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Home My WebLink About4-26-25Name—dj�— S Z`c Unit Block Lot 96 • Date of Mark -out �tiLL- Date of Burial A/Z / f� Time ?' �� 045, Name of Funeral Home—. to x',O— Authorized by A CITY OF SEBASTIAN 10413 SERVICES RECEIPT a Cash //A��D��MINISTjRATIVE Name W44Rb / %�S L.u.K Date Pte. l� 297 Check#1_l[_35- i ❑ Credit Amount Paid 001001 208001 Sales Tax 001001 220000 Security Deposit 001501 362100 Taxable Rent 001501 362150 Non -Taxable Rent 450010 369900 Airport Badge 001001218010 CobraServe 001501 354100 Code Enforcement Fines 001501 347557 Community Center Revenue 001501341920 Copies 001501 351140 Parking Citation 001501 342100 Police Security Services 001501 329200 Site Plan Review 001501 329300 Subdivision/Plat Review 001501 329100 Zoning Fees (r,C 3,&392�5 g 00 rJNn- �- B.l�dcya�� Luras Total Pal Q, eitials Security Dep Held - Amount $ Check # White - Dept. of Origin • Yellow -Admin. Svcs. • Pink - Applicant Funeral Director's Request to City of Sebastian for Burial Opening in Sebastian Municipal Cemetery Contact Information: Kip Kelso, Cemetery Sexton Sebastian Municipal Cemetery Phone(772)589-2545 Fax (772) 228-9927 City Clerk's Office Cathy Testa City Hall, 1225 Main Street Sebastian, FL 32958 Phone (772) 388-8209 ctestano.cityofsebastian. ora (Check) j I lc, Open Burial Lot Lot1S Blocker Unit Open Cremains Lot Lot Block Unit Open Columbarium Niche Niche_ Block_ Unit_ (Circle) N S E W Burial Date Deceased Name and Signature of Lot Owner or Representative: (Must pr7de proper documentation of ownership) 'Y /A Print 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 authorized opening of same. Name and Signature of Licensed Funeral Director: Print Name Signature Date 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 been paid: Cemetery Sexton Certification: Cenfete Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. V Paid by CEMETERY Receipt No............ Dated ...64?497.................. LOT 2 NO. Block List Price $... 500 ..... Maximum No. Burial Spaces ................ (Jnit 4 .......... y E� 00 Net Paid $ ..5� : 1 J U l/ Monument permitted ....................... (Data above this line for Gty Record only) TitV of .6rhas#ian 111561 UPutrtitr r -P NO. THIS INDENTURE MADE Tkis ...................... day of ..........•. illy............................. A. D., 1997..., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ........................................Uex . Tealuk............................................................................ 602 Lake Drive .......................................... Sebastiany.Florida• •32958........................................................ of the County of ......Indian, Riygr..................... an State of ............Florida ................................. as Grantee WITNESSETH! That the Grantor for and in consideration of the sum of $ ...... ?�-99............ 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 ..his ., heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: AB of Lot(s) .?? ... , Block, , ib , , , , , UNIT ..4 .......... , of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 6S 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 inch 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 tike 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 Signed, Sealed and Delivered In ti Presence of 1� //' �-�-rl. Z .. ...V_ c.0 .......... .d ....0,_. ........................ STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA Mayor ((llitg �$eal) I IIEREDY CERTIFY, That on this ......... 2nd .......... day of ............... .Tidy. ............................. 1 19.97., before me personally appeared Walter W. Barnes Kath ............... andM. O'Halloran .......................................................................... respectively Mayor and City Clerkvof 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 ..........................................Alex. T.esj ............. ,.................................. ............................. ........................................................ and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official sell of sold corporation Isduly cd thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, In the Co my dl k R e and S ate of Florida, the day and year last aforesaid. ,l,DA M. LINDA M. G&LEY ;x!akllSsaN I 876721 1 8 : W Cl1MG11SSICN I CC 978721 " .P!RES: Juns 18, _ ...... + EXPIRES: Jun 18,1898 !'iota'!' �o LIMIK sibs. Nota Publlc, a of Florida at rge. kow7lauumPt08slids 11- - My mmisa'�6n a pikes: Linda M. Galley Lave Paid by CEMETERY Receipt No.. ?43 .......... Dated ... 6. 27497 ................. LOT 25 NO. 500.00 Block 26 List Price $ .................. Maximum No. Burial Spaces ................ Unit 4 Net Paid $ .500.00................. U Monument permitted ....................... (Data above this line for City Record only) • • THE SEBAS77AN CEMETERY CITY OF SEBASTIAN, FLORIDA IP IS H REBY ACKNOWLEDGED OF THE SUM OF: REC - � Dollars ( ) FROM: 1 on this C_-- � / day ol--- ,�L' C _-, 19 for the purchase of the following described Cemet y Lot - upon the terms and conditions as stated herein: Description of Property: Cemetery Lot �� Block Unit fe7l Purchase Price :�,/W �,[� 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 and cod tions stated in the above instrument. i %i .7,74 Witness 0 �V • City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 July 11, 1997 Alex Tesluk C/O John Tesluk 1347 Damask Lane Sebastian, FL 32958 Dear Mr. Tesluk: Enclosed is Cemetery Deed No. 1586 for Lot 25, 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. 943 and ask that you sign and return to us the copy marked with an'W' and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Sincerely, ��G U Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures