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Home My WebLink About2-19-06QIitl 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: 0 N CD CL • 3 CD 0 CD 0 3 0 0 ED 0 ro 3 0 A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT i9 1. Name of Deceased First Ray Middle Last Montdale Lett Date Month Day Year of April 10 2002 Death P 2. Place of Death County Brevard City, Town or Location Melbourne Name of (If neither, give street address) Hosp. or Inst. Holmes Regional Medical Center 3. Name of Medical Certifier Thomas W. Swain M.D. []Medical Examiner II 'Physician Address 200 E. Sheridan Road Melbourne, FL Phone Number 321 - 725 -4500 4. Name of Funeral Home /DirfileFBispesal Establishment Strunk Funeral Home Address 1623 N. Central Avenue Sebastian, FL Fla. Lic. No. /Reg. No. 1228 Phone No. (Area Code) 772 - 589 -1000 5. Check Appropriate Box 6. Funeral Director/ Direct Disposer a. The medical certification has been completed and signed. A completed certificate of death accompanies this application. b. c. Marcia was contacted on 4/10/02 He /she verified that this death was from natural causes, that there was no accident nor other external cause of death, and that Dr. Swain will complete and sign the medical certification of cause of death within 72 hours. m-di : c: ifica + �% was contacted on . He /she verified that ausesof death within 72 hours. , Medical Examiner, will complete and sign the F.E. No. /Reg. No. Date Signed 2 4/10/02 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228 -02 -0177 0A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause -of -death section of the death certificate within 72 hours. nNo extension of time for filing the death certificate has been requested. g'—' Date Date Certificate 4/15/02 SubregistrarSignature f • Issued: 4/10/02 Due: C. Approval Number: Medical Examiner, AUTHORIZATION for CREMATION, DISSECTION, or BURIAL -AT -SEA Date , gave authorization by telephone to 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. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery BURIAL ❑ STORAGE Date of Disposition /�/ 3� d 2 CREMATION OTHER (Specify) Signature Sexton / ` or Person-in-Charge . v .1`9Z 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. DH 326, 8/97 (Obsoletes all previous editions) (Stock Number: 5740 - 000 - 0326 -2) Distribution: White: Cemetery or Crematory Yellow: Funeral Director or Direct Disposer Pink: Local Registrar 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