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HomeMy WebLinkAbout4-31-61wName Mf 66 ' Unit ",C Block 3 1 Lot /1l t0 �• CG Date of Mark -out �I Date of Burial 3 A A Time ep.4•eA 6, 5 1' CI) - Name of Fune Authorized by Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 We hereby certify that these are the cremated human remains of: Mabel Lea Martin February 11, 2017 February, 23 2017 (Date of Death) (Date of Cremation) Strunk Funeral Home and Crematory (Funeral Home in Charge) 4950 (Cremation ID Number) Sebastian, Florida (City and State) CITY OF SEBASTIAN 10415 ADMINISTRATIVE SERVICES RECEIPT t Name t'v/JCash Date O� IOZ% 'check # ❑Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001 218010 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 001501 329100 Zoning Fees ©o 3-ot'%3go5 O'j� 420,E 0-y- 131K a1 Lar (c!0 66, 001 Total Paid't I tials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow - Admin. Svcs. • Pink - Applicant FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery Phone: (772) 589-2545 Fax: (772) 228-9927 City Clerk's Office - Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 ctesta(ftitvofsebastiamorg FUNERAL HOME: Strunk Funeral Home and Crematory ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958 PHONE#: 772-589-1000 (Check One) OPEN BURIAL LOT OPEN CREMAINS LOT XXX OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TI Lot—Block—Unit Lot—Block—Unit -T�)Yo P Niche 61W Block 31 Unit 4 ` lJ N S E W Thursday, 2/23/2017 at 11:00 AM at Gravesite in Sebastian Cemetery FOR DECEASED: Mabel Lea Martin Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Ron Barber Row -Farber 2/24/2017 Name Signature Date 9155 86th Street, Vero Beach, Florida, 32967 1 certify that I have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin Name TIK Mania 2/24/2017 Signature Date Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid: Cemetery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. 02/24/2017 14:18 FUNERAL FORIBURIAI FUNERAL HOMF-: 51 ADDRESS: 1623 Nort PHONE#: 772 -589 - (Check One) OPEN BURIAL OPEN CREMA XXX OPEN COLUM BURIAL DATE AND FOR DECEASED: (772) LOT :IUM NICHE NAME AND SIGNATURE OF LOT OW (Must provide proper dgcumentation of Name 8155 86th Street, Vero Sea' Florida, 32967 1 certify that I have det fined the ow fees have been paid a authorize or NAME AND SIGNATUE OF LICEN: Tim Marvin Name Cemetery Sexton Cert I certify that I have chi office and that all fees OR'S REQUEST TO NG IN SEBASTIAN I For Information conta 7p Kelso, .Cemetery S !bastian Municipal Cel phone: (772) 589-25 Fax: (772) 228-992 Clerk's Office _ Catl City Hall, 1225 Main S Sebastian, FL 329; >15 or 388-8214 ctes 3/2/2017 at OR REPRESENT Signature hip of the above g of same. FUNERAL DIRE If OF SI ICIPAL AM at site that the ownersh p information by viewing a owner's been -paid: Cembtery $extdnDate This form to be provideo to Jerk's Offi by Sexton for permanen ecord upon #6542 P.001/001 In Sebastian Cemetery to fees and administrative Y24/2017 Date d and confirming with Clerk's QHt!! of thbUlltian. rrmrtrry mrrb ul';ii6 NO. THIS INDENTURE MADE TIaIa ... . 13th. ........... day of .... February............................. A. D.,Xll9.2001 between the City of Sebastian, a municipal corporation existing undcr the laws of the State of Florida, as Grantor and Mabel I. Martin . . . . . . . . . . . . . . . . . ... . . ., ........ . .. .... .... ... . . . . 8'2'S'S'" Tj 3' 'P'iace" '.:" p : '0': .. BC)x" 24'5' . . . . .. . . . ..... ...... .... . ...... . . . . . . .. . .. . . . . . .. ........................... ... .Roseland.,. . .Flor.i.da ..3.2.9.5 7 ~.024 5. . . .. . . . . . . . . ..... ...... . .. . .. . . .... of the County of ..... ,;J;~<;l.~fm ..~.:i,.y:~X.................. an-] State ot .. ..F.l.Qx;i,da....................................... IS Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ .;? ~ ~ : .Q9. .. . