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Home My WebLink About4-29-34U.it~ ni ~rUtt~iittn ~PI~iP~P~~J ~PP~~ No. ''~~~si9 23rd March 99 'T'HIS INDENTURE MADE Tlda ...................... dwy of ............................................. A. D., 18......, between lire City of Sebastian, a municipal corporation existing under the laws of the State of Florida, ae Grantor and ...........................................AII>;ile . F.e>~gatt,o................................................................ . 1031 Landsdowne Drive ..................................................Sebastiarl;.. ~ ..32958...................................................... . of the County ar .Indian ,River .......................... an l State of ....~' ~,OXa-a$........................................ . as Grantee, WITNESSETHr That the Grantor for and in consideration of the sum of $ , . , , , , , , 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 ,her , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) 34 , ... ,Block, 29..... ,UNIT . , 4......... , of Sebastian municipal 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 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 hereafter adopted or provided for the government and operation of said cemetery. Tha 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 dCed of conveyance thereof then the title of such owner in and to said property shag 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. ~/ / n Attesh '~ ~~~..~... G.4. .. /' City Clerk Signal, Scale soul Delivered in,4he Pres e o . .... ....r... ~ .... ........................ CITY~EIIASTIAN, LORI ' ... .. .. .~ar."~ .~..... (lQitg ~ettl) sTnTE OF Fr.aIIIDA COUNTY OF INDIAN RIVER I IIEItERY CERTIFY, That on this ........2.3.T;d.........day of .............~a~.Ck1............................., 19.9., before me personally appeared Martha S. WIninger Kath M. O'Halloran ................ ........................ and .....r~.......... respectively Mayor and City Clerk of the City of 9ebastinn, x municipal corporation under the Taws of the State of FlorWa to me known to be the ludividuuls and officers described In uud who executed the turegahrg cuwveynnce to ....... Anne ,Fergatto ............................................................. .............................................. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and severally acknowledged the execution thereof to be their free act and deed es such officers thereunto duly author[zed; and that the Officixl seal of said corporation is duly affixedd tl~, and the said conveyance is the act and tired of said corporation. WITNESS my signature and official seal at Sebastian, in the County f Int n 1 fve of Florida, the day and dear lest aforesaid. ---- ,,.~.,, ? -:~:%r~s•; LINDA M. (IALLE '~-"f~ '`'' MY COMMISSION#CC7 78 ~ ""' '~~~~~~~~~~~~~~~~~~ L %•ss•~, ~;.~-- ` arge. EXPIRES: June 18, 2002 Notn ,ublic, State or orlda at ~j ''~.t o 'sy~,f•` Bonded Thru Nohary Public Undernriters PIy Cotutnlselon f ~i i _ Name `~t ~ :~,_'~~ Unit Block Lot Date of Mark-out ~... _. Paid by CEMETERY Receipt No............ ~ ~' ~` .....Dated ............. ................. NO. List Price $ .................. Maximum No. Burial Spaces ................ . NetPaid$ ,,,,,,,,, • • • • • • • • • Monument permitted ...................... . ! lb~~':~ (Data stave this line for City Record only) • • ~E SEBAST.ZAN CEMETERY CITY OF SEBA,S?'ZA1V, FLORIDA ~:"1 rl' ~5/ HERE y ACRaYOWLEDGED OF THE SUM OF FROM: Dollars /~ ~ ($ - ~i~G%~~l on this ~ day ~of 19`~ for the purchase of the following described a ry I,o u conditions as stated here Pon the terms and Description of Property:• Cemetery Zot Block `'~ Unit Purchase Price: i Dollars l S ~Y'U ~ ~ ~ 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 prope~y on the terms and conditions stated Zn the foregoing instrument: The City of Sebastian agrees to the above named purchaser (s) on above instrument. the above mentioned property to ~s ~~nditions stated in the K_ tj~ess • QCl oQ ® 4~,~° ~~~, City of Sebastian 1225 Main Street D Sebastian, Florida 32958 Telephone (561) 589-5330 O Fax (561) 589-5570 E-Mail: citysebC~iu.net Mazch 23, 1999 Anne Fergatto 1031 Landsdowne Drive Sebastian, FL 32958 Deaz Mrs. Melton: Enclosed is Cemetery Deed No. 1679 for Lot 34, 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 or call the Department of Revenue at (904) 488-9487 for more information regazding the completion of this form. 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, Kathryn M. 'Halloran, CMC/AAE City Clerk KOH:hng Enclosures ~3f - ~w n;~ ~ State of~'da, Departrnent of Health, Vital Statistics • /~ ~ / ,J / ~~ APPLICJ~f'ION FOR BURIAL -TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Irene M. Fergatto DEATH Feb. 23 1999 2. Place of Death City, Town or Location Name of {If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial Hospital 3. Name of Medical Medical Examiner Address Phone Number Certifier Michael Zimmer, M. D. Physician 2300 5th Avenue, Vero Beach, FI 561-567-7111 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 N. Central Avenue Strunk Funeral H ome Sebastian, FI 1228 561-589-1000 5. Check a ^ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b `fl T .rPSCa was contacted on 2/23/99 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 D r . Zimmer will complete and sign the medical certification of cause of death. c ^ was contacted on . He/she verified that medical certification. ,Medical Examiner, will complete and sign the 6• Place of Sebastian Cemetery In state cem ry/ Removal Final Disposition: crem ory ame/couffty: I ndlan River from state Donation ~• Funeral Director/ Si atu F.E. No./Reg. No. Date Signed (,ljrac^t DISnOC .r 1862 2 /23 /99 B BURIAL -TRANSIT PERMIT Permit No. 1228-99-0104 Permission is hereby granted to dispose of this body. ^ 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. ^ No extension of time for filing the death certificate requested. ~ ~ Issued: Z Z~ 9 Date Cer fic~t Subregistrar Signature Due: 3 C. AUTHORIZ;4TION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature ,Medical Examiner Date or Medical Examiner, ,gave authorizatbn 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: Place of Disposition ~YJ BURIAL ^ STORAGE Date of Disposition ~ ^ CREMATION ^ OTHER (Specify) Signature of Sexton ) or Person-in-Charge) ~.~ - ~ r~Lcz~ ~ This permit must be endorsed by the Secton 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) (Stock Number: 5740-000-0326-2)