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t . Paid by CEMETERY Receipt No.... Dated ...11 419 496 ................. BLOCKNO. List Price $ 5T' DD .... Maximum No. Burial Spaces ................ UNIT 4 500.00 Net Paid $ Monument permitted ....................... (Data above this line for City Record only) THU of Orhastian Trmettry Derb NO. 1 �9 THIS INDENTURE MADE 7164 .....ZIAt............. day of ..NQVM} R............................... A. D., 1996 , between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and . _ REAL, A,. WJOR, MARGARET , M. , LAVOIE 103 S. WIMBROW DRIVE ................... .......... SEBA Mm, .FL ...32958......................................................................... . of the County of .... INDIAN, RIVER ....................... arcl State of .... FLORIDA........................................ as Grantee, WITNESSETHi 500:00 That the Grantor for and in consideration of the sum of $ .. ................ 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 hews, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) 35.... , Block, .. i 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 fust above written. CITY OF SEBASTIAN, FLORIDA , .. ,•• ............... By . .... . Attest: ..... City erk \ Mayor Signed, Sealed and Delivered In the P Pence of: C.. L ........ (Mitg Seal) STATE OF FLORIDA COUNTY OF INDIAN RIVER 21st November 96 I HEREBY CERTIFY, That on this ........................day of ........................... ........................ , 19...., ..................... before me personally appearedand d ouise R. Cartwri ht Sally..A. Maio ......................... .... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the tax's of the State of Florida to me known to be the individuals and officers described In and who executed the foregoing conveyance to ......................... REAL,M., AND/OR,MQRGAREr.M.JAVOIE............................................................ 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 Isduly atf ereto, and the said conveyance is the net and deed of said corporation. o WITNESS my signature and official seal at Sebastian, in the County idia Itl ad Ste a of Florida, the day and year last aforesaid. ---------- LINDA M. W COMMISSM 0 0c 7 .... • • . :. �ar ........................ . E)(PIFEg: Ju:s 19.1989 Nota tic, a of Floridage. Ba:dWThtittotaYP:OlaltndMasMas My co lesion piresi Lin a M. Galley Name UnitA_ Block __� Lot 3 Date of Mark -out Date of Burial12P AV Time .OD/� Name of Funeral Home S Ii g C._.) 'AID S Authorized by Atlas Crematory 2111 S. US Hwy 1 Rockledge, Florida 32955 (321) 635-1973 We hereby certify that these are the remains of. - Real M. Lavoie The remains were received from Seawinds Funeral Home Funeral Home Sebastian, Florida City and State 10-0013 Cremation Permit # Chip ID # Date of Death: December 30, 2009 Date of Cremation: January6 2010 By: nctor ,pie l Cremator Vero Beach Crematory, LLC 1830 Wilbur Avenue Vero Beach, Florida 32960 Certificate of Cremation We hereby certify that these are the cremated human remains of Margaret Mary Lavoie December 26th, 2009 (date of Death) Seawinds Funeral Home and Crematory (Funeral Home in charge) 01736 (Cremation ID Number) January 5th, 2010 (Date of cremation) Sebastian, Florida (City and State) (Cremator Signature) FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY .m. SEBASTIAN HOME OF PEUCAN ISLAND For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388-8215 or 388-8214 Fax: (772) 589-5570 FUNERAL HOME- ADDRESS- _I3.S PHONE #: �56 9 . (93g (Check One) OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME FOR DECEASED: `��( Name Fu -,j 6Af, Lot _ Block ?5— Unit Lot Block Unit Niche Block Unit N S E W Z - ao -t oA- AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownershi /,o Name Signature Date 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 (RECTOR: Name &gnature 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: //8 - Ce ete Sex on Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. In Memory of Real M. Lavoie July 02, 1926 - December 30, 2009 Real M. Lavoie, 83 of Sebastian, FL died December 30, 2009 at West Melbourne Health & Rehab. He was born July 2, 1926 in Nashua, NH and was a resident of Sebastian since 1983 coming from Westchester, NY. Mr Lavoie was a retired Machinist and inventor, who made parts that went to the moon and member of St. Sebastian Catholic Church. He is survived by his 2 sons, Stephen Lavoie of Melbourne, FI, Michael