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'DENNIS L. DEED #1060
AVE. RECEIPT #41
SEBASTIAN,. FL, 32958
LOT 20, BLOCK 9�3, UNIT 1 ADDITION
INTERRED 913185
/Tg V, L3 UP, ro-1
IOT
i
Paid by CEMETERY Receipt No... ......... Dated . , 9•/ 5. • .. , ..... , .. , lk NO
List Price S.. !.5 0. 00........ Maximum No. Purlal Spaces .....1...........
Net Paid $ ... 150 ... : 00........ Monument permitted ....... Flat ............. 1660
Dennis L. Burton
Lot 20, Block 41, Unit 1 Addition 512 Orange Ave.
(Data above this line for City Record only) Sebastian, Fl. 32958
Ctiv of otbas#ian
Itwettru Derb NO. 160
THIS INDENTURE MADE Tkia ..... 3rd............ day of ...... September .......................... A. D, 19.85...
between the City of Yoftntlr aGM115s reorp"ratlon existing under the laws of the State of Florida. as Grantor and
Dennis L. Burton
..........................................•....................................•................... ...............................
512 Orange Ave,
.................... ,.,, 32. 95.$....................... ............................... .........................
ian River
of the County of .. Ind aoJ. State of ... Florida ....... ...............................
.. .
as Girante4 WITNE98ETH&
150.00 ...............to it in hand p
That the Grantor for and in consideration of the sum of $ ........ paid the receipt whereat' is herewith so-
knowledged, does by this instrument grant, bargain, sell, release, convey and •confirm unto the Grantee • . h i s... heirs, legal representatives and assigns
the following property situated in Sebastian, Indian River County, Florida, to-wit:
20 41
All of Lot(s) ....... , Block, dc, , , , , .... , UT . , . , Addition , , • , 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 std 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 •�•
City clerk
Signed, Sealed and Delivered
In the Presence aft
C�.. ......... ............
Ado." - -
:... ..................
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
CITY OF SEBASTIAN, FL RIDA
By....... . .... = i �.. ...................
r --
,car J
3rd Se tember 5
I HEREBY CERTIFY, That on this ........................day of ....... P. .................................. 19....,
before me personally appeared ...,,Jim Gallagher and Deborah C: Krages
. . ... or .. . ...
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 to and who executed the foregoing conveyance to
...................Dennis L. Burton,. ......•................................. ............................... ...............
as such o ..,s tIA ow r�W 'dui f''quthorised t and that the Official seal severally f acknowledged the
Ice dulexecution xedd thereto. and � ad and deed
F said conveyance
is the act "+-deed of wki D wratim
WITNE�s'my atgn6tu "vr-%* official seal at Sebastian, In the County of Indian River and State of Florida, t4e day and year
last stareaafd. /%
" — �f- 7c.�..X� : ...............
N ry PubUe, state of Florida a gs.
'►.,, - - >tIy t"Jon expires[ Notuy Public, State of F OW&
A1y Comatission Expires Aug. Zt 1988
alNN thn hey FWA : Iowan", pow,
_ k -
0 0
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF:
4001A
l
AL An 're
L-// 'f
on this 22:9' day of 19FS for the purchase of the following
described Cemetery Lots) pon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s) # U Block# / Unit#
A -
Purchase Price: ,o,, Dollars ($�s
Terms and'conditions of sale:
# fs �
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 terms and conditions
stated in the foregoing instrument: _ z 1
/ Y v LW-f-rY ' ( S�X�
The City of Sebastian agrees to sell the above mentioned property to the above named
purchasar(s) on the terms and conditions stated in the above instrument.
Witn s
City of Sebastian
STATE OF FLORIDA
OPARTMENT OF HEALTH & REHABILITJOE SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL — TRANSIT PERMIT
A. (Type or Print)
1. Name of First Middle Last DATE Month Day Year
Deceased OF
DENNIS LEE BURTON DEATH August 30, 1985
2. Place of Death City, Town or Location Name of (if neither, give street address)
County Hosp. or
Indian River Sebastian Inst. S.of Sebastian Bridge on U.S.1
3. Name of Medical ❑ Physician Address
Certifier Leonard Walker M Medical Examiner P. 0. Box 188, Ft. Pi erce, Fl al .
4. Funeral Home/ Name Address
Direct Disposer Strunk Funeral Home, 734 N. 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 knansxdxWa1kyxxxNx1. was contacted on 9 1 85
Box __L _ L. 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 ® Leon was contacted on 9/1/85 . He /she verified that
Leonard r Medical Examiner, will complete and sign the
medical certification.
6. Funeral Director/ ZSignature Fla. Lic. No. /Me@ Pie- Date Signed
9ireet+Dicgowr
#1672 9/2/85
B. BURIAL— TRANSIT PERMIT Permit No. 1228 -85 -280
Permission is hereby granted to dispose of this body.
G(] 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.
he x -0r Date September 2, 1985
Sub- Registrar Signature Issued
C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA
„- Signature
or
Q
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 418 hours after death
is required for all cremations.
Method of Disposition:
BURIAL ❑ STORAGE
❑ CREMATION ❑ OTHER (SI
Signature o#-8ex mv-+
or Person- i n-Ch 4Fge ).
CEMETERY OR CREMATORY
Place of Disposition Sebastian Cemetery
Date of Disposition September 3, 1985
Deborah C. Kra
City Clerk
This permit must be endorsed by the SexiMWi erson- i n-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.
Hf S Form 326, APR. 81
(replaces previous editions which may be used.)