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THIS INDENTURE MADE Thin .....26th
.... 26.th......... , A. D., day of ...... _SEPTEMBER � 2002
.....,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
FRANK & INEZ ALDORETTA
.............. ............................... . ....................... ............. ...............................
712 S IL VERTHORN �bIjRT�
......... . ...... I ........................... BAREFOOT.,BAY.1 ... FLORIDA.. 32976 .... .......................................
of the County of ....INDIAN RIVER FLORIDA. ..... ...............................
... ........ . ......................... an] State of ...............
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of $ . 2 .25 Q., Q.Q. , , ....... , , to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ......... heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to -wit:
All of Lot(s) 3 & 4, , , Block, , , 1,4, , , , UNIT ... 4; I , ..... , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat
Book 2, at page 65 of the public records in the office of the Clerk 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 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 year first above written.
Attest: ........ ......... ...............................
City Clerk
Signed, Sealed and Delivered
In t Pre nce of:
: .... .. ........
........G��.
ATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By if ". LL,) .�..f �%I ,"`� .............
Mayor
(Ctv'spin)
I HEREBY CERTIFY, That on this ........................day of ..................... ..............................1 18....,
before me personally appeared ... WAITER W. BARNES _ .......... and ....SALLY, , A., . MAI O
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
FRANK & INEZ ALDORETTA
........................................................................................................ ...............................
......................... ............................... and severally acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is the net and deed of said corporation.
WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year
last aforesaid.
EFv. JOANNE SANDBERG (% : 2!P V P,. ^Y COMMISSION # DD 089532 Nota ublie, State of Florida at Large. EXPIRES: April 30, 2006 My rnrnission expires: Bonded Thru Notary Public Underwriters - -
Name d ^� —h (�1�,� ./L "Y g I y � A/eS•
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Date of Burial % / Time
Name of Funeral Home
Authorized by
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Frank Aldoretta
Frank Aldoretta, 87, died Jan. 2, 2011, at Sebastian River Medical Center in
Roseland. He was born in Jersey City, N.J. on March 25, 1923, and lived in Vero
Beach for 27 years. Before retirement, he worked for Jersey City Medical Center
in New Jersey for 32 years. Survivors include his friend and caregiver, Margaret
Boystak. He was preceded in death by his wife of five years, Inez Aldoretta.
FLORIDA DEPARTMENT OF
HEALT
A. (TYPE)
State of Florida, Department of Health, Vital Statistics
APPLICATION FOR BURIAL - TRANSIT PERMIT
1. Name of
Deceased
First
rd n 4
Middle Last
t� ')
Date
of
Death
Month Day Year
2. Place of Death
City, Town or Location
Name of (If neither, give street address)
County
.,, � � � `
k44
Hosp. or r
Inst.
'r r
e r r)tJ�
3. Name of Medical`" r
Address
Phone Number
Certifier
Medical Examiner ` Physician
- f'
` '
/ `�' -� 20,
4. Name of Funeral Home /Direct Disposal
p
Address
�� � a `, ' f �
Fla. Lic. No. /Re No.
g
(Area
Phone No. Area Code
Establishment
/
�
5. Check a. I (b The medical certification has been completed and signed. A completed certifcatb of death accompanies this
Appropriate -ti"" application.
Box
b. F-1 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.
C. r--j was contacted on He /she verified that
Medical Examiner, will complete and sign the
medical certification of cause of death within 72 hours.
6. Funeral Director/ G a F.E. No. /Reg. No. Date Pigned
Direct Disposer -`` (� � /,/3/7/1/
B. BURIAL - TRANSIT PERMIT
Permission is hereby granted to di ose of this body. Permit No. / I / �-
bfive (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
een 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.
nNo extension of time for f4td6ath certificate has een' requested
.
Registrar or Date Date Certificat
Subregistrar Signature , Issued: Due: ;
I* 4�9
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 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.
D. CEMETERY OR CREMATORY _
Method of Disposition: Place of Disposition 5��t3� S% K, ,✓ .� .f /� Jev.
BURIAL STORAGE Date of Disposition / / &Z
FICREMATION F10THER (Specify) /J
Signature of Sextons /� or Person -in- Charge
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 or Crematory
DH 326, 8/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer
(Stock Number. 5740 - 000 -0326 -2) Pink: Local Registrar R-yd d `� pvff
0
FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
SE_"
"OMEa FELICA+IS"
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clark's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME:
ADDRESS: / e�L- P-� r- ,+°C X
PHONE #: 11772 ) y6/ - g 9 1A
(Ch ck One)
lJPEN BURIAL LOT Lot 3 Block Unit
PEN CREMAINS LOT Lot Block Unit
_OPEN COLUMBARIUM NICHE Niche Block Unit
W
BURIAL DATE AND SERVICE TIME:
FOR DECEASED: ,,,try ,�/2> o e ,,f
Name
14AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership
hr1 .
Name Signature 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 SIGNATURE OF LICENSED FUNERAL DIRECTOR.
Al 114
Name Signature Date
-----------------------------------------------------------------------------------------------------------------------------
Cemetery Sexton Certification:
I certify that I have checked the ownership inforn-iation by viewing the owner's deed and confirming
with Clerk's office and that all fees have been paid
Af
Ce to Sexton Date
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
.M IA
September 27, 2002
Frank & Inez Aldoretta
712 Silverthorn Court
Barefoot Bay, Florida 32976
Dear Mr. Aldoretta::
Enclosed is City of Sebastian Deed number 1865 for Cemetery lots 3 and 4, Block 14, Unit 4.
Also enclosed is a copy of your receipt.
If you have any questions, please contact our office.
Sin ,
tl
aio C
City Cler
SAM:js
enclosure
The Sebastian Cemetery
City of Sebastian, Florida
Receipt is acknowledged in the sum of:
on this day of 20� for the purchase of the following
described Cemetery Lot(s)/Ni e(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery iche(s) Block Unit
Purchase Price: ' �� �' Dollars ($
Terms and Condition 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:
Purchaser signature
Purchaser signature
The City of Sebastian agrees to sell the above mentioned property to the above named
purchaser(s) on the terms and conditions stated in the above instrument.
Al 4e L
63ty of Sebastian Witness
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