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Home My WebLink About4-21-10Name (.ZW_A! Unit_ Block_ Lot 10 Date of Mark -out Date of Burial I;ZZ-XTTime Jp e f Name of Funeral Home Authorized bye ed> 7* y@ �: 5^� l4- t?r! !?�%7�tr.. �nT,ea lce.c90 4�7�� :. 12/24/2016 13:51 FUNERAL. HOME: 51 ADDRESS: 7 a72 Nnrr PHONE#: 77o).gS9. (Check One) XX OPEN BURIAL OPEN CREMAI OPEN COLUMI BURIAL DATE AND FOR DECEASED:_ RAL DIRECTOR'S REQUEST TO C OF Sl IR1AL OPENING IN SEBASTIAN ML h ICIPAL For information Contact: Kip Kelso, . Cemetery Se Sebastian Municipal Come cry Phone. (772) 589-2545 Fax. (772) 228-9927 City Clerk's Office — Cathy Testa City Hall, 1225 Main Stre Sebastian, FL 32958 e (772) 388-8215 or 388-8294 ctesta c1tvolseb LOT NICHE Lot_ „ Thursday December NAME AND SIGNATUREJ OF LOT OWNER OR RI (Must provide proper do mentation of ownership) Name I certify that I have deten fees have been paid and NAME AND SIGNATURI Gary D. Evans Name Cemetery Sexton Cert I certify that I have chi office and that all fees Signature the ownership of the above descrit Drize opening of same. LICENSED FUNERAL DIRECTOR: rJary 0. 93% Signature the ownership information by viewing been paid: that all deec Cemetefy Sekton / Date This form to be provided t Clerk's Office by Sexton for permanent r rd upon 46305 P.001/001 A/X/z�- IM/ Date !ees and administrative / ate confirming with Clerk's Tttu of ' Phafittan (Ppmetpry D erb NO. V THIS INDENTURE MADE nds ... 1St .............. day of .. September ... _ ....... ........ .. A. D., W..20100 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ................ ............................... DorothY...Christie 502 Barefoot Blvd. .......................................... ..... ........ ............................... of the County of .... Bre. v ard ............................ an] State of .. Flo xid a.......... ............................... as Grantee, WITNESSETHe That the Grantor for and in consideration of the sum of $ 1 $0Q ..00 ............. to it in hand paid, the receipt whereof is herewith so- 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) .9.419 , Block, .. Z 1 .. , UNIT .... ........ , 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 Si ed, Se led and D eyed i the P nce� STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA Byn......... Mayor ((dity 'Seal) I HEREBY CERTIFY, That on this ...... ISt .............day of ........ Sep.temb.ex............................ XK..7,000 before me personally appeared . Walter .Ap' irne3 .. and ,.KathKy Ap. Q.Tallor.an ....... ............................... 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 ................................................ Dorothy.. Christie ........................ ................................... ......................... ............................... 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. H. JOANNE SANDBERG ................. i►: MY COMMISSION A CC 725842 Not& ublie, State of F orlda at Larg EXPIRES: April 30, 2002 My c isslon expires: �� Bonded Thou Notary fabric Undepmters • i e� e 1225 Main Street, Sebastian, Florida 32958 Telephone (561) 589 -5330 - Fax (561) 589 -5570 Website: www.cityofsebastian.org - Email: city@cityofsebasban.org Septemberl1, 2000 Dorothy Christie 502 Barefoot Blvd. Barefoot Bay, Florida 32976 Dear Mrs. Christie: Enclosed is Cemetery Deed number 1754 for Lots 9 & 10, Block 21, 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, 2000 16th Avenue, Vero Beach, Florida 32960 or you may call the Department of Revenue at (904) 488 -9487 for more information regarding the completion of this form. We are enclosing two copies of the receipt and ask that you sign and return the copy marked with an "X" and retain the other copy for your records. A stamped, self - addressed envelope is provided for your convenience. Sincerely Kathryn M. O'Halloran, MMC City Clerk KOHrs Enclosure(s) �3 / //- a I OL c " Ckk-, ' O RU R C/) CD = LL to E5 4) o :ECO 1 is 0 .1 cr "C; C', �3 / //- a I OL c " Ckk-, ' Ike Sebastian CemetOy City of Sebastian, Florida Receipt is acknowledged in the sum of: Dollars ($ /, From: a �» on this /la-t- day f 202 for the purchase of the following described Cemetery Lot(s)/Nic1 e(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) % /D Block a / Unit Purchase Price: p,,e 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: . Xa±.� (74�� Purchaser signakure Purchaser signature The City of Sebastian agrees to sell the above mentioned property to. the above named purchaser(§) on the terms and conditions stated in the above instrument. -If-A I!V.IV P 2-VI ayaloe ity of Sebastian Witness