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Home My WebLink About2-05-10• Tity of Orhao rt �rmrtrry IDrrb NO. 1620 THIS INDENTURE MADE TYL ........27t.h........ d ay of October A. D, ..... between the City of Sebastlan, a municipal corporation existing under the taws of the State of Florida, as Grantor and Rosaline Hope ..........1919....... a1 ............................................................................ ............................... Sebastian, Florida 32958 ............................................ ............. ............................... ............. ............................... of the County of ... I nd i an.. R. ye r ........................ and state of ..... F.� P.r i. 0........ ............................... . as Grantee. WITNESBRTHr That the Grantor for and in consideration of the sum of $ . ? � 0 : 00 ........... to it in hand paid, the receipt whereof is herewith so- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee .... er heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s) ...10, , , Block, , , ,S, , , , , 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, Lucid 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 with::i 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. Atta .. .'........... ... City Clerk Signed, Sealed and Delivered In the Presence of �......... CITY OF 8 TIAN, FLO A By.... ........ Mayor STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ...... 27th ...........day of .... C�c to• bar ...... ............................... leg... before me personally appeared .....Jim Ga1lar� her ............. .. .. ..... ........ and . Debozah C, ICzpq� ............ 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 Rosa1ine Hope ............................... ............................... ............. ............................... and severally acknowledged the execution thereof to be their tree act and deed as s"h officers thereunto duly authoriaedi and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance 'fs-7410_ act and decd of said corporation. 'VITNESS-my- signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid, ................... NOta Pubpc, sbte of Fbrlda at My oosnsal.afoo explras Notary publit, State of Florida My Commission Expires Aug. 22, 1968 ao.dtd INN twy rmu - Ir�iwpnu, Inc. STATE OF FLORIDA OPARTMENT OF HEALTH & REHABILIT E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF BEN F. HOPE DEATH October 26, 1984 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. D.O.A.— Indian River Memorial Hospital' 3. Name of Medical ❑ Physician Address Certifier Dr. Walker filMedical Examiner P. 0. Box 188, Ft. Pierce, Fla. 33454 4. Funeral Home/ Der Strunk Name Funeral Home Address 734 N. Central Avenue, Sebastian, Fla. 32958 5. Check a The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b was contacted on . He /she verified that Box 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 6. Funeral Director/ Dweerl&tmese� B. cause of death. c O Dr. Walker was contacted on 10/27 . He /she verified that T)r- Walker Medical Examiner, will complete and sign the medical certification. Signature Fla. Lic. No. /Reg. No. #1672 BURIAL— TRANSIT PERMIT Date Signed 10/28/84 Permit No. 1228 -84 -317 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. If it cannot be filed within this time limit, a "Funeral Director /Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. Registrar or Date October 28, 1984 Sub- Registrar Signature ' 1Z�"�LsC Issued C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA Signature or , Medical Examiner Date 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 Method of Disposition: [] BURIAL ❑ STORAGE CREMATION 0 OTHER (Specify) Signature of Sexton ) or Person -in- Charge ) Place of Disposition Seba s t i an Ceme to ry Date of Disposition October 31, 1984 Deborah C. Krages,_ "City C1er 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, APR. 81 (replaces previous editions which may be used.) • • THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: FROM: - j Dollars ($ / .5w CrL� ) on this day of A 19 1�-Ifor the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# / Ci Block# s Unit# �I" � ()- Purchase Price :,, ln�G� oo Dollars($ l.1 U .,-Z) ) 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 Witness HOPE,,BEN F, DEED # 1020 1919 U.S. #1 RECEBT # 385 SEBASTIAN, FLORIDA 32948 Lot 10, Block 5, Unit 2 Interred 10131184 ANNA LOUD oaea 173 1919 U.S. 1, 589-5509 -5509 SEBASTIAN, FL 32858 A 870 018 Pdq to the ` I $ - )rder of z - ^--, ollars 5 Sun Bank/Indian River, N.A. Wabasso Office 018 P.O. Box 1150 Vero Beach, FL 32961 .. - - -�- }i!nr, ?n L L 2491. 0 18 L4503 28116 0 &,T' :