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Home My WebLink About4-25-16 FUNERAL DIRECTOR’S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: 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 Office (772) 388-8215 or 388-8214 ctesta@cityofsebastian.org Strunk Funeral Home and Crematory FUNERAL HOME: 1623 North Central Avenue, Sebastian, Florida, 32958 ADDRESS: 772-589-1000 PHONE#: (Check One) XXXX OPEN BURIAL LOT Lot__16___Block__25 Unit 4 OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W SATURDAY 5/5/2018, 9:00 AM, DIRECT BURIAL AT BURIAL DATE AND SERVICE TIME: SEBASTIAN CEMETERY FAMILY TO WITNESS FOR DECEASED: Violet May McDonough Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Nancy Mossali Nancy Mossali 5/2/2018 Name Signature Date 211 Degan Place, Sebastian, Florida, 32958 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR: Tim Marvin Tim Marvin 5/2/2018 Name Signature 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: Cemetery Sexton Date This form to be provided to Clerk’s Office by Sexton for permanent record upon completion. FUNERAL DIRECTOR’S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY For information contact: 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 Office (772) 388-8215 or 388-8214 ctesta@cityofsebastian.org FUNERAL HOME: ADDRESS: PHONE#: (Check One) XXXX OPEN BURIAL LOT Lot__16___Block__25 Unit 4 OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: FOR DECEASED: Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Nancy Mossali Nancy Mossali 5/2/2018 Name Signature Date 211 Degan Place, Sebastian, Florida, 32958 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR: 5/2/2018 Name Signature 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: Cemetery Sexton Date This form to be provided to Clerk’s Office by Sexton for permanent record upon completion. Strunk Funeral Home and Crematory 1623 North Central Avenue, Sebastian, Florida, 32958 772-589-1000 SATURDAY 5/5/2018, 9:00 AM, DIRECT BURIAL AT SEBASTIAN CEMETERY FAMILY TO WITNESS Violet May McDonough Tim Marvin Tim Marvin . �it� nt ��eiYtts#tttn r A&Prut NO. ♦ I /^ THIS INDENTURE MADE Tbh ........ 1.5.th....... day of ................November............... A. D., 19..9.6., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Violet McDonough ............................................. 1.75 -'D -e1 Monte-ROad.......................................................... Sebastian, Florida 32958 ..................................................................................................................................... of the County of ...... Indian River .................. and State of .. Florida as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ . ; , , , 1 00 �; , , , , , , , , 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 ,her.., heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s)16 & 1 7, Block, , ; , 5 , , , 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: t. /. I..LI.fG/ B ....5e—. . 1 V ay Clerk Mayor Signed, Sealed and Delivered In the Presence of: ........... ((ffitvr'Seal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this .......... 1.5.th....... day of............N.OII.ember.........................1 19,916 before me personally appeared ,Louise R. Cartwright and Kathryn. M....O,'Halloran ......... .. .. . .............. 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 ............................................ Vi.Qle t. MGAoU.ough........................................................... . ......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 duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, In�gty of n:1 :ve ate of Florida, the day and year last aforesaid. ll TIE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA RE EIPT EBY A KNOWL ED OF THE SUM OF: Dollars ($ ) FROM: on this 0 day of 19 q6 for the purchase of the following escribed Cemetery Lot(s)IX ^ham�upon the terms and conditions as stated herein: Description of Property: Cemetery Lot s) Bloc Unit Purchase Pri 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 7111ons stated in the above instrument. � � tet,\ � City of fitness . A. • November 19, 1996 Violet McDonough 175 Del Monte Road Sebastian, Florida 32958 Dear Mrs. McDonough: City of Sebastian 1225 MAIN STREET 11 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 Enclosed is Cemetery Deed No. 1556 for Lots 16 & 17, 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. We are enclosing two copies of Receipt No. 912 and ask that you sign and return to us the copy marked with an "R" and retain the other copy for your records. A stamped, self-addressed envelope is provided for your convenience. Sincerely, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures THE SEBASTTAN CEMETERY CTY OF SEBASTIAN, FLORIDA RE EIPT BY A KNOWL ED OF THE SUM OF: Dollars ($ ) FROM: VAO1 (�� ` ff-1 AL.) . on thisday of (��("��) , 19 for the purchase of the following4et;ic�ribed Cemetery Lot (s) i' Gh4a �s) - upon the terms and conditions as stated herein: Description of Property: Cemetery Lot s)7 Bloc Unit Purchase Pri Dollars ($�Z�) 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 t e terms and co ions stated in the above instrument. Z1."-�' of L v fitness i64 I'15 YYIo✓��d J9�vl i rll�YonDU An- �fl�� Y �� V JPA tr�o I I laC,� Paid by CEMETERY Receipt List Price $ . 1 09P.-.0 0Dated.....11 / 1 . 3/96 Net Paid $ 1, OOp , 0 .' ' Maximum No, Burial spaces , • Bl t S 16 & 17 ck 25 No. Monument Permitted , • Uri l t 4 iData above tbie line for City Record only)