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Home My WebLink About4-34-08 Paid by CEMETERY Receipt No.. .~....... .D.ted. ..~/~.(.~;........ ... ....... Ust Price $...... .~9.q...9.q.. Maximum No. Burial Spaces................. 500.00 Lot . Bloc Unit NO. 1461 Net Paid $ Monument permitted. . . .. . .. .. .. .. .. .. . .. . . (D.t. .bove thla Une lor Clt, Reeord oDI,) mUll of &rbastiau '1461 (lttmtltry Ittb NO. 3rd THIS INDENTURE MADE 'I1IIa ...................... d.y 01 August 94 A. D~ I......., bet,,'oon 'ho CIt, 01 8obutl.... . municipal corpor.tlon 0,.1.11... under tho I.w. 01 tho St.te 01 Florida, ., arantor .nd Linda S. Sullivan . . . . . . . . . . . . . . . . . . . . . . .. ....... . . . ... . . . . . .. . 63'2" take' . Dri vI!' ... .. .... . . .. .. ... . . . . . . . .. .. .. . . . . . . . . . . ...... . . . ..... . .. . . . . . . ... .. ... .. .. ... ...... .. ................ . ~e.b.a~ ~J~~,.. .I!'.~~~~.C!-~..~. ?~.~ ~ .. .. ...................................... Indian River Florida 01 the Connt, 01 ............................................. .nol St.te 01 ....................................................... u ar.ntee, WITNESSETH, That the Grantor for .nd bt consideration of the sum of $ .. .~Q9. t QQ..... ... ...... to It In hand paid, the receipt whereof Is herewith.c- knowledged, does by this Instrument gr.nt, b,1pii.. sen, release, convey and confirm unto the Gr.ntee .l~ !'!.~. . .. heirs, legal represent.tiv.. and ,sslgns the foUowiDg property situated In Seb.stian, Indian River County, Florid., to-wit: AU of Lot(s) .&. .. .. ,Block,.. :3.4. .. ,UNIT ...~......... ,of Seb.stl.n municipal cemetery.s per Plat Number I thereof recorded In Plat Book 2, .t page 65 of the pubUc records In the omce of the Clerk of the Circuit Court of St. Lude County of Florid.; aid land now lying and being bt Indian River County, Florid.. To H.ve .nd to Hold the ame forever; provided that said property shan be used aolely .nd exclusively for the Interment of the human dead .nd shall be used, kept and maintained .t .n times bt .ccordance with the rules .nd regulations, ordinances .nd reaolutlons of the City of Sebastian, Florid., hereto- fore, now .nd hereafter .dopted or provided for the government and oper.tion of said cemetery. The conditions, restrictions and reqUirements contabted bt this Instrument shan be covenant. running with the land. In the event of the failure of the owner of any property situated w1thbt said cemetery to ob- serve and comply with Such rules, regulations, reaolution. .nd ordinances and the condition. of the deed of conveyance thereof then the title of such owner In .nd to said property shaD termln.te .nd the ame shall revert to the City of Seb.stian, Florid.. IN WITNESS WHEREOF, The said party of the first part has caused this btstrument to be executed In III n.me and on It. behalf by it. M.yor .nd .ttested by its City Clerk and It. corpor.te seal to be hereto affixed, the d.y .nd year first .bove written. Alte~J . ..In..o..t!~... ,~ I~ Clt, Clerk CITYiIlli~~ B, .....................~ . . . .. . . . .. .. .. .. .. . M.,or Signed, Soaled and Dollverod In .the _e 01. ~..~.............. /. ""-4.4<<-~ ............. .................................... (atit; .$rlll) STATE OF FLORIDA COl'NTY OF INDIAN RIVER 3rd August 94 I HEREBY CERTIFY, That 01\ thla ....................... .d.y 01 ..................................................., I....., belore me prnonally apprared ...A~.~h~~..:r:......I!'.~:t:~.i.q~........................ .nd ..~~~.~.~y.~..J:I.~..~~.I!.~~~.~.':~~ re.p,'elively M.yor and City Clerk of the City of 8oba.tI.... . munkl,..1 corporation under the I...., 01 the State of Florid. to..... known to be the Individual. and officers described In and who e,.eeuted the fOf('lJOlnC eoa..,.n... to Linda S. Sullivan . . . . . . . . . . . . . . . . .. . . . .. . . . . .. . . . .. . . .. . .. .. .. . .. .. . . . . .. and .evorally acknowledged the execullon thereof to be their Iree .ct .nd deed as .nch offleor. "...rcunto duly .uthor.....; and that the Orllclal .eal of ..Id corporation II duly alllxed thereto, and the said convoyance I. the aet .nd doed 01 said corporation. WITNESS my ,'cn.ture .nd oflld.1 _I .t 8oba.t..... In the Cou ty I..t aforesaid. Q) LINOAM. MLlEY -OJ . MY COMUlSSIOII , CC sm24 , : EllPII!ll: June,.. ttIII _nn -.,.NIo....... Unit / /~ /Y'~' it:.- <; i /;;(1 J, ~~.... " , /., '--' . <~-.' 12:,;...( ;L f Name Block Lot ,9:, ,~/ '~ 1 Date of Mark-out " / I t., j" ! ,,' " r. ! ,'0"'1 './ j '/ f _ Date of Burial ,r,./ r / "~'I .,.;(..". ..; c (' "'- C,-"/.", / I ". Time I ~> :) /), ,w""1 / .d'" Name of Funeral Home /...,....."y!)