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Home My WebLink About4-35-38 Paid byCEMETEIlY Ilea:lpt No... .......... Dated... Y ~.Y?~............... '~~~~k , List Price $.... J.,. 9.q~: ~9. Maximum No. Burial Spaces.............. .11ni t 4 1,000.00 38 NO. Net Paid $ Monument permitted....................... 11k5 (Data aboy. thla line far City Record unIy) QJ:Uu af l'rhulItiau Q!tmtttry m ttb ,t485 NO. THIS INDENTURE MADE 'l1lIa ........ ..l3.th day 0' ....J i'lP'1,l.~.J;y' .. .. .. .... .. .... ... .. .. ... .... A. D~ I'.~?..o bet.....n the City 01 SftNutla... a lIIuntclpal c:orpuraUun ...latln, undcr the lawa 0' the State a' Florid.. a. Orantor a..d Mary E. Brock .................................................p; 0.,. 'Box' .7-8048-9............................................................ Sebastian, Florida 32978 .f the CotuIty ol..;J;nt;l.:!-~m..~.:t~H..................... oj State 01 ...f.+.~~~~.~........................................ u Granlee, WITNB8llBTH. That the Glantor for and In consideration of the sum of $ . ~.! ~~.~ ...~~............ to It ~hand paid, the receipt whereoflaherowlth ao- knowledgecl, doea by this Inttrumeot grant, bargaiD, ...U, retea..., oonvey and conIum unto the Grantee ....~~... heirs,lepl representatives and aaslps the fol1owlna property situated 10 Sebastian. Indian River County, Florida, to-wit: AD of Lot(s) ~?~ ~,8. Block. . . ~.~ . .. ,UNIT ... ~ . . . . . . . .. ,of Sebastian munlclpal cemetery II per Plat Number 1 thereof recorded 10 Plat Book ~, at ..... 6S of the pobUe records 10 the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being Inlndlao River County, Florida. To Have and to Hold the same forever, provided that said property shall be used aolely and exclusively for the Interment of the buman dead and shall be used, kept and malntaine4 at aU times Inaccordaoce with the rules and r8llulatloDl, ordinances and reaolutlons of the CIty of Sebastian. Florida, hereto- fore. now and hereafter adopted or provided for tbo loveroment and operation of said cemetery. The conditions, rellllcl10ns and requirements contained In this instrument sbaU be covOll8lltlrUJllliraa with the land. In the event of the failure of the owner of any property situated within said cemet...y to 0b- serve and comply with iaach rilles, IOlIWadoos, reaolutlooaand .ordillaoces and the COndltloDl of the deed of conveyance thereof then the title of such owner In and to laid property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF. The said party of the first part has cauaed this instrument to be executed In III name and on its behalf by III Mayor and attested by III City Clerk uad Its corporate ...al to be hereto aflIxed. the day and year lUst above written. Att'~"r-n1.,.Dt!~...... (J City Clerk CITYO~7~ B, ...................................... .. . . .. . . .. . Mayllr S~ned. Scaled ...'" D.llnr." !lotbe 1I1ttl .. ...... ...................... . / ..;y:. /.~........ ~A'fE OF FI..oUIDA COl'N'fV OF INDIAN RIVBR I lIEIlEBV CERTIFY, Thai 011 Uata ... J).t;h........... ..d..y IIf .... J.f,lm,H~r.Y..... .............,................0 I'.~ '~o Arthur L. Firtion Kathryn M. Q'Halloran befure ..... pet....naUy appeared ..,..........,.....................,....................... and ......,................................ resp'.ctlveiy ....yor and City Clerk 0' the CIt, 0' Sebaatian, a lIIunicipol corpor..tion under the Ia,... II' the State II' Flurkla to Die known to be the h.dlyiduals .."d uffle.rs cleacrlbed In ..ud wilD ."