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Home My WebLink About4-34-14 ~ ~ Paid by CEMETERY Receipt No. ..... List Price $ . . .~ 1.~ ?9:. 9~ . . . Net Paid $ ...~ ?~?~:.?~... ........D.ted....~/.9.1.9.L............... Lots. ~ 14,15 Block 34 M.ximum No. Buri.1 Spaces. . . .. ... . . . .. .. .. Uni t 4 NO. Monument permitted. . . .. . . . . . . .. . . . .. . . . . . ...i.v3 (Data above tl1l1 line for CIty Record oDly) atitt! nf &thusthtU OJ f m f t fry II ffll , 15 t~ 3 NO. THIS INDENTURE MADE TkI1 9th day of June 95 A. D., II....... bet\\'..n Ih. City of Sebastian, a municipal corporation exlltlng under the lawI of tbe Stote of Florida, al Granlnr alld Kel LaBranche .......................................... '127'J6"N~" AlA.... .................. ................... ........ ............... . yE!~.o.. ~E!~.~?.'.. .~.~~~~.~.~.. ~.~.~.~3 of the County of...... .~nc;l.:i-M1..~.:l,~~~................. on:1 State ~f f)..Qr::;i..c;l.~........................................... u Grantee, WITNESSETH, TbIlt the Grantor for .nd in consideration of the sum of $ ..~ I.? .s. 9. ..9.9.. . . . . . . . . . . to it in hand paid, the receipt whereofls herewith ac- knowledged, does by this instrument grant, batgaiit, sell, relea"", convey and confirm unto the Gr.ntee .~:': l!l. . .. heirs, legal representatives and assigns the foDowing property slt"ated In Sebastian, Indian RIver County, Florida, to-wlt: 13,14, 15 34 4 An of Lot(s) . . . . . .. ,Block,........ ,UNIT ............. ,of Sebastian munldpa' cemetery as per Plat Number I thereof recorded In Plat Book 2, .t page 6S of the public records In the office of the Clerk of the Circuit Court of St. Lude County of Florida; said land now lying and being in indian River County, Florida. To lIave and to Hold the same forever; provided that said property shan be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at an tlines in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and herealler adopted or provided for the government and operation of said cemetery. The conditions, restrictlons and requirements contained in this instrument shan be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- ""rve and comply with such 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 shan terminate and the same shall 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 behalf by its Mayor and .ttested by its City Clerk and Its corporate ""al to be hereto affixed, the day .nd year first above written. Attes~; ~~~.m....8t1..~~.... City Clerk ~?~HH Maror Sign,,,', Sealed Ulld Delivered nnth Pre ear. / ." ~ u-. ~$",O/................. I . '7 ,/ c;j(/-'Y . #...-. ~'.. .7.!..(?~~...... I (<<Iit\! ~elll) ST TE OF FI.ORIDA COl'N'fY OF INDIAN RIVER 9th I JlEllEBY CERTIFY, That on thla ...................... ..doy of June 95 II. .... ..................................................., Arthur L. Firtion Kathryn M. Q'Halloran bl"(ure IIle personally ap~n.red ........................................................... and ....................................... reslwetlvi'ly Mayor ond City Clerk of the City of ScbRsllon, 8 munld,.ol corporation IInder the 18\\'s of the State of Florida to me known 10 be the individoals ond officers described in ond who rxeeuh:d tbe (o[('golnll eORveyanee to Kel LaBranche .................................................................................................................................. . . . . . . . . . . .. . . .. . . . . . . . . . . . .. . . . . .. . . . . . .. ... .. . . .. . .. and severally aeknowledged the ne.ullon thereof to be their free oet IInd deed os SlIeh oHlcers thereunto dulY outhorlsedl and thot the OFflciol seal of said corporation la lIuly affixed therrto, and the said conveyance is the IIet IInd dr.d of said corporation. ilji\\~ UNOA M. SALLEY 1.1W1' ,.- MY COMMISSIOIl' CC m724 ~ . EXPIIU: Junll1. ,_ ..//! ........TIIN-,NlIo~ Ind Rlnr~ ad t e of Florida, the day and rea: 7 ~v 7 '.<;c.(.<d' . ' . .j:... /.J(15ft',: ........................ otary ubUe. 5t of Plorlda at Larl y rOnllal..lon ex Irel. Linda M. Galley WITNESS my signature and offlelal ...a1 at Sebastian, In lo.i ufor.sald. , Li''f 13~/JN" IfL Name L 1.