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Home My WebLink About4-26-21CITY OF SEBASTIAN FINANCE DEPARTMENT RECEIPT 9925 Nama Q�S / M O 10 LI Cash Date 0—(0-115 ly Check # 7Zo q ❑ 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 rxu5of 3U3g65 01c, 1�2QQ �r-zro-zl Total Paid 50.00 Initials White - Dept. of Origin • Yellow - Finance - Pink - Applicant ' Paid by CEMETERY Receipt No.... January 23, 1997 ......Dated .............................. LOtS 20 NO. List Price $ .................. Maximum No. Burial Spaces .................Block 26 1500.00 Net Paid $ .................. Monument permitted ....................... Unit 4 i ' 6 J (Data above this line for Gly Record only) Titg of #rhastian `'YJ6J Trntrtrry lVPrb NO. THIS INDENTURE MADE TkL .....23rd........... day of .JaTlUa?Y................................. A. D., i9 9T..1 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Joseph Simon ........................................................................................................................ 6304 River Run Drive ......................................... ... Sebastian,..FL ...32958........................................................ or the County of ... Indian River Florida ................................... and State of ....................................................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .1500.00 ................ 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 ...112.., heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) .21.,22 , Block, . 2b .... , UNIT ... A ........ , 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 first above written. CITY OF SEBASTIAN, FLORIDA Q .n/2, .&� ......... B Attest: 7 ��..��` ... ........ ... .......... City Clerk Mayor Signed, Scaled and Delivered In tit Presence of: �L9Ui....... .................. (alitts Cal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ....23rd..............day of ... j4P1,14rY ...................................... 1997., Louise R. Cartwright Kathryn M. O'Halloran Gera re axe personally appeared........................................................... end ....................................... respectively Mayor and City Clerk of the City of Sebastian, u 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 ............................................. Joseph... Simon..................................................................... . ........................................................ 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 Cou y of len .r and ate f Florida, the day and year last oforesald. LINDA M. DALLEY My COMMINION / cc 376721 .. ...... . . . ..... ... ... ... .................... . EXPIRES: June 18. 19H ota Public, State o F rlda at Large ua:dsOThin NowYPW1elA:lnraMra My c rurnission expires Linda M. Galley �21mon, LdI��C�, �nl hwr)13-mbn-.1�tJ 921January 23, 1997 Paid by CEMETERY Receipt No ................. Dated .......................... • • • . Lots 21,22 List Price $ .................. Maximum No. Burial Spaces .................Block 26 1500.00 Unit 4 Net Paid $ ........ Monument permitted ...................... . (Data above this line for City Record only) NO. FROM: THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA on thiC�- day of following described Cem r30 conditions as stated he ein: Description of Property: Cemetery Lot Purchase Pri Dollars 0 19 7 for the purchase of the uDon the terms and Terms and Condition of sale: Unit rs 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 for going instrument: a The City of Sebastian agrees to sell the above mentioned property to the above named purchaser (s) on (the terrorand,, o tions stated in the above instrument. I Ci SL4 s i an Witness • ``� Y O� L+0 `1k �,1 S �FOF PELICAN �5 City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 o FAX (407) 589-5570 January 31, 1997 Joseph Simon 6304 River Run Drive Sebastian, Florida 32958 Dear Mr. Simon: Enclosed is Cemetery Deed No. 1563 for Lots 21 and 22, 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. 0. Box 1028, Vero Beach, Florida 32960. We are enclosing two copies of Receipt No. 921 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. S' r Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures 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#: (Check One) XXX OPEN BURIAL LOT Lot-22—Block 26 Unit 4 OPEN CREMAINS LOT Lot—Block—Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 10:00 AM, Thursday, August 13, 201$ FOR DECEASED: JOSEPH PATRICK SIMON Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) JOSEPH R. SIMON Laseph.R. SanoTV 8/4/2015 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 rrimoth W MQi71Zf1 8/4/2015 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 have be n paid: 8 Cemeter Sext n Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. 09/25/2015 16:44 #4835 P.001/001 Aug 24 2011 10133AM HP LASERJET FA* L.. 14114. • • • City of SebastNrn 1t.ha►Ilru 1-rtlln(rrr Pi. I117)lSy,1 1345 N /1g-wN27 yule Thu to fnr tohirmallonAI purpoar.rep:IM:lc hlow Viral% it Sclir.trtn t'crui'Ifr, Nutt: IAhItfor ll uttr 11.114vrr;trifler 2 It..l' nrrr 2 ii.l.nrr1 fl.I%s +nur�'�l�+ur��l�ilf+n r•lruor(Pttlrt to : City of SebalrJarl, ry N11x 4Kbliulaa t'enlrtrry 10) North rrnlral N't'u dation I�+ ft;l 329541 ey 411en1h�►I � I'entrlcr►St tc dile t0/4,fi . -.Ir+Ir •• I%I I;tII. VW: 4-0 K 1-2 a�~ N�rned1'J2tc 3-40 : HIS N.J01014J J .• HER : .. of D(V , p.o.e. . 143 D.O.U. 5 ) Logal Desc,!pldon : ,,,02-1( unit •Squaly PL : Approved 8y : Chickod By ; • aample • STRUNK FUNERAL HOME & CREMATORY 1623 No. Central Ave. SEBASTIAN, FL 32958 (772) 589.7000