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Home My WebLink About4-31-54w OJity nf t'rbustiau OlJ~' OJtmtttry m ttb NO. THIS INDENTURE MADE 'I1I..IJ 2nd ..... -....... day of .... ..-l.Elll~aFY........................... A. D.,Xn..?~.?2 between the City of Sebustian, a municipal corporation existing undcr the laws of the State of Florida, D8 Grantor and KIP G. KELSO, M.D. "",.".,...................... '1< 0 .... 'B'oX" is'ol 2S............................, ,.,....................... .... ..SEBAS.T.IAN". FLo.R.IDA. .3295.8............ ......... ... ........ ........................ of the County of .. ).i;J.l?~A~.. g~.y.~.~..................... BnJ Stote of .... ~~.9.~.~P.A..................................... IS Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ .; 9. 9.Q ...QQ ..... ... .. .... 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 following property situated in Sebastian, Indian River County, Florida, to-wit: Niche All of Lot(s) . . . ~.4. , Block, ).~ w: . .. , UNIT ......4...... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded 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. (FOR NANCY HOLLOWAY KELSO) 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 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. /-) (" ') AU.." ~~~~l"tl.~. .~................. CITY OF SEBASTIAN, FLORIDA By VV ~rr- W;S~ ....~................................... Malor Signed, Sealed and Delivered Inr;;;+tJyrJ~.... .. s~~w~......... COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this... .. ~1!.9-... .. .. ..... ..day of ...... ~.ap~?:~'y.. ......................... ... ..,xD..~.90 2 before me personally appeared... .~~,~.~~~.. '!1.... .~.El~~~.~,...."..",..,...",...", and ,'.. .~~~J.Y....A~.. !1?:~.<?........... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of thc State of Florida to me known to be the individuals and officers described in Gnd who executed the foregoing cORveyunce to ((lJ:itl;! ~l'al) , . , , , . . . , . . ... .... .. .......,......... .~J.~.. G.. . KEL.S.O ." . .~.. p. .'......... ... .... ... ." . , , , . .. . . ... . ..... .................... . . . ... . , , , . . . . . , . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the exeeutIon thereof to be their free aet and deed as such officers thereunto duly authorized; and that the Official sell I of said corporation is duly affixed thereto, and the said conveyance is the /let IInd deed of said eorporatlon. WITNESS my signature and officIal seal at Sebastian, In the County of Indian River and State of Florida, the day and year last aforesaid. /'/ /, ~I _,4 '-;;'/ ~/ ,/ 4 N~~;jS;~i~:~~;i .:ed,~~~~j.."..........,. My cWinmlsslon explreu -; H. JOANNE SANDBERG MY COMMISSION 1# CC 725842 EXPIRES: April 30, 2002 Bonded Thru Notary Public Underwrtlers KELSO, KIP G. M.D. P.O. BOX 780128 SEBASTIAN, FLORIDA 32958 DEED 1101827 NICHE 54, BLOCK 31W, UNIT 4 (FOR CREMAINS OF NANCY HOllOWAY KELSO) -------~--_._.._~--._-~.._---- ..-.. -.-.--.------ KIP G. KELSO, M.D. Paid by CEMETERY Receipt No.. .Q;3,?-,~........ Dated. ..l!?/ ~.Q~?............... (NANCY HOII OWAY ~~l SO) List Price $. .~9.Q...Q.q....... Maximum No. Burial Spaces. ................ Net Paid $ ..Q 9.Q ... 