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
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Name of Funeral Home
Authorized by
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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
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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
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