The URL can be used to link to this page

Home My WebLink About4-19-35�it� nf �rbtt��ittn pIItP#P�1� . 1: � � i� � NO. { 1��V 20th March 200C) THIS INDENTURE MADE TW� ...................... dny ot ............................................. A. D., S�C....., 6ehceen lhe City ot SrbocUan, a munictpal corporstion e:leting undcr the lewa of the State of Florfda, ae Grantor and . . . . . . .. . ..... . . ...... .................. . . . NQr.ma.. He.nxy.......... ..... ........ . . . . . . . .. . .... . ..... ........................ 157 Caprona Street ............................................. ....R.�(1.••Box••864,..�to5�e•land�, �FL...3�295.7............................. or the co��ey o� ......Indian..Riyer lor'd ...................... anl Stnte ot ....�'......�.. �....................................... ar Grantee, WITNESSETHi That the Grantor for and in conslderaUon of the sum of S 5 OO . � �. . ..,, to it in hand paid, the receipt whareof la harewith ar knowledged, does by thia lnstrument grant, bargaln, sell, releax, convey and confirm unto the Gcantee ,, her., heirs, legal represantatives and assigns the following property situated !n Sebsrtlan, Indian Rivar County, Florida, to-wit: All of Lot(s) , 3 5,,,, Block, ,, i9, ,,, UNIT , 4. ......... , of Sebastian munictpal cemetery as per Plat Number 1 thereoC recorded in Plat Book 2, at page 65 of the public reco:ds ln the office of the Ckrk of the Circuit Court of St. Lucie County of Florida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forevec; provided that sald property shall be used solely and exclusively for the interment of the human dead and shall be ueal, kept and maintatned at all timea in accordance wlth the ruloe and regulationa, ordlnances and resolutiona of the City of Sebastian, Florida, hereto- [oro, now �nd hert�her adopUd or providsd for tfle governmene nnd op�ndon oI uld cameriry. The aondition�, »�triallom and mquitsmmt� eontained !n thf� ln�ttument �Ar11 be oov�fuult� tunnJn� aNth tlf0 land. In trie �v�nt ot the hltur� ot the own�r of any ptop�rty dtuatrtl wlthln wld am�e�ry ia ab• serve and comply with such rules, regulaUons, resolutiona and ordlnances and the conditions of the de'ed 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, Fiorida. IN WITNESS WHEREOF, The said party of the t3rst part has cauxd thls lnstrument to be executed in its name and on its behalf by its Mayor and attested by its City Clerk and lts corpotate xal to be heieto affixed, the day and year first above written. �� Q•��;X.GF4 �t'�... Altcsti......... ..... . ....................... Clty Clerk Signed, 8eeled und Dclivered In the ence oti �i .. . . %�re.... . . . . . . ................. �. ` �� ,�,� 4?�,�..� . . . . . . . . . . . . . �. STATE OF FI.ORIDA CUUNTY UF INDIAN RIVER CITY OF SF.riABTIAN, FLORIDA Dr. . . . . . . . . . . . . . . . `.'.'�'� . . Ma�or ��It�l �CN�� I HEI2EBY CERTII+Y, That on thie ........�r�t�..........dny ot ...............�'I.$XC.�............................,�QY.2Q„�0 brfnre me peteonally appenred Chuek Neuberger , s�a Kathryn M. 0 Halloran .......................................................... ....................................... respcctively Mayor and City Clerk of the City of 9ebaxtian, a municipul corparntfun un�er the lewa of thc 3tnte ot Florida to me known to be the Individw�le onJ ufficera descritxd ln und who ezeculed thc toreguing cupveyunce ta .............................. .....................Norma, HenrY.................................................................. ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, and severally ncknowledgcd thc executlon thereot to be thelr free act and dee�l ae such ofticers tLereuntu duly euthorised; end that the UFficixl seul of said corpurstiun le July attlxed tliercto, end the snid conveyancr. ix the nct nnJ derd ot ssfd eorpontion. � n /�� WITNES3 my elgnature snd otflclal oeal st 3ebaetian, ln the last nfuresaid. �_ ol Floride, the day and �ear UNDA M. OALIEY �- � � MY COMMISSION t CC 740478 ' ' ' ' ' ' ' ' ' ' ' ' EXPIRES: June 18, 2002 Notary Pu c, e ot Florlda at Bonded tmu HoMry Pudic unaerwiners My comL.lgsl ex Irea � ....................... Name ` � � .