HomeMy WebLinkAbout2-30-05Certificate No. 2271
CITY OF SE ASTIAN1
Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of
Sebastian, it is hereby certified that:
Steve Hageman & /or Bill Hageman
691 Mohican Drive
San Jose, CA 95123
In and for consideration of the sum of $1,000.00 is entitled to full
interment rights in the Sebastian Municipal Cemetery for the following lot:
Unit 2, Block 30, Lot 5a
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and
regulations prescribed therefore by the City of Sebastian.
CONVEYED THIS 2nd day of November, 2010.
CITY OF SEBASTIAN, FLORIDA ATTEST:
` Al Minner
City Manager
�1
SallyMaio, MMC
ity Clerk
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Name
Unit ,Z•
Block .30
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Lot
Date of Mark -out !l9 45
Date of Burial IL/3 /�0 Time
Name of Funeral Home
Authorized by "
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FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN
FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY
SEBA THAN
h"I 0i'ELICON ISIMID
For information contact:
Kip Kelso - Cemetery Sexton
Sebastian Municipal Cemetery
(772) 589 -2545
City Clerk's Office
City Hall, 1225 Main Street
Sebastian, FL 32958
Office (772) 388 -8215 or 388 -8214
Fax: (772) 589 -5570
FUNERAL HOME:
ADDRESS:
PHONE #:
(Check One)
_OPEN BURIAL LOT Lot Block Unit
._,OPEN CREMAINS LOT Lot Block _Unit
_(JPEN COLUMBARIUM NICHE Niche Block Unit
W
BURIAL DATE AND SERVICE TIME: /1�3�0 . Ir.- L,4,
FOR DECEASED: /,,,�`�,�,a f�,¢s�� 4W
Name
14AME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE:
(Must provide proper documentation of ownership)
S T -) /r, LA 4,� 14 A/' .
11131 .
Name Signature Date
I certify that I have determined the ownership of the above described site that all site fees and
administrative fees have been paid and authorize opening of same
NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR.
Name Signature Date
Cemetery Sexton Certification:
I certify that I have checked the ownership information by viewing
with Clerk's office Lind that all fees have been paid
C et on Date
the owner's deed and confirming
This form to be provided to Clerk's Office by Sexton for permanent record upon completion.
City of Sebastian
Sebastian C•emeter
Ph. N 1(772) 589 . 2545
Fax t1 1(772)228. 0927
Voter This is for informational purposes reguarding Monuments at Sebastian Cemetrr% .
Nate • This site Ian is for Sin le Markers
(Dry mix
` P g Foundation poured
By : herman
:
Please retur�t to City Of sebastian date 217/11
Sebastiant Cemetery Stone installed
Attention 1921 North Central Ave- By : herman
Cemetery Sexton 12958 VA Date : 217/11
Size • Bronze : 24 " x 12 " Trim : 28 " x 19 " flat grass marker / vet.
Names & Dates
HIS: William Hageman Jr. HER :
D.O.B. 1932 D.O.B.
D.O.D. 2010 D.O.D.
LEGAL DESCRIPTION:
UNIT: 2
BLOCK: ""n— ?J 0
LOT: 5 -A
SQUARE. FEET:
APPROVED: K, G. K.
CHECKED BY: K. G. K.
DATE: 217/11
III': EAGLE '
EXAMPLE OR MONUMENT IN QUESTION:
24 " x 12" bronze IS., 19'"
4" .�� 'Sk 1 28
AVAILABLE FOR SALE
UNIT BLOCK LOT/NICHE
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copy
CITY OF SEBASTIAN
CHECK REQUEST
Accounting use only
Input Date Fiscal Period
Document # Entered By
Document Amount # of Lines Total HC Hash
To Be Completed By Department
Due Date 8/10/2001 Single Check YIN Y Vendor Number
IN
TC
Document
Reference
Organization
Code
Object
Code
Project
Code
Amount
1501
343800
$87.50
601010
343800
$87.50
Number of Lines Amount $175.00
Sale of cemetery Lot 5 Block 30 Unit 2 back to City for the amount of
Description $175.00. The lot was purchased in 1974. Original Deeds returned to City Clerk.
New Deed to be issued showing ownership of Lots 6 & 7 Block 30 Unit 2
ISSUE CHECK TO
NAME Virginia F. Watson
ADDRESS 833 Beard Avenue
CITY Sebastian State F1 ZIP CODE
32958
Check Draw B
APPROVED BY
JDATE
BUDGET APPROVAL (534000 AND 535450 ONLY)
D MAIL ATTACHED DOCUMENTATION (Except for remit slips, requesting department should attach
` a copy of documentation along with the original)
Please return check to Ann Rousseau
Thank You.
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(9 it ut it t r ry D it r b NO. 1121
THIS INDENTURE MADE This .... 12.th ....... .... day of ........... June ........................... A. D,, io..87.,
between lire City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
...........Archie ... and Virginia F. ... .4.tpon.$nSj�9X..
W.• .F1�. P . ............. .
601 Barber Street, Sebastian, Florida 32958
of the County of ... , Indian River „• anI state of ............. as Grantee, WITNESSETHr ...... ..............................
That the Grantor for and in consideration of the sum of $ .5 2 5 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 ,their heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, towit:
All of Lot(s)5 , & , ,? ,Block, , 3 0 , , , , ,UNIT ............. , 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
to Indian River County, Florida.
This Cemetery Deed #1121 supersedes Deed #266,.dated
11/15/74, which was for three Lots, Nos. 5, 6, and 7.
Lot No. 6 was used for the interment of William Hageman.
The original deed was issued to Mrs. Florence Hageman.
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 regulatlons,� 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
hr 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.'. mil^ - .......
