HomeMy WebLinkAbout4-27-36Name -�y
Unit
Block
Lot —Ca
Date of Mark -out ?/�/1-
Date of Burial C? 1/,5 Time /29 n, 11,
Name of Funeral Home Th.A YAK
Authorized
JOSEPH FRANCIS GROVER
3/27/1923 - 7/30/2015
Mr. Joseph Francis Grover, 92, died July 30, 2015 in New Jersey.
He was a veteran of the United States Navy.
Survivors include nephew, Bruce Grover of Pemberton, New Jersey. He was
preceded in death by his wife, Agnes Stella Grover; sons, Mark Andrew Grover,
Jeffrey Scott Grover and John Joseph Grover.
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
For information contact:
Kip Kelso -Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589-2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388-8215 or 388-8214
Fax: (772) 589-5570
FUNERAL HOME: Strunk Funeral Home and Crematory
ADDRESS: 1623 North Central Avenue, Sebastian, Florida, 32958
PHONE#: 772-589-1000
(Check One) -I --)e
XX OPEN BURIAL LOT Lot-36—Block 27 Unit 4 �b(p
OPEN CREMAINS LOT Lot—Block—Unit
OPEN COLUMBARIUM NICHE Niche Block Unit
N S E W W I +10✓)Dy-S
BURIAL DATE AND SERVICE TIME: 10:00 AM, Wednesday, August 19, 2015 GRAVESIDE SERVICE
FOR DECEASED: Joseph Francis Grover
Name
NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
Bruce Grover 6ut4r gtc qa., 8/17/2015
Name Signature Date
I certify that I have determined the ownership of the above described site that all site fees and administrative
fees have been paid and authorize opening of same.
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR:
Tim Marvin
Name
T6ouyft W. Mcwvu'v 8/17/2015
Signature Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's
office and that all fees hav been paid:
Cemet y Se on Date
This form to be provided toJerk's Office by Sexton for permanent record upon completion.
CITY OF SEBASTIAN
FINANCE DEPARTMENT RECEIPT 9912
Name
C I f u��6 ry ✓ r ❑ Cash
Date O ' � 3Check# 7289
❑ Credit
Amount Paid
001001 208001 Sales Tax
001001 220000 Security Deposit -
001501 362100 Taxable Rent -
001501 362150 Non -Taxable Rent -
450010 369900 Airport Badge
001501 329500 Alarm Permits
001001 218010 CobraServe
001501 354100 Code Enforcement Fines
001501 347557 Community Center Revenue
001501341920 Copies
001501 369900 Miscellaneous Revenue
001501 359000 Other Fines/Forfeitures
001501 351140 Parking Citation
001501 342100 Police Security Services
001501 343805 150-00
CrOVtr Uy 6,)7L36
Total Paid U.0
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
Titu of Orhastiall
X r int r t r r y D e r e NO. 16016
19th September 97
THIS INDENTURE MADE Tho ...................... day of ............................................. A. D., 1g......,
between the City of Sebastian, a municipal corporation existing under the law& of the State of Florida, as Grantor and
John J. Grover
..........................................343 -Concard•Avenue..................................................................
Sebastian, Florida 32958
.....................................................................................................................................
Indian River Florida
ofthe County of ............................................. ani State of .......................................................
as Grantee, WITNESSETHt
That the Grantor for and in consideration of the sum of $ 2 t 500: .... to it ip hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,ls . , , heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
31 32, 34, 35, 36
Vof Lot(s) ....... , Block, ,?�, , ... , UNIT ............. , 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 inch rules, regulations, resolutions and ardinances 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
Sign - , Sealed and Delivered
In/ 'e Presence oft
/�'! X
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By W00 W 11. --,V% .............
Mayor
(Cifu Aeal)
I HEREBY CERTIFY, That on this ........... 1.9th....... day of ...... • • • •. • •S.ePUAbAr ........................I J97—
before me personally appenred W81ter W. Barnes and Kathryn M... Halloran
lte ......Ba ................................... ..1Hal.ora ........
respectively Mayor and City Clerk of the City of Sebastian, a munlciltul 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
................................. John , J,., , Grover..... ,.........................:.................................... .
. and severally acknowledged the execution ther tgAPe-ttelr free act and deed
as such officers lhereuutu duly suthorisedt and that the Official seal of sal corporation is duly affixed 1 to, an the said conveyance
Is the act and deed of said corporation.
WITNESS my signature and official seal at Sebastian, In the Cou ty of ad it It ver ate of Florida, h day and year
last uforessid.
LINDA M. (jALI EY
MYCOMMISSION IL 578124 ....... tate.. .. d .................... ............
"i pQ+lpl:g;,hunrta 10. TI= otsry P bile, State of odds at Large.
9MM I1ns No" pstift UndennMna My comm slon exp t
Linda M. Galley