HomeMy WebLinkAbout4-33-05
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Paid by CEMETERY Rece!pt No..... 7...... D.ted... .~I.~l9)................. BLlotskS.
I,OOO.Ou oc
List Price $ ..... ...... .. .. ... M.ximum No. Burial Spaces........... .. ... . Uni t 4
Net Paid $ .~ .'.?~?: ~?.... Monument permitted.......................
NO.
'114.13
(D.t. .bove lhll line lor City fteeord ooly)
ClIitll of l'rbusthtu
OItmtltry
Ilttb
,14.10
NO.
THIS INDENTURE MADE TIIIa .....
4th
d.y of
August
93
A. D. 11......f
bet...een Ihe Clly of S.b...II.... . munlelpal eorpor.tlon exlllln. under the l.wI of the Stale 01 Florid.. .. Gr.ntor .nd
Mr. Joseph S. Bendix
......."",.,."..,....,....,.'. "1'3186" 76th' 'Court......."......,
'""."..,......,................ Seba,s,t~~.n.,.. ~l,?r~~~., ,~~~,S,8..
of the Coonty 01.. .+ndJ,I;l,~..R~.y.~;r:.................... .nl St.te 01 ..... f1,9,r;l,<:ia.....................................
u Gr.ntee, WITNESSETH,
That the Grantor for .nd in conslder.tion of the sum of $ ..~ I.Q~9... 9.Q. .. . . . . . . . . . to It In hand p.ld. the receipt whereof is herewllh .c.
knowledged, does by this Instrument grant, b.rgain. sen. re....... convey .nd confirm unto the Gr.ntee .l.1;i;~.... heirs. legal represent.tives and .sslgns
the foRowlng property situated In Seb.stian,lndl.n River County, Florid.. to-wit:
An of LotCs) .~~. 9.. ,Block...~. ~. .. ,UNIT ...~......... ,of Seb.stian municipal cemetery .s per Plat Number 1 thereof recorded In Plat
Book 2, .t P8l!e 65 of the publie records In the office of the Clerk of the Circuit Court of St. Lucie County of Florid.; said I.nd now lying .nd being
In Indian River County, Florid..
To H.ve .nd to Hold the same forever; provided that said property shan be used aolely.nd exclusively for the Interment of the human de.d .nd shall
be used, kept and maintained .t .n times In .eeord.nce with the rules .nd regulations, ordln.nces .nd reaolutions of the City of Seb.stlan. Florid.. hereto.
fore. now .nd here.ller adopted or provided for the government and oper.tlon of said cemetery. The conditions. restrictions .nd requirements cont.lned
in this Instrument shall be covenants running with the land. In the event of the failure of tlte owner of .ny property situated within said cemetery to ob-
serve and comply with Such rules, regulations, reaolutlons .nd ordinances and the conditions of the deed of conveyance thereof tlten tlte title of such owner
In .nd to said property sh.n termln.te .nd tlte same shall revert to the City of Seb.stian. Florid..
IN WITNESS WHEREOF. TIte said party of tlte first part has cau..d this Instrument to be executed In its n.me and on its beh.1f by its M.yor and
.ttested by Its City Clerk and its corpor.te se.1 to be hereto affixed, the d.y .nd year first .bove written.
AIl..;~M ;m,o#a.t.-/4:!.~..,
.~ 't!. -., City Clerk
(QIitv ".al)
TATE OF FLORIDA
CtJl'NTY OF INDIAN RIVER
I HEREBY CERTIFY, Th.t on thl.
4th
,.doy of
August
93
II.,. 'f
b..r"re me perlon.lly .ppe.red .~o.nn.~~.. .~... ..Po",~ll... .nd I<1i t,h,ry'~ ..l:f.~.. ~: .1!~nO.t;Ii~
".p,'elively M.yor .nel Clly CI..I< of the City of S.b..llan, a municl..al eorporallon und.r the I.,.'s of the State of Florida to m. known
to bt' tht" illdh'iduull "ml offfcrrJ d~8crfbed In ..nd who ne('utt~d the fOf('goinK cO."t!yanee to
Mr. Joseph S. Bendix
, . , , . . . . . . . . , , . . ' . ' . .. . . . .. , . . , " .nd s.....lIy ..knowl.dged th. .xeeuUon th.reof to be th.lr fr.. ael and d.ed
as SlIch offie.rs th.reunto duly authorlsed; .nd th.t th. Orflrl.1 .clIl of ..Id eor""rallon I. duly .fflxed thereto, and tlte ..Id (onv.yone.
Is the ..t ond d..d of IBid corpor.Uon.
WITNESS
lo.t ",or..old.
my .lll'Iatur. .nd offlclol ...1 .t BebelU.n, In th. <;unty of Ion Rlv.r and S .t. 01 Flprld., the day and ,...
