HomeMy WebLinkAbout4-33-24
..
Paid by CEMETERY Receipt No..... 7..... ~ Dated... .~I.~? {.~~................
Uat Price S . . ~l?~ : .<?9. . .. . . . Maximum No. Burial S,-eel. . . .. . .. . .. .. . .. .
900.00
Net Paid S .................. Monument permitted. .. . .. .. .. .. .. . . .. .. .. .
Lot 2.
Block
Unit
NO.
.1448
(Data .boYe thll bne '11I' CIQ' a-reI -1)0)
ClIttv nf .,ba.liatt
GtfUtftffY
Iffb
'1448
NO.
23rd February 94
THIS INDENTURE MADE ...... ....,...".,.......... 01., of ...."....................................... A. D.. It......,
bet..."". IIIe City of SebutJan, . ......lelpal eorpcw.t..... allt..,. Wllk. the I... 0' the St.te 0' Florlol.. '1 O....to. .nd
. . . ' . . , . , , . . . .. ..... . , ........................ . . .. .S.e..1 y.a t.ore. ,Rillli......... . .. . , .. , . . .... . . . .. . . . .... .... .....................
319 N. Papaya Circle
,.......,.................................... ..,. .Baz:ef.Qot. .Ba:y.,.. .F.1or,i.a8. .329,76".,..,.,...........................
of the c-nty 0' ... JmU,.~n..R:t.~~J:.........,.......... .ni SI.te 0' . .J:'l9.t:.:I.4A......,..................................
II o....tee, WITNB88&'ft1,
TIIIt the GUlltor lor Iftd in conlldelatlon of the 10m of S . ~ 9.<? ... <?~ . . . . . . . . . . . . . . . to It In hlnol paid, the nceIpt whereof II herewith Ie-
knowledaed, does by thls instrumeat pant, bupIio, leU, ..kllle, comey enol coDfInn unto the Gnntee .~ ~ Ii'. . " he!n.lepl repre_tatlYellftd ........
the followm, property a1t..ted In SelIaatlu, IndJIft Riftr County, FlorIda, to-wit:
AD of Lot(.) . . ~.4.. , Block, . . ~. ~. .. , UNIT ...~......... ,of Seb.stlen III1IlIiclipal cemetery II pet Plat Number I the_f recoroleclln Plat
Book 2, It pep 65 of the pabUc recorda In the of'ftce of the Clerk of the CIrcuit Court of St. Lucie County of FIortoIa; .llllanolllOw lyIns Iftd bel..
In IndJIft Rw. County. FIodda.
To Have Iftd to 110101 the __ fo_; proftJed that .... property ahaD be IIIIllIlI)klly Iftd excluatNl)o for the Interment of the ItonMn dead end IhaU
be ...., kept Iftd 1MIntaIned .t aD tI-. in ICCOI1Iance with the nllea .nd....tiona, ordlnance.1ftd _Iutiona of the CIty of SelIaIttln, Florida, heret0-
fore. now .nd hetwfter adopted or pro9Ided for the ao-nment Iftd operation of.... cemetery. The condIdona. reatrletiotu Iftd teqalrementa contained
in thlt lnatrument ahaD be co-m'1lIIIIIinI with the 1Ind. In the emot of the failure of the 0_ of IJI)' property altuated within .... cemetery to ob-
- IIIICI comply with iudt ru1eI, ......don.. reaoIutiona .nd .ordInance. and the condltiona of the deled of eoonoeyance theleof then the titkl of such owner
In and to .... property IlIaD temoinate Iftd the _IlIaD rewrt to the City of Sebaallan, FlorIda.
IN W1TNJ!SS WHEREOF. The .... party of the fInt part hat ...... thls InatIU1lMftt to be e~ed In It. __ and OD It. behalf by It. Mayo. Iftd
atteated by Ita CIty Clerk Iftd It. corporate eea1 to be hereto af1Ixed, the day .nd year fInt .bove written.
Attelt~~..m..D.d..~
CItT 0erIt
. ~~I,2~.......
..... ....~............
ATE OF FI.oRIDA
COl'NTY OF INDIAN RIVER 23 d b 94
r Fe ruary
I HEREBY CERTIFY, ThIIt 011 thll ...,.........,......... .d.y of ......,..,..........,.............................., II,...,
b.lo.. me penonall, .PJlHrecI ,..~.C?~~~.~.. ~~.. .~~~~.~~............................ and . ~~~.1.t.~y.~ ..~.~ ..9.~~~P.<<?~~~.
.......,linl' M .yo. .nd City C1nk 01 tloe City 01 SolNutI.n, . _nloll",1 oo"",ratlon under the ...... of the 8t.t. of PJotoIda lo .... ._
10 be Ih. IndIYidu.I. .nd ollkers deac:.1bed In .nd who IIIlC!ulecl the I_SOl... _.eyallft to
(GIifJ $AI)
,.,...."....................................'.,'. ,S.I).1y.at:.QJ:~. .~.tIQi...................,...,.........,.,........................
. .. .. . .. .. . .. , . .. . .. .. .. . .. .. , .. . .. .. . .. . . .. . .. .. .. .. ,.. .nd .....rall' aeIonowledl"Cl the lII_tlon thereef to loe their 'ree aet .nd deed
as .och officers tllemnlo duly .ut......W I .nd that the 0I11e1.. _I 0' IIId oorporatlon II duly .III"ed ..... the IIId _..,.....
