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Home My WebLink About4-32-17 .... Paid bYCEMEl~~;:C;b No" 7...,.,." Dated,. ,~/.?~(.~~,.".., ,..,.,..,. LIst Price $ . , , , . . , . , , . . . , . , . , Maximum No. Burial Spsce. , , . . . . . . , . . . . , . , , 1000.00 Net Paid $ ,."..,....,.,,'.' Monument permltted , , , , . , .. , , , , . .. , . . , . . , , Lot.& Blo Unit 4 18 NO, 01407 (Oat. above thlo line fo. CJty a..,ord only) O!Utt nf &rhusttuu OIrmrtrry m t r~ 01407 NO, 23rd THIS INDENTURE MADE Tlda ........ day 0' June 93 A, D, to......, bet...ern I he City 0' Sebutlan, a municipal corpor.tlon exl.tlng under the laws 0' the State 0' Florida, .. Grantor and Chester Kopin .................................. ... 465-0' . 19.th' . Stree t............ ...............................,.......... Vera Beach, Florida 32960 of Ihe County of Il1d.i.al1..~.i~~r........................ anI Slate of ......F~9.~Jq~..................................... I' Gnntee, WITNESSETH. That the GrlRtor for and In consideration of the sum of S ,.~ ~~~ : ,~~ , , , , . , , . . . . . . to it in ~lRd paid, the receipt whereof is herewith ac- knowledged, doe. by this instrument grant, bargain, sell, release, convey and confmn unlo the Grantee . ~,~ :'I, , " heir., legal representatives IRd assign. Ihe following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s' . ~.~ ~,~ ~ Block, ' , ~? .. ,UNIT .,'~......," ,of Sebastian municipal cemetery as per Pial Number I thereof recorded In Plat Book 2, al page 65 of the pubOc record. In the office of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in IndilR River County, Florida, To Have .nd to Hold the same forever; provided th.t said property shall be used solely and exclusively for the intermenl of the humlR dead and .hall be used, kept and maintaIned at slltime.ln accordance with the rules and regulations, ordinance. snd resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government IRd operation of Slid cemelery. The condition., restriction. and requIrements contained In thi. Instrument .hall be covenants running with the land, In the event of the failure of the owner of any property situaled within said cemetery to ob- serve and comply with Such rule., regulation., resolution. and .0rdinlRce. and the condition. of the deed of conveyance thereof then the title of such owner in and to said property .hallterminate and the same shall revert to the City of Sebastian, Florida, IN WITNESS WHEREOF, The said psrty of the first part has caused this Instrument to be executed In it. name IRd on it. behalf by It. Mayor and aUested by Its City Clerk IRd Its corporate ..al to be hereto affIXed, the day and year fust above written. c,~~~ Mayor Altesltg~ ,In...{)d~~ _...... iJ"~ City Clerk Signed, Sealed nnd Delivered In the Presence ot, ~....... (#~c;t:.... (<l!itll ~elll) STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEIlEBY cERTIPY, That on thl. ......2.~):;d............d.y of .June..................................., 19.93, Lonnie R. Powell Kathryn M. O'Halloran hf.fore me personRlIy appeRred ...................................... and ....................................... reopt.clivtly M.yor and Clly ('Jerk of the City 0' Seba.tl.n, . municipal eorpornllon under the law. 0' the Stale 0' Florida to me Irnown to be the Indh'idulIls luul offlcrts de5crfbc.-d In bnd who execut(~d the foregoing cORveyftnce to Chester Kopin . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . .. and ...erally acknowledged the execution therco' to be Ihelr 'tee .ct .ntl deed .. .uch office.. thereunto duly 8ulhorlzed; and th.I the Olflclal se.l 0' IOld corporation I. duly affl..d thereto, and the IIld conveyance Is the Met 8hfl df'ed or said corpor.tlon. UNOA M. lOHSt. ...., Publc-Sl811 '" ,.. __ CDmmlllslon E......lUlI .... COMM , CC ClII7'" e d.y and ,ear WITNESS my olgn.ture and offlelal .eal at SebOltl.n, In the Co losl .'or.lOld. .~}c:{,'!J,:'IT""'~!;]f~'''~lK~~';;i'":.;;:1Jfci"0r'.:''''i''; ':::;:f';~~:f~:1'ITr~".'-\,%~,7_!_;- )n'~:r';:,i'-:t~;;::'Uf~':~1.:~'T; , '~~fi':!.:m'w _~,..,_,~,;;::"~%':?',;;~~rJfllNi ~_.___,;~/;)+>W,,: /:',<:':i;.r_:'~:"1'r(:";'''~,;n;'''lI~;:::-,~~1~~f;]I':~'1fff~\t;'1i,,;".F:Yi~;'l,m~~' Name :rfJ~e.p-h;ne 'f -KOft' N Block 3d-. . .'4';:'; '}' ~,';,\. Unit Lot 11 Date of Mark-out . '9Q 3131 J I . "~J~:>) 119' Time II :,3()p, ff1 ' . ;. Date of Burial ['. /) r f.f.