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Home My WebLink About4-32-26 .' Paid by CEMETERY Reoelpt No.. 7......... Dated.... ..~ !.~~!.~~.............. ~~~~k. LIst PrIce s.. ..1.,000..00. Maxhnum No. IIurlaI Spaees , ............... Uni t 4 1,000.00 Net PaId S .................. Mon_1 permitted. .. .. .. . .. . . .. .. . .. .. . . 27 NO. 14.H) (Dol. .......e thllllne lor C1t)' Reeord ael)') ~ . O!ttv nf 6thastia" Ittll "14.i6 Qtrmrtrry NO. 29th THIS INDENTURB MADB ...... .................... dRY of July 93 A. D. ........, het...~n Ihe City of &butl.... . _1dpaI eorporatlon .....tI... u,"",r lhe I... of the St.le of Flor..... .1 Grantor .nd Mary E. Mather-Smith ............ ........... ..... .....432 "Toledo" Street ....................................................... ........... P.O. Box 780191. Sebastian FL 32978 ......................................... ............................................ ............................................ of lhe Coornty of ... J.~4;i,~.~. J~;L.y.~~... ................. ..1 SI.1e of .. ..~,1,~~J4~.......... .... .. .... ...... ............ II Gnntee, WITNUS&m. 1 000.00 Thet the Grlfttor for and in eonllideratlon of the sum of S .."...................,.. to tt In !land paid. lhe recelpl whereof II hetewith .C- knowJedaed, does by thillntll1llllllnt anat. baptft. leU. relea.., comey .nc1 confirm unto the Gnnt~~~ .. ... heirs, lepl repre_tatiYes and uslanl the foUowhlc property s1tuoted In Sebotdan,lndlan RMr County, FIorldo. to-wlt: ~&27 32 4 AD of l.ot(W!;~. , . ., ,BIo...,....,... ,UNIT .,.........., ,of Sebostlan municipal cemetery .1 per Plat Number I theJeof recorded In Plot Book 2, at JIIIae 65 of the pabUc reoordIln the omce of the CIerlt of the CIrcuit Court of 81. Lude County of FlorIda; .Id Ian4 \lOw lyIna end beinl in IncI.... RMr County, FlorldL To Haft and to Hold the _ fo_: pro'fided that IIid property lllal be lIIIIlI..tely and exclusmly for the Intermenl of lhe humID dead ancl ....n be UIIld. bpi ..... JMIntaIned al .. tIlneI in accortlata with lhe I1IIet aJId .....tatlo... ord\naJtoet.nc1 moludonl of the CIty of Sellest..... Florida, hereto. fore. now .ad hereofter adopted or proftIed for the ao-..ment ..... operaliolt of IIid ce.....". The condldon.. reIIrk:donl and nqulremenll contained In thlllntl_t ahaD be co-" ....... with the 1ancI. In the _nt of the failure of the owner of 1ft,. property sltuted within IIid cemetery to Db- _ ancI cornpIy with iarfl ruIet, repletion.. reao\utIo... and ordInoncel ..... the conditione of the deed of conoeyance thereof then lhe title of such owner lit ..... to said property..... lermlnate ..... lhe .me shall reoert to the CIty of Sebastian. Florida. IN WITNESS WHEREOF. The said part,. of the first part "I caUllld thlllmtmnent to be executed In Itl name and on itl behalf by Its Mayor .nc1 otteded by Its CIty CIert ..... Itl corporale -' to be hereto affixed, the clay and ,ear lint above written. '~1.~-L JY1 O'll~ AtI~.tt .'. -:-:-:-'-:~1'~'''' ell;; ~i.""'''''''''''''''''''' CITY OF SEBASTIAN, FLORIDlt. ( /l c-= ~ ddJ~/tLJL- B)' .. 'ili7(/'i~""'"'''''''''''''''''' ~.