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THIS INDENTURE MADE Th.Ia ..... ..29 th........ day of .... Sep.t.ember......................... A, D.,~.. 2090
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, 8S Grantor and
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~))..~. . 'r. ,. . W i3: l. tg A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . _ . . . . . . . . . . _ . . . . . . . . _
7915 135th Street
................,.......... _.. _....... _,..... ....... .S.ebas t.ian).. .Flor.ida. .3.2958......................................
of the County of ..... J.l).Q.;i, ~l).. R;i., ygx.. . .. . . .. .. . , . .. ... an~1 State of .....If.:L Q r':!-.Q.R- . .. . .. . .. .. .. .. .. . .. .. .. . .. . .. .. . .. . ..
as Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ . ?Q9.: ~Q................ to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee . . . . . . . .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) . .11 .. ,Block,..3 2 . .. ,UNIT ...4......... ,of Sebastian municipal cemetery as per Plat Number 1 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 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 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 Irrst 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 aff'1xed, the day and year Irrst above written.
CITY OF SEBASTIAN, FLORIDA
By
.Yv.~..W.r>.~........_
Mayor
and Deliver
cey
... ..~....~.. . ~
. . . . . . . . . . ',' . . . . . . . . . yt..y. . . . .. . ... .. . . . . . . . . .
STATE OF FLORIDA U
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this .....2.9.th............day of .......S.eptember............................., lOX..~OOO
((lHill j8e~tl)
before me personally appeared .. ..~.~;I;~~.J;.. W ... ..~~:p::t:l.~.~........................... and .~~~.p.+y.n..M.~.. Q ~.I:I.q;I)-.9,J;Fm.
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known
to be the individuuls und officers described in Bnd who executed the fon-going cORveyunce to
..................................,....................... .Au.a.. T... Ylal t.er.............................,.... _.........,........
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . _.. .. . ..'. . .. and severally acknowledged the execution thereof to be their free act and deed
as snch officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the act and deed of said corporation.
WITNESS lilY signature and official seal at Sebastian, In the County of Indian River ond State of Florida, the day and year
last uforesald.
.....~~~j:~ H. JOANNE SANDBERG
[.~'@.'\;~ MY COMMISSIO~ # CC 725842
~.~it~ EXPIRES: Apnl30, 2002
'~;;;f\.:f>'" Bonded Thru Notary Public Underwriters
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WAITER, ANA T.
7915 135TH STREET
SEBASTIAN, FLORIDA 32958
lOT 11, BLOCK 32, UNIT 4
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9/29/2000
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7 ~ - C!AM7'~ - 'f-;Jg-dO
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Maximum No. Burial Spaces. . . . . . . . . . . . . . . . .
2 NO.
Lots 11 & 1
Block 32
Unit 4 1389
740 12/30/92
Paid by CEMETERY Receipt No. . .. . . . . . .. .. .. . . Dated. . . . .. . . . . .. .. . . . . . . . .. . . . . . . .
Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
(Data above this line for City Record only)
List price $ . .1-." f.QD. r QO. . . .
1,200.00
Net Paid $ ..................
Albert & Shirley Balla
Name
Unit
Block
Lot
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Date of Mark-out
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Date of Burial
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Time
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Name of Funeral Home
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Authorized by
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.. "..,.-;,,-_..."....,._.~~~...,...-~~~_...-. - ~-;;:.::~: :;:...:.~- ---:," ~~W~"'= -~~ ~ ,
.- CITY OF SEBASTIAN
CITY CLERK'S OFFICE , ~
RECEIPT
Name o Cash
r t (j\ Date o ChecU
3 t 'I
~ No. ,)//1/
""' ~ 001001 208001 Sales Tax
001501 322900 Garage Sales
.f. f 001501 341920 Copies/Bid Specs,
001501 341910 LOC/Code of Ordinances
~ ;y P, 001501 362100 Community Center Rent
- r
~ 7C 001501 062100 Yacht Club Rent
()I 001501 362150 Non Taxable Rent
r (\I r 001501 343800 Cemetery Lots
,-) 6010J0343800 Cemetery Lots
LotlNiche , Block ,Unit_
0 :-1
<. 001501369400 Interment Fee
~
001501 369400 Weekend Service
680800 220681 Yacht Club Security Deposit
680800 220682 Community Center Security Deposit
680800 220683 Riverview Park Security Deposit
.
-.................
........................
............................. ..........................
.,........................... ......................... ..................
