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"
Paid by CEMETERY Receipt NO.......... . Dated ......~ )..t.~9/~~............
List Price $ .... .~~.q :.9~.... Maximum No. Burial Spaces........... .. ....
600.00
Lot sa
Bloc~
Unit 4
NO.
Net Pald $
Monument permitted... ........ ..... ... ... .
l.J8~;
(Data above thla line lor City ~rd ooly)
Q!itt! of &tbnstinu
C!!rmrtrry
m rrb
"1385
NO.
THIS INDENTURE MADE nil
lath
day 01
November
92
A. D~ .1.......
bet.....n Ihe City 01 S.bastlan, a municipal eorporaUon ..lsUnll undcr the laws 01 the Stat. 01 Florida, a. Grantor alld
..................................... :F:J:anCi~. .L... .and/or.. Bet t.y.. L... Rei tz....................................
301 Brown Road
......................................... Barefoot.. .Bay,.. Florida. .J29Ui
01 the County of....r.n4~~.I:l..R;i.y.~;t;'.................. anI State of FJ..o.:r;,i,dl;l...
.. Grantee, WITNESSETH.
That tbe Grantor for and in oonsideration of the sum of $ ..f? ~ 9. ~ 9. Q. . . . . . . . . . . . .. . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargaln, seU, release, oonvey and oonfirm unto the Grantee . ~.~~.;;r: heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wlt:
All of Lot(s) . . .~ . .. ,BIoCk,...~?.. ,UNIT .......4..... ,of Sebastian municipal cemetery as per Plat Number I thereof reoorded in Plat
Book 2, at page 65 of the public reoords in the of lice 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 aU time. in .ccordance 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 oondltlon., restrictions and requirement. oontained
in thls instrument shall be oovenants 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 oondltions of the deed of oonveyance thereof then the title of .uch owner
in and to sald property .haU 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 It. behalf by its Mayor and
attested by its City Clerk and its oorporate seal to be hereto affIXed, the day and year fust above written.
"".
A"'rl'~"," ,In f)rI~=5--j::~~(siJ~JU^~
.,~c '~'l/'''''' City Clerk V1Ce 70r
Sigm'd, SeRled und Dellv~ff'd
"F~uuuu (€"~ij
rp~,.~~'...........
STATE OF FLORIDA
COl'NTY OF INDIAN RIVER
I HEUEBY CERTIFY. That on thl. ...... ..Un.b....... ..day of .... NQv.erobex............................, .1..9,2
Ft'9nlttsRJ. ,'Obet1!>eck, Vice Mayor Kathryn M. 0' Halloran
b,'fure me personRJly appeared ......................................... ..' ,.......... and. . . . . . . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . .
r'.Pl.clively Mayor .nd City CI.rk of the City of Seb..tian, . munlcl"al cor"oratlon under the laws 01 thc State 01 Florida to me known
to be the Indh'iduuls and office-rs described in ond who executed the fOfl'goin" cORveynnce to
. . . . . . . . ..... .... .. .... .......... .fx.~n~JS. J." . .~nd /'Q,:'. J~e.tt.y. ..L.... .Re.t.t;1; . .
. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . .. . . . . .. and s.verally acknowledged the execution thereof to be their fr.e act ond deed
89 such offict'rs nu'reunto duly authorized; and thRt the Official nul of Gald corporation Is duly affixed thereto, Rod the said conVf'yan(!e
i. the ftct ami d.ed of .aid corporaUon.
WITNESS
l.sI .'oresaid.
UNDA M. lOHSL
NoWy PubIIc.S.... 01 F1clIlda
My eo...mIsslon EJoplrw JUN 18,IIlO4
COMM. CC 0227"
Linda M. Lohsl
Name
he /; A.' ('
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t ~
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Unit
,
./1
Block
5.?
Lot
{"'1
t'
Date of Mark-out
Il.',?~;
... Ii .~ "'- ,
;. (,~;t:J,"
. (/
Date of Burial
/ .;i t:J, ,"")'.'."..'
1/ 3,) 7.,
!
._Time
3. D,~-'
l) /'k'}
I
Name of Funeral Home
.5 ., ;, i (: , ! i i.'
.}
Authorized by
5,
r:r 01) c-; \S l. ct :Be% l.
3:J I ~(OL.On1<tt.
Bue-lli,4- ~ I r::L 3d-q1&
:Deed 13~5
/JJ1- ~J fjlDd dJJUnitJf.- ~ /. J?~r
/-3j-ff? /~
',-
735 11/10/92 Lot 8
Paid by CEMETERY Receipt No. . . ., . . . ... ., ., . . Dated. . .. .. . . . .. . .. . . . . .. . .. ., . . . . . Block 32
List Price $ . . . . .~ 9.~ :. ~ ~ . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . .. Un i t 4
N P'd $ 600.00 Monument permitted. .. ..... ... ..... ... ... .
et at ..................
NO.
1J60
(Data above this line for City Record only)
.
.
7,35
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
,Si'x /l1J,,() J'IR E-LJ Dollars ($ (p'tJtJ.cJ [)
FROM: rft:/1/1/C i ~ t. /11l/.D~~ 6ErT Y L, REI rz
.J cJ I /3.-etJ ttlV J? () /J J:)
/3/JRG rtJdT Ell)". ~L~M'/".()/? ..3 ~9 7&
on this /tJ rl/ day of /!J/ftlG/I1/!)E/2, 19 q4... for the purchase of the
following described Cemetery Lot(s) upon~terms and conditions as
stated herein:
Description of Property:
Cemetery Lot(s)
~
Block
3cl-
Uni t hj
Purchase Price: S';X 1/ tJAJ,l) Re:<J
Dollars ($ 6tJtJ.CJ 0 )
Terms and Condition of sale:
r! /I'~C)( -# t:l;<..
