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Home My WebLink About4-28-07U-fi~t nt ~d'r.~tt.~~i~ttt ~-~ p y}~ p* p ~ 16 2 8 rG J1 g rG i •G ~ ~ ~ ~ ~ ~ NO. 'T'HIS INDENTURE MADE T6L ...........2nd. • ..... day of ............ •Jl]Ile ........................... A. D., 19.8..., between ll+e Clty of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ' Ernest Beck . P. D ..Brix' ~ 89' ... .....•...•.,..• ............................Vero Beach, FL 32961 ........... ......................................................................... of the County er .....Indian,River ...................... and State of ............~'.~~.QI;].C~................................ ae Grantee, WITNESSETHr That the Grantor for and in consideration of the sum of $ , . , , ,1,r,5~ ~ ~~ , , , , , , , , 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 Yl1S , , , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) 6Se7 ~ ,Block, ?$ , , , , , ,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 Rivex 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 titnea in accordance with the rules end regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operatlon of said cemetery. The ~ndltione, restrictions and requirements contained In this instrument shaLL be covenants running with the land. [n 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 ti" • of such owner in and to said property shatl 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 yeaz first above written. ~- ~'~a.Q~.~. Altest: .....~ ....... ....................... City Clerk . gned caled and Dclive n tlr resence o STATE OF Fi,ORIDA CUUNTY OF INDIAN RIVER CITY OF SEilASTIAN, FLORIDA `~ r IIy t~.. .GG f/. / . .................... Mayor (fQit~r ~ettQ I I-IEIIEBY CERTIFY, That on this ....... 2na............day ~f ....................Jl???e........................., 19.98, 6rfore me ersanell a • ...Ruth Sullivan p y ppenred Kath M. 0 Halloran ..................................................... and ~1.......~...................... respectively Mayor anti Clty Clerk of the Clty of Sebastian, a municilxd cory~oratlun under the laws of the State of Florida to me known to be the indlviduuls and officers descrllred In and wha executed the foregoing cuaveyance to Ernest Bec ....................................................................................................................................... and severally acknowledged~thc exec mr ther t to be their tree act and dyed es such officers tl+ereuuto duly authorized; and that the Official seal of said corporation 1 y of cd tl reto, and the said conveyance is the- act and deed of sold corporation. ~ ~•.~ WITNESS rn si nature end official seal at Sebastian !n the Coun aril er d State orida, the day end year Y B y last aforesaW. ~~ ItNCA~t 9 ;~~ .~ ;: . ALLC =,: •~ ..: Mr L'GM141S51Jr~ s C 40478 .... ~ ..... ... .... .................... . -"s'•.~Y ~_? EX?niES.,)un5~9,2002 Notary ubtlc, St of Florida at Lar e. ?•~~'~•'TD ~.'^hry F'nry:dndanr+Mers My co teal expl esr r!j`j I` J Name- f~,,t..~~ (~ l`7 ~` ~ '"~ ~, .. ,~ y~~_..,,E' d 4. Unit Block G Lot rv~ Date of Mark-out ~~ ,r - ~ , ~ t~, / Date of Burial ~ ~,,7 ~ ,~ ry Time ~ ` ~ ~ ~ ; ~ , r Name of Funeral Home ~ .._ Authorized by • -- _.--- _ , __ _ _ J FLORIDA DFPARTMENI OF ~'~ ~ / ~ T State of Florida, Department of Health, Vital Statistics ~s ~~ APPLIC~N FOR BURIAL -TRANSIT PERMIT • ~ `'~`~ A. (Type or Print) ~ ~~ 1. Name of First Middle Last DATE Month Day Year Deceased OF Arlene Lou Beck DEATH Feb. 28 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. 6129 Atlantic Blvd. 3. Name of Medical Medical Examiner Address Phone Number Certifier Charles Fischman, M. D. Physiciari 1600 36th Street, Vero Beach, FI 561-569-6112 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 Appro- priate Box a ^ The medical certification has been completed and signed. A completed certificate of death accompanies this application. b ~ Vicki was contacted on 3/2/98 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. Fischman will complete and sign the medical certification of cause of death. c ^ medical certification. was contacted on . He/she verified that ,Medical Examiner, will complete and sign the 6• Place of Sebastian Cemetery state cemetery/ Removal Final Disposition: ematory -name/ nty: Indian River from state Donation 7• Funeral Director/ /~ ture F.E. No./Reg. No. Date Signed DirQCt..DisPnsP~ ./ _ ati ~ ~ / ~ / 4 R g. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. ^ 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. Regisharor Date Date Certi Subregistrar Signature ~"'~ Issued: ~ ~ ~ 9 Due: ~ ~ 9 ~ 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 ~-0~-~ ~ --~ ~~ ~v~, BURIAL ^ STORAGE Date of Disposition ~'~CCy~e~ ~, ~~96 ^ CREMATION ^ OTHER (Specify) Signature of Sexton ) or Person-in-Charge) ~~z.. ~- s (f~.~r~ This permit must be endorsed by the Sexton 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. OH 326, 10/96 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) J