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Home My WebLink About1-39-13a� �ii#g �rf �►pb��n �Pl�iPt�x1,J �P��1 No. .. 1G25 THIS 1NDENTUR� l[ADB 1tib .......5 th. ... .... ... day ot ... . October ...... ........................ A. D.. li 84...� b�tNeen the City at Bebostisa. • maakipal oorporatba wclrtln� undcr the law� of the 9tate ot Flnrkla. �� Cir�uto� �nd . . .. . ... .. .. . .. Joseph H: 6 Dora . � :..Barron ........... . ........................ . .... .......... ............................. �997� �Devon Ave . ...............S�bas.��ap.,..F.1az'.ida.. 32.95.8..........................,.......... ............,...,............,.............. otths County of .....Indian River ...................... and 8tsto ot .....FZorida...........,............................ ar Cirantee, W1TNR88$TH� Thet the Grantor for and in conddaratlon of the �um of s,300 ; 00 .................� jt in hand paid� the nooipt whereof 1� hotewlth �o- knowled�ed. doo� by thL inatrument grant, bargain. eell, celeeio. oonvay and oonfirm unto the Crarrtea , the i r. .�� y�� ro�etentqtiva ond ud�a� the faliawln� property rituated in Sabaaiar►, [ndien Rlver County, Fiorida. to-wit: All of Lot(s) .?�.�. 1�lock, . 3 9.,,., UNIT ,1, Ad d.. ,..,, of Sebs�tian municipel oemetery a� per Plat Numbet 1 thereof mootded in PLt Book 2� st ps�e 65 of the public reaards in the oP9ce oP the Cbrk of ths Ci�ouit Coutt of St. Luoi� County of Florkta; rdd 4nd now lyi»` u�d beln� ln Indirn River County, Florida. To Have and to Hold the same forever; provided that said property ahall be used eolely and exclusively for the interment of the human dead and shall bo u�ad, kept and maintained at all times in accordance with the mles and regulationa, ordinances and reeolutions of the City of Sebastian. Florida, hereto- fore, now and hareaPtar adoptod or provided for the governn►ent and operation of said cametery. The oondltione, roetrictione and roqukementa contsined h► thia instxument shaU ba covenants runni�►g with the land. In tho ovent of the failure of tho ownei of any proporty dtuatod within eaW cemetery to ob- �arve and comply with auch rules, reguladont, rewlutlon� and ordinanaa and tho conditionr of the debd of conveywnce thereof then the titb af �uch owner in u►d to �aid pcoperty ehall terminate and the tame dwll ravert to the City of Sebaatian. Florida. [N WITNESS WHEREOP, Tho aoid party of tho firat pazt has wwed thie instrument to be executed in Itt name and on it� behalf by ltt btryor pnll attested by itt City Cletic and Its corporate �eal to bo hereto affixod. the day and yoar firu above writton. Atte � , . .. .. . �..'. r��. ...... Clty CUrrk 4i�nrd, 3esled and Delivercd In the Praeace ot� .. ��...ma� ...................... ., ��. ... . .... ........ ...................... STATE OF FIAitIDA COUNTY OF INDIAN A1VER CITY OF SEHA6TIAN� FIAS Bs. . . . . , . . . . . ;,.,,,.., • • ��.. ILN'oe `'�" . \ - I HEREBY CERTIFY. Td►t on thU ...... 5 th .............d�y ot . � , _ ,,.� . �� . -= �� . -� ,� . .�- , ;-� ., � _ _ ., _ OGtober r.. . .,:: `�`"" `: .... ................... ..............� �...� bcfore au pctronally appeared ......Jim,Ga113,gher .................................. and ..11�.b0.xd�J. G'...1�.�'d3�S............ re�p:ctively INsyor qnd City Clerk o! the Clty ot 8ebutlan, � munlclp�l corporallon under the l�w� of tbe 8t�t� ot S1o�Wa ta iae knoNro tu bi tlw Indlvl�iuMlr n�� atti�r� diiarii�d t� nnd who eazia�Yi+� I�if i'e�zr�l�s� E+�ru��lu�r �a ..............Hose�'h. H:..9arron & Dora..�.•.. Barron........................................................................ .� . . ......... .. ... .. ..... . .;s.�:... and averally acicnowled�ed the e:ecutlon the►eof to 6e tlieir frte set �nd deed u wch otticec�.efie4r�nto`�1�C �utborired� apd tb�t tbe OItIcW wl ot Mtd corpt�r►tlpn b duly �ttized tbeuetq, �uui �!a Mld con�eyance i� thn �c1 � ,,qewil .�i : i�#�, ��pi+�1� 1a�1��H�� m.L.d�o�tu��y1, ottW�l ra�1 �t 8ebutiRn, la tbe County ot Iaribn Rlver aad Btate af Flo:i�i�. tl►� d�� nd �t�e tNt �� . � �� ^ r. ' ...- - . ' . ..�:... .................. - . '_ " � Nob PuWlc. tste of �lorWa �t �te of F�Ofi� '�� _� Yy aaaodr4loa esplrai Ei01�Y ',,,,,. 19$8 '�Y�` , _.... - �Y �IIM�i�10YRT�o �� M�w9„au.c. Name �� f9 � OA/C'�hw/ `�,�g �G.t'l�s✓�/�..✓S 1 //�is�'+�. Unit � � � Block � � �at i 3 Date of Mark-out �� 6 /� � � / � �DateofBurial ��' `�`'� �,�. Time j � � � ' '--'",i�� Name �f Funeral Home � �- r �' �i Authorized _ __ _ -^�-�--_� .��,:,, NameofCemetery/FuneralHome FOUNTAINHEAD M MORIAL FiTNFRAT HnMF #9062 RECEIPT OF CREMATED REMAINsS AND RELEASE OF LIABILITY ; The undersigned hereby certify that they have �k►e legal right to take custody and make disposition of the cremated remains of the deceased, and hereby acknowledge receipt of the cremated remains of: NAME OF DECEDENT: DORA JANE B�,RRON R � �'. . . .. :.. _. ,._. _ ,,. ._ , ,. �.:.._.�.. _ : :-».u_�..,.._� _ . �;'� The undersigned further assumes full responsibility i�r the lawful and proper disposition of said cremated remains. ' The undersigned hereby agree to indemnify and hold hannless the above named cemetery/funeral home, its agents and employees fro� any and all liability, including reasonable attorney fees, and against any loss it or any of them may sustain in connection with the receipt of, shipment of, or disposition of said cremated remains. Further, the above named cemetery/funeral home shall be held hannless from an�t; defects or faults of any container not supplied by the #. cemetery/funeral home. � ; Dated this TY�- day of _� `� �'- � '"""�'`�-°" � �� Address 1.� b Street — l� ��c S� �4, � �[.._ 3 2 �'v � G CItY ��,�: • ,' , � State Zip r' � N / � 1 �'�" � 7� �f' a Signature: �} � `S y��.din1Q.�"A'�( ' , ! ;; Authorized Representative ' SSN #/Photo ID Relationship to Decease�l1 1 �� '' Signature: t `� Authorized Representative � SSN # oto Relationship to Deceased , ��u ' '1 �` + �Y 4 Witness: �' � � Representative of Cemetery/Funeral Home .;,� i: ,;„ GEN-5024 REV 12N1 White - Cemetery Copy Yellow - Customer Copy �� Q 3 � m � �/ , , � ^ ` � v -'.- ' -� G C� C� � l r J � ' ) � ►1,�� C7 � ' � O � � � � 0 � � s � , $ r �. e �' • � : ! i � Y 9 � • � G 'O � ; "s �� I� g � � � _.