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Home My WebLink About4-28-10r l1-i~~1 i11 3~4~ltii~~iF1Ii ~P1I[PfPT1J ~APP~ ~~. 1617 PHIS INDENTURE MADE TWa .......8tt1.......... Jay of ...........May .............................. A. D., 1898..., behceen the Clty of Sebastian, a municipal corporatlon existing under the laws of the State of Florida, as Grantor and ..............................Mal.co].In .&..Eva..Allen.............................................................. 462 Kendall Ave .......................................Sebastian•; • FL • 32958............................................................. of the County nr ..Indian,.River ......................... and Store of ....~'.~4.X~~~......................................... ae Grantee, WITNESSETHi That the Grantor for and in consideration of the sum of $ .......... ,SOO :OO , . , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, se B, release, convey and confum unto the Grantee t11Plr , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) , , ,10 , ,Block, 28, , , , , ,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 Cucult Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to I{old 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 rimes 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 rho government and operation of said cemetery. The conditions, restrictions and requirements 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 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 fast 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. CITY OF SEI)AS'1'IAN, FLORIDA IIy C./'~--- ..-etc,!'l•+~.is,i.' .................. Mayor ((Qtf~ ~frul) I }fE1tERY CERTIFY, That on this ........ $th 1.1ay 98 ...........dxy of .................................................... 19...., before me personally appenretfuth Sullivan Kath M. 0 Halloran .................................................. and .....r~ ................................ reapectivcly Mayor and City Clerk of the City n[ Sehnstinn, x rmmicipxl eorpondion under the lne~s of the State of Florida to me known to be the Individwds and oftlccrs described In and who executed the foregolug cuavcyunce to ~, ~ ~<r~~.fiGPy ~'e~. Attest : ............. ........................................ City Clerk Sign ,Sex d and Delivered In :e Yr nee ofL /I STATE OF FLORIDA COUNTY OF INDIAN RIVER .....................................~~.co~r-.. &..Eva..Allen............................................................... . .................................................. and severally acknowledged the executi f to be their free act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation le dui affixed th rata, and the said conveyuncc is the aM and deed of sold corporatlon. WITNESS my signature and official seal at Sebast the only latt 1 vc and 3tatc of Florida, the day end lea- last aforesaid. /1 LINDA M. GALLEY` MY COMMISSION A CC 3751714 I7tPIRES: June ig, t99B Barded 71xu Notary p~d:lic llmb:writan: r My com;<ule~xpirest Lindal M. Galley la at R ,\~ THE SEBASTIAN CEMETER ~' CITY Off' S'E'BASTIAN, FLORIDA 1~E EIPT S H REBY ACKNOWLEDGED OF THE SUM OF: l~ ~ ~°~ ~ ~~-r n Dollars ($- ~ FROM: ~' 1, &. Q.C~"~ 7 t~ `~ ~~ ~~~A ~G ~ c~ on this ---~ day of N ~ , 19 `~ for the urc fo1 base Iowan describe P of the g d Cemete Lo upon the terms and .. conditions as stated herein: Description of Property: ~ , Cemetery Lot ~~ _ Biock a~~ 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 described property on the terms and conditions stated in the foregoing instrument: °~ ~. The City of Sebastian agrees to the above named purchaser(s) on above instrument. 11 the ab ve mentioned property to e tens ~nd c~nion~ stated in the of Witness • O4~ °~ • ~ ~ City of Sebastian 1225 MAIN STREET ^ SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 ^ FAX (561) 589-5570 May 21, 1998 Malcolm & Eva Allen 462 Kendall Ave Sebastian, FL 32958 Dear Mr. & Mrs. Allen: Enclosed is Cemetery Deed No.1617 for Lots 1~, 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. Sincerely, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:hng Enclosures Name S~ ~CT f l~} Unit _i Block Lot ;'~ Date of Mark-out~~ ~~i -Time ~~ ' ~~ ~' ~+~ Date of Burial ~ ~ ~ ~ (E` Name of Funeral Home ~ ~ ~C.(~ l ~ ~r Authorized by_ J. ___ ~`~ I ~~ , lea f~ ~.1 ! ~ ve ~~b. ~~ ~~ . ~ __ ~. ~..~ Paid by CEMETERY Receipt No ................. Dated .............................. NO. List Price $ . 500' ~~ .. Maximum No. Burial Spaces ................. ~ ~ ~ --j Net Paid $ .500: ~O Monument permitted ....................... 1 c_.~~,~ ~~~~ (Data above this line for City Record only) /~/C' F tAR IDA D~ ART tvIFNP OF State of Florida, Department of Health, Vital Statistics ~' ~~ j ~ e T j ~'-r` ~~ APPLIC~N FOR BURIAL -TRANSIT PERMIT . ti j ~ / A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Soph ia Allen DEATH Jan. 4 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Roseland Inst. Sebastian River Medical Center 3. Name of Medical X Medical Examiner Address Phone Number Certifier Frederick Hobin, M.D., M.E. Physician 2500 S. 35th Street, Ft. Pierce, FI 561-464-7378 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 ^ 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 ~1 . Helen was contacted on 1 ~5~98 . He/she verified that ~""~ Dr. Hobin ,Medical Examiner, will complete and sign the medical certification. 6• Place of ~epastlan Cemetery I sate cemetery/ Removal Final Disposition: cre atory - na e/c nty: Indian River from state Donation 7• Funeral Director/ S' n~'re F. Reg. No. Date Signed r'~--'~-~ ~.L 1862 g. BURIAL -TRANSIT PERMIT Permission is hereb Permit No. 1228-98-0010 y 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. Date f I ~ l C~ ~ Date Certificat 9 19 Subregistrar Signature ~ ' Issued: Due: 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 ~e-~S'~ i 8 -'~ l~ E rn e ~e K U ® BURIAL ^ STORAGE Date of Disposition ~~ k0. 2v ~ ~ \ ~ q 8 ^ CREMATION ^ OTHER (Specify) Signature of Sexton ) or Person-in-Charge) .~~~- ~ _ nj _ _ t 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) J.