HomeMy WebLinkAbout4-29-01Name -5l
Unit l
Block
Lot '
Date of Mark-outs 9 f'
Date of Burial' Time
Name of Funeral Home �4 IV
Aff
Authorized by � "����, ` �•---•"�
r=
I
SEBASTIAN
Todd Ray Brinkley
'Dodd Ray Brinkley, 941, dlod
N1araIl I;1, 21107, at St IMI(O'N
lospllnl In ,Iaclksonvllle.
Idl WRIT burn In hi D11aN1on,
N.l' , lin
1111
rhulr inY: ftin 111M
,. ��'- �'i ��14 111111111n�qul IIIc
Meat dopin'nnout al {(•eell'9 SU-
pormarket In 90baRthui for 13
years. He also was a paper car-
rier for the Press Journal for
18 years.
He was a member of Faith
Ministries International in
Vero Beach.
survivors include his daugh-
., qir, Sarah Brinkley of Vero
nonnli; sons, f)hr,A and Illako
I1rIlddov, both of Vero Beach;
paronts, Rita and Virgil Brink
toy or Durham; brother, Clint
Brinkley of Durham; sister,
Iona 'rhomerson of Durham;
and three grandchildren.
He was preceded in death by
Ills wifb, Christine "Cookie"
Brinkley.
SERVICES Visitation will be
from noon to 2 p.m. March 21
".' at the Strunk Funeral Home in
Sebastian. A service, will fol
low at 2 p.m, in the funeral
home chapel with the Rev.
Dexter Goods officiating. Inter-
ment will follow at Sebastian
Cemetery.
Cni#~r of ~p~tt,~#i~n
~~IZtP#Px
'~ ~ iG ~ ~ NO.
~'~ba5
'T'HIS INDENTURE MADE This ..........20 t.kl...... day of .......May ................................. A. D., 1e..99 •.
between the Clty of Sebastian, a municipal corporation existing under the laws of the State, of Florida, as Grantor and
...................................Todd., Brink,e.Y...................................................................
825 Vocelle Avenue
..................................... Seb.a.t s ian., ..F.L..329.58.......................................................
of tt+e caanty of .Indian River Floe.~l.~ ..............................
..................................... and State of ................
ae Grantee, WITNESSETHi
That the Grantor for and in consideration of the sum of $ 1 s ~~~ ' ~~ ... 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)1 . &..? ,Block, .29 .... ,UNIT , . , 4 ........ , of Sebastian municpal 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 Eiave 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
ba used, kept and maintained at atl times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto-
fore, now and hereaRer adopted ar 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 fast 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 fast above written.
CITY OF S BABTIAN, FLpRIDA
~,~ tv\
Attach ..... ~ / _C•F-+
Clt Clerk Mayor '
Sign ,See d and Deliver
In +e P nee
...•..........~.......... (tQitg ~enl)
1
r ~~
STA'CE OF .ORIDA
COUNTY OF INDIAN RIVER
I IIEIiFBY CERTIFY, That on this 2~,tt1...„.,,day of ................Ma.Y...........................,.., 1e99.,
J Martha S. Wininger Kathryn M. O'Halloran
b+•fure nee personally appeared ................. ............. and ...................... ..........
reaprctively Mayer end City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of FlarWa to me known
to be the h+dividwde and officers described in and who executed the foregoing cuwveyance to
.......................................Todd Brinkl.e.Y...................................................................
and severally acknowledged the c utlon thereof to be their tree act and deed
as such officers thereutdo duly authorised; and that the Official seal of said corporation i duly~uffixcd (hereto, and the said conveyuuce
is the act and deed of sold corporation. , / /1
WITNESS my signature and official seal at Sebae the ~ + n RI a and Stat Fl;rid~, the day and year
last aforesaid. n//
UN M. GALLEY
MY COMMIS N A CC 740478 f
EXPIRES: Jun 2002 ....... .. ...... ..........................
Bonded Thru Noury PUbrs: Un eta Public, fate f Florida at rge.
My
THE SEBAS?'7AN CE.~IETE~Y
CITY OF SEBAS~'7A.N, FLORZ~A
.' AC&YOWI,EDGED OF THE SUM OF:
~~
Dollars
(S~
FROM:
on this ~_( !~ day ~~ , 19~ for the purchase of the
following described Cemete (s)/~~j upon the terms and
conditions as stated herein:
Description of Property: ~
Cemetery I,ot( ~ ~ Block ~ Unit
Purchase Pr ' e : Doll ars ($ ~~T
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.