( C '-1 - --- Unit ,t~;/ , Block '"::/1 Lot /.,y' Date of Mark-out / / I <f (",- 0/1/ ., Date of Burial b /.~ / <[' L,-~- Time '1 '? "~.' if . j\1) ~ '. ..,...--:,;; ""'/ _ j/J F 'I H _ ../.5 J /-M H r....... ' Name of uner~ om,~_ ..... I", I .i /)' / -':y!-/) >I \~~ /.f ",,;;1".// A thl'iz,"'''' Qy.)"':::<J~-'-;'.,,~:d::;.:.../l\/r.:~::-" . . ..' .' u o~. ~ ' .,/"i/ / J. Paid by CEMETERY Receipt No. .... ~.~ Z...... . Dated. ...9 !9/~.~................. List Price $...~ 1.~ ?9... 9.q... Net Paid $ ...~!.~ ?~:. ~.~... Lots 13,14,15 Block 34 Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Uni t 4 NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . -L 5,.' 3 (Data above tbia line tor CUy Record only) Cl'I'f ()1 'SEUSTj~ v -;;.;..:<w,. " ~i.f@i ~@~~f::~' HOME 01P'Ul<4\N ISUIHl) INVOICE CITY OF SEBASTIAN TO: Mr. Kel Labranch INVOICE: 05-078 12736 N. AlA Date: 10/25/2004 Vero Beach, FL 32963 Amount: $ 245.00 AMOUNT DESCRIPTION DUE 1 Repair of marker at Sebastian Cemetery Unit 4, Block 34, Lot 14 245.00 DUE UPON RECEIPT TOTAL AMOUNT DUE 245.00 Remit To . CITY OF SEBASTIAN . Finance Department 1225 Main Street Sebastian, Florida 32958 Account Numbers: Dr: Cr. 010059 534685 ~--~-~'-~~'-'-':'-:"-- :-~.~=:~--- : ::-==-,.=~,--- ~~_,-_7"_'.:':: ,. 01Y OF ~ ~ '". '_U__', ,_'~~'~- --.... --- .-. HOME OF PELICAN ISLAND 1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570 October 21, 2004 "Mr. Kel Labranche 12736N. AlA Vero Beach,FI 32963 Dear Mr. Labranche: Re: Sebastian Cemetery Unit 4, Block 34, Lot 14 It is with regret that we inform you that the marker and/or vase on your Sebastian cemetery lot was damaged during the recent hurricanes. The city has made arrangements with a local monument company to repair the damaged markers at $225.00 per marker and $20.00 per vase. According to the rules and regulations governing the cemetery (copy enclosed), interment site owners are responsible for damage to markers and/or vases, therefore, we are enclosing an invoice for the reimbursement of this fee. Thank you in advance for your cooperation in this matter and I would like to assure you that the upkeep and maintenance of the cemetery is very important to the City. If you have any questions regarding this matter, please do not hesitate to contact me at the cemetery or by telephone at 772-589-2545. Sincerely, Kip G. Kelso, Jr reI' K~ Cemetery Sexton Enclosure .'::~~!~.:- - ~---- ~_T~ __-"---- :: ~~ .II .f~~ljlfi..! ::;'. ..\ :::..1.,:;:-:::,.:,.. --:".~~~--,~~. .;-~:::,~ , ._ C-'~-'.""'_'.!'''' [11l~1 State of Florida, Departme~ Health and Rehabilitative Services, Vital SI'sticS APPLlCATI.OR BURIAL - TRANSIT PERMIT I- /3 -/:) 13 31 (j 1-/ @ A. 1. Name of Deceased (Type or Print) First Lucy Middle Wim-Mei Last DATE OF DEATH Month Day Year LaBranche 05/30/95 City, Town or Location Name of (If neither, give street address) Hosp. or Inst. 2, Place of Death County 3. X Medical Examiner Phone Number 2500 S~ 35th Stre~t 4. Name of Funeral Home/ Direct Disposer 5, Check Appro- priate Box 1623 Nqrth Central Avenue The medical certification has been completed and signed. A completed certificate of death accompanies this application. b 0 was contacted on 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 will complete and sign the medical certification of cause of death. c f] HI" 1 pn was contacted orl)~/Ol /Qt.:, ,He/she verified that Char 1 es A. Diggs, M. D., A. M, E. , Medical Examiner, will complete and sign the medical certification. 6. Place of Sebast ian Cemetery Final Disposition: 7, Funeral Director / eir~"t (;lisI5G3ef-.. Indian River F.E. No./RFlO No Removal from state Donation Date Signed 06 01 95 B. BURIAL - TRANSIT PERMIT Permit No. 1228-95-0279 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 ~ l. j J (! ~ ..JLt Date S 1'3 (~, Date Certificate Subregistrar Signature cs . 1\ J -... ~ 6- (f - Issued: \ 60 ~ ~ Due: 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, CEMETERY OR CREMATORY Methods of Disposition: 00 BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition '7 ha <:+/0.1'1 aln"I:-t'~ Q<.VY) t' al3:R 1 "i- 9 S- I Signature of Sexton ) or Person-in-Charge ) ...,If"' ~,; f1,;{,_~ 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: 5740-000-0826-2) :L