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Home My WebLink About4-33-27„ Paid by CEMETERY Receipt No. List Price S SOO . �� Net Paid S 500 .O� ,� \ � vated......1/,7I94 .............. Blo�3 xo. � Maximum No. Burial Spacee .. . . . . . . . . . .. . . . . [Jil � t Monument permitted . . . .. . . . . . . .. . . . . . . . . . . (Dats sbove ffiIs l(ne for CJty Itecord only) f�ifp nf �rhttstitttt �P�1tP�P�1J �� NO. 1440 1440 7th January 94 7'HIS INDENTURF, MADE 1L1� ................. .... day ot ............................................. A. D., 18......, behceen Ihe City of 5ebaetien, s mvnlcipel corporstlon e:letins under the lswe of the 3tnte ol Florida, os Crsntor and Alberto and/or Wanda Arma ............................... SO1� � Montrose • Avenue...................................................... Sebastian, Florida 32958 ...................................... ............................................ ..... ...................................... or Ihe co��Y or .........Indian_.River Florida ................. �n�l 9tate of .......................................... ............. �e Grantee, WITNES9ETH� 500.00 Tlu�t the Grantot for and in consideration of the sum of S.. . .... .. ... ...... to lt in hand paid, the receipt whereo[ is hetewith ac- knowledged, does by this inttrument grant, batgain, sell, release, convey and conf'vm unto the Crantee their heus, legal reptesentatives and assigns the following property s3tuated in Sebastian, Indlan Rivet County, Florida, to-wit: All of Lot(s) ,, Z,�, ,, 8(ock, .. 33. .. , UNiT ,,,4, ,,,,,,,, , of Sebastlan municipal cemetery as per Plat Number 1 thereo[ recorded in Plat Book 2, at page 65 of the public tewrds In the office of the Clerk of the Circuit Coud of St. Lucie County of Florida; said land now �ying and being in Indian River County, Flodda. To liave and to Hoid the same forever, provided that said property shall be used solely and exclusively for the intetment of the humen dead and shall be used, kept and ma3ntained at all dmea in accordana with the rules end regulations, ordinanaa and resolutions of the City ot Sebaatian, Florida, hereto- fore, now and hereaRer adophd ot provided for the government and operation of said cemetery. The condiNona, reatrldlons and requitements contained in thia instrument shall be covenants running with the land. In the event of the fallure of the owner of any property aituated within said cemetery to ob- serve and comply with such rutes, regulat3ona, rewluUona and ordinancea and the conditiona of the de'ed of conveyana thereof then ihe titk of such owner in and to said property shall tetminate and the same ehall revett to the City of Sebastfan, Flodda. W WITNESS WHEREOF, The sald party of the first part has caused this inatrument to be executed in its name and on its behalf by lts Mayor and attested by its City Clerk and Rs corporate seal to be hereto affuced, the day and year first above wdtten. CiTY OF E AB N, FLORIDA • /` �-y /%� ( �G�/'��l'� Attesf..” .. .4�-.. . ..r�.'�.��+GA��c!t'.��.. B� .. .............. ........`/�f•..••.••••.•••..... � City Clerk Mqor Fi nrd, S led und Dcliverad / / the esence ofe ' � / // (/..: ....... .. . ..... ... . ............ ((Qitg �fegl) /'� ^ A //.��T;/(-C�.... ��............ �' S7'A'fi; OF FT.ORiDA COL'N'fY OF INDiAN RIVEA 7th January 94 I}IF,IiEIIY CERTiRY, Thst on th{e ........................dey ot ..................................................., 19...., brfore me persnnally a�pewTea .Lonnie R. Powell Kathryn M. 0'Halloran ................................... and ....................................... rcapretively Meyor end City Clerk of the City Oi SlhBAYIl1I1� a municipnl corporntiun vndcr the lew�s of the Stete oP Fbrida fo me known ta br tlie {ndividunls unJ officrrs deacrfbed In und who nceeutcd the forrgoing eonveynnee to Alberto and/or Wanda Arma ............................................................................... ............................................ ........................................................ end severrtlly ackaowledg�d thc execation the�eof to be thr.h free act nnd deed es such o(ticers �IIPfCUO�U duly uuthorlaed; end thet the Otficinl sc�J ot se�d rnr�wration le duly etfixed thercto� end the seid COf1VPj'p11fL' is the ncl nnJ deed ot sefd rnrporeUon. WlTNE3S my signature end of/icial teel st 9ebaetisn, in fhe Cou y of Indie River ond Stet of Flortde, the dny end �enr Inst xforreeid. � "'�'�""• UNDAM.GALLEY Pa•' '�9�': �.r '.., MVCOMMISSION ICC33I817ExPIRES .... ...................: . ....... ................... -3�' ,. ,�`? .Me ts. 198/ Note Publlc, 3tate o orids et Lrse. '�p:{y.• !o�[oT�unq�'fuN�ar�F.�. My mmieslon expir Linda M. Galley � , � I 1�a'L�i1.I�d�.7i��ii� — � — Unit Lot Date of Mark-out � / / � `j Date of Buriai= � 3 /� � � Name of Funeral Home � � � 'G� � -� Authorized by Time �ofl � p /�� D"`�/. ROBERT EARL MANN SR. Robert Earl Mann Sr., 63 passed away Saturday, September 29, 2012 in Sebastian, FL. Born in Miami, FL, he was a resident of North Miami Beach for 31 years. He moved to Sebastian, FL in 2008. He was proud to serve in the US Army and was a Veteran of Vietnam. He retired from Miami Metro Dade County after 28 years of service. A loving and devoted husband and father he is survived by his wife, Haydee Mann; son, Robert Mann Jr.; daughter, Monica Mann; daughter, Karol Mann Pedrero and her husband; grandchildren, Anthony, Eli, Sebastien, Benjamin and Matthew. He is also survived by his mother, Annie Mae Mann; brothers, Donald, Danny and his wife, Dennis and his wife; sisters, Martha Kaszok and her husband; Wanda Arma and her husband and 7 nephews and 4 nieces. Robert was predeceased by his father Arthur Rodney Mann Sr. and brother Arthur Rodney Mann Jr. �� ti E II' d r� , ;' State of Florida, Department of Health, Bureau of Vital Statistics HEALT BURIAL TRANSIT PERMIT DATE PRINTED:October 1, 2012 TRACKING NUMBER: 2012133900 1. DECEDENT INFORMATION Name of Deceased Date of Death ROBERT EARL MANN SR September 29, 2012 Plaee oi Death - County City, Town or Loeation Name of faclliry, or sVeet address if not a facility INDIAN RIVER SEBASTIAN SEBASTIAN RIVER MEDICAL CENTER Name and Address of Funeral Home/Direct Disposal Establishment Fla. Lic. No.IReg. No. Phone Number AMMEN FAMILY CREMATION AND FUNERAL CARE-PALM BAY F041888 F041888 (321) 724-2222 950 MALABAR RD SE PALM BAY, FLORIDA, 32907 Funeral Director/Direct Disposer Fla. Lic. No.IReg. No. MARK A. SIENKIEWICZ F042293 2. BURIAL - TRANSIT PERMIT The Florida Department of Health, Bureau of Vital Statistics hereby grants permission to dispose of this body in accordance with Chapter 382, Florida Statutes. Permit Number: 2012-F041888-5100 . QG� ��r - Date Issued: September 30, 2012 J � Meade Grigg, State Registrar 3. AUTHORIZATION for CREMATION, DISSECTION, BURIAL-AT-SEA, or HOSPITAL DISPOSITION Authorization given by Medical Examiner District Approval Number: 4. CEMETERY OR CREMATORY PlaCe of DispOSition: SEBASTIAN CITY CEMETERY Method of Disposition: eU AL Date of Disposition: �� /`� ' , ` 3ignatur of sex n o person-in-ch e(or by the funeral directorldirect disposer when there is no sexton) DH 326E, 1/11 64V-1.011, Florida Administrative Code ana � �¢�� HOME OF PELICAN ISLAND Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me �J a n c� r;t /�, � m c�. -� 0) M bn ��,se. (Please print name and address of purchaser) Lo�' 21 �,lu�� 3� �.-, � � � (Lot/niche, block, unit description) are intended for interment of the following individuals: � JQ �'1 U Z Please print name(s): ' � ��t �� S�ro Interment lots/niches are not to be transferred without written approval of the City of Sebastian. Interment lots/niches in the Sebastian Municipal Cemetery are allowed to be passed on to heirs but the City requires a certified copy of relevant probate or other court documents. I have read and understand the terms of this agreement. ( � ) ��n►,r��t (�rv,�v�. � Q —1 - I 2 Signature Date Subscribed and swom to before me this 'I S� day of OCfiu b e+� ,�v ��, by �- who is personally known to me, or has produced 'L �'i y� L� cen S� as identification. — l.(11't Q � ,� ,Q�� •*�Y'''"''•• JEANETfE WILLIAMS ' :�.a..