2, or we, agree to purchase the above described property on the terms
and conditions stated in the foregoinginstrument:
lj"
The City of Sebastian agrees to se11 the above nti ned property to
the abova named purchaser(s) on he term 'an ndi ions s ated in the
above instrument.
zt~ of Seb tiara
W ~ mess
•
•
City of Sebastian
1225 MAIN STREET ~ SEBASTIAN, FLORIDA 32958
TELEPHONE (561) 589-5330 ~ FAX (561) 589-5570
May 24, 1999
Todd Brinkley
825 Vocelle Avenue
Sebastian, FL 32958
Dear Mr. Brinkley:
Enclosed is Cemetery Deed No.1685 for Lots 1 & 2, 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 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.
Sincerely,
Kathryn M. 'Halloran, CMC/AAE
City Clerk
KOH:Img
Enclosures
~~es R. ~~g~rs oooeooassos~a 2 2 ~ Q
472 Kerley R~_ ~ s9-~+~~-275 ,, ~ `
,, ~
r~ ~
c, ~ E
~~'~h ~` 3 ~ L`~`I
`~
~ o^Fa ~r oelooo~oa ~ -a , ~ ~~
.~
~ ~ -
x:053 L00~65i:000000~9805~~8iEs 2 280
zw
LL
Q O h-
m N d
y Y V
~w
O ~ ~
r V ~^
~ ~ f
V V
`~.:,
~
~
s
•
'~ a ,
,
L Y
N
,~
V ~~
^ ~
~
'
V `.
qq
N O
m
c W
~ Ar
n ~
O '~ ~ aNi
N ~ O ~ J W
m U ~ o ~ ~ t ~ :^,
`~.
~
d ~
`~ ~
o. ~
v O
~
a~ ~
E
y V ~
a E r
~ U' U ~ W U J U ~"^
f~
d
w
O o
O O
a0 N
O N N O
m Q~
f-
`V' V c+0i o O
O) oO aO
crl C'I
'Ct 'R V
"
N (")
O O
O u7 f7 f7
O O
~ ~ C") C`
) fh
O
O p
~ O u7
2 O O O O O ~ O
y
P
~'
~~
~~ ~ ~.~.,
~ r:: ~
'"
~ ,~ V ~
n u -'~
, ~
~~'~ ~`~ ~~0 7C~
f~~ .~ .,- ~
C9 C. ~. ;:--~f J
J~ .
~ ~
A '
J~-~
~ ~
~ -,
r`~ Y
r~A ~ v"d~
.J .J~
~~
r
~`'
~... 0
6
d
a
c
a
m
C
0
W
0
•
O
e
0
m
3
N
R
C
~-a~ ~ ~
FLORIDA DEPARTMENT OF
HEALT State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL -TRANSIT PERMIT
A. (TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased of
Todd itay Brinkley Death March 13, 2007
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
Duval Jacksonville Inst. St. Luke's Hospital
3. Name of Medical Address Phone Number
Certifier David Kramer, MD 4205 Belfort Road Ste 1100
Medical Examiner x Physician Jacksonville, FL 32216 904-296-9074
4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1426 Rowe Avenue
Corey-Kerlin Funeral Home Jacksonville, FL 32208 565 904--768--2596
5. Check a. ~ The medical certification has been completed and signed. A completed cert~cate of death accompanies this
Appropriate application.
Box
b• ® Jeaa Trarrsalart Center was contacted on March 15, ..20.07
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that David Kramer, MD 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
medical certification of cause of death within 72 hours.
6. Funeral Director/ Si nature F.E. No./Reg. No. Date Signed
Direct Disposer ~~G'~-~-~a ~,~,., ~_ 215 4 3 / 15 / / 2 0 0 7
B. BURIAL -TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 565-07-106
®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 t be able to complete the medical cert~cation of caluse-of-death section of the death certificate within
72 hours.
~No extension of time for filing the des ~cete has been requested.
Registrar or Date Date Cert~cate
SubregistrarSignature Issued: 3/15/2007 Due: 3/26/2007
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 tie obtained before disposal by any of the above methods. Awaiting period of 48 hours after death is
required for all cremations.
D. CEMETERY OR CREMATORY
ethodof DisposRion: Place of Disposition Sebastian Cemetery
BURIAL ^STORAGE Date of Disposition 3~ // ~O ~~ _
CREMATION
Signature of Sexton
or Person-in-Charge
®OTHER (Specify)
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«Crematory
DH 326, 8/97 (Dbeoletes all previous edaions) Yelbw: Funerel DueU« «D'vect Disposer
(Stock Number: 5740-000.0326-2) Pink Local RepisVar h~ i~ ~