It the act .nd deed 0' ..Id corpontlooo.
WITNESS my ......l1Ire .ad oIl1c1a1 ... .t 8ebutlan, In the the d., .nd ,ea.
I.ot .'o.....w.
CD LIlJA M.1M.l.EY
_-.'CCII4I17__
.... ..
_lIIIII___."
Name
An n 0.,
.0
.I .
f?;' .
, '/'-' '
:.' #; I~
Unit
.1./
Block
33
Lot
','-; .I
o-:-t
Date of Mark-out
2j/;' <l/e/A/
r ,
Date of Burial
,}'-, 2 A, "Y',
7'. ~ .J/
.f '
Time
I ./ .~~ () (,;~ "'~.i ",.
if
'-"
J.
~N{). J4f8
'"
'-.. -
'-
Paid
by CEMETERY Receipt No..... ?~9....... . Dated ....~ 123/94
Ust Price $ .. ~~~ . 00 . ........ .. . .. ..... .....
........... M .
Net Paid 900.00 axttnum No. Burial Spaces.................
. /) ,/ $: . . '~:!' . . ~ Monument permitted. . . .
{,,0vfvU f/ l/a.t t/ (r~ .... .. . ..... ...... .
(Data above this line for CUy Reeord only)
Lot 24
Block 33
Unit 4
NO.
1448
~
.
.
791
THE SEBASTIMl Cl!rERY
CITY OF SEBASTIAN
SEBASTIAR, FLORIDA
Dollars ($ 9&>~ )
FROM:
on this~3~-- day
following described Cemetery Lot (
stated herein:
Description. of Property: .~
. Cemetery Lotj.B1'" ~__ BZock
Purcbase Pri~ ' ;h'/~~
Xerms and Condition of sal.e:
:Eor the purchase of the
terms and conditions as
33 unit L
Dollars ($9aJ~ )
.
Xhis contract shal.l 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 :Eoregoing instrument:
X~.~
The City of Sebastian agrees
the above named purchaser(s)
above instrument.
sell the above mentioned property to
the terms and condit stated in the
~!IV7r~ c/~~
Wi (/ ass
,
.
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.
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
February 24, 1994
Salvatore Rimi
319 N. Papaya Circle
Barefoot Bay, Florida 32976
Dear Mr. Rimi:
Enclosed is Cemetery Deed No. 1448 for Cemetery Lot 24, 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. 799 and ask that you
sign and return to us the copy marked with an "X" and retain
the other copy for your records. The previous receipt you
received had an incorrect Block number listed. A stamped,
self-addressed envelope is provided for your convenience.
Very truly yours,
~J.. m. t)'l/tUI#4..
Ka~~Halloran
City Clerk
KMO:lmg
enclosure
(\ws-form-cem.rec)
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/3 33
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~~~19~~~
Year
[lI.~]
State of Florida, Departm.- of Health and Rehabilitative Services, Vita.tistics
APPLICA_ FOR BURIAL - TRANSIT PERMIT
A.
1. Name of
Deceased
(Type or Print)
An First
na
DATE
OF
DEATH
2. Place of Death
CQuntv d
J:Srevar
City, Town or Location
Barefoot Bay
Name of (If neither, give street address)
~~~P'~19 N. Papaya Circle
3. Name of Medical
Certifier
-Noor Merchant, M.D.
Physician
~d6~s:f North
Sebastian,
32960
(407)589-0879
Medical Examiner
Address
7744 Bay Street
Sebastian, Florida
Phone Number
4. Name of Funeral Home/
Direct Disposer
~trunK ~uneral Homes, P.A.
Aa. Lie. No.1 Reg. No. Phone Number (Area Code)
Central Avenue
Fl 32958 1228 (407)562-2325
5. Check
Appro-
priate
Box
a 0
The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
Pam 02/21/94 , .
was contacted on wlth.n 72
hours after death. He/she verified that this ~ .r8WA8tt}'r~ PDyses, that there was no accident
nor other external cause of death, and that will complete
and sign the medical certification of cause of death.
b d
c 0
was contacted on . He/she verified that
, Medical Examiner. will complete and sign the
medical certification.
f Seba.stiMi Cellletel-'
6, Place 0 etery/
Rnal Disposition: _ name/county:
7, Funeral Director/
Direct Disposer
Indian River
F.E. N<t~F3f~' No.
Removal
from state Donation
Date Sjg,ned
02nl/94
B,
BURIAL - TRANSIT PERMIT
1228-94-0080
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 be filed with the Local Registrar of the County in which death occurred.
o No extension of time for filin e death certificate requ~
Registrar or .
Subregistrar Signature
Permit No.
Date ~ t-
Issued: ,t&. yl t. ,
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,
CEMETERY OR CREMATORY
Methods of DiSPOSition:
IE BURIAL
o CREMATION
o STORAGE
o OTHER (Specify)
Place of Disposition
Date of Disposition
t~:-; :::;;~?
Signature of Sexton )
or Person-in-Charge) ~~",:"..1 t7~~
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)
0.