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Home My WebLink About4-28-13aCli~~ of ~rutt~#i~n p yy~ p } p ~ '.Y~~~ •G ll~ i •L ~ ~ ~ ~ iG ~ ~ NO. THIS INDENTURE MADE TWs ..9.th ............... day of .....Au~l1St............................. A. D., 19.9.., behceen the Clty of Sebastian, a munlclpnl corporation cxlsth+g under the laws of the State of Florida, oa drantor and Katharina M. Kutch ................................................~ 50 ~ ~Gearge~ ~ S treat ......................................................... Sebastian, FL 32958 ..................................................................................................................................... of the Coanty of ......Indian_.Riyer,,,,,,,,,,,,,,,,,, anal state or .........Florida.................................. to Grantee, WITNESSETH+ 5 ~ ~ • ~ ~ , , to it in hand aid, the recei t whereof is herewith ac- That the Grantor for and in consideration of the sum of S .... .............. P ~ P knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , ,her heirs, legal representatives and assigns the following property sited in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ,13 ... ,Block, ,? 8 .... ,UNIT 4.......... , of Sebastian municipal cemetery as per Plat Number I 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. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the ]and. 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. ^. _ /~~~~ CITY OF SEiIABTIAN, FLORIDA w /Vr/) rLfJ/ B ~i~~z~~~~~ ~..:. ... Attest: ........................... 7 .. ...... ... ........ City Clerk Mayor Signed, Sealed and Delivered in the~l~esence of: _. .... ... 1!/t~:.. .~.tr .................... STATE OF FLOIt1DA COUNTY OF INDIAN RIVER ((lIrtg o~ei¢xl) I lIE1tEBY CERTIFY, That on this ........9.th.......:...day of AuguS.t ........................................, 1e.99, before me personally appenred Martha S. Wininger Kathryn M. 0 Halloran ................ ................. and .....................~................. respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the Stnte of Florda to me known to be the Individuals and officers described in and who ezecutcd the foregolug copveyunce to ................................................Katharina. M.t..K.uGc11.................................................... ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, end severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation Is dal ed thereto, and the said conveyance is the act and deed of said corporation. ~ WITNESS :ny signature and official seal at Sebastian, In the last aforesaid. ~- and State of Florida, the day and year ~~~ n,~,~ LINDA M. GALLEY Y MY COMMISSION N CC 740478 ~~~` EXPIRES: June 18,2002 ~pf~,••' BadedThruNoteryPuldkUndmrdters otary ubllc, 'ate of Florida nt 1 My comet n expirest • • TIE S~'BA.ST.~AN CEMETERY CITE' OF SE~A~ST.ZA.N, FLORIDA RECEIPT <-~' i FROM: HEREBY ACR~YOWLEDG ~. on this day of~~ following described Cem ery conditions as stated herein: Description of Property:• Cemetery Lot OF TH.~ SUM OF 19 Do11 ors ( °~ for the purchase of the upon the terms and ~ Block ~ ~ Unit " Purchase Pric~~/~~~'~Tl/,~~ ~a/ Dollars and Condition of sale: ~ ~ ~~J~~3 ~~h h s contract sha11 be binding u_t~on both arties, the seller and the p chaser, 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 i.n the foregoing instrument: The City of Sebastian agrees to sell the above mentioned property to the above named purchaser (s) on f~he tuns and cond~,ti,ons stated in zhe above instrument . r ~ ~ ~,Y i f of . • • City of Sebastian 1225 MAIN STREET ~ SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 ~ FAX (561) 589-5570 August 16, 1999 Katharine M. Kutch 750 George Street Sebastian, FL 32958 Deaz Mrs. Kutch: Enclosed is Cemetery Deed No. 1691 for Lot 13, 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. Sincerely, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:hng Enclosures (~wr-&om~ccmdccdwpd) //## 2 ~ r Name f~~ F~~~,,,~i ~> , ~Jt~ A... ~ r'~ `~ 1wc~'"/'y~s~a"~°e:~s ~ ~ ~ - r~ Unit Block Lot 1 , Date of Mark-out ~ ~ ~ ~ ~ "' s - - ,,~° Date of Burial ~" F r' Time - Name of Funeral Home ~ ' ~~ ~ ~ ~'~ Authorized by- ~ - i~ P - rt n 218-99-582 1558 27th Street • Vero Beach, Florida 32960 • 561-770-5795 Certificate of Cremation The cremated remains contained in this container are those of the body of Alfred B. Kutch as delivered to us for cremation on the 9th day of Aurn~st 7x99 by 'Thomas S. '`r'~~•~•~~-^+},~ (FUNERq~ DIRECTOR. DIRECT DlgpOe R Vero Beach m o114 (TOWN OR CITY) , Florida ~~ ~~ issued at UPxp (srgrE> .Beach Florida (TOWN OR CITY) ' (STATE) (Cremated remains have been LOWT F,R CREb9AT1 ERA ', 1~'C. wrapped in a p/astic pouch.) B Paid by CEMETERY Receipt No.. , , , List Price $ .. , 5 ~ ~.. ~ ~ • .. .........Dated ....... $ / 9 / 9 9 ........ _a Net Paid $ .. ,S ~~ ••~~.... , , Maximum No. Burial Spaces ... ............. NO. Monument permitted . , (Data above this line for City Record only) FLORIDA DEPARTMENT OF ~HEALT A. (TYPE) t. Name of First Deceased Middle Last Itiitrr~ Date Month Day Year of Death Atrn~srf- 6. 1999 2 Place of Death County IIXIlc'7S City, Town or Location ~ RiVpr ~ Name of Hosp. or Inst. (If neither, give street address) Sebastian River' MediC31 Center 3. Name of Medical Address Phone Number FrBC~GrI~ ~~ Certifier Medical Examiner Physician 2500 S 35th St. , Ft. PiAxve Fl. 34981 561-464-7378 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1555 27th Street Iawther Cre mation Service Vem Beaic~h, Fl. 32960 0000286 561-770-5795 5 Check a. ~ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ~ was contacted on 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 within 72 hours. c. ~ was contacted on He/she verified that Medical Examiner, will complete and sign the medi al certification of cau of deathwithin 72 hours. 6 Funeral Director/ natur F.E. No./Reg. No. Date Signed Direct Disposer - 2588 7 1999 B BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 2R6-94-11 ~, ®A f{ve (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 t,~urs. ~No extension of time for filing the death certificate has been ,r quested. Registrar or / Date Date Certificate ~--- ~~ Subregistrar Signature } r`~ -~~ (l ~M/""`~~'"~i~ssued: $/7/99 Due: c AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: M.E. 99-19-00433E Date 8/6/99 Medical Examiner, Dr. HOb111 ,gave authorization by telephone to Zb[ri I,oWtYler Funeral Director/Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. Awaiting period of 48 hours after death is required for all cremations. D FOR FUNERAL DIRECTOR/DIRECT DISPOSER USE ONLY t Date Burial-Transit Permit (pink copy) was filed with Local Registrar 2 Date Temporary Certificate was filed with Local Registrar: 3 Date Permanent Certificate was filed with Local Registrar: 4. Follow-up efforts & activities (Note parties 8 dates contacted): 5 Name and place of disposition: 6 Funeral Director/Direct Disposer Report Filed: Yes No Date Filed: b FUNERAL DIRECTOR/DIRECT DISPOSER COPY DH 326, 8197 (Obsoletes alt previous editions) ;Stock Number 5740-000-0326-2) ~ State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL -TRANSIT PERMIT