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Home My WebLink About2-52-14flitg of orhasty t C�PIYtPPXI�PPi1 NO. ,J1101 THIS INDENTURE MADE Tkle ......... 2?•th ....... day of .............October ..................... A. D., between the City of Sebastian, a municipal corporation existing under the Iowa of the State of Florida, as Grantor and ^^ J'ZrGC-.4sc.TJ ............ GZsn..C....Ykz rfin ........ ( Robert.l lwmp sm) ....................... ............................... ....... 646 9th Street, Vero Beach, FZa. 32960 ...................................................................................................... ............................... of the County of .. I nd�an.. Ri.vo..r ...................0... aoa state of .. ..........F.Zi7.x' ............................. as Grantee, WITNESSETHu That the Grantor for and in consideration of the sum of $ , , , 325; 00, ,, , ,,,, , , , , , , , to it in hand paid, the receipt whereof is herewith no• 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: All of Lot(s) , ,14 , , Block, . 5 2 ... , , UNIT .2. Add2 t s . , , of Sebastian municipal cemetery as pet 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 ouch 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. Attest: .... .. .. . City Clerk Signed, Sealed and Delivered In &Presence of: ......�!5! .................... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FIP#IDA H , ... By . mayor Witu oseld) I HEREBY CERTIFY, That on this ...... 27th............day of ............Onto ox ............................ 19 -44 before me personally appeared .......... L. Gene Harris and Elizabeth .lieid.. ... . ..... 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 coaveyance to ..............Glen. C. , ,Vanderfin ...... (Robert Thompson) ............. ........ ........................................................ and severally acknowledged the execution thereof to be their free 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 is 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. at Notary ubU e,7-ts te of F Large. .... .. ..+ My eommissioip expiresr, Iciary StO of Fio►tdu a Expires Oct. 5, M' L.._ oy ...... Name iu E� scR Unit Block Lot Date of Mark -out Date of Burial i ,.. r _Time Name of Funeral Home . C �.. Authorized by e` - V UNIT 2 ADDN., BLK. 52, LOT 14 DEED 41101 Robert Thompson 646 9th St. Vero Beach, F1. 32960 Glen Vanderfin interred 10/27/86 STATE OF FLORIDA OPARTMENT OF HEALTH & REHABI LIT* E SERVICES VITAL STATISTICS l /a� 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b was contacted on He /she verified that Box %� ®t--. aimm�r this death was from natural causes, that there was no accident nor other external se of death, and that he will complete and sign the medical certification of cause of death. c C] 6. Funeral Director/ XXXXYsiloXeXX E R /.Marshall Voyles Jr. B. i - was contacted on He /she verified that Medical Examiner, will complete and Sign the medical certification. Fla. Lic. No. /Reg. No. 2283 IAL— TRANSIT PERMIT Date Signed . October 27, 1986 1 p, Permit No. 1423- 275 -19861 Permission is hereby granted to dispose of this body. u rl ® 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. I« dt Registrar or Date Sub- Registrar Signature -0:;LzT Issued October 27, 1986 „ 'C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA y Signature Medical Examiner Date k, or j 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 a . Method of Disposition: Place of Disposition Sebastlan Cemetery t t' [N BURIAL 0 STORAGE Date of Disposition October 27,E 1986 0 CREMATION C] OTHER (Specify) Signature of Sexton) 1' or Person-in-Charge ) 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.) APPLICATION FOR BURIAL — TRANSIT PERNiIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Glen C. Vanderfln DEATH October 25, 1986 2. Place of Death City, Town or Location Name of (if neither, give street address) County Hosp. or Indian River Vero Beach Inst. 646 9th Street 3. Name of Medical EXPhysician Address 0' " Certifier Michael. Zimmer M D ❑ Medical Examiner23oo Fa th Avenue, Vero Reach, Florj a -12 MO ' 4. Funeral Home / Name Address J?*Z)Pk@W Cnx- [:iffnrri Funaral Hnmp 195(1 20th St_ Vprn Roach iFlnrirla R29Rn 5. Check a 0 The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b was contacted on He /she verified that Box %� ®t--. aimm�r this death was from natural causes, that there was no accident nor other external se of death, and that he will complete and sign the medical certification of cause of death. c C] 6. Funeral Director/ XXXXYsiloXeXX E R /.Marshall Voyles Jr. B. i - was contacted on He /she verified that Medical Examiner, will complete and Sign the medical certification. Fla. Lic. No. /Reg. No. 2283 IAL— TRANSIT PERMIT Date Signed . October 27, 1986 1 p, Permit No. 1423- 275 -19861 Permission is hereby granted to dispose of this body. u rl ® 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. I« dt Registrar or Date Sub- Registrar Signature -0:;LzT Issued October 27, 1986 „ 'C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA y Signature Medical Examiner Date k, or j 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 a . Method of Disposition: Place of Disposition Sebastlan Cemetery t t' [N BURIAL 0 STORAGE Date of Disposition October 27,E 1986 0 CREMATION C] OTHER (Specify) Signature of Sexton) 1' or Person-in-Charge ) 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.) I 4 gyp L/ L/ THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY AC LEDGED OF THE SUN OF: t . Cps- r-#Se--V) FROM: Op V&tz on this day of 194 for the purchase of th4ifollowing described Cemetery Lot(s) upon the terms and conditions as stateb herein: Description of Property: Cemetery Lot(s)#—ja L4 Block# unit# Purchase Price r - z Dol.}ars ($ . Dd ) Terms 4nd'oonditions of sale: Gt u`- C ` P 2,OZI 76 6cox— 6#4%-04 This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. 1, 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 stian 0