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Home My WebLink About4-26-12Paid by CEM Receipt No... 9 3? ......... Dated ....6 Z O /.9? l O t 12 NO. 0 00 Block 26 List Price $ .........:........ Maximum No, Burial Spaces............ Unit 4 Net Paid $ ....S OO . OO Monument permitted ........ U J .......... ............ .. (Data above this line for City Record only) Iffi#g of rbtts#ittn 100 Trutr r Urr NO. THIS INDENTURE MADE Tics .....23rd... ...... day of.............Tllrie......................... A. D., 19.97.., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ............. ..................................... Marl e ..Cxl sp.inD........................................................... 648 Durant Street ............................................ ..... Se•batsian.;..F.L...32.9.58..... ..... ...................................... of the County of Indian.liAyp.l;............... and State of ....... F.I.Qrida.................................... as Grantee, WITNESSETH; That the Grantor for and In consideration of the sum of $ .. , 5 90...00 , • , 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) .12 ... , Block, 2 6 ..... 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 aid 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 OF SEBASTIAN, FLORIDA DrY�....... B, .VJ.cnn. �nJ. .......... Att .. �.. ...ity Clerk Mayor Signed, Sealed and Delivered In the resence ofn 1"V__ ......G(/J ................. (Cau Seal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I THEREBY CERTIFY, That on this ....2.3Ld.............day of .................. Juu.e.......................... , 19.97, ................. and before me personally appeared .....Walter W. Barnes Kathryn M. 0 Halloran ................................................... I........................ 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 .......................... ...................... ..a, Mrie..Griep.ino............................................................. . . ,•••,,,••............... 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 ncl and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the Co ty of ndian Iver a State pf Florida, the day and Year last aforesaid. J ^s LINDA M. GALLEY :. MY COMMISSION / CC 316721 EXPIRES: dm.18.1996 :. .................... gpdsd IM Wary PJ* Lk bwwAMrs otary Public; tate o orlda at Large. co lesion res L 4� Linda M. Galley IJViI l / State of Florida, Departof Health and Rehabilitative Services, Vitaoistics APPLICAAN FOR BURIAL — TRANSIT PERMIT (c A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Joseph Cri spi no DEATH 05/16/97 2. Place of Death County 3. Name of Medical Certifier City, Town or Location Medical Examiner Name of (If neither, give street address) Hosp. or Inst. th Address Phone Number 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 North Central Avenue Strunk Funeral Homes, P.A. Sebastian, Fl 32958 1228 (407)569-9195 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b [ i l9d was contacted onn� /��9.7. 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 Taher HusainT, M D 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 Ceme In stat c etery/ Removal Final Disposition: cre t - name/county: Indian River from state Donation 7. Funeral Director/ n re F.E. No./Reg. No. Date Signed n)r�+ Ilic n�cnr� t .L n -r / a& Z nC /1 7 /07 B. BURIAL — TRANSIT PERMIT Permit No. 1228-97-0237 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. • Date Date Cert' i a Subregistrar Signature Issued: Sf /G �97 Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA Signature or Medical Examiner, The Medical Examiner's approval must death is required for all cremations. , Medical Examiner Date , gave authorization by telephone to Funeral Director/Direct Disposer. Date obtained before disposal by any of the above methods. A waiting period of 48 hours after D. CEMETERY OR CREMATORY Methods of Disposition: Place of Disposition s 4", "� .BURIAL ❑ STORAGE Date of Disposition '417 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 tReplaces Oct 87 edition which may be used) J. (Stock Number: 5740-000-0326-2) Name , f- %� lF /iD ! A-20 Unit r. Block' Lot Date of Mark -out/ 7 Date of Burial '3 `7 / Time Name of Funeral Homy -1 j Authorized by ot"rz- Inc), Paid by CEMETERY Receipt No... 9 3? .• • • • • • • • Dated ....6 / 2 0 / 9 7 lot 12 List Price$ •••500.00 Block 26 • Maximum No. Burial Spaces ................ Unit 4 Net Paid $ ... 500.00 .... '. Monument permitted ....................... (Data above this line for City Record only) • • THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA RE C IPT IS REBY ACKNOWLEDG D OF THE SUM OF: ` Dollars FROM: l on this day o 19 for the purchase of the following described Ceme ry Lo upon the terms and conditions as stated he ein: Description of Property: Cemetery Lo Block Unit Purchase Price: Dollars ($ ) Terms and Condition of sale: 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 andions stated in the above instrument. n City of -. i� / Witness • City of Sebastian 1225 MAIN STREET 11 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 June 27, 1997 Mary Crispino 648 Durant Street Sebastian, FL 32958 Dear Mrs. Crispino: Enclosed is Cemetery Deed No. 1583 for Lot 12, Block 26, 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. We are enclosing two copies of Receipt No. 939 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. Sincerely, T -a 0� Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures