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HomeMy WebLinkAbout4-33-08 .- Paid by CEMETERY Receipt NO............ Dated. .~~/~.y?~................ i~~c~. Li.t Price $ ... ?9.Q .'.9~ .... . Maximum No. Burial Spaces... ........ .. .... Uni t 4 500.00 NO. Net Paid S Monument permitted...........,........... "1431 ~ " (Data above thl. line for City Rec:ord only) Q!Ull nf l'rbustiun Q!emetery I eell , 1431 NO. THIS INDENTURE MADE TlIII .."" 12th October 93 A, D~ It,....., day of belwe.n Ih. City of Sebastian, a munlelpal eorpontlon .xl.lIng under the laws of the State of Florida, .. Grantor and Mr. George Ronzo, Sr. '691" 'Ci:1vt!'t'I'1'Te't'tMte.'."'..,.., "Seba,s.~~a.'~.~,. F.l,o.~~d,a" ,~~9.?~ of the County of ..Ind.ian..IU,y:ex............... ani State of .., as Grantee, WITNESSETH, That the Grantor for and in consideration oC the sum of $ ........... ?,9~ ~ .Q9. . . . . . to It in hand paid, the receipt whereof i. herewith ac- knowledged. does by this instrument grant, bargain, sell, release, convey and confum unto the Grantee . . . . ~. ~ ~ heirs, legal representatiyes and a.signs the Collowing property situated in Sebastian, Indian River County, Florida, to-wit: All oC Lot(.) . . . . ..~ ,Block,.... ~.~. ,UNIT ...... A . . . .. ,of Sebastian municipal cemetery as per Piat Number I thereof recorded in Piat 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 Riyer County, Florida. Sep~sq~n, To Have and to Hold the same forever; provided that said property "'aU be used solely and ex elusively Cor the interment of the human dead and shall be used, kept and maintained at aU dmes in accordance with the rules and regulation., ordinances 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 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, regulation., resolutions and ordinances and the conditions of the deed of conveyance thereof then the title oC such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The .ald 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. AIt.st~ I. . ..)7.r,[)daLu~.., ~'Clty Clerk (GIitl1 ~eal) I HEIlEny CERTIFY, That on thl. 12th ,day of October 93 It, ..., b,"ore me p.rsonally apprar.d ,~~~.n.i~..~,~..~o,~.e~l.., and Ka,t~~r.n..~.....O.'.~~.~.~~r.a.~.. "spl'cllvely Mayor and City Clerk of the City of Sebastian, a munil'l"al eorporallon undrr the law. of the State of Florida to me known to be the Indh'iduuls unll officrrs described In und who ex~cutt~ the fOft'gains cORveyttnCe to Mr. George Ronzo, Sr. , , , , . , . . , ' , , , . , ' .. . , . . , . . , . . . . . . . . . .. and seyerally ...knowledged the exeeutlon thereof to be their free act and <ired 8S such officers thereunto duly autharbed; and that the Orricial seftl of said corporation Is duly affixed thereto, and the said convt'yanee I. th. nct ond dee.' of said eorporatlon. WITNESS my .Ignature and oW.lal _I at Seba.lIan, In the County of Indian Rlyer and State of Florida, the day and year la.t .forelald. / / / HJOANNI::SAN08EAO " 'puj,i~, Stal~ .~~44.,...".. ,.'.,. ... Notary PutJIIc, Slate 01 FlattdI .e. r My O:lmrnlasion e... APA ..IOM omml..lon explrea, COMM.CCOOI838 . Joanne Sandberg -~ Name (ki.~ /' /:. C( I::' .(,-1;,'/ AD -r-."~. ..J l~ Unit </ Block ,'~) :) Lot t.) Date of Mark-out ,. /,' I q" ,~)I 7/ '..J Date of Burial 0' (;/ b /?J Time I C' , ' -- "... 14 ,/-V"1 .. Name of Funeral HO~ <S 7/2 '" /./ j:.: /-- v ,..y j";' f? /... 1... ' 'V /'" '7'01/! ~ Authorized by ~id..L4J / F _.. ( { s ~ GelJ(Z~e J 5(-. 77il!averf} -rerr :5eb~tU'la r-L Od~ ])eed:#' /45/ LD+'6, oJcd33) U.t1iW Get),~~f):WIJ.. -i()'/erred /O/r/93 /f)/;~~~ ~ - Paid by CEMETERY Receipt No...... ?~ ~ .... .. Dated..~ 9/~.?/ ?~. . Lo t 8 . ............. Block 33 List Price $....~ 9.Q ...Q~..,.. Maximum No. Burial Spaces............. ... . Uni t 4 NO. ~NtP'd$ '500.00 /e~...."". Lf~~ S' Monument permitted. . . . . . . . . . . . . . . . . . . . . . . :1431 (Data above this line for City Record only) . . 1?3 .- THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA 2P~ FROM: REBY ACKNOWLEDGED OF THE SUM OF: d ollars (s6{)O.