HoMt!::i:oF.!:~p.EL1~::::lStANli
1225 Main Street, Sebastian, Florida 32958
Telephone (561) 589-5330 - Fax (561) 589-5570
Website: www,cltyofsebastian.org - Email: city@dtyofsebastian.org
October 2, 2000
Ana T. Walter
7915 135th Street
Sebastian, Florida 32958
Dear Mrs. Walter:
Enclosed is Cemetery Deed number 1761 for Lot 11, Block 32, 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, 2000 16th Avenue, Vero Beach, Florida 32960.
Sincerely,
m. Oi/~~
KOH/js
Enclosure(s)
rAe Sebastian Cemet~
City of Sebastian, Florida
Receipt is acknowledged in the sum of:
r~ clJ!JJ Dollars ($ ocftJ,j"O )
From: OAd/ 'T Jdaltt-/
7r/~ /3,~-a ~
SkL ,F.Jl 3r:J9S-o
on this ;7 '1fL day of ~'<Z& ., 20 tM for the purchase of the following
described Cemetery Lot(s)/Ni e(s) upon the terms and conditions as stated herein:
Description of Property:
cemetere~!J'~Iche(S) II Block
Purchase Price: r ~ ~
3:J Unit ~
Dollars ($ SCl'C. H
)
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:
Purchaser signature
Purchaser signature
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,
Witness
. .
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. State of Nebraska .
Depa nt of Health and Human Services Finance and SII port
VITAL STATISTICS
Permit for Transit or Cremation
133:1-
tl7
This permit, when completely filled out and bearing the required signature, constitutes authority
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for transit or cremation of the deceased named below, in accordance with Section 71-605 R.R.S.
of Nebraska.
Maria Tovar
Name of Decedent
Date of Death September 16, 1992
Place of Death Scottsbluff, Nebraska
Sex FM Age 88
Date of Birth July 28. 1904
2104 BDWY.
Scottsbluff, NE 69361
Name and Address of Funeral
Directing Establishment Jolliffe Funeral Home
(308) 632-2121
Cremation
xx
Type of Disposition: Transit
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Place of Disposition Sebastian, Florida
/:J (City and State) - ,
!5uel/J)... ~ 5,;;1.31('Sr;/1~ ~eMv1B~1
jEj.1O-t.' ;(1) 9, t{~7.
I HAVE EXAMINED THE COMPLETED CERTIFICATE OF DEATH FOR THE DECEDENT NAMED
ABOVE AND AUTHORIZE CREMATION OF THE REMAINS. (TO BE SIGNED BY THE COUNTY
ATTORNEY OF THE COUNTY IN WHICH THE DEATH OCCURRED OR HIS/HER DESIGNATED
REPRESENTATIVE PURSUANT TO SECTION 71-605 (Paragraph 4) R.R.S. of NEBRASKA.
~lep~\
(Crematory)
(Signature and Title)
(Date)
Items below are to be completed by the funeral director in cases of transit and by the crematory
official if remains are to be cremated. Method of Disposition:
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D Cremation
(Date)
'V--'
(Signature of' uneral director)
IX] Transit
09-22-00
(Date)
Distribution of copies:
For cremation - original retained by crematory; copy to County Attorney
For transit - original accompanies body; copy to be retained by Funeral Director
~
@ prlntfld on f'BCyc/9d pafNlf
..
. STATE OF NEIIHASKA .
I)EI'AHTMFNT OF IIEAt:r1l ANI) IIUMAN SEHVICES
FIN,\NCE ANI) S{II'I'OIn
VITAl. STATlSTWS
DISINTERMENT PERMIT
N~ 1 5 0 9
Arplil'alinn h:l' heen made and permi"jnn h:" heen gr.lIlled In
Patrick Thomas Parks
--- - SlIpCI \'i...ill~ -fllll;'-I~li)Ii~:-\.I;~'I~
"f
Ih,' Jolliffe F.H._._ 2104 Broadway. ScottsblufL_NE
N:llllC ,11 I I rill and Addlt,...... 69361
In di,inter Ihe (hnd~') (hndie')
Maria Tovar
nnw hmied in the
Fairview
cemetery in the city nr tnwn nr
ScutLsbluII .l'''''llly nrSculLs Bluff. N"hn"l..a. to he relllll\'"d
hy private conveyance tn_Sebastiau_______,_________
cemetery in the l'ilY nr town nr Se bas t ian... county "f!I1_d_i,1:"-n__~~~~E
. 't:lte nf ,,_Elorida,_____________,______,
I IIrRI BY A 1l1l0RI7l' I'. ~II S DISINTERMENT PURSUANT TO TilE
PROVISIONS NEBRA.' . A . VISED STATUTI' 71 (iO~.
