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HomeMy WebLinkAbout4-26-23Paid by CEMETERY Receipt No..... ...... Dated ...... 6/20/97 ........9..............Lot' Ot2 NO. jP6 List Price $ .... 500.......00 Bloc........ Maximum No. Burial Spaces .............. • .. Unit Net Paid $ . , , 50.0...0.0 Monument permitted ...................... I 1 J '04 (Data above this line for Clty Record only) Titg of Orbttnt att 166'i �rutPtrr �PP� NO. 23rd June 97 THIS INDENTURE MADE 71t4 ...................... day of ............................................. A. D., 1B......, between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Sherry Wilson .......................................... 74.1- - Jordan • Avenue ........................................................ Sebastian, FL 32958 ..................................................................................................................................... of the County of .......Indian. Rives ............... and State of ......., F.lorida............................................ as Grantee, WITNESSETHt 500. That the Grantor for and in consideration of the sum of $ 00 ... ... ............. to It ' hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee er.... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: Ali of Lot(s) 2 3. .. , Block, .. 6... , UNIT ... 4......... , 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 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 OF SEBASTIAN, FLORIDA Attest: ..V./.l[C.c.SO<G.f...... By vnn/n�J... W. ov ........... City Clerk MayoR Signed, Sealed anti Delivered In t Presence oil .................. (0tq Meal) .................. STATE OF FLORIDA COUNTY OF INDIAN RIVER 1 HEREBY CERTIFY, That on this ........ .........day of ........... Juntr......................:........... IPT,, 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 munlelpal 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 Sherry,.'Wilson ...................................................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporsllon 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 last aforesaid. W COMMSSION I CC 576724 IMBES: Jute 16, ON Detailed 7Mu Nobly Pd* IMaduvalMn of Florida, the day and year Public, St$te%f Florida at My ettumissloW—extnlrest Linda M. 1Galley f c�) J - State of Florida, Departof Health and Rehabilitative Services, Vita Wistics � APPLI1 A FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Craig Floyd Wilson DEATH May 21, 1992 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Hillsborough Tama Inst. Tama General Hospital 3. Name of Medical Medical Examiner Address Phone Number Certifier Edward Spoto, M.D. Physician 4 Columbia Dr., Tampa, FI 33606 813-251-7351 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 6900 Nebraska Jennings Funeral Home Tampa, FI 33604 1812 813-237-3345 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b Dr. Spoto was contacted on 5/23/97 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 he 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 Cemeter In state cemetery/ Removal Final Disposition: cre tory - ame/county: Indian River from state Donation 7. Funeral Director/ n u F.E. No./Reg. No. Date Signed Direct Disposer _7W1608 5-23-97 B. BURIAL — TRANSIT PERMIT Permit No. 1812-064-97 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. Registrar or s . IDate Date S' •1 � _97"I Due: CertificateT-O �'77 Subregistrar Signature —issued. C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA Signature Medical Examiner Date or 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 Methods of Disposition: Place of Disposition :Pl J. 2:;.-, 4ft.- t@ BURIAL ❑ STORAGE Date of Disposition a / ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in -Charge) +,&.L 4y." 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 (Replaces Oct 87 edition which may be used) (Stock Number: 5740-000-0326-2) j. Name Unit's Block Lot Date of Mark -out Date of Burial�� Time ✓. ,r' % . Name of Funeral Home ! Authorized by ©r %dam nCJ_ Paid by CEMETERY Receipt No....... 4 ...... Dated ...... .. ? 0/91 , .. Lot 2 3 500.00 Block 26 List Price $ .... ... ..... Maximum No. Burial Spaces ............... • . Unit 4 Net Paid $ ....500. ...5 0 0... Monument permitted ....................... (Data above this line for City Record only) NO. 166�f THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA RECE PT IS �REBY ACK OTL�D D OF THE SUM OF: ��A \ Dollars FROM: on this day o L , 19e�v for the purchase of the following described Cemery Lot(s)/Niche( ) upon the terms and conditions as stated herein: Description of Property: 2 Cemetery Lot t�1 J Block Unit Purchase Pride: 1 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 instrume The City of Sebastian agrees to sell the above m tioned property to the above named purchaser(s) on the ter s and onditions stated in the above instrument. J i Cit of Sebe i an /Witness • City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 June 27, 1997 Sherry Wilson 741 Jordan Avenue Sebastian, FL 32958 Dear Mrs. Wilson: Enclosed is Cemetery Deed No. 1584 for Lots 23, 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. 940 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. Sincerel , Q Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:hmg Enclosures