HomeMy WebLinkAbout4-24-31Titg of #rb afiiian
� 1847
T r ut p t i p r y B e r t NO.
THIS INDENTURE MADE Thb ...... 7th........... day of ....... MAY . ............................... A. D., mx ..2Q02
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
JUSTIN AND DEREK MCALHANY
........................................................................................................ ...............................
465 FLEMING STREET
.............................. SEBASTIAN., ..F.L.ORID.A.. 329. 58 ................. ............................................
of the County of ......INDIAN RIVER .......... ani State of .. FLORIDA
................ ...............................
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of $ .. 7 Q Q , Q Q .............. 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 ......... heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
All of Lot(s) . 31... , Block, . 24.... , 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 dried 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: ". .""...- __ .............
City Clerk
Signed, Sealed and Delivered
In this Presence of:
/ /� ............
.... .................
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By.., 9- 617 ...... .......
Mayor
(Cite �$exl)
7th May ........ ............................... NK.2,002
I HEREBY CERTIFY, That on this ........................day of ......... ,
before me personally appeared ...... Walt.er..W... Barnes ........................ and ... , Sal.l.y..A,.- Mai.O.............
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
Justin and Derek MCAlhany ............................... I.................
............................... *......................... and severally acknowled the execution thereof to be their free act and deed
as such officers thereunto duly authorized; and that the Official seal of said cor rat on 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
last aforesaid.
«r° P ANN V. ROUSSEAU
MY COMMISSION * DO M9531
EXPIRES: March 18, 2006
Bonded fire No "ry Public Underwriters
ujty"' of !an River an State of orida, the day and year
......! .. .. . ..... . ......................
Notary Public, State of F ride at Large.
My commission expiresi
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CITY OF SEBASTIAN` (i
CITY CLERK'S OFFICE
RECEIPT
Check # 11 _
AmountPak
001001 208001
i
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
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CITY OF SEBASTIAN` (i
CITY CLERK'S OFFICE
RECEIPT
Check # 11 _
AmountPak
001001 208001
Sales Tax
001501 322900
Garage Sales
001501 341920
Copies/Bid Specs.
001501 341910
LDC /Code of Ordinances
001501 362100
Community Center Rent
001501362100
Yacht Club Rent
001501362`150
Non Taxable Rent
001501 343800
Cemetery Lots
601010 343800
Cemetery Lots
Lot/Niche_, Block_, Unit
Fee
001501369400
Interment
001501 369400
Weekend Service
680800 220681
Yacht Club Security Deposit
680800 220682
Community Center Security Deposit
680800 220683
Riverview Park Security Deposit
Total Paid
Initials
White - Dept. of Origin • Yellow - Finance • Pink - Applicant
FLORIDA DEPARTMENT OF
HEALT
A fTYPFI
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
� ay
1. Name of First Middle Last
Date
Month Day Year
Deceased JOSEPH GERALD MCALHANY
MAY 5, 2002
Death
2. Place of Death City, Town or Location
Name of (If neither,
give street address)
County
Hosp. or
INDIAN RIVER SEBASTIAN
Inst. 465
FLEMING STREEY
3. Name of Medical
Address
Phone Number
Certifier ROGER NITR'LINAN, ME
2500 35TH ST
Fqmedical Examiner Physician
FORT PIERCE, FL 34981
772 - 464 -7378
4. Name of Funeral Home /Direct Disposal
Address
Fla. Lic. No. /Reg. No.
Phone No. (Area Code)
Establishment
SEAWINDS FUNERAL HOME
735 F .EMING STREET
qF.RARTTAN, FT, 4995R
2617
561- 589 -1933
5. Check a. ® The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
b, ❑ was contacted on
He /she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that will complete and sign the medical
certification of cause of death within 72 hours.
C. was contacted on He /she verified that
Medical Examiner, will complete and sign the
medical c cation of cause of death within 72 hours.
6. Funeral Director/ natu F.E. No. /Reg. No. Date Signed
Direct Disposer // 2294 5/6/02
B. � BURIAL - TRANSIT PERMIT
Permission is hereby granted to dispose of this body. Permit No. 2617 -020 -02
F�A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within
72 hours.
rMo extension of time for filing the death certificate has been requested.
Registrar or Date Date Certificate
Subregistrar Signature Ca( Issued: 5/6/02 Due: 5/09/02
C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA
Approval Number: 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
Method of Disposition: Place of Disposition
BURIAL STORAGE Date of Disposition
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 County Health Department in the county where disposition occurred.
Distribution: White: Cemetery or Crematory
DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer
(Stock Number: 5740 - 000 - 0326 -2) Pink: Local Registrar
�n
�� �
May 14, 2002
Justin and Derek McAlhany
465 Fleming Street
Sebastian, Florida 32958
Dear Mr. McAlhany:
Enclosed is City of Sebastian Cemetery Deed No. 1847 for Cemetery Lot 31, Block 24, Unit 4.
Also enclosed is a copy of your receipt.
If you have any questions, please contact our office.
Sincerely,
Sally �
lerk
SAM.js
enclosures
The Sebastian Cemetery
City of Sebastian, Florida
Receipt is acknowledged in the sum of:
Dollars ($ 74`4 • " )
on this 1`�6 day of 20�_ for the purchase of the following
described Cemetery Lot (
s) /Ni upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)/Niche(s) Block p? Unit
Purchase Price: 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:
Purchaser signature
Purchaser signature
The City of Sebastian agrees to sell the above mentioned property to the above named
purchaser(s) on the terms and conditions stated in the above instrument.
City of Sebastian Witness