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Home My WebLink About1-40-11�� w � � � �� i �� i, , . . • • Uoy T8E SEBASTIAN CSI�lETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF TXE SUM OF: �ollars rs 300 � on ) FROM: O D I^cSS �I 7`1 A L �. �7� �� or� JJe�vE 89 - 91�7�' ia h. F'�. 3a9 S" on this�day of (,},�^G%, , 198? for the purchase of the fol�owing described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# /� �" /� Blockit '�Q Unit#I � �dQi7�((/Y� Purchase Price:� �� i�r��i/��GYCti�t/',�----=�D�11ars($�DD.Od J Terms and conditions of sa1e: .�Li. (�,� ��-�. This contract sha1l be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. I, or we, agree to purchase the ahove descrihed property on the terms and conditions stated in the foregoing instrument: /��. � -%..� _ � � r � � ..� / / The City of Sebastian agrees to se11 the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. C��, • CLtc�►q,�� C' y of Seb sti Witness f�itg nf �p�ttsti�n . P11tP#P�1,J �PP N�. ,. 1Cr46 THIS INDENTUAE l[ADE TW� .... . 25.th. . .. . . . . . . . dy+ ot ... . . . . . .. . .March .. . .. ............ ........ . A. D 1!.$�? . '1 • � betw een the Gty ot 3ebastiaa, a municlpa! eorporatba drt(n� under the lawa ot the 3tate ot Flo�ida� �� Q�anto� and Odessa HaZ1 . . . . . . . . . 678 La yport . Dt ... . ........... . . . . . ............. ........ ....... ...... ...... . . . . . . . . . .. .... ... ............... ........... . . . . . . . . . �'eb.a� t.ian, ..F�.oz ida. . 3.2958 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . o! the County of .....Indian River ...................... aal 8tate ot .....Florida........................................ u (itantee, WITNESSETH� Tliat the Grantor for and in considerabion of tho sum of S,.,,300 ; 00 .. . ............ to it in hand paid, the receipt whereof i�herewith so- knowledged� does by this instrume� grant, bargain. sell, relosee, convey and confirm anto the Gra:►tee ,, he r, ,, heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: All of Lot(s)11 & 12 , Blodc, , 4 0. ...� UHIT 1, a d d i t i on � of Sebastian munic,ipal cemetery as per Plat Number 1 thereof recnrded in Plat Book 2, at page 65 of the public records in the offtce of the Clerk of the Circuit Court of S� Luc�ie County of Florida; said land now lyting and being in Indiaa River County, Florida To Have and to Hold the same forever; provided that said property shall be used solely and exclusivoly for the interment of the human dpead and shall be used, kept and maintained at all times in accordance with the rules snd regulations, ordinances and reaolutions of the City of Sebastian, Flmrida, hereto- fore, now and hereafter adopted or provided for the govemmant and operation of said cemetery. The conditions, restrictions and requirements contained in this inatrument shall be covenants running with the land. In the event of the failure of the owner of any property sitoated within said cemetery to ob- serve and comply with such rules, reguladons, resolutions and ordinances and the conditions of the de'sd of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revcrt to the City of Sebastian, Florida IN WITNESS WI�REOF, The said party of the tirat part has cauaed this instrument to be executed in its name and on its behalf by �ts Mayor and attested by its City Clerk and its corporate aoal to be hereto affixad, the day and year first above written. Attests ..................... ...�..!