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Home My WebLink About2-08-1462� Dated. 5/23/90 Oot 14 NO. Paid by CEMETERY Receipt No.... ... • • • • ............ • • • • • 200.00 Block 8 List Price $ . 00.0 ........ Maximum No. Burial Spaces ................. Unit 2 Net Paid $ .200 : 00 .... Monument permitted ...................... Evelyn Pate and /or Ronald Patterson c/o Knowles (Data above this line for City Record only) �5Q N W. Do�jh42 � • ` eDastian._ (j itig of #rhastian 0.1li r Ut r r r NO. 23rd ......... day of THIS INDENTURE MADE Thla ........... May............................... A. D., 100 ..., between ti:e City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Evelyn Pate and /or Ronald Patterson ..... .............•................. s /'o 1riez' t�nowles 950 N.W. Dolphin ................ ............................... ............... Ave. ' Sebastian, Florida 3�9�8 Indian River and State of ... Flor. lea ........ ............................... of the County of .............. ............................... as Grantee, WITNESSETHt 200.00 . , to it in hand paid, the receipt whereof is herewith ac- That the Grantor for and in consideration of the sum of $ ....................... • their heirs, legal representatives and assigns knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee ......... g P the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) .. 14. Block 8 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 cif 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. CITY OF SEBASTIAN, FLORIDA Attest . . .. . ....... BY . . .. ........ F ......... .............. . .0. City Clerk Signed, Scaled and Delivered In the Presence of:� STATE OF FLORIDA COUNTY OF INDIAN RIVER 19 �0. I HEREBY CERTIFY, That on this .... ..... 2 3 r.d .......day of ...... May ........................... W. E,..Conyers.„ Kathr n O'Halloran and ....... ...y ........................... before me personally appeared ............ 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 Evelyn Pate and /or Ronald Patterson ..................... I................. and severally acknowledged the execution thereof to be their free act and deed as suet 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. at Sebastian, in the County of Indian River and State of Florida, the day and year WITNESS my signature and official seal last aforesaid. Notary Public, State of Florida at S {ate Of F10rida - My commission expires s Notary � K' My Commission Expires March 26, 1493 tonded rhru Troy Fain. Insurance Ind. SHEET CrQcex� Vw 5 P6 06 i Name Unit X+( �Y Block Lot Date of Mark -out z' Date of Burial - ..:_..u_. Time Name of Funeral Home— Authorized by,��'� UNIT 2 DEED #1276 BLOCK 8 LOT 14 Evelyn Pate and /or Ronald Patterson c/o Inez Knowles 950 N.W. Dolphin Ave. Sebastian, Florida 32958 160L�15$e 1--04e4�� s -.2 d - 90 &e-,7- iy State of Florida, rtment of Health and Rehabilitative Serviital Statistics 2 APPLICATION FOR BURIAL — TRANSIT PERMIT A:k A (Type or Print) 1. Name of First Middle Last DATE Month Day Year OF Deceased Ronald Ray Patterson DEATH May 24, 1990 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Inst. Holmes Regional Medical Center Brevard Melbourne 3. Name of, Medical Medical Examiner Address 407 - 725 -4500 Phone Number Certifier Timothy C. Poirer, MD X Physician 200 E. Sheridan Road, Melbourne, Florida 32901 4. Name of Funeral Home/ Address Fla. Lic. No. /Reg. No. Phone Number (Area Code) Direct Disposer 1010 E. Palmetto Avenue Brownlie & Maxwell Funeral Home i Melbourne, Florida 32901 0000049 407 - 723 -2345 5. Check a %I The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b was contacted on 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 will complete and sign the medical certification of cause of death. c 11 was contacted on . He /she verified that Medical Examiner, will complete and sign the medical ce ication. 6. Place of S stun In state cemeter / evard Removal Final Disposi ion: Cemetery cremat ry a /county: from state Donation 7. Funeral Director/ Sign F.E. No. /Reg. No. Date Signed Direct Disposer B I BURIAL — TRANSIT PERMIT Permit No. 490079 Permission is hereby granted to dispose of this body. 11 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. KI No extension of time for filing the deat certif' ate que d. Registrar or Date May 25, 1990 Date Certificate Subregistrar Signature Issued: Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA Signature Medical Examiner Date or Medical Examiner, 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 Sebastian Cemetery Sebastian, Florida Methods of Disposition: Place of Disposition M BURIAL STORAGE Date of Disposition El CREMATION Signature of Sexton ) or Person -in- Charge ) ❑ ❑ OTHER (Specify) 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) % CEM Index:RECORD # NEWCEM Record:757 Last Name Address 1 Address 2 City Deed # Unit # Lot Number Lot Number Lot Number Lot Number Comment Comment City of Sebastian, FL - Cemetery Lots PATE First Name EUELYN & RONALD PATTERSON C/O INEZ KNOWLES 950 N.W. DOLPHIN AUE. SEBASTIAN State FL 1276 Date 05 -23 -90 Amount 2- Block # 8 14 Interred PATTERSON, RONALD RAY Interred Interred Interred Zip 32958- $200 Dte Interred 05 -26 -90 Dte Interred Dte Interred Dte Interred >ack <E >dit <D >elete <N >ext <P >reu <R >e- search <L >abel CT Thursday, Jan 20, 2005 10:12 AM <Esc> V ! April 23, 1981 Mr. & Mrs. van Pate 10th Street P. O. Box 743 Sebastian, Florida 32958 Dear Mr. & Mrs. Pate: According to our records, we are holding the following cemetery lots for you: Lots & 16, Block 8, UnIt,2- As there have been no payments made an them, would you please let us know if you are still interested in them. If we do not hear from you within the nextt30 days, we will assume that you do not want them. Very truly yours, Elizabeth Reid City Clark q5� City of Sebastian POST OFFICE BOX 780127 ❑ SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589 -5330 ❑ FAX (407) 589 -5570 May 30, 1990 Mrs. Evelyn Pate c/o Inez Knowles 950 N.W. Dolphin Ave. Sebastian, Florida 32958 Dear Mrs. Pate: Enclosed is Cemetery Deed No. 1276 for Lot Number 14, Block 8, Unit 2. If you wish to have this deed recorded, you may do so at the office of the Clerk of the Circuit Court, 2145 14th Avenue, Vero Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. Very trupily yours Lffd;,.,h b`,V&a� Kathryn ff. O'Halloran City Clerk 00— KMO : j s enclosure THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: Dollars ($ d2QQ . " ) FROM: 44:7- 4/E /- Y/_ /°h 7-,,e7 clD fr/lJO6l1GES cSE/� SST /f �i� , .CL • � � 1r�5 °8 on this o23.e4day of /%4'>/ _, 20 for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # / Al Block# F Uni t# o� Purchase Price: C `� aLr,1,;ezj Dollars ($ a OD. Terms and'conditions of sale: 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: 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 //