HomeMy WebLinkAbout4-32-34
Paid by CEMETERY Receipt NO....~....... D.ted..... f,(.~~/?~.............. Lots 3.t 3j ~
2000.00 Block
un Price S .. . .. .. . .. . .. .. . . . Maximum No. Burial Spaces .. .. .. .. . .. .. . "On i t 4
Net Pafd S .................. Monument permitted .. . .. . .. .. .. .. .. . .. . .. .
NO.
,', ]2
/39;)
(Data above tit.. line lor Clt, Jteeord only)
atuu ut &,ballttatt
(ttrutttrty
I"b
"1392
NO.
THIS INDENTURE MADE 'I1da
26th
....................., da, of
February
93
A. 0.. 18,.....,
bet..'..n III. City of S.butl.n, a muntelpal eorporatlon nlltln, und.r the lawl 01 the State of Florida, '1 Grantor .nd
John L. Hector and/or Frances M. Hector
,..,..',.""".............. ....56.S..Autumn. .Terra-ce..... .....................,............................. ..............
".................... ...........~~.~.~~~.~~~,',. .~.~?~~.~.~.. ~.~.~.~~.............. ,.,..,.".......,...........................
of the Coanl)- 01 .. ..lr:t.4;l,~.I,l.. !M.Y.E:!~.................... an,1 St.le 01 .. ..Jf),q~J4~..................... ..................
u Grantee, WITNB8SBTH, , , " ,
2000.00
That tbe Grantor for and In consideration of the sum of S .......................... to It In han! paIcl, the receipt whereof Is herewith ..,.
knowledpd, dues by this Instrument pant, barplft, sen, releale, convey .nd confirm unto the Grantee . ~~~.. ~ heln, lepl reprelllnt.tlva and 'Ssl8nl
the fobo~..P!!'pertl s1tuateclln Seb.stlan, Indian RIver County, florid., to-wlt: .
31,,32}33,34,3S 32 4
AU of Lotts) . . . . . .. ,Block,........ ,UNIT ............. ,of Seb.stian munldpal cemetery '1 per Plat Number I thereof recorded In Plat
Book 2, .t JIIIe 65 of the pubHc recordlln theomce of the Clerk of the Clreult Court of !It. Lude County of Flortci.; ..Iclland now lyInJ .nd belDll
In Indian RI_ County, FlorldL
To Have .nd to Hold the lime fore_; provlcled th.t aaIcl property shaD be utecllOlely .nd exc:Ju1lve1y for the Interment of the human dead .nd shall
be used, kept and maInt.lned .t .U lImel In .ccordance with the rules .nd replatlonl, ordinances .nd resolutions of the CIty of Sebastian, Florid., hereto-
fore, now .nd hereafter adopted or provIclecl for the IlOvemment and operation oiaalcl cemetery. The condition.. restrictions and Iequlrements contained
In thillnltrument .haU be covenantl runnlnt wtth the land. In the event of the failure of the owner of .ny property IItuatecl within aaIcl ..metery to ob-
sene and comply with iuth rule.. replallons, relOJutlonl .nd,ordlnances and the conditlonl of the dllecl of conveyance thereof then the title of lOch owner
In and to aaIcI property IhaII termln.te .nd the .me lhall revert to the City of Seb.ltlan, FloridL
IN WITNESS WHEREOF, The aaIcl party of the f1rst part h.. caDled this Instrument to be executed In Its n.me and on Its behllf by It. Mlyor Ind
.ttested by Its CIty Clerk and Its corporate ...1 to be hereto affixed, the d.y .nd year lint .bove/ ten.
//
CIT '0
Alt'Slt~ !.: ~-....0..0(/Ml..11~
,/., '~r City C1.rk
.... .. ..~
RI,nod, S.aled and D.llv.red
In ~ ~~~: 0"
~~..d~................
~~.~.......
(flitv '.al)
STATE OF FU)RIDA
COl'NTY OF INDIAN RIVER 6 93
2 th February
I HEREBY CERTIFY, That on thla ...................... ..day 01 ...... ."........................................., I.....,
Lonnie R. Powell Kathryn M. O'Halloran
b.f".. me perlonall, appeared .........................,.,...,.....'..".,.".,.,........ .nd ..................................... . .
r.......tiv.ly Mayor and City C1.rk of the City of S.ba.t1an, a montel,..1 eorJlOratlon under the lawI 0' the State of Florlda to me known
10 b. IlIe Indlvidunl. nnd om.... deserlbed In and wllo ."..uled the 'o"lOln, ....vey.nee to
.. '..,., . ......................... ...]Qhn. .t.... .lle.c;.t;9.~.. And/.Q1: ..f.J;'~mc.e.f). .M... .a~~ t.Q~..............................
