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Home My WebLink About4-32-06 ah Paid by CEMETERY Receipt No... .?..... . Dated ... .~.~ n 7.(f}.?............. Lots A., 800 00 Block~' List Price S.. ... ..:. .. .. ... .. Maximum No. Burial Spaces........... .. ... Uni t 4 800.00 NO. Net Paid S Monument permitted....................... lJ8G (Data above this line lor City Record only) Q!itt! Df t;rbuatiun (ttrmrtrfg IIrrb NO. L3BG THIS JNDENTURE MADE 'lloIs 17th . . . . . . . . . . . . . . . . . . .. day 01 November 92 A. D. 18......, between 'he City 01 Sebastian, a municipal corporation exlstl'!l under the laws 01 the State 01 Florida, .. Grantor and Donna K. ~ockbeson . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .l.44 6. 5. . .80 th . Ay.e.nu~. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .. . ... .. . ... P.O. Box 806 .................. ....... ............... Roseland,.. .Flor.ida. .3.2.95 7..,...0806 ...........................,.......... 01 the eounty 01 .... ..Ip.q;i..?IJ... Ri-.Y.~'::.................. anc! State 01.. ..... ..~lo+.:iq~.............................. .. Grantee, WJTNESSETH I That the Grantor for and in consideration of the sum of S ... ~9.q :.QR............. to it in hand paid, the receipt whereof Is herewith ac. knowledged, does by this instrument grant, bargain, sen. release, convey and confrrm unto the Grantee . ~.~ E . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . ~ ~ 7.. . Block. . . .~? .. . UNIT ...~......... . of Sebastisn municipal cemetery ss 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 shall be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at an times in Iccordance 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 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 shail 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 f1rst above written. At~~~~m.8~e:t.~~. . . V' .~ City Clerk CITY OF SEnABTIAN, FLO;(\A ~ A I ~ C:>r0,\~, Vice ~a"or ~~ Signt'd, Sealed und Dellv~red In the rtlenre of J ..~............ G8~.C~:..........,....... (GIit\! ~elll) STATE OF FLORIDA COl'NTY OF INDIAN RIVER 17th November 92 J HEnERY CERTIFY, That on thll ,...................... .day 01 .......................................J I.....J b.lure lI1e personally appeared ....X.t'~?d.~.~~~J~?~\}'.t~e.~.k,yic~~a!or and .Kli~l:t.J?y~..~.~..q:.J:I.~~~.?rli~ resp,'clively Mayor and City {'Jerk of the City 01 Seha.Uan, a municll,ol corporation under the laws 01 the State of Florida to me known to be the Indh'iduuls und oUlcrrs described In and who exeeul,.'d the fore.goins eOAvt"yance to Donna K. Sockbeson . . . . . . . . . .. .. . . . . . . . . . . . . . .. and se.erolly acknowledged the execution thereof to be their 'ree act ond deed a. slleh officers thereulllo duly authorbcd; and that the Official sCIlI 01 said corporalioll 18 duly affixed thereto, and the Slid conveyallce is the IIcl and deed 01 said corporation. WITNESS my signature and otllclal .eal at Sebastian, In the eounty 01 Jndlan River and State 01 Florida, the day and "ear losl Rlor..ald. UNOA M. lOHSt. Notaly PubIIc-S1IIe of FIertda Mr CommlUlon Ellplrw JUN 11.1004 COMM' CC 0227.... Block ~ 'I Co P. .. J ~ tift-. 6 ~ . rVt. f: ,,' ,;;r 1'/,(1' . 1 j14~ /l ')// r/' , 1.A1 r'~' I '. . I v- iI" (i I ill ';~ . (\J Name "..." l';;{J)I~Pl( K .' _:' (' 0(0:) ( 1<.1';) /~:'".<S () fI.,)' Unit --;;'" Lot X' Date of Mark-out '.'" . 1/'" '1 I .1..--- \'1 t.' f ;,.,.( ) _ ". .~ " I Date of Burial .>/; e, j', i L / Time ,/,/) /.I:: 1'''/ /,.-, Name of Funeral HOl1}e ~i r I':"';jii~( :...5." . .... (::;c- :/:~ . "J:~).,T""'-l~~". '(' , /< AuthonZeQI:>'X~" j/ ,..", .