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Home My WebLink About4-21-25I� or itu of £►rbastittn TP11tPfPX1� BPP• NO. THIS INDENTURE MADE This .... ?.$.th........... day of ..... DIP. VeMb .P,.r .......................... A. D., W..200O between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Brenda Rosian ........................................................................................................ ............................... 686 Layport Drive, Sebastian, Florida 32958 ...................................................................................................... ............................... of the County of ..Indian River ...................... ani State of ... Florida........ ............................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ l r 5 99 -.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 ......... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: 25,26 All of Lot(s) .2.7.. .. , block, .2j ..... 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 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 rust above written. s r_edand °..� C ...... .......... City Clerk � ..... . .......... . .......... b ....................... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By W. • • rJVIS.:" ............... Mayor (0fig deal) I HEREBY CERTIFY, That on this ........ 28th ......... day of ......... November ..... ........................mr -20DO before me personally appeared ,. Walter W. Barnes ........... and . Sal.ly..A...Maio ............... 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 Brenda Rosian .............................................. ......................................................................................... ........................................................ 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 r MY COMMISSION # CC 725842 ' ' . ' ' ' ' ' ' ' ' . ' Not Publle, State of Florida at La EXPIRES: Apr+130, 2002 �'��, _ Bonded Thru Notary Public underwriters My mmission expires: Name Unit Block if Lot Date of Mark -out 2 _ Date of Burial Time Name of Funeral Home Au +horized by _ ROSIAN, BRENDA DEED #1765 686 LAYPORT DRIVE SEBASTIAN, FLORIDA 32958 LOTS 25, 26, 27 BLOCK 21 UNIT 4 GEORGE A. ROSIAN INTERRED 11/28/2000 Paid by CEMETERY Receipt No ................. Dated .... i 1 /.? W Q 0 Q List Price $ ...1,5Q 0.. 0.0 ... Maximum No. Burial spaces ................. Net Paid $ , , ,1,, $ Q Q,. Q0.. , Monument permitted ...................... . (Data above this line for City Record only) Brenda Rosian Lots 25,26,20. Block 21 Unit 4 R ��A,RTMENT OF ALT IN /TVPF1 s-a 7 Statolorida, Department of Health, Vital Stlacs 01 APPLICATION FOR BURIAL - TRANSIT PERIOR'i 1. Name of First Middle Last Date Month Day Year Deceased George A. Rosian of Death Nov. 24 2000 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial Hospital 3. Name of Medicat • Address Phone Number Certifier Richard Cunningh 631 17th Street 0• Vero Beach, FL 561- 567 -4336 MMedical Examiner Physiclan 4. Name of Funeral HomeANreeHN&pesal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) 1623 N. Central Ave. Establishment Strunk Funeral Home Sebastian, FL 1228 561- 589 -1000 5. Check a. U The medical certltication nas Deen compietea ana slgneo. A compieteo certalcate ut ueaur awumParnes uns Appropriate application. Box b. NJ Brenda was contacted on 11/27/00 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Cunningham 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 m; ' m;W ce ' icati of cause of death within 72 hours. 6. Funeral Director/ ign F.E. No. /Reg. No. Date Signed 1862 11/26/00 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. . 1228 -00 -0544 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. nNo extension of time for filing the death certificate has been requested. Regtstrawr Date ) Date Certificate Subregistrar Signature %i'L Issued: Y10 O Due: If �.'Z 9 / O a 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 Examiners 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 BURIAL F1 STORAGE Date of Disposition /j/ / yam„ / >,r '-'? A , � CREMATION OTHER (Specify) Signature of Sexton 1 or Person -in- Charge 1 ".,Ie", o _ 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: wh @e: Cemetery or Crematory DH 326, 8197 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740. 000-0326 -2) Pink: Local Registrar r cn iL cn 0) I CD 0 o CD 0 cf) C3 or NX • December 4, 2000 Brenda Rosian 686 Layport Drive Sebastian, Florida 32958 Dear Mrs. Rosian: CRY OF SIED HOME OF PELICAN ISLAND • Enclosed is Cemetery Deed number 1765 for Lots 25, 26 & 27, 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. �ly' Sally A. Maio, CMC City Clerk SAM/j s Enclosures Receipt is From: Sebastian Cemete� City of Sebastian, Florida in the sum of: Dollars ($ /, j DD De ) 8 on this of 20_Q� for the purchase of the following described Cem Lot )/Ni e(s) upon the terms and conditions as stated herein: Description of Property: Ceme Lots Niche(s) �? Unit y 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. L�L Xity of Sebastian Witness