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Home My WebLink About2-43-01� 3 -�W _'v� � � / i n � ; ; ; i 1 � Paid byC t �z� Keceipt No. !Ag ....?2Z .. .... Dated...... Dec. 31. Z 80 List Price *'�.`�25.00** ........ � .................. ... .. Discount � �mu N $.......:'-.... 8 aces 3 Net Paid �...'�'�'S25.00��r area in aquare tat ... ............ / • •��Lnt Permitted . . . . . . F'Za t. . . . . . . . . a„ �.__ � . . . . . . . , tfiis line for C3ty R�ord only) �43, Lots Z and Z6 Deed # 429 Deed 429 Marimorton I,aWrence Lynch CharZes N. Lynch Katharine Condon ,T.�r,►ren��moti 1002 W, Robin Dr. BZock 43 � Barefoot B� . lots Z ahd Z6 BZock 44, Zot 16� d7nit 2 Addit Uni t 2 Addi ti on Marimorton Lawrence Lynch �- ,° Charles N. Lynch —/� 1002 W: Robin Dr. (Barefoot Bay� 1yicco) Sebastian . C� � � �� b� ��. �. _ Name r,'`1 a �. !� �' k: ,� � ;�s ,�,; � .r�! Unit .�. .� � .'�'.�` Block .r� � Lot � Date of Mark-out �.�',f ~� � ✓ � � - Date of Burial f � � �, � ��.,.'� �s Time +"� ' � '�+ �"` .,� ' �"�'"` �� Name of Funeral H4me � .� �'� � � ' `thorized b � � ��' Au Y � . ��"""' DEED �#1102 Mczrtin CcimplieZZ` � 113 Jirrony Street `' Sebastian, FZa. 32958 MiehaeZ Cserrcz� Interrred 11/ 26/86 Lot # 1 BZock #�3 �nit # 2 Addition . --__ ------. _ -_ _ - __ _ _ � � - - V . �, Cserny, Michael Lot ��1, Blk. ��43, Un. 2 Addn. ; i Interred 11/26/86 ' Martin Campbell Deed ��1102 113 Jimmy St. Sebastian, F1. 32958 �i#g nf ��ebtt�tittn f , � � (�PIItPfP�'l,� �PP�1 NO. 11+12 TH18 1NDENTURE IiADE 1iL .. 26tY1. . . . . . . . . day at . . .November . . . . . . . . . . . . . . .. . . . . . . . . . . . . �. D., 19.86 . .� betaeen the City ot 3ebastisn. • municlpal corporstio� exiating undcr the lawe of the State of Florida, ne Grantor and . . . . Martin, C. Campbell ..... .. .. . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . .. . . . . .113. Ji.�m�y, , Street�... Sebastian�. .�. .32958 . . .. . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . ... ... ............. ot the Connty ot . . Z�:i.an. River . . . . . . . . . . . . . . . . . . . . . . . . . .,,�� 9tate or . . Florida ............................................... ta (3rantee. WITNE89ETH� That the Grantor for and ln wnsWeradon of the sum of S. 325: � . ................ to It in hand paid, the receipt whereof is herewith ac- knowkdged, doea by this inatrument gtant, batgain, aell, releax, convey and confirm unto the Grantee ,h1S ., heirs, tegal representativea and assigns the foUowing property situated in SebasHan, Indlan Rive� County, Florida, tawit: AU of Lot(a) ,..�.. .., Bbdc,'?��. .... , UNTT ?. Aaaition , of Sebastian munidpal cemetery aa per Plat Number 1 thereof recorded in Plat $ook 2, at page 65 of the public records in the offlce of the Ckrk of the C1rcult Court of St. Lucie County of Florida; said land now lying and being in Indisn River County, Florida. To Have and to Hold the aame forever; provided that said property shall be used sokly and exclusively for the interment of the human ddad and shall be u�ed, kept and msiMalned at all timea in accotdanca with the rules and regnlationa, otdinances and resolutions of the City of Sebastian, Flotida, hereto- tote, now and heteafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requiremenks contained tn thia inrtrument ahall be covenenta running with the land. [n the event of the failute of the owner of any property situated within said cemetery to ob- serve and comply wlth such rulea, regula8ons, reeolutions and ordinances and the condit3ons of the de'ed of conveyance thereof then the title oC such owner ln and to said property shall terminate and the aame shall revert to the City of Sebastian, Florida. ' IN WITNES3 WHEREOF, The asld party of thc Cust part hae caused this instrumont to be executed in its name and on its behalf by its Mayot and stterted by !ta City Clerk and Its corporate xal to be horeto affixed, the day and year firat above written. Attest� • ..�. . . . . . . . �+!�'�/"... .... .. Clty Clerk !iignetF, Rea�eA uixi Hcllvered in tKe Pe ce of � •. , . . . : .: �.��. . ��. . ./� �:-�. . . . . . . . . . . e�,Goc.a�.-,� � . :c��.!� . . . . . . . . . . . . . . . . . . CITY OF SE13A6TIAN. FLOftIDA � �'� . . . . . ''�'t'�'� . . . . . . . . . . . . . . . . . . . . . Ma�or (c��t� �sp�q STATE Ol�`"�'IARIDA COUNTY dF iFDiAN R1V�R � . I I�n11EDY CF.RTflrY� Tn.t �, c�u .....2Gth .............a�y �r ....No.v.ember..................................., ie.8.., .