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THIS INDENTURE MADE Tk.Ia ....,... a t.b, ,
day of ......Sg.Pt:~.f!l..Q~k......................, A. D.,XIl..~.9.90
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, 88 Grantor and
,Michael Shaffer
, , ' . 'ii'3" W e.ti.'t wor.i:h" S t."ree t' .. . . .. . , . .. .. .. .. .. .. .. . . ... ... .... .. .. . ......
"." ,S.eba~.t.i,cm,.. .J;1~n:'.i.Q.H..J~.9.5S,.,.,......,.,...........................
of the County of ....'...... ,l.I.1.Q.;i,~.I.1.. R;i, ygx.. ... .. .. ... an:! State of .... ,If;}, pr.t4!3: . .. .. . .. .. . .. .. .. .. . . .. . . . .. .. , .. .. .. .
as Grantee, WITNESSETH I
That the Grantor for and in consideration of the sum of $ )..,. ~.QP. ~ P9. . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ... . . . . .. heirs, legal representatives and assigns
the followin!l property situated in Sebastian, Indian River County, Florida, to-wit:
N1CneS E t
All of~) 2.3 &2A, Block, . . . ?::>.. , UNIT ............. , of Sebastian municipal cemetery as per Plat Number 1 thereofrecorded in Plat
Book 2, at page 65 of the public records in the office 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 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 rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob-
serve and comply with such rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of such 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 frrst 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 seal to be hereto affIXed, the day and year first above written.
CITY OF SEBASTIAN, FLORIDA
AU"" 'i(~lr]otl~q
.. - (j City Clerk
By
.W~....W,.Y;:.~............
Mayor
(<UitlliieaJ)
STATE OF FLORI A
COUNTY OF INDIAN RIVER
,:~
I HEUEBY CERTIFY, That on this .......~.1;:h.,...,......d8y of ..$~Pt.~~p.~.r..................."......;........., ~..?OOO
before me personally appeared ... .WaItex-. .l3ar.n.~1'i , ' . .. .. .... . . , . . , . . . .. . , . .. . .: ,. and Ka.thr.Yn..:M f.. Q .'.Ha,J),QX.cH1.
respectively Mayor and City Clerk of the City of Sebastian, a munieipal corporation under the laws of the State of Florida to me known
to be the indil'idulIls lIud officers described in and who executed the foregoing cORveyance to~
Michael Shaffer
, . . . , . , . , , , . . . . , . . , . . , . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereOf 'to be their free act and deed
os slleh officers th"reunto duly authorizr.d: and that the Officilil selll of said corporation is duly affixed thereto, and the said conveyance
is the Ret and deed of said corporation.
WITNESS my signature and officIal seal at Sebastian, in the County of Indiall River and State of Florida, the day and yea~
last aforesaid.
H. JOANNE SANDBERG
MY COMMISSION Ii CC 725842
EXPIRES: Apri/30, 2002
.' ponded Thru Notary Public Und9IWriIlIII
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., 9/8/2000
PaId by CEMETERY ReceIpt No. . . . . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
List Price $. J ,,)Q9.~ 0.0.... Maximum No. Burial Spaces.................
Net Paid $ ..L)Q9.~ 9.9....
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Monument permitted. . . . . . . . . . . . . . . . . . . . . . .
(Data above this line for City Record only)
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MICHAEL SHAFFER
NICHES 23&24 EAST
NO.
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FORT PIERCE CREMATORY
1-3/.'
P.O. BOX 777
FORT PIERCE. FLORIDA 34954
We hereby certify that these are the cremains of
Albert Shaffer
the remains were received
From Strunk Funeral Home
funeral firm
Sebastian, Florida
cit\' and state
Permit No, 1228-05-0235
Issued at Sebastian, Florida
Date of Death May 24, 2005
FORT PIERCE CREMATORY
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CTemator
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Date of Cremation
5- - ;2 <6 - Oh
P 'd b .
al Y CEMETERY Receipt N
O.................Dated.. 9/8/2000
List Price $ ..t, 300 . 00 . ..........................
.. ... ..... .....
Net Paid $ ..L.:?Q9.d~0
.....
MICHAEL SHAFFER
NICHES 23&24 EAST
Maximum No. Burial Spaces
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Monument permitted
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(Data above this line lor City Record only)
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HOM:f.. .0):' .PEtlt\N.. .ISI.ANJ:)
1225 Main Street, Sebastian, Florida 32958
Telephone (561) 589-5330 - Fax (561) 589-5570
Website: www.cityofsebastian.org - Email: city@cityofsebastian.org
September 11, 2000
Michael Shaffer
713 Wentworth Street
Sebastian, Florida 32958
Dear Mr. Shaffer:
Enclosed is Cemetery Deed number 1758 for Niches # 23 & 24 East
Also enclosed is a form - Return for Transfers ofInterest 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, 2000 16th Avenue, Vero Beach, Florida 32960 or you may call the Department of
Revenue at (904) 488-9487 for more information regarding the completion of this form.
Sincerely,
~m. t)'/fa.u~u"--
Kathryn M. O'Halloran, MMC
City Clerk
KOH/js
Enclosure(s)
'ltte Sebastian Cemet~
City of Sebastian, Florida
Receipt is aclmowledged in the sum of:
7:Z:i;A~ ~! ~# Dollars ($
Prone y;;l1 ~-
--ZL- ~ ~-
h :3 d- f.S-~
on this f{ti day of , 20?J tJ for the purchase of the following
described Cemetery Lot(s)}Nich (s) upon the tenns and conditions as stated herein:
.. . ,"
/, 33t1,lcJ
,
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Description of Property:
Cemetery Lot(S8> cJ 3 "'; f Block E"/j S I Unit
~ePrlcr.:d.L;/if'Af"&4~,/);'; Dona.rs($ ,;, 3.Jc1,d3 )
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 a.bove described:
I, or we, agree to purchase the a.bove described property on the terms, and conditions stated m
the foregoing instrument:
?--
Purchaser signature
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.
L c/4dL4(
cJCity of Sebastian
Witness
.
.
~#u
,3 ggi/!(3~ It
CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
3306
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V~ ~6/tJg
Amount Paid
Sales Tax
Garage Sales
CopleslBld Specs.
LDC/Code of Ordinances
Election Qualifying Fees
Cemetery Lots
LotINlche
. Unit
)~
40-:07)
"
. Block
IR
Total Paid %tJ ()
S
White - Dlpt. of Origin. Yellow - Financa . Pink. Applicant
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1:01;70120571:.
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'SEBASTIAN, FL 32158
.(772)589-1000 .
DATE'
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1$. 9' s, 10 ~
63C1205/670
. 01
-DOLLARS fD
SWuty.fatUrM
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ow~~ ....~ ~;. ~~________J!
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DECEASED
NMIE: t:i) f~~(~ 'r-
(FIRSTI
DATE OF BIRTH:
DATE OF DEATH:
SIGNATURE:
PRINT .
SIGNATURE:. .
DATE:
.
PLEASE PRINT
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