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Home My WebLink About4-28-27~i~~1 Dt ~P.l1MSfiMll ~emrtrr~ ~rr~ NO. ~163G 10th June 98 PHIS INDENTURE MADE Thla ...................... day of ............................................. A. D., 18......, between Il+e Clty of Sebastian, a municipal corporation exleting under the levee of the State, of Florida, as Grantor and ...................................Qnn..I..O.~.. I,U,C.~aT~P............................................................... 9380 101st Ct ............................................. Ve.ro..geach,..FL..32967..................................................... of the County or Indian River Florida ....................................... and state of ....................................................... as Grantee, WITNESSETH~ 1, 500.00 „to it • hand That the Grantor for and in consideration of the sum of $ .. ........... paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,~e Z, , , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s)? ~ & 2 8 ,Block, ,? 8.... ,UNIT , .4.......... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public rewrds 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 all rimes 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 In this instrument shall be covenants running with the Isnd. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with such rules, regulaHona, resolutions and ordinances and the conditions of the de'od 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 fast above written. City Clerk ncd, Scu-leAd''und D/el~iwered ~~ (~, .~, .~ Q,, ~ STATE OF FLORIDA COUNTY OF INDIAN RIVER ((LI'tt~r ~Q$~~ I IIEItEBY CERTIFY, Thst on this ........1.Q.t1i.........day of ............. June...,..........................., 18.98 b+•fure me personally appeared .......,, Ruth Sullivan Kathryn M. 0 Halloran ................................................ and ....................................... respectively Mayor end City Clerk of the Clty of Sebastian, a municipal corporation under the Inws of the State of Florida to me known to br the h+dividuuls and officers descrltred In and who executed the foreguh+g coaveyunce to ...........................................Ann. Lou.. Luciano.............................................................. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and severally acknowledged the rxecutlm+ thereof to be their tree act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation is duly, \hereto, and she said cunveyunce is the net and deed of said corporation. WITNESS my signature and official seal st Sebastian, In the lest aforrsaid. ~+ r~; MV COMMISSION~~740478 ~':.` ` EXPIRES: June 18, 2002 "~'f,.•o: hdf••' Bonded Thru NMUN Piblk Underw+Mero CITY OF SEBASTIAN, FL~~OR~IDA Mayor My State ~pf Florida, the day and year v ~ v Publ c. State o ,F orlda at Larae.~ J C ~ dame ~~r~, C ~` fr 7w~ .C~ r.1' Z~ t ~ r'? () Unit ~ - . I Block ~ ~ \ Lot °2 7 f Date of Mark-out , ~ ~ ~ / ~~° . ~ 2 Date of Burial_~_~ 7 T Time ,~ /~ ~ :~ i Nayrre o I Ho e ~ ~l ~~ II i ~ f Authoi~ze~~ ~ - I I~ ~_ i __ ___ _. __._._ --- -- ~ , Z ~ - Z~ 6/10/98 Paid by CEMETERY Receipt No ................. Dated .............:...... , ...::...: NO. II, List Price S .1., 5 ~ ~ ~ ~ ~... Maximum l~Jo. Burial Spaces ............ :.. . s 1, 5 0 0. o o .. Monument permitted . ....... `° 16 3 6 ~ Net Paid .............. ............... (Data above this line for Gty Record ody) rj'-O~~ ~°~'~`~`r~F State of Florida, Department of Health, Vital Statistics ~~p/ j ~~ APPLIC~N FOR BURIAL -TRANSIT PERMIT ~ ~~~o A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Vincent Luciano DEATH June li 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne Inst. Holmes Regional Medical Center 3. Name of Medical Medical Examiner Address Phone Number Certifier Wayne Rordriguez, M.D. X Physician 200 E. Sheridan Road Melbourne, FI 32901 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 N. Central Avenue 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 ^ Donna was contacted on 6 / 8 / 98 within 72 hours after death. He/she verified that this death wa from natural causes, that there was no accident nor other external cause of death, and that Dr. ~todrtguez 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: X cre tory - na co ty: Indian River from state Donation 7• Funeral Director/ ~ ature F.E. No./Reg. No. Date Signed ~iree~Bie~eser / _ - ~ 862 6 / 6 / 98 g. BURIAL -TRANSIT PERMIT Permit No. 1228-98-0268 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 filin the death certificate requested. ~„~ ~ Date Date Certif'~ca Subregistrar Signature --rT ~ Issued: ~ ~ 9 ~ _ Due: v g 9' t 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 ab ve 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 ' B ^ 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. DH 326, 10196 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) • • THE SEBAST.7AN CEtY~ETERY CITY OF SEBAST.7AN, FLORIDA 'RE EIPT IS HEREBY C YOW ED OF THE SUM OF: -~ - ~~~ ~ Dollars ($ ~ C~ FROM: ~ Q~,~ ~ ~ ~ ~ S_ ~ ~~ on this -= day o following described Ceme e conditions as stated her . JL- , 19 _t y for the purchase of the !s upon the terms and Description of Property: Cemetery Lots Purchase Pri Terms and Condition of sale: p ~ ~ Block ~ ~ Unit Dollars ($ ) This contract sha1Z 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 .ui the foregoing instrument: The City of Sebastian agrees to se11 the above Toned property to the above named purchaser(s) on /~hc ; te~rr~and condi ions stated in the above instrument. l / U! / y or se Wjtness s y ~ O ~® O~ ,,~ ~ Sim,, City of Sebastian 1225 MAIN STREET Q SEBASTIAN, FLORIDA 3253 TELEPHONE (50"1) 589-5330 Q FAX (561) 58n-570 June 17, 1997 Ann Lou Luciano 9380 101st Ct Vero Beach, FL 32967 Dear Mrs. Luciano: Enclosed is Cemetery Deed No.1636 for Lots 27 & 28, 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. Sincerely, Ka o an„ CM City Clerk KOH:hng Enclosures