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HomeMy WebLinkAbout4-32-15 Paid by CEMETERY Receipt No.. .fI........ Dated.......~ !.~?!.~.~............ Li.t Price $ . . ~?q : .~~ . . . . . . Maximum No. Burial Space.. . . . . . . . . .. .. .. . . Net Paid $ .. ~?~: .~~.... .. L.14 & 15 B 32 U _ 4 NO. Monument permitted....................... (11388 (Dat. above thl. line 'or City Reeord only) CltUy of &rbusthtu aItmtttry mttll NO. 1. ;s ~-j 3 THIS INDENTURE MADE '1"Im ..... 12th day of April 93 A. D., 19,....., belween Ih. Clly or Sebastian, a municipal corporation .,d.tlng undcr the laws of the Slate 0' Florida, 8. Oranlor and "'.. Donald L. & Julia A. Hudkins .... ........ ....... ..........662' ..Ftemfng..S.tree.t..................... .......,'..... .-,. ....... ..... ............ ..,................................... Sehastian.,. .Fl.orida.. 329.58......... Indian River Florida 0' lh. County 0' ..................................,.......... enJ Slale of .............. II Orantee, WITNESSETH, That the Grantor for and In consideration of the sum of $ ~.q~.: ~g.. '" ... .. . .. ... .to it In han~ paid, the receipt whereof I. herewith ac- knowledged, doe. by thl.lnstrument grant, bargain, sell, relea.., convey and confum unlo the Grantee .~~~?:~. heir., legal representative. and a.sign. the following property situated In Sebastian, Indian River County, Florida, to-wit: All of Lot(.) .~~. ~.~ 5, Block, . . ;3.?.. ,UNIT ...?........ ,of Sebastian municipal cemetery a. per Plat Number I thereof recorded In Plat Book 2, at page 65 of the public records In the ofllce 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 .hall be u.ed solely and exclu.lvely for the Interment of the human dead and .hall he used, kept and maintained al all time. In accordance with the rule. and regulation., ordinances and resolutions of the City of Sebastian, Florida, herelo- fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirement. contained In this Instrument shall be covenants running with the land. In the event of the failure of the owner of any property .Ilusted within said cemetery to ob- ..rve and comply with such r\lle., regulations, resolutions and ordinance. and the condltioo. of the de'ed of conveyance thereof 'hen the title of s\lch 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 ..al to be hereto affixed, the day and year first above written. Atte~~<. .f/?. ()llla.lll:-f.t!~... {j elly Cleric Signt'flt Sealed Ilnd Ddlv~nd In the Pre8en~e of r .~ (Grit\! j;eal) STATE OF FLOnIDA CUl'NTY OF INDIAN RIVER I HEnEny CERTrFY, That on thl. 12th . day 0' April 93 19,.. ., Lonnie R. Powell Kathryn M. O'Halloran bl'fore "Ie personally appeared ................................ and ........... ........................... rt'!tlwdivrly Mayur nnd City e'rrk o( the City ot Sehll!ttian, 8 munkipol corporation unflf'r the lews of the State of Florida to me known to be the Indh'idulIls unci officers described In tend who ex{'t'ut,'d the for('gohll C()Avt'YRn~ to Donald L. & Julia A. Hudkins . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . .. and severally acknowledg("d the eXf'cutlon thereof to be their fre~ Rct nnd dt'f'tl 85 such officers tlu'reunto duly authorized; and that the OfficiRI senl of s81(1 corporation's duly affixed therdo, ROIl the said ('onvt"yan("c 1,. th~ net nnd deed or said corporation. WITNESS my .Igoature and offlelal .eal at last aforesaid. \JNOA M.lOHIl. NoWy~rAF1artdI My ComrnIatllon I!lIplIw JUN 1..'.... COWot. CC ClI274t ti:' ,~ ~ f~~ . r/~,t ,~ ,~ x,11' ~ t~ X 7~.~ ~~/ f~-~ ' ~ R `f `~ ~~ Unit j Ltlock ~°' Lot ~ ~~ Date of Mark-out Date of Burial ~ ! ~ T~ J t'" '~ Name of Funeral Hom~ ~ ' I'^~ ' ~.. Autlar¢ed by `~~ 's --- ----- ----vrrrvr--vcvnoro+~---------------- -- - -°--- CITYCLERK'S OFFICE 3 9 3 9 (~,,~,;~,,~, ~ , ~~~ _~ Z ~ ~,..~. (~~ -___- RECEIPT Name J (, lr (,(.~ 1~ ~ c..~ wi ^ Cash --------_---- ----- ------ Date ~ ~' ~ _ ~ 7 Check #~ ~ ~"~' _ ~ ~~ ~JNY~$ '... ^_- ---- No. Amount Paid 001001 208001 Sales Tax 001501322900 Garage Sales ~~~ r O (Ci ~ ---- ~~~`~' ~'~' ~ ~ 001501341920 CopieslBid Specs. (~ ~ .-. ~ ---r 001501341910 LDCICode of Ordinances 001501341930 Election Qualihring Fees ~~ lQ~1n/~A ~ 601010343800 Cemetery Lots -------____-T-___._ -___---_----- _._.».~ ~~.-._~.-- LoUNiche ~, Block ~ Unit 001501343805 Cemetery Fees ~`~. 00 --------- B~VN ------- -------- ---- ---- ----------- 23 --- _.'~~--------------. S~~qS °' Cen -'~ -- ~_ 2) ~~ ~._ ------------- 1 150. ~v Total Paid -----------_ _____.__.----__.