The URL can be used to link to this page

Home My WebLink About4-19-31u a 1lyit�l UL 36'PU�l�ill�llt �rit�#P�1� �: ' ' II � �!1'!1J � 3rd ' February 2000 7'HIS INDENTURE MADE 13L ...................... dey of ............................................. A. D., }Q......, het�ceen tl�e City ol Sebuetfan, a munieipal eorporatfon e:ieting under the lawe ot the State of Florida, os Grantor and . . . . . . . . ...... . ............ ........... . . . .Pl7Y].l.i�. .�... L av.y..... . ....... .. . . . .. . . . ..... .. .. . .. .. . .. ................... 2060 Benjamin-. Road ................:......................... ....Malabar,...FL � �32•950.......... ..... ...................................... of the County of Indian.,River .............. ■�i Stste ot .............�''.�Q��.(�r�.............................. ar Granteq WITNE39ETH� That the Grantor for and in consideradon of the aum of S 900 • �� ................ to it in hand paid, the receipt whereof is herewith ao knowledged, does by thla instrument grant, bargain, xU, releax, convey and confirm unto the Gcantee ,her ,,, heira, legal representat5vea and assigns the following property situated ln Sebastian, Indlan River County, Florida, to-wit: All of Lot(s)31 ., Blodc, 19 ..., UNIT ,,, 4.. .. .. .. , of Sebastian muniapal cemetery ae per Plat Number 1 thereof nwided in Plat Book 2, at page 65 of the publlc recorde in the oftice of the Ckik of the Circult Court of St. Lucie County of Florlda; saM land now Iying and being in Indlan Rivet County, Florida. This Deed replaces Deed 1673 issued January 27, 1999 for Lot 23, Block 29, Unit 4. To Have and to Hold the same fonver; pcovided that said property shall be used solely and exclusively for the interment of the human dead and shall be uxd, kept and maintained at all times in accordance wlth the rules and ragulationa, ordinancea and reaolutiona of the Clty of Sebastian, Florida, hereto- fore, now and heteaftat sdopted or ptovW�d tot ths:overnment �nd operaUon ot Wd cemetery. The conditlon�, reetrictlona �nd roqulremenu contalned In thi� ln�trume�t �hall be covenant� rutfnin{ wlth the Lnd. In thm event of the fdlure of the owner o[ any prope:ty eltwted within wfd cemetery to ob- eerve and comply wlth iuch rulee, cegulatlone, eeeoluUom end ordlnanoee and the condlUone of the de'ed of conveyence thereof then the tltle of tuch owner in and to aald proparty ahall terminate and the eame ahsll revert to the City of Sebaatian, Florida. IN WITNESS WHEREOF, The said party of the f3rsc part has cauxd this instrument to be executed in its name and on its behalf by its Mayor and etterted by its City Clerk and lts corporate xal to be hereto affixed, the day and year fust above written. CITY OF SEilABTIAN, FLORIDA Atte� 0. !. � .l_/.. /S 1. K.K,�l-!`x:l:Q:':'�'� ... Br . . . . . . . . . . . . . . '.'�i4 . ....... Clty Clerk Mq Signed, Scaled und Delivered , In the esence ofs ,�j�(�. . ..�. . . . (it . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ��tllt� p�CMI� I . :�. ................................ STATE OF FI.ORIDA CUUNTY UF INDIAN RIVER I HE1tEIIY CERTIFY, Th�t on this ...... 3rd .............day o! .................�'.��?Ku$.�y...................., $8.2,Q�� Chuck Neuberger Kathryn M. 0 Halloran before me personally appeared ........................................................... end ......................'................. respectively Mayor end Clty Clerk ot the Clty of 9ebaxtfen, e municipal corporut(un under the luwa of thc Stnte o[ Florida to me known to bc the Indfviduuls unJ ott(cers Jescrlbed In und who executcd the ton•guing cuwveyunce to .... Phyllis. G..,,L.eVY .......................................................... ........................................ ....... ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and aeverally scknowledgnl the executlop thereof to be thelr free sct end deed es sucli officers theteunto duly euthorir�ed; and thet the Officisl scul af eaid corpuratim� Is duly y'�flxed thrreto, nnd the sald conveyance is thc xct und deed ot ssfd corporstion. �� // WITNES3 my el lest eforesaid. � the day and �esr r� � ,-- Name ��5�'�t ��/ i:-.. {_ ; � t_� �'� a_ , � �, � ` , `� ~,� , .--.. �� `' . L�` `� �" ` � ,..1 , ,� Unit "� } � Block + � '> ! Lot � t� .�•" --� ,---� ,.' � � _ Y�7 _ Date of Mark-out - ,-- t Date of Burial 1'� .,.- f � ''� -� ;` C, � T f ��, � !�'. ' Time � �� ` ' r i Name of Funeral Home .��' �' KF� �" `�� " � �� !� . f' r• , �f� --....� _ Authorized by_ , r : _ , ,,,, �. CITY OF SEBASTIAN CRY CLERK�S oFF��E 3 319 RECEIPT s Nam �y "v� ❑ Cash Date 0 eck #�� No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501341920 CopieslBid Specs. 001501341910 LDC/Code of Ordina�ces 001501341930 Elec6on Qualifying Fees 601010 343800 Cemetery Lots LoUNiche . Block , Unft� 001501343805 Cemetery Fees j°j s U� 1..�� / C j � � � Total Paid ��"' � d laftials White - Dept. of Oripin • Yeilow - Finance • Pink - Applicant FLORIDA DEPARTMENT OF HEALT A. (TYPE) 1. Name of Deceased Phyllis 2. Place of Death County Brevard First State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT Middle Last Geraldine Lev City, Town or Location %�/ 9- .3/ Date Month Day Year of Death Jul y 1, 2005 Name of (If neither, give street address) Hosp. or West Melbourne insc. Indian River Center 3. Name of Medical Address Certifier Giovanni Lupo, MD 720 East New Haven Avenue Medical Examiner X Physician Mel bourne FL 3290 � Phone Number (321) 724-4545 Name of Funeral Home/Direct Disposai Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 12223 950 Mal abar Road, SE Palm Bay Funeral Home Palm Bay FL 32907 FH-1422 (321) 724-2224 5. Check Appropriate Box 6. Funeral Director/ Direct �is�oser s. a The medical certification has been completed and signed. A compieted certificate of death accompanies this application. b• � was contacted on He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that 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 edical ification of cause of death within 72 hours. ig atur � � , F.E. t�o./�te4. t�r ( Date Signed IT PERMIT Permission is hereby granted to dispose of this body. Permit No. r� � � � rnnr -�,� ��z. r-,�� A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since ttie phys�aan 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. Registrar or Date Date Certificate SubregistrarSignature - �� 1/]�{� Issued: 07/06/05 Dye: 07/16/2005 c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number: Date Medical Examiner, , gave authorization by telephone to Funeral DirectorlDirect Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. R waiting period of 48 hours after death is required for all cremations. �. CEMETERY OR CREMATORY Sebasti an Ci ty Cemetery Method of Disposition: Place of Disposition S�,8 /�'s %��1�} lj! �v�i�1,� f _� RIAL �STORAGE Date of Disposition �/�/p � , / �CREMATION Signature of Sexton � or Person-in-Charge �OTHER (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 returned within 10 days to the local County Health Department in .the county where disposition occurred. Distribution: White: Cemetery a Crematory DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Directa or Direcl Disposer (Stock Number 5740-000-032&2) Pink: Local Registrer �� `� � `�� Y O .� Q� � �� 5 � e�`��`P . 7�g t . City of Sebastinn 1225 Main Strcet 0 Scbastian, Floridn 32958 Telephone (561) 589-5330 ❑ Fax (561) 589-5570 E-Mail: cityseb@iu.net February 7, 2000 Phyllis G. Levy 2060 Benjamin Road Malabar, FL 32950 Dear Mrs. Levy: Enclosed is Cemetery Deed No. 1713 for Lot 31, 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 dced 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. Sincerely, �• D ��Z.�:� I'�.. Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures