HomeMy WebLinkAbout2-50-09W
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' 4 /29 86
Paid by M �TERY Receipt No. . . . . . .��. . . . . . . . Dated . . . . 1. . � . . . . . . . . . . . . . . . . .
I
�..ist �� e S . �� ���. . . . . . . Maximum No. Pucial Spaces . . .? . . . . . .. .. . .. .
%�.�
Net Pai� . . . . . . .-.. . . . . . . . . Monument permitted . . .��.�.$�.' . . . . . . . . . . . .
Lots 9& 10, Block 50, Unit 2 Add.
(Data above tLls Une for Gty Iiecord ody)
f�it� nf �3►eb�,�tittn
NO.
Milton & Dorothyl � `� 8
Hedberg - 910 Red Bud Road
Barefoot Bav, FL 32958
�P�iP#P�l,j ��Pi1
No. 1{►�g
THIS 1NDENTURE l[ADE 111s ..1%tll .............. d�y ot ... OCtOb2r............................... A. D� 1Y.86..�
betN•een the Clty of Sebuctian� a o�unicip�l corporstlon exirt[ns undcr the Iswe ot the 9tate ot Ftoetd�, �� arantor +►nd
. . . . . . . , . , Mi l ton, and . Dorothy , Hedberg, , , , 910. .Red, Bud. Road, , Baref oot. Ba}�,, FL , 32958 . . . . . . . . . . . . . . . . . . .
............................................ ............................................ ............................................
ot the County ot . . . ���Y��� . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . w] 8tste ot . . .��4K�S�?. . . . . . . . . . . . .:. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
u Grantee� WITNE88ETN�
That the Grantor for and in con�deration of ihe sum of S..7QQ. � ................ to it in hand paid, t e receipt wheteof is harewith ao-
knowledged, dces by this instrument grant, bargain, aell, release, oonvey and oonfirm unto the Grantee �ej.X ,, hei� legal representatives and assigna
the follawing property situated in Sebastian, Indian River County, Florida, to-wit:
All of Lot(s) 9. l�c�� , Blodc, .`.ZQ ...,, UNIT .2. Add... .... , of Sebastian muni�apal cemetery as par Plat Number 1 thereof reoorded in Plat
Book 2, at page 65 of the public records in the offlce of the Clerk of tha Circuit Court of St. Luc,ie County of Flotida; said land now lying and being
in Indian River County, Fiorida.
To Have and to Hold the same forever; provided that said ptoperty shall be used solcly and exclusively for the interment of the human dead and shall
be used, kept and maintained at all times in accotdance with the rules and regulatlons, ordinances and resolutiona of the City of Sebastlan, Florida, heroto-
fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditiona, restrictions and mquirements contained
in thia inetrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within eaid cemetory to ob-
serve and comply with such rules, reguL►dons, reeolutions and ordinances and the conditions of the dCed of conveysnce theraof then the title of such owner
in and to said property shall terminate and the same shall revert to the City of Sebestian, Florida.
IN WITNESS WHEREOF, The said party of the fust part has cauaed thia instrument to be executed in its name and on its behalf by lts Msyot and
attested by its City Clerk and its oorporate xal to be heteto affixed, the day and year first above written.
CITY OF SEBABTIAN� F IDA
` ���' ' r
�ct�sc: ��.'�. . . �!a..�'s.vi.�. . . , ,��,�, ,�. . . sr . . . . . .. . .. . . . . .. . .. ..... ......
Clty Cteric Hpor
5ignrd, Sesled und Delivered
In the resence of� -
. � �' :l/.�. . /.�!. . .G' . . . . .
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G�!_Q.�.�-c'�<� .✓. . . .Gl. . <<r�:s� : . . . . . . . . . . . . . . . . . . .
STATE OF FIARIDA
COUNTY OF INDIAN R1VER
��t� p�YMl�
I NEIiEBY CERTIP'Y. 1l�at oo tbU ... 1�tY1 ........... ... .dsy o! .. QC�Obex ......................................, 1Y�6.�
betore me personelly eP�ar�a . .L... . Gene. Harris . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . u,a . Elizabe.th �eid . . ... ...... . . . ...
reapectively Mryor end City Clerk o! the City ot 9ebastian, a municlpal corporation under the lawr of the State of F1orWa to me knowo
to br the individual� and ott(cera deccrlbed in and who eYecuted tbe toregoing coaveyance to
..........M��.�Q�. a�d.Ro�o�hy..�ed�ex� .......................................................................................