~"J!~..................... .~ .J 0~.L.~~......... (C!tv "aI) STATE OF P'I.oRJDA COllNTY OF INDIAN RIVBR 29 h 1 t Ju Y 93 I HEREBY CBRTIFY. That ae thllt ....................... .do)' of ..................................................., It...., brlu,. me penonally .~.mI .. .~~~~,~.~~ ..~.~.. ~~.~.~~~~.~...................... end K~~.~.~y'~ ..'.f.~..~ ~ ~~g<?r;~~.. reopt't"livrl)' M.yor end CIty CJrtok of the en, of 8ehaotl.... . ...nlel,..1 ~rpor.11on onder the Ie.... of th.. St.te of PIorlrla 10 me known 10 be th~ IIIdlwidu.l. And officers "-rllled In .nd who "'eI'ot'" the fun.go.... """w.,..nft! to ............... .............. .............~lJ.J;'y.. .!:... . Ha.thl!r.7Sro;l.t.b.. ................................. ........... ............ .. .. .. .. .. . .. .. .. .. . .. .. . .. .. .. .. .. .. .. .. .. . .. . .. .. .. ... .nd oneraHy odr......led,...J the ..._tlon Iheftol to be lhe... Iree .eI ond deed .. lueh offleer. lhereollto "'Iy .othorlaed I end tltal the Offlel.1 ...1 of uld eorp<watlon .. rhtIy .m.... th..reto, .nd lhe ..Id eon.~Y.Me Is tho Bet .nd deed of aid eorporatlon. W ITN US III)' .....tare .nd offlelal -' at 8ebaatta... In tbe I..t .fo...... ..... ..... .....,............ ......=-..- ... - Name CAt; ;(/E5 J"'\AT H Eft.- Sf"') ,f/i Unit It' Block .J ~,L Lot . ,g,(p Date of Mark-out ~/t;/<i3 I . Date of Bu rial "8'/S/93 , I. Time ." 3::) p.r""} ~ , Name of. FU. n. $r..o/..H.... o.m. .e. .....~'...~.~.,.';.<.r. ~ Yi..i,'.....K... J'~./..".. /~ . :;d;" . / j ~~'-''t--. ....' .. . , . . ((::, //". ..' :/ Authori~' .~ A~ 'ct.,..... . .... " . . . ,,' " u1l4Alt' -:in;)h, rYhr9,-j; ~0~.-7t57e~ $eeJY </:?J. :BOK 7'O() /?I / . $ehO.v)i(J/}, FL oc297l /J;h c2 ~ 1011 g/tXd. ~~ t/n/} I {!har/~ rf/tJJher-.:3mt'#l- inWr~!/I~Jq3 LDI- c-Jh rflar~ E. /Ylali?er Smillt-irk-rer/ t/~h6 LD./-..77 ~ '--"'-lJeeO/;tj"7#6 , , "-. -~ Paid by CEMETERY Receipt No.. ?,~~..,......, Dated 7/29/93 Lo t s 26 & 27 . . ,....,......,....,...,......., Block 32 List Pnce $.,. ,1'1 000...00. Maximum No. Burial Spaces".,..,.".,.... Uni t 4 . 1,000.00 ~ . ~ Net PaId $ . '4" . .., .. : "j" . . 0 ' _ )fyument permitted V r'-' ,2 aW<-~ ....................... ~ . . (Data .......... line 1M C1", Reo>n1 only) NO. 14i6 -' . . 7b~ THE SEBASTIM CIIl'ERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA ( $ ~ tft~. IP- ) on thi - - /Jtj'/:IJ- day o~ , 19 ~ for the purchase of the fOllOW~ described cem#ery y:,t(S) upon the terms and condi.ti.ons as stated herei.n: Descri.pti.on of Property: Cemetery Lot(s) ~~ Block Purchase pri.ceQ Y' ~ llnit-{ Dollars (s!, J/JIJ ~ Xerms and c0'!1:;'t)J;e3;0~ Thi.s contract shall be bi.nding upon both parti.es, 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 condi.ti.ons stated i.n the foregoi.ng .instrument: The Ci.ty of Sebasti.an agrees the above named purchaser(s) above instrument. sell the above menti.oned property to the terms and condi.ti.ons stated in the w~~/{l~ -' . ,"1Y 0 "" " ~, , 'J' r~ ~ ~ ~. 