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HomeMy WebLinkAbout4-31-32eNameAf 1%G L W& � Unit Block_, Lot /ir 3� Date of Mark -out Date of Burial 7� /15 Time Name of Funeral Home Authorized by CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT 9 c� 1 Name/J56 t Id n Ness C]Cash �7 Date I—Lq—t-5heck#32y ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit - 001501 362100 Taxable Rent - 001501 362150 Non -Taxable Rent - 450010 369900 Airport Badge 001501 329500 Alarm Permits 001001 218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 369900 Miscellaneous Revenue 001501 359000 Other Fines/Forfeitures 001501 351140 Parking Citation 001501 342100 Police Security Services �50� .34380545o.o0 4zoAlQ Total Paid 50 • 0 nitials White - Dept. of Origin • Yellow - Finance • Pink - Applicant Li S0. Van Ness 66 77 Lcalcaster ,pike. Apt 44Dy 14ockessin bE. /9707 7159 15 9 TERMS ACCOUNT WITH :, adS MS ocselz .l 11 _y —3/ 3 O .s S '1 e, K 2 Pb - ,u LL CURRENT OVER 30 DAYS OVER 00 DAYS FTOTAPLAMOUNT :, adS MS ocselz .l 11 Family Cremation Services P.O. Box 2866 Wilmington, DE 19805 (302) 652-5913 (800) 608-3533 Date 7/9/2015 The undersigned, being on this date the person having charge of Family Cremation Services, hereby certifies that the burial permit and certificate of the Medical Examiner prerequisite to the cremation of the body of Adeline Dorothy Verdi who died 716/2015 State of Delaware Cause of death Restrictive Lun Disease at Seasons Hospice -Christiana Hosplta have been duly presented. Dat f Birth 8/ 1/ 1 9 2 8 r By Family Cremation Services Representative iii#g of #rhafiiittn •No. n .1 Y `!t iii rpmettrertg B THIS INDENTURE MADE Tbls ......17th......... day of ......July ................................. A. D..X11..20.00 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Joseph A. Verdi or Adeline D. Verdi ........................................................................................................................................ ......................................... 9815..61stJax�.Vny,... Sebaat.larn,.. Fl..3.2-958........................... of the Count of ........Indian River..,....,.. Florida Y ..... and State of ........................................... as Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ ........... . . to it in hand paid, the receipt whereof is herewith so- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ......... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: Ni ce s `31 All of Lots , ck, . 3.� .... , UNIT ....4 ... , . , , , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at pag •�5 tublic records in the office of the Clerk of the Circuit Court of St. Lurie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Holl 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 first 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. Attests .,9 ".. A.` City Clerk Itr and Delivered Ice ofs '.... ........................ CITY OF SEBASTIAN, FLORIDA By �.. !! `! .:: ............... Mayor (Citg aSeal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ..... 17 t.h............ day of ......Tulye............................ ........, t2000 before me personally appeared ...... .Wa.l ter Barnes.........s dna :Kathryn..M....O..Hallo ran. 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 and officers described in and who executed the foregoing conveyance to Joseph A. Verdi or Adeline D. Verdi ....................................................................................................:.................................. ........................................................ and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid. .. ... . ... H. =3o, G .. ........................ MY C25842 Notary ublie, State of Florida at I.s s EX12 My co lesion expiresr Bonded erwdb ,