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Home My WebLink About4-29-17 w-uy U.l. J:l'l'UU1ULUU . . ~ et m t t try Itt. .' 1668 NO. THIS INDENTURE )lADE 'l1aIa ......,.n ~!:: day of ..................D.e.cemb.er............. A. D.. 18..9B., between the City of SeblUltlan, a municipal corporation exlstlnJr under the laws of the State of Florida, 8S Grantor and Myron Goodman .",..........................,.......... '45'2" At'o:bl1' .Ct.................................................................... Satellite Beach, FL 32937 ......................................... ............................................ ............................................ of the County of ,J;mU...~n. .R:i:y~J:'........................ an" State of ..... .If.1.Q+.i4~...........;......,.................. aa Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ . J .'. ?q~ : ~9. . . . . . . . . . . . to It In band paid, the receipt whereof Is herewith ac- knowledged, does by thia instrument grant, baraam, sell, rel..se, convey and confirm unto the Granteel{ ~.~ . . . .. heirs, legal representatives and assigns the following property aituated in Sebastian, Ind1an River County, Floride, to-wlt: 17&18 29 4, . All of Lot(s) . . . . . .. ,Block,........ ,UNIT ............. ,of Sebasl1llll municipal cemetery as per Plat Number I thereof recorded m Plst Book 2, at page 6S of the pubHc records in theofflce of the Clerk of the Circuit Court of St. Lucie County of Florida; said iand 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 maJJ\talned at all timelln accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- Il:Ire, now and hereafter adopted or pro\li4a4 for the .overnm.nt and operation of said CllImetery. The conditions, restrictlona and requlrementa contained In thia instrument shall be covenants ruMing with the land. In the event of the failure of the owner of any property aituated within $IIld oemetery to ob- serve and comply with such rules, regulations, resolutions andordlnances 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 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 tobe hereto affixed, the day and year fust above written. cIT:I~.................. Ma10r (Gritl! J;eal) r~..J".,~........................... STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEltEDY CERTIFY, That on thla .~ ~.~.t................ ,day of .............. .I;l~~~.Illb~J:::......................, 18.9B, Ruth Sullivan Kathryn M. O'Halloran b~fore me peraonaIly appeared ................................."..,.."."............,. and .,......,.............................. reap,'cllvel)' Mayor and City Clerk of the City of Sebastian, a municipal corporation under the lawa of the State of Florida to me known to be the Indlvldullla IIlId ottleera delcrlbed In find who executed the foregollll cOllveynnce to .. ., ,...."................................. ..>>,y;I;P:I1. . .GPP.d.Ill.&Jl.....................,............................................ . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .' and severally acknowledJred the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seul of said corporation Is duly aff ereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official leal at Sebastian, In the last aforeaald. /:.... LINDA M. GALLEY :iJ'\ MYCOMMISSIONICC740478 ~. ' I EXPIRES: June 18.2002 'iitf....... ~ BondedThruNolalYPu\lliCUndllWll*l '.Rr.t"'~ . ........................ , Name 7//d/2 ., i , Iill .r-. .".. '''. "_" (:r();o,~.l)//'7 ell.l ( Unit 4I{.l Block ,::.~ / lot Ii Date of Mark-out ! ~'?~ /"'2 ..,~,~ / 1" 'j , . Date of Burial , . I"~ / 2: , l ,i'''''' ,_~, ,," / )' () ( Time J /).. / t./ . 0:) /1- / -'>'f Name of Funeral Home /'., .\,,,,:: ~-~~::,~"4~ ,,,\/" ..5 7~ . ('.< .,,~"-' f:: J ...~" " Authorized by ,/ ,-"" .i-i"'-., ~",L~ .."< . r, - <1 . ../.-1;( j Q . fL-. ---~-----~----,._-- List Price $ . . . . . . . . . . . . . .. . . . hid by CEMElERY ...... No. . . . . . . . . . . . . . . . . D,.... . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . t..! ~ -; '~~ i..- 1'" Net Paid $ .................. Monument permitted. . . . . . . . . . . . . . . . . . . . . . . Maximum No. Burial Spaces. . . . . . . . . . . . . . . . . NO. (Data above this line tor City Record only) "1668 ... t~ . . THE SEBASTIAN CEMETERY CI1Y OF SEBASTIAN, FLORIDA fPJ FROM: for the purchase of the upon the terms and Description of Property: . Terms and Condition of sale: Block ~ Unit L '., ollars (~; ~OV. ' ) Cemetery Lot(s) Purchase Price. 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 ~ the foregoing instrument: . The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on t e terms an co ditions stated in the above instrument. f , Witness <' ~ . . City of Sebastian 1225 Main Street 0 Sebastian, Florida 32958 Telephone (561) 589-53300 Fax (561) 589-5570 E-Mail: ciiyseb@iu.net December 31,1998 Myron Goodman 452 Aruba Ct Satellite Beach, FL 32937 Dear Mr. Goodman: Enclosed is Cemetery Deed No. 1668 for Lot 17 & 18, 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. tJ'l/llUPA- Kathryn M. Q'Halloran, CMC/AAE City Clerk . KOH:lmg Enclosures I~' State .rlda, Department of Health. Vital StatiStics. APPL: mON FOR BURIAL - TRANSIT PERMIT '/ - 2 1-; 7 A. 1. Name of Deceased (Type or Print) Rrst Last Month Day Year Middle DATE OF Goodman DEATH Dec. 17 1998 Name of (If neither, give street address) Hosp. or Inst. North of Pinetree Drive on AlA Address Phone Number 2. Place of Death County Brevard 3. Name of Medical Certifier Paulino Vasallo, M. D., 4, Name of Funeral Home/ Direct Disposer Strunk Funeral Home 5. Check a 'SI Appro- priate Box Mary City, Town or Location I ndian Harbour Beach ~ Medical Examiner M.E. hPhysician 1750 Cedar Street, Rockledae, FI 407-633-:1981 Address Fla. Uc. No.1 Reg. No. Phone Number (Area Code) 1623 N. Central Avenue Sebastian, FI 1228 561-589-1000 The medical certification has been completed and signed. A completed certificate of death accompanies this application. . b 0 was contacted on 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 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. 6. Place of Sebastian Cemetery Final Disposition: 7, Funeral Director/ Qil;Pt't niGJileeer I ndian River FE No.lFl8~, tJe.' 1862 Removal from state Donation Date Signed 12/18/98 B. BURIAL - TRANSIT PERMIT Permit No. 1228-98":0545 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. Ad) _ Subregistrar Signature ~~:~I,J'I ~~~Ce1f~~9~ C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL -AT-SEA , Medical Examiner Date Signature or Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disposf'c. Date The Medical Examiner's approval must be obtained before disposal by any of rhe above methods, A waiting period of 48 hours after death is required for all cremations. Methods of Disposition: rAg BURIAL o CREMATION o STORAGE o OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition ~ t--. g ti 9" f....' Cl4<n. ~ ".:7' Date of Disposition YLr ~ l..h c:z.. 3 /9 f'~ / D, Signature of Sexton ) or Person-in-Charge ) Yrl..~ ,). ~g"..L This permit must be endorsed by the Seeton 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. . (\J DH 328,10/98 (Repleces HRS Form 326 which may be used) \J-; (Stock Number: 5740-000-0328-2)