The URL can be used to link to this page

Home My WebLink About4-34-02 Paid by CEMETERY Receipt No... .f}....... Dated....... 7.1. 7.91.9.4............ Ust Price s.... ?<?9. ~ ~9..... Maxbnum No. Burial Spaces................. 500.00 Lot_ Bloc~4 Unit 4 NO. 1460 Net Paid $ Monument permitted. . . .. . . .. . . .. . .. . .. .. . . (Dat. .boye thl. Jlne 'or City Reeord oaly) GUtu of l'tbasthtu <1!rmetrry meeb 1460 NO. THIS INDENTURE MADE nil 29th .......... d.y 0' July 94 A. D., If......, bell..eon Ihe City ot Seb..ti.... . wunlelp" corporation exl.Una undor the I.wa ot the St.te ot Florida, .. Grantor and .Mr.s... . P.a.tric.ia. .Lei.&h...... ... . ........... ............................. 185 Filbert Street .................. ......... ..... ......... . .Sebast.ian). ..Flor.ida. .:3-2958.. .............................. ........ ot the County o. ..l.n.4;l,~n.. R;I, v.fi!.r;....... ............... an:1 81.te 0' ..F.J..QJ:.i.4A......................................... as Gr.nt..... WITNESSETH, That the Grantor for and in conslder.tlon of the .um of S '" ~.Q~ ~ R9.. .. . . .. . .. .. . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument pant, b.I1.m, sell. release, convey and confirm unto the Grantee.. h~.:t; .. heln.lepl representatives and .ssips the following property situated In Sebastian, Indian RIver County, Florida, to-wlt: All of Lot(s) . . ~. . .. ,Block,...,..~ ~ ,UNIT .....4....... ,of Sebastian municipal cemetery as per Plat Number! thereof recorded In Plat Book 2, .t page 6S of the pubUc records In the office of the Clerk of the Circuit Court of SL Lude County of Florid.; said land now lying and being in Indian River County, FloridL To Have and \0 Hold the same forever; proYided th.t said property shall be used IIlllely and exclusively for the interment of the human dead and shall be used, kept and maintained .t an tlmelin ac:<:ordance with the rule. .nd regulations, ordinances .nd relllllutlons of the City of Sebastian, Florida, hereto- fore, now .nd hereafter adopted or proYided for the government and oper.tIon of sa1d cemetery. The condition.. restrictions and requlremenll contained in this Instrument shall be covenants ruMIng with the land. In the event of the failure of the owner of any property situated within sa1d cemetery to ob- serve and comply with iuch rule.. regulation.. relOlutlon. and ordinances and the condltlon. of the dted of conveyance thereof then the title of IUch owner In and to said property .haD terminate and the ..me ohall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be executed in Its name and on its beh.1f by its M.yor .nd .ttested by Its City Clerk and its corporate ...1 to be hereto affixed, the day and year first above written. .....;;-v/ .InP~P C>T:'~~P ~ City Clerk Mqor Slln..-d, Sealcd and D"Jlverrd ,".. ;'~ (Cna.lluQ STATE OF FLORIDA COl'NTY OF INDIAN RIVER 1 HEREBY CERTIFY, That on \hI. ..29.th...............d.)' ot ...............July.............................., 1..94, brtore me perlOn.lly .ppe.red .......A~.~~~~..~....X.i:r:~~.?n..................... .nd ...~~.~~~y.':l..~.....Q.'.~~~.~~~~.n re.pe'"Uvel)' M.yor .nd City Clerk 0' the City 0' Sebasti.n, . munlrll,al rorpor.Uon uneler the I..... 0' the State 0' Florid. to me known to be the Individual. und oW"en described In and who executed the fOf'...lna cOIIveyanee to . . .. ..... ..... ....... ......................... . . .. .~r.~ .... .1'.a..t;J::i.C;l,A. .L.e;l,:;,b.......... . .... ..... .... ........................... . . . . . .. . . . .. . . .. . . . . . . . . . .. . . .. . . . . .. . .. . . .. .. .. .. . . .. .. .nd ..verally ..knowledlcd the ex<cuUon thereo' to be their 'roe .d .nd decd .s slIeh oWcers Ibereullto duly authorlaed; and th.t the Offlei.1 ....1 of ..Id corporation Is duly affixed thereto, and the ..Id ronyey.nce Is thc ad .nd deed 0' laid corpor.tIon. WITNESS my .I....ture and orticla! aeaI at SebasUa... In the Co nly last aforeaald. .f 411h. LINM M. 8AUEY W.f"J~~ 1ft'~'IlCJlSlI4 - EllI'I'&: ....1.. _ __\lIIIIr_'--' Name E D v.J i-I I,' f:J It. /...,::." I " it Unit -9 Block 3- ~~i/ Lot ~ri ."'1"'........ Date of Mark-out ..t-' I( ,"'- / ") " I ('1/ A i-, - / ;;.~. ...../ Date of Burial '-7' / /. -, ,.', _ _~ ,,' J r< / /''':'''''' (...,..I >' ,f Time >:/ ,I>' "", ~ ...---' " .,' Name of Funeral Home ' i>>:l /'::{.f 8"( . .l J< Ii /// //.../ .,." / ""... '.,<, """i.4.' _ '~~~~~" ':Ii ~.~ / - - "/i'/(~;;' Auth~~9_l:>X::::/A..A('A7(!jL.....-/ift'::-t:,a1 , . / J 5 ~i.'.r.,""'""" . U "'GP\cJn ~\~ 2~.::::I' .l'l~' ~ 1~"S h lber + ~. ~bCl~af\ FL,. fi~5~ J:ad No. r+w' Lo+ b< d51~ ~ Un/--t J+ rJ;uaY) H ie;~ - in-k,;ttl2 'f/;t,){ ~ ...... Paid by CEMETERY Receipt No..,.~ ~.f...,..... Dated......, 7.1. ?9! ~.4............ List Price $ . . . . ? .q 9. ~ R 9. . . . . Maximum No. Burial Spaces. . . .. . . . . . . . . . . . . N P'd $ 500.00 ~7;15;;~ ~ Monumom _od....................... 7.7 ~ (Data above this line for City Record ooly) Lot 2 Block 34 Unit 4 NO. 1460 . ,"1Y 0" "\ lJI I;; ~ ~ ~' '~ "o~ /) S " ~~"o E: OF PELJC~~ \S . City of Sebastian 1225 MAIN STREET [J SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 [J FAX (407) 589-5570 August 8, 1994 Mrs. Patricia Leish 185 Filbert street Sebastian, Florida 32958 Dear Mrs. Leish: Enclosed is Cemetery Deed No. 1460 for Cemetery Lot 2, Block 34, 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. 812 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. The previous receipt you received had an incorrect Block number listed. A stamped, self-addressed envelope is provided for your convenience. yours, m. {)~A- Kathryn M. O'Halloran City Clerk KMO: lmg enclosure (\ws-form-cem.rec) . I j ~ ex> o C\I C") :e'" ~~ ..,"" ..,." "i'i :6~ ~, ~..~ en a: <( ...J ...J o o ~ J\. . r ,... ~ co ~ 1&1 ~ Ow , .:z: :> co 1 -' Zit) >, .... g: 0> r '" :<f:1 ./ f 1&1 -J -J <... z~, ;:) Z Z wS k. u~ J ~:;i~ Z[:3W t ;:) co CI) ? <<- I f- CI) 'f'8 fWW:);..... 3>t ~'I'S ~~no . . '?/~ THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA FROM: THE SUM OF: (SottJ. ~ ) on this cYh day Of~~ following described ceme~iy ~(s) stated herein: Description of Property: ......, I / . / Cemetery Lo~ ~ ~~Ck ~ Unit ~ Purchase Pri~ ~ ~ Dollars (sGttJ. p) for the purchase of the terms and conditions as Terms and Condition of saLe: This contract; shaLl. be binding upon both parties, the seller and the purchaser, when approved by the owner of the propert:g above described. I, or we, agree to purchase the above described property on the terms and conditions stated in the ;r~1J zt: a c1~ The City of Sebastian agrees to sell the above mentioned property to the above named purChaser ( s) on the terms and conditio stated in the above instrument. !41-N' ..cL--/~~ ~itness . . '?/;) THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA , THE SUM OF: (SottJ. ~ ) FROM: for the purchase of the terms and conditions as Description of Property: -. s / . / Cemetery Lo~ ~~;:;Ck ~ Unit ~ Purchase Price...; ~ ~ Dollars (sGM. p) Terms and Condition of sale: This contract:. shal..l 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 conditio stated in the above ins1:.rument. !/?7AtP" d'J~-{t ~itness [[k~1 State of Florida, Department of Health and Rehabilitative Services, v.. Statistics APPU.N FOR BURIAL - TRANSIT PERMIT ~d- /j3~ 1/1 A. 1. Name of Deceased (Type or Print) First Edward Middle Allen Last Leish DATE OF DEATH Month Day Year 07/21/1994 2. Place of Death County Brevard 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Holaes Re ional Medical Center Address Phone Number Melbourne Robert C. Seelman 4. Name of Funeral Home/ Direct Disposer 200 E. Sheridan Road Physician Melbourne Florida 32901 401 125-4500 Address Fla Uc. No.1 Reg. No. Phone Number (Area Code) 1623 North Central Avenue Funeral Homes P.A. Sebastian FI 32958 1228 401 562-2325 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. M.D. Strunk 5. Check Appro- priate Box b [J Trisb was contacted on 01/22/1994ithin 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 Robert C. See 1 mlln . M. D. 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 Final Disposition: 7. Funeral Director/ ~l ulsposer Indian River F.E. No.lRQ@ ner.- Removal from state Donation Date Signed S. BURIAL - TRANSIT PERMIT 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 extensi.on of time for filing the death certificate requested. Registrar or ____ Subregistrar Signature Permit No. 1228-94-0353 Date Issued: 7- ~ ;l - 7' ~ g:~ Cert~~ti q _ 9' stf 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: lI2lSURIAL o CREMATION o STORAGE o OTHER (Specify) CEMETERY OR CREMATORY Place at D;spos;lion · ~Jd ~ /2,,,, .m!i-1 Date of Disposition 9'...1, ,..q U I 19~ ~ Signature of Sexton ) or Person-in-Charge ) _ ~ / ~,.: ..l ,1:Z:,,,,. ~ 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) - J.