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*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