..uted tI.e 'Or"llu1"1 Cll&vey..nce to Mary E. Brock (QIitu ~"llJ) . . . . . . .. . . . . . .. . . . . . . .. .. . .. . .. . . . . . .. . . .. . . . .. .. . . .. ... aud severally acknowled.ed the e...cutilll1 thereol to be their Iree act ..ud a1eed as sum officer. tI.ereu"to duly autboriled I and that the Official ae..i ul said eurpuraUoo la duly ..ff1"ed tbereto, a..d the ...id conv.y.."ce ia the ..ct ..ud deed a' laid c:orpuratioa. WITNESS my .ilnature and off1elal aeaI at Sebastian, In the last afur..ud. and ,car ~~""l!II t Name OLJ,.. i ~ Ai... Vo.RD~~, OC K Unit '-l Block 3~- Lot .;,B Date of Mark-out J .,. J,.' - q~) Date of Bu rial l " ;:? ') - ;'I:!::t-' Time (/: ClCJ /4 //;. Name of Fu~,ral Hom~"i .:5T~'~"./K~, .' \~, <~// j', i><,. //'< "'. / /T." .,.' /,,? / / ",.,1 ,( Authorized by- . J~"-I A;:~>/(' ,):~'{':'2>c:"1 .,,~' I \ \ ( \ :r . . 037 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA OF XHE SUM OF: Dollars (S ~ ~. fZ!J- ) Description of property: . Cemetery Loti s) l~ 1M Block 06 PurcI1ase pri.(.({ . ~ Xerms and COndi.&;j~. 7 h ? Xhis contract: shall be bi.11tH TJ.g upon both parties, the purchaser, when approved by the owner of the property described. Unit ~. Dollars ($~#fJ/).~) seller and the above I, or we, agree to purchase the above described property on the terms and conditions stated in. the foregoing.-.:i.nstrument: Xhe City of Sebastian agrees the above named purchaser ( s ) above instrument. sell the above mentioned propert:y to the tenDS and condi . ons stated in. the Wi.~? a ~ ~ ' - . . .. ... ...... .... m ~le <D ics 1'-;: "". \)'.. i I ~ I 0-..: I "-J I ",-i I ~ ~u ~ UOmgj oa:~~ a:lli..J II .....~ lUx . c.....oz ....cn< za: .i= -coen ::i:Ea::i Oa: w o en ~ <:) ~ .. ~ ~ c:J ~ ~ ! ~ ~! ~1 ~ II I i~~'" I I ~~ i ~ ~ .11 ~; ~! ~ ~ !i~~ J is, Lt1 ~ ~ i n~ ~ - ~I ~: ili~~ 1 ~ . iiit~:t ~ '" I ,." ~.. .... I .~ ~~-~:i ~ ~J N! lID C'- to; 0 ~'" cJJ. ~~ Q' II: ~ ! ~~ I ~ - ~ Ij . . .. . ,""Y 0 L. " ""8 I ' \ ~I 11'<(; ~. ~(,>- ,Y" +0 ;1<:>>1,..,Q "'& \c,..J' 01: PELlC&l-tl- . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 January 17, 1995 Mrs. Mary E. Brock P.O. Box 780489 Sebastian, Florida 32978 Dear Mrs. Brock: Enclosed is Cemetery Deed No. 1485 for Lots 37 & 38, 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. We are enclosing two copies of Receipt No. 837 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. v~y /ruly yo~~~, t).LI YY'~m. T ItUlRA- Kathryn M. O'Halloran City Clerk KMO: lmg enclosure (\ws-form-cem.rec) fln~ State of Florida, DepartmA>f Health and Rehabilitative Services, Vital .stics APPLlCATI~ FOR BURIAL - TRANSIT PERMIT ;: Hii';:P g 636 tI~ A. 1. Name of Deceased (Type or Print) First 011 in Middle Auvard Last Brock DATE OF DEATH Month Day Year 01/24/95 Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Sebastian River Medical Cent Address Phone Number 2. Place of Death County Indian River 3. Name of Medical Certifier City, Town or Location Roseland Ral h B. Gei er M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Homes 5. Check a 0 Appro- . priate Box X Physician Address 13840 U.S.# 1 Sebastian Florida 32958 4 7 Fla. Uc. No.1 Reg. No. Phone Number (Area Code) 1623 North Central Avenue P.A. Sebastian FI 32958 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b [j P.boDdIl was contacted on Ol/JS/93 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Ra 1 ph R. ("~ i a~T f M n will complete and sign the medical certification of cause of death. was contacted on . He/she verified that ,Medical Examiner, will complete and sign the c 0 medical certification. 6. Place of Sebastian Cemetery Final Disposition: 7. Funeral Director / Direct Disposer Indian River F.E. No.1 Reg. No. Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit No. 1228-95-0056 Permission is hereby granted to dispose of this body. 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 death certificate requested. Registrar or r Subregistrar Signature Date /. ""5. ~ Date Certificate Issued: - ~ - Due: 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. D, CEMETERY OR CREMATORY Methods of Disposition: ~ BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition ~:;. ~~~ Signature of Sexton ) or person-in-Charge)~':"'" ~. Q.l.~ 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) (Stock Number: 5740-000-0326-2) -=r