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Home My WebLink About4-28-16� �it� nf �brk�tt�#ittu ��erit�e#Pr� �P,ed� No. `'1633 THIS INDENTURE MADE T41s ........Z8tY1........ dey ot ............ MaY ............................ w. n., 1898..., bet�ceen tl�e C3ty of SebustIan, a municipal corporatlon e:iet[ng undcr the Iswa ot the 3tate of Florida, ne Grantor and Jeff Tomberg . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. . . . . .. . ... . . .. . . .P'.0:� 'SOk. .85 . . . . . . . . .. . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . ... . . .. . . . . . . . . Wabasso, FL 32970 ............................................. ............................................ ............................................ of the County or ....Indian,River ....................... ,�i Stnte at ...........�'�Qr].C�ti.................................. as Grwntee, WITNES9ETH� That the Grantor for and in consideradon of the sum of S... � SO.•.�� ... .....,,, to lt in hand paid, the receipt whereof ts herewith ac- knowledged, does by thls instrument grant, bargain, seU, release, convey and confirm unto the Grantee 1ils. .... heus, legal reprasentatives and asslgns the fotlowing property situated in Sebastian, Indian River County, Florlda, to-wit: All of Lot(s) .16. .. ., B1ock, .28 ...., UNIT 4. ... .. ..... , of Sebastian muniapal cemetery as per Plat Number 1 thereof recoided in Plat Book 2, at page 65 of the public records in the ofSce of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being ln Indian Rlver County, Flodda. To Have and to Hold the same forever; provided that said pioperty shall be used solely and exclusively for the interment of the human dead and shall be used, kept and malntained at all times in accordance with the rules and regulatlons, ordinances and resolutlons of the City of Sebastian, Florida, heceto- foro, now and hereafter adopted or provlded for the government and operation of said cometery. The conditions, raettictions and requlrements contained in this instrument shall be covenants running with the land. In the event of the failure of the owner of any p:operty situated within said cemetery to ob- serve and comply with such rules, regulaUons, resolutions and ordinances and the conditions of the dCed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall reveit to the City of Sebastian, Flotida. IN WITNESS WHEREOF, The said party of the Fust 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 fast above written. / 1 �� •��..�GO� e�-�L Attest: ...� ................................... City Clerk Sign , Seel d und Dclivered � In e Pr nce o�: � /%/ ... ..... /.....:... . .. ��Ql'`•(,v ....... _ ��a�-. ,�: �v,,0- .. .. ..:..............`�:�.:... CITY OF SEilA6TIAN, FLORIDA Bs . �.,QCC�X.�•'�� .. . . . . . . . ..... . . .. .. Mg�o� ��i[��f �SPMI� STA'I'F OF FT.ORIDA COUNTY OF INDIAN RIVER I HE1tEBY CERTI[�Y, That on this ..Z8t11 ...............day �r .........Ma?.'....................................., ie98, brfore me personally appenred Ruth Sullivan Kathryn M. 0 Halloran t ................ ........................... end ....................................... respectively Meyor and City Clerk of the City ot 3ebastian, n municipal corporution under the ]nws of thc Stnte ot Florida to me known to bc the iudividunls unJ officers descrlbed ln und who executcd thc foreguing cuwveyunce to .............................................. ... Jeff, Tomberg .................................................................... ,,, ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and severully scknowledg��d thc executlon thereof to be thelr free act and dee� es such officers tlieremdo duly authorized; and that the Ofticinl senl of seid corpuratimi s July affixed thereto, end the seid conveyunce lA thc nct und IICC(� ot safd corporatlon. r � �� WITNESS my signature and otficlal oeal at Sebestlen, !n the lest eforessid. _,C�^ LINOA M. ('iAL�tr t MV COMMISSION l CC 97572A ` p(PIRES: Ju �D� �� gqMed ThN NotarY ' _ Notnry My con o[ Floride, the dey and �ear ...................... Florlde et �, �� r � 0 Name Unit Block �ot � 6� �N ��T-�f /�u y,8.�.� n - �— Date of Mark-out ��/ J'�/'G.� Time � � � Z Date of Burial �— Name of Fune Authorized by 7 LZ. N N � S m i � 0 � e O � :� . < � � T � � m • � � � s � � .a o �+ m 6 � C c 0 0 O W A W O (T 0 0 0 °o °o 0 0 p �,n (T U CT O O O O O O �O (�.� (,.) A � � N OOD � � � N O � O O O � � n � n m r C) G� � �`c `° � ° v. � � Z � � � y m � � � ,� p � n y i�` T � d O (n y � ` � � 3 ii � � . T ? � � � � O c � � � � � N x � � a o Cj � � 0 a � A mmo n � H �tR W � p y T � � Z m � � � � ROBERTA ANN (BOBBE) TOMBERG Born June 8, 1931 to Augustine Herman Massey and Una Lee Tucker Massey and passed away September 26, 2012. She moved to Miami in 1948 from Connecticut and to Boynton Beach in 1955 with her husband, Joseph Tomberg, Attorney and former Boynton Beach City Judge. Bobbe graduated from the University of Miami in 1951 and was a former member of Boynton Beach-Delray Beach Board of Realtors and the Jr. Womens Club of Boynton Beach. She was predeceased by Joseph Tomberg on April 10, 1998. Bobbe is survived by 2 sons, Jeff Tomberg and Mark (Lori) Tomberg; 4 grandchildren, Jason, Ashley, Veronica and Andrew; 2 great grandchildren, Justin and Joseph; 2 sisters, Amanda Clark and Professor Emeritus M. Minnette Massey; 1 nephew and 2 nieces. ! �_ , ; FUNERAL DIRECTOR'5 REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBAS7IAN MUNICIPAL CEMETERY $EBasTiAN �� . noMF a� rFUC�H iSUnD For information cvnlacl: Kip Kelso - Cemefery Sexto�l Sebastian Munrcipal Cemetery (772) 589-2545 FUNERAL HOME: ADDRESS: " PHONE #: City Cferk's Oftice City Ha(1, 1225 Main Street Sebastian, FL 3295B Office (772) 388-8215 or 388-8214 Fax: (772) 589-557U r. �' (Check One) PEN F3UR{AL LOT �ot Bloek Unit EN I;REMAINS LOT Lot _�Block �iUnit PEN COLUMBARIUM NIC�iE Niche Biock Unit BURIA� DAT� AND SERVICE TIME: ��,�D�, FOR DECEASED: �'j�2P—��o� /�,G�°. Cj . iv�me � W fJAME AND SIGNATURE OF L07 OWNER OR REPRESENTATIVE' (Musl provide proper documentation of ownership) .,1�/�f Name Signature Oate I certify that I have determined the ownership of the above described site that aN site fees and administrative fees have been paid and authorize open�ng ot same NA��1E AND SIGNATURE OF LICENSED FUNERAL DIRECIGFt. y�'�`' . Name < Signature Date -------- ------- -------------------------------------------------------------------------------------------------------- ------- Cemetery Sexton Certification: 1 certify thal I have checked the ownership inforcl�at�on by viewing the owner's deed and confirming with Clerk's office �3nd �hat aN fees have been pa�d � ' , • /'L Ce te Sexton Date 7his forcY� Io be provided to Clerk's Oifice by Sexton for perrnanent record upon complet�on. FROM: • � THE SEBAST.7AN CE�ETE'RY C�TY OF S�BAS�:7A�1% FZ, pRIDA HEREBY AC �YGWLBDG�D OF THE SUM OF: �� Dollars ($�� . on this / ��`'�� day of � following escribed etery _. conditions as stated herein: Description of Property: Cemetery Lot (�Niche (s� , Purchase Pri 9 . 19� for the purchase of the (s) /Niche (s) upon the terms and /� BZock �� 7nit j � t0 O�! Do11 ars ( $� �l � Terms and Condition of sale: This contract sha11 be`binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agres to purchase the above described property on the terms and conditions stated in the foregoing instrument: The City of Sebastian egrees to e11 the✓abov entioned property to the above nam�-d purchaser(s) on the tez�is conditions stated in the above instrument . /" � �� ,� an Witness � City of Sebastian • 1225 MAIN STREET o SE$ASTIAN, FLaRIDA 3295g TELEFHONE (561) 589-5330 ❑ FAX (561) 58g-5�70 June 2, 1998 Mr. Jeff Tomberg P.O. Box 85 Wabasso, FL 32970 Dear Mr. Tomberg: Enclosed is Cemetery Deed No.1633 for Lots 16, 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 mazked with an "X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for yow convenience. Sincerel �� -} . �' (� �GZ,��.� Kathryn M, O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures Name— 'J D�� /'d 1'�. i�.'r�°� %� �!�' dt.,`7" Unit +' Block �ot t � Date of Mark-out �/��5 , Date of Burial ��/�,. � Time � Name of Funeral Home `��'�J� fa �� Authorized by _ i'.'D � ,� �� a �. '1� . __ _ _ � � _ _ _ _ __ _ Paid by CEMETERY Receipt No. ...... •••••.....Dated. List Price $ . . . . .750. 00 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 750. 00 ..... Maximum No. Burial Spaces .. Net Paid $ . . . . . . . . . . . . . . . . . . . . . � � � � � " " " ' Monument permitted . . . . . . . . . . . . . . . . . . . . . . . (Data above this line for City Ii�ecord on7y) �"'� ` �_". �) ,� _ NO. 1633 ______ __ __ �-r G IT �T�� `oF State of Florida, Department of Health, Vital Statistics � �� H r;A 1, AppLIC�N FOR BURIAL — TRANSIT PERMIT • �� /�/ A. (Type or Print) � 1. Name of First Middle Last DATE Month Day Year Deceased OF Joseph Tomberg DEATH qpril 10 1998 2. Place of Death County Indian River 3. Name of Medical Certifier John Suen, M.D. City, Town or Location Vero Beach Medical Examiner Name of (If neither, give street address) Hosp. or Inst. �ndian River Memorial Hospital Address Phone Number 87 Ro al Palm Bivd., Vero Beach, FI 561-770-4888 4. Name ot t-uneral Home/ Address Fia. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 N. Central Ave. Strunk Funeral Ho me 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 �'('' J udv �� was contacted on 4/ 10 / 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. Suen 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 In state c ery/ Removal Final Disposition: X cr m - name/county: I ndian River from state Donation �• Funeral Director/ i F.E. No./Reg. No. Date Signed ��r 1862 4/10/98 B. BURIAL — TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No.1228-98-0173 ❑ 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. Regiatr�-� Date Date Certif ate.� Subregistrar Signature —�-- ' � Issued: �"'� � � � 8 Due: ±�r�� !9 Y �� 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 Examiners 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. CEMETERY OR CREMATORY Methods of Disposition: Place of Disposition �� « I� BURIAL ❑ STORAGE Date of Disposition �t2u.� %3 ,/ 9� & ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person-in-Charge ) .�� .: , l'�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)