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Home My WebLink About4-27-39MARYANN FRANCIS NICOLETTI Maryann Francis Nicoletti, born January 4, 1933, died July 21, 2009. Survived by her loving husband of five years, Gerry Fitzgerald. Visitation at Strunk Funeral Home, Sebastian, FL Wednesday, July 22, 2009, from 6-7 p.m., with a Rosary Service at 7 p.m. Mass of Christian Burial 10 a.m., Thursday, July 23, 2009 at St. Luke's Catholic Church, 505 Micco Road, Barefoot Bay, FL. Interment at Sebastian Cemetery, Sebastian, FL. God Bless you Maryann & keep an eye on all with God's watchfullness. • w • ' Paid by CEMETERY Receipt No. 947 / 14./.9 7 Lots _ . 40 No .......Dated .......................... 1000:00 Block List PnceS 1 b 0 d• 0 b .. Maximum No. Burial Spaces ................Unit 4 Net Paid $ .................. Monument permitted ....................... J j (Data above this line for City Record only) Titp of orhastian 97 THIS INDENTURE MADE Tile . L.I Cbl ............. day of ............. July........................ A. D., 18....... between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and .....................................T.h.oma s.. and l.ox ..Maxy. Ann.. Ni,c.oJ e t. t.i...................................... 135 Hinchman Avenue ...... ................................... Sebastian, ... F1or•ida • •3.295x..................... I........................... of the County of Indian..Ri y, er............... sm] State of Florida as Grantee WITNESSETHt That the Grantor for and in consideration of the sum of S 1 s 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 ,their heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: AB of Lot(0) & 40 , Block, AT.. .. , UNIT . 4 .......... , of Sebastian municipal cemetery as per Plat Number I 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 fust above written. CITY OF SEBASTIAN, FLORIDA Attest n../.'/...Q"•!••5�`r`�l.`:,..... Dy �!.V.V`..w`rl.:.................. City ClerkMayor Signed, Sealed and Delivered In the P eseoce oh ............. (QIItu deal) Y. ` .. �---.................... STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ......4:th.............day of ....Ju.ly , lg 97 .......................................... before ore personally appeared .Wlater W. Barnesathr M. 0' Halloran .........nes ................................... and ........ 3'.n.......................... respectively Mayor and City Clerk,pf 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 ... ............................. hQmas..a.n.d/.ar..Maryann..Nice].e.til.... ............................................. .......•,••••••••.................................. 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 County of n len RiverJ..State)of Florida, the day and year last aforesaid. "1 .-7 1 W commum I Ix ,� c&tSG V_ �. . 171PIFO: Julia 18. 1908 otary u e, Stait4norida at Large. t Bonded 1Mu a" RM f 6ffi re My co lesion x i Linda M. Galley Name /i � t /✓ � E: 4% � �,`. i .!� � /% s . Unit Block i{ Lot Date of Mark -out Date of Burial /�' ��% Time Name of Funeral Home �"' C� K t Authorized by '^ `•'"" "' - _ w Total Pold 150" kntiakt Whho - Dept. of Origin • Yellow — Finance • Pink • Applicant CITY CLERK'S OFFICE RECEIPT 4571 Nems ran F ❑ Cash -'; 4q57 Date — Z 3— Q q [Check If q q /o I No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDCICode of Ordinances 001501341930 Election AuaWft Fees. /v { i0 ! 0i 801010 343800 Cemetery Lots , I Lot/Niche Block oll Unit 001501343805 Cemetery Fees 0/C— DO w Total Pold 150" kntiakt Whho - Dept. of Origin • Yellow — Finance • Pink • Applicant ;1 !FLORD, DEPARTMENT`OF IDAHEALT A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of First Middle Last Date Month Day Year Deceased of Maryann Francis Nicoletti Death July 21 2009 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. Sebastian River Medical Center 3. Name of Me,dd7ic I Address Certifier 512--�kSa�KPh!ys!,ca Phone Number Medical Examiner 4. Name of Funeral Home/D0eCffMspesa+* Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Sebastian, FL 1228 772-589-1000 Prunk Funeral Home & Crematory 5. Check Appropriate Box a. U The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. ��I��C was contacted on -2-2, . He/she verified that this death was fro atural causes, that there was no accident nor other external cause of death, and that DF _ A Ply ahQ Glo`�'� will complete and sign the medical certification of cause of apAtth within 72 hours. C. was contacted on He/she verified that Medical Examiner, will complete and sign the medical p6r.VicatA,9rXuse of death within 72 hours. 