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HomeMy WebLinkAbout4-27-29V_�ttv at "filaotttitl *Putrterg BPPb• NO. 28th August 97 THIS INDENTURE MADE TW day of ............................................. A. D., 18....... between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ........ I .............................. Es.the.r.. Car.dinale............................................................... 474 Thomas Street ......................................... Sebas-tfan,..FL -.3.295.g ............. ............................................ of the County of .... Indian„River.......I............ and State of .......Florida. . ........................................... as Grantee, WITNESSETH. That the Grantor for and in consideration of the sum of $ ... l.t OOO : 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 her heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s)7 P2 0 , Block, 2 T.... , 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, 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 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 Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written. /........ City Clerk Signed, S d and Delivered In the res ce of: ;.... .. . . . .. ..................... ..................... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By I�IIaKJw...M..W Aa�......:..... Mayor 27th August 97 I IIEREBY CERTIFY, That on this ........................day of .................................................... 10...., before nw personally appeared Walter W. Barnes .... and Kat.hryn M. O'Halloran .............................................................. ........... 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 ................................................... Fgther ..CAKOAnaIe........................................................ ........................................................ and severally acknowledged the execution thereof to be their free act and deed as 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 official seal at Sebastian, In the Cou ty of In n and ate ofj Florida, the day and Year last aforesaid. _ MY COMMON i CC 81812 EIIPIREB: Juts 18, IM .. ... �.; ..�����o cry F aslon Strids atMy com lest.. ex / Linda M. Galley F.IPUE-AL xtDw DaPwar�vr of � State of Florida, Department of Health, Vital Statistics -7 APPLIC•N FOR BURIAL — TRANSIT PERMIT •�p �1/ A. (Type or Print) �f 1. Name of First Middle Last DATE Month Day Year Deceased OF Ralph David Cardinale DEATH Feb. 13 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. 474 Thomas Street 3. Name of Medical Certifier Michael Zimmer, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk Funeral Home 5. Check Appro- priate Box a ❑ Medical Examiner Address Phone Number X Physician 2300 5th Avenue Vero Beach FI 561-567-7111 Address Fla. Lic. No./Reg. No.1 Phone Number (Area Code) 1623 N. Central Ave. Sebastian, FI 1228 The medical certification has been completed and signed. A completed this application. 561-589-1000 of death accompanies b '�'j Susie was contacted on 2/16/98 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. Zimmer 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 Ce m e y In state cem y/ Removal Final Disposition: 14cremaVX6ry ame/county: Indian River from state Donation 7. Funeral Director/ S' atu F.E. No./Reg. No. Date Signed Direct Disposer 1862 2 /16 /qR B. BURIAL — TRANSIT PERMIT Permit No. 1228-98-0078 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. RCger Date I ( Date Certificat I Subregistrar Signature T M `—'=s� Issued: 01 �LQ� 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 Methods of Disposition: Place of Disposition mrd ® BURIAL ❑ STORAGE Date of Disposition a 17 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) fp�� or Person -in -Charge) 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) '-umber: 5740-000-0326-2) V Name Unit Block Lot Date of Mark-out— Date of Burial Time Name of Funeral Home Authorized by-'--;? Paid by CEMETERY Receipt No..9 54, •....... Dated ... 8 �-2 Yi2 T.............. Lots 29& 30 List Price $,,,,1,000.00 .Maximum No. Burial Spaces ............. Block 27 Net Paid $ ....I 1 000 . 00 ... Unit 4 .. .......... Monument permitted (Data above this line for City Record only) NO. IPT IS FROM: THE SEBASTIAN CEMETERY CITY OF SEBASTTAN, FLORIDA y on thi y day o following described Ce etery conditions as stated herein: OF THE SUM OF: Dollars ($ ), 1 for the purchase of the (s) Uzi upon the terms and Description of Property: ^� �j Cemetery Lot (s/ BlockC_/1 / Unit Purchase Pri Dollars ($•� Terms and Condition of s le. This contract shall 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 e • City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 September 2, 1997 Esther Cardinale 474 Thomas Street Sebastian, FL 32958 Dear Mrs. Cardinale: Enclosed is Cemetery Deed No. 1598 for Lots 29 & 30, Block 27, 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. 0. Box 1028, Vero Beach, Florida 32960. We are enclosing two copies of Receipt No. 953 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. Sincerel , Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:hng Enclosures