^�- .... City Aerk 4igned, Sealed end Delivercd In thc Preeence ofi ��l�� ... . .. .... . .. .......... . . ... �-� ... ��.�-.......... 3TATE OF FLORIDA COUNTY OF INDIAN RIVEB CITY OF 3EB IAN� FLORI B� ...... ... ........... .............. - � i1�a�or t�� r�r , : I NEREBY CERTIP'Y, 1'hat on th1� ... . .25 th ....... . .... .dsy ot . . .. . . . ... March ... ............... . .... . . . . . .. . . ., lY. 85. before me personslly sppeared .....Jim Gallagher ................................... �d . Deborah. C:..Krayes............ respectively ]Nayor and Clty Clerk of tbe Clty of Sebuttan, a munictprl corporstion under the laws ot the 9tate ot Florida to me known to be the individuals und otficera deccribed i4 and who euecuted the toregoing corveyance to Odessa Ha1Z ....................................................................................................................................... ........................................................ snd severally acknowledged the execution thereof to be thelr frer act and deed as such otficers thereuato duly authori:ed; and tbat the Otficial eeal of said corpontion b duly aftl:ed t6ereto, aad the itid conveysnce t� the sM and deed ot said oorporattoo. iViTN$93 my djnature aad ottklal aal at Sebutisn. !n tLe County of Indim Rtver and State of Florlds, the day and �ur laat aforewld. Nots PubUc, . :�S!'-: . . . . . . . . . . . . . . . . S o! Florlda at �e. � � � ffiy �� p1�IQotary Public, State af Fiorida _ J' My Commission Expires Auy. 22, 1g�8 iond� TMu TsoY F�in • Inaunnu, I�c. BLOCK 40; LOTS 11 & 12, UNIT I ADDITION REC�IPT N404 DEED �1046 ODESSA HALL 678 LAYPORT DR. SEBASTIAN, FLORIDA 32958 JAMES INTERRED 3/25/85 Paid by CEMETERY Receipt No. . , 4 04 . . . . . . , , , Dated . . . . . :3.�?5 /85 . . . . . . . . . . . . . . . . NO. List Price S.. 300:.��... .. ... Maximum No. Purial Spaaes....:? ...... .... 1 �. 300.00 FZat • d�-"�� Net Paid $ .. ... . ......... . .. Monument permitted . .. ........... .. .. .... . Odessa Ha11 Lots 11 & I2, Block 40, Unit 1 addition 678 Layport Dr, Sebastian, Florida 32958 (Dsta above tfiL line for Gty Iiecord only) � `� � ��L �� a i �� o 6 �` �— � — 9� i � ��.- ��s�ce�� ? � �in.- � �� '� ,�� .�� c�. a ��/ ._ , � � � � � � �� ia �. yo �� in� ��i�-� .� �� m � i � .� � �� / ��'��5 ; /� G� ��- w� Gv�e - �¢?.�- ; c-2.. �� /7'Z - /� v �y� 4?'��/L� � C��-�o (/G,�-�¢.. � �' . L� /� , , ,�- 'n � , ��`� � �o � _ �� , � �`-- � �� - �� - ,� � �.-e- .�.�-� ��U ± � w�� -�?� .� ��o� , ��- � , � � w � ��-- ��.� �:-� ��. _ �� {� �� ...�� .� � .�� - �G� � Gr� �e� � ��;-� �d-�e_ . � �,-�-�,-�- o� � �L� . �,�,;� � 't';'vv ,y'°*�.0.`` � � !:n *�' �..� �� 4,�.�� "'r 7tr �4 �,• �Cb � ��V �� -� C�� , J,�1'mes � ��C� aa .�.� swe�,�,�„� ,�, C�f��-s' v i` //�� '7D�� .s - �, �s�- ��c,�� , ' • • City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 o FAX (40� 589-5570 M E M O TO: Marilyn Swichkow, Finance Director FROM: Kathryn M. O'Halloran, City Clerk SUBJECT: Repurchase of Cemetery Lots by City _ DATE: September 8, 1994 Please issue a check as follows: AMOUNT• $150.00 PAYABLE �O: James T. Fiall 2233 Sweet Briar Drive Clarksville, TN 37043 PURPOSE: Repurchase of Cemetery Lot 12, Block 40, Unit 1 Addition SUBMIT �O: Linda Galle� i�i0 : lmq �ws-form (L-MEMO) . __-----_ . i �. 4 ii � , :; � f r F; t " e� G f` 5 � �A � � �.� � � �-�� r��i 4� � \� ,� / •'� V ��' � ,� � a � � ,Q � ` � '�, .. .�-. T) "! ` `� � I��;. - R .,,• 1 � �', � � � i r, �`��. �..,�;� � .� � � !