The URL can be used to link to this page

Home My WebLink About4-26-15Titg of #rhao#ian 1 8 Put rt rI PPi1 NO. 13th June 97 THIS INDENTURE MADE TW ...................... day of ............................................. A. D., 19......, between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Mrs. Norma Jean Sullivan ..................................4.3.4. RO1'lin9. Hii�l Drive...................................................... Sebatsian, FL 32958 ..................................................................................................................................... of the County of ......... ludxan.Rivex............... an] State of Florida as Grantee, WITNESSETHi That the Grantor for and in consideration of the sum of $ ... , 1,,,000 .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: Allof Lots) 15 & 16 Block, .. 2§. .. , 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 iuch 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 CITY OF SEBASTIAN,1 FLORIDA By..Y.��.!.l.J. ......... Mayor Signed, Sealed and Delivered Int Presence of a.. .f. ............................. STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ..............13th ...day of .....June ........................................ I9. 9 7, before me personally appeared Walter W. Barnes Kathr n M. 0' Halloran ........................................... and ......... y ............................ 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 ...........................Mrs ................................................ ..................................................... 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 act and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the County of n Rer nd Sta a of Florida, the day and year last aforesaid. 11l /7/1 W CCAgtIS910N / CC gl 4 , — pIPIREg:darttl t9A9 otary Pu Ile, of Florlde ndtlRasfbWYNMe - My rn b xp est Lin M. Galley Name /� / [l r f / s ; �f Unit Block Lot �' > Date of Mark -out - Date of Burial � Time Name of Funeral Home Authorized by I N CA) o rn o o 0 0 0 0 0 0 o Z cilli, p Ud nOi c 0 0 o c A 3 W0 J.f A N r 00 W CO t0 A (p NOo O S y O O O p to CD O CD O I m 7' ci M I o M 0 0 0 EL W I T 4 5� p 0 s 9 � c � o a 0 e 4 ,Q o a O I N CA) • City of Sebastian • 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 June 19, 1997 Mrs. Norma Jean Sullivan 434 Rolling Hill Drive Sebastian, FL 32958 Dear Mrs. Sullivan: Enclosed is Cemetery Deed No. 1580 for Lots 15 & 16, 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. 936 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 ;%%0)�k�44%- Kathryn M. 'Halloran, CMC/AAE City Clerk KOHJmg Enclosures SST S ST I I ' ' •IPTE B ACKNILEDGED OF THE SUM • Dollars on this day o, 19 for the purchase of the following described Ceme ery Lots)/.�j- upon the terms and conditions as stated he ein: Description of Property: Cemetery Lot (s % ( (o Block 6(P Unit Purchase Pr' Dollars ($ j 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/- r7 an-termPx�nditions stated in the above instrument. 1 fitness , �iVCL� CV 4�: Paid by CEMETERY Receipt No. 9 3 6 . • .. • . • • ...Dated ....... 6.. /.2 ...97 ............... .•Lots 15 & 16 Block 26 List Price $ ..1., 99 q • 0 0.... Maximum No. Burial Spaces ..... • • • • • .. Unit 4 Net Paid $ ..1. s O.O O .0 Q ... Monument permitted .. .................. . (Data above this line for City Record only) FLO FLORIDA DEPARTMENT OF HEALT 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 Norma Jean Sullivan Death Dec. 9 2008 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Sebastian Inst. 434 Rolling Hill Drive 3. Name of Medical Address Phone Number Certifier Michael Venazio, M D. 8005 83rd Avenue Medical Examiner Physician Sebastian, FL 772-388-2110 4. Name of Funeral Home/QkesiBiepasal Address 1623 N. Central Ave. Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Sebastian, FL 1228 772-589-1000 Strunk Funeral Home & Crematary 5. Check Appropriate Box a The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. 11 Liz was contacted on 12/10/08 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Venazio will complete and sign the medical certification of cause of death within 72 hours. c. El was contacted on He/she verified that Medical Examiner, will complete and sign the medicAcertifirlatioWcause of death within 72 hours. 6. Funeral Director/ Si t F.E. No./Reg. No. Date Signed DNe*`3isp03er 44048 12/10/08 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-08-0566 ❑ 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. ❑No extension of time for filing the death certificate has been requested. Regis4rereF-+ Date Date Certificate Subregistrar Signature %k, C,N.,Vj,(��, Issued: 12/10/08 Dqe: 12/15/08 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA FBI 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. Method of Disposition: BURIAL CREMATION Signature of Sexton or Person -in -Charge STORAGE 1 OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition a //,3Zp g 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. DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740-000-0326-2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar A.Pdai1 ".- Sep 26 2008 2:45PM HP LASERJET 3200 p,l FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY h0A1 V PILICA.ifWiD For informatior contact: Kip Kelso - Cemetery Sexton Se astian Municipal Cemetery (772) 589-2545 I City Clerk's U'fice ity Nall., f225 Main Street i Sebastian, FL 32958 OfNc'(772) 388-8215 or 388-8214 FaK: (772) 589.5570 FJNERAL HOME. Strunk Fune�al Home & Crematory ADDRESS: 1623 North Central1lvenue, Sebastian, FL 32958 PHONE # 772-589-1000 i (q ic One) OPEN BURIAL LOT Lt _Block 26 Unit 4 OPEN CREMAINS LOT L�t,_15 81ock Unit OPEN COL'UMBARIUM NICHE N�che Block Unit - BURIAL DATE AND SERV!CR -TIME: I FOR DECEASED: Norma J. Sullivan wane :NAME AND SIGNATURE OF LOT OWN ER OR REPRESENTATIVE: ("dust provide proper docurnentation ofownership) sow /l/to tvarr►e ---'' Signature Date I I certify tial. I have detennined the ovineship of the above described site that all site fees and administrative fees have been paid and uthorize opening of same �� NAME ANDAGNATJRE / IA. ENSEjO FUNERAL DI13,64T Name ` - ------------------------------ Cemetery ----------------------- Cemetery Sexton, Certification: I certify t"at I have checked the ovmersr with Clerk's office and Lhot all fees have Cem,flery6exfon U2 'SignafUrO Date P inforr-.ation b> viewing the owner's deed and confirming )een paid /;z / O Date This form to be provided to Clerk's Off.ct by Sexton for permanert record upon cornpietion.