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Home My WebLink About4-19-11.• (ait� nf �rkr�,�#ittn PritP#Pxl,� . 1; � � i � '.;��(lv NO. THIS INDENTURE MADE 'l� ........L.OtYl ....... day of ....................F.2}�r.LL3r�........... A. D., ygZ.00Q 6etu�een Ilie City ot Sebnstisn, s munlcipal corporatlon e:itting undcr thc I�ws of the Stete of Floride, as Grantor and Lucius Passavanti ......................................... ..................................................... .. 02 .. S. :.. E a sy. . S t•r•e � t� Sebastian, FL 32958 ........................................ ............................................ ............................................ or �n� co��cy otIndian._Ri,v,er a a ... ....... .. ... . ........... .� � s�.�� ot . . . . .. .. . . ..s.e.b. . � t.�... �n.... . . .. . . . . ..... .. ... ... . .. w Gr�ntee, WITNE89ETH� That the Grentor for and in consideratlon of the aum of S,, 5 ��• � � ........,,, to it in hand paid, the nceipt whereof la herewith ao ....... knowledged, doea by thie lnatrument grant, ba:galn, sell, releare, convey and confirm unto the Grantee , h i S,,, helrs, legal tepteeentativea and aaaigns the tollowing property situated in Sebastlan, Indlan River County, Florida, to-wit: All of Lat(s) ,1,1, , , , Block, ,19 , , , , , UNIT 4 , , , , , , , , , , , , of Sebastlan municipal cemetery as per Plat Number 1 thereof ncorded in Plat Book 2, at page 65 of the publlc nwrds in tho offlce of tha Clerk of the Circuit Court of St. Lucla County of Florida; sald land now IyIng and beinE in Indlan River County, Flodda. To Have and to Hold the same forever; provlded that aaid property ahall be used solely and excluaively for the Interment of the human dead and ahall be ueed, kept and mainteined at all tlmes in sccordance with the rulea and reguktlone, ordfnanoea �nd reeolutlone of the City of Sebastian, Florida, hereto- fon, now �nd h�r��R�t �doptsd or ptovldW tor eh� �ov�rnm�nt �nd op�ration ot pld am�t�ry. Ths oondltlon�, r��trlalon� and nqulrem�nt� oontRtn�d ln thle lnatrument ehsll be covenant� running wlth the land. In the event of the tailute ot the owner of any propetty aituated withln sald cemetery to ob- serve and comply with such rules, reguladona, resolutions and ordinancea and the rnnditlona of the de'ed of conveyance thereof then the title of such ownec in and to eald property stiall terminate and the aame ahall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust part has nused thIs insttument to be executed in its name and on its behalf by its Mayot and etterted by its City Clerk end ita oorporate xal to be haceto aftixed, the day and year flrst above wdtten. .m ..Q'��- Altest� . . ............... � Clty Clerk Signcd, ea und Dclivered In the P esen of: � ..... . ..�..� ...... ........... . . �. �� . STA'CE OF FiA I A �� COUNfY OF IN iAN HIV�S CITY OF SEDASTIAN, FLORIDA B� . . . . .. .. .. ......... Ma�or (lllltq �fYaJ) I ilE1lEIIY CERTIP'Y� That on thb ......�.Q.�kl...........daY �r .................F.ebr.uazy....................., H��.Q� brtore me personally appenred Chuek Neuberger Kathryn M. 0'Halloran ........................................................... �nd ......................... ......... roep��ctively Mayor and City Clerk ot the Clty ot 9ebeatlen, e muNclpal corporatlun un�er the lawa of thc State ot Florlda to me known to br the InJiviJuule nnJ offlcere Jescrfbed ln und who executcd the foreguing cuxveyunce to .....................................................................5.$.Y�A�?...................................................... Luc us Pas . and severally acknowledgcd thc ezecutlon thereot to be thelr tree act end deeA as such ofticers tliereunto duly aufhorfscdi and thet the Ofticlrl seul of o�id corpurstion Ir duly aftlxed thrreto, end the �aid co�reyanee is thc nct nnd deed ot sald corporalion. � I WITNESS my eignature end ottfclsl real st 9ebaetlan. ln ' lest afurresid. ��1M"ii'�, LINDA M. LiALI.EY �,: � MY COMMISSION R CC 740478 = EXPIRES: Jwe 18, 2002 �'f„ �y�. Baded TMu Notery NAfc Unden„Aae �ca- Name Unit_ Block Lot F ° Date of Mark-out � F ! �� D (� Date of Burial� �� D�� Time `� I�� Y� PASSAVANTI, LUCIUS DEED ��1783 602 S. EASY STREET SEBASTIAN, FLORIDA 32958-4547 LOT 12, BLOCK 19,,UNIT 4 L aT �j�� eSJ// �F— /�� yir%i �� `i � j�GZS'C" �'f`5_�di9�� .P/I� � 10o a �3 L �/ � ��% f/ � � ; i Paid by CEMETERY Receipt No . . . . . . . . . . . . . . . . . Dated . . 