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Home My WebLink About4-29-11 WUy U1 ",rUU1UIUU .tmtttry itt. ('1687 NO. THIS INDENTUnE MADE 'I1aIa ...............,~l.I?,tday of ............P~.<;.~~P.~.J;................... A. D., 19.?~.., between the City of Sebastian, a municipal corporation exlating under the laws of the State of Florida, as Grantor and . . . . . , . . .. . . .. .. . . .. .. .. . . .. . . . . .. .:a~ t. t.Y, . Gar.r.e.t t . , . . . . . . . . . . . . . . .. . . .. , . . . . . . 909 Canal Cir ,................ ..... ...............Sebas,tianj. .Fl...329~,8... ............... of the County of ;t;n<;i,:i,.~n ..R.:i,y:~.+........................ ano) State of ... ]'lp.r.:ida....................,.................. as Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ ...~. t R 9.Q .. .QR . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargalit, sell, release, convey and confirm unto the Grantee. . h~.:t;' .. heirs, legal representatives and assigns the following property situated In Sebastian, Indian River County, Florida, to-wit: All of Lot(st-.1 ~ ~.~ ,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- tore, now add hereafter adoptod or provic1ed for the lovernm.nt and operation of tald oemeltery. The condition., restrictions and ,.qulroment. codtalned 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 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 first above written. CITY OF SEBASTIAN, FLORIDA By L~................. Mayor ~';h:d,S '::J;C"~~dd (Cl!itu ~...nl) ~.. '.,).,'" .~.......................... STATE OF FLORIDA COl'NTY OF INDIAN RIVER I HEUEBY CERTIFY, That on this................. ?J,~.~day of ......... .~.e,~~~l?'~~"""""""""'''''''''J 19}. ~ b..tore me personally appeared... .~~~.l:t.. .~~~.~,~y~.~"........"...."..,..".,.,.,. and ~~t,l:1,J;y'~. .f:l.~..9 ~.I:I.~~~.<?l?~~.. respt'ctively Mayor and City Clerk of the City of Sebastlun, a municlpul corporation under the laws of the State of Florida to me known to be the Individuals alll! officers described In und who executed thc forqJolng CORveyance to ,........ _......... ....... .............~.~.t~y.. ,G,a~~.~.t.t.,.... .........................,.."............. ..... ...... ............ . . , . . . . . . , . . _ . . . . , . , , , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affl creto, Rnd the said conveyance is thc act and deed of said corporation. WITNESS my signature and official leal at Sebastian, In the last aforesaid. \ i\ Paid by CEMETERY Receipt No. . . , . . . . . . . . . . . . . Dated. . . . . . . . . . . . . . . . . . , . . . . . . . . . . . NO. List Price $ . . . . . . . . . . . . . . . . . . Maximum No, Burial Spaces. . . , . . , . . . . . , . . . . Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . "1667 (Data above this line for City Record only) Name " ) i L;'-",~' . J-. 't., , (\,/)-\ 'f\ ,. (,;;~ ~} i;~:,) :{,::." (7' -/'-j ...., "'-..' . I Unit Block ,"\ I~' c:< ~'j Lot 1/ , Date of Mark-out /''; / it}. / <..}:;/ ....~. /' 1.:...-< / , .;.l I I Date of Burial i;;; / Z;;/';7.. / Time i.'_".','; () F~'''"'<. Name of Funeral Home .~5 TI'::' t~__{ :.~.) r< 'S Authorjz~d by.:_,,,,~".<"'~":(il ;/ .,," .A:t: ' " o.~ , . . THE SEBASTIAN CEMETERY CITY OF SEBAST1AN~ FLORIDA FEIPT IS HEREBY ACXNOWLEDGED OF THE SUM OF: ~~~~y /: FROM: / \: on this ~ day of ~, 19~ for the purchase of the following described Cemetery Lot{S)/Niche{s) upon the terms and conditions as stated herein: Dollars ($ !(}7)L>PJ Description of Property: ' I Cemetery Lot1[!;. ,lCbelS) 11'; l~ Purchase Pri : k f ~J.Y1~ ~ BI0Ck~ UnitJ Dollars ($ I DO{). ~ ) 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.' I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrwnent: . The City of .C!ebastian agrees to sell the above mentioned property to the above named purchaser(s) on the term and .. ilitions stated in the above instrument. ( ( \ .~ Witness . . City of Sebastian 1225 Main Street 0 Sebastian, Florida 32958 Telephone (561) 589-53300 Fax (561) 589-5570 E-Mail: cityseb@iu.net December 31, 1998 . Betty Garrett 909 Canal Cir Sebastian, FL 32958 Dear Mrs, Garrett: Enclosed is Cemetery Deed No. 1667 for Lot 11 & 12, 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 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 convemence. Sincerely, m. 0 1/CLtl~ " [ KOH:lmg Enclosures ~CEM Index:RECORD # Last NalTle Address 1 Address 2 City Deed # Un it # Lot NUlTlber Lot NUlTlber Lot NUlTlber Lot NUlTlber COlTllTlent COlTllTlent City of Sebastian~ FL - CelTletery Lots GARRETT 909 CANAL CIR First NalTle BETTV SEBASTIAN State FL Zip 32958- 1667 Date 12-31-98 AlTlount $1000 4- Bloek # 29 11 Interred WILLIAM R. Garrett uet Dte Interred 12-22-98 12 Interred Dte Interred Interred Dte Interred Interred Dte Interred <F}wrd <B}aek <E}dit <D}elete <N}ext <P}reu <R}e-seareh <L}abel <T}a <Ese} Monday, Dee 27,2004 03:40 PM 2. Place of Death County I ndian River 3. Name of Medical Certifier Melissa L. Reynolds, M, D, Physician 99 Royal Palm Blvd" Vero Beach, FI 561-569-4787 4. Name of Funeral Home/ Addres.s Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 16Lj N, Central Avenue Strunk Funeral Home Sebastian, FI 1228 561-589-1000 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box I~ A. 1. Name of Deceased (Type or Print) First 6. Place of SEBASTIAN Final Disposition: 7. Funeral Director / Direet 9iiliiUQr B. State ~rida, Deparbnent of Health, Vital StatlSti:se APPLRrION FOR BURIAL - TRANSIT PERMIT L;I I3rJ1 tlJ-j Middle Last William R. City, Town or Location DATE OF Garrett DEATH Dec. 18 1998 Name of (If neither, give street address) Hasp. or Inst. Sebastian River Medical Center Address Phone Number Month Day Year Rosela nd Medical Examiner b'Y! Brenda was contacted on 12 / 18 / 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, Reynolds 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. River FE No./Reg. No. 1862 Removal from state Donation Date Signed 12/18 98 BURIAL - TRANSIT PERMIT Permit No. 1228-98-0544 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. ~e~ietro~ ~ Subregistrar Signature C. Signature or Medical Examiner, Date l l Issued: I ~ "~" Date Ce!!!!icp.te_ I~.... Due:~ 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 the 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 ~/!A H~ 774:'" I (!;; .w1/~~;e y- Date of Disposition /j IA. ~ /9 8 / .~/9 l/f~~? This permit must be endorsed by the Secton or person-in-charge (or by the Funeral DirectorlDirect Disposer when there is no Sexton) and returned within 10 days to the focal 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)