�� Unit Block / � Lot Date of Mark-out �'" ��= �'� Date of Burial �'� '�� J � � Time �� '� �` �'� Name of Funeral Home, �'=-�`� �G� i�J i� E'i�t � 1�t�� ' , ., .: �, � , � - . ,. . _ . � Authorizetl by ' � Paid by CEMETERY Receipt No . . . . . . . . . . . . . . . . . Dated . . . . . . . . .3 � � 0 � 0 � . , . . , . . . . . NO. List Price $ , 5 � � • 0 � . . . Maximum No. Burial Spaces . . . . . . . . . . . . . . . . . Net Paid $ . 5 � � • � � . , Monument permitted . . . . . . . . . . . . . . . . . . . . . . . �� t'� � `1 (Dsta above Yhie line !or City R.ecord only) ' FLORIDA DEPARTMENT OF HEALT � A. (TYPE) 1. Name of Deceased 2. Place of Death County MIAMI-Dade 3 4. St f Florida, Department of Health, Vital� tics PLICATION FOR BURIAL - TRANSIT PERIVIIT First Middle Clifford City, Town or Location MIAMI Last Date BettOri of Death Name of (If neither, give street address) Hosp. or inst. Northshore Nursiny Home � 35 �J 1 �/ �� Month �ay Year March 12,2000 Name of Medical Address Phone Number CertifierDr. Christophe� L ayne 3800 N. Miami Avenue MedicalExaminer Physician Miami, Florida 305-5%6-4800 Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 17475 N.W. 27th Ave R 1 Funeral Service 1281 305-625-6818 oya • 056 5. Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box 6. Funeral Director/ Direct Disposer s. c. 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 wili complete and sign the medical certification of cause of death within 72 hours. c. � was contaded on He/she verified that - _ , Medical Examiner, will complete and sign the medical certification of iQadture G 7 F.E. No./Reg. No. . 1808 BURIAL - TRANSIT PERMIT Date Signed March 14,2000 Permission is hereby granted to dispose of this body. Permit No.12 81-00-043 � 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 2 hours. No extension of time for filin death certif te has be requested. egistrar or �� / Date / Date Certificate Subregistrar Signatur Issued: `/ � 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 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. �. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition .� � �,,yT o�M � �,BURIAL �STORAGE Date of Disposition �-Yyl � � 1 �j � � pp U �CREMATION �OTHER (Specify) Signat�re of Sexton 1 or Person-in-Charge j , �� 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. Distnbution: White: Cemetery or Crematory DH 326, 8/97 (Obsoletes all previous editions) Yellow� Funeral Director or Direct Drsposer (Stock Number 5740-000-0326-2) Pink: Local Registrar is � From: The Sebastian Cernetery City of Sebastian, Florida in the sum of: on this � day of described Cemetery � Description of Property: �t�i. i Dollars ($ � � —) �� , 20 �/�% for the purchase of the following ) upon the terms and conditions as stated herein: Cemetery Lot(s)/Niche(s) � �__� Block _�� _� Unit __ ` � ✓ �� .. Purchase Price: ` Dollars ($ ��.� ) Terms and Condition of Sale: , , , �/� G� �� • � i ,�G�LG� ' �G�/% �-f.�'. `"U . _ 's contract shall be binding upon both p', 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: Purchaser signature Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the term��d conditions stated in the above instrument. of Sebastian � /� Witness '' � o o � � � o� �,,. aw ��4 � City of Sebastinn 1225 Mcin Sirtet ❑ Sebastian, Floridc 32958 Telephone (561) 589-5330 ❑ Fnx (561) 589-5570 E-Mnil: cityseb@iu.net March 20, 2000 Norma Henry P.O. Box 864 Roseland, FL 32957 Dear Ms. Henry: Enclosed is Cemetery Deed No.1720 for Lot 35, Block 19, Unit 4 Also enclosed is a form - Return 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. Sincerel ` . D � , /GZ� _ _ ,m o' ��- Kathryn M. O'Halloran, CMC/AAE City Clerk KOH:Img Enclosures