�,,..� ,. befare me pereonally appesred 1.....G�n�.[�xxa-.s........... Elizabeth Reid ........................... and ....................................... reapectively Mayor and Cfty Clerk of the City of 9ebeatien, a municit�al corporation imdcr the lews of thc Stnte oi Fiorida to me known to bc lhe IndiviJuuls und off(cera descrlbed in und who executrd thc forrguing cuaveyunce to � . . . .M��'t�.�! . �, . .G�►P.�1� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . . . . . . ............................................ nnd severally scknowledgrcl thc executlon thereol to be thei� frec'act end dred ■s ench ofticers therrur�to duly euthoriacdi aud that the Officixl aeal of xeid cnrporufivn le duly attizcd thrreto. eod the said c��oveyuncc IA thc ect und deed of s�ld corporoUon. WiTNE38 my eignature and attieisl iesl st 9n4setiao, ln the County of Indien ltiver and 3tstc of Fioride, the Aay end �esr Iwp1 xfo�raald. �i _ _ /i STATE OF FLORIDA �PARTMENT OF HEALTH & REHABILITI�E SERVICES VITAL STATIS7ICS APPLICATION FOR BURIAL—TRANSIT PERNIIT � � � y.� � a� A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased �� MICHAEL JOSEPH CSERNY OEATH NOV�MBER 25, 1986 2. Plac:e of Death City, 7own or Location Name of (If neither, give street address) County Hosp. or � INDIAN RIVER VERO BEACH Inst. 736 19TH PL�CE ��12E 3. Name of Medical ❑ Physician Address Certifier LEONARD WALKEB_. M F [�Medical Examiner 4001 B VIRGINIA AVENUE_ FT. PIERCE, FLA 4. Funerai Home/ Name Address Direct Disposer STRUNK FUNERAL HOME 734 N. CENTRAL AVENUE SEBASTIAN, FLA. 32958 5. Check Appro- priate Box 6. Funeral Directur/ B. C � a� The medical certification has been completed and signed. A completed certificate o� death accompanies this application. b� was contacted an . Helshe verified that this death was from natural causes, that there was no accident nor other external cause of death, and that I completB and sign the medical certification af cause of cieath. �� .FONARD WALKF.R, M. F.. was contacted on � 1�?6�R6. Helshe verified that HE , Medical Examiner, will complete and sign the medical certification. Fla. Lic. No./Reg. No. 2088 BURIAL—TRANSIT PERMIT Date ll/26/86 Permit No.1�8-86-447 Permission is hereby granted to dispose of this body. [� A five day extension of time f�r filing the death certificate (exclusive of weekends) has been requested and granted. If it cannot be tiled within this time limit, a"Funeral Director/Di�ect Disposer Report" Will be filed with the Local Registrar of the County in which death occurred. Registrar or Sub-Registrar Signatu Signatu re or Medical Examiner, Date NOVEMBER 26, 1986 Issued AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT-5EA Medical Examiner Date , yave authorization by telephone 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. Method of Disposition: � BURIAL ❑ STORAGE [� CREMATION � OTHER (Specify) Signature of Sexton ► or Person-in-Charge 1 CEMETERY OR CREMATORY Place of Disposition Date of Disposition This permit must be endorsed by the Sexton or person•in-charge (or by the Funeral Director/Direct Oisposer 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.) -_.._.- . .. .. s � • �rr+' ��r LJ � THE SEBASTIAN CEMETERY City of Sebastian Sebastian. Florida RECEIPT IS HEREBY ACKMOWLEDGED OF THE SUM OF: y s:'G TI�rPP hvndred twent��-five and 0�/l00 I�11$z's ($ 325.00 ) FROM: Martin C. Campbell 113 Jimmy Street �'ebastian, F1or.ida 32958 on t1�is 26 th d�y o�Nr�v�mber , lg B6 for the puxchase of the follawing described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lat(s)�1 � BZockM�'3 Un.tt�! � Addition Purchase PTice: Thr.ee hundred twent_y-five ppllar,s($ 325.00 ) Terms and'conditions of se1�: �G� C�-� 7SS-�� 8� This contract sha11 be bindin u on both � g p parties, the seller and the pwrcha�ser, when approved by the owner of the property above described. I, or we, aqree to purchase the above descr.ibed property on the terms and conditions stated in the foregoinq instrument: � ��t✓ The City of Sebastian agrees to sell the above mentioned property to the abnve named purchaser(s) on the terms and conditions stated in the abope instrument. � � � .. w.�.�� ..� �.�� . :.. -. �� r � .`� ` . Wi tness , � _ . � �. Y