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HomeMy WebLinkAbout4-33-04Paid by CEMETERY Receipt No. ...�, ,,,,,, Dated ..., 7� 19 � 9 3 I'O t s • 4 NO. .................... Block ua� Pt�� a.. 1, 000 . 00 . . . . . . . . . . . Maxlmum No. Burist Spaaa . . . . . . . .. .. .. . .. U!1 � t �► i,000.00 �,��1� Net Paid S . . ... . . . . . . . . . . . . . Monument permitted . . . . . . . . . . . . . . . . . . . . . . . (Data above thie line for Gty Record only) (�it� nf �rhtt�iitttt ''141.s (�Pntr#ex� �.epd N�. ' 19th TH13 INDENTIJRE MADE 1'kL ...................... dey ot ............. Jtllj�...... ............ . A. D., �D.93.., betw-een Ihe City of Sebnstisn, e munlcipel corporatlon e=tatlng under the lewe of the 3tete o/ Florids, es Grnntor and ......................................A1�ared...and..Fa.tr.i�.cza... vzJ,a.xda.......................................... 445 Georgia Blvd ............................................Se.bas tian,...Florida • •3�2958... .. ......................................... of Ihe Cou�ty o/ Indian R�V2T.,,,., ,, enl 9fnte or ........,. Flor,ida ..... .................................. u Cr�nte4 WITNE9SETN� That the Grantor for and in consideratlon of the sum of S... ,,1,;000 . �0 ,,, to it in hand paid, the receipt whereo[ ia herewith ao- knowledged, does by this instrument grant, barga3n, xll, release, convey and confirm unto the Grantee , t he.l r heirs, kgal reprountat3ves and assigns the tolloaing property situated in Sebastian, Tndian River County, Florida, to-wlt: Atl of Lot(s) 3&4. ,, Block, .. 3 3... , UNIT .. .. 4. ..... ., of Sebastian munidpal cemetery as per Plat Numbet 1 thereof recorded in Plat Book 2, at page 65 of the public recorda in the oftice of the Ckrk of the Circuit Court of St. Lucie County of Florida; saW land now tying and being in Indian River County, Florida. To }iave and to Hold the same forever, provided that sald property ahall be used eokly and exclusively for the interment of the human dead and shall be uxd, kept and maintained at all timea In accordance with the mtes and regulations, ordtnanaa and rosolutlona o[ the Ciry of Sebastian, Florida, herero- fore, now and hereaRer adopted or provided tor the government and operation of said cemetery. The conditlons, restdctions and tequirements contained in this Instrument shall be covenants runn3ng with the land. in the event o[ the failure of the owner o[ any property aitaated within said cemetery to oA- aerve a�d compty with duch rules, regulaHona, resoluNone and ordinanae and the conditions of the de'ed of conveyana thereof then the title of such owner in and to aaid properiy ahall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the tlrst part has ceuud this instrument to be executed in its name and on ita behalf by its Mayor and attezted by it� C$y Cktk and its corporate xal to be heroto affixed, the day and year Ctrst above wdtten. CITY OF SF.lfABTIAN, FLORiDA � ��"�L� �. ��! �Q.��rt - _ � nu�st: .. . � �... t�---.-<.... Gs� � t.wc-s� . .... . .................. Clty G7erk VSC2 or Aigned, 3exled nnd Delivered In the P eemce of e ,�....��� ............ (QIitq �e�l) �� � . ��: �l ... �............ i % STA'CE OF Fi,ORIDA COl'NTY OF INDIAN R1VER I fIERF,I3Y CERTIFY, Thet oo te�s ...........19th......aby of ...............Jlll.y.............................., �e93� brfore me personell a Francis .1. Oberbeck _ _._,. v [+Peared ........................................................... end .K8tFlY'jtTl M. 0.'Hal.loran. reapretivrly Meym end City Clerk of the City of 9ebastlan, e munidpnl corpornHon andrr the IflW3 0/ tbc Stefe ot Florldn to me known to bc Ihe h�di��iJunis nnJ oHicers describrd In nnd wl�o executcd ihe forrgoing cox�•eyence to Alfred and Patricia Vilardi ....................................................................................................................................... •�����•���••�•••�•.���•••••••••• ........................ end severrtlly acknowledgrd thc executim� thereo( to be their free ect and deed as such officers there��nlo dnly euthoriscd; end thnt the Of/icial scal of seld cnrporation fa duly effixed thercto, nnd the snid conveyxncc is thc ncl nnd deed ot said corporatlon. WITNE99 my s(Rnxture end officiel �ewl wt 3ebeeUen� In the Co ty ot ian Rfv r ond 3tetc o/ FIOTfIR� the dey end �eer inat aturreald. v;�� � tMW M. UO►IS� /N ►�onr Ae�o-w�. a aab. . . . .