HomeMy WebLinkAbout4-19-33��
i� �
(�it� nf �ebtt��ittn
i
�IItP�P�� ���� N�.
� � 1'r i .�
7'HIS INDENTURK MADE T6L .... .. lOtYl .. day of ......... .......A'Ic1L'Ctl... ................. .. A. D., XDC�.pQa
� `
betrceen lhc�ty ot Se6uctlan, .A municipel corporatlon e:leting undcr the lewe ot the 3tate of Floride, ne Grantor rnd
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�IQSe�h . R��z�$o.x�.a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9048 101st Court
. . . . . . . . . . . . . .. . . . ... . .. . . ... . . ... .. . .Vero Beach, . ,EL. .32�b7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o( the County of Indian. Riqer, , , , , , , , , , , , , , , , , , , , , , , , , , , .,, � State ot . . . . . . Florida
....... ........................................
ar Grantee, WITNES9ETHi
1 500 00
That the Grantor for and in consideration of the sum of S.. l.. ...' . .. ...............�a �t in hand paid, the receipt whereof is herewith aa
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , h19 heira, legal ropresentatives and assigns
the (ollowing property situated in Sebastian, Indian Rivet County, Florida, to-wit:
nu or Lotcs> 32&33. , g�ock, ,�.1 .1 , UNIT 4 of Sebastian municipal cemetery as per Plat Number 1 thereof reoorded in Plat
Book 2, at page 65 of the public records in the offlce of the Clerk of the Circuit Court of St. Lucie County of Flocida; said land now lying and being
in Indian River County, Florida.
To Have and to Hold the same fomver; provided that said pioperty shall be usad solely and exclusively for the interment of the human dead and shall
be used, kept and maintalned at all tlmea in accordance with the rulea and cagulationa, ordinances and resolutions of tha City of Sebastian, Florida, hereto-
fore, now and hereaRer adopted or provlded fot the government rr�d oper�tion of iaid cemetery. The condltlon�, tettrlcdom and mquuemente contnined
fn thl� fmtrument �tull be ooveru►at� runnln� with the lond. In the event ot the hllute of tha own�r ot any property dtwted wlthln edQ cemet�ry to ob-
serve and comply wlth such rules, reguladons, teaoluUona and ordlnanas and the condltions of the deed of wnveyance thereof then the title of such owrtei
in and to said property shall terminate and the same shall:evert to the City of Sebastian, Florida.
IN WITNESS WHEREOF, The said party of the first part has caused this instrument to be oxecuted in its name and on its behalf by its Mayor and
attested by its City Clerk and its oorporate xal to be hereto affixed, the day and year fitst above wdtten.
A�es � . Cl�e� . � . .`-�. ./ /�. CL.,c�. , . . . . . . .
� Clty Clerk
Signcd, Sceled und Delivered
In th Presence oti
... ...(,... . . ... ............
CITY OF SEilABT7AN, FLORIDA
D� .��1/\.l:�st*�.-k�• ... . . . ............
Ma� r
(lQitg �feal)
��.. �....,��.�..� ...........................
STATE OF Fi.ORIDA
CUVNTY OF INDiAN RIVER
I f1EliEBY CERTIFY� That on thie ...... 1Q.�� ...........deY ot ............T'Ts?�'C�? ................................. ���
Chuck Neuber er Kathryn M. 0 Halloran
before me penonelly anpenred ................... .. g..................
................. .�a ....................�.........,.........
rr�pretively Mryoe �nd Clty C'Idrk ot th� Cltr af Sebs�tiMn, r inunlclpal rnrparntlon undr.r the Irw� af thc 8tute ot Flurld• ta ma known
to bc the indlviduuls unJ otficera descrlbrd !n und wl�o execulcd tlic fur�•guing coaveyunce to
Joseph.DiGre,�orio ...................................................................
............................................
