HomeMy WebLinkAbout4-33-01
....
Paid b~CE~E:~~~ :;;t No. ..?....... Dated....?!.~? (??.............. ~~;~. 2
List Pnce $ . . . . . . . . . . . . . .. . . . Maximum No. Burial Spaces. . . . . . . . . . . .. . .. . Un 1 t
Net Paid $ ~.! ~?~ ~ .~~ . . . . . Monument permitted. . . .. . . . . . . . . . . . .. . . . . .
NO.
1412
(Dab above ltll. \Ine for CIty Jkeord oDly)
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>'1412
NO.
THIS INDENTURE MADE nwo
19th
day 0' .......
July
93
A. D. 19.......
between Ihe City 0' Seb..lIan, a municipal eorporallon ed.lIng under the laws 0' the State 0' Florid.. a. Grantor and
Patricia J. Vilardi
. . . . . . . . . ... . . . . . . ......... . .. ... . "445 . Georgia .. Blvd' .. ..... .. . . .. . ... ..
Sebastian, Florida 32958
0' the County of....;r~d.:i,im..~;i,y:~.J;"................... ani Slale of .. .F.l()r:i.d.a......
I. Gnnlee, WITNESSETH.
That the Grantor for and In consideration of the sum of $ '" ~ .'. 9.q~ : ~9. . . . . . . . . . . to it in hand paid, the receipt whereof i, herewith ac.
knowledged. does by thi, Instrument grant, bargain, sell. release, convey and confirm unto the Grantee ~~.~.... heir" legal representatives and a"ign,
the following property ,Ituated In Sebastian,lndian River County, Florida, to-wit:
All of Lotr,) .~ ~.~.. ,Block, ~~. . . .. . UNIT . ~. . . . . . . . .. ,of Sebastian municipal cemetery a. per Plat Number I thereof recorded in Plat
Book 2. at page 6S of the public record, in the ofllce 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 ..me forever; provided that said property .haU be used solely and exclu.lvely for the interment of the human dead and ,hall
be used, kept and maintained at all times in accordance with the rules and regulation., ordinance, 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., restriction. and requirement' contained
In this instrument shall be covenants running with the land. In the event of the 'allure of the owner of any property ,ltuated within .aid cemetery to ob.
serve and comply with .uch rules, regulation., resolution. and ordinances and the conditions of the deed of conveyance thereof then the title 0' .uch owner
in and to said property shall terminate and the same .hall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The .aid party of the first part has caused this instrument to be executed in Its name and on it. behalf by it. Mayor and
attested by it. City Clerk and it. corporate ..al to be hereto affixed, the day and year first above written.
Allest(~~l1Jo..lI~~...., .,
(j City Clerk
~;;;;~
Slgm'd, SeRled "nd DeUvered
In the.L:ce 0'1 /
(1\~'~~
... '.. (~t::..?J!~.........
(Qlitll ~Pllr)
STATE OF FLOnmA
CUl'NTY OF INDIAN RIVER
I HEIIP-BY CERTIFY. That on this
19th
,day of .......
July
93
19.
............................................t
Francis J. Oberbeck Kathryn M. O'Halloran
b,'fure me personRlly appeRred ............................ and .......................................
".",'<livdy Mayor snd City el..k of the City nr Seba.lian, a munld"a' <or"orotion nnder tbe lows of the Stote of FlorIda to me known
to b(~ the Indh'iduuls nnd offkrrs de5Crllk'd In find who e'Xecult~d the tOf('golng cOAveyanre to
Patricia J. Vilardi
................................................................................
. . . . . . . . . . . . . . . . . . . . . . Bnd !Il~v('rany Rrknowlec1g(>c) the ex('cutlol1 thereof to ~ lhr.:'r 'rer aet An,I ,'erod
as !mdl officer" thereunto duly authorized; and that the OrticlHI 8f~nl of Relel corporation's duly 8ffixt'd thueto, Rnd the SNiff COnYf")'IlIU~f~
i" thl! Ad nod deed 01 said corporaUon.