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, sell, release, convey and confrrm unto the Grantee ......... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of ~~ ~ 61 W , Block, . 3.1. . .. ,UNIT ..4.......... ,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 de'ed 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 frrst above written. CITY OF SEBABTIAN, FLORIDA am - ~ . . . . .. .. .. .~. .............................. City Clerk By w.~..w..~~.......,...... Mayor ...,.~~. (QlUv~.a1) STAT~~~b~'.'.' COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this ........t~~tI:.........day ot ...........;J!:~.l;>.1;'~~+.y...........................}I~.2.001 before me personally appeared ...... WHL t.~X. .l3.c;t.l;ne.s. .. . . . .., . . . . . . . . . . . . . . . . . . . .. and ... 8a1.1;y..A... Maio............. 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 cORveyance to ...... -.... ... ... ....... ...... ......... ......... M~p~.+. .J..~.. .MH~t:.:i-n..... .... .... ......................... ......... ........ ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance is thc Rct and deed of said corporation. WITNESS my signature and official seal at Sebastian. in the last aforesaid. H. JOANNE SANDBERG MY COMMISSION # CC 725842 EXPIRES: April 30, 2002 Bonded Thru Notary Public Underwriters County of Indian River and State of Florida, the day and year r!J{',{bll~. S~"' .2I~~............... My co IS810n expires I ~;tL;,,;;:y' ." ;f C ::I ~ < ." C ... ftj B .c ~ a. 'i. u II) .. ! ... '" .c c U u ';: .. ::l "" .. 0 0 - c: ii: . ZIU 'jg :: :!j!:! c: ""It fir l l!! eno~ ~ 0 y: <en ~ l ~ I III. _ J LL1XLLI ~ CD :; 0 ena::U 1:' u..LLILL1 lil ~ .. 4> 0 'C o~a:: c: 0:: en '" ~ '" ~ ~u !1 c: :;; 1:' $ lil . 'E 4> ~ -~ 1:' 1:' 4> .., '" c: en c: Uu ~ 0 4> 4> 0:: '" '" 4> .~ al Q) i!: :i- '" u '0 '0 u Q) en '0 0:: Q) 4> 4> en rf e 0; '0 ~ ~ ~ ~ -' -' u. en ..c ~ ~ en ~ ~ ~ Q) 1:' '0 '" ';: ill - c: C3 ~ J: c: C3 .. I- Q) '" Q) Q) 4> '" Cl .~ 8 E I- Cii Cii .., E Q) E ~ a. 81 :c: ~ .:.: :c: !!! s- E .., c: E E :;; Q) .., E 4> . a; <'B 0 0 '" ~ Q) Q) 0 .E Q) :::. 0 .;;e CI en U -' U >- U U -' ~ U 0:: I ~ :2 II)~ ~ ~ 0 8 8 :is ~ 8 ~ ~ N ~ ftj 8 en co ex:> :e N N ~ ex:> ~ ~ .5 ~ N :;;: :;;: !;f ~ '" N ~ (') (') ~ ~ (') (') ~ .. 8 ~ ~ ~ ~ ~ ~ ~ 0 ~ C; 8 8 i E ~ C; Ii> ~ ; '" 0 8 8 8 8 8 8 8 8 g 8 8 z Z <0 MARTIN, MABLE L. 8255 133 PLACE P.O. BOX 245 ROSELAND, FLORIDA 32957-0245 DEED 111776 NICHE 61W BLOCK 31, UNIT 4 Mabel L. Martin Paid by CEMETERY Receipt No... Q~Q~.... .. . . Dated... .21.U/Q~.. .. . .. ... .. ... . ~ich 61W, Block 31, List Price $ . . .~ ?9... 99. . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Unit 4 NO. Net Paid $ .. .Q~Q...QQ.. .. .. .. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . . , 'i.l/tv (Data above this line for City Record only) . . February 14,2001 Mabel L. Martin 8255 133 Place P.O. Box 245 Roseland, Florida 32957-0245 Dear Mrs. Martin: Enclosed is Cemetery Deed number 1776 for Niche No. 61 W, Block 31, Unit 4 Also enclosed is a form - 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. A copy of the receipt is enclosed for your records. 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. SAM/js Enclosures ..te Sebastian Cemet~ City of Sebastian, Florida Receipt is acknowledged in the sum of: 1 ( on this /3 it day of described Cemetery Lot(s}/Niche(s) up Dollars ($ ;; ~... z;: M ) From: 7-tJCl~ , 20 tJ / for the purchase of the following the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) 10/ JJ Block 8/ Unit 7" Purchase Price: S;u Fa A dtP"/ ~ r;:.e Dollars ($ t /" ~hJ ) Terms and Condition of Sale: ..t(,5tJ.c:ttJ ~,?l~ $/$.tM ~r 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: Purchaser signature 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. ~ity of Sebastian / Witness . ' . . '. . 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