9.Q . . . . . . . (Data above this line for City Record only) 1 J;:.. '~' NICHE 54, BLOCK 31W UNIT 4 Monument permitted. . . . . . . . . . . . . . . . . . . . . . . HOME OF PELICAN IS,lAND January 8, 2002 Kip G. Kelso, M.D. P.O, Box 780128 Sebastian, Florida 32958 Dear Dr, Kelso: Enclosed is City of Sebastian Cemetery Deed No, 01827 for Cemetery Niche 54, Block 31 W, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office, /l r;,- - SAM:js enclosures The Sebastian Cemetery City of Sebastian, Florida <C~~p Receipt is acknowledged in the sum of: 11L~u j~d t1.%LfL 1V}{tr() - J)ollars ($q()O, @ ) From: ~ C(, ~~O /l7 ,J) . --Po,' Tc>?L7 . ff.J_ Se0C1S--!-'"CJ,.D ri~ /f29??-d/.:2? r ~ / Phone: ,5&,/- ~j'9-..L/~ 7~ (PfJr).(p(pQ-21&5' - on this ;?" J day o~ 00 r.J' , 20 CJ 2. for the purchase of the following described Cemetery Lot(s iell s) upel'n the terms and conditions as stated herein: Desaiption of Property: Cemetery Lot(s)/Niche(s) .!: t/ Block.?! \AI Unit 1- I Purchase Price: /Z,{A/L( }u(/nA/l.td "?~# :;;{tJ-O ~ Dollars ,($ 9{)(). O{) 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 described property on the terms and conditions stated in the foregoing instrument: ~ ~- ~ ~~ P aser 'gnat~ ) " Purchaser signature The City of Sebastian agrees to ~~ the abo~e ~ 'oned, property to the above named purchaser(s) on the termS and cDnditlOns stated m the: Dve Instrument. , . / ? ~(M~ / f ity of Sebastian CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT Name Dr Ke Is 0 Date_I/Z!1) "6 001001208001 001501 322900 001501 341920 001501 341910 001501 362100 001501 362100 001501 362150 001501343800 601010343800 001501 369400 001501 369400 680800 220681 680800 220682 680800 220683 Sales Tax Garage Sales CopieslBid Specs, LDC/Code of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent .Cemetery Lots Cemetery Lots LoVNiche , Block U'~' .;>-..., Ii:...... -4 : Lj2 1 o Cash y., Check # 110 / 5" Amount Paid ClOO.OD ,Unit_ Interment Fee Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit ~ T.blP.. grope Initials Whita - Dapt. of Origin. Yallow - Financa · Pink. Applicant KIP G KELSO TRUST KIP G KELSO MD TTEE PO BOX 780128 SEBASTIAN, FL 32978-0128 1615 Date ~ I - 0 ..2 - o:l 63-21630 BRANCH 00583 $ 9t?~, ;..t) ~~ fil Security Dollars Fealur95 Delails on Back. Look . Micro Print signarure line. green background with CAP logo. First Union logo on back, If not present, do not cash, f~~t ~~'::u~f~~~c::/ona' Bank . Org.003 R{T063000021 I ~.~' 7 . For C!a/il_JV1), e,'ltA. /11- Ai ceAJe. ~ -- M-, M' I:Dbl000021I:qqB52~~bq5"'b 5 . ~~jQ>? PLEASE PRINT 8.1~ C9 66rT" DECEASED NAl\tIE: . CJLLtJ w 14 \ IMIDDLE) (~ R S" ' SA TIll U,-;' 2.- ~. 1J A y.5 }d K C;-l... So fJ 'g,- AN ( n.ASTl ( DATE OF BIRTH: T!t~ It IMONTM' IDAY! ~ S'<{ lYEARI DATE OF DEATH: DfCrmi3E;.l.. :11 ~ool (UONTHI lOAV' lVEARI SIGNATURE: ~~?~ PRINT . SIGNATURE:' . 51110 f,{ ~L v:- (/;J v 5' / DATE: DEe. d. e \0 I ------------------------------------------------------------------------------------------------ , FOR OFFICE USE ONLY COLU1\tIBE1UUM: IEASTl IMIITI NIeR NUMBER: , ,. . v ---. '" _~' (?.- .~. ~ f) ~ ;1..1 C'= ME-I"4P-' i,. (> f)J~ F'12 "" 1'-1'0;, J..y cO t.:? d '" 1+-c "" & f c\ 1: 00C. ,(oJ eo- '....'-'~1 T , . . -h...o; o..f h F- ~ Jvt t::~ ~ !i:'<..A (Jv b 2.;.-1 h!'''~ A5,z",w I I:Jf>./Vft;(:,.f\ (')i:!:LcW',1 I ~,~