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HomeMy WebLinkAbout4-20-31Name Unit Block Lot �� �� G(� / _O 1,f4 4 Date of Mark -out Date of Burial sti /oh Time Name of Funeral Home Authorized by SEAWINDS CREMATORY Sebastian, Florida 735 Fleming Street • Sebastian, Florida 32958 www.seawindsfh.com (772) 589 -1933 We hereby certify that these are the remains of FRANK EDWARD LADA 3 � -3� . The remains were received from SEAWINDS FUNERAL HOME & CREMATORY Cremation Permit No, 13- 73380 -5086 Issued at INDIAN RIVER COUNTY Date of Death SEPTEMBER 11, 2013 Date of Cremation 7 — 3 By Cremator FRANK EDWARD LADA Frank Edward Lada, 86, passed away September 11, 2013 at Sebastian River Medical Center in Sebastian, FL. Mr. Lada was born January 29, 1927 in Warrior Run, PA. He was a resident of Sebastian, FL for 23 years coming from Garden Grove, CA. Before retiring he worked as a salesman for Sears. He served his country in the US Navy. He was a member of St. Sebastian Catholic Church, and he was also affiliated with the Knights of Columbus. He is survived by son, Stephen T. Lada and wife Vicky, Sebastian, FL., daughter, Teresa Lada, Inglewood, CA., sister, Valeria Dzubay, Boca Raton, FL., grandson, Chad Lada, Sebastian, FL. Mr. Lada is predeceased by wife Dorothy Lada. CITY OF SEBASTIAN CITY CLERK'S OFFICE 4808 S RECEIPT Name � )t [Cash Date _3 1' /3 ❑ Check# No. Amount Paid 001001 208001 Sales Tax _ 001501 322900 Garage Sales _ 001501 341920 Copies /Bid Specs. _ 001501 341910 LDCICode of Ordinances 001501 341930 Election Qualifying Fees 601010 343800 Cemetery Lofts Lot(Niche � ++ , Block Z-� Unit q 001501 343805 Cemetery Fees v/C .o0 Total Paid �1 Initials z White - Dept. of Origin • Yellow - Finance • Pink - Applicant STATEMENT rE 7 NIS TO ,L 2.1 ' ADDRESS IN ACCOUNT WITH fl -„r DC5812 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SEA, �N NOMf Oi FEItCAN ISLANU For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772) 388 -8215 or 388 -8214 Fax: (772) 589 -5570 FUNERAL HOME: ADDRESS' PHONE #: (Check One) _OPEN BURIAL LOT Lot 1 Block ;�r) Unit OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche -- Block Unit — W BURIAL DATE AND SERVICE TIME: ", g �& FOR DECEASED: ivame NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) Name Signature Date I certify that 1 have determined the ownership of the above described site that all site fees and administrative fees have been paid and authorize opening of same NAfAE AND SIGNATURE OF LICENSED FUNERAL DIREC -10R. W Al Name T Signature Date ------------------------------------------------------------------------------------------------- --------- - - - - -- - Cemetery Sexton Certification: I certify that I have checked the ownership infon-riation by viewing with Clerk's office and th t all fees have been paid /vA l-5 Ce tery xton Date the owner's deed and confirming This form to be provided to Clerk's Office by Sexton for permanent record upon completion. TttV of Orhastiatt NO. THIS INDENTURE MADE This ....... LQCII ..I ..... day of ........ MY . ............................... A. D., 319. ZQQ1 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and .................. ............................... Frank & Dorothy.. Lada................................................. 974 Riviera Avenue .......................................... ... ..... Seha.s.tian.,..Flori.da... 329. 5. 8.......................................... of the County of ... Indian..kiver .................... anal State of ..... F. or i. da....... ............................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ . I$ Q QQ A 0 .......... , , 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) 3.1..J.2, Block, ... 2 Q.. , 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. 1 ,r : . Attest: �• . ;; . City Clerk sign Seal d and Delivered in� es ce of: $`PATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By..... .... . Mayor ((aitg jo-exl) I HEREBY CERTIFY, That on this .....1Q.th ............ day of .......... MAY ......................... , ..001 before me personally appeared ..... Wa1t.er..W... Barnes ............... .... and 5411y _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 ....................... ........................Frank.. ...Dorothy.. ....... L ada.............. ..... ............................... ......................... ............................... 