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HomeMy WebLinkAbout4-29-05 QLUy nf t!trbn.atinu 'tmtttrg lUll- /.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~""" ./ ?' ,-...."il':. f Authorized by ""-',n/ 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