6. Funeral Director/ gn r F.E. No./Reg. No. Date Signed � Difeet Pispeee44048 7121/09 B BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-09-0333 ❑ A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within 72 hours. F]No extension of time for filing the death certificate has been requested. ror ��. ca-I.I.." Date Date Certificate Subregisistrar Signature Issued: 7/21/09 pUe: 7/21/09 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Approval Number: Date 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 Method of Disposition: Place of Disposition Sebastian Cemetery dBURIAL STORAGE Date of Disposition CREMATION OTHER (Specify) Signature of Sexton ,n or Person -in -Charge This permit must be endorsed by the Sexton 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. Distribution: White: Cemetery or Crematory DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-000-0326-2) Pink: Local Registrar Ragdrd `� P=P - Sep 26 2008 2:45PM HP LASERJET 3200 FUNERAL DIRECT R'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SEBAST hoAl V ORKM.IAJwD For informatior contact: Ki 7 Kelso - Cemdtery Sexton Seastian Municipal Cemefary r (772) 589-2545 City Clerk's U'Gce ity Fiait, f225 Main Qtroot I Sebastian, Ft 32958 OJfr'c� (772) J88-8215 or 383.8214 Fax: (772) 589.5570 FUNERAL HOME: ADDRESS: PHONE #: (Ceck One) OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE !C23 No. Central Ave. BURIAL DATE AND SERVICE TIME: FOR DECEASED: Maryann F.- N Ivpf-1C at . 39 Block 27 Unit 4 7t Block Unit _ fiche Block Unit 7/23/09 10 A.M. W NAME AND SIGNATURE OF LOT QWER OR REPRES TIVE: (h1usl provide proper do/mentation of wnerst) Name I certify that I have detennined the owni administrative fees have been paid and NA�-j�,AND SIGNATJIA OF LICENSE nature iP of the above described site Ihal all site fees and horize opening of Saxe FUNEVAL bl Name-Signat l �,�� ... ---•-- Signature Date Cemetery Sexton Certification: ---.'.---- -- '------------------•-- - -- ----------- 1 certify that I have checked the owners iP infOrn:�3tion b; viewing the owner's deed and confirming with Clerk's office Lind that 11 fees have been paid CernAtery Se or, Date /0 9- This form to be provided to Clerk's OfLc by Sexton for permanert record upon completion. p.1 17 r4)man Pve- 7/14/97 Lots_39 & 40 Paid by CEMETERY Receipt No. 9!F $...........Dated ............ ... Block 27 List Price $ 1000.00 Maximum No. Burial Spaces ................Unit 4 iobo:�b" NetPaid $ .................. Monument permitted ....................... (Data above this line for City Record only) 1"MI 0 THE SEBASTTAN CEMETERY CITY OF SEBASTTAN, FLORIDA RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: Q� Q 9 I 'rN A A'-, 64� 12jol 1 ars ($ FROM: T�f1c''�Yv�Qv_�/1� CneN C", , Ca �� 1 (1i ^ '\ , ", . on this r?) day of �L , 19 for for the purchase of the following described Cemetery upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) / J C� Block Unit Li Purchase Price: (�, �� „�p��=X c - Dollars ($-L02-0 . —o()) Terms and Condition of sale: 4J `1-3-C1`Z cb 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 the above named purchaser(s) on the terms and conditions stated in the above instrument. City of Se s ian itness W • City of Sebastian 1225 MAIN STREET 11 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 July 16, 1997 Thomas & Maryann Nicoletti 135 Hinchman Avenue Sebastian, FL 32958 Dear Mr. & Mrs. Nicoletti: Enclosed is Cemetery Deed No. 1592 for Lots 39 & 40, 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. O. Box 1028, Vero Beach, Florida 32960. Sincerel , Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures (\wr from\c—dee&-?d) FROM :EAST COAST MONUMENT COMPANY FAX NO. :3212598690 Oct. 27 2009 01:50PM P1 f't)ii r>r)It;r I1OX In(117I"Sr1in.':IIAN. f'IOIIII)A:)?!)III IFI.f I'I i(mr. (4O1) q 6130 I FAX (40 1) 57f) 5t, . "` DA NUTF': T117S I;i I'U77 INFORrIA'Pt(.INAI. I'171tr'U:il::i fiPa:ARI)7I1(: f4ONUMf;+JTS AT,�2, S(%nA`:T.IAN ('j;Mr't'f•;f1Y: Pl,F.ASF R►:'I'IIItN 'i'(.I, SIZE: HIS NAME- D.O.B.. (:I'I'Y OF Sinn 1;;TJAN p `:F.IIA 5TIAN VITY IIAI.I. f —772"220 1 7 7 7) HA i N 1FIIASTIAN, D.O. 1). ITER NAME: D.O.B.: A T _/ �6_ D.O.D. LEGAL DESCRIPTION: UNIT: '7 BLOCK LOT: .� !• SQUARE FEET: APPROVED- � x/. CHECKED BY: DATE: BY: r SUBMITTED BY: EAST COAST MONUMENT COMPANY