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Home My WebLink About4-21-13' tai #d of Orhafi#ittn i art NO. THIS INDENTURE MADE T4L ..... 3.Lst.......... day of .... Oct. ober ............................ A. D.,=..20.90 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ....................... ........................Roger., Vel. la...................................... ............................... ....................... U7...IMY..Kalrbox.. Terrace, Seb.astian.,..Rlorida.. 329.58..... ................... of the County of ..... Tndian. ,River ................... an] State of ...IF Ord. Cl, 3......... ............................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .5 q 0 . . � �. , , , , , , , , , , , 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) ...1.3. , Block, .21.... , 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 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 S' ned, Se and Delivered n the P ce of: ... ........................ C�- �'"'�-. ... . .� STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By �.. VY. �+Wi. `!" ............... Mayor (aitq �sexl) I HEREBY CERTIFY, That on this ........31st .........day of .......... O.0 .t be r .............................. ails ..2,000 before me personally appeared ...'K@ ter . W,., .. Raxne .S ............................ and ..Sally . Mato.................... 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 RO.$e.. Vella ......................................... ............................... ......................................................... 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. ,ap.. r�,,, H. JOANNE SAND9ERQ . MY COMMISSION ! CC 725842 .................... EXPIRES: API 30,2= Notary ublie, State of Flor da at ,, �'' • Bonded Thtu Notary Pubhe underwriters My co lesion expires: P L- Name t.:, t.. Unit Block OU Lot Date of Mark -out 1W A Z I Date of Burial Time Name of Funeral Home Authorized by VELLA, ROGER DEED #1763 337 BAY HARBOR TERRACE SEBASTIAN, FLORIDA 32958 UNIT 4, BLOCK 21, LOT 13 DOROTHY HILLIARD INTERRED 10/30/2000 ROGER VELLA FOR DOROTHY HILLI UNIT 4, BLOCK 21, LOT 13 Paid by CEMETERY Receipt No ................. Dated .1 Q /M L 2 Q Q Q ..... NO. List Price $ .. 5.Q 0. r QQ....... Maximum No. Burial Spaces ................. Net Paid $ .. 5.0 O . O 0...... _ Monument permitted ....................... (Data above this line for City R.eeord only) Z0 M. LB I 1c, a. IL J • 411 z E w CD cn V a O O f0 N O i3 N cn -0 a 1c, a. IL J • en cr ) i r� � M � 411 z E oN en cr ) i r� � M � FLORIDA DEPARTMENT OF -' Al f �3 HEALT Sta Department of Health, Vital Setics A Florida, PLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Dorothy Hilliard Death Oct. 25 2000 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Roseland Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number Certifier Selcuk Tombul, . D. 777 37th Street F-lMedical Examiner Physician Vero Beach, FL 561 - 388 -4606 4. Name of Funeral Home /I3*&eH90jpo sl Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Avenue Strunk Funeral Home Sebastian FL 1228 561 - 589 -1000 5. Check a. The medical certification has been completed and signed.. A completed certificate of death accompanies this Appropriate application. Box b. �'] Dolly was contacted on 10/26/00 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Tombul will complete and sign the medical certification of cause of death within 72 tt u . C• / was contacted on He /she verified that Medical Examiner, will complete and sign the medics rt ion of ca a ofAA within 72 hours. 6. Funeral Director/ (AS Mire F.E. No. /Reg. No. Date Signed x 62 10/26/00 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -00 -0502 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. No extension of time for filing the death certificate has been requested. mil' Date Date Certifica `t Subregistrar Signature ' Issued: O S (j-p Due: / O ' d Z 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 Sebastian Cemetery �9131JRIAL nSTORAGE Date of Disposition b nCREMATION FJOTHER (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. DH 326, 8/97 (Obsoleles all previous editions) Distribution: �ow: Funeral Cemetery orrtD Direct Disposer (Stock Number. 5740- 000 - 0326 -2) Pink: Local Registrar • 1, U F P ti�2G' <1 5 A _FpF PELICAN \S City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589 -5330 0 FAX (407) 589 -5570 November 6, 2000 Roger Vella 337 Bay Harbor Terrace Sebastian, Florida 32958 Dear Mr. Vella: Enclosed is Cemetery Deed number 1763 for Lot 13, 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. A copy of the receipt is enclosed for your records. 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. S' ely, Sally A aio, CMC City Clerk SAWjs Enclosures Ae Sebastian Cemetty City of Sebastian, Florida Receipt is acknowledged in the sum of. Dollars ($ SDo'41Y ) on this /.a day of t�2� , 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 Lots /Niche(s) /5 Block r�2 / Unit Purchase Price: /C,�,UP� �� Dollars .($ 5D D • eY) ) Tenn and Condition of Sale: /"D -_?D This co ntract s all 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. pity of Sebastian Witness