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''1629
~PIYiP#PP ~PP~1~ No,
THIS INDENTURE MADE Thla ..... ~na........... day of .......June ............................... A. D., l0 8...,
between lire Clty of Sebastian, a municipal corporation elating under the Iswe of the 9tete of Florida, as Grantor and
.....................................Jozxathan .A.. and/.or..Judith. B...Bno.th .............................................. .
333 Joy Haven Dr
............................... ~ebastiarl;..g.I..3~958.....................................................................
of the County of ...Indian. ~-v~X ........................ .nil State of Flar~,da ........................................... .
sa Grantee, WITNESSETHa
That the Grantor fot and in consideration of the sum of S ..1.500 t ~~ ,, , , , , , , , , , , , 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 rl}3. , , , , heirs, legal repreaentatlvea and assigns
the following p3~r~Y4 ~u~351,t ,Sebastian, Indian River County, Florida, to-wit:
AB of Lot(s) , , , , „, ,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 records In the office of the Cbrk of the Circuit Court of St. Lurie County of Florida; aaM land now lying and being
in indlan River County, Florida.
To Have and to Hokt 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 aocordanoe with the rules and regu4tlona, ordinances and rewlutlons of the City of Sebastian, Florida, hereto-
fore, now and hereafter adopted or provided [or the government and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shall be covenants running with the land. [n the event of the faflure of the owner of any property situated within said cemetery to ab-
aerve and rnmply 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 part has ®uaed thin instrument to be executed in its name and on its behalf by its Mayor and
attested by its CIty Clerk and Its corporate xal to be hereto affixed, the day and year first above written.
Attest: ~. ...... .. ...........
City Clerk
Sign , Sca d and Delivered ~~
In e P nee oft
CITY OF SERB/~A//BTIAN, FLO/,RIDA
By ~,~1~ • •~,C G~~~''•'~ ..................... .
Mayor
(aIittr ~4,rttl)
STATE OF Fi.ORIDA
COUNTY OF INDIAN RIVER
I tIE1tEBY CERTIFY, That on thla~~a ...................day nr ............June................................, 1p98..
before me personally appeared .. , , , •Ruth $u1liVan Kathryn M. 0 Halloran
.................................................. and .......................................
respectively Mayor end City Clerk of the City of 9ebestlan, a municipal corporation under the laws of the State of F1orWs to me known
to be the Indlviduul^ and officer described in and who executed the foregoing cuaveyance to
Johnathan A. and/or Judith B. Booth
.......................................................................................................................................
and severally acknowledged the executim thereof to be their tree act and deed
as such officers thereunto duly authorlud; and that the Official earl of said corporation Is d affix thereto, and the sold conveyance
Is the net and deed of sold rnrporalion. r n ~.
WITNESS my signature and official seal st Sebastian, !n the only f len j~lv~ and 3tate~ o~ )~lprlde, the day and year
last atorreald. ~, ~ ~ ~/
MV CAMMIS91Qt11 CC 376724 ... `t, . .... • . r:-~c~ : ... ................... .
EIiPIRES: Jun 1998 eta ublle, S at Florida at Lae e.
Hadsd TMU tbUry ftdac Ihtdnw~llets My comwi)slon a ea r
Name ~U Yl ~ ~ ~ ~ t"1 /~' %3U~ ~ ~ :~r
Unit
Block
Lot
Date of Mark-out ~'~'r ~ -' ~ ~'
Date of Burials J3 ~ ~~'' Time_
r
Name of Funeral Home ~~'~'~~~ ~ '~
~f
Authorized by ~~~ ~ ~~
~~
V '
__ __
.w
_i~~c~~ i~.~
:,
_~~ a~
35 ~ ~
Paid by CEMETERY Receipt No ................. Dated ............................. .
List Price $ 1 ~ 5~ • ~ ..... Maximum No. Burial Spaces ................ .
'i; 5~0: d0' .
Net Paid $ .................. Monument permitted ...................... .
*~ .. ~ ~ ,¢ ,rrti ,
zj ~ ~ S ~3
N0.