__ ~ __ _JUL_ 7_2000 _
1:IIul(') (Date)
Ser\'it'e Adlllini'lralnr. Vilal Slali,Iit', Sect inn
~,~ hrf I S'-
~- ~ efll~ z,CJOt'
Thi, permil ,hnllld he relained hy the cemelery where Ihe disintennenl takes place,
.
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City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (561) 589-5330 0 FAX (561) 589-5570
MEMO
To:
From:
Subject:
Date:
Mark Mason, Finance Dire~r4 tv'
Kay Q'Halloran, City Clerk 2?'
Check Request
September 9, 1999
Please issue a check as follows:
(F onnsI1in.ckreq)
AMOUNT:
$1,200.00
PAYABLE TO: Albert and/or Shirley Balla
5384 Bannock St
Sebastian, FL 32958
PURPOSE:
Repurchase of Cemetery Lots 11 &12, Block 32, Unit 4
by City.
aCCQjlNTNQ.; o/O()qq 03-:/469
toO/vii ~~6~~~7
SUBMIT TO: Linda Galley
0UO. (JU
60 (). dO
r ·
.OJ ity nf
Q!tmtitry
&r bUlItiun
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NO.
1389
THIS INDENTURE MADE TlUa
30th
day of ....., ..P,~~~.IJl,Q~;r:...... 00.. 00."........ A. D., 1992. 00'
between the City of Sebastian, a municipal corporation existing undcr the laws of the State of Florida, as Grantor and
Albert and/or Shirley Balla
..",.,.. 00......" 00.. 5 38'4" Ban'n'ock ooSFie.e.t;'...'.'. 00 00 00".'00.".00"."'...,......"..." 00 00 00."" 00...00...
.,.."..". 00..." 00... 00 oo~~l?~.~.~~.?n! ,f.l.Q;r::;i,Q.9" J2.9.5,8."...." 00..'. 00 ..." "",.""..,....... 00 00"...........,
Indian River Florida
of the County of .,.,..,...................."...,'........... ano! State of ..,....,........,...,...,.........,.,..,.......,.......
as Grantee, WITNESSETH I 1 200
That the Grantor for and in consideration of the sum of $ ..?.....: ?? . . . . . . . . . . . . to it ~ ha\ld paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ~. . ~.:~.. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
11&12 32 4
All of Lot(s) . . . . . .. , Block, . . . . . . .. ,UNIT ............. ,of Sebastian municipal cemetery as per Plat Number 1 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 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 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
Atl"~" ~ f)~Ir1c=
r,UC;ty Clerk
,.,.c~......,.......,..
. ..~. .~....................
(ClIitll ~eal)
ST ATE OF FLORIDA
COUNTY OF INDIAN RIVER
30th
December
92
I HEUERY CERTIFY, That on this..............".,..... .day of .." .,',.,......................................., 19....,
Lonnie R. Powell Kathryn M. O'Halloran
before me personally appeared .,.................".,..."....."..' and ",.',.....'...........................
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of thc State of Florida to me known
to be the individuals and officers described in and who executed the foregoing cORveyance to
, , , . ' , , ' , ' . . . . . . . . . . . . . . . Al b e.r.t. . and.! 0 r. ' .S h i r.le y . ,Bal;L a . . . . . . . . . . . . . . . . . . . .
. , . , , , . . , . . . , . , . ' . , ' , . ' . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free act and deed
as snch officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is the act and deed of said corporation.
WITNESS my signature and official seal at Sebastian, in the Cou
last aforesaid.
UNDA M,lDt&
....., P\Mo -.r'" of........
_ QlINr...II1l....... ",11M
COMM.CC_
74...'..' '," "12/30192 '. ..
Paid by CEMETERY Receipt No. .., ~~. .... Dated. '". .'........ .. ...... ..... .. ...
List Price $ . .l.. ?QP' ,QQ. . . . Maximum No. Burial Spaces. . . . .... . . . .. . . . .
1,200.00
-.- ~:'.1 &
Block 32
Unit 4
12
NO.
1J83
Net Pald $ ..................
Albert & Shirley Balla
Monument permitted. .. .. . . . . . . . . . . . . . . . . . .
(Data aboye this line for City ~rd only)
Q!itt! nf &tbnstinu
C!!rmrtrry
I rrb
NO.
'1389
THIS INDENTURE MADE nil .......' ~O,tl1
day 01 ...... ..J;>,eGe,I!I.!;l~J::..
A. D., 1992.."
bet",e.n Ihe City 01 Sebastian, a municipal corporation e.lstlnll undc. the laws of the Stat. 01 Florida, as Grantor and
."."", ~~~,~.~ ~a~.~~~;ts'~~~'~'~'~Y.' ,~.a~~.~."",."."
