HomeMy WebLinkAbout4-29-05
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/.1641
NO.
THIS INDENTURE MADE ThIa
11th
day of
September
98
A. D., 19. .....,
between the City of Sebustlan, a municipal corporation existing under the laws of the State of Florida, 81 Grantor and
. , , , . . . , . , . . . . . . . , . . . Michael. Sinltiewich . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . , . . .
912 Cashew Cir
""......,....... ..... .J3a,t'efoot..Bay l' Florida. 32976,.....................
of the County of ........ )n~.:i,tm. Rty~~ . .. .. . .. .. . .. .. ... anJ SIDte of ............ f.J,c::>,t;tq~. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. . ..
as Grantee, WITNESSETH.
That the Grantor for and in consideration of the sum of $ .... .~9~ '.99. . . . . . . . . . . . . . to it in hand paid, the receipt whereof Is herewith ac-
knowledged, does by this instrument grant, barga1fi, sell, release, convey and conium unto the Grantee . .~~.s. . .. 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 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 for the interment of the human dead and shall
be used, kept and maintained at all tlmes in sccordance 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 aff'1xed, the day and year lust above written.
Alle~~l/),6d~.........
.--f" b(y" Clerk
CITY OF SEBASTIAN, FLORIDA
BJ~_2J~......,...........
MaJor
Signed, Scaled and Delivered
In the Presence of.
. '-I JS
". ();;;.. .~.~.....~ ().....'................
..t..,IkY,~..............."......
(ClIitU ~elll)
STATE OF FLORIDA
COl'NTY OF INDIAN RIVER
I HEUEDY CERTIFY, That on thla .....JJ.t;.n...........day of ..........$~p.t.erop.I'!.J;.........................., 161. e.. ,
Ruth Sullivan Kathryn M, Q'Halloran
before me personally appeared ..,.........,......,..,.....".,.....' . , , . " . and .,......,........................,.'...
respectively Mayor ancl City Clerk of the City of Sebastian, a municlpul corporutlon under the laws of the Stute of Florida to me known
to be the Individuols 0",1 officers described In and who executed the for<'golng conveyance to
Michael Sinkiewich
. . , . . . . , . . . , . . , , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. and severully acknowledged the execution thereof to be their free act and deed
as sllch officers thereunto duly authorized; and that the Official seal of said corporation Is d Iy affixed ere, and the said conveyance
is the oet and deed of said corporation.
WITNESS my signature and official seal at Sebastian, In the Count'l' of
Isst aforesaid.
LINDA M. GAlLEY
MY COMMISSION I CC 740478
EXPIRES: June 18, 2002
Bonded Thru NOI8ry Public UndtfwItteB
\
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN, FLORIDA
HE SUM OF:
Dollars
($tj/5~
FROM:
, 19 ~ for the purchase of the
Lot fs) "Niche (3) -llpon the terms and
;::::~:i:t~ 5
Purchase pric:; - _m _' r6 Jl ~
Terms and Condition of sale:
Block
;).q Unit L -"
Dollars (/?itJ ~
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: .
4z~~
The ci ty of Sebastian agrees to
the above named purchaser(s) on
above instrument.
property to
stated in the
Witness
Name
Vero'1 t Co.- 5'N~l'ew,ieh
Ccf2E(Y}a I~J
Unit~
Block Oi.q
Lot fit
Date of Mark-out
11/30/(,19
I ,;'
Date of Burial
,
j) I' ,~} /(l ::j~
I /
Time
/1: 00 #/ /l4
Name of Funeral Home
l' ie' /;f
r/ ~, : '
l
._" J ; ,
Q,h
Authorized by
Name
}1,(,/)'1 e/
:r.
e:::::' . . i( ,
,,"~ 1 N <K tl..;-u..1 I c.h
Unit~
BIOCk~
Lot (~
Date of Mark-out
il/ ,7/) /': (I'
Date of Burial
/' ;"/.": /:; q
Time
.I ! /' '. " ,~J ./";'
Name of Funeral Hom~"""
./
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Authorized by
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j-
~
Q, ,
(,(IUO p.loa31{ ,(lr.J .101 :lun S!1p :lAoqll lllllQ)
ItST"
. . . . . . . . . . . . . . . . . Sa:lOOS 11l!rng 'ON mnllI!Xll}'t
. . . . . . . . . . . . . . . . .. $ P!1!d l:lj
. . .. .. . osr OQE? .. $ :l:lUd lSI
00'006 .,
, . . . . . . . . . . . . . . . . . . . . . . P:lHJIllJOO lU:lmnuow
'ON
_".,.. .., ... .......... ....... p:llllQ" .... .... ...... 'ON ldI:lO:l"H: X"H::;IL:;IW:;IJ,{q PIt
,....
,/ . .,
.
.
City of Sebastian
1225 ~AIN STREET IJ SEBASTIAN, FLORIDA 329:8
TELE:--HONE (501) 589-5330 IJ FAX (551) 589-:5'70
September 11, 1998
Mr. Michael Sinkiewich
912 Cashew eir
Barefoot Bay, FL 32976
Dear Mr. Sinkiewich:
Enclosed is Cemetery Deed No.1641 for Lots 5, 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 (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
convemence.
