The URL can be used to link to this page

Home My WebLink About1-41-28w / aew ;l s 3 3w r' 13UR P>0POoJ �� 1 n� Al NO r' 13UR P>0POoJ �� 1 n� Al NO e1 Lum..3l 3s-; Q, u � r� J i J l�bBERT L. RECEIPT #417 14395 H 3 5v80T AVE. DEED #1058 SEBASTIAN, FL. 32958 Lots 28 & 29, Block 41, Unit 1 Addition Robert interred 8127185-- Lot 28 l I * i i Paid by CEMETERY Receipt No............ Dated .... 8 / 24./85, . , , .. , .. , .. NO. List Price t ... M: : 00 ....... Maximum No. Purid Spaces .... 2............ (`, ll Net Paid i ...300:00....... Monument permitted .. ,Flat ................. Robert L. Brown Lots 28 6 29, Block 41, Unit 1 Addition 14395 80th Ave. (Data above this Uea for City Record only) Sebastian, Fl. 32958 (Ittli jof #t1laBtiait 01Pritetery ]DPtb NO. u 1058 THIS INDENTURE MADE Title ........ 24.tit I ....... day of ...... Au9ust ............................. A. D., between the City of Sebastian. a municipal corporation existing under the laws of the State of Florida, as Grantor and Robert L. Brown ..............1439 ............................................................. ......' *....................... .. . .................... 14395 80th Ave. .............. ............. ............................... ............. ............................... Indian River Flgr a of the County of ...... ........ arrJ State of ...... ........ ............................... as Orantea, WITNE89ETHr That the Grantor for and to consideration of the sum of $ .... 3QQ.•.QQ .............. to it in hand paid, the receipt whereof is herewith so- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , H is.... heirs, bid representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: All of Lots) 28& 29 , Block, , , 41 ... UNIT A. 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 Clark of the Circuit Court of St. Luce 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 oonditions, 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 debd of conveyance thereof then the title of such owner In and to said property shag 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 new 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. At�.• ............. ....... City Clark Signed, In the 1 and Delivered i oft CITY OF SEBASTIAN, FLORIDA By 04 STATE OF FLORIDA COUNTY OF INDIAN RIVER 24 tt, I HEREBY CERTIFY, That on this .............. ..........day of I0. , before me personally appeared ....... Jim Ga 1 1 a yhe r ............................... and Deborah..C... Kt ages............. .. .... .. . ........ ... . 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 Robert L. Brown ........... I ..,. ......: ...... hereo ..................... and severally acknowledged the execution tf to be their free act and deed as such officers thereunto duly autborised+ and that the Official seal of said corporation is duly affiaed thereto, and the sold conveyance Is the ark aiAt1 d 07 i�id. oorperatba WITNESS my signature and etttkW aced at 9ebaetiw4 In the County of Indian River and State of Florida, the day and year last afore aw � /f _ �• �1r4 :. .................. Notary PuW State of For at - -»-- =• my Connie" expirar Mary P • Stale of Florida My Commission Expires ' 22' f a bu,e raft ra r F&4 • • Vj i THE SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: �l�+Q�r Ku pQta �b �u Dollars ($.36 O -U O ) FROM:. on this cZ Li 4-.9 day of , 29 $S for the purchase of the following described Cemetery Lot(s) upbn the terms and conditions as stated herein: Description of Property: Cemetery Lot (s) # 4 a2 �'j Block# J4 ) Unit# ) Purchase Prices 1atrt \-iuut) ler,o �—�a Dollars($ 300.o_a ) 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. City of Je&9tian Witness STATE OF FLORIDA 4 OARTMENT OF HEALTH & REHABILITAIS SERVICES VITAL STATISTICS APPLICATION FOR BURIAL — TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Robert Lee Brown DEATH August 23, 1985 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne, Florida Inst. Holmes Regional Medical Center 3. Name of Medical ETPhysician Address Certifier Dr. Michael B. Zimmer ❑ Medical Examiner 2300 5th Avenue Vero Beach, Fl 32966 4. Funeral Home/ Name Address – i3+reet- Disposer Pottinger & Son Funeral Home, Inc. 1200 S. Indian River Dr. Sebastian, F1 32958 5. Check a 4nC 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 6. Fune /al Director/ will complete and sign the medical certification of cause of death. c ❑ was contacted on . He /she verified that certification. Signature Medical Examiner, will complete and sign the # 2368 Fla. Lic. No. /Reg. No. M B. BURIAL — TRANSIT PERMIT 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 Si C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL —AT —SEA Signature or , Medical Examiner Date in , I Ildp-r 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 BURIAL ❑ STORAGE Date of Disposition August 27, 1985 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ► or Person -in- Charge ► Deborah C. Krages, Citf'C1e 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.)