.........,...,.. ..~~l?~,~.qt;l.n. .fJ..Q;r;;!'9.l;l" 32,9.5,8".....,.",.,.,.
Indian River Florida
of tbe County of , , , , . ' , , , ' , , . , , . . . , , , . , . , , , . . , . . . . . . . . . . . ' .. anJ Slate of ,..,...,...."., . . , . , , , , . . , . ' , , , , . '
.. Grantee, WITNESSETH. 1 20
That the Grantor for and In consideration of the sum of $ ,.!....?: ?? .... .. ... .,. to it i\ h8tld paid, the receipt whereof is herewith ac,
knowledged, does by this instrument grant, bargaln, sell, release, eonvey and eon firm unto the Grantee ~. . ~.:~.. heir., legsl representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to,wit:
11&12 32 4
All of Lot(s) . . . . . .. ,Block,....,... ,UNIT ............. ,of Sebastian municipal cemetery a, per Plat Number I thereof reeorded In Plat
Book 2, at page 65 of the public reeords in the ofilce 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 exc\osively for the interment of the human dead and shall
be used, kept and maintained at aU times in acoordance with the rules and regulation., 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 eonditions, restrictions and requirements eontained
in this instrument shaU be eovenants running with the land. In the event of the fallure of the owner of any property situated within said cemetery to ob.
serve and eomply with Such rules, regulations, resolutions and ordinances and the eonditions of the deed of eonveyance 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 sald party of the fust part has caused this in.trument to be executed in Its name and on its behalf by its Mayor and
attested by Its City Clerk and it, eorporate seal to be hereto affixed, the day and year first above
AlleS"~\' ~ ~,f)ildL~~....
r~i~y Clerk
Signed, Scaled Ilnd Delivered
In the Presence 0" ~
~~ ~.....,
~<<, , , .....' .........
STATE OF FLORIDA
COl'NTY OF INDIAN RIVER
(QIUv lielll)
30th
December
92
19, ...,
I HEnEBY CERTIFY, That on this ...,..",..,.", ,day of
Lonnie R. Powell
hl'lure me personally appenred ...........................
re"lwdively Ma}'ur Rnd City ('Ink of the City of Sebastinn, H munh~IJtnl corporation undrr the laws of thc State of Florida to me known
to bt, lhe Indi\'idullh; und offlcrrs desnihed In nnd who exeeult~d the forq~oing CUA\'t'ynnce to
and Ka. t,h,~y'~ ..~.'.. .? ~ ~~l}.<:>,rCln...
"'.
,'...,'.,'..,.., Al be.r,t, , and./. or, Shir,ley, ,BalLa......,..""""
, , ' , , , , , , , . ,. .,.."""'..'",,'.',.,,...., and seyerally acknowledged thc execuUon thereof to be th.lr 're. act ond deed
as such officers thereunto duly authorized; and thAt the Official sell I of said corporation Is duly affixed thereto, And the said ronVf'ynnce
is th~ uet am) deed of said corporation.
WITNESS my slgnolure and olllclal ..al at SebaoUan, In the Cou
Itlst afort'sald.
uta M.1.OHlIl.
...,.......... "........
_CIlNftIIIIIIl...........
OOMM.OO....
.
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THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
FROM:
SUM OF:
OECEIPT
53~;j ~fY1) S)~
3JJo0~~ ."\# ~ ~ 7 ~
on this /tib- day of ~ , 19 r;~ for the purchase of
following described Cemetery Lot(s) upon the terms and conditions
stated herein:
the
as
Description of Property:
Cemetery Lot ( s) II I /~ Block
Purchase pricetJ~k~~
3~
Unit
</
Dollars ($ i :;dJ.~
,
Terms and Condition of sale:
~::It/t't'7
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:
The City of Sebastian agrees to
the above named purchaser(s) on
above instrument.
VJ~~
~l~ ~r11LJ
sell the above mentioned property to
the terms and conditions stated in the
L~~7
/yitness
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.
.
.
City of Sebastian
POST OFFICE BOX 780127 CJ SEBASTIAN. FLORIDA 32978
January 7, 1993 TELEPHONE (407) 589-5330
Albert & Shirley Balla
5384 Bannock Street
Sebastian, Florida 32976
Dear Mr. & Mrs. Balla:
Enclosed is Cemetery Deed No. 1389 for Lots 11 & 12, 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.
Very truly yours,
~m. tJY/aHuA-
Kathryn M. O'Halloran
City Clerk
KMO:lml
enclosures