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Home My WebLink About4-20-36Ti#u of �brtts #ittn T r m r t Pr jj 19 r i NO. THIS INDENTURE MADE nh ...... 29.Oj......... day of ...... Ma. rch .............................. A. D., lix..2•001 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Frances J. Bayer ........... ............................... ......................... "' "' " ' " ' '944'''13-Ioss'om Drive ........ ............................... �eb.a.s.tza.n., ..Florida_ 329. 5. 8..................... ............................... Indian River anal State of ...... of the County of Florida ............. ............................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .5 00,• 00 ............ 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§.. . , Block, , 2 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. 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. Attest: ..... — City Clerk Signed; Sealed and Delivered In the Presettee' of: Z i CITY OF SEBASTIAN, FLORIDA By, . vV.4r"... W .....:..... Mayor ((Ility Meal) STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ...... ?9th........... day of ....... MaxG. h .................................... xx..2jo01 before me personally appeared .... Wcllter W. B3rn2S ..... and . Sa1.1y..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 ................. I......... ........................Frances J. Bayer.......................... ............................... ......••••••••••••••••••• ••••••• ........................ 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 .f .... . MlY COMMISSION # CC 725842 Nft. ublie, State of Florida at Large. a : EXPIRES: April 30,2W2 MIssI m expires: of� eff` Bonded Thru Notary Public underwriters i Name! i. Unit Block C�b Lot 1340 - Date of Mark out r - Cate of Burial ,! 3 " Time 1 ° 0 Name of Funeral Home Authorized by BAYER, FRANCES J. DEED #01785 944 BLOSSOM DRIVE SEBASTIAN, FLORIDA 32958 LOT 36, BLOCK 20, UNIT 4 HENRY E. BAYER INTERRED 3/30/01 LOT 36 Paid by CEMETERY Receipt No... 0626 . , ... Dated ..... ?J2?/Q1 List Price $ ... •5 QQ•. Q_Q..... Maximum No. Burial Spaces ................. Net Paid $ .... SQQ QQ • • • • • • • Monument permitted ...................... . (Data above this line for City Record only) Frances J. Bayer Lot 36, Block 20, Unit 4 NO. FLORIDA DEPARTMENT OF HEALT A ITVDG1 State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A 3� �y 1. Name of First Middle Last Date Month Day Year Deceased Henry Edward Bayer of Death March 27 2001 2. Place of Death City, Town or Location Name of (If neither, give street address) County Indian River Roseland Hosp. or Inst. Sebastian River Medical Center 3. Name of Medical Syed Zaidi, M.D. Address 14110 U.S. #1 Phone Number Certifier Sebastian, FL 561- 589 -3755 er Medical Examin Physician 4. Name of Funeral Home /R*&e - Nsposal Address Fla. Lic. No. /Reg. No. Phone No. (Area Code) 1623 N. Central Avenue Establishment Strunk Funeral Home Sebastian, FL 1228 561 - 589 -1000 5. Check a. LJ The medical certification has been completea ana slgnea. A completes certtncate OT aeatn acovtnparneb tuub Appropriate application. Box b. Rehan was contacted on 3/27/01 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Zaidi will complete and sign the medical certification of cause of death within 72 hours. C. was contacted on He /she verified that zfll Medical Examiner, will complete and sign the me cal certifiwfion of ca6seafOath within 72 hours. 6. Funeral Director/ F.E. No. /Reg. No. Date Si ned Direct _, P re 1862 3/2/01 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-01-0166 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. FINo extension of time for filing the death certificate has been requested. Mylstrar0t Date Date Certificate Subregistrar Signature Issued: 3 �Z1 O 1 Due: 44 1 2l O k C. Approval Number: AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA 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 FICREMATION Signature of Sexton 1 or Person -in- Charge J} STORAGE OTHER (Specify) Date of Disposition 0,4 301, 2 0 U ( 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: white: Cemetery or Crematory DH 326, 8197 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740 -000 -0326 -2) Pink: Local Registrar LL o ti O LL. m -V F2 E E E CD 0 a! in a -j U r Z U U J r U 0: C14 IC-4 A .9 o LO It o. • 3c .2 O 5e .1 an OF SIER °'L„ST" HOME Of PELICAN ISLAND April 9, 2001 Frances J. Bayer 944 Blossom Drive Sebastian, Florida 32958 Dear Ms. Bayer: Enclosed is Cemetery Deed number 1785 for Lot No. 36, Block 20, Unit 4 A copy of a receipt is enclosed for your records. If you have any questions, please contact our office. Si erel y A. Mai CMC City Clerk SAM/js Enclosures The Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of. Dollars ($ Ste% - ?-e ) Vj on this o2i day of 20 J /' for the purchase of the following described Cemetery Lot(s)/Ni e(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) Block ae Unit Purchase Price: �,�,�a Dollars ($ ,5'DY ) 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. 6�/,'City of Sebastian Witness