The URL can be used to link to this page

Home My WebLink About4-20-25• ` • Titu of #rhttfitt } t `!4l i NO. THIS INDENTURE MADE This ...... 23rd ....... 1. day of ...... June.. ..... .......................... A. D.,XA..29 00 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and .... ............................... Nettie.,C ampagna.......................................... ............................... .................................... 601.. Mulberry ..S.treet.,.. Sebastian, ,, Flori .da..32958................... of the County of .....Indian ..River ................... an -1 State of .... Flo. rida...................................... as Grantee, WITNESSETHt That the Grantor for and in consideration of the sum of $ .1 ,,.Q Q Q, s Q ............. 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) . 2 5., 2 Omock, . ,2Q.... , 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 first above written. CITY OF SEBASTIAN, FLORIDA Atte . CJ W-ee � . ...... By l/ �1.� .. .�l�h!'..�!. ............ . City Clerk Mayor (0tg Seal) COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That �jonl this ...... aw/ i. _..-.......day ......... .............................., /�� before me personally appeared .. `:(/ � �: c. ��A� iR P .................. I ......... and �/�y��%• respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of th State o4 Florida to me known to be the individuals and officers described in and who executed the foregoing conveyance to ...�. ............................ ............................... ......................... ............................... and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorised; 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 SANDBERQ is MY COMMISSION A CC 725842 Notarthubtle, State of Florida at s jq EXPIRES: Apol30, 2002 My commission expires r Bonded Thru Notary Pub0c UndenMtans OW Unit r Block " Lot Date of Mark -out Date of Burial Time Name of Funeral Home IS Authorized by CAMPAGNA, NETTIE DEED #1741 601 MULBERRY STREET SEBASTIAN, FLORIDA 32958 JUNE 23, 2000 LOTS 25 & 26, block 20, UNIT 4 CHARLES F. CAMPAGNA - LOT 25 - JUNE 23, 2000 Paid by CEMETERY Receipt No...... . . "� ......... Dated ..... �.:P?�{,VV . List Price $ ..1 a.Q Q Q. s Q Q.... .......... . Maximum No. Burial Spaces. Net Paid $ ..lo.QpQ.• QQ ............... . • • . Monument permitted ...................... . (Data above this line for City Record only) /y =uGt✓ 4 .L FLORIDA DEPARTMENT OF HEALT A. (TYPE) Stof Florida, Department of Health, Vital Sestics APPLICATION FOR BURIAL - TRANSIT PERMIT G! 1. Name of First Middle Last Date . Month Day Year Deceased of Charles F. Campagna Death June 18 2000 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Se astoa i Inst. 601 Mulberry Street 3. Name of Medical Noor Merchant, M.D. Address 13060 U.S. #1 Phone Number Certifier Sebastian, FL 561- 589 -0879 Medical Examiner NPh ysician 4. Name of Funeral H0me/3i11eetB+3p038r 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. U The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b.� DPhhip was contacted on 6/19/00 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. 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 m ical rtifi io use of death within 72 hours. 6. Funeral Director/ S' at F.E. No. /Reg. No. Date Signed Ik eetBispeser v - 1862 6/19/00 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -00 -290 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. Wsgistretef Date Date Certifi ate Subregistrar Signature 0-4—%& Issued: `r/ it a.e Due: 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 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 6URIAL STORAGE Date of Disposition CREMATION OTHER (Specify) Signature of Sexton 1 or Person -in- Charge +r 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, 6/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740 - 000. 0326 -2) Pink: Local Registrar `J • `%T Y :Ili F � OF PELIC City of Sebastian 1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958 TELEPHONE (561) 589 -5330 0 FAX (561) 589 -5570 June 26, 2000. Nettie Campagna 601 Mulberry Street Sebastian, FL 32958 Dear Ms. Campagna: Enclosed is Cemetery Deed No. 1741 for Lots 25 & 26, 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, T1GL �� • Kathryn M. O'Halloran, CMC /AAE City Clerk KMO:js Enclosures 0 0 O O r r O ti O N n.� O r O SAFEry O uj FI ji.T2 ap Ra f 1 -7 mom Mm Mm O =y ao cc Ali �m 0C _0 mZ � n A w �zo my W. aw AN z j V Cn 0 D -i m. v o G r r D W p El �s� o gal j V Cn 1 Ite Sebastian Cemet* City of Sebastian, Florida Receipt is admowledged in the sum of: Dollars ($ /, 0Ye. e d ) From: on this 2 da of , 20_� for the purchase of the following describ Cemetery Lots) che(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lots) iche(s) -2,5- c,2(, Block Unit Purchase Price: _�� ,�.a Dollars .($ /, letD 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 t the above named purchaser(s) on the terms and conditions stated in the above ins ty of Sebastian 0 Witness