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Home My WebLink About4-23-11.- ~tt~1 it~ ~P~1MSftMYI THIS INDENTURE MADE Tula .... 20th........... day of ......JUZY ................................ A. D.,~..2~~1 between lire City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ....................................... John A. Fredericks 451 Arbor Street ....... ...................................................... ....................................... Seha.s.t iaxl., .. El.orida..329.5.8................................................... . of the County of ........ I??d.lai?..R1Ver.,..........„ an:l state of ....Florida .......................................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .l.s, 5 ~ ~ • 0 ~, , , , , , , , , , , 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 , , , , , , , , , heirs, legal representatives and assigns the following propertylsiluate 1 ~ Sebastian, Indian River County, Florida, to-wit: All of Lot(s) , ,~, 11~ ~ , ,Block, . , , z,3, , ,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 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 lust 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. 1 .. ..C .. ...... ....... ....... City Clerk CITY OF SEBASTIAN, FLORIDA Mayor STATE OF FLORIDA COUNTY OF INDIAN RIVER ((lIitg ~ex1) I FIE1tEBY CERTIFY, That on this .....20.th............day of .......July ............................... x 2001 ......, I~...., before me personally appeared ....Wa.lt2]",_j'~.,..Barn~s ......... ........ and .S.a,~,~, A. g.O respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of t Y State of Florida to me known to be the individuals and officers described in and who executed the foregoing coaveyance to .................................................. John_.A....Frederick.s..................................................... as such officers thereunto duly authorized; and thet the Off caalsseal of eidncorporationhis duly taffixedrtlreretob ande1thersaid conveya- cc is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and dear last aforesaid. ,~,~:'r'1~; H. JOANNE SANDBER~, ~ j~~ ~ ~~ : :~: MY COMMIS510N it CC 725842 Nota ub13c, State of Florida at Large. ~.,,. ~~ EXPIRES: April 30, 2002 My fission expires: '~~,pLrlya Bonded Thru Notary Pu61ic Underwriters Obituaries ~ Death Notices ~ Newspaper Obituaries ~ Online Obituaries ~ Newspaper D... Page 1 of 1 MARY ELIZABETH BARNES Mary Elizabeth Barnes, 66, died June 9, 2008, at her residence in Sebastian. She was born in Elizabeth City, N.C., and lived in Sebastian for 35 years, coming from Chesapeake, Va. She worked at the Sandrift Hotel in Sebastian for eight years. Survivors include her daughters, Gloria Lee South of Vero Beach and Rena Lynn Carr of Sebastian; sisters, Sybil, Nealy, Faye and Shirley; 10 grandchildren; and three great-grandchildren. She was preceded in death by her husband, ]ames Barnes; and daughter, Tina Barnes Lucas. SERVICES: Visitation will be from noon to 2 p.m. June 13 at the Strunk Funeral Home in Sebastian, followed by a service at 2 p.m. in the funeral home chapel with the Rev. Tom Kempf officiating. Interment will follow in Sebastian Cemetery. Published in the TC Palm on 6/12/2008. Today's TC Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Pc~dvered by Le~;a+`~T.corn obituaries nationwide Back http://www.legacy.com/tcpalm/Obituaries.asp?Page=LifeStoryPrint&PersonID=1113 8... 6/ 12/2008 FLORIDA DEPARTMENT OF HEALT A. 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 Mary Elizabeth Barnes Death .tune 9 2008 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian Diver Sebastian Inst. 451 Arbor Street 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/Dlir:ee4-BisposaH Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Ave. Strunk Funeral Home ~ Cre tory Sebastian, FL 1228 772-589-1000 5. Check a. U The medical cert~cation has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. l~ Liz was contacted on 6 / 10 / 08 He/she verified that this death was from natural causes, that there was no accident nor other external muse of death, and that Dr. Venazio wilt complete and sign the mediral certification of cause of death within 72 hours. c. ~ was contacted on He/she verified that Medical Examiner, will complete and sign the me cert' to of use of death within 72 hours. 