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Home My WebLink About4-23-31f~i#~ of ~r.b~tt~#ittn ('~ 01800 ~GY P ~ P ~ P P ~ ~ P• P ~ NO. THIS INDENTURE MADE Thl, ...... 2Rt~........, day or ....June .............................. w. D,~L.2QQ1 between tl:e City of Sebastian, a municipal eorporatlon existing under the laws of the State of Florida, ea Grantor and ....................................... Theresa Giniso ....151.~7~ Emerson Lane .............................................................. ........................................... 8e.ba s ti,an,..F1 o rida..32.9 S 8 .............................................. . of the County of ...... Indi,z}~„~,~q~~ ................. anI State of ...... EI..Oxida .......... . u Grantee, WITNESSETH: ............. ......... That the Grantor for and in consideration of the sum of S .1 a. ~ ~ ~ : 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) . ,~ ~.s ~ ~Blodc, ...2,~ .. ,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. Lude County of Florida; said land-now lying and being in Indian Rivet County, Florida. To Have and to Hokl 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 ceiia;tery. The conditions, restrictions and requirements contained in this instrument shall be covenants rumiing 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 debd of conveyance thereof then the title of such owner in and to said property shall termiiiate and the asiite shall revert to the City of Sebastian, Florida. IAl WITNESS WHEREOF, The said party of the first part has caused this instrument to be executed in its nartse and on its behalf by its Mayor and attested by its Cfty Clerk and its wrporate seal to be hereto affixed, the day and year first above written. ~e ~ ` Attest : .............. ........................ City Clerk Signed, Sealed and Delivered in th Presence of: `` > .. C/Y ............. ............ STATE OF FLORIDA COC7NTY OF INDIAN RIVER CITY OF 3E13A8TIAN, FLORIDA Mayor I HEREBY CERTIFY, That on this ......20th ...........agy of .........June ......................... ........,$~ . x,001 before me personally appeared ......W~~..>r~r, j!1T....~a.XT1~'8 ......................... and .$81.~.~T..A...M3].o.......... respectively Mayor and City Clerk of the City o! Sebastien, a municipal corporation under the laws of the State of Florida to me known to be tl:e individuals and officers described in and who executed the foregoing conveyance to ........................................... Theresa Giniso................................................................... •••••••••••••••••••••••••••••••••••••••••• .............. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance ie the act and deed of sold corporation. WITNE$3 my algoatnre and official seal at Sebastian, in the County of Indian River end State of Florida, the day and year last aforesaid. ,,~ ~ H. JOANNE SJtPiDBERG '- ` (,7~~. , , *: :~_. MY COMMISSION #~ CC 725842 ~ ~ .. .. .. .. ................. . EXPIRES: Nora ubUc, State of Fier a at Lame. a~, ~' My (salon expires: ~Rf..l Bonded Thra Nodry Pubdc Un ro Q ,/' / ~ NameL- ~~ V"f /°~~' ~d Block .~7 Lot Date of Mark-out Date of Burial ~ ~ ;~ Time Name of Funeral Home ~ ~ °~N Authorized by ~`<•>,.~1 ~ ~~ ... _.. ._. _._.. __ _-.......__ J GINISO, THERESA DEED ~f1800 1517 EMERSON LANE SEBASTIAN, FLORIDA 32958 LOTS 31 & 32 BLOCK 23, UNIT 4 `N" Paid by CEMETERY ReceiptNo..Q$3.7 Theresa Giniso List Pricea..1,Q00.00 •........Dated.....b/.20./.Q~,,,,,,,,,,,,, Unit 41 & 32, Block 23 • ... Maximum No. Burial S NO. Net Paid S .. 1~ ~ ~ ~. 0 ~ Paces ................ . .. ... Monument permitted..... (Data above t3-is line for City Record odY) I ~~ ~~ ~~. ~~ V ._ _~ l ~ ~ ... ~ ~ - ~ 0 0 - ~.- fi @ ~j ~~. ~. .~ ~. £ ffi ~ -~ N ~ ~~~ m ~" ~ E F-' °i ~ ~ ~ '~Fd 2 3 1 3 r v ~ ~ ~ ~ ~ s s s s s s s s~ s s i c~. `off ~ S~O~C~-5 . u-y o~ - ~~ w~~1~~~~ Fr / FLARIDA DEPARTMENT OF HEALT A. State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL -TRANSIT PERMIT X31 ,~ a3 ~~ 1. Name of First Middle Last Date Month Day Year Deceased of lames Giniso Deatn June 13 2001 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or i ndian River Roseland Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number Certifier Farhat Khawaja M. D. 7754. Bay Street Medical Examiner Physician Sebastian, FL 561-589-3000 4. Name of Funeral Home/Gi~act.Gicpaaa Address 1623 N . Central Ave. Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Strunk Funeral Home Sebastian, FL 1228 561-589-1000 5. Check Appropriate Box a. ~ The medical certification has been completed and signed. A completed certlrtcate or deatn accompanies tnts application. b. ~ peQ was contacted on 6 / 13 / 01 Helshe verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Khawa-a will complete and sign the medical certification of cause of death w' 72 hours. c. 0 was contacted on He/she verged that Medical Examiner, will complete and sign the medi ce ificati of se of death wthin 72 hours. 6. Funeral Director/ gna F.E. No./Reg. No. Date Signed _ 1862 6/13/01 g, BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. ~ Permit No. 1228-01-0299 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 cert~cate within 72 hours. ~No extension of time for filing the death certificate has been requested. ~,~, Date Date Certifi to Subregistrar Signature ,/~ C,/I.fs,Cj Issued: `!/ 3 /O~ Due: ~I ~/~/p/ C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: bate 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. Awaiting period of 48 hours after death is required for all cremations. D. Method of Disposition: BURIAL CREMATION Signature of Sexton 1 or Person-in-Charge Ji STORAGE OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition ~~_//~p ~p 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, 8197 (Dbsobtss aN previous edilbns) Yellow: Funeral Director or Direct Disposer (Stock Number. 5740000-0326.2) PiMc: Lacel Registrar ~~ r ..: ~ ; "III ~W~9~. HO1ViE t~F PEUGAN iSiJi-ND June 25, 2001 Theresa Giniso 1517 Emerson Lane. Sebastian, Florida 32958 Dear Mrs. Giniso: Enclosed is City of Sebastian Cemetery Deed No. 01800 for Cemetery Lots 31 & 32, Block 23, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. S' rel =- Sally A. ' , CMC City Clerk The Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of: ~~ ~,a ,,~~ Dollars ($ /, D~`fl . O d ) i /I ' From: on this day of 20 for the purchase of the following described Cemetery Lot(s)/Niche(s) upon the terms and conditions as stated herein: Description of Property: Cemet Lot(s) fiche(s) 3/ ~ 3a Block ~~ Unit _ Purchase Price: ~~ ~~~ Dollars ($ /, 0~'-D • ~~ ) 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. ity of Sebastian Witness