HomeMy WebLinkAbout4-33-23Name✓ A-1
Unit- _/
Block 3.3
Lot
Date of Mark -out
Date of Burial Time
Name of Funeral Home
Authorized by
.'
Paid by CEMETERY Receipt No...... ~.... Deted.... )D.~ !.?!................ LBOlt k23.
900 00 oc
Ust Price S..........:....... M.xlmum No. BurialS..................... Uni t 4
~~
NO.
Monument permitted.......................
1452
(D.ta ......... thla line lor av __rei DDIy)
Gtttv nf l'.hastiatt
I ttb
NO.
1452
QttmtttfY
18th
THIS INDENTURE MADE ". ...................... day .1
March
94
A. D.. I.......,
beh.<<n the CIt, .1 Sebaatl.n, a .u..1clpaI eorpor.t..... exl.t~ under the I.... 01 the St.te .1 Florida, .. a....tor .ftd
Salvatore Rimi
............................ .............. .~t9' N.... . Papaya' . Circle................................ .................. ......
...................... .....................~a~.e.~~?~...~~:r.~.. ~~.?'7.~~~.... ~~~.7.6..................... ............. ........
.1 the CouftI7 .1 ..~n9.~.l'm..lU.~~J:'....................... ani 81.te of ........... .nm::~.4.~...............................
.. anatee, WITNUIIBTH,
Tbet the Gr...tor for and 1ft conoldentlan of the 10m of S " .?~9.'. 9.<? . . . . . . . . . . . . . to It '" IwuI ..Id. the receipt whereof I. herewith .0-
knowJedaecl. doet by thllllutl'U1Mnt pa..t. baIpIft, lea. Altealle, eooney and eo..ftrm UIlto the Grantee h ~.~ . . .. heln, Jepl repre_t.tiYea and ........
the folloq property lit_led '" Seballlan, Indian Rmr Cou..ty. FlorIda. to-wtt:
AU or Lot(.) . . ? ~ .. . Block. . . ~ ~ . .. . UNIT ... ~ . . . . . . . .. . of Sebastian municipal cemetery .s per Plat Number 1 thereof reeorded III Plat
Book 2. at .... 65 of the public recordl'" the ofllce of the Cleric of the CIrcuit Court of 51. Lude County of FlorIda: said Iaftd now I,.. aftd bel.
1ft Indian R_ County. FlorldL
. .
To Have and to Hold the __ fomer; proYkled that said property.... be utad IOIoIy aftd exc.......1y for the IntenMnt or the human deacl .nd ....D
be utad. kept and maIntaIfted .t aD times In ~ with the rules aftd replatlonl, orcIIna_ aftd reoohrtlana of the CIty of Sebastian. FlorIda, beret...
fore. ...... .ftd bereaft. adopted or proftcIacI for tlla .-...ment and operation of said cellllltery. The eoftdIt....... mtrIctkIII. and requlre_ts contatfted
In tllla IIutrument ..... be 1llIftlIlUIt. mmInI wItIl the IaIIcI. I.. the emit of the failure of tlla _ of any property *-Ied wlthIR ... cemetery to oil-
_ and eomply with iuch ..lea, replatlon.. moIatloM .nclordba_ and the eonclltloM of the cIeIBcI of eonft}'allce thareof then the title or IUch _ner
In and to said property IhaII termln.te and the ame IIIaI1 mer! to the CIty of Sebutla... FlorkIL
IN WITNESS WHEREOF. The IlIlcI party of the lint put .... coused thllllutl'U1Mnt to be executed In Itsnme and on Its behelf by Its M.yor and
.ttested by Its City CIerlc and Its eorporate ... to be hareto aflIxecI. the clay .ncI year lint aboWl wrltte...
Attnt! ~.!n.[)d~~....
CIt7 CIerIt
=':~-2fi5iJii)
Mayor
111....,.1. Sealed aftcl ~lIyered
~~:.:.:.:....:
STATE OP pr.onlDA
COl'NTY OP INDIAN RIVER 18th March 94
I HEREBY CERTIFY. That on thla ....................... .d., of ..................................................., I.....,
Arthur L. Firtion Kathryn M. O'Halloran
brlore _ personally appeared ........................................................... .nd .......................................
nsP"rllnl, M.yor .nd CIt, Clerk of the C117 of Sebaotlan, a mun"'It..1 eGl'J'OratlOll under the I..... 01 t... St.te of Florida to me know..
