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Home My WebLink About1-41-22w .Y� rt 3 Y %r �Y 4 i i" rA I A,�•`V IAI ki 0 p ;,' a 0 T �- teltp� b\ Y4. / 1 rUU�s' �Y rA IAI T �- teltp� Y4. �r , BLOCK 41, LOTS 22 & 23, UNIT 1 addition RECEIPT #395 DEED #1034 Elmer L. Stokes 401 Toledo St. Sebastian, Florida 32958 Suella interred - lot 22 - 1124185 . � �it� of �►rb��tt PUt�e #Pl �P� NO. 1034 THIS INDENTURE MADE TYb .....21st day of ... January . ............................... A. D. 111.85 a between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Elmer L, Stokes 40'r''to7ealo' S' t'; ................................................ .:.....•.......... ............................... Sebastian, Florida 32958 ............. ............................... ............. ............................... ............. ............................... of the County of ..Indian River .. ... aa�l state of ..... Florida . as Ora&W% W1TN381119THs That the Grantor for and in consideration of the term of $ . • 300,,.00 . . ...... . ...... . to It in hand paid, the receipt whereof U herewith so- knowledged, does by this instrument great, bargain, @ell, release, convey and confirm unto the Grantee 4... halts, legal representatives and aaaipina the folkiwing property situated in Sebastian, Indian River County, Florida, to -wit: All of Lot(s) , �? r . 2,3Block, . 4 2.... , UNIT I , adai t; , , . , of Sebastian municipal cemetery as per Plat Number I thereof recorded in Plat Book 2, at page 65 of the public records in the ofilca 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 shell 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 kind. In the event of the failure of the owner of any property situated within mW cemetery to ob- serve and comply with such rules, regulations, resolution& and ordinances and the conditions of the deed of conveyance 'thereof then the title of such owner in and to said property spell terndnate 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. Attests .! '!CiG!f�.� • • r'r"'• City Clerk Signed, Sealed and Delivered In the Presence ots �/ ... ............. ..� .. /. ............... ........... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAAFLO A By .... .... ...: IN, . I HEREBY CERTIFY, That on the ..22 s t „ • , , , , , ......day of wav join) - • r� , !' .. �. ' e. � r J4�t7i��ll� ......... ............................... 105 ., before me personally appeared .. Jim Gallagher , .. , . sad , , , , , , , , , , . , 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 individuab and attires described in and wbo executed the foregoing conveyance to .............. Elmer L. Stokes................................................................... ............................... .......... :............................. and severally acknowledged the execution thereof to be tbor tree act and deed as such elpeFra•thereun4p Orly, authorisedt and that the Official seal of aid corporation le duly affixed tbereto, and ,the said conveysoea is the set— o4 deed of mid^ rporatkus. ' -'Rate of FkA93 4 the ally and Year last Vfpreaald. 11.:. ................. Notary Public, S of h1o: L'v .Sate of Florida pity oanmp@@pow expirser • °~~""' wMy (emission 6spirea sow. 22, 1988 loaded Thou Tray Fain • 10914110- 1114. THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: ,/- 110 J Dollars FROM: „ Na r on this c 2l °?� day of 96a , 19 Y4 -for the purchase of the following described Cemetery Lot( upon the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # ..) aa y ..? 3 Block# y / Uni tip Purchase PriceAZ4-,,Zj( �d Dollars(S�'yQ�) Terms and conditions of sale: This contracteshall 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 Seb s ian Witness STATE OF FLORIDA OPARTMENT OF HEALTH & REHABILITOE SERVICES 4, � ,C n 13,% Old VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Suella Jewell Stokes DEATH Jan. 21, 1985 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne Inst. Holmes Regional Medical Center 3. Name of Medical nPhysician Address Certifier Basil Keller, M.D. ❑ Medical Examiner 1317 S. Oak Melbourne, Fla. 4. Funeral Home/ Name Address Qkvvb0LyuimxPottinger & Son Funeral Home 1200 S. Indian River Drive Sebastian Fla. 32958 5. Check a B The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b ❑ was contacted on . Helshe 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 dical certification. # 2368 January 22 1985 6. Funeral Director/ igna r Fla. Lic. No. /Reg. No. Date Signed �it1l9�t9QX e. BURIAL— TRANSIT PERMIT 759_591 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 ��L -� ,,� —��✓�% Date Sub Registtrar Signature ��[— -�� Issued Or 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. CEMETERY OR CREMATORY Method of Disposition: EA)GURIAL ❑ STORAGE ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton 1 ` or Person -in- Charge 1 _ i✓G[ Place of Disposition Sebastian Cemetery Date of Disposition January 24, 1985 Reid, Deputy City Clerk ThdOpermit must be endDiFW 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.)