The URL can be used to link to this page

Home My WebLink About4-30-10 <lHtu nf l'rbu.atiuu <!rrmrtrry i rrb NO. '!'1855 THIS INDENTURE MADE 'l'hIa 13TH day of AUGUST A. D.,~.. 20.92 between the City of Sebastian, a municipal corporation existing undcr the laws of the State of Florida, as Grantor and , . . .. .. .. . ... .... ............. ..........' . . . ' . . A:r..f.~.~P . ...J.~. .:MlJ~~Q ..... ......' . . . . . . . . ..... .. ..... ....,........,........,. 1130 BREEZY WAY, APT. 2-G ."..... ... ... ...... ...,.,.,...........,..,., .,..' .SEBAS1TAN.,.. .F-LORIDA..32.958, ,.., ............ ......,..... ... ........ of the County of ..... J.:N'P J. AN.. .In YE.E.. .. . .. .. . .. .. .. ... an:! State of ...... .~L o.Rl PA .. .. . .. .. .. . .. .. .. .. .. .. .. .. .. .. .. .. as Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ ..) RQ... 9.Q . . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargam, 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: All of Lot(s) . J Q .. ,Block,. J Q . .. ,UNIT .... (f. .. . . . .. ,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. 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 lust 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 ...-- By .w..~~..w.:~....,....".. Mayor (OIttu ~eal) S TE OF F .ORIDA COUNTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this ...13 t.h. .. . .. . . .. .. . .day of .......... AU&us.t.. . ....... ... .. .. .. .. . .. .. , .. ..xW. .2.Q0 2 before me personally appeared ........w~;L.t.~x..W!..~!3:r.I)~~...".".......,.,..". and .,.Sall.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 individuuls uuu officers described in und who executed the focc'going cORveyunce to . . .. ... . . .. .., ....., '" ..,.................". . ., . ALf..t'.~d. .J... . Mu.ng 0. ....,......... . . . . .. . . .. . . . .... . ........,.... ...,.... .. ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . , . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorizcd; and that the Official seal of said corporation is duly affixed thereto, /Ind the said conveyance is the /lct and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River ond State of Florida, the day and year last aforesaid. H. JOANNE SANDBERG MY COMMISSION # DD 089532 EXPIRES: April 30, 2006 Bonded Thru Notary Public Underwrtters tI.. .. .. r;y{;wa:;y' /" / ~.................... Nota )Public, State of Florida at L I' My 6lmlssion expires I HOME. Of P'EllC'AN ISlAND August 13,2002 Alfred J. Mungo 1130 Breezy Way, Apt. 2-G Sebastian, Florida 32958 Dear Mr. Mungo: Enclosed is City of Sebastian Deed number 1855 for Cemetery lot 10, Block 30, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. Yh- - .. SAM:js enclosure The Sebastian Cemetery City of Sebastian, Florida / fj $ ICV Receipt is acknowledged in the sum of: d4~A~ ~-?/ Dollars ($ 7 thJ. c:J'C' ) ) -G ..t;/~.(J ~~---L/ ,~~ 3;; 1:. ~>5 , on this /~ day of ~/ 1 , 200 d. for the purchase of the following desoi.bed Cemetery Lot(s)/Nich s) upon the terms and conditions as stated herein: From: Description of Property: Cemetery Lot(s);Niche(s) /0 Block Purchase Price: (~ .(//V/fIl / c5K: At k~.-' \.3 Z5 Unit r Dollars ($ 7t:J-zJ / t3 () 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: 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 inst.l:ument. Witness CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT 0936 Name tI~! J;-::f~~ >1" Check # I.:J.. '1 h AmountPaic Date 001001 208001 001501322900 - :5l n (j .. ::: \l:l ~ ::t: ru -< U1 n ~ ::: U1 ~ 0 <" -< 3: -.J > '" (j - ;=: > ~ ..c z ... OJ cn~ ~ OJ N Q IJ"J mtD~!;; - ~ '" rTi ~:CZ::a - .. cnmzm ~ ~S~c ]Z:e3:!- 0 Z ;n~i3: " - c: fd>G'lz U1 ~::!OG'l U-I ClI~ 0 U-I G> ru 0 U-I ..c ~~ -~ I .' -it rul ~ IP" I ' i ~ ~ ~ ...... ~ ~ r I , t::l 0 ~ ~ C:J. Q ~ il El> ~\~ f~ ...... '" flJ ~ I\J N <0 !~ ' (? '" ii, 't l!lg m 001501 341920 001501 341910 001501 362100 . 001501 362100 001501 362150 001501343800 601010343800 001501369400 001501 369400 680800 220681 680800 220682 680800 220683 o Cash Sales Tax Garage Sales CopieslBid Specs, LDC/Code of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lots '7 tftJ t tf6 LoUNiche 10 ,Block ,1 () , Unit L Interment Fee Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit U Total Paid 7/lt.