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HomeMy WebLinkAbout2-08-05• Ti2g of SPIttIBI� (11rmPtrrjj a r t b NO. 1629 26th November 84 THIS INDENTURE MADE Tbb ...................... day of .............. ............................... A. D., 10....... between the City of Sebastian, a municipal corporation existing under the Iowa of the State of Florida, as Grantor and V.4 n.. . I.. A Ad.. . &yp.j. yA.. J....' 0. �. q .............................. ............................... P.O. Box 743 ....... ...... .................54bas.t.ian,.. F3car.ida.....32.958.............. ............. ............................... of the County of ....... I n d i.an.. R i.ve r ................ aol State of .... FA o r. i.d a .................... I .................. as Grantee, WITNE88ETHn 150.00 , . _ .. ... to it in hand p That the Grantor for and in consideration of the sum of $ ........ paid, the receipt whereof is herewith ac. knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,1=.4 A 4 F. heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lots) .... A. , Block, ...q.... , UNIT ....2i ........ , of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 65 of the public records in the office of the Clark of the Circuit Court of St. Lucie County of Florida; sold 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 you first above written. Attes �+C..�r.T. -�RrK •`.. �5 'irll�r. city Clerk Signed, Sealed and Delivered In the Pr nee aft ............. ...... !e:". ". �.\.............. STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA RV I HEREBY CERTIFY. That on this ........ 26th day of ........... NovemberA , 19 84, before me personally appeared ....... Jim Gallagher ............. and ..Deb r.a h , . C , . K r a g e s ........ 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 Van and Eye1yn J Pate �`��a�,���# ' .... L ..... ............................... and severally acknowledged the execution thereof to be their free act and deed at such officers tiloreuoto duly authorised I Wad that the Official seal of said corporation is duly affixed thereto, sad the said conveyance %14: -ttj pf AN* {ieod t saki corporatim WITNESS nIy signature and official **i at Sobrstion„ in the Crw4a..y of lall:ez River and State of Florida, the day and year last aforesakL ............. Note Public, State of Florida, t lrYWAC State of Rowe xy eomoals" explMl ' AV ieglm;>,sion Etlpirss Nuq. 22, 1488 F, A - - IAru tiev fau, • INOW&S, lac. I^,� _.. � � �I fl � l• II i I i Name .-- L h`r ID L Unit Lot 1 Date of Mark -out f Date of Burial I f / 8 Time�`�fi' d Name of Funeral Home Authorized by 7 Lam. m q m 1 0 _T 7 m m v 8 v � ei m m d. 0 'l S IIIr 0 (C10--o" o 0 0 o o 0 at n! A A A A A N O O pO O O O � O CD m m ry O N m C v (D N 7 m N -i �' m CD p n 0 x co n o m o cn N fn °a to 7 �-n 7 ca fD rn x o n c A. 0 s m m n h D 0 c M CL n� m MT CO) W -1 O> A T C n Z M a� Obituaries I Death Notices I Newspaper Obituaries I Online Obituaries I Newspaper D... Page 1 of 1 NETTIE "INEZ" KNOWLES Nettie "Inez" Knowles, 79, died July 28, 2008, at Palm Garden of Vero Beach in Vero Beach. She was born in Scott, Ga., and was a lifetime resident of Indian River County. She retired after many years of service with Hale Groves. She was an active member of the First Baptist Church of Wabasso. Survivors include her son, Cyril A. Knowles Jr. of Vero Beach; daughter, Vivian Wofford of Palm Bay; brother, Verne Conaway of Chester, Md.; sisters, Hilda Patterson of Melbourne, Jeanette Thorton of Fellsmere, Patsy Sexton and Susan Sunnycalb, both of Melbourne, and Juanita Pate of Sebastian; six grandchildren; and nine great - grandchildren. She was preceded in death by her husband, Cyril A. Knowles Sr. Memorial contributions may be made to Alzheimer /Parkinson Support Group, 2501 27th Ave., A -3 Vero Beach, FL 32960. SERVICES: Visitation will be from 6 to 8 p.m. July 31 at the Strunk Funeral Home in Sebastian. A service will be at 2 p.m. Aug. 1 at the funeral home's chapel with the Rev. Allen Yarborough officiating. Burial will follow In Sebastian Cemetery. Arrangements are by Strunk Funeral Home and Crematory in Sebastian. Published in the TC Palm on 7/30/2008 Today's TC_Palm obituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of use Powered by Legacy.com obituaries nationwide Back h4:// www .legacy.com/tcpalm/Obituaries. asp? Page= LifeStoryPrint &PersonID= 114455... 8/l/2008 FLORIDA DEPARTM � T OF 17 ALT State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT A. (TYPE) 1. Name of First Middle Last Date Month Day Year Deceased Nettie Inez Knowles of Death July 28 2008 2. Place of Death City, Town or Location Name of (if neither, give street address) County Indian River Vero Beach Hosp. or Inst. Palm Garden of Vero Beach 3. Name of Medical Gary Silverman, M.D. Address 1265 36th Street Phone Number Certifier Vero Beach FL 772- 567 -6340 Medical Examiner I It jPhysician ' 4. Name of Funeral Homell keel 919"e-00 Address 1623 Central Ave. Fla. Lic. No. /Reg. No. Phone No. (Area Code) N . Establishment Sebastian, FL 1228 772- 589 -1000 ry Strunk Funeral Home 6 Crema 5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box b. rA Ashley was contacted on 7/29108 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Silverman will complete and sign the medical certification of cause of death within 72 hours. C 4 was contacted on He/she verified that Medical Examiner, will complete and sign the �madicaAdificq&ASpuse of death within 72 hours. 6. Funeral Director/ ig F.E. No./Reg. No. Date Signed /� 44048 7/29/08 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -08 -0356 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. T�.�e Date Date Certificate Subregistrar Signature Issued: 7/29/08 Due: 8/2108 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 Examiners 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 g // /018 OCREMATION Signature of Sexton or Person -in- Charge DOTHER (Specify) 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 returnea within 10 days to the local County Health Department in the county where disposition occurred. Distribution: White: Cemetery or Crematory DH 326, M7 (Obsoletes all previous editions) Pink- funeral Director or Direct Disposer AV- (Stock Number. 5740 - 000-0326 -2) Pink: Local Registrar FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY Mcr HOME OF PELICAN 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: Strunk Funeral Home 6 Crematory ADDRESS: 1623 N. Central Avenue, Sebastian, FL PHONE #: 772- 589 -1000' (Check One) X OPEN BURIAL LOT OPEN CREMAINS LOT OPEN COLUMBARIUM NICHE BURIAL DATE AND SERVICE TIME: FOR DECEASED: Lot 5 Block 8 Unit 2 Lot Block Unit Niche Block Unit N S E W 8/11/08 Z-Fr:M. Nettie Inez Knowles Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation of ownership) 6r4aest. 4��ftA"- 4 f-4p Name Sign re 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 SIGNATU E OF LICENSED FUNERA IRE • �14F Name Signature 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: 44 8 Cemet ry S ton Date This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Paid by CEMETERY Receipt No... 39,0,,,,,,,,, Dated.,, 11./26 184 List Price $ ....1.5 D. , Q 0..... Maximum No. Purist Spaces ... 4 , , , , , , , Net Paid$ ,,,,150=00..... Monument permitted .... , F Z a t . .......... 1029 Lot 5, Block 8, Unit 2 Van L. & Evelyn J. Pate (Data above thk line for City Record only) P.O. B o x 743 Sebastian,,Florida 32958 4 PATE, VAN L. and /or EVELYN J. P* 0. Box 743 Sebastian, Florida 32958 Lot 5, Block 8, Unit 2 f9d. DEED #1029 • THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEJWBY ACKNOWi+9=J) OF THE SUM OF: JC/(? t LwUOW 4„L1.:11.z -....� U FRQJtI: on this .:) (, 1 -1t day of 1J k.jU , 19' y for the purchase of the -following described Ce4etery Lots) upon the terms and conditions as stata4 herein: Description of Property: Cemetery Block# Ur4ito Q- hu Purct�asp Price: .- ° i W2J&rs ($ Terms and'conditions of sale: LQ This contract shall be binding upon both parties, the s+aller and that purch4g4ar, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on thO terms and CPD44 bona stated in the forailaing instrun+ant: The City of Sebastian agrees to sell the above mentioned property to the Above named purchasor(s) on the torAw and conditions stated in the above 4nstrument. Al A;412 City of Se d sin Witness April 23, 1981 Mr. & Mrs. Van Pate loth street P. O. Box 743 Sebastian, Florida 32958 Dear Mr. & Mrs. Pate: According to our records, we are holding the following cemetery lots for you: k 1',Ijl ifl Lots 1 41,5,6,12,22,13,14,15 & 16, Block 8, Unit.2 As there have been no payments made on them, would you please let us know if you are still interested in them. If we do not bear from you within the nextt30 days, we will assume that you do not want them. Very truly yours, Elizabeth Reid City clerk ERIJIf lJ CE M Index:RECORD # NEWCEM City of Sebastian, FL — Cemetery Lots t Name PATE First Name UAN L. & EUELYN J. Tess i P.O.BOX 743 pass 2 ty SEBASTIAN ad # 1029 Date it # 2— Block # t Number 5 Interred t Number Interred t Number Interred t Number Interred nt nt Thursday, Jan 20, 2005 10:15 AM State 11 -26 -94 8 FL Amount Zip $150 32978— Dte Interred Dte Interred Dte Interred Dte Interred P >rev <R >e— search <L >abel <T >aa <Esc>