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Home My WebLink About4-28-20,r Named = 9` Unit / Block -.2'e. Lot �L 6) Date of Mark -out Date of Burial t6 /6 99. Time N arr Autr zJ 1 t r Name . Unit Block Lot " 0 Date of Mark -out ,� t� Date of Burial _, Time f E " Name of. Fune I Home Aut hb,r4zed b � AI (~itg of ~rbtt~tittri ,,Yb~O ~ ..~ ~PI11PfP~L~ ~PP~ No, THIS INDENTURE MADE Tlda ....6.th ............. day of ...Aug1181; ............................... A. D., Ig.99.., between Ilse City of Sebnetlsn, a municipal corporation existing under the laws of the State of Florida, as Grantor arsd ... my...~. una ...... 179 S. Willow ...............................................Fe 11.smer•t?., .. FL...3294.8..................................................... of the Connty ar ....Indian..River Flori a ...................... an'1 State or .................. ................................. w Grantee, WITNESSETHs That the Grantor for and in consideration of the sum of $ ..~ 5 ~ • ~ ~ , , . , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, seU, release, convey and confirm unto the Grantee ,her , , heirs, legal repreaentatlvoa and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ,?~ ... ,Block, .. 2 $... ,UNIT 4, , , , , , , , , , , of Sebastian municipal cemetery as per Ptat 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, 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 aU times in accordance with the rules and regulations, ordinances end resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation o[ said cemetery. The conditions, reserlctlons end requirements contained in this instrument shall be covenants running 3rlth 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 dCed of conveyance thereof than the title of such owner In and to said property shall terminate and the lama shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The sold party of the first part has caused this instrument to be executed in its name and on its be by its Mayot and attested by its City Clerk and its sprpo:ata seal to be hereto affixed, the day and year f"ust above written. CITY OF S B TIAN, F ORI ~ , a ~ ~C:~4~-~~ i 'By ..t~.. ~--4~ Attests ...................................................... ...... _ ... ......... City Clerk Mayor / ~_ (x~ Signed, S d and Delivered In th rase ce ofs rf"'?yGZ~ i ;.. ........ .............. (Qilfg p~stHl) i ~~ ~ .f.. ..~~~.~.~~ ......................... STATE OF FI.ORI A COUN'T'Y OF INDIAN RIVER I IIE1tEIIY CERTIFY, That on this ........6.th...........day of .............August............................, Io.9.9, before nse personally appeared Martha S. Winin er Kathryn M...O'HF111oran ................... ~............................ and .......... ...... respectively Mayor end City ('lark of the City of Sebastian, a municipal corporation under the laws of the State of Florda to me known to be the bsdlvidwda nod offlecra descrilxvl !n and who executed the foregoing copveyssnce to Amy Luna _ and severnlly acknowledged the execu hereof to be their tree act and deed as such officers thereuutu duly authorb:edl and that the Official seal of sold corporation Is d affixed theretd, and the srid conveyance fa the act and deed of add eorporallon. WITNESS sny signature and official seal at Seb a , n ant r Ind as er State of lorida a day end year last ntoresald. ' UNDA LEY s: i•t .. ... ......... .... ............ ~ MY COMMISSION 740478 ` EXPIflES: June 18, Not P bUc, State o Flor at Large. •~pj~ BasNd Thru Notary Puhac Undensdless My nnmrnl dnn emirate ~~ ~_ I ii i l 'I ~' i, ~ ~ 1 E `~., ~~ '~ cam'` ,. ~,. ~ i "~C3 = `f -~ ~ c~a; o m c ~. T ~ ~ u'. v g m d' , ~ U O O N .b N N ~ L ctl Z C ~ [ O n O ~ ~ ~ ~ J 0 ~ Z Q n z v v r w c z o ,~ ~ m 0 m x m 0 N N ~. ~ ~ ~ ~ N ' K fD ~ ~ y ~ ~/ ~.. .~ Ny . 2 Q ~ wr~,1 `stn ~ ~ 4 i 3 m !', ~'' i,~~ 'I i ~' ~, II~ ~-® - ----- L .Dated.... .................. Paid by CEMETERY Receipt No ................ _ List Price $ , ~ 5 ~ • ~ ~........ Maximum No. Burial Spaces ................. ' ~ ~ i.~ 7 5 ~. ~ ~ Monument permitted ...................... . Net Paid $ ................. . (Data above this line for City Record only) __ TIE SE~A~?'7A.N CE~'TER~' Cl~'.~' OF SE~A.S~, FLORIDA TIiF SLIM OF: Do? 1 ors ($ ~~~~ FROM: r S, lV ~ followin dL~seribedyCemete rots s Niche-'= for the purchase of the g rY (1 / () Pon the terns and conditions as stated herein. Description of Property: ,' Cemetery ,Lot ~Y BZock Unit rm Purchase Pric Dollars ($ Terms and Condi ' on 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 sell the . the above named purchaser (s) on the terms above instrument. ,~~ i. l ci ty~ _I C L~~ ° ~ ~W~^tness tinned property to itions stated inrhe ~i~ oQ II ~? ~ 4~ «,~,~. City of Sebastian 1225 Main Street O Sebastian, Florida 32958 Telephone (561) 589-5330 O Fax (561) 589-5570 E-Mail: citysebC~iu.net August 9, 1999 Amy Luna 179 S. Willow ~ - Fellsmere, FL 32948 Deaz Mrs. Luna: Enclosed is Cemetery Deed No. 1690 for Lot 20, 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 decide 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, ~. D• ~~~. Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures pwr-from~cemdeed.wpd) ~7~c~ ' ~ ~,~'. FLORIDA DEPARTMENT OF - State Florida, Department of Health, Vdal St~.,tr+ttcs ' / HEALT ~ ~ ~ APPLICATION,FOR BURIAL -,TRANSIT PERMIT G~ `~ . .. ~;r . ;. - X0004001 A. (TYPE) 1. Name of - - First Middle - - -Last - Date Month Day Year Deceased Abby Luna Death October 30, 1999 2. Place of Death City, Town or Location Name of (If neither, give street address) County Orange County Orlando Hosp. or Arnold Palmer Childress Hospital Inst. 3. Name ~f Medical Address - Phone Number certifier Gr Alexander Arnold Palmer Childress Hospital 407-649-9111 Medical Examiner Physician 4. Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Young ~ Prill _ 735 Fleming Street Funeral Home Sebastian, Florida 32967 2415 561-589-1933 5. Check a. ~ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. , Box b. ~ Dr. Gregor Alexander was contacted on 11-2-99 He/she verified that 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 within 72 hours. c ~ was contacted on He/she verified that - .. .- - _ - - -- - -- ,Medical Examiner, will complete and sign the medical ce 'fication of cause of death within 72 hours. 6. Funeral Director/ 'nature F.~,q~o./Reg, No. Date Sign _~ Direct Disposer G//1`~\oy~'/ _ B ~ ~ BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 2415-029-99 ®A five (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 hours. - ~No extension of time for filing the death certific to has been re ted. - - - Registrar or •: Date Date Certificate Subregistrar Signature -~~ ued: 11-4-99 Due: 11-11-99 ~. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date Medical Examiner, ,gave authorization by telephone to Funeral DirectodDirect 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 CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetarv ®BURIAL STORAGE Date of Disposition November 4, 1999 CREMATION OTHER (Specify) Signature of Sexton or Person-in-Charge ~_,~ _ ~ 'A This permit must be endorsed by the Sexton 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. Dislnbution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer DH 326, 6/97 (Obsoletes ail previous editions) pink: Local Registrar (Stock Number 5740-000-0326-2) ~d gag S:.olu°N°EV~ E"T°F State~,~,.~lorida, Department of Health, Vital Staffs ~ HEALT "APPLICATION, FOR BURIAL. -TRANSIT PERMIT A, (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased ~ Luna August 4, 1999 Death 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hillsborough Tampa Hosp. or Inst. St. Joseph's Hospital 3. Name of Medical Address Phone Number Certifier Dr ictor More 2814 West Virginia Avenue 813-875-8988 Medical Examiner Physician Name of Funeral Home/Direct Disposal 4 Address Fla. Lic. No./Reg. No. Phone No. (Area Code) . 735 Fleming Street Establishment Young Sr Prill Funeral Home Sebastian, Florida 32958 2413 561-589-1933 5. Check a. ~ The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. ® Dr . Morell was contacted on 8-b-99 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, will complete and sign the medical and that certification of cause of death within 72 hours. c ~ was contacted on He/she verified that Medical Examiner, will complete and sign the .,.n.i;r~l ,.en~f~~+inn of cause of death within 72 hours. B BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. ~~ ~ ~~99ngq ®A five (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 hours. ~. ~No extension of time for filing the death ce cate has been re ested. Registrar or Date Date Certificate ly~~-99 Due: 8-13-99 Subregistrar Signature ~. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: 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. Awaiting period of 48 hours after death is required for all cremations. D CEMETERY OR CREMATORY /~ ~ Method of Disposition: Place of Disposition ~ • = ~ ~~~ CJ~ j,/lc~ / 1>/ /2 ~1 BURIAL STORAGE Date of Disposition CREMATION Signature of Sexton 1 or Person-in-Charge 1 OTHER (Specify) This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectodDirect Disposer wnen criers Is no aextonl a~~~ ~~~~~t~~~ within 10 days to the local County Health Department in the county where disposition occurred. Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer DH 326, 8197 (Obsoletes all previous editions) Pink: Local Registrar (Stock Number 5740-000-0326-2)