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Home My WebLink About2-19-05QIitl of #tintstiatt (Im1?terJ Eirrb NO. 1845 THIS INDENTURE MADE This 10TH day of April A D, 2002 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ROSALEE LETT 3805 ALLEN AVENUE SEBASTIAN .,...F.L ORI.DA..3.2.95 8 of the County of INDIAN RIVER FLORIDA anal State of as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ ..1, .,.4 Q Q... Q.Q 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 heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) .. 5 6 , Block, 19 , 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. 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: Signed, Sealed and Delivered in :c Presence of: Giou STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA I HEREBY CERTIFY, That on this 10th day of By k-'J vv ' ,;./T -44 April Mayor ((gag *al) If 2002 before are personally appeared .....Wa.1rt $arI- oS and Sally A. Maio respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individuals and officers described in and who executed the foregoing conveyance to Rosalee Lett and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is the act and deed of said corporation. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid. •;F:n N H. JOANNE SANDBERG + : "4; *; «� ,. MY COMMISSION # CC 725842 : ' y .k .f. EXPIRES: April 30, 2002 '''' Bonded Thru Notary Public Underwriters Notary / ublic, State of Florida at Lar My cdsLrnission expires: The Sebastian Cemetery City of Sebastian, Florida Receipt is acknowledged in the sum of: From: n 0 S 77— Dollars ($ r i`G'Y', GtiC� �D5 //-LL E/' $ES1 ii/ /,) 50 9SY on this j).a day of / . , 20 D for the purchase of the following described Cemetery y Lot (s)/Ni e(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)/Niche(s) Purchase Price: Terms and Condition of Sale: Blocic ! G Unit 02 Dollars ($ /// - ) 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: Purchaser signature Purchaser signature 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. City of Sebastian Witness SLYA5UAN HOME OF PELICAN ISLAND April 22, 2002 Rosalee Lett 3805 Allen Avenue Sebastian, Florida 32958 Dear Mrs. Lett: Enclosed is City of Sebastian Cemetery Deed No. 01845 for Cemetery Lots 5 & 6, Block 19, Unit 2. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. A. Ma�, CMC City Cle SAM:js enclosures CITY OF SEBASTIAN CITY CLERK'S OFFICE RECEIPT Name ❑ Cash N v 1 Date -/d 111 f� Y! Check # oC/ = Amount Pais s 1 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC /Code of Ordinances ru a 001501 362100 Community Center Rent ru 001501 362100 Yacht Club Rent • 001501 362150 Non Taxable Rent 001501 343800 Cemetery Lots cil 601010 343800 Cemetery Lots Lot/Niche .57' Z1 Block Unit 001501 369400 Interment Fee tri 142.5,A 001501 369400 Weekend Service EA • '� 680800 220681 Yacht Club Security Deposit z •• a o at m rta 680800 220682 Community Center Security Deposit a r•• y °Q 1 680800 220683 Riverview Park Security Deposit i- n al Qa zo" 0 d w o o O m C� zz° N o: Oo��.,pp� ® • orw� O �`"1 �/l ca. p li F3 cc C O tr .. Initials White — Dept. of Origin • Yellow — Finance • Pink - Applicant Total Paid /_�) LETT, ROSALIE 3805 ALLEN AVENUE SEBASTIAN, FLORIDA 32958 LOTS 5 & 6, BLOCK 19, UNIT 2 DEED #01845 Block 19 Lots 5, 6 Unit 2 Hann, Mrs. Ford (Bernadino) Deed #209 Hann, Ford. Rt. 2, Box325 (Indian River Shores Trailer Park, Sebastian, Fla. Lot 1, Micco) Ford Hann interred Lot 6 - 3/17/89 /C-; i( li (ttu of `5' rtantialt 209 Trntrtrrg lirrd THIS INDENTURE MADE This /7 day of !u n8 A. D., 19 73 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and r....an.d. ...F.4r.o. Mann ! n.di..aR .K.iVer.. hara.s..� aJ.LF'r..?a k; 4CI.I ..'. !.y M 0 ;, :u �.... , �cJx i - � Seba tiara) of the County of Indian River and State of Florida as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ * *$200. QO ** is herewith acknowledged, does by this instrument grant, bargain, sell, release, convey and I representatives and assigns the following property situated in Sebastian, Indian Rive] Blk. Unit #2 All of Lots 5 and 6 in Seetieer ..19 of Sebastian municil of recorded in Plat Book 2, at page 65 of the public records in the office of the County of Florida. To Have and to Hold the same forever; provided that said property shall be us the dead and shall be used, kept and maintained at all times in accordance with the ri of the City of Sebastian, Florida, heretofore, now and hereafter adopted or provided f( tery. The conditions, restrictions and requirements contained in this instrument shall be c the failure of the owner of any property situated within said cemetery to observe and and ordinances and the conditions of the deed of conveyance thereof then the title of sue and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part has caused this inst half by its Mayor and attested by its City Clerk and its corporate seal to be hereto of Attest: Signed, Sealed and Delivered in lie Presence of: jC22(c,-7 &.4 oz) /6/9c/r ;- CITY OF SEBASTIAN, r'LulttuA I (1144_ --14- Mayor ((llttg $Ea1) STATE OF FLORIDA COUNTY OF INDIAN RIVER,. t- I HEREBY CERTIFY, That on this // day of June , 19 ?3 before me personally ap Chard ? . , S...Zirrl(I1 ?r and ..Elsie...... Campbell respectively Mayor anclikeiry 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.