__- � �, ��_i � � � �� ....... �/'•�+� �� r � � �` � 1 � � � � -� ,- �� , � � � � � n � n. �j � � '�._/n ,> � -�' �, '� ` r� � � � !�. : i "� o ,,° r� ..�- � V� `°� � � � � w "� N � � � � � � � � �� , � �gggggo ��g 0 �� 0 � r � m r � Oi .� � .� � � � " � � �. � � � � 3, � tX � � Qd � � � C 3 I� _ � � A � � �m� m��' �o� �� m= � ❑ � A . � Y � S � � � � � � � N � � �d � ♦ ♦ � 7�� : Y FOUNTAINHEAD MEMORIAL CEMETERY � FUNERAL HOME d� CREMATORY 7303 BABCOCK STREET, S.E. PALM BAY, FL 32909 r � �-r 7 � I � �.�" � � � � � � I�! �►7" I C) �! THE UNDERSIGNED CERTIFIES THAT THE REMAINS OF DORA JANE BARRON WHO DIED ON: JUNE 7, 2009 WERE CREMATED ON: JUNE 10, 2009 AND THAT ALL LEGAL REQUIREMENTS OF THE STATE OF FLORIDA WERE OBSERVED IN PERFORMING SAID CREMATION, AND THAT THE CREMATED REMAINS OF THE DECEDENT WERE PLACED IN A PROPERLY IDENTIFIED CONTAINER. THE REMAINS WERE RECEIVED BY US FROM FOUNTAINHEAD MEMORIAL FUNERAL HOME BURIAL-TRANSIT PERMIT F041890-168-09 CREMATION CERTIFICATE #9062 SIGNATURE F CREMATOR JUNE 10, 2009 DATE Dora Jane Barron Dora Jane Barron, 84, died June 7, 2009. She was born in Oakland, Calif., and lived in Vero Beach. Survivors include her brother, Robert Meyers. She was preceded in death by her husband, Harold. SERVICES: There will be a memorial service at 11 a.m. June li at the Community Baptist Church, 12534 Roseland Road, Sebastian. A luncheon will be served following the service. Published in the TC Palm on 6/10/2009 � �?:� r ' • � u TifE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: � ,� � l'� r r lJ/✓.� l� J= � Dollars (S �3 o D, o c ) FROM: �I b S F'P ,tf !-f . 4 f� R R o�✓ d- ,� o��} J• Sf� R A o,✓ , ` 9 �J,7 _% T-_' /�,o i✓ A- ✓%= S� f�RS7'�ft�✓� F� DR��4 319st3 on this S'� day of C%C �!� �, 1-9p� for the purchase of the following described Gemetery Lot(s) upon th terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # / .�.. �- / 3 slock# 39 vnit# / /a- �.� • Purchase Price : / J'� v, o o r,4-c H� Dnllars ($ O D. v 0 ) Terms and'conditions of sa1e: This contract sha11 be binding upon both parties, the seller and the p�rrchaser, when approved by the owner of the property above described. I, or we, agree to purchase the above described property on the terms and conditiona stated in the foregoing instrument: _ � �.. . � � -� c., <., The City of Sebastian agrees to se11 the above mentione� property to the above named purchaser(s) on the terms and conditians stated in the above instrument. � L ./� - ...�� _'� . /. - . . Witness _ _ _. Paid by CEMETERY Receipt No. . . . 383. .. . . . . . . Dated , ,10 /S /84, . , . . . . List Price $ . .300 : 00 . .. . . . . . Mu�imum No. Puriat Spaces . . . Z . . . . . . . . . . . . . NetPaid ..300:00... ... FZat $ Monument permitted . . . . . . . . . . . . . . . . . . . . . . . Lots 12 & 13, Block 39, Unit 1 addition (Data above tbia line for Gty Iiecord only) NO. .� lU�� Joseph H. & Dora J. Barron 997 Devon Ave. Sebastian, FZorida 32958 ; • ;. �.,-�,.tv .; .,.., � , � � . 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