~) on this i:J. ~ day of following described Cemetery stated herein: , 19~ for the purchase of the upon the terms and conditions as Description of Property: Cemetery Lot(s) .~ ~ MBIOCk Purchase pric~ ~~ot~ 33 Unit L Dollars (S~d. ~ Terms and Condition of saLe: 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: _~~ <J2~ The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and cond tions stated in the above instrument. ($~LA) ~~; Witness . ,"1Y 0" ", ~ tJ ~ ~ (f' - , 'Y" ~ ~ II c; '1 ~<> O.f.r~ \s\..~ 0,:- PElIC~t4 . City of Sebastian /dJ.;lS /'//,J/"tJ ST. 3;'i?.sg P@8f ernCE 00>< 7e012V 0 SEBASTIAN, FLORIDA ai!fF18 TELEPHONE (407) 589.5330 0 FAX (407) 589-5570 October 20, 1993 Mr. George Ronzo, Sr. 691 Cavern Terrace Sebastian, Florida 32958 Dear Mr. Ronzo: Enclosed is Cemetery Deed No. 1431 for Cemetery Lot 8, 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. 783 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. ve~);;. O'l/~A- Kathryn M. O'Halloran City Clerk KMO: lmg enclosure (\ws-form-cem.rec) ''- ---~& ic ,~ 1 I ! i I I~ ! it i ~ ~ . ~ r .... co N - &&I :E Ow Z=>co ... a:i :g ->C\l -<'" a:: ...J ...J &&I < u. z~z ::)Z~ IL. ~ t;; ~zc:i Z",w C\l(/) ::)~ a:: 'I- UI / . . ~ z M ,...... GO N ---_.~_.~ -- I !:: ['- o ... ~, .. - o ... e ~ =.. "'~ ,.:,'" '" '" ~ \) \~ "1 E:I7 en a: <( ..J ..J II: o u. ~vs WIOYVnO .~' (, ' v Ol ~ "-9 I ~ '" 1 tJ ~ .;;c'" C IC::; =i '" -~e XI l":~ ~ QJ !;; -= ie~- .' = ~~:;; o :E~~ I.L. ~ fI) ~=", lW~ ~\ ~ >-~~ . Ij _ ~ <Coa: a.f-O Y8 Nr.)ltlaww 3)lW . . 113 THE SEBASTIAN CmTERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA OF THE SUM OF: ollars (s6{)O,~) FROM: on this J}. ~ day of following described Cemetery stated herein: , 19~ for the purchase of the upon the terms and conditions as Description of Property: Cemetery Lot(s) ~ Block Purchase Price...: i-ilJI '4 t.l.Md Y 33 Unit L Dollars (S~J. ~ Terms and Condition of sale: 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 to sell the above mentioned property to the above named purchaser(s) on the terms and cond tions stated in the above instrument. ($~LA) ~1' Witness - State of Florida, Depart_ of Health and Rehabilitative Services, Vitetistics APPLlC~N FOR BURIAL - TRANSIT PERMIT /~ /5 /7 ~J3- {J ,,) 1/1 A. 1. Name of Deceased (Type or Print) First George Middle Last Ronzo, Jr. DATE OF DEATH Month Day 10/05/93 Year 2, Place of Death County Indian River City, Town or Location Vero Beach Name of (If neither, give street address) Hosp. or Inst. Indian River Memorial Hospital U Medical Examiner !xl Physician Address 1623 North Central Avenue Homes, P.A. Sebastian, Fl 32958 1228 (407)562-2325 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application, Address 1500 36th.St. Suite B Vero Beach, FLorida 32960 Phone Number 3, Name of Medical Certifier Michele Maholtz, M.D. (407)569-6112 4, Name of Funeral Home/ Direct Disposer Strunk Funeral 5. Check Appro- priate Box Fla. Lic, No.lReg, No Phone Number (Area Code) b tJ Dr. Maholtz was contacted on 10/06/93 within 72 hours after death, He/she verified that thi$.deqthlwa&Jromratural.$::8.l.Jses, that there was no accident fd h d h Mlcne e Mano tz, M.il. 'II It nor other external cause 0 eat, an t at WI comp e e 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/ Qjwst O;';:'!JU,=>t::l Indian River F.E, No,/~~, ~JEl. 1672 Removal from state Donation Date Signed 10/06/93 B, BURIAL - TRANSIT PERMIT P 'N 1228-93-0444 ermlt o. 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 t)e filed with the Local Registrar of the County in which death occurred. o No extension of time for filin the death certificate requested. Registrar or ~ Subregistrar Signature ~~~~d: IC-~- 93 Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or Medical Examiner, , gave authorization by telephone fo 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, Methods of Disposition: . BURIAL o CREMATION o STORAGE o OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition SEI.3A"r:A~ ~L.""d:~ey- Date of Disposition / 0 / s /9' ~ , Signature of Sexton ) or Person-in-Charge ) ;("'1 1. ,;{ .nt:b0 ' 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: 5740-000-0326-2) J