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Home My WebLink About4-29-16 ~ aLtty of l'tbusttuu ti17BO aItmtttry I ttll NO. THIS INDENTURE MADE TIlII ..... J.~.th... day of March A. D.,xfi. .?OQ1 between the City of Sebastian, a municipal corporation existing undcr the laws of the State of Florida, os Grantor and Antoinette Braut ....,......,.,.......... .... ........ ... .... ........ 'i:i~'O':' 'B'ox"7ffo9'1S' ..... .............. ... ...... ....... ...... ............... .,................ .... .............. ......... ..... .S.ebast,ian,.. Flor.ida..3.2978.."..................................... Indian River . Florida of the County 0' ........,.....;.............................. an.l State of .."..,............,........,......,......... ........... as Grantee, WITNESSETH I That the Grantor for and in consideration of the sum of $ .;.~ 9.0 ...QQ......... _.... to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargaiit, sell, release, convey and confirm unto the Grantee . . . . . . . .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) . .1 fi .. ,Block,..2 9. . .. ,UNIT ...4......... ,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- 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 de'ed 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 afflxed, the day and year lust above written. CITY OF SEBASTIAN, FLORIDA Attest I BT .w.~.w~~.................. MaTor (Gritl;! JieaI) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ..,...12 th .. .. . .. .. .. day of ....'.... ..Mar ell .. .. .. .. .. .. .. .. .. . .... .. .. .. ...~.. ZpO 1 before me personally appeared ....~~J-.t.~;r:..~.~..~?~.I?-~~......,..................,. and ,~?:~..l;.y..,~.~..~~.:!-.<?.,......".... respeetively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of thc State of Florida to me known to be the Individuuls ami officers described in Ilnd who executed the foregoing cORveyunce to .. ....... ..... ................................ ....... ........ ................................. ...... ;.................................. . . . . . . . , . . , . , . . , , . . , , . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . .. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seul of said corpl>ratioll Is duly affixed thereto, and the said conveyance is the uct and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and Tear last ufo resaid. H. JOANNE SANDBERG MY COMMISSION # CC 725842 I EXPIRES: April 30, 2002 .' Bonde~ Thru Nolary Publie Underwriters Block N/COAAC6 'I ~9 I~' ./3 MuT Name Unit Lot Date of Mark-out 3./7 /(') / F . ( . 3/r.o J nf / / .... ' Name of Funeral Home. .5 t:e G,t /ll L ) Time ~ /00 ;0 I Date of Burial Authorized by -,..",-...==~-=-~_...,--~,,=-~,_.- ---.-.---...--.... BRAUT, ANTOINETTE P.O. BOX 780975 SEBASTIAN, FLORIDA 32978 DEED It! 780 LOT 16, BLOCK 29, UNIT 4 NICHOLAS BRAUT INTE~ED 3/10/01 0( '- Paid by CEMETERY Receipt No................. Dated...~ I.~ f: {.~9.Q~.... .......... List Price $ . . .? ~ 9. ~ 9. Q . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . Antonette Braut lot 16, Block 29, Unit 4 NO. NetPaid$ ...5.QO..P-O...... Monument permitted. . . . . . . . . . . . . . . . . . . . . . . 1780 (Data above this line for City Record only) " 1225 M~~~. ~~N~'~A 32958 TELEPHONE: (561) 589-5330. FAX (561) 589-5570 March 15, 2001 Antoinette Braut P.O. Box 780975 Sebastian, Florida 32978 Dear Ms. Braut: Enclosed is Cemetery Deed number 1780 for Lot No. 16, 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. A copy of the receipt is enclosed for your records. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2000 16th Avenue, Vera Beach, Florida 32960. If you have any questions, please contact our office. ,.. SAM/js Enclosures "An Equal Opportunity Employer" Celebrating Our 75th Anniversary ~- The Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of: I~ r%~k~ ~~-P7h~ ~~7'; ~~~:~~/ 3~f7~ on this / ~-a clay of ~ . 20 tJ I for the purchase of the following described Cemetery Lot(s)/Ni e(s) upon the terms and conditions as stated herein: Dollars ($ S"tftJ. t:1 tJ ) From: Description of Property: Cemetery Lot( s )/Niche(s) & . Block Purchase Price: r ~ _:dt:!) r?9' Unit f/' Dollars ($ .s- tJ7j . /J IJ ) Terms and Condition of Sale: This contract shall be binding upon both parties, the seller and the purchaser, when approved by the O'WIler of thepropeIty above described: I, or we, agree to purchase the above described property on the terms, and conditions stated in the foregoing instrument: Purchaser signature Purchaser signature The City of Sebastiail agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. !l~~~c:I~;y &,ty of Sebastian ' , Witness -- . ;- CITY OF SEBASTIAN CITY cLERK'S'OFF1CE RECEIPT Name i' .J~''',~ .; ,'.C o Cash ,~' Check' "#?' \. .... i" >'~ .... ." Date No. 0 57::1 Sales Tax 001001 208001 001501 322900 001501 341920 ..t. 001501 341910 001~13621oo 001501 (l62100 . 