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Home My WebLink About4-33-29 Paid by CEMETERY Receipt No... ..~.~.... Dated......~ (.F'(.~~.............. List Price $ . ~.'. ~.~~: ~~.. ... Maximum No. Burial Spaces..... ........ ... . 1,000.00 Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . LO.9 & Blo ~3 Unit 4 30 NO. lt145 (Data above thla line 'or CJly Record only) Q!Ull of &rbnsttnu C!rtmtttry IIrr~ 1145 NO. THIS INDENTURE MADE 'I1do 27th day oi ..,., January 94 A.D~18....... hetween lhe City 0' Sebaltlan, a municipal eorporatlon .,datlnl! under the laws 0' the State 0' Florida, .. Grantor and . , .. .. .. .. .. . '.. ....... . , . . .. . '" .., . . , Evelyn. .Doney............ .. '" 673 Noble Street ...................... ............ ,Sebasti,an.,.. .F.1ori-da. .329.58 oi the County of..T.n4~.?l?-..R~.Y.~~.................... anI Slale off.:J..Q;r::;i,d.l;I. aa Grantee, WITNESSETH. That the Grantor for and In oonsideratlon of the sum of $ ...... )..1 ~9.q ...9~. .. .... to it in hand paid, the receipt whereof is herewith ac. knowledged, doe. by this instrument grant, bargain, sell, release, oonvey and confirm unto the Grantee .l}~;-. . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) .~~. ~.~ q Block. . . ? ~ ... ,UNIT ...?........ ,of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat 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 River County, Florida. To Have and to Hold the same forever; provided that said property shaU be used solely and exclusively for the lntermert of the human dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances and resolutions 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 or the failure of the owner of any property situated within said cemetery to ob. serve and comply with Such rules, regulations, resolutions and ordinances and the conditions of the de'ed of oonveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this Instrument to be executed In its name and on its behalf by it. Mayor and attested by its City Clerk and Its oorporate seal to be hereto afflxed, the day and year first above written. Altes;.-Jr~t: J."..'I??():lhtL(L~....... 7'~ ,", City Clerk (GIitll ~eal) I IIEUEDY CERTIFY, Thai on thla 27th "d.y of ... January ............................................1 94 18. b,'f,>re me person.ny appeared .. .L.o!1':1.~.E7.. ~:.. .~()~ep ..... and K~ t.h.t;y.~ ..~.'... ~ ~ .I!!,!p.<?r ~~.. ,,'p,'dively M.yor and City Clerk 0' the Clly 0' Seb..tlan, a muniell,al eorporatlon uDllrr the In's 0' the Stale of Florida to me known to be the indh'idulIls nncl offict'r! described In ond who execut,~d the lor{>going CORV~Yllnce to '. .E.veJ,y'n.. P.~m~Y....................,., , . . . . . . . . . . . . . . . . . . . .. and .everally aeknowledl!l'd the execution thereof to be their 'ree ad and deed as sneh officers thereunto duly authorh:ed; and that the OrflciRI scnl of said corporation Is duly affixed thereto, ftnd the said convtyuncr is the !tel om) (Ired of said corporation. WITNESS last aforesaid. ~~~" I~.' ~-'1;f'\ ! LINDA M, GAllEY MY COMMiSSION' CC334817 OO'lRES .Moe 18. 1994 _THRU1Nl\'FAMINSIlIIAHCf.IIlC. Linda M, Galley Name ,>, '-, /.c /',/ ..I l) ( ,/;, 'i ! f;.,- I",; Unit Block ,,) .3 Lot ;.,i '-~i' Date of Mark-out / ,/ ;~ .t~;; / /' "I ,.' I Date of Burial I / i Time ...;, .' l ~>", I i /"' "'~.-, Name of Funeral Home ,"J./ ,1::'" (.,.': f/ ':., . ',-,"":,...."...:..,,,. .i // 'f "' > <",~~e:<f Authorized by " ~:~("<!'<" , .-:"~:>~';,.,~: ,,/ " !IM~ ~Oj) 1 1=1 e:!I)Cf5 ~ J...p.Ij oP'ft8D :B/oeJ. 33 Ut1i+ 4- cy;7~ ~ tPl)~ '- Paid by CEMETERY Receipt No. . . . . . . . X ~.