HomeMy WebLinkAbout4-34-38' 82" 11/7 94
Paid by CEMETERY Receipt No.. Lot
.. Dated .. ...... � .................... .
500 00 Bloc
List Price S .......:.......... Maximum No. Burial Spaces ................(Jet i t
Net Paid f 5OO.00
.................. Monument permit tad..................:....
(Data above this line for qty Record only)
Ti#g of #rhnstian
Trintrittrp Derb NO.
NO.
X477
14 7
9th November 94
THIS INDENTURE. MADE TYb day of .............. ............................... A. D., It.......
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
....... . ......................................... Karl..H... Axelpm...........................................................
140 Coply Terrace
............................................. .. .Se_bastdan,.. Florida ..3.2958 .......... ...............................
of the County of j ndian ..Riyer ........................ ant State of ...Florida
.............. ...............................
as Grantee, WITNESSETHe
That the Grantor for and in consideration of the sum of $ , S OO .00 , , , , to it in hand paid, the receipt whereof Is herewith sc-
knowkdged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , , hl 9 heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to wit:
All of Lot(s) 38.... , Block, ..34... , UNIT ...4......... , of Sebastian municipal cemetery as per Plat Number I 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 party 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.
Attest: 604i–_.
City Clerk
CITY OF , FLORIDA
By.........................�.. ...................
Mayor
Signed, Seal nd Delivered
In the Pres�7 It
....... /. .��{,.......� ................
(clu ,
...... ... Q��.. .... ................
STATE. OF FLORIDA
COUNTY OF INDIAN RIVER
.. ................ .. ..............................,
I HEREBY CERTIFY, Thst on thin t......day ar .....: , N.gvem.. er
before are personally appeared ...Arthur L. Firtion and Kathryn M. O'Halloran
................ ............................... ..,.........
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to rise known
to be the Individuals and officers described in and who executed the foregoing conveyance to
. Karl..H,.. Axel,son
......................... ............................... and severally acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the net and deed of said corporation.
WITNESS my signature and official seal at Sebastian, In the Gynty of�igdian fiver and t�.Florlds, the day end year
last aforesaid. ( ) /%/)
.M � LINDA Alf. BALLEY
} SAY t10tAI1Mi18"/ tx mm ..................
5 r OIPIM: Am is, ign tery Fublie, State lorlda st Large.
Ilft"TI-Noirypumth"inerm commission expir u
inda M. Galley
Name
Unit
Block sZ
Lot �3
Date of Mark -out 1 '�
Date of Burial ' _ ` �`� v Time , �M' rau" ,-'J
Name of Funeral Hoie
Authorized by
— CUT OF SEISAW AN
CRY CLERK'S OFFICE 4671
RECEIPT
Name CoX — G i %V d ❑ Cesh
Dab tMck/ 2,00%Z
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 Copiesftl Specs.
001501341910 LDCrode of Ordinances
001501341930 Eleclon QuaaNfyig Fees
601010 343800 Cemetery Lots
001501343805
Lowioe 38 Block 3`i .Unit 44
Cemetery Fees /5D.
jwx-e�� TOW Paid 1a56.—
Initials
White - Dept of Origb • Yellow - Fbaeee • Pink . Applicant
Atlas Crematory
2111 S. US Hwy 1
Rockledge, Florida 32955
(321) 635 -1973
We hereby certify that these are the remains of.'
Karl Henry Axelson
The remains were received from
Seawinds Funeral Home
Funeral Home
i
Sebastian, Florida
City and State
10- 00461sa3
Cremation Permit # Chip ID #
Date of Death: January 7, 2010
Date of Cremation: January 13, 2010
By: t4lezd
Cremator
S1EAWINDS CREMATORY
Sebastian, Florida
735 Fleming Street • Sebastian, Florida 32958
www.seawindsih.com
r (772) 589 -1933
1
This envelope contains certificate of
Y
E
.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
mn
SEBASnAN
_ HOME OF PEUCM ISUND
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
I 4 (772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
_ Sebastian, FL 32958
V
Office (772) 388 -8215 or 388 -8214
- Fax: (772) 589 -5570
FUNERAL HOME: -- p w 14 IN S F-k N#ciLft i 4o^,
ADDRESS: -733 �1�,„►�,,c, T ' 'gyp �(
PHONE #: $eq- ( l 33
(Check One)
OPEN BURIAL LOT Lot Block Unit
-OPEN CREMAINS LOT Lot AA Block Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
N S E W
BURIAL DATE AND SERVICE TIME: I - aq- lt0 FP/�'DIa 66 0 P
FOR DECEASED: ,key {�-. Pt'x� So
Name
AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of )ownership)
.b ► e.a � J t 444
Name Signature Date
I certify that I have determined the ownership of the above described site, that all site fees and
administrative fees have been paid and authorize opening of same.
NAME AND SIGNATURE OF LICENSED FUN E L DIRECTOR:
Name 'Signature Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming
with_Clerk's office and that all fees have been paid:
' ,�.
Cem ery Sexton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
City of Sebostivn
Sebastian Cemetery
Ph. N 1(772) 589 - 2545
Fox x M 1(772) 228 - 9927
Vote : This is for informational purposes reguarding Monuments at Sebastian Cemelers .
!dote • This is for Single Markers under 2 ft. S over 2 ft.( over 2 ft. is a poured foundation)
Please return to :
Attention
City of Sebastian
Sebastian Cemetery
1921 %orth Central Ave.
32958
Cemetery Sexton
Size : 1 -0 x 2 -0 x 0-4 grey granite flat grass vet. marker
Name & Date : HIS., Karl H. Axelson HER :
D.O.B. 1933 D.O.B.
D.O.D. 2010 1 D.O.D.
Legal Descripition
Unit .
B/k .
Lot .
Square Ft.
Approved By
Checked By
DATE
By .
Example : .
4
34
,"" 3
401
K.G.K.
K. G. K.
2/7/11
eagle
Dry Mix
Foundation pt,ured
By : herman
date: 2/7/11
Gone installed
by : herman
date : 2/7/11
V77
Paid by CEMETERY Receipt No..82 ........... Dated.J.V?A94
List price $ �99 . P0 ...... ..... Lot 38
500.00 Maximum No. Burial Spaces ..... Block 34
NO.
Net Paid $ .................. ........... Uni t 4
Monument permitted
1411,
(Data above this line for City Record only)
ZPT z S
FROM:
on this
following desc
stated herein:
:s
M SEBASTIAN CMM
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
ACKNOWLEDGED OF THE SUM OF:
. u iia ii
Dollars
da y of �, 29 7 V for the purchase of the
edC eery Lots) upon the terms and conditions as
Description of Property:
Cemetery Lot,( Block Unit
Purchase Pri e: ,� Dollars
Terms and ponditIon of sale:
6X"Al, 6q,57
This contract sha11 be binding upon both parties, the seller and the
purchaser, when approved by the owner of the property above
described.
Z, 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 condit stated in the
above instrument.
S
0
`%I Y :Ili
F � EL
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589 -5330 0 FAX (407) 589 -5570
November 10, 1994
Karl H. Axelson
140 Coply Terrace
Sebastian, Florida 32958
Dear Mr. Axelson:
Enclosed is Cemetery Deed No. 1477 for Lot 38, 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.
Very ruly yours,
Kathryn M. O'Halloran
City Clerk
KMO:lmg
enclosures