HomeMy WebLinkAbout4-29-27
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NO.
THIS INDENTURE MADE ThII .......... 24 th
day of .."".
March
99
A. D., 19,.. ,...
between lhe City of S~buslian, a municipal corporation existing undcr the laws of the State of J<'lorlda, as Grantor and
,.......,........."....,........... . Janet, Brophy. Krieger.,..,.."...
P.G, Box 1132
. . . . .. , , . . .. . . .. . .. .. . .. .. . . ... ,Wabasso ~ . Fl. .32970, , . . . . , , , . . . , , . . ,
of the County of .Il1:di,Cl.11: ,~Y~:r.. .. . .. .. .. .. , .. . .. .. . ... ani State of .... Florida.
as Grantee, WITNESSETH.
Tha t the Grantor for and in consideration of the sum of $ .? '?9. ..99. . . . . , . . . . . . . . . . . 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 l).~:t;' . . . ., heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) .~~ .,.. ,Block, .~?. . .. ,UNIT ...~......... ,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 Cireuit 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. Thc conditions, restrictions and rcquirements contained
in this instrument shall be covenants running with the land. In the event of the failure of the owner of any propcrty situated within said cemetery to ob-
serve and comply with ;uch rules, regulations, resolutions and ordinances and the conditions of the deed of conveyance thereof then the title of sueh 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
''''~~~:~:~)~~~=::~='~d''~'= :'~:'::~ji;z~I~",..
~ (J .-,""'. City Clerk I MU10r / ')
~i t~'pse:a~~~l:~/~
/ ~ ./j#?~~ (GIlt. .l'..l)
C!1iFW'un: ~.
COl'NTY OF INDIAN RIVER
I HEHEDY CERTIFY, That on this
24th
,day of ..
March
1~.9. .,
b..ru'e me personally appeared .... .~~~I:t~ , ~ ~ ..Wi.n~IlgE7r.. . .. , and I<(l. tl1~.. ~'.. q: ~;q.qr~lf.. .. .. ..
respectively Mayur and City Clerk of the City of Sebastian, a municlplll corporation unde, the laws of the Stute of Florida to me known
to be the indh,j,luuls nm) offict"rs described In l.Ind who executi~d the (or<'l~oing CORveYUllce to
Janet Brophy Krieger
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledg(~tl
as such officers thereunto duly authorized; and that the Official scul of said corpo ion
is the lIet and deed of said corporation.
WITNESS my signature and official
lHst ufore8aid.
ion there<>f to be their free act and deed
fixed thereto, and the said conveyance
State of Florida. the day and 1ea~
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Date of Mark-out
/0 /Ib /0 &.
10 / 18 / 0 (p ,
Time ::< 'n.., ,/) it #'J1L.,1. J.
I .
Date of Burial
~ "
Name of Funeral Home 5 / It: (".( H ;::.
Aulho",ed by /J;Ov~ {;Jdluim4-
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.
.
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN~ FLORIDA
M OF:
FROM:
Dollars
I
($17:J~ )
for the purchase o~ the
upon the terms and
Terms and Condition of sale:
Unit
Description of Property: '
Cemetery La
Purchase Pr.
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 s'tated in the foregoing instrument: .
Vtwr-&Cj/f! ~(f ~
The City of Sebastian agrees
the above named purchaser (s)
above instrument.
tioned property 'to
'tions s'ta'ted in Cbe
.
.
City of Sebastian
1225 Main Street 0 Sebastian, Florida 32958
Telephone (561) 589-53300 Fax (561) 589-5570
E-Mail: cityseb@iu.net
March 29,1999
Janet Brophy Krieger
P.O. Box 1132
Wabasso, FL 32970
Dear Mrs. Krieger:
Enclosed is Cemetery Deed No. 1681 for Lot 27, Block 29 , 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. 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.'
Sincerely
~m. O#~A-
Kathryn M, O'Halloran, CMC/AAE
City Clerk
KOH:lmg
Enclosures
FLORIDA DEPARTMENT OF
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
A. (TYPE)
1. Name of First Middle
Deceased
Janet A.
2, Place of Death City, Town or Location
County
Brevard Palm Bay
3. Name of Medical Fredrick Peterson, M. ddress
.
Certifier 111150 w.
Last
Month
Day
Year
Date
of
Krieger Death
Name of (If neither, give street address)
Hosp. or
Ins!.
October 15, 2006
Silver Pines Assisted Living
Phone Number
Medical Examiner Physician
4, Name of Funeral HomelDirect Disposal Address Fla. Lie. No.lReg. No. Phone No. (Area Code)
Establishment 1623 N. Central Avenue
Strunk Funeral Home Sebastian, Florida 32958 1228 772-589-1000
5. Check a. 0 The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
Eau Gallie Blvd, Ste 280
321-751-6671
b.re
was contacted on /0 /'t.- .P~
a was from na\,ral causes, that there was no accident nor other external cause of death,
and that ~ ~ '$V will complete and sign the medical
certification of cause of death within 72 hours.
c.D
was contacted on
~irpt"t riEpas,er
He/she verified that
, Medical Examiner, will complete and sign the
6. Funeral Director/
Date Signed
10/16/06
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-06-01106
I2QCA five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within
72 hours,
ONO extension of time for filing the death certificate has been requested,
.R99i~tr:u nr
Subregistrar Signature
Date
Issued:
10/16/06
Date Certificate
Dlje: 10/21/06
C.
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT -SEA
Approval Number:
Date
Medical Examiner, , gave authorization by telephone to
Funeral Director/Direct Disposer. Date
The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is
required for all cremations.
Method of Disposition:
CEMETERY OR CREMATORY
Place of Disposition
Sebastian Cemetery
D.
(]t3URIAL
DSTORAGE
Date of Disposition
/LJ./?,o~
,
DCREMATION
Signature of Sexton
or Perc;-:m-in-Charge
DOTHER (Specify)
} /{jJ 9 /'eL, '7
This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned
within 10 days to the local County Health Department in the county where disposition occurred.
DH 326, 8/97 (Obsoletes all previous editions)
(Stock Number: 5740-000-0326-2)
Distribution: White: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: locai Registrar
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