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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 t Monday, Apr 04, 2005 11:32 AM 32958- Dte Interred 10 -06 -86 Dte Interred Dte Interred Dte Interred R >e- search CL >abel CT >aa CEsc> `0 Y 4 del z , �+ C HI) �)/' st-hmiff,111 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