HomeMy WebLinkAbout2-12-12Paid by CEMETERY Receipt No.... 437 ......... Dated ...March , 24 , , 1,885 , , , , , , , ,
List Price S ... ~QD..QO....... Maximum No. Parisi Spaces ... 2 ....... .. .
Net Paid S .. , 300; 00, , , , , , , Monument permitted ... F.laz .............. .
NO.
~~ 1 G'7 8
Lots 11 & 12, Block 12 Fames and Kenyon Fish
Unit 2 (Data above tbls Une for Gty Record only) 11050 Roseland Rci, Sebastian
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TH18 INDENTURE IdADE This ........lath ........ day of .....March ................................ A. D» iP..$6 ..
between the City of Sebastian, a muafclpal corpoeatloa existing under the laws of the State of Florida, as Grantor and
.....................Fames. anc1, KenY.R(? . k:~S~................. ..............................................................
.....................1 1.050..Roselanci .Road,..Sebastian........................ ....................... ..................
of the County of ...Indian, River,,,,,,,,,,,,,,,,,,,,,,,, .nl state of ...~lorcia...................... ................
u Grantee, WITNE88ETHa
That the Grantor for and in consideration of the sum of S ...300 ;00, ,., , , , , , , , , , , , , to it in hand paid, the receipt whereof is herewith ao-
lnowledged, does by this instrument grant, bargain, sell, release, convey and wnfirm unto the Grantee , ,her , , , }1eua, iii reprpaontatives and assigns
.the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) ,1 1 &1 2 ~ g~~y~ , , 1.2, , , , UMT , , , 2 , ....... , of Sebastian municipal cemetery cis per Plat Number I thgrgof recorded in Plat
Book 2, at page 65 of the public records in the ofSsx of the Clerk of the Circuit Court of St. Lucie County of Florida; said land now lying and being
in Indian Rivet 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 atsall
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
}n this instrument shall be covenants running with the land. In the avant of the failure of the owner of any property situated within said.c~metery to ob-
serve and comply with such rules, regulations, resolutions and ordinaneea and the conditions of the deed of conveyance ~thsueof thou the titb;Pf such ownec
ht and to said property shall terminate and the carne shall revert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the first part has catraod 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 acrd year first above written.
CITY OF 5EAABTIAN, F RIA~
Arts sit .:-.. " ...i.C..::~`"~~.~F~r~'4.._/.'..~:-.. ; ~~`z~:c- ..x"'. H7 .. ` ~ ~ „ ......
City Clerk t~ ,a~o,P,~'"
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Signed, Sealed and Delivered ~" ..
'in the Presence of s - --
STATE OF FLORIDA -
(`.ntINTY OF INDIAN RIVER
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Dame of h/ ~ ,' u~' r ,~~ ~.' f~~ ~ /~ 5 '_
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Date d Burial Time ~l ! ~ 7 `~ 1 ; f~ ~ ~. ,K, ~ ~ ~,{~,
Name d Funeral Homy, / I ~ rr7 ~ ,~ 4
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CITY OF SEBAS'I~AN
CHECK REQUEST
Accounting Use Qnly
Input Date Fiscal Period
Document # Entered $y
Document Amount # of Lines Total HC Hash
To Be Completed $y Department .
Due Date 9 / 21 / 0 7 Single Check Y / N Y Vendor Number
LN
TC Document
Reference Organization
Code Object
Code Project
Code
Amount
001501 343805 $ 40.00
Number of Lines Amount $ 40.00
Description Refund of c.remain interment fee to Winnie V.anAntwerp for
her mother who was going to be buried in Lot 12, Block_12 Unit 2
ISSUE CHECK'T4
NAME Edwina VanAntwer
ADDRESS 5225 94th Lane
CITY Sebastian STATE FL ZIP COI?E 32958
DRAW CHECK FROM
APPROVED BY ~ DATE .
BUDGET APPROVAL (584000 ANB x85450 ONLY)
MAIL ATTACFIED DOCUMENATION tExcept for remit slrps, requesting department should attach
a copy of documentation along with the original)
L~~ OTHER INSTRUCTIONS Please give copy to City Clerk.
CITY OF SEBASTIAN
CITY CLERK'S OFFICE 3 9 3 7
RECEIPT
Name ~V 1 ~ p+
e-~'G~ ~rc-+ r KJ~~~ ash
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Ch
k #
_
'~ ~ ~ - ~ `
Date
l~ o
ec
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 CopieslBid Specs.
001501341910 LDCICode of Ordinances
001501341930 Electbn Qualifying Fees
601010343800 Cemetery Lots
LoUNiche 1 Z . Bbdc ~ Z .Unit
~O' DD
001501343805 Cemetery Fees
Total Paid ~ • 00
InRials.
FORT PIERCE CREMATORY
P.O. BUX 777
FORT PIERCE, FLORIDA 34954
We hereby certify that these are the cremains of __ Kenyon Eileen Fish
From Strunk Funeral Home
funeral firm
Permit No. 1228-07-0194
Date of Death May 2, 2 0 0 7
Date of Cremation 5 " $ ' O'7
# j2~ l~
the remains were received
Sebastian, Florida
city and state
Issued at Sebastian. Florida
FORT PIERCE CREMATORY
BY ~ ~ .
cremator
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