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Home My WebLink About4-14-04~._-----A ~ t ~ ~ it ~ 3~ P ~1 M S ~ t M It iGV ~ ii` ~ .i ~ ~ ~ ~ ~ ~ ~ NO. ~ ' 1 O V t~ THIS INDENTURE MADE Th1r .....26.th day of ...... SEPTEMBER 2002 ........... .................................... A. D., ~....., between lire City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and FRANK & INEZ ALDORETTA ........................................ ~.I.~..S~LV~RTIIORI~f ~ ~0~$.,~...................................................... ............................................BAR~F.OOT..BAY,...FL ORIDA..329 76............. of the County of ....INDIAN RIVER FLORIDA .................................... anJ State of ....................................................... as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ ..2 .r.~ 5 Q., Q.Q............ to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bazgain, 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......... , 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 ]and. 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 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, Florida. IN WITNESS WHEREOF, The said party of the first pazt 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 yeaz fast above written. Attest . ............. .;...................................... City Clerk Signed, Baled and Delivered In t}le re enc~e~opf: ,, • / / ...... ATE OF FLORIDA CUUNTY OF INDIAN RIVER CITY OF SEI3ASTIAN, FLORIDA Mayor (~tt~ ~3etti) I HEIIEIIY CERTIFY, That on this ........................day of ..................................................., 18...., before me personally appeared ...WALTER . W.... • BARNS S , , . • and , , , ,SAL, L Y.. A ., , MAI 0 , , , . , , . , , , , , ............................... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the lows of the State of Florida to me known to be the individuals and officers described in and who executed the foregoing conveyuce to ................................................FRANK &..INEZ..AL DORETTA................................................ ........................................................ and severalty acknowledged the execution thereof to be their free act and deed as such officers tirereurrto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is the +ret and deed of said corporation. N am a ~i°`~ ~ ~h. / J~`: ~ '~ r. t ~ ~ y ~c ~, Unit Block Lot Date of Mark-out ~~ ~ .,' ~"~ ~'- .. ~ ~ "` ~" / ,; Date of Burial~.~' c~ ~ ~`'~{.`'-~" ~--- Time a ! '." ,r~ f Name of Funeral Home .-V %~ .~'} U,s~`;^` ~~'.. -. Authorized by :' r ~ ' Paid by CEMETERY Receipt No... , ,10 5 7 9/ 2 6/ 2 0 0 2 .......Dated.......... List Price $ ....? ~, 2 S 0.00 ................... . • • • • • • • • Maximum No. Burial Spaces ................ . Net Paid $ ... ,2,r2,~ Q ~ III.. Monument r pe muted ....................... (Data above this line for City Record only) __ FRANK & INEZ ALDORETTA NO. 1865 LOTS 3 & 4, block 14 UNIT 4 A. FLORIDA DEPARTMENT OF HEALT State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL -TRANSIT PERMIT ~~. /~ G° y 1. Name of First Middle Last Date Month Day Year Deceased of Inez Aldoretta Death Sept. 23 2002 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Roseland Inst. Sebastian River Medical Center 3. Name of Medical Address Phone Number Certifier Muhammad Siddiqui,M.D. 937 Barefoot Blvd. Medical Examiner Physician Barefoot Bay, FL 772-664-4349 4. Name of Funeral Home/D+rest~is~esal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 N. Central Avenue 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 tnls Appropriate application. Box 6 b,~ Shelia was contacted on 9/23/02 He/she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Slddlqul will complete and sign the medical certification of cause of death within 7 hours. c. ~ was contacted on ,He/she verified that ,Medical Examiner, will complete and sign the medi al c ific tion o of death within 72 hours. 6. Funeral Director/ ig ture F.E. No./Reg. No. Date Signed n•`... no.....,..er ~~ 1862 9/23/02 B. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 122$-02-0402 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. per, Date Date Certificate Subregistrar Signature ~ .~ ~~ ~~ Issued: 9/23/02 Due: 9/28/02 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. Awaiting period of 48 hours after death is required for all cremations. D. Method of Disposition: BURIAL CREMATION Signature of Sexton or Person-in-Charge STORAGE OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition Sebastian Cemetery Date of Disposition ~/a~~`02 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, 6/97 (Obsoletes all previous editions) Yellow: Funeral Director or Direct Disposer (Stock Number: 5740-1x10-0326-2) Pink: Local Registrar ~. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA CITY OF SEBASTIAN ,10 4 4 CITY CLERK'S OFFICE RECEIPT __ I Name ~ ' ~ ^ Cash Date / ~~~~ Check#~~ Amount Paid 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 362100 Community Cenler Renl 001501 362100 Yacht Club Rent 001501 362150 Non Taxable Rent 001501 343800 Cemetery Lots 601010 343800 Cemetery Lots nit ~ LotMiche ~_, Blo k 001501 3694()0 ~2 :~~.' Interment Fee try) °//y 001501 369400 Weekend Service 680800 220681 Yacht Club Security Deposit 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposil Total Paid Ly~~w Initia ls White -Dept. of Origin • fellow - Finencs • Pink • Applicant