10 be tbe Indl. idual. and .ff'.,.," descrlb<d I.. aftd who exeeuled the 10......1... cony.,allCl! to
(GIitv ~.I)
.. ....... .................................... ~~J~~ t.l?J;~ ..l~J~;l,........................ .........................................
. . . . .. .. . . .. .. .. . . .. .. . .. .. .. . . . .. . .. . . . . . . . . .. . .. . . .. .. .ftd seyer"" uknowledlfll the 8_t..... thereof to be the... free ad aftd deed
.. ouch officer. thereunto dul, aUlhorlaed, .... that t'" 011I.1.. seal of ..Id corporat..... Ia dul, affixed thereto, and the ..Id cony.,......
I. tM ad and deed 01 aaId eorporatlon.
WITNES.!' ...,. slpature aftd oIflcl.. -' at 8ebaat1an, III the Conn
I..t aforesaid.
CD l.IIIMM.MWY
tit....., CCIMIt1Ill1'111l1
....... tIN
_'IlIII_............
':J:E.e( >Jo. l46d-
.. &\\O.~
Q\q 10. a. Cir:
We~ F1- &;Y1,lti
W 83
~'oeL 03
Lhli .\. 4
Paidb
yCEMETERY Receipt No. .... 804
.. .... .. .. . . Dated 3/18/94
U 9 00 00 .. .. .. .. ..
stPrice$ . ....................
.................. Max.
900 . 00 unum No. Burial Spaces.. .. .. .. . .. .. .. ..
. . . . . . . . . . . . Monument permitted
...................... .
(Data above this line tor City Record only)
Lot 23
Block 33
Unit 4
NO.
1452
--""""--"""'-,r:~
'.. ",":1',
.
'8Q1
.
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
OF XHE SUM OF:
Dollars ($ ~~. fr )
16
for the purchase of the
terms and conditions as
Description of Property:
Cemetery Lot~ -1L Bl.ock
Purchase pri.~ . ~
Terms and Condition of sa1.e:
~/lW. /~'8'/
This contract sha1.1 be binding upon both parties, the
purchaser, when approved by the owner of the property
described.
~ Unit /
Dollars ($9~d.~ )
seller and the
above
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 mentio property to
e terms and condit 0 s stated in the
Witness
... . ,.
.
.
,'1Y Q
'" ,..
,
iJ' ') ~ ~
~ 7"
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'")'f{ ,1 c.,
OF- Pf I ,( r..,H
.
City of Sebastian
1225 MAIN STREET C SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 C FAX (407) 589-5570
March 22, 1994
Salvatore Rimi
319 N. Papaya Circle
Barefoot Bay, Florida 329i6
Dear Mr. Rimi:
Enclosed is Cemetery Deed No. 1453 for Cemetery Lot 23, Block 33,
Unit 4.
Also enclosed is a form - Return for T~ansfers of Interest in
Florida Real Property - which must be filled out by you and
completed by the office of the Cle~k 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. 804 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.
~);):' t)~A..
Kathryn M. O'Halloran
City Clerk
KMO:lmg
enclosure
(\ws-form-cem.rec)
~
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ct g/t
IU 0>-.
ct, *!C
l' _~ !(' G:I
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.
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--,
3502
;Z
eckt53yS-
Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501341920 CopIesIBld Specs.
001501 341910 LDCICode of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetety Lots
LotINlche . Block . Unlt_
001501 343805 }'5: ,,()
.
Ji-
II ~
Whits - Dept. Df Drlgln. Y IIIDW - FIRlnlll
Total Paid
. Pink. Applllllnt
'~~ot":!'
k-:tJP
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':\_, ,:', ," ""1,,,. '
. Salvat9te'.illml,.
