The URL can be used to link to this page

Home My WebLink About4-30-17 .. . "CllitD of ~rbUllttllu 1!Lml'tHY i1'l'il- NO. fl17LJO " THIS INDENTURE MADE TIlIa .. ~.t;'h . . . . ' , day of ......... . November ....................... A. D., 1999..., between the City of Sebllstian, a municipal corporation existing under the laws of the State of Florida, liS Grantor and Howard A. Gibson ,'.....'.. ... .......... .... ........ ... "'fig' 'PeLican' .:ti3iaIi.d .piace...... ..' , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . .. Sebastian.,.. Fl. .32.95.8. . . . . . . . . . . . . . . . Indian River Florida of the County of ,,'............................"..'......... ani Stllte of ..............'..'..,..............','.....'........... as Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ ,~! ,~?~:. ?~. , . , . . . . . . . . . . . to it fr.hand paid, the receipt whereof Is herewith ac- knowledged, does by this Instrument grant, bargaID, 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) ~ ?~~~. ,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 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 hereatler adopted or provided for the government and operation of said cemetery. The condition., restrictions and requirements contsined 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 compiy 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 fust 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. Attest: ~cl4/JJp {).lIaJ!l!~}. (~_... rJ City Clerk . Dr Signed, Sealed and Dclivered '"'h. ~1l:JJ1~................ STc.~J4t............ COlTNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ......... ~th. .. .. , . .. ,day of ,..,..'........ .~.qy~P'~~.. . .. .. .. .. .. . .. . .. .. .., 1lf'19.., Chuck Neuberger Kathryn M. O'Halloran befo re me personally appeured ....................,......,......................,.., . and ..................,.....".,........... resp,'ctivcly Mayor and City Clerk of the City of Sebastilln, a municipal corporlltlon under the laws of thc Stute of Florida to me known 10 be the Indlviduuls "nd officer. descrIbed In and who executed the foregoing CORvcyunce to (QIitu ~fltl) ....................................................................................................................................... Howard A. Gibson . . . . . . . . . . . . . . . . ' . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . ., and severuIly acknowledged the execution thereof to be their free act and deed as sllch officers thereunto duly authorlzcd; and that the Official seul 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 last aforesaid. LINDA M. GALLEY ota MY COMMISSION # CC 74~8cO EXPIRES: June 18, 2002, Bonded 1l1ru Notary Public UndelWIlters r \1 Name e" L f'/~ Iv' OF<. E _'I' I r... c~~ r.... , \ /.,.; U...,) ',..' (1; Unit , t ,~ ......f' Block ~..;)() Lot I '1 I . Date of Mark-out it - , ,':':"" ~~ i c,: >il Date of Burial t ~ , . '..;..' Time t () ~ '..... C) j',,',; " " NameoLf':l_n,era;' HOrpe/, -"'+"~~ ,,~::_i.'...-.J" ~ ...fl h";./\... \., , .:Y \'< f ',-; ,. , i ',\ "'. ~.f ~ Authorized by, /"'-\"Z'//~/ r:,.:"";""'.':,l /~ oJ Paid by CEMETERY Receipt No................. Dated........ ~.~(~~??............ List Price $ . . . . ~.~ Q~q = ~q . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Net Paid $ " ...!,.Q99...99... Monument permitted....................... NO. '1700 (Data above this line tor City Record only) ~ . e THE SEBASTIAN CEMETERY CITY OF SEBASTIAN~ FLORIDA FROM: Dollars ($/&0.7; the purchase of the the terms and Description of Property: . ( ::::: :;;e:;~!:~ Terms and Condition of sale: Block aJ .~ Unit Dollars ($ ~t12"L1 ,ft1 This contract shall be binding upon both Parties, the seller and t:he purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the abo1:"e d€!scribed property on the t:eI111S and conditions stated in the forego~ng ~strument: The City of Sebastian agrees the above named purchaser (s) above instrument. Witness . . . City of Sebastian 1225 Main Street 0 Sebastial, Florida 32958 Telephone (561) 589-5330 0 Fax (561) 589-5570 E-Mail: cityseb@iu.net November 8, 1999 Howard A. Gibson 119 Pelican Island Place Sebastian, FL 32958 Dear Mr. Rabe: Enclosed is Cemetery Deed No. 1700 for Lots 17 & 18, Block 30, 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 or you may call or call the Department of Revenue at (904) 488-9487 for more information regarding the completion of this form, We are enclosing two copies of each the receipt and ask that you sign and return to us the copies marked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. S~m. Oi/aM-i,-- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures FLORIDA DEPARTMENT OF . ,St~. FI,<?r,ida. Department of Health, Vital Stees. APPLICATION F.OR BURIAL - TRANSIT PE~1\IlIT . (-..it) -I 7 HEALT A. (TYPE) 1, Name of First - - Middle Last Date Month Day Year Deceased ., of Eleanore Josephine Gibson Death 11/3/99 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or ... Brevard Melbourne Inst. Holmes Regional Medical Center 3, Name of Medical Address Phone Number Certifier PaulO. Vasallo, M.D. 1750 Cedar Street rxlMedical Examiner nPhysician Rockledge, FL 32955 (407) 633-1981 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. NoJReg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Strunk Funeral Home , Sebastian, FL 1228 (561) 589-1000 5. Check Appropriate Box a. ~ The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. D was contacted on He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that will complete and sign the medical certification of cause of death within 72 hours. c. D was contacted on He/she verified that , Medical Examiner, will compl~te and sign the 6. Funeral Director/ Direct Disposer death within 72 hours. F.E...NoJReg. No. 1862 Date Signed 1I- ct B. BURIAL;; TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No.122 8-99-0509 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:' B1'io extension of time for filing the death certificate has been requested. ... Subregistrar Signature - fI^- , Date. . Date Certificate Issued: ~Due: ~C~;~LICI' VI T 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., ~BURIAL DCREMATION SignatL:re of Sexton or Person-in-Charge DSTORAGE CEMETERY OR CREMATORY Place of Disposition ...L/~"" -t,~.J (/v."r'-"Ir~, Date of Disposition '-1,;;~' '.:1~ ~A--" 6, /~ '7 '1 I D, Method of Disposition: DOTHER (Specify) } ..-.t-,/~~ 'OJ' _ '\-.. , ./,. -' ~ /( ~- / This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectorlDirect Disposer when there IS no Sexton) and returne~ within 10 days to the local County Health Department in the county where disposition occurred. Distribution White Cemetery or Crematory DH 326. 8/97 (Obsoletes all prevIous editions) Yellow Funeral Director or Direct Disposer (Stock Number 5740-000-0326-2) Pink Local Registrar