-e~:r~} ,'Y'# Authorized by.,.<:.",..4,-pt::4', '. " --.,. \ .' . . .... "y-;;' ';:: .'? - --~ ::;" 1:2 J;' 1'// .,' )~,.;:~~,.,.'~',~:/.~ i_;";:':_~" ./~,.' " '~,..::::" /1 ,1' ./ t_ .' I".. ___~,__.___~ ..n'__ _ ___ ~..__.._,__.._.._ .___...... ....__._.______," _~__".___._. ._.__..n ~LJh\01l Jj' ndtL \3. lo3!J Lak,Q;() V~ ~o.f), rL32160 Lo4~ --J3/ocL \:34 Un;+ 4 ~ Do., 1~(p1 t5'OD. .- ot3)9t/ '" ~ -1 &'lee~ 'Inferred ~ldlq4 ',- - '- Paid by CEMETERY Receipt No. . . ~.~ ~. . . . . . . . . . Dated. . . ?/ ~ { .Q~. . . . . . . . . . . . . . . . . . List Price $...... .~9.Q:. 9.Q.. ! Net P 'd $ 500.00 . -:~C!]~ !ion"",,,,,, pmnitt"'... ....... ........... .. Lot 8 Block 34 Maximum No. Burial Spaces...... ....... .... Uni t 4 NO. 1461 (Data above this line for City Record only) . ,'1y 0,.. "'\ tJ't (~ ~ ~ (('" . , 'Y" -1-0 v'l C;, I^~<J 1ft!: OF PEllC~~ {~\,- . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 August 8, 1994 Linda S. Sullivan 632 Lake Drive Sebastian, Florida 32958 Dear Ms. Sullivan: Enclosed is Cemetery Deed No. 1461 for Cemetery Lot 8, 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. 0813 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, ~.J.. m. {)~A.. K:t~Halloran City Clerk KMO:lmg enclosure (\ws-form-cem.rec) " ~~!':':<._~' . !~I: " , \ , . , , 1 . 1 t . ; . N N N M .,.", ....... ...", -.s: ii ~~ '" ~ Ol ~ - \ ~ ~ N .- III S Ow :s: ~ IX) Zit) ... W ~ 4~t') ct -I -I u.I <( U- :z~z _z<( _ w- U. u to ,<( ~ZCll :z t') w C\Ilf) ::>>~ ct t; , . . t f \ \ . u ~ ~ lf5 fJ7 ~ CIl a: <. ..I ..I o o :" - ~ . ~ t.D nJ ... ttI o IT o ~ ttI I.f\ t.D o o t'- t.D o .. - . C al . III , . Ol 'i ~ C .. .! 'tl .. ~ z ~ C . .!u 5l~ ';it! ~%~i )-1-0 <.oa: n.I-O " a: o u.. .,.... - ..~ . . <r!o THE SEBASTIAN CEMm:RY CITY OF SEBASTIAN SEBASTIAN, FLORIDA FROM: OF THE SUM OF: (s5()D~ ) on this ,-1nl day of 4UoI- , 19~ for the purChase of the following described Cemetertj Lot ( s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot.l-B1" L/;) Block Purchase pri~ _f!.9-- Terms and Condition of sale: sz/ Unit Dollars (s5'M. ~ ) / 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: X~)(y.#~) 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. (fi~L ~~ . . "<f/3 THE SEBASTIAN CEME.1'ERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA FROM: IS HEREBY ACKNOWLEDGED OF THE SUM OF: ~~ (s5{)D~ ) on this ,--1~ day of 4aoI- , 19~ for the purChase of the following described Cemetertj Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot.l-B'r L, ../t!... Block ~ ~O ' Purchase pri~ . ~ Terms and Condition of sale: 04 Unit Dollars (sQOC. ~ ) / This contract: sha1.1 be binding upon both part:ies, the seller and the purchaser, when approved. by the owner of the propert:y above described. I, or we, agree to purchase the above described property on the terms and conditions st:ated 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 instrument. LAtL d~~ rJ'itness ~ [(B State of Florida, Depar.t of Health and Rehabilitative Services, Vi.atistics APPLlC N FOR BURIAL - TRANSIT PERMIT I- 31- 08 A. 1. Name of Deceased (Type or Print) First James Middle Last Sweeney DATE OF DEATH Month Day 07/30/94 Year J. 2, Place of Death County Ind' River 3. Name of Medical Certifier City, Town or Location S Name of (If neither, give street address) Hosp. or Inst. Phone Number Medical Examiner 5. Check Appro- priate Box Physician Address 1623 N~rth Central Avenue 13840 4. Name of Funeral Home/ Direct Disposer The medical certification has been completed and signed. A completed certificate of death accompanies this application. b il Cheryl was contacted on 98/91/94 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 . Ralph B G9iger, 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 Sehastian Final Disposifion: 7. Funeral Director/ Djg;)ct gi6"~&~1 Removal from state Donation Date Signed B. 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 extension of time for filing the death certificate requested. Registrar or / Subregistrar Signature ~ Permit No. 1 ??R-~4-n~7fi Date 0 I ~ I DuDaeb~. Certif~_e ~ _ OJ Issued: ~ - - /~ o~ ~ 7~ C. AUlliORIZATION 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, CEMETERY OR CREMATORY Methods of Disposition: . BURIAL o CREMATION o STORAGE o OTHER (SpeCify) Place of Disposition Date of Disposition --.. vi, ,-~:t h-. r; tbd1~ ~ )99~ aA474~ Signature of Sexton ) or Person-in-Charge) )~~"'__'.Jl (1/__.1 Th~ pe,m" must be endorsed by the Sexton 0' person-;n-chalge (0' by the Funeral DI..cto'/Dlrect DISPOser when the.. Is no Sext~ 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) ,