~< '. Na~~. 9t F~'1~!~t:t ' l, D)( .' (/~'~.Y t./~ :) , . Ii ",., U '-'l Aut~~rized by ~ ~ . .' ;,V"~'../(~<{c:t). ./ " ____..~_ __",__._____ .'_..__..___._.______.__..__._______~. ._.._ ~_~, __..~_..+_~_ _..__._4__._._ __ l(oplf'llen~ J 4fptSD Jq/b VWee-r Yero~eaah, F1- o;;;.q/dJ . LO+~ '1' }~J r>Jreh~, LLnit4 ~;tle ~()- j(}/mcJ .#&kr;1o/-17 . CjE5fEtz i'ol'~ - /dENfE// fro L6/ /g' -:Deed:JI /4() '7 , \ - \, ~'. Paid by CEMETERY Receipt No.. Z?~.......... Dated...~ (.?~t.~~................. Lots 17 & 18 " 1000.00 . Block 32 ListPnce $.................. Maximum No BurialSpaces 1000 . 00 '" .... ... .. .. . ... Uni t 4 ~Net Paid $~"'" ........... Monument "",""itted _ '" r-......- ....................... . . ~ NO. 01407 (Data above dill Dne lor Clt)' Beeord oDly) . . 761 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA OF: Dollars (s/tiJ{Jft-- ) FROM: on this cl~ &iA day of following scribed Ceme stated herein: , 19~ for the purchase of the upon the terms and conditions as Description of Property: Cemetery Lot(StJ!;~ Purchase Price ~ Block 3c2 Dollars (S/&1.~) Unit ,; Terms and Condition of sale: ~C(}.!dt2-(ld 116tJ{).~.bq ttkk=# '699 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: ~1(~ 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. wrjg~~ (!~ ,~'c OM I (1) r-.., CD'" (1) ~~ ~ CD.. CD ~as ~ ~ ~ ~ ~ 9 ! I c- ~ c- eo 0 ~ '. ~ ['- cc ... J U1 z! I 1 '" ['- -Go I ['- Goo . :!,l r1"l 0:.:: - '" :'::11I i ~ i cc - 1) i a:z i ~ I U1 11I- ... 1-::1: J ~ I en Go I .. 11I11I !h - ru XCI) I (.)0 ..;: ctI r1"l ., I E~~ J . "J~t I tll i 0 I I 0 I ~v. ['- I ~... I tll I )..'" '" 0 ~o ~ .. - .... ~/' . . \. . -1Y 0 ,,'- - ;. \:' '. \ lJ' Lj' ~ . ~ ~,.- ,"t' '>-oOV' 4 S 'i ~Q ~.t . \s\w~ o~ PElIC~ . . City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 0 FAX (407) 589-5570 June 24, 1993 Chester Kopin 4650 19th street Vero Beach, Florida 32960 Dear Mr. Kopin: Enclosed is Cemetery Deed No. 1407 for Lots 17 & 18, 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, C\~m. QI;!ailtyLU- Kathryn~: O'Halloran City Clerk KMO:lml enclosures FLORIDA DEPARTMENT OF Sta. Florida, Department of Health, Vital S.iCS APPLICATION FOR BURIAL - TRANSIT PERMIT A /'~ / 6" .6 3 ;;< {j~1 HEALT A. (TYPE) 10-9900207 1. Name of First Middle Last Date Month Day Year Deceased of Josephine Kopin Death 3-26-99 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Hillsoorough St. Petersburg Inst. Edward White Hospital 3. Name of Medical Addfess Phone Number Certifier BiJay Patel MD 3527 1st Avenue South n-Medical Examinef fiilPhysician St. Petersburg, FL 33711 (727) 321-5066 4. Name of Funeral Home/Direct Disposal Address Fla. lic. NoJReg. No. Phone No. (Area Code) Establishment 1950 20th Street Cox-Gifford Funeral Home Vero Beach, FL 32960 1423 561-562-2365 5. Check a. 0 Appropriate Box The medical certification has been completed and signed. A completed certificate of death accompanies this application, b. [il Biley Patel MD was contacted on 3-26-99 He/she verified that this death was from natufal causes, that thefe was no accident nor other external cause of death, and that he will complete and sign the medical certification of cause of death within 72 hours. c.D was contacted on He/she verified that , Medical Examiner, will complete and sign the Qir8st QiqHliilF 6. Funeral Director/ . No. B. 1423-080-99 Permission is hereby granted to dispose of this body. Pefmit No. [!JA five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. o No extension of time for filing the death certi .- Registrar or ~ Subregistrar Signatu Date' Issued: Date Certificate 3-31-99 Due: C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA Approval Number: Date Medical Examiner, , gave authofization by telephone to Funeral Difector/Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hOUfS after death is required for all cremations. Method of Disposition: CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery D. DCREMATION SignatL:re of Sexton or Person-in-Charge DSTORAGE DOTHER (Specify) Date of Disposition 7flt:AC ~ "J,/9"1'1 , IilBURIAL 'i~~ .1... !?/~ This permit must be endorsed by the Sexton 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, B/97 (Obsoletes all previous editions) (Stock Number' 5740-000-0326.2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar