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Home My WebLink About4-28-32U.i~g of ~4r1~~~~ittn z---~ ~~ y~ ' {' p 16;~ 7 ~1' ~ ilL ~ .i ~ ~ ~ ~ ~ i ~ NO. 'T'HIS INDENTURE MADE Tkla .. Z7tt1 .............. day of .......~y ................................. A. D., is 98..., between lire City of Sebastian, a municipal corporation existing under the laws of the State of Florida, ae Grantor and Mrs. Rose L. Finch ...................................... P : 0:' 'Box' '135........................................................................ . . Fellsmere, FL 32948 of Il+e County of ...Indian River, , , , , ,, , , , , , ,, , , , , ,,, , , , en'1 State of ..~' ~.OZ~~.......................... . as Grantee, WITNESSETHr That the Grantor for and in consideration of the sum of S ....:1 ~ 5QO :OO...... , . , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does b this instrument grant, bargain, sell, release, convey and confirm unto the Grantee 1'leY, , , , , heirs, legal representatives and assigns the following prop ty situated~in Sebastian, Indian Rivet County, Florida, to-wit: All of Lot(s) .1, &321,1 Block, , 28 , , , , ,UNIT 4, , , , , , , , , , , , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Hook 2, at page 65 of the public records in the office of the Clerk of the Ctrrvit Court of St. Lucia 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 ba used, kept and maintaittod at all times in accordance with the rules and regulations, otdittances attd resolutions of the City of Sebastian, Florida, hareto- foro, now and hereafter adopted or ptovldad for the government mrd operntlon of Bald aametnry. The conditions, roatrlotlona and requlrementa oontained in this Instrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to ob- serve and comply with §uch rules, regulations, resolutions and ordinances and the conditions of the deed 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 part has caused this instrument to be executed in its name and on its behalf by its Mayer and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. Attest : ................ ........~.~~~.-GX~A ~J'~s~,~ Clerk . gnc4, caled and Dcllveted"~ n th essence of;.. / .. ././... ~, ,~~L2tLar/ ......... . .. . STATE OF FLORIDA CUC'NTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By C~A~~GG-~~ .................... Mayor (lBit~r ~enl) I HEREBY CERTIFY, That on this ..27.th ................day nr ........May..................................... , 18.8.., before nee personally appeared , , .RUth Stil.liVan and Kathryn M. 0 HallOrari reapectlveiy Mayor and City Clerk of the Clty of Sebastian, a municipal corporation under the laws of the State oP Florida to me known to be the ludlv;duule and ufflecre described In and wlro executed the hurgoing cuAVCyunca to ................................................~s.•..~G~4..~ ~.~'.~RG~3............................................................ ........................................................ and severally as such officers thereunto duly authorlacd; and that the Official seal of is the net and deed of Bald corporation. WITNESS my signature and official seal at Sebastian, In the Cc last aforesaid. uaoaM:auler MY COMMISSION 1 CC 740478 B ThINEtkury P U2^dsnnHsn awledged the execution thereof to be their tree act and denl corporation I~ dyty ui'f~xcd thereto, and the said conveyances of Florida, the day end year Nora ublle ate of Flo 1 a at Large. My Comm on expirear ~, Name ~~ V ~'N /! itG (? lJni~ Block ~~ dot 3 2- Date of Mark-out -~ d73 ~~ S Date of Burial -~ ~y g~ 'T~,'~ Time fQ,~ C)0 ~" /fit. _ ,: - Name of Fune al Ho ~~ r~ ~ "' (. -v' ` Authorii~ ~~ ~ ~~ s ~-~; 3 ~ FwtuDADEPARTAt@71'OA State of Flo ' , Departrnent of Health, Vital Statistics /J ~ 8 ~~ u-+ APPLICA~ FOR BURIAL -TRANSIT PERMIT ~ (~ A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Alvin Jason Finch DEATH March 20, 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Brevard Melbourne Hosp. or Holmes Regional Medical Center Inst. 3. Name of Medical Medical Examiner Address Phone Number Certifier 1430 Pine Street Silas Charles M.D. x Physician Melbourne, FL 32901 (407)952-0898 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 1010 E. Palmetto Avenue Brownlie-Maxwell Funeral Home Melbourne, FL 32901 0000049 (407)723-2345 5. Check Appro- priate Box a ^ The medical certification has been completed and signed. A completed certificate of death accompanies this application. b ® Dr. Charles Office was contacted on 3/23/98 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 He 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 e c e / Removal Final Disposition: Sebastian FL '~ -mat a/county: from state Donation 7• Funeral Director/ ~ -' a r F.E. No./Reg. No. Date Si ned Direct Disposer ,./~ ~~ ~~~ 1049 March 23, 198 g. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 49RC:54 ~{ 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 t' a limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filed with the m al Regi gr f the County in which death occurred. ^ No extension of time for filing th' de ~ ertific quest Registrar or ~ Date Date Certificate Subregistrar Signature Issued: 3/23/98 Due: C~ AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature ,Medical Examiner Date or 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 Sebastian Cemetery Methods of Disposition: Place of Disposition Sebastian, FL ®BURIAL ^ STORAGE Date of Disposition 7%I~ c~ of ~/ / 9 ~ b ^ CREMATION ^ OTHER (Specify) Signature of Sexton ) or Person-in-Charge) ~.a,~ e - C~~~ o 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. 70/96 (Replaces HRS Form 326 which may be used) (Stock Number. 5740-000-0326-2)