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Home My WebLink About4-30-29• Titu of #Phastiau • Ly C�IItPPx �PP1 NO. 7th October 99 THIS INDENTURE MADE This day of .............. ............................... A. D., 18....... between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and .......................... u1te..k ... Keane ................................... ............................... . 1082 Genesee Avenue ................ ............................... Sebastian, . FL. .329.58 .......................... ............................... of the County of ....... Indian River , , , an l State of Florida as Grantee, WITNESSETHt That the Grantor for and in consideration of the sum of $ 1 000 • .. 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 , hi.S heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) 29 &30 , Block, ,30 .... , UNIT A ........... , of Sebastian municipal cemetery as per Plat Number I 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 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. CITY OF SEBASTIAN, FLORIDA Attest: .. ( /G..C�/�Y.IQY.�r!'cQ+`..... By .......� ..� ...... ..! City Clerk Mayor Sig ed, Seale and Delivered In he Pr ce of: /` / ........... ..?z. �.. ?— �...... (Citu 'Sent) STA E OF FLORIDA COUNTY OF INDIAN RIVER I IIEREBY CERTIFY, That on this ......7.tb ..............day of .......... OC. tobe. r ............................... , 1899., before me personally appeared Chuck Nueberger and Kathryn M. O'Halloran .................. ............................... .......... respectively Mayor and City Clerk of the City of Sebastian, it 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 conveyance to ............... ............................... Luke. F.. Keane ................................. ............................... . and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official sell] 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 Sebastian, irr the Coun y 11 er a d St a of Flo Ida, the day and year last aforesaid. UNDAM.GALLEY, MY COMMISSION 1 CC 740479— .. ... . ............................ f EXPIRES: June 18, 2002 otary �Publlc, Sta of Florida at e. • ;pf.h,•- 3=WTAnt Notary Pubk Un&wtft n My comml to p est Name —At -V-P, Unit_ Block O Lot !�� H K7♦ �/t Gt' %� .e o " i Jtl Date of Mark -out Date of Burial . / !l //I Time Name of Funeral Home �� w p 4 Authorized by �`�� YJ'D FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN c".°. BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY :11 SEBASTtAN HMIE OF PELICAN ISLAND For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8215 or 388 -8214 Fax: (772) 589 -5570 FUNERAL HOME: ADDRESS: PHONE #: 77a St � 19 �? ',,/ (Chec One) OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME: rf Lot_ Block Lot Block Niche Block N S FOR DECEASED: �, Uke Name Unit Unit Unit E W AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) I I I , _e, j / bc// Name Signature 5&e I 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.- Name Name 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: ,,,/ , , zli' / —elez- CemetAry S6fdn Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. SEBASTIAN MUNICIPAL CEMETERY 1921 N. Central Avenue, Sebastian, FL 32958 ■ (772) 589 -2545 ■ Fax (772) 228 -9927 February 14, 2011 Father Dan Devore Catholic Chaplain Dept. of Veterans Affairs Medical Center 7305 N. Military Trail West Palm Beach, FL 33410 RE: Mr. & Mrs. Keane — Unit 4, Block 30, Lot 29 Dear Father Devore: Please find enclosed a Polaroid snapshot of Mr. & Mrs. Keane's gravesite from the Sexton, Kip Kelso. If you have any questions regarding the Cemetery, please do not hesitate to call. Sincerely, J nette Williams, MMC puty City Clerk JW /jw Enclosure cc: Kip Kelso, Sexton A\Y U.S. DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER Fr. Dan Devore Catholic Chaplain Chaplain Service (125) Telephone: (561) 422 -7380 Dept. of Veterans Affairs Medical Center Fax: (561) 422 -6864 7305 N. Military Trail Pager: (561) 604 -0642 West Palm Beach, FL 33410 -6400 E -mail: daniel.devore@va.gov MYQF SEBASTLl HOME OF PELICAN ISLAND SEBASTIAN MUNICIPAL CEMETERY 1921 N. Central Avenue, Sebastian, FL 32958 • (772) 589-2545 • Fax (772) 228 -9927 February 14, 2011 Kevin Lynch American Prosperity Group 284 Route 206, Building D Hillsborough, NJ 08844 RE: Mr. & Mrs. Keane — Unit 4, Block 30, Lot 29 Dear Mr. Lynch: Please find enclosed a Polaroid snapshot of your relative's gravesite from the Sexton, Kip Kelso. If you have any questions regarding the Cemetery, please do not hesitate to call. Since I J1 nette Williams, MMC D puty City Clerk JWrw Enclosure cc: Kip