HomeMy WebLinkAbout4-29-26
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NO.
THIS INDENTURE MADE TIlla
24th
day of
March
A. D~ I~?....,
between Ihe City of Sebastian, a municipal corporation existing under the laws of the State of Florida, aa Grantor and
. , , . , , , , , , , , , , , . .~t~Y. .J::.... Win.t~.1;'JJ1\.l!:.~, ,and/.Qr. . Charles. .M. . Wintermute.., , , , . , , , . , .. . . .. . . . .. ... ........ . ......... .. .
P.O. Box 155
"",'.............................. .\Jabasso" ,FL. .32.970....,...................... ,..,........,.......................
of the County of . I.f?d,ia.r?-..~:!-Y~~.......................... ani Slate of .,......... ..Florida............. ..................
IS Grantee, WITNESSETH.
That the Grantor for and in consideration of the sum of $ ... ~ ).~99. '.99. . . . . . . . . . . . . to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargam, sell, release, convey and confirm unto the Grantee \:h~~~ .. heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(st.s.~??. ,B1ock,2.~...... ,UNIT ~............ ,of Sebastian municipal cemetery as per Plat Number I 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 herea/'ter adopted Or provided for the government and operation of said cemolery. 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 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.
C'IT OF ~ASVAN'FLORJOA ) _ .
n, /~{y~nnn
MAlor \
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24th
I HEREBY CERTIFY, That on thl. ...............",..... ,day of
March
99
Ill... ..
b,'fure me personally appeared,.. ~~~~~..~.'. .~I~~e~"" ,..'",.',,'.,'.".,...,. and ~~.~ ,~...q~~;q..P:r~.... ....
respl'etively Mayor and City Clerk of the City of Sebastian, a muniel".1 corporation under lhe laws of the State of Florida to me known
to be the inuiviuuuls ulld officers described in und who executed the forl'guing cORveyunce to
Betty E. Wintermute and/or Charles M. Wintermute
. , , ' , . , . , , , , . . . . . . , , . . . . . . . . , . . . . . , .. . . . . . . . . . . . . . . . . . .. and severally acknowledged
as sneh officers thereunto duly authorized; and that the Official scul of ..id corporati
is the uet und deed of said corporation.
WITNESS my signature and officIal seal at Sebastlan, In the
last aforesaid.
f Florida, the day and year
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GUARDIAN ilfl SAFETY
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE
RECEIPT
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No. Amount Paid
001001 208001 Sales Tax
001501 322900 Garage Sales
001501341920 Copies/Bid Specs.
001501341910 LOC/Code of Ordinances
001501341930 Election Qualifying Fees
601010343800 Cemetery Lots
Lot/Niche Block . Unit_
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001501343805
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I White - Dept. of Origin. Yellow - Flnence . Pink. Applicent
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Total Paid 7...5, i) J
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FLORIDA DEPARTMENT OF
State of Ft?~ ~~p{Jmenl of HeaRh, Vital Stallsllcs
APPLICATION FOR BURIAL - TRANSIT PERMIT
rco~t
\. (TYPE)
Name of
Deceased
First
Middle
Last
Date
of
Death
(If neither, give street address)
Month
Day
Year
Betty
Edwina
Wintermute
Dec.
29
2003
Vero Beach
Name of
Hosp. or
Inst.
Indian River Memorial Hos ital
Phone Number
. Place of Death
County
I ndian River
City, Town or Location
Name of Medical
Certifier Richard Cunnin
Medical Examiner
Name of Funeral Home/~r89t Qi8~8Elar
Establishment
Strunk Funeral Home
Address
m, D.O
Physician
Address
2000 38th Avenue
Vero Beach, FL
Fla. Lic. No.lReg. No.
Ave.
1228
772-7911-2277
Phone No. (Area Code)
1623 N. Central
Sebastian, FL
772-589-1000
Check
Appropriate
Box
a. D The medical certification has been completed and signed. A completed certificate of death accompanies this
application.
b. ~ Karen was contacted on 12/29/03
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Cunninqham 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
Funeral Director/
(;htl(,;[ ulsposer-
cause-of death within 72 hours.
FE No.lReg. No.
1862
Date Signed
12/29/03
BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 1228-03-0538
DA 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.
D No extension of time for filing the death certificate has been requested.
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Date
Issued: 12/29/03
Date Certificate
Due: 1/3/011
Subregistrar Signature
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.
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Mthod of Disposition:
~BURIAL
CEMETERY OR CREMATORY
Place of Disposition
~r-;
Sebastian Cemetery;:':
- .1
[JCREMATION
Signature of Sexton
oeerS?n-in-Char~
D STORAGE Date of Disposition I ql- 3 f .- ~tPo3
o OTHER (Spedly) ~ f ~ ____
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,is 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
thin 10 days to the local County Health Department in the county where disposition occurred.
326, 8/97 (Obsoletes all pravious editions)
:>ck Number: 5740-000-0326-2)
Distribution: White: Cemetery or Crematory
Yellow: Funeral Director or Direct Disposer
Pink: Local Registrar