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Home My WebLink About2-37-11~~ ~~ n~ --~ t ~ ~ ./13/86 Paid by CEMETERY Receipt No.... ..........Dated .......................... . . ~ List Price S ...300 : DO ....... Maximum No. Putial Spaces ....-~ ......... . Net Paid S , , ,300:00..... , , Monument permitted .. , , , FI a t , .. , , , . , , . . Lots 11 & 12, Block 37, Unit 2 (Data above tbL Urk for City Record ody) NO. 1G73 Joseph Scarps 124 Englar Dr, Sebastian, F1, 32958 ~tf~ ~~ ~p~t~i~~tMri ~PI~iP fP~~ ~PP~ NO. 1673 TH18 INDENTURE li[ADE TIaL .... 13,th„ . , .. , ... „ day of ........March .............................. A. D., IY. 86. ,~ betM•een the Clty of Sebostlan, a mualclpal oorporatlon existing under the laws of the State of Flortda~ as araator snd ............. Joseph Scarfa...................................................................................................... 124 Englar Dr, .............S~bas.tiam,,.. F.1 ari,da ...32.95.8....................................... ............................................ of the County of ....Indian, River ....................... and State of ....Florida„..„...,............................... u Ciranteq WITNE88ETHt That the Grantor for and in consideration of rho sum of S , , , 300:00 . ........ . ... . ~ it in hand paid, the receipt whereof is herewith ao- lcnowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , h -? S, , , , hairs, legal representative and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) 1.1 ~ 1,2 ,Block, . , 3 ~ , . , ,UNIT , , , , ~ . , , , , , , , 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 River County, Fbrida. To Have and to Hold the same forever; provided that said property shall bo used solely and exclusively for the lntettnent of the human dead and shalt be used, kept and maintained at all times i» accordance with the rules and regulations, ordinances and rewlutions of the City of Sebastian, Florida, hereto- fore, now std hereafter adopted or provided for the government and operatbn of said cemetery. The oonditiona, rostrictlona and roquketnenta contained is this instrument shall be covenants rurudt-g 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 std ordinances and the conditions of the dCed of conveyance thereof then rho 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 part 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 wrporate seal to be hereto affixed, the day and year first above written. CITY OF SEAABTIAN, F IDA Attests ..... ... .. .~.t ............... ~By .. .....•.. .,. ~~ .j. ....... ........ City Clerk _ "M~~Qr ~ •- _ ,. Signed, Sealed and Delivered In rho Presence ott .Y. .{„f. I... .~r~ ...... ...... .... ........... ~~ STATE OF FLORIDA COUNTY OF INDIAN RIVER ,:~ - - , , _ -~ ~ ~ r - .. ..ice = ,...-~ t~#a ~e~~--,_ ? ,~ ; i ti ) n ~- I HEREBY CERTIFY. Thst on thL ......1 ~,th ............der of .... Ma.f~;t}, , , , , , , , , , , , , , , , ...................., Io8.6., before me pusonally appeared ....a.1.m..Ga~.~.~9~~x .................................... and Aebal'ah..C...K.L'ages............. respectively Mayor and Clty Clerk of the Clty of 9ebastlan, a municipal corporation under the taws of the State of F1orWa to me known to be the individuals and officers described In and rho executed the foregoing conveyance to ...... ~~,,..~R+~BE'1.rS.c~~'P.~ ........................................................................................................ .~'` ., ... ~ :.......:..:..................................... snd severally acknowledged the execution thereof to be thou free act and deed as such officers therounZu duly authorl:ect{ and that the OtfleW seal of NW corporatbn is duly affixed thereto, and the said conveyance is .1EtRe aRt: sad' deed ui.+.ld corporatloa. WITNESS my signature sad otflciat seal at Sebastian. In the County of Indian River sad State of Florida, the day and yar last }-fotesald. ` ~~'`~. \ Notary Pu State of Flory 1dL a<' i.irde. ... • ................ Idy eomvisslon e~(isgi Public, State of florida My Commission Expires Aug. 22, 1988 bonded ihru Iror F.~n ~ lu:.m,,,;.,, ,,,c ~ 9! y~ ~ TflE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida ~ RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: F r'1 ~1 ~~,~(~ld. ~i ~d Dollars ($_~fJl~Q ~2 ) _C~ FROM: - ~JS~~ ~'fl.~ Cc~ Q~cl ` -~ on this_L~ t ~i day of j--/ ~a ~ ~ t/ Z 9 for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) N / ,( ~. / ~ Blockii ~' 7 Uni tit ~ ~ ~ o Purchase Price~~~~~~,~ , ~ Dollars (,S~''UO •G ~) 1 Terms and conditions of sale: ~Q/, viz, G~.~•C - G~ # 7 y.L This contract shall be bindiny 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 sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. i t y of S b stun Witness E i Name. Unit_ Block Lot _ Date of Mark-out ~ . r ~, ? Time Date of Burial ~' - , a ,~, Name of Funeral Home ~`` f,: i ^~ Authorized by ~ `', SCARPA, JOSEPH 124 ENGLAR DR. SEBASTIAN, FL. 32958 RECEIPT #431 DEED #1073 LOTS 11 & 12, BLOCK 37, UNIT 2 ADDITION 2 .-- .~ ~; STATE OF FLORIDA ~ -7 ~ 7 - ,` /I ,ARTMENT OF HEALTH & REHABILITATiSERVICES L ~yY VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF IRVING GELLER DEATH ~y 10 1986 ' 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or BROWARD TAMARAC Inst. H.C.A. UNIVERSITY HOSPITAL 3. Name of Medical hysician Address Certifier MICHAEL MISHKIN, M D ^ Medical Examiner 7401 N. UNIVERSITY DR.,_ TAMARAC, FL. 33319 4. Funeral Home/ Name Address 6~ixoct_DiisgaSer STRUNK FUNERAL HOME 916-17TH STREET VERO BEACH FLORIDA 32960 5. Check a ^ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b ~ DR. MISHKIN was contacted on. 2. . He/she verified that Box this death was from natural causes, that there was no accident nor other external cause of death, and that HE will complete and sign the medical certification of cause of death. ~ ^ was contacted on . He/she verified that Medical Examiner, wilt complete and sign the medical certification. __ 1] _ 11 ~ 6. Funeral Director/ i lure Fla. Lic. No./Rey. No. Date Signed -a+reeE-9+~pe,e~r ~ 5-12- 8 6 /G. 7 L• B. BURIAL-TRANSIT PERMIT 1228-86-180 Permit No. Permission is hereby granted to dispose of this body. [~A five day extension of time for filiny the death certificate (exclusive of weekends) has been requested and granted. If it cannot be filed within this tune limit, a "Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ~,~ ~ Date Sub-Registrar Signature L- -Issued 5-12-86 C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature or Medical Examiner Date 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 ethod of Disposition: Place of Dispositio BURIAL ^ STORAGE Date of Disposition ~ p CREMATION ^ OTHER (Speci y) ~ ~~, Signature of Se~etrm-) or Person-in-Charge ) ..~•,. This permit must be endorsed by the Sexton or person-in-c arye or by e 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. HRS Form 326, APR. 81 (replaces previous editions which may be used.)