,,,,,,,,,,,,,,,,,,,,,,, and severully acknowledgcd the executlon thereof to be thefr free act nnd deed
es such officers thereuntu duly authorlr,eJi and that the Off(clal acul ot eaid corpuretlun Is duly etfixed thereto, end the said conveyancc
is thc xct und cleed of sald corporation. � _ �� _ 1
WITNES3 my eignature end ofticial oesl st Sebsetian, !n the Count of
lest ntoresald. ��
3tatc
day end �es;
UNDA M. OALLBY /
MY COMMISSION M CC 740478 . . . . : . . . . . . . . . . g. . . . . . . . . . . . . . . . . . . . .
EXPIflES: June 18, 2 tsry ublJc, Sta of Florida at Lar e.
eaw�d Thru Noani � u^�°^'"�"� My commtee � xp rct i
�
i
Name
Unit_
Block
�"1��5i; ��I.i
��
--- _ •
.. _ __ f
, � � � r�' � C� �`! � 1 �� � j-I �,
� � � .
Lot J �
Date of Mark-out �'� / C �' �`'1 ��
Date of Burial �.�i � � ��-� �� Time
Name of Funeral Home � �` °�
Authorized by
FLORIDA DEPARTMENT OF
HEALT
A. (TYPE)
1. Name of First
Deceased
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
Joseph
2. Place of Death City, Town or Location
County
3. Name of Medical
Certifier Seth Baker, D.O.
Medical Examiner
L.33- ,3i�- u�
Middle Last Date
of
DiGregorio �eath
Name of (If neither, give street address)
Hoso. or
inst. 9048 101 st Court
7955 Bay Street
Sebastian, FL
Month Day Year
Dec. 13 2002
Phone Number
772-388-4606
4. Name of Funeral Home/DireCC'D75�6'S'dl Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment 1623 N. Central Ave.
Strunk Funeral Home Sebastian, FL 1228 772-589-1000
5. Check a. � The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
b. Sheila was contacted on 12/13/02
He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,
and that Dr. Baker will complete and sign the medical
certification of cause of death within 72 hours.
6. Funeral Director/
��}'"
a.
c.
c. �
was contacted on He/she verified that
, Medical Examiner, will complete and sign the
of cause of death within 72 hours.
` F.E. No./Reg. No.
BURIAL - TRANSIT PERMIT
Date Signed
Permission is hereby granted to dispose of this body. Permit No. 1228-02-511
� 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.
Registrarrer Date Date Certificate
SubregistrarSignature M �--�..�,�/�aG Issued:l2/13/02 Due: 12/18/02
��
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.
p. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition Sebastian Cemetery
�BURIAL �STORAGE Date of Disposition j�°� /��j /p �j
�CREMATION
Signature of Sexton 1
or Person-in-Charge j
�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.
Distributlon: White: Cemetery or Cremelory
DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funerel Direcfor or Direct Disposer
(Stodc Number: 5740-000-0326-2) Pink: Local Regiatrar
�
d
f "
? �.
o �
i
0
v°
O
m'
�
<
=
�
�
T
�
A
•
�
:
0
s g
°e
ro d
3 a
V
�
C;?
O
4'bg dZ ��6Z9 1�'"
����•o ��N�
� �����
��
�,�o
�
0
3 .
�
, �
� �
—
a� n
r „�
N �-
� �
oC, ,�
o W
N w
Q
�
°�
��
g o o S 8 � 8 8 8 S 8 8 g o
8 8 8 ° ° ° �' �
o � j o o `a�" g
� � � � � W � N N N � � N �
CO <D
� N m�� 8 8� 8 8 0 0� g
m � �' rn `D � 3 3 ° m ° � $ '�i m
2 � � '�" 3 � m m --� ? � C� � � °
cp � c C> > � � m m � C7 c o � � d
f � � � T � � �2 m c � t�- a d "
c �
m n cn rn m o o m � o N m
� 3 � n � W in in � j ? O � y
�p � ^ � W � N d N
C � � � � 3 .
N
� � � m � ? v�i
� '� �' �- ti
N � �
� � �
� � 0
rt
r•
O
c
�
�
V I
ln IO
J
�
--,
c�
0
�-
�
�
�
z
d
3
m
N
N
i
N
�
�
O
N
4C �
� d
�- �
�
N
V
A V
� O
�
�
�
�
rt
n
G
�
7'
n �
� �
C7
mm0
mxm
�
� T �
� Z
rn
-.
�
