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Home My WebLink About4-29-09 OUty nf &rbn.attnu ~ (hrmrtrry mrrll ,1'1663 NO. THIS INDENTURE MADE TIaJa 30th day of December 98 A. D., 19... ..., between the City of Sebllstlan, a municipal corporation existing undcr the laws of the State of Florida, 01 Grantor and Raymond Nudo, Jr ....,.....,....... ............. ..... ....... '8'78' 'Went"Wo'rth ..s.t............... ,.'....................,................. ,.~.~ ~~~.~.~~~ ~.. ~~.. .~.~ ~ ?~......... of the County of .+n9,i,~n..Rt.'!~~....................... anol Stote of .........F:!-.9.1;-;i,9,<;i..............".................. as Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ ~.?~ 9.Q ...9~............. to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargam, sell, release, convey and confum unto the Granteel'!~.~..... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s)~ 1.~ .'. ~ q Block,~~. . . . .. ,UNIT ....~........ ,of Sebastian municipal 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 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- Ibte, now and lIoreaftlilr adopted or provitllld for the governmellt II/ld operation of IIld Cllli'letery. Tile conditions, restrictions and tequiremenh contained in this instrument shall be covenants runnlng 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, regu~tions, 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 fust above written. CITY OF SEBASTIAN, FLORIDA Attes~'~~!n.6~t.~......... City Clerk By ~~................,. MaJor Rlgne Seal uml Delivered ~ Int Pr ncey~ / . . . .....:.... ~~........ ..~~..".o._.~............................ (ClIitU ~eal) STATE OF FLORIDA COl'NTY OF INDIAN RIVER 30th December 98 I HEUEBY CERTIFY, That on this.................,...., ,day of ......,....................................,......., 19,..., Ruth Sullivan Kathryn M, Q'Halloran bl'fure me personuIly appeared ,...................,.......,...,......'".",.,..".,..". Bnd "......................,.............. resp.'ctively Mayor und City Clerk of the City of Sebastian, a municipal corporation under the laws of thc State of Florida to me known to be the 11Idlviduul. and officers dcscrlbed In und who exeeut.,d tbe fOel'll'olng eORv"yunee to .. , , ..., , , .... ..................,............. Rl;lyropnQ... N~<;l.Q.~. .J.+'................... .......................................... . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . .. and severally Bcknowledg~d the execution thereof to be their free Bct and deed as snch officers thereunto duly uuthorlzcd; and that the Official sell I of said corporation Is duly of e ,Jereto, Bnd the said conveyunce is the nct Ilnd deed of said corporation. \ WITNESS my signature and offlclal seal last lIforesaid. ~. UNOA M. GAl..l.EY ;*1 MY COMMISSION' CC 740478 . .it.~/ EXPIRES: June 18, 2002 lli' . Bonded Thru NOllry PuIlfie Undo<wrilors ~, " ------------ - ----~-------------- Name~ rnnnf) Unit .L/ ,~CJ q Block Lot Date of Mark-out Date of Burial Name of Funeral Home Authorized by #u'l>l) CJ /,y /ri 5 c;/S-/rf.3 . __"e,,;........'. ':~:> /~ i<" i ~t p.. .l) :Jf2 "' Time /0/ (X) -It; 11'}, , '" '~... ".I ..',Jj ',I f- 7 :t..<,. \_(;:",,), }'1 , , "I o I(Z~ ~~ A. 1. Name of Deceased (Type or Print) First 2. Place of Death County I ndian River 3. Name of Medical Certifier Gerald Pierone, 4. Name of Funeral Home/ Direct Disposer Strunk Funeral 5. Check Appro- priate Box 6. Place of Sebastian Final Disposition: 7. Funeral Director / Di~t @i6l3Msr B. State of FI*, Department of Health, Vital Statistics APPLlC~ FOR BURIAL - TRANSIT PERMIT L9 13 )9' 1J1 Day Year . Middle Last Sebastian DATE OF Nudo, Jr, DEATH Sept. Name of (If neither, give street address) Hosp. or Inst. River House Address Phone Number Month Raymond City, Town or Location 3 1998 Medical Examiner Jr., M,D, 3715 7th Terrace, Vero Beach, FI 561-770-2664 Fla. Lie. No./Reg. No. Phone Number (Area Code) Physician Address 1613 N, Central Avenue Sebastian, FI 561-589-1000 1228 Home a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b~ Cheryl was contacted on 9/3/98 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 Dr , Pierone 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 Removal from state Donation Date Signed 9/3/98 e/county: I ndian River FE No./Reg. No. ~ 1862 BURIAL - TRANSIT PERMIT Permit No. 1228-98-0379 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. I;;je~i<ll. y, ~ C\ . . ^. . I ^- S Q., ~ O-A.. Subregistrar Signature -a ..... ~ , ~ -0 C. Signature or Medical Examiner, ~~~~d:~ g~~~ CertifiEft~Jq ~ AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA , 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 ~he above methods. A waiting period of 48 hours after death is required for all cremations. D. Methods of Disposition: . BURIAL o CREMATION Signature of Sexton ) or Person-in-Charge ) CEMETERY OR CREMATORY o STORAGE o OTHER (Specify) Place of Disposition .5 g.8#.5 ;T;A~ a.e.v-. ,: Ii L! if. Date of Disposition 9 / ~ /9 A I ;(f <7- ,I(~? This permit must be endorsed by the Seeton 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, 10/96 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2)