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Home My WebLink About4-20-16( ig of Orbastian T r ut r t r r y Derb NO. THIS INDENTURE MADE Thls ....... ? 5th......... day of ........ August ........................... A. D.,yJ.. 2000 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and .... ............................... Harold .g.,. Ei senbax th................................ ............................... 750 Tulip Drive .................................... SPba19 tian., .. k'. i- Qr.i. da.. 32. 95 . ........... ............................................. of the County of ...Indian, River ..................... ani State of ..... k'lorida•,,,,,,. ... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ ............. . . 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 , . tj1fk# hcirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) ... 16. , Block, ... 2Q.. , UNIT .... !F ....... , 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. Attes . ... ...... V .... �. 0 /..7............ City Clerk Signe a nd Delivered I the ese a of: t CITY OF SEBASTIAN, FLORIDA By W AC�A.. VLO'I' ?'`! ......... ...... . May-or STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this .......2.5 th..........day of ....... Augns t ................................... jx]%..Zr.400 before me personally appeared .... I1eS . ........ .. ..................... and .KO tYlryt}..Q' Hai i.4$n...... 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 Harold R. Eisenbarth ................................................. ................................... ................ :.................................. ......••,....•.,..,.....• • .............................. 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 7: MY COMMISSION A CC 725642 Notary blic, State of 4iiiaLarge. EXPIRES: April 30, 2002 My a fission expires: "�� ` Bonded Tl:tu Notary Pubk Undemilers . . Name Unit Block Lot Date of Mark - out 0 i IV--Ti ' 'v Date of Burial 0 Time Name of Funeral Home i Authorized by EISENBARTH, HAROLD R. DEED #1753 750 TULIP DRIVE SEBASTIAN, FLORIDA 32958 LOT 16, BLOCK 20, UNIT 4 Harold F. Eisenbarth interred 8/26/00 Lot 16 Paid by CEMETERY Receipt No....... , • • • • . • ... Dated . _ .. _ 8-25-2000 �1 List Price $ .... Q Q:.0 Q , .*"'** ................ . .... Maximum No. Buris , Net P aid$ ...5QQ..QQ... • ............... Monument permitted • , , , , (Data above this line for City Record only) HAROLD R. EISENBARTH LOT 16, BLOCK 20, UNIT NO. W EPARTMENT OF ALT Stat Florida, Department of Health, Vital S ics ICATION FOR BURIAL - TRANSIT PEAW A. (TYPE) // 1. Name of First Middle Last Date Month Day Year Deceased of Harold Eisenbarth Death Aug. 23 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 Address Phone Number Certifier Jeffrey Grossman, M.D. 2300 5th Avenue MMedical Examiner RPhysician Vero Beach, FL 561 - 567 -7111 4. Name of Funeral Home /D0ed-DftpdW Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Avenu Strunk Funeral Home Sebastian, FL 1228 561- 589 -1000 5. Check a. E The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b• NJ Crystal was contacted on 8/24/00 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Grossman will complete and sign the medical certification of cause of death within 72 hours. 6. Funeral Director/ Diree lispeaer B. was contacted on cause of death within 72 hours. F.E. No. /Reg. No. 1862 BURIAL - TRANSIT PERMIT He /she verified that Medical Examiner, will complete and sign the Date Signed 8/24/00 Permission is hereby granted to dispose of this body. Permit No. 1228-00 -0405 M.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. MNo extension of time for filing the death certificate has been requested. Date Date Certific to Subregistrar Signature Issued: 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 BURIAL STORAGE Date of Disposition &A `V n CREMATION OTHER (Specify) Signature of Sexton or Person -in- Charge All 11�1 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. 31-1326, 8197 (Obsoletes all previous editions) Distribution: White: Cemetery or Crematory ;Stock Number: 5740 -00D -0326 -2) Yellow: Funeral Director or Direct Disposer Pink: Local Registrar • a� e i 1225 Main Street, Sebastian, Florida 32958 Telephone (561) 589 -5330 - Fax (561) 589 -5570 Website: www.cityofsebastian.org - Email: city @cityofsebasban.org September 7, 2000 Harold R. Eisenbarth 750 Tulip Drive Sebastian, Florida 32958 Dear Eisenbarth: Enclosed is Cemetery Deed number 1753 for Lot 16, Block 20, 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. 'Halloran, MMC City Clerk KOH/js Enclosure(s) Ite Sebastian Cemet City of Sebastian, Florida Receipt is acknowledged in the sum of: Dollars ($ -0U ) From: on this 2-Ot day of 20Qe�' for the purchase of the following described Cemetery Lot(s)/Nich ) upon the terms and conditions as stated herein: Description of Property: Cemet Lots /Niche(s) // Block a4 Unit , Purchase Price: ��, <i' a� r� Dollars ($ 5-,, o, DU ) 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. - Lz-� ity of Sebastian Witness 4 r ce J � • 4. � S -r r 's�.11 TT ��h9A CL eCL e d ■a C i W I 1 ; a o l� ?gg 3i 1 a; 1 j sR I V m 0 ci - R c L c 2 Z al to V U J U Y Z U U J c > U Q'. _ m f7 f7 O f7 f+7. f. `i 4 r ce J � • 4. � S -r r 's�.11 TT ��h9A CL eCL e d ■a C i W I 1 ; a o l� ?gg 3i 1 a; 1 j • CITY OF SEBASTIAN CITY CLERK'S OFFICE CaMiE r Name �� f , , . ❑ Cash Eta Date i f P''Check 0 r/ No. AmountP* 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 Copies/Bid Specs. 001501341910 LDC/Code of Ordinances . 001501362100 Community Center Rent 001501062100 Yacht Club Rent 001501362150 Non Taxable Rent 001501343800 Cemetery Lots 601010 343800 Cemetery Lots Lot/Niche Block Unit 001501369400 Interment Fee 001501369400 Weekend Service 680800 220681 Yacht Club Security Deposit i 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposit _. Total Paid Initials Whit• - Dspt of origin • Yellow - Firarice •Pink - Appltcsnt • GUAAM Eta a i i i CD` CO i EISENBARTH, HAROLD R. 750 TULIP DRIVE SEBASTIAN, FLORIDA 32958 DEED #1753 LOT 16, BLOCK 20, UNIT 4 Harold F. Eisenbarth interred 8/26/00 Lot 16 I\ b m m g n n 0 ^ti yT a 0 • 0 cr7 Ga � •N . O O • •O r-+ oy H � O r-+ H rnd V h O zxcn °Nz V H � R n ss trj M � o ' co y ;N � •N . O O • •O r-+ oy H � O r-+ H rnd V h O zxcn °Nz V H