........................................................ and severaUy ackaowledgecl the executlon thereot to be thelr Iree act �nd deed
as auch otficers therrunto duly authorir,eci; wd t6at We Olticirl seal ot uid rnrpomtion is du1Y af[ixed thereto� u�d the wld conreysnce
is thc act and derd ot cald corporstbn. .
WITNES3 my rigaature and otticlal �eal at 9ebsatLn. In the County ot Indi�n t�iver �nd State ot Florlda� tbe ds� �nd �e�e
loct aforraald. - �
. �'. � � .
. . . . . . . .. i : .. : � (/��c(r � . . . . . . . . . . . . . . . . . . . . . . . . .
Not.ry Pub of Flo- -•s� st f�ar�e.
My commbaloa e:p4� � - - � �
.
'- '�� Notary Publ'K, Stata of Rorid�
My Coi�imission Etpi�pti (�ct. 5, 1990
,.. .,_- �__
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FLORIDA DEPARTMENT OF �� �-. �o` �—Q -`��
HEALT State of Florida, Department of Health, Vital Statistics v`'�G ��� �
APPLICATION FOR BURIAL - TRANStT PERMIT
A. (TYPE)
1. Name of First Middle Last Date Month Day Year
Deceased of
Milton L. Hedberg, Sr. Death Se t. 15 2004
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or Home
Brevard Melbourne ir,st. Atlantic Shores Nursing �i�►
3. Name of Medical Address Phone Number
cert�f�er Saji `S_ Qaiser, M D. �750 Cedar Street
Rockiedge, FL 321-633-1981
4
5.
Medical Examiner Physician
Name of Funeral Home/Direct Disposal Address Fla. Lic. No./Reg. No. Phone No. (Area Code)
Establishment �1623 N. Central Avenue
Strunk funeral H e Sebastian, FL '1228 772-589-1000
Check a. The medical certification has been completed and signed. A completed certificate of death accompanies this
Appropriate application.
Box
o. Funeral Director!
�oc+ n'�nneo+r,
B.
�
b. � was contacted on
He/she verified that this death was from natural causes, that there was no accident nor other exterrtal cause of death,
and that will complete and sign the medical
certification of cause of death within 72 hours.
c. � was contacted on He/she verified that
,,, , Medical Examiner, will complete and sign the
medical certiiiCAtion of
within 72 hours.
F.E. No./Reg. No.
��,._�--�,.-1862
BURIAL - TRANSIT PERMIT
Date Signed
9/15/04
Permission is hereby granted to dispose of this body. Pe�mit No. �22$-04-0356
� A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has
been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within
72 hours.
�No extension of time for filing the death certificate has been requested.
R�15i�T'6r Date Date Certificate
SubregistrarSignature �e�t,� /� �„��_Issued: 9/15/04 Due: 9/20�04
Approval Number:
AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA
Date
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.
�. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition Sebastian Cemetery
�BURIAL �STORAGE Date ot Disposition � �� � f �;�
�CREMATION
Signature of Sexton
or Person-in-Charge
�OTHER (Specify)
fhis permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no 5exton) and returned
vithin 10 days to the local County Health Department in the county where disposition occurred.
Distribulion: While: Cemetery or Crematory
1H 326. 8/97 (Obsoletes all previous editions) Yellow: Funerat Director or Direct Disposer
Stock Number. 5740-000-0326-2) Pink Local Regislrar
Name �.� r � � r-� � � �7;Y��.3 l' J�#-. ,� �"� ''l X � ; 1-��'- 7
Unit � � �
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Lot � ��
Date of Mark-out �� � � �� ��
Date of Burial � /` � 1 � �'' ! Time � � ° � `�' � �
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Name of Funerai Home ��� t� ��'r
; / ,,� � '.,C._, - �
Authorized by � t � � �'� �' (r��''
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Ma�,�c.�n� S e d,d�„ g
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CITY OF SEBASTIAN
CITY CLERK'S OFFICE 311 i
RECEIPT
Name Cash
Date • �!� eck# �7�
No. Amount Paid
001001208001 Sales Tax
001501322900 Garage Sales
001501341920 CopieslBid Specs.
0015b1341910 LDCICode ot Ordinances
001501341930 Electlon �ualiiying Fees
601010 343800 Cemetery Lots .