€? . . . . Dated List Price $ . ~". ~.~~: .~~..... Net Paid $ ,~.~ ??~ : .~?. . .. '~nLLv(, '-~-~ () 1/27/94 ....... .......... ... ............. Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Monument permitted. . , . . . . . . . . . . . . . . . . . . . . (Data above this line lor City Record only) '> :'~> ;' -'.w'- ".- '." .1 :5. :r:eed. Do. }440 ()JJ\ 4<1:19 Lots 29 & 30 Block 33 Unit 4 NO. .1.145 . . 79~ THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA . ACKNOWLEDGED OF THE SUM OF: It) Dollars (s!c:jtJIJ. ~ ) FROM: , 19 upon for the purchase of the terms and conditions as Description of Property: Ceme1:ery Lo1:(s) .t~ Block Purchase pricQ "~~ Terms and Cond.i.tion of saLe: 33 Unit .f Dollars (S!~ t3. ;tJ ) This contract shaLL be binding upon both parties, the selLer and the purchaser, when approved by the O{ffler 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: i ~/~~r/~/:n-<'r ~ , L The City of Sebastian agrees to seLL the above mentioned property to the above named purchaser ( s) on the terms and conditions stated in the above instrument. /1 ~ /1 /LL- /fiii tnes s C/ / _J:4n -/~ . , . "1"0 ,,";~. ~ \ '. IJ't:J ~ ; ~ ~".- ,~ ''<.J'4 c ~ # "O~ :> \s....'" 0" PElle,,"" . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 January 28, 1994 Mrs. Evelyn Doney 673 Noble street Sebastian, Florida 32958 Dear Mrs. Doney: Enclosed is Cemetery Deed No. 1445 for Cemetery Lots 29 and 30, 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. 796 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. v~erY truly yours, m - () .,H/) tJ~~.J ~ '-' .' Kathryn M. O'Halloran City Clerk KMO:lmg enclosure (\ws-form-cem.rec) l \ . ~ r- ~ ~,~ ~ '!: o t..Il ... C'- ... ,.. w z o o <0 Z so ~ ~ w ~ ....l 1-" ct tIl _ ~~~ cc~~ zz< 6~ffi """)",tIl o ~ !.1111 ~ \ .. ~ rc j.. U1 U1 .. n.J r1'I .J t..Il ~~g ~i\ ~ l!ts ~ ~~, '. ~ ~\~ ~~'i'. '~r ~1~1 \ f, 9 ~1 ON'ti1\:lVl-l . - .--------- IID.~] State of Florida, Departmef Health and Rehabilitative Services, Vital.sties APPLICATION FOR BURIAL - TRANSIT PERMIT /, ,2~? 3{~ v /' I 13 ,:1:3 t/ r! A. 1. Name of Deceased (Type or Print) First Middle Last Doney DATE OF DEATH Month Day 01/24/94 Year John R. 2. Place of Death County Indian River 3. Name of Medical Certifier City, Town or Location (If neither, give street address) Medical Examiner Phone Number Roseland 4. T Physician Address 7744 B~y 2 916 17th Street V 5. The medical certification has been completed and signed. A completed certificate of death accompanies this application. b jfJ Pam was contacted on 01/25/94 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Nnnr Mpr,..h,mt) M n will complete 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 Sebast ian Cemetery Final Disposition: 7. Funeral Director / Oirl!.et /il'i!l!18er In state cemetery / crematory - name/county: Indian ture Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT Permit No. 0130-94-0038 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 filing the death certificate requested. ~\,I;_118r 8. ~-". ~ Subregistrar Signature G .1\.... 1.. A.. M Q Date I ~4 J 0 ~ Date Certi~c.?tEi. I _ . . Issued:~Due: ~ C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature or Medical Examiner, , Medical Examiner Date . gave authorization by telephone to 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: [X] BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition ..1..t.., z;.:d'L' &m,;;ti/~'f /l.n/CJ"f ,I I I Signature of Sexton ) or Person-in-Charge ) ,~y:? '7" " ~~~/{ 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