HomeMy WebLinkAbout4-28-05~tt~J Df ~P~ttt13~tMri
PIMP#PI`I~ ~PP~1 NO. '1631
'i'H[S INDEN'T'URE MADE Tlda ......2.8.th......... day nr ..................May...................... A. D., 189.$...,
behreen the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, ae Grantor and
Isaias & Elda Gamez
............................149 ' S: ~ ~Nlagnolia ~ St........................................................................... .
Fellsmere, FL 32948
.....................................................................................................................................
of ties County of ....... TI1C1~311.~.~,Ye~ .................... and State of .........~'.~-P.X~da....................................
as Grantee, WI'PNESSETHr
That the Grantor for and in consideration of the sum of S ......750 • ~~ .. ........ to it in hand paid, the receipt whereof Is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirrn unto the Grantee their, , hews, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) 5...... ,Block, , z8.... ,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-
foro, now and hereafter adopted of provifled for the government and operation of said cemetery. The conditions, restrictions and tequkements contained
in this instrument shag 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 dried 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.
`~tQe~ U ~ y~• G~~ ~
Attest : ... ......... ........... ................
City Clerk
Aign}}~l, Sew d and Delivered
In F:e Pr ce ofC,~
cro/
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEIIASTIAN, FLORIDA
By ~~''~~CZ~~~ ....................
Mayor
((Qtt~r ~eal)
I IIEIIEIIY CERTIFY, That on this .....~.$ tl~ ............day of ............... ~>~y .............................., 1D. 9
r
before me personally appeared .. , . , ,Ruth Sullivan Kath M. 0 Halloran
.................................................. and ......~.............................
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State oP Florida to me known
to be the individuals and officers described in and who executed the foregoing coaveyunce to
Isaias & Elda Gamez
.......................................................................................................................................
........................................................ acrd severally acknowledged the
es such officers thereunto duly authorized; and that the Official seal of said arcporati n 1'.
is the rest and deed of said corporation.
WITNESS my signature and official seal at Sebastian, In the Coul y of err I
last aforesaid. I
LINDA M. GALLEY
MY COMMISSION M CC 37572
IXPIRES: Jmre 19, 1998 otary
9orded 7hru Notary P:rbAC llnderrrtlts My con
thereof to be their free act and deed
sari thereto, and the said conveyance
and Skate of Florida, the day and dear
~. .Y..w.~. ...... .......................
of lorlda et Large
J
• •
TIE SEBAST.ZAN CEMETERY
C17'Y OF SEBASTIAN, FLORIDA
~EIPT I HEREBY ACIC G" OF THE' SUM OF:
~~
'~"~~u ~~ DoZ_ars
lS ~~~~
FROM: ~(/1. .~~ .-uv;~~
on this ¢=-~---= day of /
following described C tez~
conditions as stated herein:
Description of Property:
Cemetery Lot(s~
S
Purchase Price:
Terms and Condition of sale:
~ for the purchase of the
~f gt upon the terms and
Block FT~ Unit
Dollars ($ ~ )
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 described property on the terms
and conditions stated in the foregoing instrument:
The City of Sebastian agrees to eZ1 the abov mentioned property to
the above named purchaser(s) on the to s d c ditions stayed in the
above instrument. ~
Ci
~~
Witness
O4~ °~
~ G
~~~ 4~
~,,'
City of Sebastian
1225 MAIN STAE7 Q SEBASTIAN, FLQRIDA 32853
TELE~HQNE (501) 589-5330 ~ FAX (501) 589-5~7p
June 2, 1998
Isaias & Elda Gamez
149 S. Magnolia St
Fellsmere, FL 32948
Dear Mr. &c Mrs. Gamez:
Enclosed is Cemetery Deed No.1631 for Lot 5, Block 28, 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 the receipt and ask that you sign and return to us the copy marked with an
"X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your
convenience.
Si~ncer~ely ~-y~ ~/J
Kathryn M. O'Halloran, CMC/AAE
City Clerk
KOH:hng
Enclosures
~~
Name ~ `~~
~'~
Unit
Block
~~
Lot
v:{ .:. ~ ~ :,a
-f
Date of Mark-out w• Y"`~~-' '
Date of Burial
Name of Funeral Home ~~~~~
Authorized by
Time ~~ '1,,> P,~ ;`:fi ~'~°~
Paid by CEMETERY Receipt No... .
"••••••• .Dated.
List Price $ . , 750.00 ... ............................ .
750.00 Maximum No. Burial Spaces . ,
Net Paid $ , _ , .... ,
' Monument permitted , , , , . .
< ~L''
L~-~ --
NO.
16~~
(Data above this line for City Record only)
_`>
f10RlDA DaPwRTMfNr OA State of Florida, Department of Health, Vital Statistics
~l ~~ APPLIC~N FOR BURIAL -TRANSIT PERMIT ~ ~ ~ ~
A. (Type or Print) ~/ /~
~1 /
1. Name of First Middle Last DATE Month Day Year
Deceased OF
Geraldo Gamez DEATH March 18 1998
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or and Women
Orange Orlando Inst. Arnold Palmer Hospital for Chidren
3. Name of Medical Medical Examiner Address Phone Number
Certifier
John Tilelli, M, D, Physician 85 West Miller St., #204, Orlando, FI 407-237-6326
4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code)
Direct Disposer 1623 N. Central Ave.
Strunk Funeral Home 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 !°~ Kelly was contacted on 3 / 19 / 98 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 _ Dr_ C:amP 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 cemetery/ Removal
Final Disposition: c atory a /county: Indian River from state Donation
~• Funeral Director/ natur F.E. No./Reg. No. Date Signed
Direet~iepeser 62 3 / 19 / 98
B. BURIAL -TRANSIT PERMIT
Permit Nod 228-98-0133
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.
R~ierirrt~--..er. ~ Date ~ Date Certifica
Subregistrar Signature ~ ' Issued: 3 ~ ~ 9 ~ Due: ~ Z
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 ~~~
~sT BURIAL ^ STORAGE p ~'JC}ii~.~ ~~ ~ ~~ ~
Date of Dis osition ,
^ CREMATION ^ OTHER (Specify)
Signature of Sexton )
or Person-in-Charge) __~~:.~- s /~~~.
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. 10196 (Replaces HRS Form 326 which may be used)
(Stock Number: 5740-000-0326-2)