HomeMy WebLinkAbout1-40-16�_�_.,� �
c�
s l
�
ZL�.,�.� /
��-�
-
/, ,
, � � �
� Paid by CEIdETERY Reaipt No. . . . . . � . . . . . . . Dated . . , 1 . 23 . 86 , . . . . . . . . . . . .
Lirt Pdoe S .225 j 00. . . . . . . . . Naxlmum No. Pucial Spaae� . . :1 .—. . . .. . . . . . .
Net Paid s,225: 00. ...... .. Moaument pormitted ... ..F1 a t
Lot 16, B1ock 40, Unit 1 Addition
NQ.
�. 1G68
Nick J. Spina, Jr,
8520 S. U,S, ft1, Apt. A-1
(Dab �6o�e tbV pne tor Gty seeoed ody) Sebastian FI . 32958
�ifjj D� �P�1�Bf�Mri
�1'ritP#P�l� �PPi1 N�. . 1G68
THl9 1NDENTUAE 1[AD8 11tr .... . . . . .2,�.�'d. . , . . . . . d�y of .. . . . .J��.ud�y . .. .. .. ... . ............. .. .. . A. D.. li.$�...�
bste•een the Clty ot SebasWq, a muaklpd eorpor�tloa aci�ttns uader the bwr o! the 8tate of FlorWa� �� Cinato� �nd
............... Nick J., S,&ina, J;,.. ...... .................................................................................
8520 S. U„3. #1, Apt. A-1
. . . . ... ...... . . Seka�t.ian...�'1.....3.2958 . . . . . . .. . . .. . ..... ... . .. . . .. .. . . .... . . . . ... . . . . . . . . . . . . . . . . . .. . . .... ... .... .... .... . ...
of tha Conaty o! ...Indian..R.iver ........................ url 8tate oi .....Florida........................................
u Orantee. WITNE88BTH�
225 . 00 . . . . . .. . . . . to it in hand . P
That the Grantor for u►d in oondderadon of the sum of s ............... paid tha reoai t whereof is herewlth ao-
knowledged. doea by tlw inarument grant� bugain� �ell, releree� oonvey and confirm unto the Grantea ,,, h i s. .���� y�� ��aeentativa and a�dgiu
the following property dtuated in Sebartian. IndLn River County, Florida, to-wlt:
All of Lot(s) , 16 .... Bbdc� ...4 �. ... UNIT ,1, .Add :..,.� of Seba�tian municipsl oemetary a� por Plat Number 1 theroof ncocdad in Plat
Book 2. at paQe 6S of the publlc records ln tho of9ce of the Cbtk of the Citcuit Court of S� Lude Couaty of F1orWa; taW land now lyln� rnd bein`
in Indian River County, Flodda.
To Fiave and to Hold tha ame fonver; provided that uid property �hall be u�ed ably and excludvely for the intern�ent of the human dead and dWl
be usod, kept and msintained at all dme� in acoordsnce with the rubs uid m�uLtbn�� ordlnanoe� and roalution� of the City of Seba�tLn, F1orWa� iareto-
fore, now and hereafter adopted or provlded for tho government and operatlon of wid cametecy. Tl�e oonditiont, re�trictione and requiremenu contained
in thia in�trument ahall be oovenanta runain� with tho land. In tho event of the failure of the owne: of any pcoperty sitwted within ewW ametery to ob-
rerve and comply wlth such rules. rogulations, rasolutions and ordinanas and the condiUone of the dded of oonvayana thereof than the titb of tuch owner
in and to said property ahall terminate and tho aa� ahall revert to tho City of Sebaatian, Flor3da.
IN WITNESS WHEREOF, The said party of the fust part has ca�aed thia instrument to be executod ln ita name and on lta behalf by ita Mayor and
attested by ita City Clark and ita corporate eeal to be hereto affixod� the day and yeac first above written.
CITY OF SEAABTIAN� FIA DA
ttect� ..�..�•. .. . . .. .��. .�.. ... ..... 8� . ......' .`�� ` ....�. .........
Clty Qerk = /�� - - .
fiignrd, 3erled and Dellvered
In the P erence of i ���
` . ...� .. . ... .......................
STATE OF FIAIt1DA
COUN'PY OF 1NDIAN RIVER
� �'.i, y `_ •
� "� /"
- _ ' _ . �- '""
' � ��-"y � - '� =
- v ^ - �,/ �
",'' � . •�� —
�` . . - _= f
, .,., ,
I NEIiEBY CERTIFY. That � thU . . . .. . .. �.3 F.4. . . . . . . . . .day or . . . . J.�nuax� . . . . . . . . . . .. . . .. .... . . . . . . . . . . . . . . . ., lY. 8.6,
betore me penonally appesred . . . . , . . Jim Ga11 agher , ,, , , , , , , , , , , , , , , , , , , , , , � . Deborah C:..Kra�es ... . , , ,
resprctively Mayor rnd Cfty Clerk of the pt� of Sebutiaa� ■ munMlpal corpoestio� under the l�wr ot tbc 9tate ot Fbrld; to me kno�rn
to br the indlvidurls und otticen de�crlbed in sad wdw aecuted tbe toce�oin� co�veyrnce to �
............. Nick .J,,,S,pina,Jr:................................................................................. � ............
......:............................................... snd �everally acicaowled�ccl the executlon thereol to be thelr trea aet �nd deed
ar ruch otficers d�errunto duly �uthorlr,edi aod tliat tAe Official �I ot s�ld corpor�tlon Ir duly •ftised therotq �ud the raid conveyance
u thc �1 �Qd dRd pi �aW onrporaUon.