Lavoie of Wassaic, NY; daughter Suzanne Passaro of Sebastian; 2 brothers, Harve Lavoie, Leo Paul Lavoie, Sister, Antonette Lavoie all of Nashua, NH ;adopted son, Stanley Pietrowski of Melbourne, Six grandchildren, Lisa, Michael, Michelle, Charlene, Daniel and Peter and 10 great-grandchildren. He was predeceased by his wife of 62 years, Margaret on December 26, 2009. No services are planned at this time. In Memory of Margaret Mary Donado Lavoie May 07, 1927 - December 26, 2009 Margaret Mary Donado Lavoie, 82 of Melbourne, FL passed away Saturday, December 26, 2009 at Holmes Regional Medical Center in Melbourne, FL. She was born May 7, 1927 in Harrison, NY and was a resident of Sebastian since 1983, coming from Westchester, NY. Mrs. Lavoie was a bus driver for Katonah-Lewisboro School District for 16 years. Margaret was a dedicated wife and loving mother, full of life and a free spirited person. She is survived by her husband of 62 years Real Lavoie of Sebastian, FL; two sons Stephen Lavoie of Melbourne, FL, Michael Lavoie of Wassaic, NY; daughter Suzanne Passaro of Sebastian, FL; brother Alfred Donado of Lakeview, NJ; adopted son Stanley Pietrowski of Melbourne, FL; six grandchildren Lisa, Michael, Michelle, Charlene, Daniel and Peter and ten great-grandchildren. Memorial contributions may be made to St. Sebastian Catholic Church 13075 US Hwy 1, Sebastian, FL 32958. Friends may call from 6-8 PM, Tuesday, December 29, 2009 at Seawinds Funeral Home Chapel, Sebastian, FL. A memorial mass will be held at 11:00 AM, Wednesday, December 30, 2009 at St. Sebastian Catholic Church. Arrangements by Seawinds Funeral Home & Crematory, Sebastian, Florida. Condolences may be sent to www.Seawindsfh.com/obit.php FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY aft" SSEBAST HOME OF PELICAN ISLAND For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery a` (772) 589-2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 v Office (772). 388-8215 or 388-8214 Fax. (772) 589-5570 FUNERAL HOME: SEAT✓IIUAS FU" l2AL ft-OMC- ADDRESS: t-OMCADDRESS: 'ISS S. FLEHIAI G ST-, PHONE #: _ (1-11Z) 9- 1 c13 (Check One) OPEN BURIAL LOT Lot Block Unit OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: QZf- (o -e- 0. 906w_ �:, p p AAI. FOR DECEASED: MAy-GAser M:LAVOI E AkM 'REAL N LAyoi Name _)�AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Mus provide proper d umentation of ownership) t d V©I E 01-26-10 Siw►a urc 'NOLw,e, Date 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 FUNE DIRECTOR: r, Go Lc x, /tea 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: A�l 0- 16/, Z, - eto Sexton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. CITY OF SEBASTIAN CITY CLERK'S OFFICE 4669 RECM Nano ❑ Cash *hock# 1 `r No. Amount Paid 001001208001 001501322900 001501341920 001501341910 001501341930 801010 343800 001501343M Sales Tax Garage Sales Co*ssw Specs. LDCICode of Ordinances Ebdon QuaF4" Fees Cemetery Lots r1k LaVo i e, LoflNdw 3 R Block Unit Cemetery Fees 2-50.00 W Total Paid ZOO -200 Initkik IIIIMW - Dept of Origin • Yellow - Finan • Pink . Applicant • 0 THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLORIDA RE IPT IS EBY CKNO LZDGEF THE SUM OF: Dollars ($ ) FROM: G on thisday o 19 for the purchase of the following described me ery Lo n the terms and conditions as stat herein: Description of Property: Cemetery Purchase Uni t dd Dollars ( ) Terms and Con 'tion 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 descri property on the terms and conditions stated in the for in inst me t The City of Sebastian agrees to sell the above the above named purchasers) on the terms and above instrument. an itness ed property to ns stated in the • City of Sebastian 1225 MAIN STREET 11 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589-5330 0 FAX (561) 589-5570 January 15, 1996 Real M. &Margaret M. Lavoie 103 s. Wimbrow Drive Sebastian, Florida 32958 Dear Mr. & Mrs. Lavoie: Enclosed is Cemetery Deed No. 1559 for Lot 38, 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. Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures (\--fi—k-adee&vipd) Lavo 'i ��e�d IT) . 4 rte.►- 4 �m. Ic�� ", 'Uyimbrac�� ; �4a r, rL 6c-� q�� �.IA2S,Lln'�� Paid by CEMETERY Receipt No.. • ,915 .. • . • . • Dated . • •11/19/96 LOT 38 List Price $ .. • • 500.00 " BLOCK 25 Maximum No. Burial Spaces ....... . . .UNIT 4 Net Paid $ ..... 500.00 • • • • • Monument permitted ...................... . (Data above this line for City Record only) NO.