6. Funeral Director/ at F.E. No./Reg. No. Date Signed Oiw~Bieposer 44048 6 / 10 / 08 B. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 122$-08-0291 ~A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has 11~~been contacted by the funeral director and will not be able to complete the medical cert~cation of cause-of-death section of the death certificate within 72 hours. ~No extension of time for filing the death certificate has been requested. Rogietfer-et'-» / Date Date Certificate SubregistrarSignature ~..t.i~,r (~, `~ Issued: 6/9/08 Due: 6/14/08 Approval Number: Date Medical Examiner, ,gave authorization by telephone to Funeral DirectorlDirect Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. Awaiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery _ BURIAL STORAGE Date of Disposition ~ /~3 /d 8 CREMATION OTHER (Specify) Signature of Sexton or Person-in-Charge l~_ 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. Distribution: White: Cemetery or Crematory DH 326, 8197 (Obsoletes all previous eddions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-000-0326-2) Pink: Local Registrar ,~~ i~ ~ c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY ~n .. ~ HOMF OF PELICAN ISUND 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 ADDRESS: 1623 N. Central Avenue, Sebastin, FL 32958 PHONE #: 772-589-1000 (Check One) _~OPEN BURIAL LOT Lot 11 Block 23 Unit ~ OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: June 13, 2008 2~~i. FOR DECEASED: Mary Elizabeth Barnes Name NAME AND SIGNATURE OF LOT OWNER OR RE RESENTATIVE: (Must provide proper documentation of ownership Name Sign ture 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 SIGNA OF LICENSED FUN DIF~Cti6R: Name S G - v. d~ 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 been paid: ' ~ ~ ~ ~~8_ Cem tery Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. am of ~~,]STI i HOME ~F PELICAN 15LAND July 24, 2001 John A. Fredericks 451 Arbor Street Sebastian, Florida 32958 Dear Mr. Fredericks:: Enclosed is City of Sebastian Cemetery Deed No. 01808 for Cemetery Lots 11, 12, 13, Block 23, Unit 4. Also enclosed is a copy of your receipt. If you. have any questions, please contact our office. Sincera~y, r' ally A. M ' ~ , CMC City Clerk SAM:js 'lChe Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of: Dollars ($ ~~'~ ~ . `' ~ ) From: ~o/„rJ ~ , b~'~.~.~ ~'~ ~s ~s~ ~~~d~ ~'~- on this ~ day of 20 d ~ for the purchase of the following described Cemetery Lots} e( upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) r/ /~~ ~ Block ~-~ Unit <~' Purchase Price: ~,~.~~, c~ 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: ~~ urchaser signature Purchaser signature The ~i-ty"of 'tSebastian agrees to sell the above mentioned property to the above named ~ (~~~i~ pu~e~iaser(s) pn the s d conditions stated in the above instrument. ' - .~~~-- ~ty of Sebastian fitness ITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT ~ o Q _. ~ o `~ • as c-I `° r-I ~ 0 ~ ~ Q ,~ 0 t~ ~ 1 a~ N H V A ~ N M w~cnw Q oa A zM~~ xH~.~ o~~~ .., ~n ~ v~ t"1 I~ (ZS .~'~ ~ ~, q "~ ~ ~ ti. 3 x . d ~~ oa ~ ~ ~~ C ti iE ~ ~Z ~ ..a ..a a r~ O [~ O t~- O O 1 O ^_^ rL a .a .i O N 4 O Na K. ^ Cash D <?~ heck # ~~l No. -(..J~o AmountPaid 00001 208001 Sales Tax 001501 322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC/Code of Ordinances 001501 362100 Community Center Rent 001501062100 Yacht Club Rent 001501 362150 Non Taxable Rent ` 001501 343800 Cemetery Lots ~~ ~~. ~ '~°~" / ~• 601010 343800 Cemetery Lots LotMiche~, Block ~_, Unit 001501 369400 Interment Fee 001501 369400 Weekend Service 680800 220681 Yacht Club Securii Deposit 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Securii Deposit ~ Total P~d~ j ~~ ' °'" Initials •` White -Dept. of Origin • Yellow -Finance • Pink • Applicant t~j ~ ~. Name Unit Block ~~" ~~ Lot - Date of Mark-out ~ ~ ~ ` ~ ' Daf® of Burial ~' ( Time ~- Name of Funeral Home Authorized byS~...~ts~".~,'~~~` -'"- -- -- ------ FREDERICKS, JOHN A. DEED 401808 ___ 451 ARBOR STREET - SEBASTIAN, FLORIDA 32958 T~ ~ ~, °~. o ~ 0 e L T • ~ ~ e _~ ~ ~ w ~~ O ,~ /c~''7"~~'~~ J S V (_S~ N_S U_S (O~ p_S 0 ~ 33Y ~ O O O O S ~ a ~ I_ ~ ~~~~~ L o n m rr ~. O f' ~ ~ ~ ~ ~` ~ ~ ~ P_ c A n r M 7t' ~ `/ ~ 3 M v l S ~ I ~ ~ ~ ~~ ~ r LOTS 11, 12, 13 BLOCK 23, UNIT 4 C'f n O ~~~ ~~~ m~ n 0 v