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Home My WebLink About4-29-40(di#~ of ~pbtt~#ittn .~ . -. ~PritP#PP~ ~PPd No. 1,1639 11th September 98 THIS INDENTURE MADE TIrL ...................... day ot ............................................. A. D., I9......, between the Clty of Sebastian, a municipal corporation ezisting under the laws of the State of Flarkla, ss Grantor and Charlie. Wimi~leL~ex .................... ............ ~~~~~~ 525 Palm Ave ............................................. Sebaszian.,.F.L..32958............................................................ et the County of ........ Indian River . • . , . , . , , an'1 state of ...........F~,Or~.d~.. .......... .. . u Grantee, WITNE99ETHr That the Grantor for and in consideration of the sum of S .. 5~: ~ .... to It in hand paid, the receipt whereof is herewith so- .............. knowledged, does by this instrument grant, bargain, seB, release, convoy and confirm unto the Grantee 1iis , , , , heirs, legal reprosentativea and assigns the following property situated In Sebastian, Indian Rivet County, Florida, to-wit: All of Lot(s) , , 40, , , Bbdr, . 29... , ,UNIT 4. , ......... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Pht Book 2, at page 65 of the public records in the otflce o[ the Ck:rk of the Circuit Court of St. Lurie County of Florida; saki land now lying and being in Indian River County, Florida. To Have and to Hold the same forover; provided that saki 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 scootdance with the rotes and roguhtions, ordinances and resolutions of the City of Sebastian, Florida, heroto- fora, now and heroaRee adopted or pravkled for the government and opsrotion of said cemetery. The conditions, rosetlctiom and roqulrsments contained 1n this instrument shall be covenants running with the Isnd. In the event of the failure of the owner of any property situated within acid cemetery to ob- sern and comply with such rules, regulations, resolutions and ordhuutcea and the conditions of the dr'ed 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 acid party of the first part has auxd this instrument to be executed in its name and on its behalf by Ito Mayor and attested by its City Clerk sari its corporate seat to be hereto afflxed, the day and year first above written. Attest: . f/.v. /.. ~i~,~Z~:G."r:`.' ............. . City Clerk Signrd, Sealed and Delivered In the Presence ofr .. .'G~f/1.rn/•.~i~t~~'!r•'.`^ ............................. CITY OF SEiIASTIAN, FLORIDA Mayor (~Illq ,4~ex1) STATE OF FioRIDA COUNTY OF INDIAN RIVER I HEIiEIIY CERTIFY, That ~ thb .....,11th..._...,.„day of .........September ..........................~ Ig 98r before me personally appeared ... Rllttl„SIl~.I1V3Lt .. . . . ............................... and Kathryq M. Qr Halloran .. .. ..... ......... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the Iewe of the State of Florida to me known to br the Individuula anJ officers described !n and who eaecut~tii the foregoing cowveyance to Charlie Windheuser ....................................................................................................................................... ........................................................ and Severally acknowledged the exeeutlorr thereof to be their free act end deed ^s such officers thereunto duly authorlud; and that the Official seul of satd corporation IS duly affixed thereto, and the Said conveyance is the net and decd of sold rnrporaUon. WITNESS my eignsture and offlclai Seal at 3ebsetlan, in the Cou of n ver a d State of Florida, the day and yes.- ISSt aforreaid. LINDA M. GALLEY • ~ _ MY COMMISSION / CC T~0478 .. ..... .. ...... .................................. . i EXPIRES: Jisie i8, 2002 otary Pub State of da at Large. ~~ e°~n10N0~'~n My salon a:pirear 1 , 7~E SL'~AS?:ZAN CE~IE7ER~' CITY OF SL'BAST.7AN, FLORIDA rc~ 'IPT S H REB ~RaV I~Z'DGED OF TFIE SUM OF: /' ~~ (•~V Dollars ($ FROM: (1 9, l! t / ~ 1 _ • _~ ,. A /~ ~ i /I n ~ - ~ 5~ on this day o , 19 ~ for the purchase of the • following described Ceme ery t n the terms and _ conditions as stated herein: Description of Property: / • Cemetery I,ot `~ lJ BIo k ~ Unit . Purchase Price: Dollars ($ , ~~ Terms and Condition of sale: This contract sha11 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 descz'lbed property oa the terms and conditions stated in the foregoing instrument: The City of Sebastian agrees to;sell the abov ' entioned property to the above named purchaser(s) o~ the t~rms conditions stated ~in the above instrument. /1~ Witness Name ~~//S l~'r ~ ~~~ ~~_ U .Block Lot Date of Mark-out ~ / 7` / J 8/~s' 9 Date of Burial /r,~ ~ ~ ~ ~ ~``y'~` ~, Time !~ I 0 .. I „ Name of-F+~~neral`f-looat; ~ ~' ~ ~~~'' ~~> ~ r,°° °, r. - ,~'~ . ,. „ ., ... , y__,_. n r^ ~,! AAA Authorized-b~--- ~ a Paid by CEMETERY Receipt No.... . .Dated , , List Price $, 5~•~ ........... ............................ 500. ~~......... Maximum No. Burial Spaces . . Net Paid $ ........ .............. . ... • ...... Monument permitted ...................... . NO. :,169 (Data above tfiis line for Clty Record only) ~ y~ PIARmAD~ARTM@IPOF State of Florida, Department of Health, Vital Statistics ~ ~ j ~~ l ~ APPLIC/~1 FOR BURIAL -TRANSIT PERMIT ~ ~ r ~ A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Hans G. Windheuser DEATH July 27 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Palm Beach Palm Beach Gardens Inst. I-95 about 624 feet south of Hood Road 3. Name of Medical Certifier ueline M. Martin, M.D.,M.E 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Home 5. Check Appro- priate Box Medical Examiner Address Phone Number 561-688-4575 a 3126 Gun Club Road, West Palm Bch, FI Address Fla. Lic. No./Reg: No. Phone Number (Area Code) 1623 N. Central Avenue Sebastian, F) 1228 The medical certification has been completed and signed. A con this application. 561-589-1000 certificate of death accompanies b ^ was contacted on 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 will complete and sign the medical certification of cause of death. c ^ was contacted on . He/she verified that ,Medical Examiner, will complete and sign-the medical certification. 6• Place of Sebastian Cemetery In state ceme r Removal Final Disposition: emato a/county: Indian Rlver from state Donation ~• Funeral Director/ Sig F.E. No./Reg. No. Date Signed [~irec~t-Bi~oaer 1 Q a ~ ~/ z t/ o Q g. BURIAL -TRANSIT PERMIT Permit No. 1228-98-0334 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. Regish~ar-ei• Date ~ Date Certif' Subregistrar Signature M Issued: 1 ~7 Due: ~ 9 >j 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: Place of Disposition ~ ~~ <~ u,~~/J ~,EK° /. r BURIAL ^ STORAGE Date of Disposition Y3~5 / ~ ~ ^ CREMATION ^ OTHER (Specify) Signature of Sexton) ~•„ ~ ~~ or Person-in-Charge) _ .~(J l~ ~~ 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)