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Home My WebLink About4-25-36Q�ity at orbastian ti tr NO. 14th November 96 THIS INDENTURE MADE TWa ...................... 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 Franklin & Donna Savage ...........................................2.2.2..Cb'C0 "S'tree't" S :'F :....................................................... Palm Bay, Florida 32909 ..................................................................................................................................... of the County of ..... jndian..R ver ................... anal State of ........ FIQr..id.a................................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ ..... 1 $00.•.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 t jf@ i r , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) ? 6 & 3 7, Block, ...2 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 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 Clerk Signed, Sealed and Delivered 1 the Presence of: r 2 �... ................ S ATE OF FLORIDA cntYNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By C7i. L�R,.sl...K:... ! .. (( Mayor (0tg Meal) �6 I HEREBY CERTIFY, That on this ....... 14th .................day of..........November ......................................... , 1 , before me personally appeared •.. Louise R. Cartwright .................... and Kathryn,M.. .0.'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 .............................................Franklin ..&.. D.onna..Savag.e.................................................. ................•...•........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 affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the Co my I n e d St to of Florida, the day and year last aforesaid. Nar Uni Bloi Lot Dat Dat Nai Aut--- -Y S V ji�wkl) i:Dbnral n►�j��[-�q��5)qDqLD-ks Paid by CEMETERY Receipt No.... 913 11/14/96 ••••.....Dated.Lots 36 & 37 List Price$. 1J.8��.�0 ............................. Block 25 NO. Maximum No. Burial Spaces . . Net Paid $ , 1 x,800•• �� . ........Unit 4 Monument permitted . . (Data above this line for City Record only) EIPT FROM: • • 3 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA VFKNLE ED F T E� UM OP-. U Dollars ($ f ) on this Zl% day 19�for the purchase of the following described CV ry Lots) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot ) Block Unit Purchase P ce: �U Dollars Terms and Condition of s 1e: 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 the above named purchaser (s) on ti a torsn, s and above instrument. l f Citly of wi ness property to stated in the November 19, 1996 LI+ � 0� 7 4& TIF Op PEII- $� City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 o FAX (561) 589-5570 Franklin & Donna Savage 222 Cocoa Street SE Palm Bay, Florida 32909 Dear Mr. & Mrs. Savage: Enclosed is Cemetery Deed No. 1557 for Lots 36 & 37, 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. 913 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, C �n, 0'lVa&AAc-� Ka Halloran, CMC/AAE City Clerk KOH:lmg Enclosures EIPT FROM: • • /5 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA KN7 LE ED F sum OTU� Dollars ( $ f ) on this Z/0 day 19 following described Ceetery Lot (s) f#-icii conditions as stated herein: Description of Property: Cemetery Purchase Terms -- - -)for the purchase of the upon the terms and unit rs ($ &- 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 the above named purchaser (s) on to �xrs�►sL and above instrument. A Ci ti/ of Wi Hess oned property to ions stated in the \ 3 ` , 3 7 KLORMAD�"RT"ETcp State of Flo ' ,Department of Health, Vital Statistics "� 1 APPLICA FOR BURIAL — TRANSIT PERMIT t 5 A. (Type or Print) I 1. Name of First Middle Last DATE Month Day Year Deceased OF DonnaDEATH 2/11/98 Joan Savaoe 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Inst. 3. Name of Medical Certifier Medical Examiner Address Number Victor Ortega, M.D. 4 Physician 2202 State Ave., Panama City, FL 32405 785-1401 4. Name of Funeral Home/ Address Fla. Lic. No./Reg. No. Phone Number (Area Code) Direct Disposer 100 E. 19th St. Southerland Funeral Home Panama Citv, F1 32405 1478 850-785-8532 5. Check Appro- priate Box a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies this application. b 13 Dr. Ortega was contacted on 2/13/98 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 state cer / Removal Final Disposition: mator me/ Sebastian Cemeter Se a tfrstat Donation 7. Funeral Director/ Sigf F.E. No./Reg. No. DateSigned/ Direct Disposer3�9 B. j BURIAL — TRANSIT PERMIT Lid Permit No. 198- Qab Permission is hereby granted to dispose of this body. K] A five day extension of tim@,rtor filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing "withift2he normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director/Direct Disposer Report" will be filedirith the Local Registrar of the County in which death occurred. ❑ No extension of time for filing tV death certificate requested. Registrar or P - / DateDate Certificate Subregistrar Signature% a'4�J'lt�x�. Issued: a "13� Due: C. WUiORIZATION 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 Cemetery BURIAL ❑ STORAGE r Date of Disposition 2/16/98 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person -in -Charge) This permit must be endorsed by the Secton 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. DH 326. 10/96 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000-0326-2) 1