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HomeMy WebLinkAbout4-34-29. (�» }}� .1519 T �F nt r# r r y B e P b NO. 29th November 95 THIS INDENTURE. MADE "is day of .............. ............................... A. D., 18......, between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ............................ Wipenick . Ces. iro .............................. .................... I ....................... 729 Carnation Drive ................................ Sebastian,. - Florida- . 329. 58..... ............................... I .............. I ......... of the County of ...... Indian . Riyer ...................... an l State of . Florida ........................................... as Grantee, WITNESSETHe That the Grantor for and in consideration of the sum of $ . 11 OOO.00 ...... I , , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee tO:5..... heirs, legal representatives and assigns the following property situated in Sebastian, Indian Rivet County, Florida, to -wit: AB of Lot(s) 29. A. ?`Block, .34..... , UNIT A.......... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solely 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 resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and 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 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 shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said patty of the first part has caused this instrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. Q Attest.. .... .. ./! .. . City Clerk CITY OF SEBASTIAN, FLORIDA Bs Mayor Signed, Settled and Delivered In th res nee of: !' ................... (iQit}� �Seitl) STATE OF FLORIDA / COUNTY OF INDIAN RIVER I 11FREBY CERTIFY, That on this ...... 29th ............ day of ........ November . ............................... 1995., before tnr personally appearedrthllr L. Firtion 1 and .Kth . ..M.. ..OeHal .lor. ....... .. .... . ..an . respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the Individuals and officers described In and who executed the foregoing conveyance to ............................ ??omenick..Cesi zo................................... ............................... . ...... .............. ... .......... I...................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the, Official seed of said corporation is duly affixed thereto, and the said conveyance is the act and deed of said corporation. _ i WITNESS my signature and official seal at Sebastian, in the Co my of Inch River d late, of Florida, the day and year last aforesaid. LINDA M. GALLEY / .. .- '� W ComMI6 m / CC 975724 — �� ! o.; tMFtES: June 18, 1998 Notary ublic, State f orlda at Large. .� BMW Twit Nagy Put* My corm Ission expire C Linda M. Galley \ — Namef Unit I Block Lot — 1 Date of Mark -out Time Date of Burial i mama of Funeral Horne Authorized by J A� -- CITY OF SEBASTIAN CITY CLERK'S OFFICE /. i RECEIPT 4 I NameJ�1kn K F�-n 6"� ❑ Cash Date T_:: Z ✓ - Uq Check # 44'7-3 No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDCICode of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lots C if 5 l ro 001501343805 ALI- L- c 2 Cemetery Fees `� nd 4 Total Palo a5a, n0 Initials White - Dept. of Origin • Yellow - Finance • Pink . Applicant Dominick "Dom" Cesiro Domenick "Dom" Cesiro, 91, died Aug. 20, 2009, at Indian River Medical Center in Vero Beach. He was born in Brooklyn, N.Y., and lived in Sebastian for 15 years, coming from Mineola, N.Y. He served in the Army during World War II. Before retirement, he was a foreman for the New York City Transit Authority for 33 years. He was a member of the Veterans of the Foreign Wars Post in Albertson, N.Y., and of the Italian - American Club in Sebastian. Survivors include his son, James A. Cesiro of Palm Bay; daughter, Theresa Phyllis Deodato of Fort Pierce; nine grandchildren; and 20 great - grandchildren. He was preceded in death by his wife, Antionette; daughter, Maryann; and son, John. Memorial contributions may be made to VNA & Hospice Foundation, 1110 35th Lane, Vero Beach, FL 32960. SERVICES: Arrangements are by Strunk Funeral Home and Crematory in Vero Beach. Published in the TC Palm on 8/21/2009 FLORIDA DEPARTMENT OF HEALTState of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Domenick Cesiro Death August 20 2009 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian 3. Name of Medical Address Phone Number Certifier Richard Penly, .D. 901 37th Street Medical Examiner Physician Vero Beach, FL 772- 567 -636 4. Name of Funeral Home /Di= DWpecal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Strunk Funeral Hone 8 Crematory Sebastian, FL 1228 772- 589 -1000 5. Check a. ❑ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. a Michelle was contacted on 8/20/09 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Penly will complete and sign the medical certification of cause of death within 72 hours. C. was contacted on He /she verified that , Medical Examiner, will complete and sign the medical ce ' icatio of use of death within 72 hours. 