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
and conditions stated in the
the above described property on the terms
fZ~:~~74)
g;7fj/ ~
to sell~he above m ntioned property to
on the terms and conditions stated in the
The City of Sebastian agrees
the above named purchaser(s)
above instrument.
~4AU- c~
CJfy of Sebastian
.
~v 0
II ~ ~ "'~', .-.- ,...
W/\'l~ ' \
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+04. 4S1,-...~
~ OF' PElle"" ,,>
.
City of Sebastian
POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
November 23, 1992
Francis L. & Betty L. Reitz
301 Brown Road
Barefoot Bay, Florida 32976
Dear Mr. & Mrs. Reitz:
Enclosed is Cemetery Deed No. 1385 for Cemetery Lot 8, 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. 735 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,
7>!~)n{)~
KathrynM. O'Ha1loran
City Clerk
KMO: lml
enclosure
(\ws-form-cem.rec)
.
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(ll'f l)f
tlOME OfPUlCAN IStAtoID
INVOICE
CITY OF SEBASTIAN
TO: Mrs. Francis 1. Reitz
301 Brown Road
Barefoot Bay, FL 32976
INVOICE:
Date:
Amount: $
05-062
10/25/2004
225,00
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 32, Lot 08
AMOUNT
DUE
225.00
DUE UPON RECEIPT
TOTAL AMOUNT DUE
225.00
Remit To
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
Account Numbers:
Dr:
Cr. 010059534685
'''''--,.....''?' = 'IT,..iltt.
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.
CITY OF
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~
.,' ..' -:: --: =,. ..--,. -- '~
---- --- ..
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570
October 21, 2004
Mrs. Francis L. Reitz
301 Brown Road
Barefoot Bay, FI 32976
Dear Mrs. Reitz:
Re: Sebastian Cemetery Unit 4, Block 32, Lot 08
It is with regret that we inform you that the marker and/or vase on your Sebastian
cemetery lot was damaged during the recent hurricanes. The city has made
arrangements with a local monument company to repair the damaged markers at
$225.00 per marker and $20.00 per vase.
According to the rules and regulations governing the cemetery (copy enclosed),
interment site owners are responsible for damage to markers and/or vases, therefore,
we are enclosing an invoice for the reimbursement of this fee.
Thank you in advance for your cooperation in this matter and I would like to assure you
that the upkeep and maintenance of the cemetery is very important to the City.
If you have any questions regarding this matter, please do not hesitate to contact me
at the cemetery or by telephone at 772-589-2545.
Sincerely,
Kip G. Kelso, Jr K ~ I r
Cemetery Sexton
Enclosure
-. ~ .- -
",', :,-,',.-:::_.,~~;;-1;;;;;::" " .~ '__," _,...-::1:,.".,,';;;-."':1'::: ..:--~1-'!".;~-~--_. .'. '" -",,;'.-
-.,....~.~~ "c_"_,,,;c~'~";;:!!'"'-_,~_-=.~:.... ".~..--.~~!,-~",.".
._J.:.".".,~":;'7'~';"",_~o .
I~
State of ~a. Department of Health, Vital Statistics .
APPLlC1Pr'ON FOR BURIAL - TRANSIT PERMIT
1-8" g V
.{3 P'6 32
tl:f ~ Lf
A.
1. Name of
Deceased
(Type or Print)
First
Middle
Last
DATE
OF
DEATH
Month
Day Year
2. Place of Death
County
Brevard
3. Name of Medical
Certifier
Francis
City, Town or Location
Barefoot Ba
Medical Examiner
Reitz Jan.
Name of (If neither, give street address)
Hosp. or
lnst. 8264 Brown Road
Address
27 1998
Phone Number
Jose h McClure M. D. Physician 200 E. Sheridan Road, Melbourne, FI 561-725-4500
4. Name of Funeral Home/ Address Fla. Lie. No./Reg. No. Phone Number (Area Code)
Direct Disposer 1623 N. Central Ave.
Strunk Funeral Home Sebastian, FI 1228 561-589-1000
5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box
b).1
Cindy was contacted on 1 /28/98 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 Dr. McClure 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 Cemetery
Final Disposition:
7. Funeral Director /
Direct Disposer
I ndian River
F.E. No./Reg. No.
Removal
from state Donation
Date Signed
B.
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.
Permit No. 1228-98-0056
<IVl@gi3t1 ar ElJ
Subregistrar Signature
Date, _ \ _ ., _, I q ~ " -- Date CertitCli!.te \ q ~
Issued:~ Due: \ ~, is
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.
Signature of Sexton )
or Person-in-Charge )
o STORAGE
o OTHER (Specify)
f(~ 9' /~'7"
CEMETERY OR CREMATORY
Place of Dlsposltiou sj '3~ be,L <2
Date of Disposition __ _ __ __
Methods of Disposition:
. BURIAL
o CREMATION
This permit must be endorsed by the Secton or person-in-charge (or by the Funeral DirectorlDirect Disposer when there is no Sexton)
and returned within 10 days to the local County Health Department in the County where disposition occurred.
DH 326. 10/96 (Replaces HRS Form 326 which may be used)
(Stock Number: 5740-000-0326-2)
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