____._______~_._~---__._-------___-_-- Initials White -Dept. Origin • fellow -Finance • Pink -Applicant Obituaries ~ Death Notices ~ Newspaper Obituaries ~ Online Obituaries ~ Newspape... Page 1 of 1 DONALD L. "D©N" HUDKI(~fS Donald L "Don" Hudkins, 79, died Sept. 12, 2007, at the VNA Hospice House in Vero Beach. He was born in Fulton County, Ind., and lived in Sebastian for 18 years, coming from Painfield, Ind. He was a superintendent for the Indiana Department of Correction. He was a graduate of Tri-State College in Angela, Ind. He attended Concordia Lutheran Church, Barefoot Bay, was a member of the Elks, a veteran of World War II serving in the Navy and was a member of the VFW and the Studebaker Club. Survivors include his son, Michael L Hudkins of Orlando; daughter, Renee M. Gunter of Sebastian; brothers, Richard Hudlcins, George Hudkins, John Hudkins and Virgil Hudkins, all ~ Rod>ester, Ind.; sister, .Mary Ellen George of Kimberling City, Mo. ;eight grandchildren; and fiver great- grandchildren. He was preceded in death by his wife, Julia "lady" Hudkins. SERVICES: A visitation will be finrn 6 to 8 p.m. Sept. 16 at the Strunk Funeral Home, Sebastian. A funeral service will be conducted at 2 p.m. Sept. 17 at the funeral home chapel, with the Rev. Grant IGlps officiating. Interment will fellow at Sebastian Cemetery, Sebastian. Published in the TC Palm on 9/14/2007. 'raQa~r's TC r+~fen o6~eteFarr~ and deatrs notices Questions about obituaries and death notices or Guest Books? contact Le+~acy.ce:m • Te_or tree Powered by L,~~;~}G~'.CO[Yt obituaries nationwide 1>ttp://www legacycom/tepaltn/Obid>cries.app?Page~Life~toryPriut&PersonID =~4... 9/17/2007 i ~~~ ~~ Sot u, ! xn n ttd;'d9 n-~i~_S brtrk Arta ils ~, f- ~~S~RU.Nf~~tl ~~3~~L~~t(~MES P A: GASH A~~~NC,E ~~~~CS~N'~~S~BASTIAN ~~~~ ~ ` ~ `' 9i6 t7,T`H~5T' .`, VERO $~/1CCi, fL, .2960 ~ ~. ~ ` - 'pH 77-562 2325 ~ I t ~ ~ ~ 83 1205/b70 ,' ~ D,qT~ ` 7 of PAY ~',~ <,~ ~~~ ~~~ ?, ,, ~ ~TOa7H& '~` r ~ ~ '~' ~ ~QO ~ v-~r ~: ~ JJF~~1111~ ,,~~// t /111d194~~[~/l1otlAL~ 66,B3P601~r• ~ t ~ ,, .- ~ ( \+ \ ~ i ~~ i I QR 'J }~~V~~~~v~)V yt~•y./••./ • / ,i> • !~ , ~ ~'' ~ ~_ ti! _ lrt..~f r r r, • 1l8 ~. g , , , ,r • : ~~,d~~i''~1~~,u~ ~•xi\Q,tTf~f~•C~~r1, ~~r ~-,~~ ~` •,~ ~ + ~;11~ ~ ~ l '' 'l FLORIDA DEP RTM T OF HEALT A. State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL -TRANSIT PERMIT 1. Name of First Middle Last Date Month Day Year Deceased of Donald L. Hudkins Deatn Sept. 12 2007 2. Plaos of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. VNA Hos ice House 3. Name of M Igal ~ Address Phone Number ~chard Penly, M.D. certifier 901 37th Street Medical Examiner Physician Vero Beach, FL 772-987-5600 4. Name of Funeral Home/[~iroet-Biepeaal Addross Fla. Lic. No./Reg. No. Phone No. (Aroa Code) Establishment 1623 N . Central Ave. Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5. chegC a. U The rrleCn81 oerahcaaon has been COmpletetl ants signets. A completed CertlFCate of death atxompanies this Appropriate app)""nation. Box b. [~ S . ~Aarshall was contacted on 9 / 12 /07 He/she verified that this death was from nature) causes, that there was no accident nor other external cause of death, and that Dr. Penly will complete and sign the medical certification of cause of death within 72 hours. - c. ~ was contacted on He/she verified that Medical Examiner, will r~mplete and sign the I rtifi n cau of death within 72 hours. 6. Funeral Director/ Sig F.E. No./Reg. No. Date Signed gjaict.Dispeeer 44048 9/12!07 B. BURIAL -TRANSIT PERMIT Permission is heroby granted to dispose of this body. Permit No. 1228-07-0380 A five (5) day extension of time for filing the death certificate (exdusive of weekends) has been requested and granted since the physidan has been contacted by the funeral director and will not be able to complete the medical oartification of cause-of-death section of the death certificate within 72 hours. ~No extension of time for filing the death oertficate has been requested. iiegistraror•-~ Date Date Certificate Subregistrar Signaturo ~ ~~~ Issued: ~ / 12 /07 Due: 9 / 17 /07 Approval Number. 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. Awaiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery ~- BURIAL CREMATION Signature of Sexton or Person-in-Charge STORAGE OTHER (Specify) This permit must be endorsed by the Sexton or within 10 days to the local County Health Depai DH'328, 8/97 (Obsobtes all previous editions) (Stock Numlxr. 5740000-0326-2) Date Date of Disposition y ~/ 7/ ~ _ ~-irr charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned in .the county where disposition occurred. Distr~ution: White: Cemetery or Crematory Yeibw: Funeral Dkector or Direct Disposer w PiNc [.ocal Registrar ~ `~ „~- c. AUTHORIZATION for CREMA-TION, DISSECTION, or BURIAL-AT-SEA