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HomeMy WebLinkAbout4-29-31.~tf~ of ~PhttSttMri • C~PII~iPfP~~' ~PP~ NO. ''166. 'T'HIS INDENTURE MADE Thls ..............~):d, .. , day of .......................DeCelilbeY'• • • . • • ... • A. D., IB. 98 .. betN'l'Cn the Clty of Sebastian, n municipal corporation existing under the laws of the State of Florida, ae Grantor and ...............................Tk~olnas .and/. or..Phyl..lis . ,Ingrao...................................................... . 596 Balboa Street ............................... Sebastiany..FL ~ 32958.................................................................... or the County of .Indian, River .. , . , • , , , , , , , , , , , , , , , , , , , , an l state of Florida ................... ................................. ae Grantee, WITNESSETHr That the Grantor for and br consideration of the sum of S ... 500: ~ ............... 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 their heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) , .31... ,Block, ;~~..... ,UNIT 4 ........... , of Sebastian munldpal 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 shag 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. Tha conditions, restrictions and requirements contained !» this Instrument shall be aovsnsnb running with tho land. In rho event of the falluro of the owner oP any property situated within saltt cemetery to ob- serve and comply with such rules, regulations, resolutions end 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 first pazt 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. e / ....~h .:.CJ~./.~cc:~.. ~.~:-- Attest: .. •••••••• City Clerk Signed a le and Drllvered In the, ~r a ce of: STATE; OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEfIAS'fIAN, FLORIDA Mayor ~~Qtt~r p~¢U~~ I IIEItEBY CERTIFY, That on this ....3rd.. • ......... . . . .day of December 98 ..................................................., 19...., brfure me personally appeared , Ruth StL111Van Kathryn M. 0 Halloran .................................................... and ..................... ........ resprctivrly Mayor and City Clerk of the City of Sebastian, a municipal corporation under the Inws of the State of Florida to me known to be the iudividuuls +urd officers described In and who executed the fou•going conveyance to Thoams and/or Phyllis Ingrao ....................................................................................................................................... and severally acknowledged the ex art thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corpuratim\ duly affix d thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, !n the Co my o c n l;~v~r and Sta a of Florida, the day and year last aforesaid. / ~ A I _,~i'".'%';;•.; LINDA M. GALLEY j;: ~ ~ .r M~ COMMISSION Ii CC 7 78 '' ~:,.~~• EXPIRES: June 18, 2002 __,_ ___ No ary u c, S at Florida at~Yirge . ~ ~ . ~ . ~ . ~ ~ . • • ~ .. • ~ .. ~~) ~ '~;F' Gelded"NuuNotaryPubscUnderwritws . _.a,.~.,. u:-a,.,,~.~ My commfeslon r r Name a~ ;~ ~~ ,~ . ,~_, Unit ~~~~ Block Lot Date of Mark-out ~' "% ~ ti' Date of Burial "" r ~%' "` Name of Funeral Home ~`~~'_ } r + .~'~.~ '' ~ s~ ,,. Authorized by , `°"~-~ Paid by CEMETERY Receipt No. , , , List Price $ .. ,5~~. ~ • .............Dated .................. . Net Paid $ .. -5~~. ~ ....... Maximum No. Burial Spaces ...... ......... . Monument Pe7mitted .. , . , . , ~, _ Time r ' ~ ''°"' ,., . I-' (Data above this Ilne for City Iteeord only) NO. 16~~ • • THE SEBAST.~AN CEMETERY CITY OF SEBAST.7AN, FLORIDA REC PT IS EREBY ACXiVOWLEDGED OF THE SUM OF: ~j, FROM: / /,/ A-Y,l ,y.n /J.u~ ~9? ~~ ~I ~~1,C ~ ,~ on this .L' ~ day of 19_y~~ for the purchase of the followin described C etery Lot(s)/Niche(s) upon the terms and conditions as stated herein: Description of Property:• Cemetery Lot (s) Block ~ Unit _~_ .