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NO. 3 G
THIS INDENTURE MADE This .....24 th .......... day of ............. AnLJ r .. t...................... A. D., 1X. 2,000
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
.................................... H. Young and(or Minnie M,...Youn
237 DelMonte Road " " "' " " " " " "'
.................. ..................Sebast.ian,.. Florida. .3. 2958.........................................................
of the County of ..... Ind iai1..River ................... an3 State of ........ Florida..
as Grantee, WITNESSETHs
That the Grantor for and in consideration of the sum of $ .l.a 00 Q : 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 their heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
All of Lot(s) , .6 & 7, , Block, , .. Z1. , 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.
SUPERSEDES DEED N0. 1653 DATED 10/27/1998
- 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 WITNjSS' 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 j� y Clerk and its corporate seal to be hereto affixed, the day and year first above written.
CITY OF SEBASTIAN, FLORIDA
tk • I A J t � �
Attest: ....... ..... ............................... By . !! `! .M.. �! �' ...j1P............. .
City Clerk Mayor
gned, d and Delive
in the nee of:
r --
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this ..... 2!i ttl............day of ....... AUgUB t ...................... ,y.. 2000
before me personally appeared .... Wa.l.Ire) ..j3axnes. and .Kathryn 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 conveyance to
.......... ............................... Newton_.H...Young..and /.or Minnie M. Young..........................
...... . ...................... 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- County of Indian. River and State of Florida, the day and year
last aforesaid.
,.e' ".' H. JOANNE SANDBERQ ..............
Ak�' MY COMMISSION # CC 725842 Nota ubtie, State of Florida at Large.
EXPIRES:Apn130 2002 My mmisslon expirest
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Date of Mark -out
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In Memory of
Newton H. Young
June 06, 1926 - September 10, 2011
Newton H. Young, 85 of Sebastian, passed away on Saturday, September 10, 2011, at
VNA Hospice House in Vero Beach. Newton was born June 6, 1926, in Miami, FL, and
moved to Sebastian 18 years ago from Miami. He was a supervisor with Eastern Airlines
in Miami, and later worked as a Ranger /Starter at Sandridge Golf Club. Newton was a
member of Northwest Baptist Church in Miami, the Vero Beach Amateur Radio Club,
KD4RS, and the Indian River Emergency Net Ham Radio Operators.. Survivors include his
wife of 63 years, Minnie Young of Sebastian, son Tom Young of Vero Beach, daughter
Barbara Gladstone of West Palm Beach, 3 grandchildren, and 4 great grandchildren.
Sep 04 2009 2:13PM COS CEMETERY 7722289927 p.2
FUNERAL H
ADDRESS:
PHONE #:
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
noraa flucwr d"
For information contact:
Klp Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 5ee -2545
co 7
city cr rrc-6 office
City Nair, 1225 Moln Street
Sebastian, FL 32958
ofte (772) 388 -8215 or 388.8214 b
Fox: (772) 589 -5570
One) d- Mock c Unit
, X PEN BURIAL LOT Lot �cZ� !�
PEN CREMAINS LOT Lot �_t3lock Unit
^�.(JPEN COLUMBARIUM NICHE Niche Black �!
BURIAL DATE AND SERVICE TIME:
FOR DECEASED: N eW *°n ` d
Name
NAME AND SIGNATURE OF L07 OWNER OR REPRESENTATIVE:
(Muss provide proper documentation of ownership
Date
Name Name alum
I certify that I have determined the ownership of the above described 4Ite that all site fees and
administrative fees have been paid and authorize opening of some
NAME AND SIGNATURE.OF LICENSED FUNERAL DIREC109
• lgnature Date
Name..�____.....�_ .......... - - - -• - - --
--------------- ------- -- ---------
--------- --�.�.--------- •________.._.._. --
Cemetery Saxton Certification:
I certify that t have checked the ownership information by viewing the owner's deed and confirming
with Clerk's ofii a d that all fees have been paid 4?// f
4A al. to Saxton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
FLORIDA DEPARTMENT OF State of Florida, Department of Health, Vital Statistics
HEALT APPLICATION FOR BURIAL - TRANSIT PERMIT
A. (TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased Newton H. Young of September 10, 2011
Death
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Indian River Vero Beach Hosp. or VNA Hospice House
Inst. 901 37th Street
3. Name of Medical AgZ(is36TH ST Phone Number
Certifier Richard Penly, M.D. 7 b
Vero Beach, FL 32960 772 - 567 -6340
Medical Examiner Physician
4. Name of Funeral Home /Direct Disposal Address Fla. Lie. No. /Reg. No. Phone No. (Area Code)
Seawinds Funeral Home & )
Establishment 735 South Fleming Street F041682 772 589 -1933
Crematory Sebastian, FL 32958
5. Check a. )0 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 ther "e 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 certification of cause of death within 72 hours.
