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Home My WebLink About4-20-07flitu of Orhast, Prutrttry NO. �i1t1�a THIS INDENTURE MADE ThL ...2.8.th............ day of .... June ... ............................... A. D'W..20.Q0 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ............. ............................... Marie .. Grp, e. G. Q.................. ............................... ................. 1006 Barber S.. ... 329.58............ of the County of ...Indian . River ..................... and State of .... Florida.... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .5 QQ.1 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 ......... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) ..7. ... , Block, %Q ...... UNIT A ......... , 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. Henry A. Grieco interred June 28, 2000 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 rulesand 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 tided 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. At j . L !/• P�.s�� ............ . City Clerk Signe and Delivered In the r e ce of: ........ .... :.. ...` ................... . ........................... STATE OF FLORIDA CITY OF SEBASTIAN, FLORIDA By Y. `!. �......... Mayor (QIitg Seal) COUNTY OF INDIAN RIVER 11 I HEREBY CERTIFY, That on this .... p`l.... ..........day of .. , o Walter Barnes before me personally appeared ....... ................... ............................... and Kathryn.�.•...P..�a�,i.4Xa�. 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 Marie Grieco ....................................................................................................:... ............................... ......................... ............................... 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 SANDBER(i 1dY COMMISSION li CC 725842 Nuts t ublle, State of Florida at r lig EXPIRES: April 30, 2002 My mmtsston expires: Bonded Thor Notary Pub#c Underwriter Unit -7 Block LZ Lot 7 Date of Mark-out- Date of Burial_ (0! .4 o Time Name of Funeral Home syk wx g Authorized by GRIECO, MARIE DEED 41742 1006 BARBER STREET SEBASTIAN, FLORIDA 32958 JUNE 28, 2000 LOT 7, BLOCK 20, UNIT 4 HENRY A. CRIECO INTERRED JUNE 28, 2000 ! OWDA DEPARTMENT OF EALT A lTVPF1 17 S f Florida, Department of Health, Vital 10tics APPLICATION FOR BURIAL - TRANSIT PEfIIIIIT Z 1. Name of First Middle Last Date Month Day Year Deceased Henry Anthony Grieco Death June 25 2000 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. VNA Hospice House 3. Name of Medical NOor Merchant, M.D. Address 13060 U.S. #1 Phone Number Certifier Sebastian, FL 561- 589 -0879 Medical Exam iner Physician 4. Name of Funeral Home/DireeP9hPp » 9l Address 623 N . Central Avenue Fla. Lic. No. /Reg. No. Phone No. (Area Code) Establishment Sebastian, FL 1228 561 -589 -1000 Strunk Funeral Home 5. Check a. U The medical certification has been completes ana slgnea. A compietea certmcate OT aeam accompanies tnis Appropriate application. Box b. Debbie was contacted on 6/26/00 He /she verged that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Merchant 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 medi ifica ' n of a of death within 72 hours. 6. Funeral Director/ Ign ure F.E. No. /Reg. No. Date Signed r,:.amLEU r 1862 6/26/00 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -00 -0302 F1 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. .c Date Date CertifL*/"— Subregistrar Signature / Issued: L a v Due: (� 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 �j BURIAL STORAGE Date of Disposition CREMATION n OTHER (Specify) Signature of Sexton or Person- in- Charge G� 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: While: Cemetery or Crematory DH 326,11/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number. 6741100(1-0326 -2) Pink: Local Registrar � N � O C4 C Cr- ,� = ono Paid by CEMETERY Re ceipt No ................. Dated .JunP, . % �G List Price $ ..5 9.. Net Paid $ 0 .... $- ..fir Q.Q. NO. ....... i G�� 7 ,� /� Maximum m No. Burial Space ....... .. � Q �. s Q Q .......... . . Monument permitted . r (Data above this line for City Record only) 10 t..- Y�ro q� LU CC ca, r <u M, 1. i Paid by CEMETERY Re ceipt No ................. Dated .JunP, . % �G List Price $ ..5 9.. Net Paid $ 0 .... $- ..fir Q.Q. NO. ....... i G�� 7 ,� /� Maximum m No. Burial Space ....... .. � Q �. s Q Q .......... . . Monument permitted . r (Data above this line for City Record only) 0 ti SA��o E�FPELICPN S P City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589 -5330 0 FAX (561) 589 -5570 June 29, 2000 Marie Grieco 1006 Barber Street Sebastian, FL 32958 Dear Mrs. Grieco: Enclosed is Cemetery Deed No. 1742 for Lot 7, Block 20, Unit 2 Also enclosed is a form - Return for Transfers of Interest in Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2000 16th Avenue, Vero Beach, Florida 32960 or you may call the Department of Revenue at (904) 488 -9487 for more information regarding the completion of this form. We are enclosing two copies of the receipt and ask that you sign and return the copy marked with an "X" and retain the other copy for your records. A stamped, self - addressed envelope is provided for your convenience. Sincerely, Kathryn M. O'Halloran, CMC /AAE City Clerk KMO:js Enclosures O U 0 Z 4 fO m c Q J O 1 w a OC1 m •lu.Q 3 :y � S aO Ir O rm E� LIB 1 L!1 ti rm CN "� 41 ❑ o O ^a z 0 ru ° M 1 O 6 Lo a a, a O Ae Sebastian Cemet y City of Sebastian, Florida Receipt is acknowledged in the sum of: .„ Dollars ($ 3—aO.0 ) on this .-Ze4t day of ee. 20_0,4 for the purchase of the following described Cemetery Lot(s) e(s) upon the terms and conditions as stated herein: Description of Property: C s)/Niche(s) % Block c26 Unit Purchase Price: �� f�e Dollars .($ —eo • eY ) 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. Witness