
'~,,---.....
I. Name of First Middle Last Date Month Day Year
Deceased of
Melba Green BishoD Death Mar. 5 2004
) Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or I ndian River Memorial Hospital
'ldian River Vera Beach Inst.
l. Name of Medical Address Phone Number
Certifier W. Clark Beckett, M. D. 3770 7th Terrace, '101
nMedical Examiner-F1l~hYSiCian Vero Beach, FL 772-567-6602
k Name of Funeral Home!Dilitilllt gisl!leeel Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1623 N. Central Ave.
5trunk Funeral Home Sebastian, FL 1228 772-589-1000
FLORIDA DEPARTMENT OF
HEALT
~.
t. Check
Appropriate
Box
Funeral Director/
DifQllt l:.'ill!l1l1l9r
'.
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
f-JS-~ 3~
(TYPE)
a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. III Gail was contacted on 3/5/04
He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death,
and that Dr. Beckett will complete and sign the medical
certification of cause of death within 72 hours.
c.D
was contacted on
. He/she verified that
, Medical Examiner, will complete and sign the
on of cause of death within 72 hours.
F.E. No./Reg. No.
1862
Date Signed
3/5/011
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-011-0096
DA five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within
72 hours.
o No extension of time for filing the death certificate has been requested.
1i1l8illt~Qr er
Subregistrar Signature
Date
Issued: 3/5/011
Date Certificate
Due: 3/10/011
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Approval Number:
Date
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.
Method of Disposition:
~BURIAL
o CREMATION
Signature of Sexton
or Person-in-Charge
CEMETERY OR CREMATORY
Place of Disposition
Sebastian Cemetery
3/8/o..y
,
D STORAGE
Date of Disposition
D OTHER (Specify)
} ria r ?flJJ 9'
lis permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and retumed
thin 10 days to the local County Health Department in the county where disposition occurred.
I 326, 8/97 (Obsoleles aU previous ed~ions)
:ock Number: 5740-000-0326-2)
Distribution: While: Cemelery or Cremalory
Yellow: Funeral Director or Direct Disposer
Pink: LocaJ Registrar