6. Funeral Director! gnatur F.E. No. /Reg. No. Date Signed
Direct Disposer F046789 September 11, 2011
B. BURIAL - TRANSIT PERMIT SWFH 1141682 -173
Permission is hereby granted to dispose of this body. Permit No.
A five (5) day extension of time for (ling the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral direct r nd will not be able to complete the medical certification of cause -of -death section of the death certificate within
72 hours.
❑ No extension of time for filing the de 3t certificate as been requested.
Registrar or Date Date C
Subregistrar Signature Issued: September 11, 2011 Due:
�Rnber 22, 2011
C. AUA RIZATION 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 City of Sebastian Municipal Cemetary
BURIAL STORAGE Date of Disposition C/—/
EICREMATION 00THER (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
Oct 06 11 10:40a jimyoung
G
1
1
772 - 465 -7949 p.1
In
A4�snaati�cY>titi, It�c�
DATE:
/ voYZ) 141,r d
Y
TO: CITY OF SEBASTIAN
.
SEBASTIAN, FL. 329SB
X -l"T. . C1 METE -ftY SEXTON,
l 5 74
SIDE " D - -/,,
. ' MAL49S D 5
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D.O.D.
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D.O.a.
D.O.D.
UNIT
' BLOCK`
LOT
SQUARE Ii rutr -
-
APPROVED
Ci IFCICKI) BY
DATE
EXAMPLE OR MT—MR Or - MONUM1 ?.MP 'lN QUWIMON: .
i
I'm AueWs (Iram (Ira firm. S&Nvu t 1962
PJK II&wwta date 'Is
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Z -d 6176L-99V-ZLL
6unoAwif 8 Lb:N LL9010O
at e
•
1225 Main Street, Sebastian, Florida 32958
Telephone (561) 589 -5330 - Fax (561) 589 -5570
Website: www.dtyofsebaslian.org - Email: dty@cityofsebasban.org
August 28, 2000
Newton H. & Minnie M. Young
237 Delmonte Road
Sebastian, Florida 32958
Dear Mr. & Mrs. Young:
Enclosed is Cemetery Deed number 1752 for Lots 6 &7, Block 21, Unit 4 which supersedes
Deed number 1653 dated 10/27/1998 which was for Lots 6 &7, Block 29, Unit 4.
If you have any questions, please contact our office.
Sincerely,
Kathryn M. 'Halloran, MMC
City Clerk
KOH/ar
Enclosure(s)
Tttu of #rfiastian
C��ritPP APP NO. ,1653
THIS INDENTURE MADE TWa 27th day of .............. October ............................... A. D., 19 98...,
between the City of Sebastian, a municipal corporation existing under the laws of the Stata►of Florida, as Grantor and
............................. Newton. H...Young . and /. or . Minnie..M.... Yo ............. .
237 Del Monte Road
SEbastian, • Florida • 32958 .......... .
of the County of . Indian River an -I
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of $ 1 2 00�; O, , , , , , , , , , , to it in hand paid, the receipt whereof is he> h ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and conf. to the Grantee their h s, legal representativ and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
All of Lot(s)6 &T. . . , Block, . ?9. . .. , UNIT !F .... , , , , , , , , of Sebastian municipal
Book 2, at page 65 of the public records in the office of the rk of the Circuit Court of St.
in Indian River County, Florida.
.11000o' _
r
t Number 1 Vdnow corded in Plat
Pty of Florida; ying a nd being
I N_ tA vT
To Have and to H d the saerunning hat said property shall be used solely and exclusively for the interment of the human dead and shall
be used, kept and maintaine with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto-
fore, now and hereafter pt overnment and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shall be w 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.
Attest: .0 ............
City Clerk
Si
In
STATE O]
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By4:0 .....................
Mayor
(t¢itg �Gexl)
I HEREBY CERTIFY, That on this ...... 27th ............ day of ........... October ............................... 1 @$..,
before me personally appeared . Ruth Sullivan t
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
............................ Newton .H.. Young, andjpr, Minnie .M, . ?YOU g................... ...............................
......................... ............................... 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 s
last aforesaid.
Aida, the day and year
1
^M
•
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN, FLORIDA
9
FROM:
M
on thi - / day o4
following described Cem �t€ 9
conditions as stated herein:
OF THE SUM OF:
(s)
19
for the purchase of the
pon the terms and
Description of Property:
Cemetery Lot( Block
Unit
Purchase Pri
Dollars
Terms and Condition of sale:
This contract shall be`b.inding 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 s 11
the above named purchaser (s) on t "le t
above instrument. /''
TME
�'" ' el
MIMMT15
ti� property to
iti s stated in the
YOUNG, NEWTON H. AND /OR MINNIE M.
237 DELMONTE ROAD
SEBASTIAN, FLORIDA 32958
DEED #1752
LOTS 6 &7, BLOCK 21,
UNIT 4
SUPMEDES DEED NO. 1653 DATED 10/27/98