~~= '~" .2.;cl..~.. .~u................
Not. Public, St.te of
My 1..lon ."plre..
Linda M. Lohsl
(
UNlM IolI.Ofa .
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MI' COINnIIIIan ..... JUN ta,....
COWot, cc ClII27'"
Name
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Paid by CEM[T~~YOReo~t No.... .7.?~....... Dated....~ !.~/ 9)................. Lots 5 & 6
ListP' $' . Block 33
nee ....,............. MaXimum No. Burial Spaces................, Uni t 4
NetPaid$ .1,OQ_o.:~?....
NO.
Monument permitted
-.. ........ ..............
'141.6
(Data above this line for City Record only)
t~f1f
STRUNK FUNERAL HOMES, P.A.
CASH ADVANCE ACCOUNT. SEBASTIAN
916 - 17TH ST.
VERO BEACH, FL 32960
PH. 772-562-2325
2984
, ,.. .. , _ .. 63-1205/670
DATE~
PAY ~
TO THE ~ _ ,_ -
ORDER OF ere ..J~~~
~. ~ nil....... All/I U
'aIR 958 20tb PIa..
.ii~ iiii. ~ Vera Beach, florida 32960
Indi/J1J Ril'llr NatioDJll BBIJk
FOR_fkm~
11100 2 98 ~1I1 1:0 b 70 * 20571:
I $ 1.{.. CD
-- a. SIMlUIIIyF........
DOLLARS W :=:'.;."'"
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o 20 b * 2 5 21110 *
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77()
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
OF THE SUM OF:
Dollars (S/t1tJtJ.!!2- )
FROM:
the
as
Description of Property:
Cemet:ery Lot:ls) rl:, J Block
Purchase price(')u~ 'Y
33 Unit ~
Dollars (S/~. ~ )
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.
sell the above mentioned property to
the te s and conditions stated in the
Witness
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City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
August 6, 1993
Mr. Joseph S. Bendix
13186 76th Court
Sebastian, Florida 32958
Dear Mr. Bendix:
Enclosed is Cemetery Deed No. 1418 for Cemetery Lots 5 & 6, 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.
We are enclosing two copies of Receipt No. 770 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.
Very truly yours,
c:K~)" DHa~"'~
Kathryn M. O'Halloran
City Clerk
KMO:lml
enclosure
(\ws-form-cem.rec)
.
.
77()
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
IS HEREBY ACKNOWLEDGED OF THE SUM OF:
~
Dollars
($/~~. ~
)
FROM:
the
as
Description of Property:
Cemetery Lot(s) (jit J Block
Purchase price()u~ ~
Terms and
33 Unit -(
Dollars ($/C06. 4P- )
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:
-f}2\k".{~ a3~/
The City of Sebastian agrees
the above named purchaser(s)
above instrument.
{
\ /' 0
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Wi tness (
tc.: )7/-
sell the above mentioned property to
the te s and conditions stated in the
FLORIDA DEPARTMENT OF
State 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
Joseph S. Bendix Death March 22 2003
2, Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp, or
Indian River Sebastian Inst. 13186 76th Court
3, Name of Medical Address Phone Number
Certifier Noor Merchantr-t;p. D. 13060 U.S. 11
D Medical Examiner Physician Sebastian, FL 772-589-0879
4, Name of Funeral Home/~,",l E);"'fJClsal Address Fla, Lic, No.lReg, No, Phone No, (Area Code)
Establishment 1623 N. Central Avenue
Strunk Funeral Home Sebastian, FL 1228 772-589-1000
5, Check
Appropriate
Box
a, D
The medical certification has been completed and signed, A completed certificate of death accompanies this
application,
b, D
Debbie was contacted on 3/211/03
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Merchant will complete and sign the medical
certification of cause of death within 72 hours,
c, D
was contacted on
He/she verified that
, Medical Examiner, will complete and sign the
8,
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body, Permit No, 1228-03-011111
o 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,
ONo extension of time for filing the death certificate has been requested,
of cause of death within 72 hours,
FE No.lReg, No.
1862
Date Signed
3/22/03
6, Funeral Director/
~irBBt giGrag~r
~yl:::,lIdl ur
Subregistrar Signature
Date
Issued: 3/22/03
Date Certificate
Due: 3/27/03
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.
Methoq of Disposition:
~8URIAL
DCREMATION
Signature of Sexton
or Person-in-Charge
CEMETERY OR CREMATORY
Place of Disposition
Sebastian Cemetery
DSTORAGE
Date of Disposition
3~~~3
DOTHER (Specify)
} i!fo y .~A'):
This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectorlDirect Disposer when there is no Sexton) and returned
within 10 days to the local County Health Department in the county where disposition occurred,
DH 326, 8/97 (Obsoletes all previous editions)
(Stock Number 5740-000-0326-2)
Distribution: White: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar