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Home My WebLink About4-20-06Tifv of orhasfiatt 4 J S NO. THIS INDENTURE MADE This .. 30th. , . _ .. , .. day of .... , June. , A. D., *X2QQO between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ........... ............................... ..... DQnald.. X orga ..�tncl /.or..Joan E. Morg n....................... • ............................... 7850. 129,th Street, Roseland, Florida 32957 of the County of Indian River anI state or Florida as Grantee, W ITNESSETH s . . • ' ' ' ' ' ' ' ' • • • • • ........................ That the Grantor for and in consideration of the sum of $ 1 Q QQ ,. QQ • ............. 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 , , , , , , , , the following property situated in Sebastian, Indian River County, Florida, to -wit: heirs, legal representatives and assigns All of Lot(s) , S .. , OBlock, , ZQ, , , , , UNIT .. 4; , , , , , of Sebastian municipal cemetery as Book 2 at ' � ' ' ' P Y per Plat Number 1 thereof recorded in Plat 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. ��_wAttests ... Clty Clerk n d, Se at a ed in t sepce STATE OF FLORIDA . COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By AV 0- J O... .gam .............. Mayor ((Qitg Atx1) I HEREBY CERTIFY, That on this , .3 0 t.h ............. day of ...... JUrie. , , , , , • • before me personally appeared Walter Barnes and Kathr n ............................ ............................... .......Y.... M P, . 4.t.He.l:�oran.. 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 ................. ............................... Donald „Morgan and %or Joan•.E.. Morgan......................... • ” '' " .. 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 sANI)BEflG MY COMMISSION # CC 725842 , EXPIRES: April 30, 2002 Not ublic, State of Florida at j ,. Bonded Thsu Notary PubkUndenrkm My mmission expires: E N c Z 0 E i` tsvao� IROQA),-► G,-�,- 3.- Paid by CEMETERY Receipt No ................. Dated ... jgjIk2..3 Q'.. Z QQ9 List Price $ . 1 OOO.. OQ. Maximum No. Burial Spaces ................. Net Paid $ . 1 OOO, �Q.... Monument permitted ....................... (Data above this line for City Record only) N0. / I I. ; 1q6 J Q E 0 O +� Y 6 Y � •C 3 m T C 7 LL �O N O O m a� i0 N J O y G E t N 7 Z Q tsvao� IROQA),-► G,-�,- 3.- Paid by CEMETERY Receipt No ................. Dated ... jgjIk2..3 Q'.. Z QQ9 List Price $ . 1 OOO.. OQ. Maximum No. Burial Spaces ................. Net Paid $ . 1 OOO, �Q.... Monument permitted ....................... (Data above this line for City Record only) N0. / I I. ; 1q6 CITY OF SEBASTIAN , {Y 3 8 CITY CLERK'S OFFICE RECEIPT Name 12 ❑Cash Date 1-f K Check # AmountPakl 301001208001 Sales Tax )01501322900 Garage Sales 301501341920 Copies/Bid Specs. )01501341910 LDC /Code of Ordinances X11501362100 Community Center Rent )01501362100 Yacht Club Rent X11501 362150 Non Taxable Rent X11501343800 Cemetery Lots 301010 343800 Cemetery Lots Lot/Niche %j , Block , Unit X11501 369400 Interment Fee )01501 369400 Weekend Service 380800 220681 Yacht Club Security Deposit 380800 220682 Community Center Security Deposit 380800 220683 Riverview Park Security Deposit Total Paid_ Initials White - Dept. of Origin • Yellow - Finance • Pink • Applicant �/ 41 FLORIDA DEPARTMENT OF e % >v HEALT State APPLICATION FOR BURIAL HTaRAN ITaPERMIT'cs 1- 6 A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased of Joan Elizabeth Morgan Death May 18 2002 2. Place of Death City, Town or Location Name of (If neither, give street address) County lHosp. or Indian River Vero Beach 3. Name of Medical Certifier Pedro A. Espat, Q.0. Inst. VNA Hospice House 8005 Bay Street Phone Number Li Medical Examiner I WiPhysician Sebastian, FL 1 772- 589 -1000 4. Name of Funeral HomefilraGtniB^n� Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Avenue Strunk Funeral Home Sebastian, FL 1228 772 - 589 -5600 5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. �] Sherri was contacted on 5/20/02 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Espat will complete and sign the medical certification of cause of death within-72 hours. no was contacted on He /she verified that , Medical Examiner, will complete and sign the me ical 96rtifioatoili of Ouse of death within 72 hours. 6. Funeral Director/ Si re F.E. No. /Reg. No. Date Signed QFQGII r DirposeF 1862 5/18/02 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228- 02-0236 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. KWsirar or I Date Date Certificate Subregistrar Signature Issued: 5/18/02' Due: 5/23/02 C. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA I 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. Method of Disposition: �BURIAL OCREMATION Signature of Sexton or Person -in- Charge STORAGE DOTHER (Specify) CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition S/A y/0 `ZI F I 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, Distribution: White: Cemetery or Crematory mb (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number. 5740 000 0326 2) Pink: Local Registrar