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Home My WebLink About1-41-23w evAlp / aete;a i3 = 94 fA ,e , /y > i .�/� 0 b�g� Tub ref 4.) �l i3 = 94 fA ,e , /y Tub ref 4.) �l STOKES, ELMER L. RECEIPT #395 401 To1do St. DEED #1034 Sebastian, FZorija 32958 Lots -42 & 23, Block 41, Unit 1 addition Sue11a interred - Zot 22 - 1124185 7/8h�5 ko� 01 Titg of Orbast. ,o Temptr'ry Derb NO. 1G34 THIS INDENTURE MADE 71d . ..... 21st........... day of January . ............................... A. D., between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Elmer L. Stokes ...............4D1 "T'ol'edo 'St; ................................................................. ............................... Sebastian, Florida 32958 ...... ............................... ............. ............................... ............. ............................... of the County of . ,Indian River .......................... and Stet* of ..... Fl or ida as Grantee, WITNE99ETHt That the Grantor for and in consideration of the sum of $ . , 300,..00... , . . . _ , , , to it in hand paid, the receipt whereof is herewith so• knowledged, does by this instrument grant, bargain, sell, release, convey and oonfum unto the Grantee .. A4q. , , heirs, legal representatives and "signs the following property situated In Sebastian, Indian River County, Florida, to -wit: All of Lot(s) . 22 1. 2 ;3Block, ..14. .. , , UNIT 1, ad d i t... , , of Sebastian municipal cemetery as per Plat Number 1 thereof recorded id 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 amid requirements contained in this instrument shall be covenants running with the land. In the avant 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 dated 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. Attect� ............. City Clerk Signed, Sealed maid Delivered In the Presence oil .�.��/�... ............ ....... .. .. .......r.et'..... ....... . t. STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, PLO DA By.... . .� 0.. ::,�.,_ ........ I HEREBY CERTIFY, That on this .... 21,s t ..............day of WitV Aged) .jA17 VA TY .......................... �............, before me personally appeared ..Jim , Gallagher ..... ............................... and .Deborah „�; Kr3g s......... 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 rabd officers described in and who executed the foregoing conveyance to Elmer L. Stokes ........................................................................................................ ............................... ............ .............................. and severally acknowledged the execution thereof to be their free act and deed s such vt'�f��rsi•lhereu1 i jdy authorisedi asmd that the Official seal of said corporation Is duly affixed thereto, and the said conveyance s the wchnW deed of saltd- 'corporation. __ � 62 � 3 State of Florida, Departm f Health and Rehabilitative Services, Vital stics APPLICAFOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Tommy OF Stokes DEATH 07/28/95 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial Hospital 3. Name of Medical __I medical Examiner Address Phone Number Certifier Frederick Hobin.M.D.. M.E. Ph ician 2500 S. 35th. Street ^� Ys Fort Pierce. Florida 34981 (407)464 -7378 4. Name of Funeral Home/ Address Fla. Lic. No. /Reg. No. Phone Number (Area Code) Direct Disposer 1623 North Central Avenu Strunk Funeral Homes. P.A. Sebastian, Fl 32958 1228 407)562_2325 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ❑ was contacted on within 72 hours after death. 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 [ Mery was contacted on 07/30/9 5. He /she verified that re erlc o in, , Medical Examiner, will complete and sign the medical certification. 6• Place of a as ian Cemetery In state cemete / Removal Final Disposition: FIcrematory - me /county: Indian River from state Donation 7. Funeral Director/ Sign V F.E. No. /Reef. No Date Signed 70ser- 1672 07/30/95 B. BURIAL — TRANSIT PERMIT 1223 -95 -0368 Permission is hereby granted to dispose of this body. Permit No. ❑ A five day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted as undue hardship would result from filing within the normal time limit. If the certificate cannot be filed within this extended time limit, a "Funeral Director /Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for filing the death certificate requested. Registrar or 7� `4464 67. , .� Date Q Date Certificate Subregistrar Signature Issued: Sa7Q'7S Due: 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. Methods of Disposition: BURIAL ❑ CREMATION Signature of Sexton ) or Person -in- Charge ) ❑ STORAGE ❑ OTHER (Specify) CEMETERY OR CREMATORY Place of Disposition ' Date of Disposition 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) (Stock Number: 5740- 000 - 0326 -2)