, Bare~t ~~fI:~{.:::' :. ,/ ", ;;
:~yatore'i.$azn'~ Rijni( ~2,
ofa&-efoot Bay;dled,Nov. 6,
'~;~~~~~~'Br~~Y,n,.,"
N..!.\"ltha ,J);1~V~-tO:~~efoot':(
~~y~in'..1~7~; :co~ing frQm. < .
~~:::~,~d~~~~~~ted' .
Sam's Fish: Matket; Rockville
C~nte~\.NfX~,'for,,~ rears. ';~
. He.:wasa,meinberofItal. . .~
'iai1jAiiieri~Clubof.Bare" :;
foot Baj'i' and a member..'ofJ
the:~tIia~tiSt, Cl1ufdi.of '({
IB7~~~Y~~~d~lils.:'..'?
grand~liil~' .Ftank Rimi b
of.WesfPahrillli~Ch,Phillip
lUh;li. OfHoI1iWood; arid 'Su~ .;.
san She~oH~oopeJ;'~ity.,l
.\,'....-.'..._,,'(..,1\','.>':...,',:J...:-.>,..,. :::".:, ,"'_:'
He"was pr~~ed,~ qeath.
by his wife;Art$ Rlnii;'
,.SERVIQ~S:i~etewill,be
no v~ttation;Arrangemertts 'oj'
by:StrunkiFuneral Home, Se~';
bastian. ' '. . f
:1
.,
._-----~
i~ _'i:,-~-~!K~~-~_:~~;-_3~_
--~-~-~ ~~.._;--
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.~--
FLORIDA DEPARTMENT OF
i/ y,- ';8'3'3 - L~g'Cc.'."..., .~ Y""" '
State of Florida, Department of Health, Vital Statistics 0 lP ~
APPLICATION FOR BURIAL - TRANSIT PERMIT Y U
HEALT
A.
1. Name of
Deceased
(TYPE)
First
Middle
Last
Date
of .
Death
(If neither, give street address)
Month
Day
Year
Salvatore
Rimi
Nov.
6
2005
Barefoot Bay
Address
.D.
Name of
Hosp. or
Inst.
2. Place of Death
County
Brevard
3. Name of Medical
Certifier Renata Ratajczak-D
Medical Examiner
4. Name of Funeral H~sal
Establishment
Strunk Funeral Home
City, Town or Location
Phone Number
mbeck,
Physician
Address
7901 Ron Beatty Blvd.
Barefoot Bay, FL 772-664-7532
1623 N. Central Ave. Fla. Lie. No./Reg. No. Phone No. (Area Code)
Sebastia~, FL 1228 772-589-1000
5. Check
Appropriate
Box
a. The medical certification has been completed and signed. A completed certificate of death accompanies this
. application.
b. cl Susan was contacted on 11 /7/05
He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death,
and that Dr. Ratajczak-Dambeck will complete and sign the medical
certification of cause of death within 72 hours.
e.D
was contacted on He/she verified that
, Medical Examiner, will complete and sign the
6. Funeral Directorl
liireet 9iepeser
. No. Date Signed
11 6 05
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-05-0453
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.
alli.Alr er .
Subregistrar Signature
Date
Issued: 11/6/05
Date Certificate
0118: 11/11/05
C.
AUTHORIZATION for CREMATION. DISSECTION, or BURIAL-AT-SEA
~roval Number.
Date
Medical Examiner. . , gave authorization by telephone to
Funeral DirectorlDirect 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
. Place of Disposition Sebastian Cemetery
Method of Disposition:
~BUR~L [JSTORAGE
DCREMATION [JOTHER (Specify)
Signature of Sexton } J/ /1
. ., .........,.,..... I(..p '1' A'e/4l>?
This permit must be endorsed by the Sexton or pers6n-in"Charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and .returned
within 10 days to the local County Health Department in.the cou'nty where disposition occurred.
Date of Disposition
11 / lolo~-;
DH 326. 8/97 (Obsoletea all previous edftiona)
(Stock Number: 57 4().()()().03262)
DialribuIion: While: Cem8l8fy or Crematory
Yellow: Funeral DIrecIor or DIrecI D'1&P08<<
Pink: I.oc8I RegisIrW' .
......0-