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Home My WebLink About4-30-38 (!ttty of &ebnattnn \l.I-rmtttry irrll 16 'ii 'i' ~ NO. THIS INDENTURE MADE TkIa ......16 th , , . , , day of .......... Eehrlla:r:y..................... A. D., 19.9.9.., between Ihe City of Sebastian, a municipal corporation existing under the laws of the State of Florida, os Grantor and ",......,......... ............ ....!:;~1),:;;.ti'!n~.e..M.... ,S.pl3rt.e.~............ ....."",........,......... .......... ..... ...... P.O. Box 877 , . , . , . . .. . . . , .. . .. .. . . . .. .. .. . .. . . . .. . Ro s el and, . . EL. . .3 2 9 5.7.. . .. . . .. .. . .. .... "...'..,.............,..................... of the County of ... .I.J?.4~?.t:l.. g;i.,Y.~J;.................... an'1 SIDte of ..... !';I,9.J;'.:i,..4{3,..................................... IS Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ 7. ~ 9.9.Q .. .Q9. . . . . . . . . . . . . . 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 .l:.e:~. . .. heirs, legal representatlytlS and assigns the fOllowing.property, situated inftebastian.,lpdian River <;ount~, Flonda, to-wit: 21,22,l3,2q,25,2b,27,~~,35,3b,31,3~, All of Lot(s}39.,-4.Q., Block, . . 39. .. ,UNIT ...4......... ,of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 6S 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 fDr 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 eyent 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 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 fust above written. CITY OF SEBASTIAN, FLORIDA A",,~~lrll)~~H......... . II . . City Clerk B1~L;~.............:,.... Ma101 Signed, Sea d und Delivered l.lli'H'.W;'~.HHHHHHHH ",..,.,.,~.,.4.~.............. (ClIitU ~tnl) TATE Ol~ FLOIllDA COUNTY OF INDIAN RIVER I HEllEBY CERTIFY, That on this ..........~ p. ):,1;1, . .. .. ..day of ..,...... Jf~ hr.\l.a.J::Y: . .. .. .. . .. . .. . .... .. . .. .. ..., 19.9.9, Ruth Sullivan Kathryn M. Q'Halloran before me personally appeared ,..........,.........,.......,...,......,""',.....,',...,. and ,..,.......,.........................., respectively Mayor and City Clerk of the City of Sebastian, a municipal corporatlon under the laws of the State of Florida to me known to be the Illdl"idullls "nd officer. described in und who executed the fotl'going CORvey"nce to "."...,.....,....................... .<;:.q!1~. t.~n-~~.. ~"" .~.P.~:t:~.1?.............................................................. . , . , . ' . . . , . . . . . . . . . . , , . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . ., and sevcrnlly acknowledged the exec eof to be their free act and deed as snch officers lhereunto duly !Iuthorizcd; and that the Official seul of said corporation Is d y affi ed thereto, and the said conveyance is the net und deed of said corporation. WITNESS my signature and official seal at ~ebastlan, in last aforesaid. "'~~'~" UNDA M. GAU.EY .i(l .''f:' MY COMMISSION # CC 740478 . . EXPIRES: June 18,2002 !onde<Ilhru Notary Public Un_I." -\ ( \' Name -I, ~. w6Li-{ }J G1; In,l'<I L)' \ I,' \ \V J: 5/lA-re-S Unit Block .30 ';,8 '1, q, I - Lot Date of Mark-out :A / rJJ.1'.3 / , Date of Burial ;;...1 f /, .3 / Time /0: (!X!) ;4, . N-; ~:',...- Name of Funer?}HO~~ ,.-; AuthO';Z~dby,9~z~> l';;;;" :,< ". ;'\ :Sf J, Last Spates I.- dt/ cJ 7 d&' <3 a {JJ t!1 Month Day Year 02/02/93 [111.~] State of Florida, Departme"iIiL Health and Rehabilitative Services, Vital St"stics APPlICATI~OR BURIAL - TRANSIT PERMIT A. 1. Name of Deceased (Type or Print) First Wellington Middle DATE OF DEATH 2. Place of Death County Indian River 3. Name of Medical Certifier Pedro Espat, M.D. !1Physician 4. Name of Funeral Home/ Address Direct Disposer 916 17th Street Strunk Funeral Homes, P.A. Vera Beach, FI 32960 130 (407)562-2325 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box City, Town or Location U Medical Examiner Name of (If neither, give street address) Hosp. or Inst. Humana Hospital-Sebastian Address Phone Number Roseland 13855 U.S.#1 Sebastian, Florida 32958 (407)589-8992 Fla. Lic. No./Reg. No. Phone Number (Area Code) b ex Pee: was contacted on 02/02/93 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Pedro Espa t, M. D. will complete and sign the medical certification of cause of death. c 0 was contacted on , He/she verified that , Medical Examiner, will complete and sign the medical certification. 6. Place of Sebastian Cemetery Final Disposition: 7. Funeral Director/ DiFoet 1S):~""V"';)ll;J1 ounty: Indian River F.E. No./Reg. No. 2088 Removal from state Donation Date Signed 02/02/93 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. o A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. o No extension of time for filing the death certificate requested. ~L~l lk (Y) C~ Permit No. 0130-93-0049 n,,",~;....,ll l,.A.1 or Subregistrar Signature Date Issued: ~1:tlq"3 g~~~ Certifi~t17 / C;.3 C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA Signature or Medical Examiner, , Medical Examiner Date , 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 Methods of Disposition: . BURIAL o CREMATION o STORAGE o OTHER (Specify) ?~ J ~~7 Place of Disposition Date of Disposition ,,~ (Z,~ 2. ,/ <//9 5" Signature of Sexton ) or Person-in-Charge ) 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 HRS County Public Health Unit in the County where disposition occurred. HRS Farm 326, Feb 89 (Replaces Oct 87 edition which may be used) (Slack Number: 5740-000-0326-2) 5,