. , , , . .. . . , , . .. . . . . . . , .. . . . .. . . . . .. . .. .. . . .. .. .. .. . . .. ... and ..v.rally a.knowled,.... the ."eeutlon th.reof to he their fre. ..t and d.ed
as IUch offte.rs tll.reunlo duly .uthorlaed I and that tit. Omelat ..al of 1.ld eorporatlon II duly aftl"rc1 the..to, and tbe said eonv.y.ne.
I. the Ret and deed of said eorporaUon.
WITNESS Ill)' .I...atu.. and ofnelal _I at Seballlan, In the Cou
lilt afo.....1d.
J.Jta N. U)Hk
NDIIIy PIMo8IIt _......
.., CeInmIMIlllI e..-. MI tt,'"
COMM' CO..,..
Name r ~AI if E5 .A1".' j'eC_ r;;/R.. f x /0
Unit 1
Block ~A.
Lot 31
Date of Mark-out
1;../3"/07.-
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Time
;A; ,:' 0 0 j)dl?
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Date of Burial
Name of Funeral Hpme :.1. ,;
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Authorized by ( /::"<'j' ,.,
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TO: Mr. John L. Hector
565 Autumn Terrace
Sebastiant FL 32958
"
HOME Of ,p~ ISl1IND
INVOICE
CITY OF SEBASTIAN
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 32t Lot 34
DUE UPON RECEIPT
TOTAL AMOUNT DUE
Remit To
Account Numbers:
Dr:
Cr. 010059 534685
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
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INVOICE:
Date:
Amount: $
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05-080
10/25/2004
20.00
AMOUNT
DUE
20.00
20.00
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OIY OF
1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570
October 21,2004
Mr..John'L.Hector
S65Autumn Terrace
Sebastian,Fl32958
Dear Mr. Hector:
Re: Sebastian Cemetery Unit 4, Block 32, Lot 34
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 j(, ri. f.
Cemetery Sexton
Enclosure
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CITY OF SEBASTIAN :1372 I · !l;'
CITY CLERK'S OFFICE m . . ,
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,t'" RECEIPT CD 10 (J !
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Initials
WhIU - Dept. of Origin. '_1_ - FI_... . Pink. Applicant
Date
001001 208001
001501322900
001501 341920
001501 341910
Sales T aK
Garage Sales
CopiesJBid Specs.
LDClCode of Ordinances
001501 362100
Community Center Rent
001501 362100
001501 362150
001501343800
601010343800
Yacht Club Rent
Non TaKable Rent
Cemelery Lots
Cemetery Lots
001501 369400
001501 369400
680800 220681
680800 220682
6808Oll 220683
LollNiche . Block . Unit_
IntermentFee ~r- ~
Weekend SelVice
Yacht Clltl Security Deposit
Community Center Security Deposit
Riverview Park Security Deposit
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75/Jr)
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FLORIDA DEPARTMENT OF
State of Florida, Department of Health, Vital Statistics (;::> 0 fP ~
APPLICATION FOR BURIAL - TRANSIT PERMIT ~ Y U
A. (TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased of 12/29/02
Frances Marie Hector Death
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
St. Lucie Port St. Lucie Inst. Palm Garden of Port St. Lucie
3. Name of Medical Address Phone Number
Certifier Manuel Gonzalez, M. D. 1801 SE HiUmoor Dr., Ste Al-l0
nMedical Examiner -rxlPhYSiCian Port St. Lucie, FL (772) 335-3500
4. Name of Funeral Home/Direct Disposal Address Fla. Lie. No.lReg. No. Phone No. (Area Code)
Establishment 1623 North Central Ave.
Strunk Funeral Home Sebastian, FL 32958 1228 (772) 589-1000
5. Check
Appropriate
Box
a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. [E Susan was contacted on 12/30/02
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Gonzalez 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
6. Funeral Director/
Direct Disposer
Date Signed
12/30/02
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-02-0535
o A 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.
ONO extension of time for filing the death certificate has been requested.
<fIb,l:l15ua.-or t
Subregistrar Signature
Date
Issued: 12/ 30 /02
Date Certificate
Due: 01/06/03
C.
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA
Approval Number:
Date
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. A waiting period of 48 hours after death is
required for all cremations.
[JJ8GRIAL
DCREMATION
Signature of Sexton
or Person-in-Charge
DSTORAGE
CEMETERY OR CREMATORY ,'/?
Place of Disposition 5'e .6 ,.f-s~J.{ ~eH7 -eJ7ee.r
Date of Disposition / 11 I 0 "L..;
D.
Method of Disposition:
DOTHER (Specify)
} ..{f1l,~~?"
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, 8197 (Obsoletea all previOUS edftions)
(Slock Number: 574O-OClO-0326-2)
Distribution: VIIMe: Cemetery or Crematory
Yellow: Funeral Direclor or Direct Disposer
Pink: Local Regillrar
'1- 3,'l-d'f
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