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Home My WebLink About4-25-23Paid by CEMETERY Receipt No ...Dated .......... UJA M ........ L O t NO. Bloc List Prices , 9 OO: OO Maximum No. Burial Spaces ................ Unit 4 900.00 Net Paid $ Monument permitted ....................... 1 t) (Data above this line for City Record only) c Titg of rbtttttittn C�rutPtrrIj U r r b NO. 14th August 96 THIS INDENTURE MADE Mile day of ............................................. A. D., 16......, between tine City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Pat Tarbokar ...................................7.1.5..E:" G1ad,io1*us" Drive................................................ Barefoot Bay, Florida 32976 ..................................................................................................................................... or the County at ..Indian,.River Florid ......................... an.1 State of .................. 4 ................................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ ........ 900:00 ........ 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 ,her .. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: AB of Lots) . 2'.3... , 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 such rules, regulations, resolutions and ordinances and the conditions of the dead 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 fust above written. Attests ..%...� City Clerk CITY OF SEBASTIAN, FLORIDA By .C7' f —�4 Mayor Signed,pr d and Delivered In the Pr a ofs ...........�..�14......`................... (0tg Meal) S TE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ........ i.ktt1......... day of ............. Augmat............................ 19.9.(a before me personally appeared ,Louise R. Cartwright......... and Kathr..yn 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 coaveyance to Pat Tarbokar ....................................................................................................................................... ..................................... 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 duly X1 fixed thereto, and the said conveyance is the net unit deed of said corporation. WITNESS my signature and official seal at Sebastian, In the I Co�aty/-ri�Rlvd State of Florida, the day and year Inst aforesaid. LINDA M.SALLEY W CCtN1LS M / CC sf 4 I]IPW�: kris 10.1988 . . ........................... kjnd7al ry Public, St a lorWa at rge. oreslon ex esi M. alley Name Unit ' Block Lot Date of Mark -out Date of Burial Time f, r. Name of Funeral Horde Authorize Paid by CEMETERY Receipt No.... 9.02 ........ Dated ........... / 14 (9 6 lot 23 NO. 900.00 Block 25 List Price $. ................. Maximum No. Burial Spaces .................Unit 4 Net Paid . 900 OO $ .. Monument permitted ....................... (Data above this line for City Record only) Oro -�E)tx-k St, Up 14 �� ) lolq (o 71 )� t.04 la✓bokar �Q4 k }� ladicus.�k' lD�as3+ be- L--,�19r04 0 0 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA `EIPTI HEREBY ACKNOWLEDGED OF THE SUM OF: •/Vn -,A„N/ 00/ FROM: c on this day o , 19 following described Cemetery Lottsj-1,V4eh conditions as stated herein: Dollars ($ Q ) for the purchase of the pon the terms and Description of Property- Cemetery ropert :Cemetery Lot Block Unit Purchase Price 6 Dollars ($ ) Terms nd 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�itions stated in the above instrument. A /1 r City of �37mess L_J City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 o FAX (407) 589-5570 September 17, 1996 Pat Tarbokar 715 E. Gladiolus Drive Barefoot Bay, Florida 32976 4 Dear Ms. Tarbokar: Enclosed is Cemetery Deed No. 1547 for Lot 23, 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. 902 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 convemence. Sincerely, Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:lmg Enclosures - State of Florida, Department of Health and Rehabilitative Services, Vital Statistics APPLICATMFOR BURIAL — TRANSIT PERMIT A A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Robert Donal d Crovo DEATH 08/13/96 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Barefoot Bav Inst. 715 East Gladiolus Drive 3. Name of Medical Certifier Craig Badolato, M.D. 4. Name of Funeral Home/ Direct Disposer Strunk 5. Check Appro- priate Box Funeral Homes a ❑ Medical Examiner Address Address Phone Number 95 Bulldog Blvd Melbourne Florid 0(407)727-3495 Fla. Lic. No./Reg. No.1 Phone Number (Area Code) P.A. I Sebastian, F1n32958 venue) 1228 I (407)562-2325 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b Ca aro was contacted on—88p3/9& 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 Crai 9 Radol ato; M _ D_ 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 Sebastian Cemetery In state cemeter / Removal Final Disposition: crematory n county: Indian River from state Donation 7. Funeral Director/ nat 1V OW F.E. No./Reg. No. Date Signed DiFeet;;M;0=Pab (p 2 B BURIAL — TRANSIT PERMIT Permit No. 1228-96-0378 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 M Issued: g 3 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 -8URIAL ❑ STORAGE Date of Disposition !9 ❑ CREMATION ❑'OTHER (Specify) Signature of Sexton ) or Person -in -Charge) .SQL 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 99 (Replaces Oct 97 edition which may be used) (Stock Number 5740-000-0326-2)