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HomeMy WebLinkAbout2-47-04,000��� ' 4 4 • Paid by CEMETERY Receipt No... 61 .......Dated ... List Price $ ... 4 QQ; ,Q0 _ , .. , Maximum No. Burial Spaces ................... Net Paid $ ...A P... , 0 Monument r pe milted .................... Lot 4 77 Unk iit24Addn. NO. Marcia A. Lumb1268 103 Piano Dr. Annie MacKillop (Mother) interred 3/30/90 Harmony Woods (Data above this line for City Record only) Newark, De. 19713 Titu of Orhastttttt AT %krutrtrr# IDve NO. - (3 8 THIS INDENTURE MADE nib . 3Oth day of ......... . arch..... .......... A. D., 19.90., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Marcia A. Lumb 103 Piano Dr., Harmony Woods ......... . ................................ Ne.w.ark,.. De... .1971.3.................. .. . ...... ............................... of the County of ......... New.,Castle ant State of ....... �C '•laWi3.4' .................... as Grantee, WITNESSETHr , , , , , . . That the Grantor for and in consideration of the sum of $ _4 00, , ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Granteert, he r d paid, the receipt whereof is herewith the following property situated in Sebastian, Indian River County, Florida, to -wit: heirs, legal representatives and assigns All of Lot(s) .. A. , , , Block, . • 4 7 , , UNIT Addn • , of 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. Attest: `T\ 0. 1 d City Clerk Signed, Scaled and Delivered In the resence of: CITY OF SEBASTIAN, FLORIDA By ..✓ ............ • May, --. ((di #u Sent) C3 �/ STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this .... 30th .............day or ......riarch ......................... :.. before the personally appeared .... W.•.. E' C O n e r S respectively Mayor and City Clerk of the City of Sebastian, . municipal .... corporation under the and f the State p Florid to me known to be the individuals and officers described In and who executed the foregoing conveyance to .............. Marcia ..A.... Lumb .................................... ............................... I ......... ............ ..... and severally acknowledged the execution thereof to be their free act and deed as such officers 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 corporation. WITNESS my signature and official seal at Sebastian, Ill the County of Indian River and State of Florida, the day and Year last aforesaid. g Notary Public, State 4.. Florida at r e. ........... My commisslon ex lresr Notary Pubic, State of ffortda My Commission Expires March 26, 1993 - - Bonded Thru Troy Fain - insuranea 1..• Name Unit �' A b b , Block 17 Lot Date of Mark-out Date of Burial Time C Name of Funeral Home r C1 IF /D Authorized by C LUMB, MARCIA DEED #1268 193 PIANO DR., HARMONY WOODS NEWARK, DE. 19713 LOT 4 BLOCK 47 UNIT 2 ADDITION Annie MacKillop interred 3/30/90 (Mother) �:: : • -y♦ wJ.•. 4 -i -`.� { � a�l:+w•'•.+ft'a4.1 '. -r!�Ai rrfa•eF.sstalaiAIrAv4r,LAfl, INLA3s�e'w R4.1�TtrtA�erlditb r♦ � rtxxt fi• fl {ss.lrf.q.w.y,.''t ���i��� #��•��iK iY K���c•t i*.t ysy•fi'e .'a�.�i « }, .- ��.� ;a: �. �� * ;a mitt ^.':�.� . dINTERSTATE TRANSPORTATION OF HUMAN REMAINS c W RS OFFICE OF by a non - resident Funetal Director VITAL STATISTICS and DEPARTMENT OF O r: O N TEMPORARY BURIAL - TRANSIT PERMIT HEALTH AND SOCIAL SERVICES OS Z 1. MACE Of OEAII** 2 RESRIMIR 9 0% as v y�j l� N` ; rMlwl O[U/3m uVlE ..Mlrtur101..fyDR1Q . gR W W A. COUWY ew Castle in 1- 0 O O G CITY aR 1W+M I OImc[ carQNR �q i Z �Wo Wilmington ospital Zo Zaz Clarence Willman c � � � ,7. NAME OF SPOUSE i 9*AWA suit Delaware acs New Castle .. C CRY OR TOWN if OUM N CorKOXAR IN11q, vHiIR WAAS AND QMN NEAM TO*" • - Newark 1971.3 103 Piano Drive BLANCHE 'MAC KILLOP MAW=1 1-11 015 -07 -6678 1 LPN 77 1 if 11 we11, Mass. Alice Bleakley "Oftorr 103 Piano g h0 n Collin J. MacKillo (deceased) Marcia A. Lumb(daughter) WZ N IL m d U AUTHORITY FOR BURIAL, TRANSPORTATION AND RE e 3 c = This &#!a/ Transit Permit, wl>art fl ted in and MOVAL o m D N � Porters! Director Becomes auth ffir °kr Biolal,: 7 raJtbh and /nAern WI of the above named Decedent 00 r" 7 is Pan * is riot ak, "NY kt dametlort Seperate &&Wkzatlon must be obtahred. a IL CEMETERY Olt CREMATORY AUTHORITY SHALL FILL OUT SECTION BELOW '" The Decedent named above was 9. a BURIAL WAS IN Section � Lot _b ( ❑ in the cemetery or crenwtory in item 29. = c ; a registry has been mode - - =• The appropriate entry in the CemetaY Crematory ❑ Fin r W d E 44 o = G y mis Banal Tm- Permit must be rR+. Z IL Z — Formers► Director m stried above by the ��1' Authority. N no full time person In charge of the cemetery, the 1 W 6 ,3 O W < other f Dire in c may sign as Sexton. This &#W Transit Permit is to be retained by the Manager, srgw* t rwierrt, caretaker, sexton or o a a. �'� of Entombment or Cre►rrdtion or if none, then the Funeral Director. 1 W = �WQ ]6A TIW 6FpRIR•Ki \ CAMW VEMCIE LICENSE NO W _ NON.REfpBtT MILK DRR?CTOR STATE O; Z > ai r _ = W .. NAME C M►•QERAI OIIKTOR'S LICENSE NC4 •STATE OF ISSUANCE 3 ° 3 z ADDRESS z" o IL .R E Ei RESOENCE WITW CRY UMM? YES ❑ NM MOMH WY YEAR - March 23, 1990 W7c# "I0. Omer or wwr cowr�r USA 14. f YES GIVE WAR , Yes/WWII g>. OR NAME OF HOSMrM CRt R�S111RMM4 1 zg_vs , �i z St- Francis ANAW OF 89 via RIRRM CRFMAIRJN oTMRI wrwq W d W °E` :M ANNIE s sEx a RACE ago N 1 3/30/90 Z a. Female White Z to Ow ZW rio n Nov. 29 1912 LL> OR 09 O r:- sW-C I& FATM M NAME ospital Zo Zaz Clarence Willman c � � � ,7. NAME OF SPOUSE i 9*AWA suit Delaware acs New Castle .. C CRY OR TOWN if OUM N CorKOXAR IN11q, vHiIR WAAS AND QMN NEAM TO*" • - Newark 1971.3 103 Piano Drive BLANCHE 'MAC KILLOP MAW=1 1-11 015 -07 -6678 1 LPN 77 1 if 11 we11, Mass. Alice Bleakley "Oftorr 103 Piano g h0 n Collin J. MacKillo (deceased) Marcia A. Lumb(daughter) WZ N IL m d U AUTHORITY FOR BURIAL, TRANSPORTATION AND RE e 3 c = This &#!a/ Transit Permit, wl>art fl ted in and MOVAL o m D N � Porters! Director Becomes auth ffir °kr Biolal,: 7 raJtbh and /nAern WI of the above named Decedent 00 r" 7 is Pan * is riot ak, "NY kt dametlort Seperate &&Wkzatlon must be obtahred. a IL CEMETERY Olt CREMATORY AUTHORITY SHALL FILL OUT SECTION BELOW '" The Decedent named above was 9. a BURIAL WAS IN Section � Lot _b ( ❑ in the cemetery or crenwtory in item 29. = c ; a registry has been mode - - =• The appropriate entry in the CemetaY Crematory ❑ Fin r W d E 44 o = G y mis Banal Tm- Permit must be rR+. Z IL Z — Formers► Director m stried above by the ��1' Authority. N no full time person In charge of the cemetery, the 1 W 6 ,3 O W < other f Dire in c may sign as Sexton. This &#W Transit Permit is to be retained by the Manager, srgw* t rwierrt, caretaker, sexton or o a a. �'� of Entombment or Cre►rrdtion or if none, then the Funeral Director. 1 W = �WQ ]6A TIW 6FpRIR•Ki \ CAMW VEMCIE LICENSE NO W _ NON.REfpBtT MILK DRR?CTOR STATE O; Z > ai r _ = W .. NAME C M►•QERAI OIIKTOR'S LICENSE NC4 •STATE OF ISSUANCE 3 ° 3 z ADDRESS z" o IL .R E Ei RESOENCE WITW CRY UMM? YES ❑ NM MOMH WY YEAR - March 23, 1990 W7c# "I0. Omer or wwr cowr�r USA 14. f YES GIVE WAR , Yes/WWII g>. ONm z� z D. RIRRM CRFMAIRJN oTMRI wrwq as Wn DEMM Burial 1 3/30/90 Z a. 29. NAME a CEMEMW OR CREMATORY Z to as Z Sebastian Cemetery 49 3 xi acweM P", IMK ae CMW" Sebastian, Florida 392 McCrery rq>v al Homes se. 19803 SPEEMY, M ED, MOCRIE RUSK E MS. L % `fix NON -RESIDENt'PMRAI DIRECTOR COPY p� I— q qua Q .- dz)a- 3, ?- dl/9/ yj �� Jdj e�eO, � THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: n Dollars ($ yDO. OY ) on this 3,,5a day of loo for the purchase of the following described Cemetery Lot(s) ul6on the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # Block#1 Uni t#t Purchase Price: -fie Dollars Terms and conditions of sale: 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. jgZq of Sebastian A ��� • oeiurr as 3 O o W r r O O. r O ru an W EP r Lrl .n r O r .a W ru .O ,\ r' H O m �- z = 3 m> \ >��n ZDs o {zy p. v0�C cn 69 � d O N r W a �� N ;v CD • qS� City of Sebastian POST OFFICE BOX 780127 0 SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589 -5330 FAX 407 - 589 -5570 April 4, 1990 Mrs. Marcia A. Lumb 103 Piano Dr., Harmony Woods Newark, Delaware 19713 Dear Mrs. Lumb: Enclosed is Cemetery Deed No. 1268 for Cemetery Lot No. 4, Block 47, Unit 2 Addition. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit-Court. We are enclosing two copies of Receipt No. 615 and ask that you sign and return to us the copy marked with an "X" and retain the other copy for your records. A stamped, self - addressed envelope is provided for your convenience. Very truly yours, Kathryn M. O'Halloran City Clerk KMO : j s enclosure FOR Repurchase Lots 4 &5 N° 1166 Block 47, Unit 2 Addition May 27 88 63 -661 19— 670 PAY TO THE ORDER OF Luella Rohr $ 300. 0 0 * Y of SEBASTIAN lJ, �" 1 �..�.,., r DOLLARS SOUTHEAST BANK, N.A. CITY OF SEBASTIAN SEBASTIAN BANKING CENTER CEMETERY ^ CITY CLERK SEBASTIAN, FLORIDA 32958 11800 L 16611' ®1 :06 ?0066 101: 280 4 ?S00Silo • Titu of orhast c �Pri�P #P�PPb NO. 0501 THIS INDENTURE MADE Tkla .......Fourth...... day of ........... ........August..,.............. A. D., 19.82..E between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and LUELLA ROHR ............. .......................1.30'50' ' OLD 'DIXIF .......... SEBASTIAN, FLORIDA 32958 .............. ............................... ............. ............................... ............. ............................... of the County of ........ Indj.en..Ri vex and State of ................. F1ori da.......................... . as Granke, WITNESSETH: That the Grantor for and in consideration of the sum of $ 300: 00 ... , .. ... , , , to it in hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ,her , , , heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) 4 , :�. , 5 , Block, UNIT Addi ti on of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 6S 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 An 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 .. ` .......... ....... ...... City Clerk Signed, Sealed and Delivered In a Presence of: ..� �....... ......... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By .... ✓ ?VMay, ..................... Miry *Rl) I HEREBY CERTIFY, That on this ........... 4th ......... day of .......Au gust ...... ............................... 19B2., before me personally appeared .............. Manor Pat Flood i.. 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 In and who executed the foregoing conveyance to Luella Rohr ........................................................................................................ ............................... .......... ............ ... ... ... 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. /� ) . I (:�. �. ... 014 ota Public, e. �lic, State of Florida at Larg _ — Notary �uMj- State of i nor da �Ily Commission Expires Nov. 2B, 1982 s -- ndad Thfu Troy - - -- - May 26, 1988 City of Sebastian: I herewith request that the City of Sebastian, Florida, purchase Cemetery Lots 4 and 5, Block 47, Unit 2 Addition, Sebastian Municipal Cemetery. These lots were purchased by me under Deed No. 0501 on August 4, 1982, in the amount of $300.00. Original deed is herewith attached. Luella Rohr 13050 Old Dixie Highway Sebastian, Florida 32958 0 BLOCK 47 LOT 4 & 5 UNIT 2 g ddn . Luella Rohr 13050 Old Dixie Sebastian, Florida 32958 'Deed #501 - issued 8 -4 -82 Rules & Regulations Issued 8-4-82 J(>�O wo THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida P. a, 1-3o Y. /a7 RECEIPT IS BEREBY ACKNOWLEDGED OF THE SUM OF: Oa-- -' --ffo11 a rs FROM: on this _If day of , 198,j,for the purchase of the following described Cemetery Lo (s) upon the terms and conditions as stated herein; Description of Property: Cemetery Lots) #�� Block #_Unit# oz 4-101� 007 Purchase Price:�," p� �--- Berllars ($� ) Terms and conditions of sale: y4e '/'S E x czx-1 (' rn o n k4j(5 This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. il I, 0. 'we, agree to purchase the above & scribad property on the terms and conditions stated in the foregoing intrument: 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. tai tness Zt--� City of Sebastian Purchase price $ , Q d Paid ' .OU Date Balance$ Oo Paid ,4E )a tqd Balance$ 10Z,6�Q Paid 72,57" Date'� � Balance$ . Paid '.5 . D D Date 8 02 Balance$ Paid Date Balance$