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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
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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.
($~LA) ~~;
Witness
.
,"1Y 0"
",
~ tJ ~ ~
(f' - , 'Y"
~ ~ II c; '1 ~<>
O.f.r~ \s\..~
0,:- PElIC~t4
.
City of Sebastian
/dJ.;lS /'//,J/"tJ ST. 3;'i?.sg
P@8f ernCE 00>< 7e012V 0 SEBASTIAN, FLORIDA ai!fF18
TELEPHONE (407) 589.5330 0 FAX (407) 589-5570
October 20, 1993
Mr. George Ronzo, Sr.
691 Cavern Terrace
Sebastian, Florida 32958
Dear Mr. Ronzo:
Enclosed is Cemetery Deed No. 1431 for Cemetery Lot 8, Block 33,
Unit 4.
Also enclosed is a form - Return for Transfers of Interest in
Florida Real Property - which must be filled out by you and
completed by the office of the Clerk of the Circuit Court when
and if you have the deed recorded. If you wish to have this deed
recorded you may do so at the office of the Clerk of the Circuit
Court, 2145 14th Avenue, Vero Beach, Florida.
We are enclosing two copies of Receipt No. 783 and ask that you
sign and return to us the copy marked with an "X" and retain
the other copy for your records. A stamped, self-addressed
envelope is provided for your convenience.
ve~);;. O'l/~A-
Kathryn M. O'Halloran
City Clerk
KMO: lmg
enclosure
(\ws-form-cem.rec)
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113
THE SEBASTIAN CmTERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
OF THE SUM OF:
ollars (s6{)O,~)
FROM:
on this J}. ~ day of
following described Cemetery
stated herein:
, 19~ for the purchase of the
upon the terms and conditions as
Description of Property:
Cemetery Lot(s) ~ Block
Purchase Price...: i-ilJI '4 t.l.Md Y
33 Unit L
Dollars (S~J. ~
Terms and Condition of sale:
This contract shall be binding upon both parties, the seller and the
purchaser, when approved by the owner of the property above
described.
I, or we, agree to purchase the above described property on the terms
and conditions stated in the foregoing instrument:
The City of Sebastian agrees to sell the above mentioned property to
the above named purchaser(s) on the terms and cond tions stated in the
above instrument.
($~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