LoUNiche . Block , Unit
001501343805 Cemetery Fees � '7 � U�
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�,E' /l = � �-� C��
Total Paid
Initials
White — Dept. of Oripin • Yellow — financa • Pink • Applicant
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TfiE SE9ASTIAN CEMETL'RY
City of Sebastidn
Seba9tinn, Florida
I�ECSIPT IS 98RTSY JICKNOWLEDGED OF TNS SUN Ob't
. O� y
__,,.__,.,_,L,•C''r7� ,''�-uiu.G�'C�r�(.�� t�11�ra (,s r- u , � , �
F80M: _ /"l / 6. T D ^/ � . CT I-% �i' �= �' (r'
� � ��� � T i� y �� . �f � � a �. �s,� �=
�l� � �r� [3u.� h% l�/t�►= �� �T ���- y � � .�- �:���-n
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on th�a �q � day of , 198� for the purchese of the following
described Cemetary Lo (�j upo� the terms nnd c+and�tion9 as steted here�nJ
D�esCtiptlon oF Propertys
Cemetery Lot(s1 M_ /►� �� Blockp S� UnitN �- �c'cl c:(�.��c ;�
Peuchdse Pr� ce z/� l�c,�. L�'�2. t� E� D�11 ars ( S 1 v �� ,� �
Terms and conditiona of sale:
� 0`/� � � U O ,O � �y.— Ll ,3V J, v ;J (I .Z�.. >,GV'l�L�f.ei�� (O /{�Y�e � C �'r .. �
� � � �
This contract sha11 be bi��ding upon both part�es, the aeller and the purchaser,
when ap,protrod by the owner of the property sbove deQCribed.
I, or we, agree to purchase the above described property on the terrr�s and
c�onditior� etated in the foregoing intrumsntr
'1'he C� ty of Sebastian agrees
above namad purch�er(s) on
inatrument.
� �/� �
�U/-rJ,
`f-,� y/�i �/ / /'
�a.H-�/ /�" �, ��V'_t_..C�J'-�"�L _
to se11 the above mentioned prope3rty to/the
the terms and conditione etated Sn the ebove
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City o Se�rastian
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������_1�-�'`--z+--t.�,�� ��. ,� �=�'� .��,- � ,�- --
Witnasa _
Purcl.ase pri c� S '� _� �, �� �!,
Pajd �- o;J, Ddte y� Bdldnce$ �;,�,
Pa� d a�D , Aa te-������Bdl anceS .�? ;� O.
Pa1d ,?.ti r. . Uate /�' , �� Balancd$ .—_
Paid Date BalanceS
Paid Date balance,S
�ttg ,af �►pI1MBt��
P�iP#1���' �,�,�� No. ' U519
THl9 INDENTUAE l[ADE �la .... ZS,th............ d�y ot ...........March ........................... A. D., 1Y.8'3..�
bstMeen the City ot 8ebastlan. a munlclp�! corporatioa exirtlns under the 4w� ot the 9tate ot Florkla, �� Qrantor snd
Harold W. �lnd/Or Kathleen Rowe
. . . . . . . . . . . . . . . . . . .. . . . .. . . . . . .. . . . . . . . .. . . .. .�,40' �E1" cap•1 t�an� 'htobfi� � Home� �P�r�C . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . ...... ....
,. ... 12939 Indian River D ve: Sebastian, Florida 32958
�f the Conn�y of ....Indian, River ....................... sa�l tst ot �.....Florida....................
ar (irante4 WITNRB88TH� y ..................
That the Grantor for and in oonsideraUon of the sum of S... 3 Q. O.Q .............. to it in hand paid, tho reoeipt wheroof ia herewith ao-
Irnowled�ed, doea by this inatrwnent grant, bargain. eeU, relasee, convoy d to the Grantee ,,,,,,,,, heira,legal ropre�entativa and aaigni
tLe folbwin� property dtuated in Sebaatlan, Indian River Connty, Florida .
All of Lot(a) .9. & . ? � Bbdc, . . 5 � . . . , U 2 Adi
Book 2, at paga 65 of tho public rocorda in tho f8 • o. .(
in Indiau Rlver Cowrty� Fbrida.
of Sebastian municipal cemetery aa per Plat Numb 1 the recordod in PLt
the Circuit Court of S� Lucie County of Florida; land w lyiog and bein�
�
To Have and to he same forever; providod that said property shall be uaed aobly and excluaively for the intern�ent of the human dead and ahall
be uied. kept ed at all times in accordanco with the rules and cegulationa, ordlnancea and resolutions of the City of Sebaatian, Florida, hereto-
fore� now ard er adopted or provided for the governmont and operatlon of eald cemetery. The oonditione, re�rictiona and requiremonti contained
in thL lnrtrumont ahall ba oovenants running with tha land. In tha avent of tho failura of the owner of any property aituated wlthin �a1d cemetery to ob-
ia'e�e and comply with such rulea. reguladons, reaolutions and ordinanas and tho conditiona of tha ddod of oonvoyanco thoroof then the titb of wch owner
ia and to aaYil�roporty ehall terminate and tho aame ahall revert to the City of Sebaatian� Florida.