2 / 1 � / � � , , , , , , , , , , List Price $ 5 � �. : � �. . . . . . . . . Maximum No. Burial Spaces . . . . . . . . . . . . . . . . . Net Paid $ S OO.. � �. . . . . . . . . Monument permitted . . . . . . . . . . . . . . . . . . . . . . . (Data above this liae for City Record only) �-Iq-ll NO. ' �.��l1� FLORIDA DEPARTM[NT OF HEALT ' A. (TYPE) St f Florida, Department of Health, Vital tics �LICATION FOR BURIAL - TRANSIT PE 1/� ��9 �� 1. Name of First Middle Last Date Month Day Year Deceased Rose Louise Passavanti Death 2-4-00 z. Place of Death County Indian River City, Town or Location Sebastian 3. Name nf Medical Frederick Weeks 1rID Certifier of (If neither, give street address) or nst. 602 South Easy Street 1460 36th Street Vero BEach FL 32960 Phone Number Medical Examiner Physician � 561-562-7777 4. Name of Funeral Home/Direct Disposal Address 1950 20th Stieet Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment Vero Beach, FL 32960 1423 561-562-2365 Cox-Glfford Funeral Home 5. Check a. � The medicai certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box 6. Funeral Director/ Direct Disposer b, � Dr. �Teeks was contacted on 2-7-00 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that he will complete and sign the medical certification of cause of death within 72 hours. �• � was contacted on He/she verified that , Medical Examiner, will complete and sign the medical ce �cation of cause of death within 72 hours. � ignature Q F.E. No./Reg. No. Date Signed ----- �i � �0 �i 7 � 7 � O :1 B. BURIAL - TRANSIT PERMIT �� Permission is hereb ranted to dis ose of this bod . 1423-030-00 Y 9 P Y Permit Na g❑ 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 abfe to complete the medical cert�cation of cause-of-death section of the death certificate within 72 hours. �No extension of time for filing the death ficate has been r sted. Registrar or Date 2-7-00 Date Certificate Subregistrar Signature G�" Issue : Due: « Approval Number: AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Date Medical Examiner, , gave authorization by telephone to Funeral DirectodDirect 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. • �. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery �BURIAL �STORAGE Date of Disposition 2-8-2000 �CREMATION �OTHER�E Signat4re of Sexton 1 or Person-in-Charge � . �%�%� ��, .o_ This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral DirectodDirect Disposer when there is no_ Sexton) and retur�ed within 10 days to the local County Health Department in the county where disposition occurred. Dislribution: White: Cemetery or Crematory DH 326, B/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number 5740-000-0326-2) Pi�k: Local Registrar �S a�o,� From: The Sebastian Cernetery City of Sebastian, Florida in the sum of: . on this ! %� � day of described Cemetery Lot�}'i Description of Property: �� Dollars ($ � ��/' � �1 20 � for the purchase of the following terms and conditions as stated herein: Cemetery Lo � Block Unit Purchase Price: t Cf// Dollars ($��% -�'. Terms and Cond.ition 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: 0 Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named �s stated in the above instrument. Witness � � • o • CJs � OQ '4' � ...�..� ,�•'�' City of Sebastinn 1225 Main Street � Sebastim, Floridu 32958 Talephone (561) 589-5330 ❑ Fax (561) 569-5570 E-Mnil: cityseb@iu.net February 17, 2000 Mr. Lucius Passavanti 602 S. Easy Street Sebastian, FL 32958 Dear Mr. Passavanti: Enclosed is Cemetery Deed No.1715 for Lot 1 l, Block 19, Unit 4. Also enclosed is a form - Retum 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, P. O. Box 1028, Vero Beach, Florida 32960 or you may call or call the Department of Revenue at (904) 488-9487 for more information regarding the completion of this form. We are enclosing two copies of each the receipt and ask that you sign and return to us 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 � „ - D � ; - �� % _,� 1,-, ... -� Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures