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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