:1629
(Data above this line for City Record only)
4 ~~
STATE OF FLORIDA
DEPARTMEN~F HEALTH & REHABILITATI RVICES /`-'
VITAL STATISTICS ~ ~/
APPLICATION FOR PERMIT TO DISINTER, TRANSPORT & REINTER
A. Application is hereby made for a permit to DISINTER, TRANSPORT &
REINTER the following human remains: (Type or Print)
1. Name First Middle Last Date Month Day Year
of of
Deceased ~""~t~';"' ~' • ,3~oth, .lr Death /1Nri1 10 190+1
2. Place County City, Town or Location Age Race Sex
of
Death i:~•uwarc:;
''c~r.fE»n~> l~c~ara~
22 ti'~-I:ite i~;,ale
3. Place of Cemetery Address
Original ±~~~~~morial
Burial t~n~r ti-ricl 6?^^r:h (~~ir~:t!:~r~-
4. Place Cemetery Address ,
of 1 `,! ~ 1 Pd • C~i~tr•al Av+~ni.:~
Reinterment :~Esi~:~sti~ ~~ ~~;~,~~~~, ~'i- ~`~ha5tial'1, FI 32950
Sa. Funeral Director Na ~~+~J .U L"Eai~~ ~.
D tre~t~7.1~8pvse~'
~6 l
~ ~ ' 3
Disinterrin '
5b. Funeral Director Name Address
Diree~--D~peser ~ iG2.3 ?J. Central Auer~uF~
Reinterrin
~~=~~•i~! ~ tiir~rnsnnn l
:.el~nstian, FI 3295i'
6. Funeral Director/ ure' ;F~~.Lic.No:"Reg.No. Date Signed
Sign
Makina Application p
;"~~r•`: r.,l;. '~,~~~ i = '•
1 kr ~~ `~-~ ~ ~~~ .y
~~ p
PERMIT TO DISINTER, TRANSPORT & REINTER
B. Permission is hereby granted to DISINTER, TRANSPORT & REINTER the
above human remains:
Permit No. 1228•-9E-0200
Registrar or Sub-Registrar r
Signature --~~_~~~_.cs.. ~-t ~ ';a•t_Q Date Issued J "f~•4~
C . Endorsement of Cemetery Agent ;~~~~ ~~~L ~~~,~`FG~ ~~.~1~ . ~~'
.1~~"
For ~ __.~ /,,
,;
~-• Disinterment: Date: ' ~i ~ ~ Cemetery i~' i~~ ~-./=- ~~"~ ~ J~'~`-~
Agent ~ /
L,
For S~/ ~ Cemeter ~~:~1[~ !/~ ~G~l/lam
Reinterment: Date: y
Agent:
This Permit must be surrendered by the Funeral Director/Direct Disposer to
the Cemetery Agent where reinterment is made. The Cemetery Agent (or
Funeral Director/Direct Disposer if there is no sexton) must forward this
Permit within 10 days to the local County Health Department in the County
where reinterment occurred.
HRS Form 431, OCT 81 (replaces previous editions and HRS Form 757) •-~-•
THE' SEBAST.7AN CEME~'ERY
C~TI' OF SEBAST.7AN, FLORIDA
OF
~,
FROM:
~ -
on this da of , 1 ~ for the purchase of the
following described C e e y L t (s) /Niche (s) upon the terms and
conditions as stated herein:
Description of Property:
Cemetery Lot (s Bloc ~_ Unit
Purchase Pric l/ Dollars
l$ 4~. ~
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 egzees to se 1 the ov
the above named purchaser (s~ on t e toz~rs~ and
above instrument. /.i n
S
~.oned property to
Lions stated in the
an
Witness
o~rr oQ
~ ~
~,~ 4~
City of Sebastian
1225 MAIN STRE=~ o SEBASTIAN, Fi_QRIDA 32~~8
TELEPHONE (50".) 589.5330 a FAX (Sot) 589-5570
June 2, 1998
Jonathan A. & Judith S. Booth
333 Joy Haven Dr
Sebastian, FL 32958
Dear Mr. & Mrs. Booth:
Enclosed is Cemetery Deed No.1629 for Lots 33, 34 & 35, Block 28, Unit 4.
Also enclosed is aform -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.
Si~ncer~ely ~ ~~
TILL ~- ~ f~G? ,~;I~' ~
L~~ 4~
Kathryn M. Of'/Hal_loran, CMC/AAE
City Clerk
KOH:hng
Enclosures