The URL can be used to link to this page

Home My WebLink About2-52-01• Titid of #rhafi#iva Trutet rIj Berb NO. , 1097 THIS INDENTURE MADE Tils ........ 9th ......... day of ........... Datoner ....................... A. D.. 1986..., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and t HaroZd MiZZer ........................................................................................................ ............................... ...... . .............$�5..�3th.�S.x'e.� ........ . Rose. Zandy..F.Za...32958 ...... ............................................. of the County of . Indian River ........... and State of ..... FZorida ...... ............................... .. ............................... . . as Grantee, WITNESSETHt That the Grantor for and in consideration of the sum of $ , , , 20Q, 00, ,., ........... to it in hand paid, the receipt whereof is herewith so- knowkdged, 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) ....Z .. , Block, .. Ar ... , UNIT .. 2. Addi tioytof 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. Attests .. ....... . R'.4 ...... City Qerk Signed, Sealed and Delivered In the nee oft .1, :.a-� �! ....................... . ........... .................. �.. ................. STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLODMA B� .................'... Mayor 094 ov"Q I HEREBY CERTIFY. That on this .......9th ............day of ........ 00t oke................................... I$. R6, before me personally appeared ........ L...Geansa.Harwia .. ............................ and ..EZizabeth. Reid ................ respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individuals and officers described In and who executed the foregoing conveyance to HaroZd MiIZer ..r: .. ..... .................................................... ............................... .. and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly �Iltftorl:edi and tbat the Official seal of said corporation is duly affixed thereto, and the said conveyance is the act and deed of said eorporata. WITNESS my signatarE-audoffklol sea at Se sstlan, in the County of Indian River and State of Florida, the day and year last aforesaid. �� THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: 77L Z Ca'eC �%LC'� .o, '-V, P ✓ S �/ on this day of 19 8ifor the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: -��-- Cemetery Lot (s) # Block# 52 _,Unit# A4 Purchase Price: ,L fZ) - f��,J�� t.r(_ Dollars ($C) Terms and'conditions of sale: PO7 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. City of s6bastian W4 tness —�- STATE OF FLORIDA OPARTMENT OF HEALTH & REHABILITOE SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Eunice M. Miller DEATH October 4, 1986 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Roseland, Florida Inst. Humana Hospital— SEbastian 3. Name of Medical >�dPhysician Haoress Certifier Dr, Nasir M. Rizwi M.D. ❑ Medical Examiner 13825 U.S. #1 Sebastian, FL 32958 4. Funeral Home/ Name Address =www"ammump Pottineer & Son Funeral Home. Inc. 1200 S. Indian River Drive Sebastian, FI The medical certification has been completed and signed. A completed certificate of death accompanies this application. 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 was contacted on . He /she verified that k , Medical Examiner, will complete and sign the BURIAL— TRANSIT PERMIT Permit No. 759 -687 Permission is hereby granted to dispose of this body. ❑ 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 Date Sub - Registrar Signature - `� " r Issued 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. Awaiting period of 48 hours after death is required for all cremations. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery BURIAL ❑ STORAGE Date of Disposition October 72 1986 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton or Person -in- Charge This permit must be endorsed by the Sexton or person -in- charge (or by the Funeral Di . and returned within 10 days to the local County Health Department in the County where HRS Form 326, APR. 81 (replaces previous editions which may be used.) sposer when there is no Sexton) .erred. Name 1" si Unit Block Lot Date of Mark -out b `� Date of Burial '` Time Name of Funeral Home Authorized by Harold Miller 7915 134th Street Roseland, Fla. 32958 Eunice Miller Interred °/ 71,'c DEED ## 1097 Lot #1 Block # 52 Unit # 2 Addition