#i} /f Initials (/ White - Dept. of Origin. Yellow - Finance . Pink. Applicent Block .3 0 Lot 10 Date of Mark-out Date of Burial hili! /~1 / I 6 ,I Ii/lot( Time 1/ " ~C) If Name of Funeral Home , .& 'r;f t! N ~ /1 ',.. 1/' i Authorized by , /: ~ f s-/I,e, ~ J ~ rl ;, .,~"' t . - ~ ~ fJ ~ cS :j- () IY) ~ if)J~j I '" r ~ ~ J cj+o lY)(t"'- ~1 ~ ~" ~ (f2. -1 ~ ') ~ ~ '" , ~ " - '2 ~ . ~ ~ -- '<. ~~ ~ {. .$J 1 (f 1 ~ r. ~ So J ~ f~ CL rf.~ ALFRED J. MUNGO . . 0936 8/13/02 PaId by CEMETERY ReceIpt No..... .. .... .... . . Dated.... ... .. .... ....... .......... List Price $ . . ? ~ 9. : 9.9. . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Net Paid $ . .700.. QO....... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . IT"'\_J.._ _L____ .Ll ,_". . _.. _ NO. ; (1855 LOT 10, BLOCK 30, UNIT 4 Name .4 AI AlII Uo;t 1 Mil ,i 9/) Block J () Lot Date of Mark-out Date of Bu rial Name of F uneral H ome Authorized by /() Time 10 ,~ooA- !IW' ,.., ,. ,w<" .,. - - .".,,,,,,,,,,..,,,... - - .""u"'~......m'" :l~ '.l~l' if ,~ i. :~ iv 1~ ![ r Ii i~ I~ I~ i[, Ii n.J if U1 II; g if -. I, iw _ II: .. Ii 0 II [J"J Ii -,J il; ;: i( L n.J II_ 0 II U1 ii, -,J If, _ !; .. It iill U 'I [J"J -n o :0 ~~ o O-l"tl ::eO)> 0-1-< m:z: ::em o "II ~~II~ ~~II. ~'III~ :.:FIII [III 1'"1 0 r '" ~ AJ ~ ! of ell ~t i~ I i, II II II' I Ii! 0 1- ]1 Ii Ii 11: !~. Ii II: II! I!: If J If It !; il: II' Ii Ii' Ii lrl I ~ :;; ~~ o '" ~~ g.:g - ~ :!l~ o it ~ w '" :;: '" o o r- r- )> :ll (J) 8> o G tfl -1 v"- , "---"~"'111 'Ii L Iii )> -i III O:D :oi ~~ !l'i: < -Z" Ii' i: gJ O-n t "'lJO", m c: Ifl ;r:OJ~ Zl ~~~Q ~ jl~~,i "'- -I"~)> :~! ~.."IO r- ~ ~o ~~, 6s: il';'I\ i~1 "I en m I,: ~~ ~ -i' II! i> I!I z i' i. I~ I, I" L I' :1: I! "I If 1'1' 1:1 I' Il, I~I 1:1 :~ I I![ "'I :'[ I~I IE. I~ I\) 1~1 01 !l' o o o )> -I m ~ It' r 2l I N '" ~ 0> '" '" CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT '.....'""""4 ! 1"'/ j ...." f " Name.c/4-'Atl. ~L4~.e.-o Cash Date J> - / r;;l '0 d--. )( Check # 02... -S-M 001001 208001 001501322900 001501 341920 001501 341910 001501 362100 001501 362100 001501 362150 001501 343800 601010343800 001501 369400 001501 369400 680800 220681 680800 220682 680800 220683 Amount PaiG Sales Tax Garage Sales Copies/Bid Specs, LDC/Code of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetery Lots Cemetery Lots LoVNiche I 0 ,Block 30 , Unit L Interment Fee 7.' ~ t'6 Weekend Service Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security Deposit fJ J Total Paid 7S IliJ d Initials White - Dept, of Origin. Yellow - Finence . Pink. Applicent FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of Deceased Roseland Last Date Month Day of Mun 0 Death Aug. 9 Name of (If neither, give street address) Hosp, or Inst Sebastian River Medical Center Phone Number Year First Middle 2, Place of Death County I ndian River Anna City, Town or Location 2002 3. Name of Medical Address Certifier Mohammad Idrees, M.D. Medical Examiner Physician 4. Name of Funeral Home/~,"",l 6;",,,,.:l!al Address 7754 Bay Street Sebastian, FL 772-589-0069 Fla. Lic. No.lReg. No. Phone No. (Area Code) Establishment Strunk Funeral Home a.D 1623 N. Central Ave. Sebastian, FL 1228 772-589-1000 5. Check Appropriate Box The medical certification has been completed and signed, A completed certificate of death accompanies this application. b, ~ Pat was contacted on 8/9/02 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. I drees will complete and sign the medical certification of cause of death wit 'n 72 hours. c.D was contacted on He/she verified that , Medical Examiner, will complete and sign the ~ ~..:.t D;.;Jt-'V~vl .. se of death within 72 hours. F.E. No.lReg. No. 1862 Date Signed 8/9/02 6. Funeral Director/ B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-02-0343 o A 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. ~~;...tr8r Sf ~ M. Date Issued: 8/9/02 Date Certificate 8/14/02 Due: Subregistrar Signature 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. D. CEMETERY OR CREMATORY Method of Disposition: ~BURIAL DCREMATION Signature of Sexton or Person-in-Charge Place of Disposition Sebastian Cemetery 811./-. /ot.-; , DSTORAGE Date of Disposition DOTHER (Specify) } (1 i ,(b)<- 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. B/97 (Obsoletes all previous editions) (Stock Number: 5740-000-0326-2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar