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}
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