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HomeMy WebLinkAbout1-41-05w / aew, , ( J9 Y 2.0 i g ,!✓� %J � L ,NT�.R�� i ( J9 Y 2.0 i g ,!✓� %J ,NT�.R�� Q1 Ley � p { ,) ;s I CASS, NORMAN & RHODA RECEIPT #424 13336 ROSELAND RD. DEED #1064 SEBASTIAN, FL. 32958 LOTS 5 & 6, BLOCK 41, UNIT 1 ADDITION NORMAN INTERRED 11113185 — LOT 6 /�o4oDA - Lor 5 Name �e- e—mQ Unit DDIT I C N Block € 1 Lot --_j Date of Mark - out's =' l r 1 F✓ <: Date of Burial �'"'f r � Time 00 Name of Funeral Home __ � , �'.1 X �- �• � `. � • k '°-� s.� � • Authorized by `: Paid by CEMETERY Receipt No ..... ....0 ....... Dated ... 11113185 .............. , . List Prices.,, 300x40...... Not Paid $ „ , 300 00 , , ... . Lots 5 6 6, Block 41, Maximum No. Eutlal Spaces ...... ;........... monument permitted ....... Flat ................ Unit 1 Addition (Data above this dine for City Record only) eitli of Otb4lotian NO. 1064 Norman 6 Rhoda Cass 13336 Roseland Rd. Sebastian, F1. 32958 (I tuttttrji 1)ttb NO. 16-64 THIS INDENTURE VADE Tile ....... , 13th day November .... ............................... A. Q, Ip......, between the City of Sebastian, a sounklpal corporation esisting under the Uwe of the State of Florida, as Grantor and Norman 6 Rhoda Cass ............................................................. ............................... 13336 Roseland Rd.� ............. ........................................................ ............................... . of the county of Indian River aa! State of .. Florida .............................. I......... as Grante4 WITNESSETHs That the Grantor for and in consideration of the sum of $ , , , . , 300' 00., , .... , , , to it in hand paid, the receipt whereof b herewith so- knowledged. does by this instrument grant, bargain. sail. release, convey and confirm onto the Grantee ,the 1 r , beks, legal representative! and &*ps the following property situated in Sebastian, Indio River County. Florida, to-wit: 5 & 6 41 All of Lot(s) Bbdc. UNIT 1, Add i t ion 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 bus and being in Indian Rives County, Florida To Have and to HOW 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 to accordance with the rules and regulation, 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 ruler, regulations, resolutions and ordinances and the conditions of the debd of conveyance thereof then the titis 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 � ...... .... .. ....Y..:.. � ....:... City Clark Signed, Sealed and Delivered In the P ace oh � ..• ... .T....•....A .... 4X STATE OF PWRIDA CITY OF SE TIAN, FIARI A By...... ...- ...r.:t R ... ...%....... ;0949 Alm., r� y�\1111 \ \� \\��,• GOUTY OF INDIAN itIVER • 1 HEREBY CERTIFY, That on this ..... t3 ................day of ........%w�m1:Ar . ............................... 10.85 , , before a►e peraonaUy appeared ......, Jim Galla9hec and Deborah, C :,A- rMes „.. ...... respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florlde to me known to be the individuals and officers described in and who executed the foregoing conveyance to Norman 6 Rhoda Cass . . .... ............. ............................... ... ............................... _ ...... . and severally acknowledged the execution thereof to be their free act and dead so &Whi ff(lcera thereunto duly authorised; and that the Official seal of said corporation Is duly affixed tbereto, and the said cpnveyance Is jlierpet and deeid,`of- saW corporituaL �iyL�T$BA,c s1�n�tt►re and official seal at Sebastlsn, in the County of Indian River and State of Florida, the day and year list *taro*” nn .L�.. ........... Nob Public, fate of Florid 0 of !!crisis My comoolasloo explreel My Commission Expires Aug. 22, 1488 nonded tYru rruy Fain • 4sunnce, Inc. THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACJS(WEDGED OF THE SUN OF: O,df�.Lk.�.�X a�a.r,6. ad Dollars FROM: on this /;E slay of a ry. , 19i- -for the purchase of the following described Cemetery Wt(s) upon the terse and conditions as stated herein: Description of Property: cemetexy Lot (s)# Blocky �e- /j unit# 1 . r r Purchase PricaQ.1 ,. d.. t g y u Dollars (Sdoo .Gro ) 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. Witness City of Se tiara 1. ... ! A 0 h tt'� ,- • W o z IOU _ _ W ' �� � � 1�1 rt • r�ss�, = sv W.. r Yfi t' e,. W rw V T S. y m f ` W z cc M6 A z w a �¢ �# o a fA O C3 � � z „ ✓�k Q 4- r, a,wN O " t cr �4Y )r A h , r� y t t. THU of orhastivo ' N° 117 1st THIS INDENTURE MADE This day of ............... August ... A. D.,;19... 68 between the City of Sebastian, a municipal corporation a 104dg' under the laws of the State of Florida, as ................................. U.._C. and..E. Johnson ............................ .....D" v .