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Home My WebLink About4-29-20 . ,"" IDUy ot t'tbu.attuu .tttttttry ittx.e 1'1662 NO. THIS INDENTURE MADE TIl1a ....',..".,' ,3xd day of .............. .~.c;~b.~:r.............. ..... A. D., 19.. 9.~., between Ihe City at Sebastian, a municipal corporation existing under the laws of the State of Florida, 08 Grantor and ,DolQr,es, .A.. :McGu:i.:r.~................. 881 Doctor Avenue . Sebastian, . Fl. .329.58. . . . . . . , . . . . . . . at the County of . , , . . . . . . . . . , . . . . . . . . , . , , . . . . . . . . . . . .. ani State of ".,..,...,. 88 Grantee, WITNESSETH, That the Grantor for and in consideration of the sum of $ .,... ?~q ~ ~q . . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac- knowledged. does by this instrument grant, bargain, 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) ~9. . . .. ,Block, ?? . . . .. ,UNIT ..~.......... ,of Sebastian municipal cemetery as per Plst 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 aU times in accordance with the rules and regulslions, ordinances and resolulions of the City of Sebast~n, Florida, hereto- fore, now and h.r..n.r adopted or provided for tha gO\ietlilnant and op.ratlon of said cern.tary. Th. condition I, restrlctloh. ahd req,ldlementl contelned 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, resolulions 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 affixed, the day and year lust above written. CITY OF SEBASTIAN, FLORIDA Atte5t~uhu.J1? 0 dC(t.th.~,.....,.. - I City Clerk Sig~Jed nlld Delivered In the s ce Of'd ),1 , u~f.~.............""" ... ,~~~..,...,....., ,....., B~~~~.,..........,....... /-7 MaTor (<<Iitu ~l'1I1) S ATE OF FLOUIDA COl'NTY OF INDIAN RIVER 1 HEIlEBY CERTIFY, Thllt on th~r.4.....,.........,.,... ,day of .,.,..,.. .~~.~J:?~!;',.................., ,........, 1..9~.., Ruth Sullivan Kathryn M. O'Halloran bl.fure me personally appeared ................,...,..,.,.,......,...,"",............," and .,.,.,..,..,........................... resp..ctive1y Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the Indi"idulIl. IIl1d officer. described In nnd who exeeukd the fOfl'golng CORveyance to ...................................... .Do,~9.re.~.A~. .~.~C;;m~~..................,..".., . , , . ' , . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . . .. alld severally acknowledged the execution thereot to be their free act and deed 8S sllch officers thereullto duly authorized; and that the Official senl of said corporation Is d ffixed thereto, and the said conveyance is the IIct and deed of said corporation. t" . ---- l' ,,'~';';:if;c. LINDA M, GAllEY 'II~:{A,' 'd MYCOMMISSION'CC740478 A ~.;. - ,.;,..~ EXPIRES: JU/1818, 2002 _~.. _~"r::;.'~'''~'' Booded Thru Notary Pubfic Underwriters ~ \J WITNESS my signature and last aforesaid. ~.. Name :ro 1-1 ^' j.Jo rn i\ n J" l'"-K Unit 1/ 019 Block Lot r1.0 Date of Mark-out /1... /2-- 1 B Date of Burial /1- 1-1- '1 f} Time ~Rj LL /:l: 6 () 10. In- , Q,~, v oj' ,'" . . THE SEBASTIAN CEMETERY CITY OF SEBASTIAN~ FLORIDA Dollars ($ ~ I r;P-; FROM: on thi~ ;'~ day of , .19~ for the purchase of the follow~ng described C e ery Lot(S)/N~che(s) upon the terms and conditions as stated'herein: Description of Property: ' Cemetery Lot'"f:>~:-~{ t- d6 Block 02A Unit Purchase price.~' ;~AdA.ed ~ Dollars ($ 01:)~ - ~;r~5JD~S29n, ~lI;::JuJ ~t..t f ~CO> ill ~Ccontract shall be'b~nd~ng upon both part~es, the Oe:~er and the purchaser, when approved by the owner of the property above described. 1 -.' I, or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditioils stated in the above instrument. Witness r if. ~,-- . . City of Sebastian 1225 Main Street 0 Sebastian, Florida 32958 Telephone (561) 589-53300 Fax (561) 589-5570 E-Mail: cityseb@iu.net December 8, 1998 Dolores A. McGuire 881 Doctor Avenue Sebastian, FL 32958 Dear Mrs. McGuire: Enclosed is Cemetery Deed No. 1662 for Lots 20, 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 . convenience. Sincerely, ~~!17. D'!faU#A.- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures State of Fl.. Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT . L c;c /3;)1 tI~ A. 1. Name of Deceased (Type or Print) First Middle Last DATE Month Day Year OF DEATH November 11>> 1998 John Homanick 2. Place of Death City, Town or Location County Indian River Vero Beach 3. Name of Medical Certifier Name of (If neither, give street address) Hosp. or Inst. Indian River Memorial Hospital Muhammad Faroog>> 4. Name of Funeral Home/ Direct Disposer Young & Prill a 0 M.D. Medical Examiner Address 777 37th Street Suite A-I04 Vero Beach>> Florida 32960 561-567-2277 Fla. Lic. No./Reg. No. Phone Number (Area Code) 2415 561-589-1933 Phone Number 5. Check Appro- priate Box Physician Address 735 Fleming Street Funeral H e Sebastian>> Florida 329 8 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b Ii1 nT _ Mllh;!mm;!c1 V;!Tnng, M n was contacted on 11-1 ?-QR 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 He 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 Final Disposition: Sebastian 7. Funeral Director/ Oir,.~t ni"rt"\'i~" Cemetery Removal from state , F.E, No./Reg. Nc, B. BURIAL - TRANSIT PERMIT Permit No. 2415-012-98 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 Cou in which death occurred. o No extension of time for filing the death rtifi e requested Registrar or Subregistrar Signature Date Issued: Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature , Medical Examiner' Date or 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. D, CEMETERY OR CREMATORY Methods of Disposition: ~ BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition 1t:::C;~ . ~..~ I Signature of Sexton ) or Person-in-Charge ) f.w";'" \. (1/~...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. DH 326. 10/96 (Replaces HRS Form 326 which may be used) (Slock Number: 5740-000-0326-2)