7" /J' ~ , 1 '> ' . PE l jC;:"\'i. City of Sebastian POST OFFICE BOX 780127 CJ SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 CJ FAX (407) 589-5570 Auqust 3, 1993 Mary E. Mather-Smith P.O. Box 780191 Sebastian, Florida 32978 Dear Mrs. Mather-Smith: Enclosed is Cemetery Deed No. 1416 for Cemetery Lots 26 and 27, 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 enclosinq two copies of Receipt No. 768 and ask that you siqn 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, ~~ )77.tJWtU~ Kathry<< M. O'Halloran Cit~ Clerk KMO:lml enclosure (\ws-form-cem.rec) . .,/ .., - CD .... ill CD 'J " ... C") · e \ ~ ~ ~ r--. ~ ~.~ ~ ~ i ./ i i I , Zz !::,.. a- .a .. c. "'I ... ~f _ 5 \ :iia: . ~ "'....z ~IU)(~ a:~OI- CCII)~ zc '11) ua~~ iii - .....~:--... . - /:'00 - ,,"" ~~ : . .~ ~ g JI~ ;; 1, Ln I ,!. ~ 'I.i I ~ ,~) ~ · 0 z. 0 ~~:;; . VI. ~t? . . . 7b~ ~ THE SEBASTIAR cmTERY CITY OF SEBASTIAN SEBASTIAN, FLORIDA ~CI!IPT IS llEREB~ ACKNOWLEDGED OP 1'IlF: SUM OP: FROM: ($ J,'#{J. ~ ) on thi~ day o~ . 19!it:i. J:or the purchase oJ: the following described Cem erg t(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s) ~ Block ~ Unit 4 Purchase Price~~ Dollars ($/,t1IJI)jP-). Terms and COiJ~tion o~e: This contract ~i.nd!~ .z..6~th 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: XJ/tMcz!~t4/~ Xhe City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) 0 terms and conditions stated in the above instrument. w~~~/C?~ [~~] ....<!I/l!t- Middle I- ;2~ I 02 7 13 :3 c? 1/1 Month Day Year 08/11/1993 State of Florida, Department of Health and Rehabilitative Services, Vital Statistics APPLIC. FOR BURIAL - TRANSIT PERMIT . A. 1. Name of Deceased (Type or Print) First Charles DATE OF DEATH 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 t{ dea!h _certificate reque ted. ~or ~ ~~//.D~~~ Subregistrar Signature. . Issued: r"., - 7 a- Due: 2. Place of Death County Indian River 3. Name of Medical Certifier Gary Silverman, 4. Name of Funeral Home/ DWeGI D;,Spesar Strunk 5. Check Appro- priate Box Funeral a 6. Place of Sebastian Final Disposition: 7. Funeral Director/ Din:....l L)lsposer B, C, Signature or Medical Examiner, Last Mather-Smith M. City, Town or Location Name of (If neither, give street address) Hasp, or Inst. I d' R . n lan lver Address 2300 5th. Avenue Vero Beach Florida Fla, Lic. No.1 re Phone Number M.D. Medical Examiner 1623 North Central Avenu Homes P.A. Sebastian Fl 32958 o The medical certification has been completed and signed, A completed certificate of death accompanies this application. b Ox was contacted on Q8/11/19,~in 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 Gary S i 1 v~rmRn 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. Indian River F.E. No.lReg:1':Jo. Removal from state Donation Date Signed BURIAL - TRANSIT PERMIT 1228-9:l-0377 Permit No. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA , 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. Methods of Disposition: . BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) CEMETERY OR CREMATORY o STORAGE o OTHER (Specify) ,< -r '1' :r:.J1,~ 7- ' , Place of Disposition .5~ LJ 14 j r: N ,.{ ~ Ii J4) ~-: Ti..,2. , Date of Disposition (3,/ I 3 / 9 ~ 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) J.