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Home My WebLink About4-31-10eCITY OF SEBASTIAN 11691 (�ADP41NISTRATIVE SERVICES RECEIPT Name I Ioum k07- l!I::J S 6 ❑ Cash Data e1 130 I -1 O Check # Credit Amount Paid 001001208001 001001220000 001501362100 001501362150 Sales Tax Security Deposit Taxable Rent Non-Texable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501329100 ZOnin Fees aolsai �� VAse+RrfJ6 �$l� 3l �.itehe IOG f1 Total Pald' �' 2 Initials White - Dept. of Origin • Yellow -Admin. Svcs. • Pink -Applicant QLUl1 af l'tbulItinn . t m r t r r yilt t b. NO. L 1 Ii 3 5 THIS INDENTURE MADE 'I1III 31st day of ............. ~y. . .. .. .. . .. .. .. .. . .. . .. . . . .. A. D.. .~~ bet,,'ern the City of Sebutlan, a munlelpal corporation existing under the laws of the State of Florida, al Grantor and . . . . , , . . . . .. . . . . . .. . .. .. .. .. .. .. . .. .. . . . .. .:Pamela . K0141QWski .. .. . '. .. . .. .. .. . .. .. . . .. . . . . . . . . . . .. . . . . .. . . . .. . . .. .. .. . .. . . .. . .. .. . .,........................................ .~~~~~~. ~~~~~?~................... ',...,...................................... of the County of ;J;~!'W. .l:~;i,y~~........................... an'j State of ................... .F10l:ida................,......... u Grantee. WITNB8SETH. Thet the Grsntor for and in consideration of the sum of $ .,... 9?Q ~ 9Q . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ae>- knowledged, d~es by this instrument grant. blllplD, sen, release, convey and Comum unto the Grmtee ..:tJ.~... heirs, Jesal !epresentatives and uslgos the fol1owblg property situated in Sebastian, Indian River County, Florida, to-wlt: Nicli~__ 10 . ':1.1 East 4 AU of~) . . . . . .. ,Blo~........ ,UNIT ............. ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded In Plat Book 2, at page 65 of the pubHc !ecords In the ,office of the Clerk of the CIrcuit Court of St. Lucie County of Florlcla;saId land now lying and being in Indian River County, Flodda. 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 ruleiand regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government IIId operation of said cemetery. The conditions, restrictions and zequlrements contained in this Instrument shall be covenants running with the land. In the event of the fallure of the owner of any property situated within said cemetery to ob- serve and comply with iuch rules, reguladons, resolutions and ,ordinances and the conditions of the dded of conveyance thereof then the title of such owner in and to sald property shall terminate and the same shall revert to the CIty of Sebastian, Florida. IN Wll'NESS WHEREOF, The said party of the first part hes caused this Instrument to be executed in Its name and on Its behalf by Its Mayor and attest.lil by Its City C1Mk and its corporate lIllal to be hereto affixed, the day and year first above written. CITY OF SEBASTIAN, FLORIDA At~~,.cf)J/~...... . f City Clerk By \}J- 01--; . \. A ~ .....~. .'!.V.. ....... .... '.0. ......~..... Mayor (GIifV ~l!aJ) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on thll .......... 31st. . . .. " .day of ............................ .Hay..... .... . ... .. .... ~0lil0 before me personally appeared .~~~!':~..v!... .~~f!... .......................,.....,. and ~~.H,..O.'.OO.l.Q1:M..... ... 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 Individuals Bnd offleers described in and who executed the 'o",&,olng eo.veyanee to . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. . .. . . . . . . . . . . .Pamela .Kozlowski. . .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . .. . . . .. .. . . .. . .. . . .. . . . . .. . . .. . .. . .. . .. . .. . .. . . .. .. and leverally aeknowledged the exc:c:utlon thereof to be their free: aet and deed .. 8ueh oUleer. thereunto duly authorbled, and that the Offlelal leal of said eorJlOl'&tlon II du thereto, and the old eonnyanee Is the aet and deed of laid corporation. LI4DA... GAU!Y MY COMMISSION, CO 740478 EXPIRES:.In 18, l!Oa.! IlooDd 1Iru NoIoIy NIIc UnciInnIn the day and year WITNESS III)' 81gnature and offlelal seal at Sebastian, In the Coun last aforeuld. .. .e Sebastian CemeJty City of Sebastian, Florida Dollars ($ fo 50. 99/ . ) From: on this ~ day of described Cemetery , 20 eX) for the purchase of the following on the teIms and conditions as stated herein: --- I Unit hSJ 00 Dollars ($ ,7 Description of Property: Purchase Price: ) 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 describe the foregoing instroment: Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named p aser( s) e tenns and conditions stated in the above instrument. Witness .- --~.._.._----,~-_.~__.___....o,___._.____ 00'_ __. _ '__-'______'''_ -- ----.-___o__.~___ Paid by CEMETERY Receipt No................ . Dated. ....... .?/.49I.Q9............ Ust Price $ . . . .~?R '. 99. . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Net Paid $ .... ~?~ .. ~ .. . .. . Monument permitted. .. .. . . . .. . .. . .. . . .. .. . NO. {~1 ri 3 [; (Data above this line tor City Record onJy) .... . ~ ... '. ,-,''1Y 0" ~" iJ" ~J ~ ~(; , ,X- .yo .1 S ~ ,{J '11;:,' Or PI:::L1CP.~ \s,-,'f . City of Sebastian 1225 MAIN STREET D SEBASTIAN, FLORIDA 3~958 TELEPHONE (561) 589-5330 D FAX (561) 589-5570 June 2, 2000 Pamela Kozlowski 790 Jordan Avenue Sebastian, FL 32958 Dear Ms. Kozlowski: Enclosed is Cemetery Deed No.1735 for Niche 10, Block 31 East, Unit 4. Also enclosed is a fonn - 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, P. O. Box 1028, Vero Beach, Florida 32960 or you may call or call the Department of Revenue at (904) 488-9487 for more information regarding the completion of this form. We are enclosing two copies of each the receipt and ask that you sign 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. Sincerely ~m. O"l/aBPA- Kathryn M. O'Halloran, CMC/AAE City Clerk KOHlmg Enclosures