�: N ary Public, State of Florida 1 �• •: Commission # EE 038067 �a= Expires February 28, 2015 ��Oe�� Bonded ihru Tro '�iP„,�,'�c. ` y Fain Insurance 800385-7019 �. Names of Interred form FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SE,�T�N HWnE 6f �FtKAN tSIAND For informafion cvntact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 Cily Clerk's O(fice City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-82 t 4 Fax: (772) 589-5570 FUNERAL HOME: Ammen Fami l y cremati on and Funeral Care ADDRESS: 950 Mal abar Road SE Pal m Bav FL 32907 PHONE #: 321-724-2224 . (Check One) XXXX pPEN BURIAL LOT Lot 27 - Block 33 Unit 4 ��PEN CREMAINS LOT Lot Block Unit �PEN COLUMBARIUM NICHE Niche Block Unit � W BURIAL DATE AND SERVICE TIME: 10/03/2012 @ 2:00 PM FOR DECEASED: Robert Earl Mann Sr . �vame fJAME AND SIGNATURE OF LOT OWNER OR REPRESEN7ATIVE: (Must provide proper documentatior� of ow tiip) Karol Mann Pedrero (� ��'l rl�'N'►"'� +�' ��ivo 10/02/2012 rvame Signature Date I cerfify that I have determined the ownership of the above described siie thac all site fees and administrative fees have been paid and authorize opening of same NA��E AND SIGNATURE OF L.ICENSED FU E AL D1REC7GR. Mark Sienkiewicz �� 10/02/20�� Name ignatitre Date ------------------------------------------------------------------------------------- -�- - ------------------------ Cemetery Sexton Certification: I certify thal I have checked the ownership infor�l��at�on by viewing the owner's deed and confirming with Clerk's office ��nd t t all fees have been pa�d ` . . lo � � • e etery ext n Dale This fonTi lo be provided to Clerk's Office by Sexton for permanent record upon completion. I 7 W � y S m , � �� o, � � . s � L � i T � r e'� • 'y � � � � � � � L � M c 1 � G 'o C 3 '^ c y S m 1 o ; $ ` 0 o� � • s � i � T � f�! � � r � ! �� ef Y Y � � g O � U 0 8 � $ g gp o � p j � O O I O � � � � N O O � p w � N O O O O � o � m v o c�i d � � � � � � � �� D �- � � � O y R� 1v° 3: o � � a . � � 00 � � \ � � � z u e� 9 � \(\ �' r�� V \ � � \V ., , c ❑ � � d � � � � � '� 3 Q � � N � d N �� n �' � O �' � � o S g $ o g z 0 U N O O O p � g W0 W W 0 W A .A � N O S W � N � � O p p � � � fD m � o c�i m m � n ��i• c� ,�_, � `� � � D � od y -� r' .� o m o, n m �' .. rn � � a � �C �� m � � I d Y m 3 m � a_, �� A L _� , � I I I I I � .Q ❑ n n I , � W � � � � � � � 3 r'� o _ � �.. � v �r+. -: n: �.+(` �" �� , � o y M W -�Oy T � mT s Z � � � I C� � � m � O �Op T ,� m"s = � � � � �;�..- . � � l��ft� ��r G�a,-�a� $D l �o�t'tts� ,�t/e �,�,�,,�ioa.n, FL 3 a 9�5�d' �o �- a � � lo� 33 �� _ __ . �� /�/� �� Paid by CEMETERY Receipt No. .. 7 9 2 •••......Datea. 1/7%94 Lot 27 ListPrice$,��`J•�0 ....... .. ................. B10C1C 33 ' ' ' ' ' ' ' ' Maximum No, Burial Spaces . NetPaid$ SOO.�� ""'••••.•••••• Uril.t 4 /�"' ' ' ' ' Monument permitted . „ � � ...................... �-�'r�-��-� �"%�-=-�-- (Data above this line for City R,ecord only) i� 1440 � u THE SEBASTIAN C�"PERY CITY OF SIDASTIAN SEBASTIAN, FI,ORIDA RECEIPT IS HEREBY AC�YOWLEDGED OF THE SUM OF: �� FROM: N.0/D � � Do11 ars ( S �`D O, U D ) f 0 / �D�/T.c°_DSE �l/� . . SE,Qh'ST/f��J , f�D.f'/Afi 3� -r1.5 � on this � �H day of � yl/�g� y, 19 9`� for the purchase of the foZZowing descri.bed Cemetery Lot(s) upon the terms and conditions as stated herein: � Description of Property: Cemetery Lot(s) �% BZock 33 t7nit y Purchase Price: �,�� Dollars (S�; OD �D� ) �c��s,�) 2erms and Condition of sa1e: , � o T o2 �, /��o e!� 33, �/•riiT y�r/'i« 4� �°a.e C'H�s�.a i.t� 30 �0�9 yS This contract shaZl be binding upon both parties, the seller and the purchaser, when approved by the owner of the propert� a.bove described. I, or we, agree to purchase the above descri.bed propert� on the terms and conditions stated in the foregoing �istz-�ment: . RIl �J �. LII.� The City of Se�astian agrees to se11 the above mentioned�propert� to the above named purc.haser(s) on the tez�s and conditions stated in the above instrvment. C/ s �� a ty of Sebastiari . • ` . � City of Sebastian 1225 MAIN STREET � SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 � FAX {407) 589-5570 January 10, 1994 Alberto & Wanda Arma 801 Montrose Avenue Sebastian, Florida 32958 Dear Mr. & Mrs. Arma: Enclosed is Cemetery Deed No. 1440 for Lot 27, 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. V y truly yours, �' �•��Z.�:G� �.. Kathryn M. O'Halloran City Clerk KMO:lmg enclosures