\ �� V \ ` \^ � "J Q \ � � . T'. ,� "` � � � � � o ,o ( � �� : \ � � � � � � � � � � a � �� J � � � �� ' t:� 0 • � City of Sebastian 1225 MAIN STREET � SEBASTIAN, FLORIDA 32958 TELEPHONE (407) 589-5330 � FAX (407) 589-5570 August 15, 1994 Mr. James T. Hall 2233 Sweet Briar Drive Clarksville, TN 37043 Dear Mr. Hall: In response to your your letter, Cemetery Lot 12, Block 40, Unit 1-A can be sold back to the City for the purchase price if you can provide us with the original deed. If you have any questions, please give us a call at (407)589-5330. Sincerely, 1 / � �'/!" Kathr n M. O'Halloran, CMC/AAE City Clerk KMO:lmg enclosure (ws-form/cem-let) �-/�-�� / " ' s • � /�GL'�� jy� c�� .�� G�� m � � � /'r� o i:%-- . �-y� , �� U aa � 3 ��.��,�,�� ,v�c �� ; � � ��y.� `,� /� G��, J �9-rn �s �. �%-2 �� -� • ❑ City of Sebastian 1225 MAIN STREET o SEBASTIAN, FLORIDA 32958 TELEPHONE (40� 589-5330 o FAX (40� 589-5570 August 15, 1994 Mr. James T. Hall 2233 Sweet Briar Drive Clarksville, TN 37043 Dear Mr. Hall: In response to your your letter, Cemetery Lot 12, Block 40, Unit 1-A can be sold back to the City for the purchase price if you can provide us with the oriqinal deed. If you have any questions, please give us a call at (407)589-5330. Sincerely, / � � �'/1' Kathr n M. O'Halloran, CMC/AAE City Clerk � KMO:lmg enclosure (ws-form/cem-let) 0 • • City of Sebastian 1225 MAIN STREET o SEBA$TIAN, FLORIDA 32958 TELEPHONE (407) 589•5330 o FAX (40� 589-5570 September 19, 1994 Mr. James T. Hall 2233 Sweet Briar Drive Clarksville, TN 37043 Dear Mr. Hall: Enclosed you will find Check No. 013672 for the repurchase of Cemetery Lot 12, Block 40, Unit 1 Addition. If you have any questions, please give us a call at (407)589-5330. Since ely, � ��a� . ,�. Kathryn . O'Halloran, CMC/AAE City Clerk I�to : lmg enclos�re • (ws-form/cem-let) STATE OF FLORIDA �PARTMENT OF HEALTH & REHABILIT�E SERVICES VITAL STATISTICS APPLICATION FOR BURIAL—TRANSIT PERNiIT Z.�� y� U�� A. (7ype or Print) 1. Name of First Middle Last DATE Month Day Y�ar Ueceased • O F James Clarkson Hall DEATH March 22, 1985 2. Place of Death City, Town or Location Name of (If neither, give streei address) Cuunty Hosp. or Indian River Roseland Inst. Humana Hospital Sebastian '� 3. Name of Medic �tPhysician Address —� Cercifier �thy Doner, M.D. [] Medical Examiner 7767 Bay St. Center Roseland, Florida 4. F�uner�a� Ho e pottinger & Son Fu�i�al Home 1200 S. Indian River �dres�ebastian Florida 32958 5. Check a X[�c 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 accide�t nor other external cause of death, and that 6. Funeral Director/ �1►�L�f��X B. c 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 medical certifica ion. � .� ,n . �[ '/�.,.. J�.P• i%.if ".�...��✓, . - z36 8 BURIAL—TRANSIT PERMIT March 22, 1985 a. Lic. No./Reg. No. Date Signed Permit No. 7� ��G/ P�rmission 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 Signatu Signature or Date ��'yJk�[�e.�i �`S i � �.� Issued :.:� .� AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA , 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 48 hours after death is required for all cremations. o. CEMETERY OR CREMATORY Method of Disposition: Ptace of Disposition Sebastian Cemetery �] BURIAL � STORAGE Date of Disposition M�rch , 198 � CREMATION � OTHER (Specify) Signature of Sexton ) or Person-in-Charge ) Deborah C. Kraqes, Cit This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when ihere 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.)