001501362150 001501343800 601010 343800 t, l~,' ~', 001501 369400 !; fOO15013694OO k' ~ ;,'680800 220681 ;t; ! E .'.68riaoo 220682 t 680800 Z2OO&1 , I; I t: ~;~ f Garage Sales ,copiesJBid Specs, LOCICode of Qrcinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetely Lots Cemetery lots LotlNiche . Block ,Unit_ Interment Fee Weekend SetVice Yacht Club Security Deposit Community Center Security Deposit Riverview Park Security ,Deposit Total Paid r- k , \,~,:'''''',4'l".:".\i.,;,:.,._,i{:".; Initials . ppU' WhiU _ Dept. of Origin. 'ellow - F,_ · p~ ~ A " ,,~,~ ,., <,.:",' i~'." :,:~,,';<~;<<l.,Li1..:,1:~ ,;.,::,:,;,;~,,,;i{,2,.....,..-,C...,,~.~.":';";'j.i~.",;~';;"~';':.""..,,~.;.rl;;,,;,""""""'''';''-'''~''''''''' '.,..... -.... . - Name,," It..' " t/:- Date AmountPald CITY OF SEBASTIAN CITY CLERK'S OFFICE RECBPT ~ ;.' ",.~' 't No. /). P< ~t) t.~.. ;'.......)..,~-' 001001 208001 Sales Tax 001501322900 001501 341920 001501 341910 001501 362100 oo15lW062100 001501 362150 001501343800 ~. /' ,i,,/; r.. t~ -.'i ./ 220681 Garage Sales CopiesJBid Specs, LDClCode of Ordinances Community Center Rent Yacht Club Rent Non Taxable Rent Cemetely Lots Cemetery Lots Lot/Niche ;< . ,Block . ' Interment Fee Weekend Service 220682 Community Center Security Deposit Yacht Club Security Deposit 220683 Riverview Pa~Security Deposit l',l /..'{ \ .), \ "~':""Hfl!~;~,1 o Cash if Check. AmountPl '" / I Unit 1- ;;;..,.,;'...:i;.'~:';';;'1<.U.';'~,';;'~''< Initials White- Dept." Orlllill.- 'ellow - FiMItCI . Pi.. AppIiClnt J~,-..~.:;.>.i":"'i;:"",',;;i,,...;,;;a.,.~.:6:i~,~jJ"';:~', (,,,:~,';:;"<i.:.!;.,,._i'i'~,.,,,;i;,,.i'~;~,::.,,,,,,,,,,,,:~~,~.(;;:~;,,,~~~ :<." ~',' .c.;""',;:"~....,,,".,:.,~..; , ...'.;-,...... ''''' ..,::,:.~'" ,.; Total Paid "" .i I 1 I I I. I.. 1 I. , . . ~ ~ .J .~ If .J. '" , -d ir1. -1 ~. f' ~ ld~J _I .1 .0 eJ ; ~ a:. (/) JJ . =- J, . .- ~(f ",ttl 1t. JJ lit j~ ------,.-.~- 1[ - d; i - F j~ ... ./:t 11 . - . ~ '---"'-. -- "-. '- l I:Il 'cl~'1 ~.:!., lill' . FLORIDA DEPARTMENT OF StaA Florida, Department of Health, Vital SAtics AlIJUCA TION FOR BURIAL - TRANSIT PERIrT JJc, 6 cJ? tit A, 1. Name of Deceased (TYPE) First Middle Last Date of Death (If neither, give street address) Month Day Year Nicholas A. Braut March 5 2001 2. Place of Death County I ndian River 3. Name of Medical Certifier Christopher Henson, M.D. Medical Examiner Physician 4. Name of Funeral Home/liA";,,,[ ~1l>pUliar Address Establishment 1623 N. Central Ave. Strunk Funeral Home Sebastian, FL 1228 561-589-1000 5. Check a. D The medical certification has been completed and signed, A completed certificate of death accompanies this Appropriate application. Box City, Town or Location Sebastian Name of Hosp. or Insl. 1295 Barber Street Address Phone Number 1600 36th Street, Suite C Vero Beach, FL 561-569-6112 Fla. Lie. No.lReg. No. Phone No. (Area Code) b. 'ts:J Ruth was contacted on 3/5/01 He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death, and that Dr. Henson will complete and sign the medical certification of cause of death within 72 hours. c. D was contacted on He/she verified that , Medical Examiner, will complete and sign the liilIeet !;}illJ!lllller w e of death within 72 hours, F.E. No.lReg, No. 1862 Date Signed 3/5/01 6. Funeral Director/ B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No, 1228-01-0123 o 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 not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. rn No extension of time for filing the death certificate has been requested. 4ftb!:f15ucu or · Subregistrar Signature Date Issued: 3 J~1 0 , Date Certificate Due: 3/10 J Ii I 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: ~BURIAL DCREMATION Signature of Sexton or Person-in-Charge CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery D. DSTORAGE Date of Disposition -.",il")j,-':,~,,'.,..., /'" - ,~//"j:, ,./l-~ /:.~J.c',->:- / DOTHER (Specify) } "l~,//,_., ,>. /)<. // ',>;.-' 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. DH 326. Bl97 (Obsoletes all previous editions) (Stock Number. 5740"()()()"()326-2) Distribution: WMe: Cemetery or Cremalory Yeliow: Funeral Director or Direcl Disposer Pink: local Regislrer