�r�_ . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . �����,� q� ote Fvblic, 9tate ot oride et Large. COhMICCa!!7M My co mleelon expire�� Linda M. Lohsl f. , . . . .. . . . . 4 . Name A � F/P� A �,' ✓� ��� 1� � ��C /a ��T � f��C� . Unit � Block � Lot 7' Date of Mark-out r/ � � /� � Date of Burial � J ��/ � � Time , � � �� ^ � ' Name of Funeral Home � � � �.' Authorized by $ o g S 8 8 g ; o° c" � � v+ g ' C,.1 o � o � A A � � .P N O � � W N pOo � W 1D t0 � O ,� Y! � b O O O S � O I � � ° � m � o d m �', � � cpi � � � � T � O Q o � � � �� � � O � � ' � a � `� � " f W � � � � � a r 0 m (' w � � v v �o e ft� ,i _ O '��/\ 7 � ^� " � ei d � N .�i n � � � � � C � 1� � d a �: n A �� ��� A _ t� m �p �Oy � �m � W C.J � a ALFRED J. VILARDI Mr. Alfred J. "AI" Vilardi, 85, died May 29, 2012 at his home in Sebastian. Mr. Vilardi was born May 4, 1927 in Inwood, NY and lived in Sebastian for 23 years coming from Setauket, NY. Mr. Vilardi was employed by the Department of Sanitation, Hempstead, NY for 32 years. Retiring in 1987 as the Deputy Commissioner. He served in the United States Navy during World War II. He was a member of the American Legion Post #189, Sebastian. Mr. Vilardi was an avid golfer and played regularly at Sand Ridge Golf Coarse in the "Duffers' League". Survivors include his wife of 31 years, Patricia Vilardi of Sebastian; sons, James F. Vilardi of Pleasant Valley, NY and Robert G. Castleman of Richmond, VA; daughters, Gail Cotting of Coppell, TX, Rebecca A. Vilardi of Vero Beach, Felicia J. Reilly of Palm Harbor, FL and Sherrie Hammer of Palm Bay; sister, Addie Brower of Spring Hill, FL; 13 grandchildren and 10 great-grandchildren. � FUNERAL DIRECTOR'S REQUEST TQ CITY OF SEBASTIAN FOR BURIAI, OPENING IN SEBASTIAN MUNICIPAL GEMETERY arra t10AlE� OF fEtICtN K1.4i�D For information contac�t: Kip Kefsa - Cemefery Sexton Sebastian MuNclpal Cemetery (772) 589-2545 Cfty Clerk's O�ce City Hali, 1225 Main Strset Sebastian, FL 32958 O�ce (n2) 388-82? 5 ar 388-8214 STRUNK �UI��A�Nb���CREMATORY �UNERAL HOME: 1623 No. Central Ave. , ADDRESS: (772) 589•1000 PHONE #: (Ch ck One� �f � OPEN BURIAL LOT Lot `�- Block 3� Unit L% OPEN CREMAfNS LOT Lot Block Unit OPEN COLUMBARIUM N1CHE Niche Block Unit N S E W BURIAL DATE AND SERVf110E TIME: �.'t � v , ,:� a/� ` e�T�d s ��d � � . .. , ► • FOR DECEASED: �'� Name NAME AND SIGNATURE OF LOT OWNER OR REPRESEN ATIVE: Must provide proper documentation of owners "} . CC�I G Gl_. �l� (G�YG�I. ��� � c��.�. � �Z°t IZ 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 FUNE DI TOR: W 1 l� � �"I�n � �/11�1 � a`I �a('8- Name Signature ate Cemetery Sexton Certification: I certify that t have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: - S' Ce et Sexton D fe This form to be provided to Clerk's Office by Sexton for permanent record upon oornpletion. � �\ ELORID�DFI'A6[Cbi�iDF�, ,.' State of Florida, Department of Health, Bureau of Vital Statistics ����T BURIAL TRANSIT PERMIT DATE PRINTED: May 29, 2012 TRACKING NUMBER: 2012072283 �, DECEDENT INFORMATION Name of Deceased Date of Death ALFRED J VILARDI May 29, 2012 Place of Death - County City, Town or Lceation Name of facility, or sVeet address if not a facility INDIAN RIVER SEBASTIAN 445 GEORGIA BOULEVARD Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No.IReg. No. Phone Number STRUNK FUNERAL HOME- SEBASTIAN F041870 F041870 (772) 589-1000 1623 N CENTRAL AVE SEBASTIAN, FLORIDA, 32958 Funerai Director/Direct Disposer Fla. Lic. NoJReg. No. WILLIAM B. WHITTAKER F026900 2, BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2o72-F0418�0-5o1a / �� Date Issued: May 29, 2012 . 4. G4 �' 1 J Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4, CEMETERY OR CREMATORY Piace of Disposition: SEBASTIAN CEMETERY S� Method of Disposition: BURiA� Date of Disposition: Signat re of s xton or person-in-c arge (or by the funeral director/direct dtsposer when there is no sexton) DH 326E, 1/11 64V-1.011, Florida AdminisVative Code