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Home My WebLink About4-34-20 Paid by CEMETERY Receipt No,., ~........ Dated.... J.\ /.?M.~~............. Lot 20. 500 00 Block List Price $ . . , .. .. :. . . .. .. . , . Maximum No. Burial Spaces... , .... ..... .. .Yni t Net Paid $ .. ~.9~: ~~. .. .. .. NO. 1480 .' Monument permitted. .. .. , .. . . . . . , .. . . . '. . . . (Data abo"" tIlla line for Clt, Rec:ord only) atitt! nf &rbastiau (!temetery I eeb NO. 1480 THIS INDENTURE MADB TWI 28th ..... day of November 94 A. D.. I......., beh,'..n lb. Clly of Sebastl.n, . munl.lpal corpor.tlon alatlnl under the I.ws of the St.te of Florlel.. aa Grantor .nd ...,.,....,.................... ...Mr.s... . Mar.yann . F... ,N.icoletti............................,...... ............... ,. 135 Hinchman Avenue ".".................. ...... .........Se.batsian.,.. .Flor-ida. .32.9-58......... ,.",...........,........................... of the Count, of ... .lnc;IJ.an..tU:vl'lJ::.................... .n:1 St.te of ............. .F.lQJ,:;I.,d.a............................. aa Gr.ntee, WITNBSSBTH, That the Grantor for and In consider.tlon of the sum of $ .? 9Q : .Q~ . . . . .. .. . . . . , , . to It In hand paid, the receipt whereof Is herewith ac- knowledged. does by this Instrument pant, barga1ft. sen, release, convey and CXl1\firm IUIto the Grantee h~.:r;. . .. heirs, legal representatives and asslps the following property situated In Seballlan. Indian River COlUlty, FlOrida, to-wlt: All of Lot(s) .. ?Q,. ,Block,... .~~.. . UNIT ..., It... .. .. ,of Seballlan munldpal cemetery as per Plat Number I thereof recorded In Plat Book 2, at page 65 of the pubHc records In the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now 1)'inR and belllll In Indian River County, Florida, To Hsve and to Hold the same forever; provided that said property shan be usecloolely 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 resolution. of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The condition.. remlct10ns snd 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 inch rules, regulations, reoolutions and ordinances and the conditions of the deed of conveyance thereuf 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 first part has caused this Instrument to be executed In Its name and on Its behalf by It. Mayor and attested by Its City Clerk and Its corporate seal to be hereto afflxed, the day and year first sbove written. .._~~f2.~ CITYOD~ By .,.,.......,......... .. .. .. .. .. . .. .. . .. .. . .. .. . .. Ma,or ...~iP"'4~ (e.. J".Q 1 ~44bs/~............ ~~. :~-~~~RIDA COUNTY OF INDIAN RIVER 28th November 94 I HEUEBY CERTIFY, That on thll ..',.................., ,day of "..".............................................J I.....J , b,fur. me personally .pp.....d ......A~.~h~~...T;-....X.~,r~~,o.~............... and K~~.h.:r;y.~..~.~..9.~~~g<?r;~~.. r..",.rtively Mayor and City Clerk of the City of Sebastian, 0 munlel,... rorporatlon under the I..... of the State of Florlela to me known 10 be Ih. Individual. and officers d.scrlbed In .nd who .x.ruled the fore.golnl ....veyanre to Mrs. Maryann F. Nicoletti ....................................................................................................................................... . , . . . . . . . . . . . . . . . . . . , . . .. . . .. , . .. . . .. .. . .. . . .. . . .. . . . . .. and .everally ..knowledg"" the execution th......f to he their fr.. art and deed u .nch offl..rs tller.unto duly outhorbed; and that the Official ...1 of s.ld rorporatlOll II duly .fflx.d thereto, and the said ...nveyanc. I. the oet ond deed or salel corporation. WITNESS my Ilgn.ture and offlel.1 _I .t Sebaltl.n, In the lut dorel.IeI, I'f .;,ii;I:~ I..IIMM.lW.I..EY ...., . "'_'CCS71124 I, """\ M'IB:....,.. 11II ~ ". /: ............, NIl........ Name )v"I') J;.::" 'I i f" , h'-t If.. ..../1 .vvt f) J..::J:::.. . .. Unit /1 Block ':;~ d::.l --I, Lot ....) 0 ~'" iJ Date of Burial //!?-?1)94 ,i l-) / IQ4 " /,""'\01/1 Time II : 0 D R J /Ill . Date of Mark-out ])eed -# I~g{) 1i~trJ~;;~Jte- ~tv? n ~.