• Purchase Price: % ( C~ ) Dollars 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 instrument: The City of Sebastian agrees to se11_the above mentioned property to the above named purchaser(s) on the terms end conditions stated in the above instrument. /' ~ / ,/ /~ Witness oQ ~y, 40~ ~ s rosy City of Sebastian 1225 Main Street O Sebastian, Florida 32958 Telephone (561) 589-5330 O Fax (561) 589-5570 E-Mail: citysebC~iu.net December 8, 1998 Thomas and/or Phyllis Ingrao 596 Balboa Street Sebastian, FL 32958 Deaz Mr. and Mrs. Ingrao: Enclosed is Cemetery Deeds No.1660 and 1663 for Lots 31, 32 & 33, 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 mazked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Sincerely, ~~ ~ ~~GZ,~~~-~ Kathryn M. 'Halloran, CMC/AAE City Clerk KOH:hng Enclosures ~;°® State of Florida, Department of Health, Vital StatlBUcs y~ ~14.t~L APPLICATION FOR BURIAL -TRANSIT PERMIT ~'~/ ~~l p. (T e or Print) Last DATE Month Day Year t. Name of First Middle OF Oecoased Garzl.tani DEATH Nov. 13, 1998 Laura Place of Death City, Town or Location Name of (lf neither. give street address} County Hosp. or Hillsborough Tampa Inst. John Knox Village Medical Center - Phone Number 3. Name of Medical Certifier ttarrln K. Mcllwain, M.D. 4, Name of Funeral Nome1 Direct Disposer Youn & Prill Funeral Home y. Check Appro- priate BOX a [] The medical cc this apPlicatlon. Medical Examiner Address - 470U North Habana Avenue Physician Tampa, FL 33614 6$5-5555 Address Fla. Lic. No./Reg. No, Phone Number (Area Godc:) 735 rleming Street 241301398 Sebastian, ~'1', 31958 (561) 589-1933 •tit;c,~tian has been Comple!ed and signed. A completed certificate of death accompanies b ~ Daisy, Receptionist was contacted on-•11/13/98 within~2 hours after death. He/she veririt,d that thi,• r--ipath was from natural .auses, that there was np accident Dr. Mcllwain will complete nor other external causF of death, and that and sign the medical certif~c~~tiun of c:~u~~e pt death. ~ ^ was contacted on . He/she verified that ,Medical Examiner, will complete and sign the medical certification, In state cemetery n an ver Removal 6, Place of Sebctetian Cemeter from state Donation Final Disposition: Burial X crematory - narr,e/County: F.E. No./o~ Date Signed 7 Funeral Director/ si nature ~ 11 / 13 / 98 Direct`f34~eeer t3. BURIAL -TRANSIT PERMIT Permit No, 2413Q1398 Permission is hereby granted to dispose of this body. ®A five day extension of time for filing the death certificate (exCh+Siva? of weekends} has been requested and granted as unduc3 hardship would result from filing within the normal time limit. Ir the cr?rtifiCatl? cnnn~t be tiled within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in wf:it~h death occw red. ^ No extension of time b- filin the death certif'rcat r~ste/~~ DatE Date Certificate Fieg~siC$C.4f , ,,_„_ issued: 11 13 8 ~ Due' 11 / 2~3~ Subregistrar Signature C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature M@C11c;a1 Examiner bate or Medical Examiner. ,gave ,iuthor+zation by fetephcne to fl~nerai U~rector/la+reCt ~i;poser Oate The Medical Examiner'; approval must be obtained Uetort; disposal by ar,y i~t the above methods. A waiting period of 4$ hours afte death iS required For all Cremations. D CEMETERY OR CREMATORY Methods of Disposition. Place of Dispesit;cn • L~BURIAL ^ STORAGE Qzts_ of Disposition ^ CREMATION ^ OTHER (Specityl Signature of Sexton) ~~ Or Person-in-Charge) ~-' This permit must be endorsed by the Secton or person-irl-charge (or by the Funeral Director/Direct Disposer when there is no Sexto and returned within 10 days to the local County Health Department in the County where disposition occurred. ot+ J28 10/96 (aeo+eeen rIRS Ko+m 37.E rhlcn mey b4 u9oe1 ($teck Nuntber•. 57x0-000.OJTE•T} ZtJ:~c~H,~ ~,`r~Ir„=~~i.~=,•~:_i1 _t+~~=~~_._ =^:~l~~:a ~~~:=+8~1J0~~~ t'~~'~Z :~b ~T-i10f