City Cler
Signed, Sealed and Delivered
I the Presence of
.....................
CIT Y OF SEBASTIAN, PLO A
B all 14__ 4.J
Mayor
(44ty Meal)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this ..... z.. .......day of .................... lY$!,
before me personally appeared ..... ....y, , , ti and
respectively Mayor and City Clerk of the City of Sebastlan, a municipal corporation under the 18Ws o�thc.t. f Fibrida to • e know
to be the Individuule and officers described in and who.eYecuted the foregoing conveyance Co
Archie W. and Virginia F. Watson and /or Andrew W. Watson
....................................... ...............................
..... and' severally acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorlsedl 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.
A'4
fv- :F .... ..........
otary PubUc, ate of Florida
My commission expires r
NOTARY PUBLIC STATE Of FLPIOA
MY COMMISSION EXP DEC 11968
BONDED 1111111 GENERAL INS. pw.
I
,e�
Tttu of #rhaatian
QIP11tPfPX1J DPPb
NO.
112.1
THIS INDENTURE MADE This .... 12.th........... day of ...........June ........................... A. D., 19..87.,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
... ........... Archie W...and „Virginia F. Watson.and(or„ lndxew.[�J,.,, Watson
........... .. ....
601 Barber Street, Sebastian, Florida 32958
............................................. .... . ....................................... ......... . .... I.............................
Indian Riyer..._... ana state of
of the County of ............. .......... ............. Florida ..............................
as Grantee, WITNESSETH:
525 00
That the Grantor for and in consideration of the sum of $ , . , , , ', , , , , , , , , , , , , , , , , , , , 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 , t x121 r heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to wit:
All of Lot(s)5. , Block, , 3 , , , , , UNIT , , , 2 , , , , . , , , , 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.
This Cemetery Deed #1121 supersedes Deed #266, dated
11/15/74, which was for three Lots, Nos. 5, 6, and 7.
Lot No. 6 was used for the interment of William Hageman.
The original deed was issued to Mrs. Florence Hageman.
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: Q ?�)., . . ....................
City Cier
Signed, Sealed and Delivered
i the Presence of:
.... ...... .
c. _ �-.-d! -a- ... ., ,c .....................
CITY OF SEBASTIAN, FLO A
B . .... ...
?.¢/t .i(/t� J ............ .
............
Mayor
(0tv text)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this .....�. z.. /. C!- ....... day of ...... • .. . ..... ..............................,
before me personally appeared ..... '...,�� ...._� ................... and f
respectively Mayor and _City Clerk of the .City, of Sebastia�,_a municl�al ,corporation under the la s of the ate of F rids to a known
to be the individuals and officers described in and who executed the foregoing conveyance to
Archie W. and Virginia F. Watson and /or Andrew W. Watson
......................... ............................... 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.
WITNliSS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year
last aforesaid.
/G G'AaCV
otary Public, 9Eate of Florida at Large.
My commission expiresc NOTARY PUBLIC STATE OF FL$KOA
MY CONNISSION EXP DEC 1011988
BONDED THRU GENERAL INS. $10.
Tito of orbastian _
N° 266
THIS INDENTURE MADE Thlt .. F. f t6 ®rich....... day of .. NOWAMhOr .............................. A. D., 19.74..,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
... mrs.,. William.. Hageman ..................
70 Phyllis Drive - Whispering Palms - Webasso, Fla.
.............. ............................... ............. ............................... ............. ...............................
of the County of Indi9n RiVAT .......................... and State of ... Florida.......... .. ..
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the-. sum of $ . 525.00 -- - - - - -- to it in hand paid, the receipt whereof
Is herewith acknowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee. thair.-1-- heirs, legal
representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit:
Unit
8.lk ♦3..Q axLoti..5,.. 6.,,..7 ...... in aatww ...2......... of Sebastian municipal cemetery as per Plat Number 1 �here-
of recorded in Plat Book 2, at page 86 of the public records in the office of the Clerk of the Circuit Court of St. ?Lucie
County of Florida.
To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the Interment of
the dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances an4 resolutions
of the City of Sebastian, Florida, heretofore, now and hereafter adopted or provided for the government and operation of said ceme-
tery. 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 observe 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 ai:d on its be-
half 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:
..... ...............................
........................... ...............................
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FLORIDA
By............. �.� .........
Mayor
(Cau *Rl)
I HEREBY CERTIFY, That on this .............. 26th .... day of . December , 194 ,
before me personally appeared F.... E. ugene..0 ragg ..... ............................... and .Florenee.L...Phelarl ...........
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
... Mr.s.... William. Hagsman ............................................. ........................ ............
......................... ............................... and severally acknowledged the execution thereof to be their free mac% and deed
as such officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed-thereba anit .the 84_161nveyance
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, xhe djay and year
last aforesaid. - -
. .. y .... J . ....... .
Notary Public, State of Florida at 1A
My commission expires:
"r
Notary Pub �:c, Stafa o� �'o-'aa c'
Ba.iu i/ .ar; ,:ro mac'- ^.i66 Co.
I
Paid by Grp�Receipt No. ...�...... .... Dates elojl•..4�.. e %e7v..
Ow ./ /.
List Price $... -5 Maximum No. Burial spaces ...` ....... %Q IIA�+ AV.
Discount $ ............... Total area in square feet ................
Net Paid Paid $..:J .a S, ..... , Monument permitted /Oraty:�P—ec. �........ ,
(Data above this line ord only)
Lots 5.& 7, Blk. 30, Unit 2
WATSON, Archie
and /or Andrew
601 Barber St.
Sebastian, Fl.
W. & Virginia F.
W.
32958
Deed #1121