~,~)/Ii. fit,.; 8CX?J<b85on-;Donna.. K. -:Deed (iJ;../IP6- ~D<4!l qief)Ue 1?O .t:oX oOlo Ko~e\and) -FL 3:Jq6j lok t.o t /) -:bIDck &2) Un i .J-1 }3oCo Paid by CEMETERY Receipt No 737 List Price $ . . .~ ~ 9... 9.Q . . . . . . . . . . . . . . . . . . Dated. . . . !.~ I. ~ ? (~ ? . . . . . . ..... Net Paid $ 800.00 .................... ....... Lots 6 & 7 MaXimum No. Burial Spaces. . Block 32 . ..... ..... '" Uni t 4 NO. Monument permitted ... ..... ... ............ "l "r ("; n ~...JOo (Data above tho )' IS JOe lor Cit D u_ Y ...",;urd only) . . 737 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA RECEIP~CKNOWLEDGED ~ ~ FROM: OF THE SUM OF: 3;2 on this / 7~ day 0.(:) ~.f::iv, , 19 9;;. for the purchase of the following described ce~tery Lot(s) upon the terms and conditions as stated herein: Dollars (sftJj.~ ) Description of Property: Cemetery Lot(sJ ~ 7 Block 3,;( rInit .tJ Purchase price:e.~1- ~d ~ Dollars ($ ?LtJ.~ ) Terms and Condition of sale: (Ji# /8'79 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: i{~iMf4 ~~~J/~ 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. C3~Lf~ CM~'{Ll~ Witness I . ~ ~"S~~~~ ~.~...I...'\t i.,.I'(/~\'l\; '~. '1f-/': ,p,'llj' >1.. ). ~ f'I/I_ ~J';;. 'J /// ~I ~, :;=t~ ;~o.~)!I\ s~~~ :r;~ O/'" PEUC"" . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 November 23, 1992 Donna K. Sockbeson 14465 80th Avenue P.O. Box 806 Roseland, Florida 32957-0806 Dear Mrs. Sockbeson: Enclosed is Cemetery Deed No. 1386 for Cemetery Lots 6 & 7, 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. 737 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. Very truly yours, '~~)1J.~~ KathrY~M. O'Halloran City Clerk KMO:lml enclosure (\ws-form-cem.rec) . o!! '... C> !e':t: '-0 <""% .-< ,J,a: eDit> ~ g a:Z 00 (/) zuJ oal (/)~ CD jg uJ().., cO (X)o~q ~t/) cl> It; () .l8~ ot/) E;'" (/)'::l.~ ..J . ().DUo '::l.-oci c:(a:':.z zuJo5 ZOCOUl uJ .(/) oa:qo ou.~a: ~ ttl \\ . ~ [llE.~] . ~ State of Florida, Depar.t of Health and Rehabilitative Services, Vitetistics APPLlC N FOR BURIAL - TRANSIT PERMIT h~W 13 .:3Jb ~ (j ~ Year A. 1. Name of Deceased (Type or Print) First Frederick Middle Stephen Last Sockbeson DATE OF DEATH Mont 09/24/92 2. Place of Death County Orange 3. Name of Medical Certifier City, Town or Location Orlando Name of (If neither, give street address) Hosp. or Inst. Orlando Re ional Medical Center Address Phone Number Medical Examiner Franklin Norris, M.D. 4. Name of Funeral Home/ Direct Disposer 1623 North Central Avenu Strunk Funeral Homes P.A. Sebastian Fl 32958 1228 7 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box hysician Address 35 W. Columbia Street Orlando b -Ox Dot was contacted on 99na/92within 72 hours after death. He/she verified that this death was from natural causes, that there~..s no accident nor other external cause of death, and that Fran k 1 in No ryo i ~, 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 Sebastian Final Disposition: 7. Funeral Director / Dir4?st [)ie;~9~9r , Indian River F.E. No.l~9. r~u. Removal from state Donation Date Signed B. BURIAL - TRANSIT PERMIT 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 e death certificate request Registrar or Subregistrar Signature Permit No. 1228-92-0440 J Date Issued: 7-.2S:1~ Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner Date or 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. D. CEMETERY OR CREMATORY Methods of Disposition: l:8I BURIAL o CREMATION o STORAGE o OTHER (Specify) ,(1' 9- .!J/'~ r;~. Place of Disposition -5.~, ~"ICAt...;l-;4."", Date of Disposition 5 ...p+ <. "'" b CI~ ('> r; M ,,: Tt: R.. 'f ..?-fl.j 1<;' (j 7 Signature of Sexton ) or Person-in-Charge ) 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)