~1ot b/~o, tJdd:/b7JI dar~ r. jjemfl1~/;-:JlJIer,e/ l/w/tv '- - Paid by CEMETERY Receipt No... ~~.Z....... .. Dated..... t~ I.?~ I.~~............. Lo t 20 List Price $. 500.00 Block 34 . . . . . . . . . . . . . . . . . Maximum No Burial S Net P . 500.00 . paces.............. ..lJni t 4 lUd $ ........ M . . . . . . . . . . onument permitted ..... ... ............... NO. 1480 (Data above thls line tor City Record only) . . ~3~ THE SEBASTIAN cwrERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA ~ OF X1lE SUM OF: ( sO{)(). ffi-) FROM: ror the purchase or the e terms and conditions as Descri.ption of Property: _ _ / I . Cemetery Lo~ ~ BIock ~ uru.t .If/. " /J ()O ^",A A t!tJ Purchase pri~: tYX ~ Dollars ($:..){A/, ~) Xerms and Condition or sale: Xhis contract: shall be binrH ng upon both parties, the seller and the purchaser, when approved by the owner or the propert:y above described. I, or we, agree to purchase the above described propert:y on the terms and conditions stated in. the foregoing i.ns~ent: ,qar~)fk~~~: /~ ./ I ,~ '" //\ ..- 2<~~ '/ sell the above mentione e terms and conditi Xhe Ci t:y of Sebastian agrees the above named purchaser ( s ) above instrument. / cL Wit:ness " . . ,'1" 0" '"', './'c; , ~ ~~ ' ,\(" -s.o r1Si ~Q ~ r,.,)' 0" PElle,",,' . . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 December 2, 1994 Mrs. Maryann Nicoletti 135 Hinchman Avenue Sebastian, Florida 32958 Dear Mrs. Nicoletti: Enclosed is Cemetery Deed No. 1480 for Cemetery Lot 20, 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. 832 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:V~IY yours, ~m. Oi/~A.. Kathryn M. O'Halloran City Clerk KMO:lmg enclosure (\ws-form-cem.rec) . . ~3a THE SEBASTIAR CEMm:RY CITY OF SEBASTIAN SEBASTIAR, FLORIDA ~ FROM: OF X1IE SUM OF: (sO{)(). !fl-) for the purchase of the e terms and conditions as - Description of Property: '.-. . / ./ .- Cemetery Lo~ ~ Block ~ Unit ~. Purchase Prio~: ~~ d ~ Dollars (~, ~) Xerms and Condition of sale: This contract shall be biI1(ji TJ.g upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase t:l1e above described proper1:y on the terms and conditions s'tated i.IJ. the foregoi:D.g instrt;ment: rlle Ci1:y of Sebastian agrees the above named purchaser(s) above ins'trumen't. ./i ./ i /,\,0 i Z< :;{~ '/ sell the above mentione e terms and conditi cL Witness [~~] State of Florida, Depart.f Health and Rehabilitative Services, Vital.sties APPLICATION FOR BURIAL - TRANSIT PERMIT f~ JI - M A. 1. Name of Deceased (Type or Print) First Middle Last Memmoli DATE OF DEATH Month Day 11/23/94 Year . Mary F. 2. Place of Death County Indian River 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. 135 Hinchman Ave. Address Phone Number Sebastian Pedro A. Es at. D.O. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Homes 5. Check a 0 Appro- priate Box X Physician Address 13855 US.# 1 Sebatian Florida 32958 (407 589-8992 Fla. Lic. No.1 Reg. No. Phone Number (Area Code) 1623 North Central Avenue P.A. Sebastian Fl 32958 1228 407 562-2325 The medical certification has been completed and signed. A completed certificate of death accompanies this application. bf] She lly was contacted on' 11/23/94 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 Pedro A. Espat. D.O. 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 Sebast ian Final Disposition: 7. Funeral Director/ ,Direct ni"'Jilsser Indian River F,E. No.lReg. No. ... Removal from state Donation Date Signed ., B. BURIAL - TRANSIT PERMIT Permit No. 1228-94-0540 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 eath certificate requested. ) A . . Registrar or d 7 Date / / ;?.3 'fa Date Certificate Subregistrar Signature r- Issued: -=-' j ,F 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) ~1?7 ,r(.Jb.7. Place of Disposition 5eg~"!.~~ ~L...,..,E.. ~ t! oJ Date of Disposition 111:2..~ /9<.1 / Signature of Sexton ) or Person-in-Charge ) This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Se(jn and returned within 10 days to the local HRS County Public Health Unit in the County where disposition occurred. --iRS Form 326. Feb 89 (Replaces Oct 87 edition which may be used) Stock Number: 5740-000-0326-2)