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Home My WebLink About1-41-24yt-ft"�k / 11OP40F P/ Akoe, tt-&? 3w rA Vi- Al 'Pro z tw, 3 fT 1-7 rA Vi- Al 'Pro z 3 fT 1-7 BLOCK 41 LOT 24 UNIT 1 ADDITIONAL Donna Fisher Receipt #394 182 -C Church St, Deed #1033 Sebastian, Florida 32958 Roy L. Fisher interred 12127184 r Ctv of othason (gemirterg Ottb NO. 1033 THIS INDENTURE KADE Top ..... 26th cloy r of ....... December . , .... A. A 31.84 • •s between the City of Sebastian. a municipal corporation existing under the laws of the State of Florida, as Grantor sad Q8 Ehishe ................................................................ ............................... 44 uhg..St.0 et Se astaan, Florl�da 32958 of the County of ... Indian ,River ........................ wd State of ...... Florida as Qvaatse, WITNE88ETtis That the Grantor for and In consideration of the sum of Z .. 15 0. 00 ........, .. , , ....... to it in hand paid, the receipt whereof Is herewith so- knowk+dged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , . Ae F... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lots) , . 24. , , Block, , , ,41, , . ,UNIT ?, ... t . i .. . 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 CWk of the Circuit Court of St, Lude County of Florida; sold land noW lying and being in Indian Rives 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 small 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 and the fame a" revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The aid 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 deal to be hereto affixed, the day and year first above written. City CLrk Aigned, Sealed and Delivered to the Presence ofs ..2.4- ,e...w:..� ::........... . . R4c f'S�GN.I ................ STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, F RIDA By.... .. . ......... (011 Ate)' ,t'•. (. .J 1� I HEREBY CERTIFY, That op tbls .... ...26th ........... day of ...... December .................. I .............. I 1084., before me personally appeared ...... Jim Gallagher................................. and „Deborah „C; ICragPS....... . respectively Mayor and City Clerk of the Clty of Sebastian, a municipal corporation under the laws of the State of Flow& to me known to be the Individuals and officers descrlbed In and who emoted the foregoing conveyance in Donna Fisher :,`".... '�........... • .. , , ..... • .. .... .. and severally sckaowledgal the execution tbereot to ba thelr,!>ree act and deed as mud► alliaera thereunto �dply authorlsedi and that the Official wnl of said swrporation Is duly affixed thereto, u nd the! Mid conveyance Is the'ai :6 �Icpd ; �satlLSo�poM j�tw. WITNESS my signature Rod oftkial anal at Seb"Uxr4 la the County of Indian River sail State of Florida, tl'e day and year isst goreeak . •S i'.� `-� . -fs�.• ............... - - ot. Public. State o ” .. ry blk, t Florl s a pWAC' Simi* of R.W. Nor camsola" asplrems My Cassms6sion EXASS WOW Tho rpr 1418! y' •. Ism. „y • w • TAB SXAASTIAN CfD/bi'LRY City of Sebastian Sebastian, Florida RECEIPT IS HeREBY ACKNaWIjDGED OF THS SUM Or$ - aag.-� L4*.� on this 1d t4 day of &cC- ld8 for the purchase of the followlnq describeq Cawtoq bot(4) upon the tvra+r and conditions 4s Ptateq horelnt Defor4ft4on of Property] IPO rfttory ;Qy (a) N, 4i dock# un4 tN Purch4fe Price; /� v� au Term qnd' conditions of sale: �p tt This contract $hall be binding upon both parties, the seller and the purchaser, when approved by the owao; of the property above 4oscribed. I, or we, agree to purchase the above described property on the ter;w and cgr:ditions stated 4n the forejo4ng instrument: The City of Sebastian agrees to sell the above mentioned property to the 4bpve narged pu;Fhaser(s) on the torso and conditions Rt4ted in the above instrument. 9-IrE,77-T-ld RAWASOf Ci t of - bas t.} aA ).)/ >> ) ��-I STATE OF FLORIDA VEPARTMENT OF HEALTH & REHABILIT E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Roy Lavern Fisher DEATH Dec. 22, 1984 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Roseland Inst. 3. Name of Medical ❑ Physician Address Corti fierLeonard Walker, M.D. OVIedical Examiner 1700 23rd St. S. Fort Pierce, Florida 4. Funeral Home/ Name Address jxwzDaupwamPottinger & Son Funeral Home 1200 S. Indian River Dr. Sebastian Florida 32958 5. Check a [!IK The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate b ❑ was contacted on . He /she 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 medi a%l �r�t' cation. _ �D� ® /i7.r..� 2368 Dec. 26, 1984 6. Funeral Director/ UV r / rgnature,/ / Fla. Lic. No. /Reg. No. Date Signed x�os>l� 0 B. BURIAL — TRANSIT PERMIT Permit No. 759 -586 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 Date Issued ssued ---T 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 B BURIAL ❑ STORAGE Date of Disposition December 270 1984 ❑ CREMATION [:].OTHER (Specify) Signature of Sexton ) or Person -in- Charge ) Deborah C Krages, Cit�, Clerk This permit must be endorsed by the Sexton or person- in -chkbe (dir 6VW 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.)