6. Funeral Director/ att F.E. No. /Reg. No. Date Signed Apo - 44048 8/20/09 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-09 -0379 A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within 72 hours. No extension of time for filing the death certificate has been requested. jaegisipai; • Date Date Certificate Subregistrar Signature M. eyr,,�Q,p Issued: 8/20/09 Dye: 8/25/09 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number: Date 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 ethod of Disposition: Place of Disposition Sebastian Cemetery BURIAL STORAGE Date of Disposition CREMATION OTHER (Specify) 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 Sexton) and returned within 10 days to the local County Health Department in the county where disposition occurred. Distribution: white: Cemetery or Crematory DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740 - 000-0326 -2) Pink: Local Registrar x.«rd ✓` nre f Sep 26 2008 2s45PM HP LASERJET 3200 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SEBAST hOW N 11tKA^ iLmo For infor matior contact: Ki 7 K613o - Cemetery Sexton Se}' astian Municipal Cemetery i (772) 589 -2545 City Clerk's Ufrice City Hall, 1225 Main Vreet 1 Sabas.tian, FL 32958 Olfic� (772) 388 -6215 or 383.6214 Fax: (772) 589.5570 FUNERAL HOME: ADDRESS: PHONE #: 1023 No. Central Ave. (Check One) 019 X OPEN BURIAL LOT L t . '3 Block '29 : Unit OPEN CREMAINS LOT Lot Block- Unit' .OPEN COLUMBARIUM NICHE N �che BlockUnit�� BURIAL DATE AND SERVICE TIME: 0/23/09 1 P.M. W .I FOR DECEASED: Domenicld Cesirn wd1-1C :NAME AND.SIGNATURE OF LOT OW ER OR REPRESENTATIVE: (Must provide propr documentation of wnershioyl Date �•�'�/ Name tore p.1 I certify trial I have detennined the owrie�t4 the above described site that all site fees and administrative fees have been paid and fthOrize opening of sa NAME AND SIGNIAT 4E OF LI ENSE FUNERA R R. 6f.vane signature ......_ ........................................... Date _..... ---......_----------- ----------------------- ------- Cemetery Sexton Certification: ' ""'-"".'- -• .1 certify that I have checked the owners ip inforn'.aaon by viewing the owner's deed and confirming with Cerk's office and that all fees have een paid 4cet'e4rye tor, Da e This form to be provided to Clerk's Off-c by Sexton for perrTlaner't record upon compietton. .l Y� i .. I Oe � i a))� rn ej k 1� %rna�an Ir Lt ro Py q q Paid by CEMETERY Receipt No.. 874........... Dated .......11 /29/95 Lots 29 & 30 List Price 000.00 Block 34 1 000.00 ...... Maximum No. Burial Spaces ................. Unit 4 Net Paid $ ... .............. Monument permitted (Data above this line for City Record only) NO. J5-13 IPT FROM: 4AIE SEBASTIAN CEMPERY CITY OF SEBASTIAN, FLORIDA Y ACKNOWLEDGED OF THE SUM OF: 77V Dollars ($� ) on thi -�� day of % 19� for the purchase of the Sollowing described C e ery Lots) /Niche (s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s 0 �, \ Block _ Unit 7 Purchase Pri e : / �/?� , Bfl, Dollars ($ ���� � ) r 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 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 the above named purchaser(s) above instrument. Witness to sell the above me o the ter s and o b+ ty of Seb s ian oned property to ions stated in the �W m° M° e° ti m O " O CV) T K 0 O Q Ii i=ii P I W I .Jwrn aam QI Q J J NI W ¢ LL Z I'- Z N {LUUj YZm ZNrn LL 0 Wjr y ~O d�o a J J 0 O rm cc Ln LD ti ni rm �D O O of U ■ I � R o a O '0 0 ca cr 2 o o rm � , I O O �^ ogoo VU ._ i d� i 0 LL \; Z AAN -4..5 A °�aEticA�►� City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589 -5330 0 FAX (407) 589 -5570 November 30, 1995 a Domenick Cesiro 729 Carnation Drive Sebastian, Florida 32958 Dear Mr. Cisero: Enclosed is Cemetery Deed No. 1519 for Lots 29 & 30, Block 34, Unit 4. Also enclosed is a form - Return for Transfers of Interest in 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, P. O. Box 1028, Vero Beach, Florida 32960. We are enclosing two copies of Receipt No. 874 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. Sincerely �n. 0-"je- Kathryn M. O'Halloran, CMC /AAE City Clerk KOH:Img Enclosures