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Home My WebLink About4-32-01 .-, Paid bYCEME~~R;R~~iPt No... ......... Dated...... .~~t.~~(~?.......... i~~~. 2 List Price $ .. . . . . . :. . . . . . . . . . Maximum No. Burial Spaces. . . ... .. . . . .. . ... Uni t 4 800.00 Net Paid $ .................. Monument permitted. . . . . . .. .. . .. . .. . .. . .. . NO. 1J83 (Data above 1111. line for CJty Reeord only) mUll of l'thnsthttt Ctrtmtttry mttll 1 :~83 NO. THIS INDENTURE MADE TIoIa 28th dAY of October 92 A. D., 19....... betwern Ihe City of Sebastian, a municipal eorporatlon .xlstlng undcr the laws of the Stale of Florida, a. Grantor and Mrs. Ann Molnar - -'" -................ --. 311' Manly" Avenue..... -.. -..... Sebastian, Florida 32958 ............................... . .......................................... Indian River Florida of the Connty of _ _ .. _ .. .. .. . . .. .. .. .. . . . . .. _ . .. .. . .. ... an-I State of .. _ _ .. . _ . .. _ . . .. _ . _ _ .. . .. . . _ . .. . . .. _ .. _ . . .. . .. .. .. _ .. . u Grantee, WITNESSETH t That the Grantor for and in consideration of the sum of $ ......... .~9.q ...Q~. ... " . to It In hand paid. the receipt whereof is herewith ac. knowledged. does by this instrument grant. bargali.. seD. release, convey and confirm unlo the Grantee .J:1~~. . .. heirs, legal representatives and assigns the foDowlng property situated In Sebastian, Indian River County. Florida, to-wit: All of Lot(s) .t .~. . ~ Block. .~ f. . . .. . 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 offlce 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 shan 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 tbe 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 of the fallure 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 shan terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF. The said party of the fltst part has caused this Instrument to be executed In Its name and on its behalf by its Mayor and attelled by Its City Clerk and Its corporate seal to be hereto affixed, the day and year first above written. Atl.~~mt)dt.~~..... ! City Clerk Sfgn...d, Sealed und DeJlvered In the resente oft ~ (~ C' ------~_._-_._~._-_._... ((f[il\t ~..al) STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEIlEDY CEIlTIFY, That on thla 28th _ day of October 92 ., 11...., be'ore me p.rsonally app.ared .L.o~!1~_~.. ~:. ..p()w:e_l.l..... and KEi tl:t:r;Y.!l..t:f.....9. ~ H~p.9.rEi!l.. r,sp,'eliv.ly Mayor anel City CI.rk of the City of Sebastian, a municipal corporation uml.. the laws of thc State of Florida to me known to be the Individuals und offlct'fS described In and who executf.d the lon'going cORveyance to . . J1+.~ .... .A.I:1n.. MoIna r. .. .. .. ... .. . .. . . . ... ... _ .. .. .. .. .. .. ....... . .. ... . .. .. .. . . _ . _ _ _ _ _ _ . _ _ _ . _ . . . . . . . . . . . . . . . . . . . .. . .. . . . .. .. and s.v.rally acknowledgec1 the cx.cution thereof 10 be their free act and d.ed as s"ch officers thereullto duly authorl&ed; and that the Ortlclal se,,1 0' said corporation la duly affixed thereto, and the said conveyance I. the ftcl and de.d 01 said corporaUon. WITNESS my algnature and oWclal .eal at SebaaUan, In the County of Indian Rlv.. and State 0' Florida, Ihe day and rear last dor.lald. ~... tDHIC. NoWy NIlIo-8latt of..... Mr COIIImIIIIon --."'* tt.... COMM' CC.,.... Name Pert (2., J"""'. "./ / . -... Unit -' I 7 Block ~.;,'~ . e~ Lot Date of Mark-out j .,.' ,) ,. "",I oK;,; ". {:1 ~~. Date of Burial ",; '-~ r~~i ..... j' ,w."",. Time -' ,'.' <:':= c> I~' /;.}' .,' : Name of Funeral Home -') 1it, ~.,' "-:;1 /' "...)~::;,:.t~;'~:'>~:;';~:"6:':.I; ..~t~// . d.b.... 'f_'V il /r~" 7' yo ',--" AuthOrize gy<, .