« • and • firs. Ford Hann 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, in the County of Indian River and State of Florida, the day and year last aforesaid. Notary Public, State of Florida at Large. My commission expires: Notary Public, State of Florida at Large My Commission Expires March 1, 1976 Bonded by Aetna Insurance Company Ill 1,111 M1 01 III 111.1,1 ANI) Ii111.1111U 1:11111. +I.H�'1ll_+ A. (Type or Print) STATE OF FLORIDA (APARTMENT OF HEALTH & REHABILITA E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT AA r L 1. Name of Deceased First FORD Middle Last DATE Month Day Year OF MAXWELL HANN DEATH MARCH 10, 1989 2. Place of Death City, Town or Location CountyINDIAN RIVER ROSELAND Name of (If neither, give street address) Hosp. or HUMANA HOSPITAL- SEBASTIAN Inst. 3. Name of Medical Certifier GEORGE MITCHELL, D.O. [physician Address 589 -8992 Phone Number ❑ Medical Examiner 13855 US# 1, SEBASTIAN, FLA 39258 4. Funeral Home/ Name Address Phone Number (Area Code) )03000MHOODir STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA 407- 589 -1000 5. Check Appro- priate Box 6. Funeral Director/ -Disposer a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies this application. b Dee' ''I fieZ was contacted on 3/10/89 within 72 hours after death. He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that DR. MITCHELL will complete and sign the medical certification of cause of death. c ❑ medical certification. ge.e igna_tu r was contacted on He /she verified that , Medical Examiner, will complete and sign the Fla. Lic. No. /Reg. No. Date Signed #1672 3/10/89 B. BURIAL — TRANSIT PERMIT Permission is hereby granted to dispose of this body. ❑ A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director /Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for fill g the death certificate requested. Registrar or Date Date Certificate Subregistrar Signature �- Issued• 3/10/89 Due• Permit No 1228 -89 -125 C. AUTHORIZAT [ or CREMATION, DISSECTION or BURIAL —AT —SEA Signature , Medical Examiner Date or Medical Examiner, gave authorization by telephone to Funeral Director /Direct Disposer. Date The edical xami •r oval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death requir• • 1r I mations. D. Method +f Disposition: Ey BURIAL ❑ STORAGE ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) l / •- or Person -in- Charge ) ,I '-7 CEMETERY OR CREMATORY Place of Disposition SEBASTIAN CEMETERY Date of Disposition 3/19/R9 This permit must be endorsed by the Sexton or person -in- charge (or by the Funeral Director /Direct Disposer 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, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740 - 000 - 0326 -2) Name Unit Block /9 Lot k'>' Date of Mark -out ( 89, Date of Burial - ,//5— /6 9. Name, of Funeral ;Home' Authorized by Time on Mrs. 'Ford (Bernadine) Form UNIT if Kock 19, Lets Ss 6 Ford Hann interred Lot 6 - 3/17/89 Ate-iiCed -.02.1) ■ "Pee tL a'1 D ( CITY OF SEBASTIAN Sebastian, Florida i • UMENT CONTAINS A MICROPRINT SIGNATURE LINE AND AN ARTIFICIAL WATERMARK ON BA 7 to 0 th VENDOR CHECK DATE CHECK AMOUNT 8150 03/30/2001 $200.00 ARS AND NO CENTS w J "0 Zvi W Li.. C "0 10 0 it C to 0.1 CO 10 i .J LL 0 Q F ▪ 2 111 a 0 0 O F 11'04 L44911' 1:06 70060 761:00 L800 LO 30 230e CITY OF SEBASTIAN CHECK REQUEST Input Date Document # Document Amount Accounting Use # of Lines Only Fiscal Period Entered By Total HC Hash Due Date '? 33' .0/ To Be Completed By Department Single Check N Vendor Number LN TC Document Reference Organization Code Object Code Project Code Amount O(9/' (.3y3S"d6 me. ge Number of Lines Amount f ! 4./n % i /, /e — / `f,W., ).j Description / /9. / `J GC' Lei J 1' r 1 ISSUE CHECK TO NAME ,&--,e4),.94-)7,41 11,9/11/11 ADDRESS _t--30 So / / D /e/ ,o/9 /71Z- ,9,°7 `i /off CITY A �i--.-hz/v/J STATE F4Q,e/Lel ZIP CODE , F3eD j DRAW CHECK FRO, APPROVED BY <!' 1' (1.) e_— — DATE 3/23/6 BUDGET APPROVAL (53, ■ •0 AND 535450 ONLY) I I MAIL ATTACHED a copy of documentation OTHER INSTRUCTION DOCUMENATION (Except for remit slips, requesting department should attach along with O F the riginal) u -�Q e Aria- s ?1, i , -y /.z, �-�•. 3 38o / .erw 1=- OM CO j 03 LAJ c) CJ Li LLI c) LU >-- Ca 1— ID 1 IN 1 II RR 29? 794 743 US Label 200,'July 1999 4e,/,/,„Ly-(-6.6 CV C'V cc cc 0 g4 1 NI (102595) 99 -M -1904 UNITED ST1TES POSTAL SERVICE 0000 U.S. POSTAGE PAID 33813 MAR 21.'01 AMOUNT RETLIFFI REQUES1 CITY OF SEA anAN aM.... , "sari o� .arm � /lam HOME OF PELICAN ISLAND 1225 MAIN STREET • SEBASTIAN, FLORIDA 32958 TELEPHONE: (561) 589 -5330 • FAX (561) 589 -5570 April 3, 2001 Bernadine Hann 530 So. Florida Avenue Apt. 412 Lakeland, Florida 33801 Dear Mrs. Hann: Enclosed is City of Sebastian check number 041449 in the amount of $200.00 for the sale of cemetery lots 5 and 6, block 19, unit 2 back to the city for the dollar amount originally paid in June, 1973. If you have any questions, please contact our office. Sin y • . Maio MC City Clerk SAM:js enclosure "An Equal Opportunity Employer" Celebrating Our 75th Anniversary