IN WITNESS Wi�REOF, Tho said party of tho first part has causad this lnatrument to be executed in ita name and on its behalf by its Mayor and
atte�ted by ita City Clerk snd ita ooiporate seal to ba hereto affixod, the day and year firat above written.
e � � • `���
�tt �t� ....�:� ...................�
Clty Qe��
Ai�ned, Serlcd and Del(vered
ln the Preaence ofi
. . . . . . �: /.l,r.... . .4.(. . .�2'. .�. .�. .�. -�/
. . . . .�.t... . . G����. :... . .. .. . . . . . . . . .
CITY OF SEBABTIAN� FIARIDA
B, ......�a��. .. ..............
Idqor �
(��it ��1)
STATE OF FLORIDA
OOUNTY OF INDIAN RIVER
I HEREBY CERTIFY. SLat on thL ..........ZS.t�.........d�y ot ..........Mar�1a ...................
..............., I��..�
before me perwnally �ppeared ....,Pat Flood: Jr; �d Deborah Kraqes
............... ... ........... .
rerpectively l�syor �nd City Clerk of the Clt� of Bebarttan. • munlclp�l corporstlon under the l�w� ot the 9tate ot Flo�ida to roe kno�rn
to be the indlvidu�ls and ott(cen descrlbed 1n sad wdw euecuted the foregoln� cowveyance to
Harold W. � Kathleen Rowe
.........................................................................................................................
........................................................ and �eterally acicnowled�cd the racecutton thereot to be thelr tree act �ad deed
a sueh offlrxra thrreunto duly authorliedi aod tbat tl�e Otticial real ot wW corporstlon ir duly aftiYCd tbereto. and tbe �aid comeyance
b the �ct �ad decd of Wd corpontlon.
WITNE89 my d�natnre and otflcW ral st Bebut4n� la tbe County of Indl�n Rtver aad State ot Florlds. the dq ud �ar
la�t atorwsld,
�•e�.'�� . F�ifl.... . jr���� . . . . . . . . . . . . . . . . . . . .
Notary Pu Stste ot FlorWa at Lr�e.
MY oommWfoa e�plrai � :fM�N�!��1
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City of Sebastian
Sebastian, Florida
•
Apri1 22, 1986
We herewith request that the City of Sebastian buy back from us
Lots 9 and 10, B1ock 50, Unit 2 Addition, Sebastian Municipal
Cemetery - Deed No, 0519 - $300.
�� ��� 1-� �
� ' ��-�-�`
Harold W. Rowe
7� Q o-u>-�.
Kathleen Rowe
_ . ,
�,,, , ;-� � � ,, _ ,�� , ��.
;� �_ � �� :�=� `�' �- r �- � � �' y
. _ �:.
� � ��3
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF TNE SUM OF:
� � ni ��.t.r�x�� �.�.. � � �o 0 11 ars ( $ � � v . 0 v J
FROM: � • qV I ��rt n��tTtit�.�
. � /J n .� ' . • �- - ^ ^ � —
�i/i����%1��11R"L.'�i/�1_'�1�11�'.�I�,��I�3►%L�,l� _ �
�'��' � •
on this_1�.1��day of 19�for the purchase of the following
described Cemetery Lot(s) upon the terms and conditions as stated herein:
Description of Property: ,
Cemetery Lot (s) # q�/D Block# J(.� Uni t# p2.
i,�i
Purchase Price: 30 D, D O(�/�s�• °O -Q��� DolZars(s 3aa, o u j
Terms and'conditions of sa1e:
This contract sha11 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:
_�i�J _ / � • ♦
•
� - - � l_, �
The City of Sebastian agrees to se11 the above mentioned property to the above named
purchaser(s) on the terms and conditions stated in the above instruinent.
� / / � �' • ��/
. -._
Witness
ROWE, HARULD W. & .:nTHZEEN
;�40 Elcapitan Mobile Home Park
12939 Indian River Drive
Sebastian, F1a. 32958
DEED N519 �
Receipt # 343
Lots 9& 10, Block 50, Unit �#2 Addition.
� v�� � � i S� /�,i�C� ! � � r % %
�=�� � ,� o c�. - �'`�" �I3� JZ
BLOCK SO
LOTS 9& 10 Unit 112 Addn.
ROWE, HAROLD W. & KATHLEEN
#40 E1 Capitan Mobile Home Park
12939 Indian River Drive, SEbastian,Fla.
Deed #519
Receipt #343 �
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(t��entr#�r� ����ed
N° _ 4?