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. lie H. JOANNE SMIOBERG , MY COMMISSION # CC 725842 No a bile, State of Florida at Large. EXPIRES: April 30, 2002 My fission expires: Bonded Thor Notary Pubk Underwriters I, Frank Lada, owner of Sebastian Municipal Cemetery Lots, Unit 4, Block 32, Lot 36 and Unit 4, Block 20, Lots 31 and 32 Hereby state that I intend to be cremated and my cremains placed to rest in Unit 4, Block 20, Lot 31 with the interred cremains of my wife Dorothy. Frank L a G'G 974 Rivi era Avenue Sebastian, FL 32958 In Memory of Dorothy M. Lada April 06, 1926 - January 22, 2010 Dorothy M. Lada, 81 of Sebastian, FI died January 22, 2010 at Indian River Medical Center in Vero Beach. Mrs. Lada was born April 6, 1926 in South Amboy, NJ and moved to Sebastian 20 years ago from Garden Grove, CA. She was a retired Registered Nurse from Fountain Valley High School in CA and a member of St. Sebastian Catholic Church and active in the Womens Guild, she was a volunteer at Sebastian River Medical Center and a member of the Retired Nurses Association of Indian River County. Survivors include her husband of 57 years Frank E Lada; a son Stephen Lada of Sebastian; a daughter Therese Lada of Englewood, CA; a sister, Constance Hollo of Manchester, NJ; one grandson Chad and 2 nieces. Friends may call from 6 -81PM on Tuesday, January 26, 2010 at Seawinds Funeral Home, Sebastian, FL, with a wake service to be held at 7:00 PM; A funeral mass will be held at 11:00 AM on Wednesday, January 27, 2010 at St. Sebastian Catholic Church with a reception to follow in the church hall. Inurnment will be at a later date at Sebastian Cemetery. Name Unit Block +� p 4y- Lot Date of Mark -out Da . rQ,v'PS Date of Burial 3O k � Time , W M Name of Funeral Hom Authorized by �' .Ch.YY1d.Ch.YY1d TOW Paw g�.O0 Initialo Whim - Dept. of Origin • Yellow - Fieance • Pick . Applicant CITY CLERK'S OFFICE RECEIPT 4670 Name C',ox o Caah Dab — AChackt 7-017() No. Amount Paid 001001208001 Sates Tax 001501322900 Garage Sales 001501341920 Copiesew Specs, 001501341910 LDGCode of Odmnces 001501341930 601010 343800 Election QuaGfft Fees �, " �/ Cemetery Lois k 5� Le- LoilNiche 31 Block ZU Unit 001501343805 Cemetery Fees ZSp • acs �' .Ch.YY1d.Ch.YY1d TOW Paw g�.O0 Initialo Whim - Dept. of Origin • Yellow - Fieance • Pick . Applicant Atlas Crematory 2111 S. US Hwy 1 Rockledge, Florida 32955 .(321) 635 -1973 We hereby certify that these are the remains of Dorothy Magdalen Lada The remains were received from Seawinds Funeral Home Funeral Home Sebastian, Florida City and State 10 -0113 2k(2 `�^ Cremation Permit # Chip ID # FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY SE�T�N HOME OF PEUCAN ISLAND For information contact: Kip Kelso - Cemetery Sexton Sebastian Municipal Cemetery (772) 589 -2545 City Clerk's Office City Hall, 1225 Main Street Sebastian, FL 32958 Office (772).388-8215 or 388 -8214 Fax. (772) 589 -5570 FUNERAL HOME: ,5kHW/)J hS ADDRESS: -73.5 F %/►SIN PHONE #: Z'72- *- 543 1- Mi 13 (Check One) OPEN BURIAL LOT Lot Block Unit _OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 4; /p; op A FOR DECEASED: I-) CIO -O N A-p 14 Name AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) U L h4o g 27 /0 Name Signature Date I certify that I have determined the ownership of the above described site, that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FURECTOR: s6s: Ga Name Date Cemetery Sexton Certification: ^� ^ I certify that I have checked the ownership information by viewing the owner's deed and confirming with.Clerk's office and that all fees have been paid: Y6 12 AVjE:), - / x8 o C to Se on Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Qnt OF SI,DS%" HOME OF PELICAN ISLAND May 15, 2001 Frank & Dorothy Lada 974 Riviera Avenue Sebastian, Florida 32958 Dear Mr. & Mrs. Lada: Enclosed is Cemetery Deed number 1790 for Lots No. 31 & 32, Block 20, Unit 4 A copy of the receipt is enclosed for your records. If you have any questions, please contact our office. me ely, y A. 'o, CMC City SAM/j s Enclosures The Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of: From: 9 721 ��o���,� Dollars ($ /, ,IW, l O ) on this /D day of 20,!:1 / for the purchase of the following described Cemetery Lot(s)/Ni upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) / ��_ Block r,2 Unit Purchase Price: f Lo 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. ty of Sebastian Witness LADA, FRANK & DOROTHY 974 RIVIERA AVENUE SEBASTIAN, FLORIDA 32958 DEED 41790 LOTS 31 & 32 BLOCK 20, UNIT 4 d m m S n a n 0 w a° v z r ,:d a H • r-+ h- Cr7 v P. .b •O O ;O 'O N N o � Cl w � a � o r C' r- Pmj O ri N• t-r p� �w Al sr l7 z Wo O N O rt bd 14 F-� O r 0 W w N O 0m*i zoi Sdea Tax Gwp sales om�lmm' yum cm Rift � M'= 1*40 TOW* tt m , Coo" Lela Cwa*y L* a15043b9t4U Ipie�mFea 9 11Uealoeeld �. t Yacht a* so.** > i tilQAl� Can M* s"w* 9 Pack Sw" t`" DEED 41790 LOTS 31 & 32 BLOCK 20, UNIT 4 d m m S n a n 0 w a° v z r ,:d a H • r-+ h- Cr7 v P. .b •O O ;O 'O N N o � Cl w � a � o r C' r- Pmj O ri N• t-r p� �w Al sr l7 z Wo O N O rt bd 14 F-� O r 0 W w N O Mar 29 10 01:06p jimyoung 772 -465 -7949 p.1 Feb 13 2009 11:48RM C05 CEMETERY 77222OSS27 P.2 ._n T54-x -- - / / ' Sfb�ltan "C @nfNdcy Pb, k 47731 Sig - 1545 ' Fes M t(9�t) 22 S^ 79a7 Molc :. 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