~m. Oi/~A-
K1thryn M. O'Halloran, CMC/AAE
City Clerk
KOH:lmg
Enclosures
{lftl)f
l'fi'l ~~ 'f.[:::'J J;),~ lft'~""~'(i
.~~~*'"~ a ~:
HOME OfP'UlGAN ISLAND
INVOICE
CITY OF SEBASTIAN
TO: Mr. Michael Sinkiewich
912 Cashew Cir
Barefoot Bay, FL 32976
DESCRIPTION
1 Repair of marker at Sebastian Cemetery
Unit 4, Block 29, Lot 05
DUE UPON RECEIPT
TOTAL AMOUNT DUE
Remit To
Account Numbers:
Dr:
Cr. 010059 534685
: CITY OF SEBASTIAN
Finance Department
1225 Main Street
Sebastian, Florida 32958
,...'.~~:;~:;5:...;~:!f4i:~~~:t:E-:...=.~~::'::::~:~~~;~~::::';"~.~.;;,:,~,.,:-:-....., ,.'
INVOICE:
Date:
Amount: $
~':L",:!!:-~:'::;::.:;:...
05-060
10/25/2004
225.00
AMOUNT
DUE
225.00
225,00
OTY OF
S~
~
/-"-- , ~, -_: ", -',,' --, -~-=..", ,,' ,"
. ---_. --- ,.
HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, FL 32958. (772) 589-5330 - Fax 772-589-5570
October 21, 2004
Mr. Michael Sinkiewich
912 Cashew Circle
Barefoot Bay, FI 32976
Dear Mr. Sinkiewich:
Re: Sebastian Cemetery Unit 4, Block 29, Lot 05
It is with regret that we inform you that the marker and/or vase on your Sebastian
cemetery lot was damaged during the recent hurricanes. The city has made
arrangements with a local monument company to repair the damaged markers at
$225,00 per marker and $20,00 per vase.
According to the rules and regulations governing the cemetery (copy enclosed),
interment site owners are responsible for damage to markers and/or vases, therefore,
we are enclosing an invoice for the reimbursement of this fee.
Thank you in advance for your cooperation in this matter and I would like to assure you
that the upkeep and maintenance of the cemetery is very important to the City.
If you have any questions regarding this matter, please do not hesitate to contact me
at the cemetery or by telephone at 772-589-2545,
Sincerely,
Kip G. Kelso, Jr 2/. a.. v,
Cemetery Sexton!) /1,
Enclosure
~::;;~~;__,-.:~~.=..,_. '~:-"_,.~~,,>~;,~~. "'. '5:1-,,,.
-'^'~"'::~'~:;~~:~~~,:'A\;;~:::'::.=n-'::;:.~_;::~e~~_~~~
HEALT
SAof Florida, Department of Health, Vital ~tics
~PLlCA TION FOR BURIAL - TRANSIT PE1IIT
1-,5'
f3 d;
IJ1
I
-';:r.LORlDA DEPARTMENT OF
A.
1. Name of
Deceased
First Middle
Last
Date
of
Death
(If neither, give street address)
Month
Day
Year
Michael J ,
Sinkiewich
Nov,
29
1999
2. Place of Death
County
I ndian River
City, Town or Location
Roseland
Name of
Hosp. or
Inst
Sebastian River Medical Center
3. Name of Medical
Certifier Nasir Rizwi, M, D,
Medical Examiner
4. Name of Funeral Home/Dir'ill' ~illl!!)ElI
Establishment
Strunk Funeral
5. Check a.
Appropriate
Box
Address
13865 U,S, #1
Sebastian, FI
Phone Number
Physician
Address
1623 N, Central Avenue
Home Sebastian, FI
o The medical certification has been completed and signed.
application.
561-589-6844
Fla. Lie. No.lReg, No. Phone No. (Area Code)
1228
561-589-1000
A completed certificate of death accompanies this
b, ~
Anita was contacted on 11/29/99
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr, Rizwi will complete and sign the medical
certification of cause of death within 72 hours.
c.D
was contacted on
DiJeili li?ililiiiir
He/she verified that
, Medical Examiner, will complete and sign the
6. Funeral Director/
of death within 72 hours.
FE No.lReg. No.
1862
Date Signed
11/29/99
B.
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-99-0541
o A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and grantee 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.
~!Ii5tr!lr !r
Subregistrar Signature
Date
Issued:
ll\"2.~tCf~
Date Certificati
Due: ,~ ~~ q C}
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.
Method of Disposition:
CEMETERY OR CREMATORY
Place of Disposition
D.
Sebastian Cemetery
~BURIAL
<SCREMATION
SignatL:re of Sexton
or Person-in-Charge
o STORAGE
Date of Disposition "017 CO/YY7 k .:3, J 99 9
I
DOTHER (Specify)
1L,.,,~ ~ ~-
This permit must be endorsed by the Sexton or person-In-charge (or by the Funeral DirectorlDirect 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, 8/97 (Obsoletes all previous editions)
(Stock Number' 5740-000-<1326-2)
Distribution \l\lhite: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar