HomeMy WebLinkAbout2-51-06fi #g of Orhao#iatt
ItrtPr1� PP NO. 0588
THIS INDENTURE BADE 71do .....5 th ............. day of ...... October A. D., 1083
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
Genevieve Peltz
...............I2t... #2;..Box 220B ...................................... ...............................
..... ............................... ..Palm. Bau,..Florida ... 32905.............. ............. ...............................
of the County of ......... Brevard .......................... aul State of .......... ?r ida..... ...............................
FZ or
as GrantM WITNESSETHs
That the Grantor for and in consideration of the sum of $ 700.., ........ 00 ...... , , , , to it in hand paid, the receipt whereof is herewith Go-
.
knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,her ... heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) J. A. 6 Block, . 51 .... UNIT 2. Ad d i t i on aif 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 dried 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.
CITY OF SEBASTIAN, FLORIDA
Attests ..... .. e•............ By .. ...........
City Clerk a
Signed, Sealed and Delivered
In the Presence oft
... ...... Wits AW)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this ........ 5 th...........day of ...... October , IO. 8 ;
before me personally appeared ....... , Pat Flood, . Jr.. .... , .. , and Deborah Kraaes
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
Genevieve Peltz
......................
........... ........................ ............... and severally acknowledged the execution thereof to be their fm act and deed
as such officers thereunto duly authorised; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
to the act 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.
.� .... .. ........ e�:......
Notary Pu lie, S of Florida at Large.
my commbulwt expiry s NOtatlt Most Fbwa
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M .�. F.
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STATE OF FLORIDA
OARTMENT OF HEALTH & REHABILITA &SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL — TRANSIT PERMIT
1. Name of First Middle Last DATE Month Day Year
Deceased OF
ANDREW JAMES PELT2 DEATH Oct. 2, 1953
2. Place of Death City, Town or Location Name of (if neither, give street address)
County Hosp. or
Indian River Rosel:artcl -►n Inst. Sebastian River Medical Canter
3. Name of Medical Physician Address
Certifier Mohammed Ideas*, MD Q Medical Examiner 112 S.W. Bellaire Lade, Palm Say, Flt
4. Funeral Homer Qottw� sr if Son funeral Home 1200 S. Indian Address Sebeet hn, Florida 32958
Direct Disposer 9
5. Check a U The medical certification has been completed and signed. A completed certificate of death accompanies
Appr this application.
prig b ® Dr. Idress was contacted on -10/3/83 He/ a verified that
Box this death was from natural causes, that there was no accident nor other external cause of death, and that
He will complete and sign the medical certification of
cause of death.
C rj was contacted on . He /she verified that
Medical Examiner, will complete and sign the
* , -y'a
6. u irector/ Ttgna Fla. Lic. No. /Reg. No. Date
B. BURIAL— TRANSIT PERMIT
Permission is hereby granted to dispose o this body.
I] A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and
granted. If it cannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed
with the Local Registrar of the County in which death occurred.
Registrar or
Sub- Registrar Signatu
Date
Issued �
C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL --AT --SEA
Signature , Medical Examiner Date
or
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
BURIAL 0 STORAGE Date of Disposition s
CREMATION OTHER (Specify)
Signature of Sexton ► /
or Person -in- Charge JL44k aZ
Deborah C. Krages, City Clerk
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.
HRS Form 326, APR. 81
(replaces previous editions which may be used.)
CE M
lox:
Last Name
Address 1
Address 2
City
Deed #
Unit #
Lot Number
Lot Number
Lot Number
Lot Number
Comment
Comment
City of Sebastian, FL — Cemetery Lots
Pelts First Name Genevieve
Rt. #2 Box 22811
Palm Bay State F1 Zip 32905-
538 Date 10 -06 -83 Amount $700
2 —A Block # 51
5 Interred
6 Interred Andrew J. Pelts (vet)
Interred
Interred
3/10/95. sold back lot 5. 0 per Linda Galley.
Tuesday, Feb 08, 2005 09:10 AM
Dte Interred
Dte Interred 10 -05 -83
Dte Interred
Dte Interred
<P >rev <R >e— search <L >abel <T >aa <Esc>
Paid by CEMETERY Receipt No. .... 358 ........ Dated 10 /6183
List Pace 700.00 •..•. ................ 0538
5 ........ ..
.......... NO.
Maximum No. Parisi Spaces.......- ?....... R the #2 eve Pet tz
Net Paid S .. , 7D0; 00.
, Box
Monument permitted • , , f1 a t 220B
""' • Palm Ba v , Florida
32905
Lots 5 Block 51, 0 (Data above thk line for C tr Record Unit 2 Additional
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F OF PECK
City of Sebastian
1225 MAIN STREET o SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589 -5330 0 FAX (407) 589 -5570
March 10, 1995
Grady W. White, P.A.
121 East Hibiscus Blvd
Melbourne, Florida 32901
Dear Mr. White:
Enclosed you will find heck No. 016189 for the repurchase of
Cemetery Lot 5, Block V1, Unit 2 Addition for the Estate of
Genevieve Pauline Peltz.
If you have any questions, please give us a call at (407)589 -5330.
sincerely,
Kathryn O'Halloran, CMC /AAE
City Clerk
KMO: lmg.
enclosure
(ws- form /cem -let)
0
`�I Y O
ell %A
City of Sebastian
1225 MAIN STREET o SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589 -5330 o FAX (407) 589 -5570
x E M O
TO: Finance ) l�
FROM: Kathryn M. O'Halloran, City Clerk
SUBJECT: Repurchase of Cemetery Lot by City
DATE: March 7, 1995
Please issue a check as follows:
AMOUNT: $350.00
PAYABLE TO: Estate of Genevieve Pauline Peltz
a /k /a Genevieve Pauline Sparling
c/o Grady W. White, P.A.
121 East Hibiscus Blvd.
Melbourne, Florida 32901
PURPOSE: Repurchase of Cemetery Lot 5, Block 51,
Unit 2 Addition.
SUBMIT O: Linda Galley
attachment
\ws -form (lck -req)
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G R A D ZY W. WHITE, P.A.
ATTORNEY- AT-LAW
121 EAST HIBISCUS BOULEVARD • MELBOURNE, FLORIDA 32901 • TEL (407) 723 -3050 • FAX (407) 723 -3051
FEBRUARY 9, 1995
MS. LINDA GALLEY
CITY OF SEBASTIAN
1225 MAIN STREET
SEBASTIAN, FL 32958
RE: ESTATE OF GENEVIEVE PAULINE PELTZ N /K /A
GENEVIEVE PAULINE SPARLING
DEAR MS. GALLEY:
THANK YOU FOR YOUR TEEEPHONE CALL IN RESPONSE TO MY LETTER OF
SANCART 4, I995 WITH REGARD TO THE CEMETERY LOTS OWNED BY THE
ABOVE STYLED DECEDENT.
ENCLOSED, AS PER YOUR REQUEST, IS THE DEED TO SAID LOTS. PLEASE
ISSEE THE CHECK IN THE NAME OF THE ESTATE OF GENEVIEVE PAULINE
PELTZ AKA GENEVIEVE PAULINE SPARLING. THANK YOU.
SINCERELY,
GRADY W. ITE
GWW:EK
ENC
G R A D 1Y W. WHITE, P.A.
ATTORNEY -AT -LAW
121 EAST HIBISCUS BOULEVARD • MELBOURNE, FLORIDA 32901 • TEL (407) 723 -3050 • FAX (407) 723 -3051
JANUARY 4, 1995
THE SEBASTIAN CEMETERY
CITY OF SEBASTIAN
SEBASTIAN, FLORIDA
RE: ESTATE OF GENEVIEVE PELTZ SPARLING
GENTLEMEN:
PLEASE BE ADVISED THAT I REPRESENT THE PERSONAL REPRESENTATIVE
OF THE ABOVE STYLED ESTATE.
MRS. SPARIING, THEN KNOWN AS GENEVIEVE PELTZ, PURCHASED TWO
CEMETERY LOTS 5 AND 6, BLOCK 5I, UNIT #2 ADDN AT YOUR CEMETERY
IN OCTOBER OF 1983.
MRS. SPARLING, AND HER FORMER HUSBAND, MR. PELTZ, CHOSE TO BE
BURIED ELSEWHERE.
THE PURPOSE OF THIS LETTER IS TO REQUESTS A REFUND OF THE
$700.00 PAID FOR THESE TWO LOTS. ENCLOSED ARE COPIES OF THE
ORIGINAL DOCUMENTS EVIDENCING THE PURCHASE OF THESE LOTS AS WELL
AS COPY OF MRS. SPARLING'S DEATH CERTIFICATE.
IF THERE IS ANYTHING ELSE NECESSARY FROM THIS OFFICE, PLEASE
ADVISE.
THANK YOU.
GWW:EK
ENCS
SINCERELY,
AD W. ITE
RECEIPT IS
FROM:
TAE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
OF THE SUM OF:
35E
dd
Dollars ($�QD, )
on this day of , 1,982 for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s) # `SV- (� Block# Unit# ZZU3,e
Purchase Price 0L Do11ars($
Terms and'conditions 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:
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.
Wi tness
b
OFFICE of VITAL STATISTICS
CERTIFIED COPY
PEPOAANEW CUMFICATE OF DEATH
8LACK *X LOCAL FLK NM FLORIDA
oecimant's NAME FFM WOOLE LAU
GENUIEVE ?AULINE SPARLING
EX
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