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Home My WebLink About1-41-03w ,VA-P y3 Zy s1 � Vv 3 Y P1 u I � • jL t' '�Y i,J � ai Ist io y3 Zy s1 �a 19 P1 u Q S .. F t. a' i TZ �'t .0 �'_ Name' -- Unit 1 l' , v ,.J ti PL Block Date of}Grial' #� �. Time °r�' .• t� CAS_ a F Hoin _ 1JL ,' i ti i+ U Name of rrtat Authorized, by ` WESTCOTT, CHARLES IDE DEED #1065 442 Easy Street RECEIPT #425 Sebastian, Florida 32958 Purchased on 11/25/85: Lots 3 & 4, Block 41, Unit 1 Addition Jane Westcott (wife) interred Lot 3 on 11/26/85 f tf BLDCK 41 TATS 3 & 4 UNIT 1 ADDITION CHARLES IDE WESTCOTT DEED #1065 442 Easy Street RECEIPT #425 Sebastian, Florida 32958 Purchased on 11/25/85: Lots 3 & 4, Block 41, Unit 1 Addition Jane Westcott (wife) interred Lot 3 on 11/26/85 ettlu of 6P B�tMri altmettrij NO. 1665 �— THIS INDENTURE MADE Ub ... 25.th.I........... day of ....... November ........................... A. Do It between the City of Sebastian4 a municipal eorporatioa existing under the laws of the State of Florhla, as Grantor and .. CEI,ARLES IDE WESTC.O7 ......................................... ............................... 442 EASY STREET ............ SFJ ASTIAN,..FIARIDA .... 32958 ............................... ............................... , of the County of ......Indian River ............ any state of .Florida .............. . ...................... . as Grantee. WITNESSETHs That the Grantor for and in consideration of the sum of $ ..300.00 ................ to it in hand paid, the receipt whereof is berew knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , his.... heirs, legal representatives and i the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) .3.,&. 4 , Block, .. 41... , UNIT 1. Addition, of Sebastian municipal cemetery as per Plat Numbor 1 thereof recorded Book 2, at page 65 of the public records in the office of the Clark of the Circuit Court of St. Lucie County of Florida; *9 land now lying ant 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 an be used, kept and maintained at all times In accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, I fore, now and hereafter adopted or provided for the government and operation of said cemetery. The conditions, restrictions and requirements oon 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 serve and comply with such rules, regulations, resolutions and ordinances and the conditions of the dried of conveyance thereof then the title of such 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 May attested by its City Clerk and its corporate seal to be hereto affixed, the day and you first above written. CITY OF SEBASTIAN, FLORIDA At( I ............ 01 ......... BY ..... . ............ . .......... City Clerk j(NDr Signed, Sealed and Delivered In )thee resenrce o .. .... . ..... STATE OF FLORIDA COUNTY OF INDIAN RIVER I HEREBY CERTIFY, That on this ....... 25th .day of November ................... ............. ................ before are personally appeared .... Ci... KWU ............................. and . respectively ]Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to to be the individuals and officers described in and who executed the foregoing eonveyanee to ................. 01AHI..E.S.I DE . WE STG( 7I. T............................................... ............,.................. ................. ............................... and severally acknowledged the execution the"of.to be theh free act as such officers thereunto duly authorisedi ad that the Offlelal seal of said corporation Is duly a(MM *90&6o. 4n4- bo sold co Is the act and deed of said eonpor&Uon. WITNESS my signature and official seal at Sebastian4 in the County of Indian River and Stalin ag Fbrilla, the day last aforesaid. - - ........... . rte..:. ...... ey Public, Staemolssioa as *A4Xpu ..$tale of Honda My Commifsion Expires Nov. 5, 14 ronded Ihrn Loy rdn • Imur.nce Inc. .1 0 0 THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUN OF: FROM: 11-har(e.1 Z( Jahas on this .Z5-11-k day of A described Cemetery Lot(s) I" ?- °pallars ($300 -op ) Ct C 9lvri' Qa &.29 S 4,jew er, 198S-for the purchase of the following upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# .3 f l `f Block# � l Unit# / Ada/iiiviy Purchase Price: CU"'. 7�N tQc.L 2= � Dollars ($ 300 - oo 1 Terms and' condi tions of sale: �a(. ��, - A 'F00. 0 0 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. Wetness Pr � . N STATE OF FLORIDA OARTMENT OF HEALTH & REHABILITAI& SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF JANE FRANCES WESTCOTT DEATH NOV. 21 1985 2. Place of Death CityA Town or Location Name of (If neither, give street address) County Hosp. or INDIAN RIVER SEBASTIAN Inst. 442 EASY STREET 3. Name of Medical . d Physician Address u x Charles Rattray, M.D. [:]Medical Examiner 2208 8th Avenue, Vero Beach, Florida 32960 4. Funeral Home/ Name Address 1I*ltx ®I4f6**XX Strunk Funeral Home 734 North Central Avenue, Sebastian, Florida 32958 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b Doctor Rattray was contacted on 11/25/85 He/M 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 cause of death. c ❑ was contacted on . He /she verified that , Medical Examiner, will complete and sign the medical certification. 6. Funeral Director/ �gnature Fla. Lic. No. /Reg: Date Signed �I�RD(R16fl4WG/( / November 25, 1985 B. BURIAL — TRANSIT PERMIT Permit No. 1228 -85 -380 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 Sub- Registrar Signature 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 Method of Disposition: Place of Disposition Sebastian Cemetery ® BURIAL ❑ STORAGE Date of Disposition November 26, 19815 ❑ CREMATION ❑ OTHER a ify - ,) Signature of Sexiow-- _ or Person -in- Charge ) •r "` 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.)