HomeMy WebLinkAbout4-28-21f~i#~ of ~rhtt~#i~cn
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THIS INDENTURE MADE TWs ........?~........... day ot .....M3y ................................... A. D., Ie98...,
between the Ctty of Sebastian, a municipal corporation e:leting under the laws of the State of Florida, as Grantor and
..Many. Ann Va ario
729 Carnation Dr
......... Sebastian,....32958 ............................................................
....................................
of the County or Indian. River, , , , , , , , , , , , , , , ,, , , , , , , , , , , an.1 State of ...... k'~Q>; ~c~a ..................................... .
as Grantee, WITNESSETHt
1 000 00
That the Grantor for and in consideration of the sum of $ .. J ....:.................. to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee her , , , , heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s)21&??. ,Block, 28 ..... ,UNIT 4, .......... , 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, Florld~.
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 reguationa, 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, reatrlctlona and requirements contained
in this instrument shall be covenants running with the land. In the event o~ 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.
Attest: ~ ....................................
City Clerk
S' ned, S led and Delivered
~ the Bence oft
.......-r . . L% d~t(i.......... .
CITY OF SEfiASTIAN, FLORIDA
I;y .~y~~~' ... y. ~G.(~~~E~u~st,.ter ................... .
Mayor
~~Q[t~i ~eril)
sTnTE OF Fr.oltron
CUUNTY OF INDIAN R1VEA
I IIEItEBY CERTIFY, Thst on this ..~r2i ...................day of ...........May..................................., 1~8..,
Ruth Sullivan Kathryn M. O'Halloran
before ore personally appeared ........................................... and .......................................
respectively Mayor and City Clerk of the Clty of Sebastian, a municipol corporation under the Inws of the State of Florida to me known
to be the IndivWuuls and officers described In and who executed the foreguing coaveyunce to ,
Mary Ann Vallario
.......................................................................................... .
,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and severally acknowledged the execution thereof to be their free act and deed
us such officers thereunto duly authorised; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is the net and deed of said corporation.
WITNESS my signature and otficlal seal at Sebastian, In the Cou ty of ndl n River an State of Florida, the day end lea;
last aforesaid. ~ ~~
~+~~~~?;._ IAY COMMISSION~ES75724 .. ... ... .. ........... .
$h _ p~fiES;,kns/g,11~ ~~, u. lie, S, o da at Lsrge.
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0o~e4 Pt~Ms My coeumisslon expireat
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Name~~'`/ ~`~CJ'4S/ ~ .. ~~C f 9 '~ ~
Unit
Block
Lot
Date of Mark-out ~ a~°7 ~ f ~~
Date of Burial ~~~~~~ Time ~ '
Name of Funeral Home= ~~~ ~ rl
Authorized by A '
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THE SEBAST.~AN CEMETERY
CITY OF SEBAST.7AN, FLORIDA
(A~CICNGWLEDGFD OF THE SLIM OF:
~J ~ ..
FROM:
~~ Y ~~
Dollars ~~
on this 2~- day of , 1~~ for the purchase of the
following described Cem~te (s) pon the terms and
conditions as stated herein:
Description of Property:
Cemetery Dot (s - ~~ 1 ~-~- B1ock ~~ Unit
rurchase rric •~~ _ v Dollars ($ ~, ~~,C~
0
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, 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) ofi the erms and c~rd,~tions stated in the
above instrument. \ ~~ r ~1w \
S
Witness
~.. O4~ °Q ~''`
~ ~
'~® 4~
City of Sebastian
1225 MAIN STREET o SE$ASTIAN, FLORIDA 32958
TELEPHONE (561) 589-5330 o FAX (561) 589-5;,70
June 2, 1998
Mary Ann Vallario
729 Carnation Drive
Sebastian, FL 32958
Dear Mrs. Vallario:
Enclosed is Cemetery Deed No.1630 for Lots 21 & 22, 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 marked with an
"X" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your
convenience.
Sincer ly, ~,y~ ~~~"
LLG ~ ,.
Kathryn M. O'Halloran, CMC/AAE
City Clerk
KOH:img
Enclosures
rzoiunw nz~wx~rhmxrToP State of Florida, Department of Health, Vital Statistics ~ `~~~ '~ '~
~~ 1 APPLIC~N FOR BURIAL -TRANSIT PERMIT ~ ~J ~~/ ~
A. (Type or Print) y /
1. Name of First Middle Last DATE Month Day Year
Deceased OF
Anthony J . Vallario DEATH March 24 1998
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
Indian River Vero Beach Inst. Indian River Memorial Hospital
3. Name of Medical Medical Examiner Address Phone Number
Certifier
Pedro Es at, D.O. Physician 7965 Ba Street, Sebastian, FI 561-589-5600
4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code)
Direct Disposer 1623 N. Central Ave.
Strunk Funeral Home 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
~ Ina was contacted on 3 / 24 / 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. Espat will complete
and sign the medical certification of cause of death.
c ^ was contacted on . He/she verified that
,Medical Examiner, will complete and sign the
medical certification.
6• Place of Sebastian Cemetery In state cemetery/ Removal
Final Disposition: rematory -name/ nty: Indian River from state Donation
~• Funeral Director/
Diaeei~Di~c~cer S~i ture F.E. No./Reg. No. Date Signed
~ ~ r 18 6 2 3/ 2 4/ 9 8
g BURIAL -TRANSIT PERMIT 1228_98_0147
Permit No.
Permission is hereby granted to dispose of this body.
^ 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.
Date g Date Certi ' ~ Q ~,
Subregistrar Signature -r-~ ~' ~~ Issued: ~ Due:
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
Methods of Disposition: Place of Disposition ~-~~-~~~^' ~~-'- "~
BURIAL ^ STORAGE Date of Disposition 7~l~c-~ 2 7~ ~~~`~
^ CREMATION ^ OTHER (Specify)
Signature of Sexton )
or Person-in-Charge) ~:. 1
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)