HomeMy WebLinkAbout2-52-13• THIJ of Othafi n
�PUtrttrIt ID PP NO. 1066
THIS INDENTURE MADE This ..........6th........ day of .......... octokr ......................... A. D., III. M..
between the City of Sebastian. a municipal corporation existing under the laws of the State of Florida, as Grantor and
............ C art.. P11IU M ............................................................................ ...............................
.......... 13225..U.45.J. J... .Rest. mobil e- Xwm - Park, ..Sebastian, . FZa... 323 558 ...........................
of the County of ........?r?dz err? . RtCY.�r?' ................... No state at ...... ?ZP?' ' ......................................
as Grantee. WITNESSETHs
That the Grantor for and to consideration of the sum of S ..... 200: 00 .............. to it in hand paid, the receipt whereof is herewith so-
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:
1t13(sa100 52 2Addition
Ali of Lot(s) ......... Block, ......... UNIT ............. . of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Pht
Book 2, at pop 6S of the public records in the office of the Clerk of the Circuit Court of St. Ludo County of Florida; aid 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 deted of conveyance thereof then the title of such owner
in and to aid 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 .... ..
stay Qerik
Signed, Sealed and Delivered
In the P`r�seQce Of .................
0-..:� -�! .................
CITY OF SEBASTIAN, FLO A
By
Mayor
("V
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this .......... 6.th .........day of ............... OCtabar . ......................... , 196.6.,
before me personally appeared .. ,ttr..G'l�1e . Ac�+]rL8• • • ..... and .. Elizabeth, 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 to and who executed the foregoing conveyance to
................... rt41X.4JF, rGlVirl............ ,,t_...,_. ............................................. ............................... .
................ and severally acknowledged the execution thereof to be their tree act and deed
as such officers thereunto tidy authorlrW* 14nd tbat -.the OMcial seal of said corporation Is duly affixed thereto, and the sold conveyance
Is the act and deed of mid eorporatiow
WITNESS my signature and of flsW as at Sebastbino I!r* County of Indian River and State of Florida, the day and year
last aforesaid. =t
.. \ M . stag of RM&
Mv
Name /� 0 L 1117 `4 Al <! L) / " /- R--- � ?
Unit
Block
Lot /
lee
Date of Mark -out
Date of Burial / ch f Time '
Name of Funeral Home
Authorized by
Carl PfZam Deed #1096
13229 U.S. #1
Shady Rest MobiZe Home Park
Sebastian, FZa. 32958
Lot #13
Block # 52
Unit 2 Addition
l 10%/8e
J 1
. _. ___ _.-_.
J
STATE OF FLORIDA
D TMENT OF HEALTH & REHABILITATI4RVICES
VITAL STATISTICS
APPLICATION FOR BURIAL - TRANSIT PERMIT
� sa
A. (Type or Print)
1. Name of First Middle Last DATE Month Day Year
Deceased OF
NORMAN C. PFLAUM DEATH OCTOBER 3, 1986
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
INDIAN RIVER SEBASTIAN Inst. 1413 NORTH CENTRAL AVENUE
3. Name of Medical ❑ Physician Address
Certifier LEONARD WALKER, M.E. MCMedical Examiner 4001 —B VIRGINIA AVE. FT. PIERCE, FL. 33482
4. Funeral Home/ Name Address
Direct Disposer STRUNK FUNERAL HOME 734 NORTH CENTRAL AVENUE SEBASTIAN, FLORIDA 32958
5. Check a C] The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate b 0 was contacted on . He /she verified that
Box 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: w. • .. , .,, . .:_
C L DR. WALKER was contacted on 10/3/86 . He /she verified that
HE Medical Examiner, will complete and sign the
medical certification.
6. Funeral Director/ Signatur Fla. Lic. No. /Reg. No. Date Signed
Direct Disposer Z 7
— 2088 10/4/86
B. BURIAL- TRANSIT PERMIT Permit No. 1228 -86 -378
Permission is hereby granted to dispose of this body.
Ej 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
wijh the Local Registrar of the County in which death occurred.
Registrar or
Sub- Registrar Signatu
e
Date OCTOBER 4, 1986
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:
BURIAL [] STORAGE
CREMATION OTHER (Specify)
Signature of Sexton
or Person -in- Charge
Place of Disposition
Date of Disposition
This permit must be endorsed by the Sexton or person -in- charge (or by the Funeral Dil
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.)
t Disposer when there is no Sexton)
occurred.
GEM
iex:RECORD # NEWCEM
City of Sebastian, FL - Cemetery Lots
Last Name PFLAUM First Name CARL
Address 1 13225 U.S. #1
Address 2 SHADY REST MOBILE HOME PART{
City SEBASTIAN State FL Zip
Deed # 1096 Date Amount
Unit # 2 -A Block # 52
Lot Number 12 Interred PFLAUM, NORMAN
Lot Number Interred
Lot Number Interred
Lot Number Interred
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32958-
Dte Interred 10 -06 -86
Dte Interred
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L. Gene Harris POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 -0127
Mayor TELEPHONE (305) 589 -5330
November 5, 1986,
'i
TO WHOM IT MAY CONCERN:
This will attest that Carl W. Pflaum, residing at .Shady Rest
Mobile Home Park, 13225 U.S, V, Sebastian, Florida 32958,
purchased cemetery lot No. 13, Block 52, Unit 2 Addit.inn in
.Sebastian Municipal Cemetery on October 6, 1986, for the sum
of $200.00.
On the 6th day of October, 1986, Norman C. Pflaum, the brother
of Carl W. Pflaum, was interred in the above - mentioned lot,
0-4-j400 W"/,
-e
Elizabeth Reid
Acting City Clerk
LR
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKN WLEDGED OF THE SUM OF:
W f d0
FROM:
132ZS mss_ #/
X51
Dollars
(S
200• D.D
)
i / s
V
on this day of , -2.9 i:b for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s) # 13 Block# 52 Unlit# 2 •
Purchase Price: - -- Dollars (�S Zd�• 00 )
Terms and'conditions of sale:
* i4a,
. 14A_
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 S astian