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Home My WebLink About4-25-06t! t Paid by CEMETERY Receipt No. 1 ...... Dated ....... 8 96 Lots7 NO ot Blocle List Price $ ...1' 000. �� Maximum No. Burial Spaces.................Unit 4 Net Paid $ ....1.,000.........00..... Monument permitted ....................... j4 (Data above this line for Gly Record only) Titg of Orhastian "i101 -4E (frutettry "BPrb NO. THIS INDENTURE MADE T6sa ........ 1.4th....... day of.......Auglls.t........................... A. D., is..9.6., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and nayid Jydi.Ck.................... 1016 Roseland Road ............................................. ... .Sebastian, -Flor.ida.3.2958............... I........................... of the County of .... Ind,ian River.....,. ... an] State of ....Florida,. .............................. as Grantee, WITNESSETHs That the Grantor for and inconsideration of the sum of S .. 1 .t ...000.00 ........... to it in hand paid, the receipt whereof is herewith ac- knowledged, o-knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,111 S ... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: Ali of Lot(s)6. &.. % , Block, . 2 5, , , . , UNIT ... 4, ... , . , . .. I 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 shaft 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. Attest: v City Clerk CITY OF SEBASTIAN, FLORIDA % By� \ Mayor J Signed, Sealed and Delivered in thr'f9gence of: 4f..././ ................. M. *211)ST TE OF FLORIDA � ' COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this .................1.4.0day of ........... August ............ -................. w.9.6, before me personally appeared ,Lollise R. Cartwright.Kathr n M. 0 Halloran ... ....................... and .. y ... t ..... .... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation ugder 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 ............................................... ...David. L,ydicIK.............................................................. ................................ ........... I............ 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 corporation Is d ixed thereto, and the said conveyance is the act and deed, of said corporation. WITNESS my signature and official seal at Sebastian, In the unty a an Stat of Florida, the day and year last aforesaid. / r MY COMMISSION / CC S/6> ...... . plWiE9: bins 1g,19BS Not ry Publle,�%GP3 e f Florida t Large. kobdUtsNsWyP6MsiMtd-W$ My omralsslonireu L nda M.alley i e FROM: • • THE SEBASTIAN CEMETERY CITY OF SEBAS7IAN, FLORIDA IS HEREBY ACKNOW on this day of following described Cemetery conditions as stated herein: Dollars ($ ) for the purchase of the pon the terms and Description of Property: Cemetery Lot (s) ) Block C'�/ Unit Purchase Pric 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 men 'oned property to the above named purchaser(s) on he terms and Lions stated in the above instrument. l'. C o mess l/ an September 17, 1996 �Y O 1 Qq 5�♦ City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 o FAX (407) 589-5570 David Lydick 1016 Roseland Road Sebastian, Florida 32958 -- Dear Mr. Lydick: Enclosed is Cemetery Deed No. 1546 for Lots 6 and 7, Block 25, 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. 901 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, fa4n / n- .",dam..KM. Halloran, CMC/AAE City Clerk KOH:hng Enclosures 0 0 �611 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA / IPT IS BY ACKNOWL GED OF THE SUM OF: 04 Dollars ($ ) FROM: i,/i A on this day of 19 / for the purchase of the following described Cemetery ,ot(s), ,upon the terms and conditions as stated herein: Description of Property: Cemetery Lot( s) Block C'� Unit Purchase PricDollars ,� 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: P �� 60 0 5le ZA141- �%_ The City of Sebastian agrees to sell the above men the above named purchaser(s) on he terms and 9 above instrument. /', , Ci y of Se as ian tness ned property to ons stated in the L Ardo;jl,law Lo� blt&� i Name Unit 1 Block._ Lot Date of Mark -out J Time Date of Burial r� Name of Funeral HoMC,"4 Author lQx '� Paid by CEMETERY Receipt No..... , ?9i .., Dated ........8/,1.4/'96 Lots 6 & 7 ListPrice$1,�000.00Block 25 No. 1000.00 Maxunum No. Burial spaces ................. Net Paid$ .....1Urilt 4 Monument('� Permitted ....................... 1 :7 4 ll (Data above this line for City Record only) 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. Date g Date Certificate Subregistrar Signature —� �• Issued: 9 9 Due: 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 � .74", BURIAL ❑ STORAGE Date of Disposition ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in -Charge) 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) /, to QState of Florida, Department of Health and Rehabilitative Services, Vital Statistics 6 J APPLICATIOOR BURIAL — TRANSIT PERMIT ! / a < � A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Wi 11 iam OF Larkin Byrd DEATH 08/09/1996 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Roseland Inst. Sebastian River Medical 3. Name of Medical Medical Examiner Address Phone Number Certifier 7744 Bay Street Noor Merchant M.D. X Physician Sebastian Florida 32958 1 5 9 7 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) _Direct Disposer 1623 North Central Avenue Strunk Funeral Homes, P.A. Sebastian, Fl 32958 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ➢El:' - SST was contacted on 99/4 2/4 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 Nnnr Merchant, M -n_ 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 Sebast i an Cemetery In state cern ry/ Removal Final Disposition: crem tory name/county: Indian River from state Donation 7. Funeral Director/ S' F.E. No./Reg. No. Date Signed >ever— 1= I a i B. BURIAL — TRANSIT PERMIT Permit No. 1228-96-0370 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. Date g Date Certificate Subregistrar Signature —� �• Issued: 9 9 Due: 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 � .74", BURIAL ❑ STORAGE Date of Disposition ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in -Charge) 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) 19—Dec-2016 15:29 Unknown 7724661909 p.9 Oited by Foxq F.F}(i?: '..r17pv!!Qhft sj try FC.y'E? wase°>�3,r`.:� w^.Yti^v+�'f�;zF�.i3:.�,v:Y::•„S'+ brAastiux= t"rtzA'^icva Y'it, tC XS i YEJ xgry . ,yt,YS ivfC ; '{'iiET tR for €R{!iYibR}i?17aE pal -pails, orRs2 ('C4RitCr) . lkis ik 43w aiugle A4%,& as eaffaa Z M'e.. 4 ren s t'r.(vr.s F f}, ;a € x cored te:f:ut4:>;fettY i Hkx>. veFuro zR AW03d". i1:i;3`!r � u,lta i£i9'' •. is.a.f�. z.�.!ysa�€ t`io�6$djR1iF'isx� ; 8Ys€t aSiK. . S�xvara Ff. r#R:6Etnb'ed Sy Ci?.erkat'i 8y r By Examplr? NOTE Gi fY w retazfsrt Y,�bavtSRfs Y'att{zs•E'} t�:i} a,ta•Ef, o�rEix? RvE:. S".93A q'•nttECffb 1•r}EREE a Lif*Rix FaunEi;t#i.:n .. : !0 9 c �•••t! 1eEi45 u.elL .E.:tf< ia�k.ogd r 1 - ANY MARKER OVER 2 FT. LONG REQUIRES A POURED CONCRETE FOUNDATION THIS INCLUDES A BASE. ANY MARKER -SMALLER THAN -2 FT. LONG REQUIRES A DRY hilt. THIS INCLUDES A FLAT GRASS MARKER. 19 -Dec -2016 15:29 Unknown L 2 cn til H e� z Oh Z 7724661909 WREIMMORM rv!J) :? r -�,0 tj PHU p.5 W