WITNESS my
lasl afore8afd.
lINOA U. lOHIt.
NoIlIy PUllIIo-8IMI eI FIaItlJI
~ ComrnIlIIon ~ """ ".1IM
cow., CO ClI2744
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Paid by CEMETERY Receipt No.. .?~~.......... Dated
List Price $ ~.~ ~9~: .q~.....
Net Paid $ 1,000.00
.......\.~:i?.. ~
~9.y~.
Lots 1 & 2
....... ..... ......... ....... ....
Block 33
Maximum No. Burial Spaces. " .. . ... .. .. . .. . Uni t 4
7/19/93
NO.
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
1412
(Data above this line for Cay Record only)
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THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
IS HEREBY ACKNOWLEDGED OF THE SUM OF:
~ Dollars (s;{ #CJc1. ,tP-
)
FROM:
d1(
, 19~ for the purchase of the
upon the terms and conditions as
Description of Property:
Cemetery Lot(s) ~ Block
Purchase price~ ~
Terms and Condition of sale:
~ ))~. b~
This contract shall be binding upon both parties, the seller and the
purchaser, when approved by the owner of the property above
described.
3~-=j Unit ~
Dollars (S /J1)tJ. ft-)
I, or we, agree to purchase the above described property on the terms
and conditions stated in the f~Oing instrument: J
wt~c~<~ ~ ~LL
The City of Sebastian agrees
the above named purchaser(s)
above instrument.
sell the above mentioned property to
he terms and conditions stated in the
L/N~ cLJ1;t
~tness
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City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
July 21, 1993
Patricia J. vilardi
445 Georgia Blvd.
Sebastian, Florida 32958
Dear Mrs. Vilardi:
Enclosed is Cemetery Deed No. 1412 for Lot 1 & 2, Block 33, 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 truly yours,
ci/dLf-)'YI 0 /Ia-t~
Kathryn M. O'Halloran
City Clerk
KMO:lml
enclosures
[la~1
State of Florida, Departm.f Health and Rehabilitative Services, Vital .stics
APPlICATI FOR BURIAL - TRANSIT PERMIT
j,
1.3
1/
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~33
~l
A.
1. Name of
Deceased
(Type or Print)
First
Geoffrey
Middle
T.H.
Last
Gill
DATE
OF
DEATH
Month Day
07/22/93
Year
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.
441 Geordia Boulevard
Address
Phone Number
Sebastian
Strunk
5. Check
Appro-
priate
Box
1:.l855 U.S. #1
Georde Mitchell D.O. , Physician Sebastian Florida 32958 40'7 589-8992
4. Name of Funeral Home/ Address Fla. Lic. NO./~8€l, NQ. Phone Number (Area Code)
DIrect Di3~eIlcr r"~ . /_ ~"\
1623 North Central Avenue ~~I ,~~
Funeral Homes P.A. Sebastian Fl 32958 1228 407 -~: _~::
a 0 The medical certification has been completed and signed, A completed certificate of death accompanies
this application.
b ex
Dr.Mitcnoll was contacted on g7/~3/n 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 Gpo rgp M i t r hpl 1 I n (). 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 Sebastian
Final Disposition:
7. Funeral Director/
nirpf't IJisoosp.[
Indian River
F.E. No./8eg I\IQ
Removal
from state
Donation
Date Signed
B.
BURIAL - TRANSIT PERMIT
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 filin e death certificate eque ed.
Registrar or
Subregistrar Signature
Permit No,
1228-93-0347
Date
Issued:
~ d' 3-9:} g~~~ Certif19J'JeJ ~ 9~
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)
Place of Disposition
Date of Disposition
~ /~/L:j r-;MrI (' ~-.N'l /= /~; ,.J ./
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,
Signature of Sexton )
or Person-in-Charge )
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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 51.10-000.0326-21
3".