� ..... ............................861 Sch enn .Brive.'.. Sebastian ........ ........'!.. .... ... ...... (. v�` of the County of ..... ... Indi River and State of Florida 32958 as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $.. Xg100.130XX ............... to it in hand paid,t% Feel t whereof Is herewith acknowledged, does by this instrument grant, bargain, sell, release, convey 'and confirm unto the Grantee....hh...l... eirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: A11of Lot P. 5 do 6, B1k.Inlr9eotbse Un. t,ll.. of Sebastian municipal cemetery as per Plat Number 1 there- of recorded in Plat Book 2, at page 86 of the public records in the office of the Clerk of the Circuit Court of St. Lucie County of Florida. To Have and to Hold the same forever; provided that said property shall be used solely and exclusively for the interment of the dead and shall be used, kept and maintained at all times in accordance with the rules and regulations, ordinances ands resolutions of the City of Sebastian, Florida, heretofore, now and hereafter adopted or provided for the government and operation of said ceme- tery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the land. In t1he event of the failure of the owner of any property situated within said cemetery to observe 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 shad 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 be- half 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: ............tJ ....... ............................... City Clerk Signed ealed and Delivered in t Qre_aenee of ✓t'. .... ..... A .... ..................... . .. . .. ........................ CITY OF SEB AN, FLORIDA By............................. ...... .F...... Mayor Mug Av d) STATE OF FLORIDA COUNTY OF INDIAN RIVER August 68 I HEREBY CERTIFY, That on this .......5th ................. day of .............. ............................... ..., 19...., before me personally appeared ............. Cherles Zimmer ......... and .........A• T. JOrdaA ........... 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 U. C. and E. M. Johnson .......................................................................................... ............................... ............. ....................... ............................... 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 sapd conveyance is the act and deed of said corporation. . ti, WITNESS my signature_,�i d official seal at Sebastian, In the County of Indian River and State of Florida, the ay and year last aforesaid. _ . .. .............. .. .. k ............ Notary Public, State of Florida at Large. My commission expires: of Florida at Large. Notary P'NIC, State 7, 1971 - ission Expires February A encY; Mw Coma' Atha insurance 6 gorlded by y 1 0 t • • COUNT[Rl�aNID r w Q7 O O J- 03 u m O ii U 11 O OD r- '► mO Ask X1 O= N RM s L Y I o z i z x n {II h A 401 m Z U 11 O r- '► lA W irV N U 11 Clock 41 Lots 5, 6 Unit i Johnson U.C. Deed #117 Johnson, S. U.C. Schum n Drive Sebasti n, Fla. ©�d:1� October 5, 1978 Mr. U. Co - Whnson 861 Schumann Drive Sebastian# Florida 32958 Dear Mr. Johnsons Herewith enclosed is City of Sebastian Cemetery Account check # 373 in the smount of $100.0fl for repurchase, by the City of Seboatiw% of cemetery lots 5 & 6, Black 41, Unit 1. FLP /j Very truly your$, Florence L. Phelan City Clerk i STATE OF FLORIDA J/ OARTMENT OF HEALTH & REHABILITAOSERVICES VITAL STATISTICS /1 �✓ l APPLICATION FOR BURIAL — TRANSIT PERMIT �O 6 A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Rhoda C OF Cass D Aril 1 DEATH p p 1986 2. Place of Death City, Town or Location Name of (If neither, give street address) County Indian River Roseland Hosp. or Humana Hospital Sebastian Inst. 3. Name of Medical (physician Address Certifier George Mitehell,D.9.. ❑ Medical Examiner 7925 Bay Street RoselaN Fla. 4. Funeral Home/ Name Address ottinger & Son Funeral Home 1200 S. Indian River Dr. Sebastian Florida 32958 5. Check Appro- priate Box a The medical certification has been completed and signed. A completed certificate of death accompanies this application. b E] was contacted on . 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 was contacted on . He /she verified that ,Medical Examiner, will complete and sign the "'ed:icai certification. ! 2558 April 2, 1986 6. Fun al Director/ Signature Fla. Lic. No. /Reg. No. Date Signed B. BURIAL— TRANSIT PERMIT 759 -662 Permit No. 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 Signatu 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 C] CREMATION OTHER (Specify) Signature of Sexton or Person -in- Charge 1 Place of Disposition Sebastian Cemetery April , Date of Disposition Deborah C Kraaes - City Clerk 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.)