Kelso, Sexton Kevin L. Lynch Retirement & Estate Planning Specialist 284 Route 206, Building D Hillsborough, NJ 08844 tel • 908.904.4100 AMERICAN fax • 908.904.1200 PROSPERITY CROUP ° toll free • 877.609.1APG (1274) Retirement & Estate email • KevinLynch@1APG.com Planning Specialists advisor • www.KevinLynch1APG.com corporate • www.1APG.com CITY OF SEBASTIAN CITY CLERK'S OFFICE /, RECEIPT `+ c Name / �.l %11� ❑ Cash Date / / ! ��[ / Check # c� 3 7q5 No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDCICode of Ordinances 001501341930 Election Qualifying Fees 601010 343800 Cemetery Lots LotfNiche aq--,Block_ 50 , Unit 001501 343805 Cemetery Fees Total Paid 50 r itials White - r— a Pink • Analicant • • THE SEBAS7IAN CEMETERY CITY OF SEBARYAN, FLORIDA AA.Q tr, 8 ACIQY DGED OF THE SUM OF: Dollars �C/ FROM: on this --� day o��_, 1 for the purchase of the following described Ce ery Lot (s) conditions as stated herein: Upon the terms and Description of Property: Cemetery Lot Block Unit Purchase P c ; Dollars Terms and Condition of sale: This contract shall be binding upon both Purchase--, when approved by the owner of the Property aboove described. I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to ell the above the above named purchaser(s) on he terms and toned property to above instrument.nditions stated in the t ty of S tiara Yvi trtess • 7iclik OF City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589 -5330 0 FAX (561) 589 -5570 Luke F. Keane 1082 Genesee Avenue Sebastian, FL 32958 Dear Mr. : Enclosed is Cemetery Deed No. 1697 for Lots 29 and 30, 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. 0. Box 1028, Vero Beach, Florida 32960 or you may call (561) 567 -8000 for more information. We are enclosing two copies of the Receipt and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self - addressed envelope is provided for your convenience. Sincerely, Kathryn M. O'Halloran, CMC /AAE City Clerk KOH:hng Enclosures Name Unit Block o Lot Date of Mark -out ` 10 q Date of Burial Time OI 00 Name of Funeral Home Authorized by.._.._ I ` Paid by CEMETERY ----- __ —_ -- ETERY Receipt No... , ' .' .Dated ... 10/7/99 List Price $ ..l ? q . q Net Paid $ „1 1 000 00 Maximum No. Burial Space s ................. NO. Monument permitted ... . - - - -- (Data above this line for City Record only) FLORIDA DEPARTMENT OF HEALT A. (TYPE) L. 62? Stas Florida, Department of Health, Vital Stoics APPLICATION FOR BURIAL -TRANSIT PERMIT 1. Name of First — - Middle - - - - Last - - - - - Date Month Day Year Deceased ; ,� . _ of Marcella Keane Death October 5,1999 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number Certifier 2500 S. 35th Street FX]Medical Examiner Physician Fort Pierce, Florida 34981 (561)4647378 4. Name of Funeral Home /Direct Disposal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment - 735 Fleming Street Young & Prill Funeral Eo Sebastian, Florida 32958 2415 (561)589 -1933 5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. E] 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. was contacted on He /she verified that Medical Examiner, will complete and sign the medico6otication of cause of death within 72 hours. 6. Funeral Director/ I atur F.E_ No. /Reg. No. Date Signed Direct Disposer ?jYY /40 —7-7 5 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. .5-02--91 A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since tha 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. - F�No extension of time for filing the death cert" to has been requ ted. Registrar or C/ Date Date Certificate Subregistrar Signatu Issued: 10 -7 -99 Due: 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: Place of Disposition `) 6196T I a N C _ j _ jZ ®BURIAL STORAGE Date of Disposition �� j 1 99 �' CREMATION OTHER (Specify)f� Signature of Sexton t or Person -in- Charge J} 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. 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 City of Sebastian Sebastian Centcter% Ph. # 1(772) 589. 2545 FAX # 1(772)228 . 9927 (EED Note This is for informational purpo.es re8uarding Monuments at Sebastian Canu•trr% . Note : This site plan is for Single Markers . Foundation poured By: her an Please retur,i to City of Sebastian date Sebastiaa Cemetery Stone installed Attention 1921 North Central Ave. • By: herman 31958 Cemetery Sexton Date : vz 501 Size Bronze : Trim: flat grass marker / vet. Names & Dates HIS: Luke F. Keane HER: D.U.B. 1939 D.O.B. D.O.D. 2011 D.O.D. LEGAL DESC'RIPTIO: ' : UNIT: 4 BLOCK: 30 LOT: 29 SQUARE. FEET: APPROVED: K. G. K. CHECKED BY: K. G. K. DATE: BY: Eagle EXAMPLE OR MONUMENT IN QUESTION: N, -"S: BRONZE