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Home My WebLink About4-33-35 . WUy of t'rbnntintt 'rmrtrfY ilrrit- ('1807 NO. THIS INDENTURE MADE TII.Ia 25th d..y of .............. May 99 A. D., 19.. ....J between the City 01 Sebastian, a munielplll corporation ealstlng unde, the laws of the Statr of Florid.. ao Granto, and . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .BerQn:lce. . Car.1:ls1e. . . . . . . . . . . . . . . . . . . . 115 Redgrave Drive ................................. .Sebastian)..Ft. .32958................. of the County of Jpq.;i,<;1P . ~~ y:~~.. .. . .. .. .. .. .. .. .. .. ... anI State of ........ r+9r;i.d~ .. .. .. . .. .. .. . .. . .. .. .. .. .. .. .. .. .. a. Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ ....?9.Q ~ 9.Q . . . . . . . . , . . . . . to it in hand paid, the receipt whereofis herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . tt~:t;. . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . .~~... ,Block, ~~. . , .. ,UNIT . ~ , . , . .. . . ,. ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 6S 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 interment 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 hero.fter odopted or proVided for the government and operation of Mid cemetery. The conditions, restrictions and requiremento eontalned 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, regulations, resolutions and ordinances and the conditions of the deed of conveyance 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 fust 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 fust above written. ^,~In...[)if~~ City Clerk D1 Signed, Se..led ami Delivered IJl' p~esenee of. ~}(f~)z~~ c;t, tbnv. ..tJ..~........ (ClIit\l ~ellJ) STATE OF FLORIDA COl'N'fY OF INDIAN RIVER I BEIlEBY CERTIFY, That on this....... 251:.0.......... .d..y of . . . . . . . .MaY. . . . . . . . . . . . . .. . . . . . . .. . . . . .. . . . . . . . . . . J 18 9.9. J Kcit~~. .~... .~'.~~.~?~~....... Martha S. Wininger belure me prrson..lly appeRred ............................ ........ and resp,'clivcly Mayor ..nd City Clrrk of the City 01 Sebastion, .. municipal corporation under the laws of the State of Florldo to me known to be the Indi"iLluuls nuu officers described in lIod who executed the fon-going CORveYllnce to .................................. ~e;r:(m:j.~~. .C;:?r;;L,:i,~.J,~.......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . .. and severally ..eknowledged the execution thereof to be their free act and deed as such officers thereuuto duly authorized; and that the Offici..1 seul of said corporation I. duly affixed ther ,lIn' ~e .aid conveyunce is the uct and de.d 01 said corporation, WITNESS last aforesaid. 1ear :;.. .':"; r...-fP!~.. UNDAM.GALLEY ':,:."11. ';'~.' ',\(COMMISSION.CC740478 . ,.< ...~; EXPIRES: June 18, 2002 . ;, ;/'d':" ~<'nclO<l TIll. NoI8Iy PublIc Undo_ Jt......~.~_,.._-'.......__...... ( ( ~ (1 /l k. /. r ~ l~:. I #.1 't JD Name ~. /'<"/:" .,' I ,.'. t;/::' /,'-.....}v! \.., Unit /-( Block ;)3 Lot "'2 ~'~ ...J / Date of Mark-out' Date of Burial A/I') Q ,/", ';"; A.' r 1..)' v 3/'3/0 Time , . - .'t Ie) ." t)c> /1 . ~~ --- /'"j ,/'''~' ,/ 1- L,~ Li>. ), iV J'\ ." . . 4.'/--, 0'- ~ u,~_ ',' ~ ,.,..- Name of FUJ'leraIHo~~ < 1/- , / fl" ///:/',.. "",' rf~,( /,' ~ Authorized by _..~._..___.__....:....:.i..____._ - --~- ~-----_.~----------'------"'-----'~""-'-'-"----------'------ .._-- - ----- -- Paid by CEMETERY Receipt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . List Price $ . . ?99...Q9. . . . . . . . .Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . . 500.00 Net P81d $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . (Data above tbla line tor at)' Record oo1y) 3; }.1it(~~'S . NO. '16B7 . . THE SEBASTIAN CEMETERY CITY OF SEBASTIANJ FLORIDA F THE SUM OF: (~~LO~) on this for the purchase of the upon the terms and Cemetery Lo k~g1 Unit Description of Property: ' Terms and Condi tion of sal e: 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 abo-r:e d:scribed property on the terms and conditions stated in the forego~ng ~strument: . The City of Sebastian agrees the above named purchaser (s) above instrument. Witness .. . ,,",Y 0 " " \. ;:;.1 , > IJ' /J'_ .. ~ ~- ,~ +0;; .-1 S ~ ~$:.Q 0" PElIC~ ' . City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 May 28, 1999 Beronice Carlisle 115 Redgrave Drive Sebastian, FL 32958 Dear Mrs. Carlisle: Enclosed is Cemetery Deed No.1687 for Lot 35, Block 33, Unit 4. Also enclosed is a form - Return for Transfers of Interest in 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, P.O. Box 1028, Vero Beach, Florida 32960 or you may call (561) 567-8000 for more information. We are enclosing two copies of the Receipt 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 convemence. Sincerely ~m. O'l/aUPA.. Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures A. 1. Name of Deceased (TYPE) - ~JA, . State of Florida, Department of Health, Vital Statistics /~ fi f5'J ~ APPLICATION FOR BURIAL - TRANSIT PERMIT ~ U U FLORIDA DEPARTMENT OF First Middle Last Date of Death (If neither, give street address) Month Day Year BERNICE CARLISLE 02/27/03 2. Place of Death County INDIAN RIVER City, Town or Location VEROBEACH Name of Hosp. or Ins!. PALM GARDEN OF VERO BEACH 3. Name of Medical Address Certifier RICHARD CUNNINGHAM, D. . Phone Number Medical Examiner 4. Name of Funeral HomelDirect Disposal Establishment SEAWINDS FUNERAL HOME Physician Address 2000 38TH AVENUE VERO BEACH, FL 3296 772/794-2227 735 FLEMING STREET SEBASTIAN Fla. Lic. No.lReg. No. Phone No. (Area Code) 2617 ~ 772/589-1933 5. Check Appropriate Box a. The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. 0 was contacted on He/she verified that this death was from natural causes. that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death within 72 hours. c. 0 was contacted on He/she verified that , Medical Examiner, will complete and sign the 5. Funeral Director/ Direct Disposer rtification of cause of death within 72 hours. F.E. No.lReg. No. 2294 Date Signed 2/28/03 3. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No.03-2617-023 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. [fiNo extension of time for filing the deat Registrar or Subregistrar Signature Date Issued: 2/28/03 Date Certificate Due: 2/28/03 AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date Medical Examiner, , 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. Method of Disposition: ~AL DCREMATION Signature of Sexton or Person-in-Charge CEMETERY OR CREMATORY Place of Disposition <).e 1? 14< !:14X , ) DSTORAGE Date of Disposition ~ /.~/o ,) ( , DOTHER (Specify) } ;{f1l ,tt:~ 9' rhis 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 vithin 10 days to the local County Health Department in the county where disposition occurred. IH 326, 8/97 (Obsoletes all previous edillons) Stock Number: 5740.000-0326.2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar ()/(