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Home My WebLink About4-25-12K Paid by CEMETERY Receipt No.. 8....... Dated .... ��22�96 .............. LOts 123 Block 2 List Price $ . APT_9� ..... Maximum No. Burial Spaces...............Unit fl Net Paid S ... P��.:�...... Monument permitted ....................... (Data above this line for City Record only) Titu ,af Orbastian TPtntPtPrp 19PPb NO. NO. 1543 �y 1t_i,13 23rd July 96 THIS INDENTURE MADE Tido day of ............................................. A. D, 19......, between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Fred and/or Cindy Anderson ..............................1001 ' Foster- 'Road........................................................................ . Sebastian, Florida 32958 ..................................................................................................................................... of the County of ..1ndian. RiMer ......................... ani State of ...... Florida ........................................ as Grantee, WITNESSETHr That the Grantor for and in consideration of the sum of $.1� •. .............. 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 their heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) i Z &. 13BI ck, . A; .... , UNIT , 4........... , 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 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. Attest:' D ^, eity' City Clerk CITY OF SEBASTIAN, FLORIDA I t L (Ll 7.\...K.LC�t� Mayor Signed, Sealed And Delivered In the Les.e.nee of: f ............... (dIil{d o�feal) .�.� .......... STATr1 OF FLORIDA COUNTY OF INDIAN RIVER 1 IIFRF.BY CERTIFY, That on this ,,,.23rd..... .tiny of July ............ 19 6•, Louise R. Cartwri ht Sally A. Maio before me personally appeared..........................�..................... ......... .. end .......... .......... respectively Mayor And City Clerk of 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 Fred and/or Cindy Anderson ....................................... and severally acknowledged! the execution thereof to be their tree act and deed as such officers thereunto duly authorized; and that the Official seal of sold corporation is duly affix ereto, and the said conveyance is the Act and deed of said corporation. , I WITNESS my signature and official seal at Sebastian, In the Coun y of dia: River an to a of Florida, the day and year last aforesaid. ,,., 1 <, LINDA M. SALL s e " In COI:AUM It CCLD=37M4 .......... .. ..................... 1](P9tE9: eau /9.otary ublic, State of lorldo at Large so" nN Nmy PUM My co nisalon expl e Li M. Gal ev lb 0 E SEBASTIAN CEMETERY =OF SEBASTIAN, FLORIDA IPT,EBY FROMf: J on this vJ' day following described CamLary conditions as stated h ein: Description of Property: Cemetery Lot( Purchase Price: OF THE SUM OF: 0 Terms and Condition of sale: 14 1 Dollars G'.k 19 / y for the purchase of the (s)/ upon the teres and Block ) unit Dollars 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 m ntioned property to the above named purchaser(s) on the to and above stated in the above instrument. i /1"/ /!!!ll��/ ess ty of Sobyestian July 29, 1996 Fred & Cindy Anderson 1001 Foster Road Sebastian, Florida 32958 Y � - 2 oiiP- �s City of Sebastian 1225 MAIN STREET 13 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 o FAX (561) 589-5570 Dear Mr. & Mrs. Anderson: Enclosed is Cemetery Deed No. 1543 for Lots 12, 13, 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. 0. Box 1028, Vero Beach, Florida 32960. Sincerely, Kathryn M. Halloran, CMC/AAE City Clerk KOH:Img Enclosures (\--E'0-\-me«dwpd) Name Unit Block Lot lDDI I��( L4 to - 1 7 Wq, -L0 E Paid by CEMETERY Receipt No.. . �9R .......... Dted.... 71;�AM ....... "Lots 12 & 13 NO. ......... Block 25 List Price $ . .1 � 000...00 ...... Maximum No. Burial Spaces ...............Unit 4 4 33 Net Paid$ .. 1,000 00 ...... Monument permitted ....................... (Data above this line for City Record only) B BURIAL — TRANSIT PERMIT Permit No. 1861 82`72 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 X would result from filing within the norm time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report' will be filed with th ocal Registrar of the County 'n which death occurred. ❑ No extension of time for filing the ath certificate r uested. Registrar or Date Date Certificate Subregistrar Signature Issued: !7_� 2g-�3:99a Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA Signature or , Medical Examiner Date 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 SEBASTIAN BURIAL ❑ STORAGE Date of Disposition ,i.i y 24 1996 ❑ 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) State of Florida, Department of Health and Rehabilitative Services, Vital Statistics v APPLICAO FOR BURIAL — TRANSIT PERMIT • A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF KENNETH ALFRED ANDERSON DEATH July 22, 1996 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or BREVARD MELBOURNE Inst. HOMES REGIONAL HOSPITAL 3. Name of Medical Medical Examiner Address Phone Number Certifier P1 S. HICKORY SUITE E MELBOURNE FL - hysician ft He/ ' 4. Name of Funera om Address Fla. Lic. No./Reg. No. Phone Number rea Code) Direct Disposer 1107 LAKE AVE. AI I COUNTY MORTUARY 5. Check a ❑ IA loci The medical certification has been compieted and signed. A completed certific to of death accompanies Appro- this application. priate Box b _1—I IMOMAS ROSE, M.D., was contacted on ry X23 i 1996 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 In a cemetery/ SS BASTIAN CEMETERY Removal Final Disposition: matory - name/courtRrhB from state Donation 7. Funeral Director/ Signature F.E. o./Reg. No. Date Signed Direct Disposer - -. ^-'^! 0 .,,.,.� B BURIAL — TRANSIT PERMIT Permit No. 1861 82`72 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 X would result from filing within the norm time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report' will be filed with th ocal Registrar of the County 'n which death occurred. ❑ No extension of time for filing the ath certificate r uested. Registrar or Date Date Certificate Subregistrar Signature Issued: !7_� 2g-�3:99a Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA Signature or , Medical Examiner Date 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 SEBASTIAN BURIAL ❑ STORAGE Date of Disposition ,i.i y 24 1996 ❑ 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)