THIS INDENTURE MADE This . . . . . . 14th. . . . day of . . . , October � , , , A. D., i9. 8?. .,
................................ .
bet�veen il�e City of Sebastian, a municipal corporation existing under the laws of the State of Florida, us Cyt�antor and
Von E. and/or Annabelle Moore
............... ............................................... ...............................
��������������12970���74th�.��Court
............................Sebastian,. FZorida...32958....................
of the County of ....Indian..Ri.ver ....................... anl State of ..F.lo.z�ida... .......................................
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the su $*.*$.20.O..QO.*.* ................ to it in hand paid, the receipt whereof
is herewiih ncknowledged, dces by this instrument grant, barg�in, 11, release, convey an onfirm unto the Grantee..t11L'lI'. heirs, legal
representutives and assigns the following property situated in bustian, Indinn R' r County, Florida, to-wit:
UNIT
A11 of Lot g&1 ��BIk . 50. .. in . Z. ciC3�Z1... . Sebastian un' ipal cemetery as per Plat Number 1 there-
,,
of recorded in Plat Book 2, at page 6G of, th public recor in the offi �f the Clerk of the Circuit C'ourt of St. Lucie
County of Floridn. '�
To Have and to Hold the same foreve ovided that said rop shall be used solely and exclusively for the interment of
the dead and shall be used, kept and maintained at all times in a orda e with the rules and re ations, ordinances and resolutions
of the City of Sebastian, Florida, heretofore, now and ereafter ad t or provided for the govern ent nd operation of said ceme-
tery. The con3itions, restrictions and requirements contai d in this in rument shall be covenants run g w h the land. In the event of
the failure of the owner of any property situated with id c tery to observe a omply with ch rules, regulations, resolutions
and ordinances and the conditions of the d of convey nce t er f then the title of ch o ' a said property shall terminate
and the same shall revert to the City of S� stia Flori u.
IN WITNESS WI�RE6F'1'C
half by its Mayor at�d attested by its
i,
Attest: ........ .. .. . . .... ...�
� C1erk
Signed, Sealed and Deli red
in the Presence of:
.� .......... ... .....�
.�....�
�
ST TE OF FLOItIDA /
COT?NTY OF INDIAN RIVLF
0
part has caused this in U n�to be executed in its name and on its be-
�ate seal to be hereto ' ed, the day and year first above written.
:T OF I3A6TIAN, FLORIDA
......`�'���� ........ ..............
Ma�or �
� (fLlitr� �etti)
u
I HEREBY CERTI�Y, That on this .. , 14th. October � 8Z �
................day of ................................................... 19....
before me personally ap eared . . . P� t . F.�O.Oi� r . .�71:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . and . . �1 �.zab�th . Re�.d. . . . . . . . . . . . . . . .
respectively Mayor an 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 nd officers described in and who executed the foregoing conveyance to
Von E. and/or Annabelle Moore
. and severally acknowledged the execution thereof to be their free act and deed
as such offi rs thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
is the act and deed of said eorporation.
Vf�ITNESS my signature and official seal at Sebastisn, in the County of Indian River and State of Florida, the day and year
last aforesaid. '
_ �t�s�c� R I�GG-???�yr�C-?'L'4 ......................
- - ry Public, State of Florida at Large.
mmission expires:
" Ilotary ►uetk. SpAil �! IINIM�
Yy Commfaalon Ex�fra Mw.
. 4wa Alr A�ri� 1VN � C11rA�1�
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TNE SEBASTIAN CEMETERY oO
City of Sebastian � � � �
Sebastian, Florida �
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RE'CEIPT IS HEREBY ACKNOk'LEDGED OF TXE SUM OF: �\
�, � .
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1�
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:� a� '�— Dollars (S o?DO. By 1
Frzo�:: J � � ,�,� /y0 D,��
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ori this � day o , 19�1 f,or the pvrchase of the following
described Cemetery Lot(s�upon the erms and conditions as stated herein:
i
Description c� Prop�rt�.-
� Cemetery Lot(s)# B1ock�i � Unit# �- Qd�.J
� Pur e Pri e: ��q`Dollars($ �2,p0, y�)
T an condi ti ons o sa1 e:
1
�
�"�� l99 \
',This co ra t shall,tbe binding upon both part�. s, the seller and the purchaser, when
appro d by e ownelr of the property above de ribed. �
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I or we, agre to rurchase the above described p perty,on the terms and conditions
stated in the f e ing instrument:
C i'�JL� • ���
The City of Sebastian agrees to seZl the above mentioned pro rty to the above named
purchaser(s) on the terms and conditions stated in the above strument.
.
wG�-�t�C-�
Wi tness
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ty o ebastian
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