W1TNE33 my d�aature �od otticW �esl at 8ebuti�n. !n tie County ot Indl�n Rlve� aad State ot Fbrlda� N�e �la� and �e�r
t
l�ot �torwsid. �
' . . . .LJ.S .•. . ' . . . . . . . . . . . . . . . . . . . . . . .
x ry Pu at�te or F1�1�i y ,�Gb of Rorida
Y� eoml�lo� esplra �
My Commissioo Expir� A�w• Z2. 1988
w.aa tnra tro�iw - 4w,..c., y� ,�
� q .�
r
z�
_.. . . . . . �. .. . �. .. .:� . -_._ . . . , .. �
. , . . ... .... . .
. �.. ' . _ � . . . . �. .. . � .
, a '��� � �,
A t { f
k I .
Name /� !: i�;�%ty/ ,d %� � f G {� � �`"� ' � .� s �1+�
�': _ � � ',
.
Unit ..
t .:;� � - . . ' . . ,: ;
:
� 614Ck � 0
�.
Lot �;+�j �
a "�' �
Date of M�rk-out
' Da#�, of Buriai� � � "�` � �" � ime � t d � � � �
�y. .
' Name. of Funeral Nome � . � ' � � ' � •
> �.�,
��� r" :. � i • 1� _... . � ., '.�.
, AuthOrized by � "rLL
; , . � , ... :
. . .. . y :.. .!. , . ` . :r-.. �
�
� ,...:'� . -�� , r � . � : .... l "
� 'a
�� ' �q � . :r ..
g+ff 5 i Y ; �, ,� �
s� i 2 �
� t �1 rq .y��r` ��9.� :
. a j i. '[ '�'_ .. . . . . . . . . $�.Y�... '�i�;'�'i r� . . . . . . .
SPIN� JR. NICK J.
8520 S. U.S, �1, Apt. A-1
Sebastian, FI. 32958
RECEIPT �427 �
DEED �1068
Lot 16, B1ock 40, Unit 1 Addition
Infant interred 1/26/86
BLOCK 40, LOT 16, UNIT 1 ADDITION
SPINA JR. NICK J.
8520 S. U.S. f11, Apt. A-1
Sebastiari, FZ. 32958
INFANT INTERRED 1/26/86
0
Receipt #427
Deed #1068
I
0
•
�
THE SEBASTIAN CEMETERY
City of Sebastisn
Sebastian, Florida
.I[a:�: J
RECEIPT IS h►EREBY ACKNOWLEDGED OF TNE SUM OF:
--�- � 0 �
�WO l"a�lpOr_[� �L.�E-►����, t',��(-�" 1ov Dollars (�O�o�.S •O � )
FROM: wi \L,C_ V� �'� 1 k1d �2
g� ao �. u_� ��-��� A� t
���� ����� �����
on this �i3� day of J�vU, , 2-9�Gfor the purchase of the following
described Cemetery Lot(s) upon the terms and cond.itiona as stated herein:
Description of Property:
Cemetery Lot(s)�Y �(� B1ockN Lf [� Unit# �,Q V�� � f►"IZ1� ,
r--��
Purchase Price:�WU �����Qt �,EV�� �i`�e �1Zars($�2�S-Gt� 1
Terms and' condi tions of sa1e: �aSl�` - t'� _►`J ���1•.
This contract sha11 be binding upon both parties, the seller and the p�rrchaser, when
approved by the ownex of the property above described.
I, or we, agree to purchase the $bove descr�bed property on the terms and conditions
stated in the forego�nq inetrument:
The City of Sebastian agrees to se11 the above mentioned property to the above named
pvrchaser(s) on the terms and conditions stated in the above instrument.
Witness
City of S b ian
� �'�
�'a.� ��X �v � � �- e �: � !-�`� �
� �.�
STATE OF FLORIDA
RTMENT OF HEALTH & REHABILITAT�ERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL—TRANSI� PERNiIT
A. (Type or Print)
�, i 6
� ��
� //�
1. Name of First Middle Last DATE Month Day Year
Oeceased OF
I. �I�,l�/�I�,� �C�QL�� .IP�N�l DEATH % +�oZ' �b
2. Place of Death City, Town or Location Name of �1f neither, give street address)
County Hosp. or
� Q C�/s R Tl �i1 r// /�/1 �" _ t�••� Inst. 1A1 �. ��T !� n GG [.�-ns Di�"A� L
3. Name of Medical �, �Physician Address
Certifier ,�j,¢�Q n_1 I�/�1! A.Q ui sL Medical Examiner 1'�G'i_� A� . C�nr. QTF'e] A 1
4. Funeral Home/
5. Check
Appro-
priate
Box
6. Funeral Director/
B.
Name
� �..
— . �.
a The medical certification has been completed and signed. A completed certificate of death accompanies
this application.
b�S�c �—' Q�T,lpQ�1� �OT�NN� was contacted on��l�irishe verified that
this death was from natural causes, that there was no accident no� other external cause of death, and that
��! _�i i�sGr/�i� �d�.i��— 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 certification.
Fla. Lic. No./Reg. No.
a��d
BURIAL—TRANSIT PERMIT
Date Signed
��
Perrnit No.��.� 1(i6 "' a 3��
Permission is hereby granted to dispose of this hody.
�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 �/ o
Issued � ' � 7 "'� j �
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:
BURIAL � STORAGE
CREMATION � OTHER (S�
or Pe
.
Place of Disposition 5,.._E'��STi(� /l% C��'J,E7'"_ER�i
Date of Disposition ��— ��=�,�
Deborah C. KraQes, City Clerk
This permit must be endorsed by the Sexton or person-in-cha�(or by the Funeral Director/Direct Disposer when there is no Sexto�)
and returned within 10 days to the local County Health Department in the County where disposition occur�ed.
HRS Form 326, APR. 81
�replaces previous editions which may be used.)