~. ..., ~. ,.. - ' ",.' 3 ~eo1# ~ ;3<g3 rrJ~/nar: 4fJIl :3// /'11~ /'1lfv~ 3ebtL5tiarf; rL <3;2168 LD+s J~). ~/!Jelz 82 !i.t7i / ~ fJe-Jer /r7o//}tLr $: /n../erred ID/.2'8/902 1.01 J Paid by CEMETERY Receipt No..,.~ ?~... .... . . Dated List Price $.. ~~~ :.q~...... Net Paid $ ..~?~:.~~...... 10/28/92 Lots 1 & 2 .... ..... ............ ..... ..... Block 32 Maximum No. Burial Spaces................ . Uni t 4 NO. Monument permitted. . . . . . . . . . . . . . . . . . . . . , . 1 8,"., 'J'd (Data above this line for City Record only) , . . 73<1 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA OF THE SUM OF: Dollars (S &~, gt)-- ) FROM: on this c:1?fIJ.- day of tbkbv. following described Cemetery Lot(s) stated herein: , 19 9;; for the purchase of the upon the terms and conditions as Description of Property: Cemetery Lot(s) I f/ d Block 3:2 Unit 4 Purchase price,8# ~ ~ Dollars ($?M.~ ) Terms and Condition of sale: 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 above described property on the terms and conditions stated in the foregoing instrument: f- a~ I1J a-en (U/ 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. tl'Jb;;;--,. ~ , . /, -1,V( 0) /"~\' ': , I ~ ) ! 'Fl '.~,,-; ~ I~: ~ - //7"' (; i~ "Yo-l, Jl S) /" \,,,,,+Q 'S 01: PElICP.; \f? . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 November 4, 1992 Mrs. Ann Molnar 311 Manly Avenue Sebastian, Florida 32958 Dear Mrs. Molnar: Enclosed is Cemetery Deed No. 1383 for Cemetery Lots 1 & 2, Block 32, 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. 734 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. Kathryn City Clerk KMO: Iml enclosure (\ws-form-cem.rec) r~~] State of Florida, Department of Health and Rehabilitative Services, Vital Statistics APPLlCATleOR BURIAL - TRANSIT PERMIT . I-~ /) d- {3 3~ (; Lj A. 1. Name of Deceased (Type or Print) First Peter Middle Last Molnar DATE OF DEATH Month Day 10/23/92 Year 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 wit the Local Registrar of the County in which death occurred. o No extension of time for filing e death c tificaze r ueste. Registrar or - Date //' /} /' 0.. Date Certificate Subregistrar Signature - Issued: / C/- ~ - f 0'-- Due: 2. Place of Death County Indian River 3. Name of Medical Certifier Fredrick Hobin, 4. Name of Funeral Home/ Direct Disposer Strunk Funeral 5. Check Appro- priate Box 6. Place of Sebastian Final Disposition: 7. Funeral Director/ Oir:>lgt (;)iiP96er B. C. Signature or Medical Examiner, City, Town or Location Name of (If neither, give street address) Hosp.or Inst. Humana Hospital-Sebastian [gMedical Examiner Address Phone Number 407-464-7378 M.D., M.E. hPhysician 2500,S. 35th St. Ft. Pierce, F134981 Address Fla. Lic. No.1 Reg. No. Phone Number (Area Code) 1623 North Central Avenue Homes, P.A. Sebastian, Fl 32958 1228 (407)562-2325 a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. Roseland b 0 was contacted on 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 will complete and sign the medical certification of cause of death. HELEN FREDRICK HOBIN, M.D., M.E. medical certification. c [] was contacted on . He/she verified that , Medical Examiner, will complete and sign the Indian River Removal from state Donation Date Signed 10/26/92 F.E. No./I=l~~. t4v. -- 1672 BURIAL - TRANSIT PERMIT 1228-92-0483 Permit No. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , 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: . BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) o STORAGE o OTHER (Specify) )(jJ '1' ,l(,k"/,, Place of Disposition Date of Disposition .,~~t:"lf'C"'L?lj7 . , ~ 9 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) i,Slock Number: 5740-000-0326-2) :f. I