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Home My WebLink About4-27-28QLitg of Ophitstiatt �PI1tPtrr �pp� NO. 19thSeptember 97 THIS INDENTURE MADE Mals...................... day of ............................................. A. D., 19......, between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Donald and/or Katherine McManus ............................................ 581-'Glencm- Streon ............................................................... Sebastian, Florida 32958 .................... I ....................... ............ of the County of ......... In(94n.nYex:.................. an] State of ......Florida....................................... as Grantee, WITNESSETHt That the Grantor for and in consideration of the sum of $ ... l.x SOO t OO . _ ....... , , , 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 their heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: 26, 27 & 28 Ali of Lot(s) ....... , Block, ,?� .... , UNIT ... !F ........ , 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. 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 be used, kept and maintained at all times 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 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 tided 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 add party of the first part 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. City Clerk Signe Scaled and Delivered 1�_ti Pres ce oft CITY OF SEBASTIAN, FLORIDA By w C"� W k) CuV'r ....... .............................. Mayor (Civ jstal) STATE OF FLORIDA COUNTY OF INDIAN RIVER 19th September 97 I HEREBY CERTIFY, That on this ........................day of .................................................... 19...., before me personally appeared , Walter W. Barnes . Kat.1,„,..,,,,. M,., , 0 ! Halloran, . , , , , and hryn respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the Individuals and officers described In and who executed the foregoing conveyance to Donald and/or Katherine McManus ....................................................................................................................................... ........................................................ and severally acknowledged the execution thereof be thele free act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation is duly affix hereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the Cou ty of It d ate of Flo d the day and year last gfureasld. UN ............... ................... „p, n 4�!!�`�d-�ht�>x tory PuIle, State o lorida at Large. My commI slon ex Linda M. Galle l , Name of Funer I Home Autho ' ed b A FWRIDADEPAARTTmENroil State of FI a, Department of Health, Vital Statistics / 7 HE` L APPLICV FOR BURIAL — TRANSIT PERMIT • A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Gregory T. McManus DEATH August 27, 1997 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Broward Hollywood Inst. Memorial Regional HOspital 3. Name of Medical Medical Examiner Address Phone Number Certifier 3501 SW 31 Ave. Joshua Perper x Physician Ft. Lauderdale, FL 954-964-0200 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 6400 Hollywood Blvd. Bo d's Family Funeral Homes Hollywood, FL 33024 FH 1235 954-983-6400 5. Check a ® The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ❑ was contacted on 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 will complete and sign the medical certification of cause of death. c ❑ medical certification. was contacted on . He/she verified that Medical Examiner, will complete and sign the 6. Place of In state cemetery/ Removal Final Disposition: crematory ;,name/county: Indian River 0 from state Donation 7. Funeral Director/ ISignatur F. No./Reg. No. Date Signed Direct Disposer �Ma,/ / t�s Auaust 28, 1997 B. BURIAL — TRANSIT PERMIT 1235-6147 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" be filed with the Local Registrar the County in which death occurred. ❑ No extension o ime for ilin the deat certi ' toreted. Registrar or Date Aug8 1997 Date Certificate Subregistrar Si ature Issued: g Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA A] 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. Methods of Disposition: ® BURIAL ❑ CREMATION Signature of Sexton ) or Person -in -Charge ) ❑ STORAGE ❑ OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition Sebastian City .em Pry Date of Disposition A/30 X ? r 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. OH 326, 10/96 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) S,