HomeMy WebLinkAbout2-G-07/��a ��d�� 'qs B�'� �G ��
'� / �ts 7 & s
i'aid by CEMETBRY Receipt No. . . . �-.h. . . . . . . . . . Dated . . . . . .�J. ?,� 74 . . . . . . . . . . . . . . . NO.
B1k.42,Un.2
�.ist Price $ . . . �- Q �. a � Q. . . . . . Maximum No. Buriat Spaces . . . . �r. � �
'•'••••••••(See Deed 4�259) �,"�, �
Net Paid $ , , ,? � � : � �, . . . . . Monument permitted . . . . . . . . . . . . . . . . . . . . . . D e e d t r an s f e r r e d f r om
Edwin interred Lot 7- Edwin R. & Dorothy M. Mullen to Dorothy & David L.
4/20/89 Mullen
(Data above this line for City Record only)
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THIS INDENTURE MADE TWr ..21S.t ............. day or .........April........................... A. D., 18..89.�
bet���ern ihe City of Sebustian, a munlcipal corporatton e:ieting undcr the laws of the State of Florida, as Grantor and
Dorothy M. Hullen, 542 S.W. Saunders St., Sebastian, Fl., and/or
.......................................................................................................................................
David L. Hullen, 232 W. 42nd St., Hialeah, F1. 33012
............................................. ............................................ ............................................
Indian River Florida
ofthe County of ............................................. an] Stote ot .......................................................
ae Grantee. WITNES3ETHi
T'hat the Grantor for and in consideration of the sum of $..�Q� � QQ .............. to it in hand paid, the receipt whereof is herewith ac-
knowledged, does by this instrument grant, bargain, sell, release, convey and conf'ucrt unto the Grantee , the i r heus, legal representatives and assig►s
the following property situated in Sebastian, Indian River Count �,� Flor�da, to-wit:
,.' , of Sebastian munip al cemeter as
All of Lot(s) 7 , , �. , $ , Block, . �+. �, , , , , UNIT , , 2. , , � , ' 'p y per Plat Number 1 thereof recorded in PL•it
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 ]and now lying and being
in Indian River County, Florida.
Transfer of title from Edwin R. and Dorothy M. Hullen to
Dorothy M. and/or David L. Hullen ' See Deed 4�259
(Edwin R. Hullen interred in Lot 7- 4/20/89)
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-
fote, now and hereafter adopted or pcovided for the goveTnment and operation of said cemetery. The conditions, restrictions and requirements contained
in this instrument shall be covenants running with the 1and. 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, tesolutions and ordinances and the conditions of the dCed of conveyance thereof then the title of such oH�ner
in and to said property shall terminate and the same shall revert to the City of Sebastian, Florida.
IN WITNESS \'VHEREOF, The said party of the fust pazt 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 yeu fust above written.
Attest � . . . . . . . . . . D!' 1. . .�a��'�.—� . .
City Clerk
tiigned, Sealed und Delivered
(n tl�e Pre • n e oP:
...... :� .�, . . .�-�-..`� ..............
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� . . . 0 D�:e�v.� . . . . . .
STATT; Or FIARIDA
r.n►?NTY OF INDIAN RIVER
CITY OF SEt3A6TIAN, FLORIDA
sr. . . . . . . . . . . . . . . . . . . . . .�5.'. . ��. . . . . . . . . . .
Me�or
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.
I I-IE1tP'BY CI:RTI1<Y, That on this .....Z1St .............day ar ...............April..........................., ie...9
brfure rne personally appeared , R1CY18iCl..B..,Votapka .......................... Bna Kathryn.M..,.O,'Halloran.
respectively Mayor and City Clerk of the City of Sebsstian, e municipul corporntiun unJer the Inws of thc Stute of Florida to me known
to be the individuuls und officers described in and who executed tlie foreguing cuwveyunce to
Dorothy M. Hullen and/or David L. Hullen
.......................................................................................................................................
........................................................ and severully acknowledged the execution thereot to be tlieir free act und dred
as such officers thereunto duly nuthorized; and that the Officinl seul of said corpurution is duly atfixed theretu, nnd the said conveynncr
is thc iict uud decd of said corporation.
WITNESS my signature and official oeal �t Sebastian, in the County of Indian River and State of Florids, the day nnd res;
INSt ufuresald. -. '
, �i�. . c . . . . . . . . . .�r. .�. �.J. .-�-rGC� . . . . . . . . . . . . . .
. Notary Publi State ot Florlda at Large.
My coanrnteslon expiree� yotary Public, Stote of iioridd
• My Camm�s:ion Expires Dec. 10, 199z
, $4ndod Thru iroy Fain - Insuranw In4
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C��en��#�e�� �r.e�
N� . 259
THIS INDENTUftE MADE 7� ,,,, 6th,,,,,...,,_„ day of ........,.Septer�be ......,
�. . . . . . . . . . . . . . . A. D.� 19 �Q , .,
bet�veet� lhe Cily of Sebustian, a munIcipal corporation esisting under the lawe of the State of Florida� us Grantor and
........................Edwin„R, , �nd, Dprp,th,X. m,.. H4�..�4J?........................................ , .......................
........................542..S.1.!al...Sa4�l'ld.Qr.�. S��QQ�,�. Se.ba.��.ian.........................................................
of the County or ..... I.ndia�. Rivar ...................... and State ot . Flcarida .
as Gruntee, WITNESSETH: ........................................ .
Tl�ut the.Grantor for and in conslderation of the sum of $.•.**20D•DO*�'........,,..:... to It In haad paId, the receipt whereof
Is herewilh ncknowledged� dces by thls instrument gtant, bargain, sell� release, convey and contirm unto tlie Grontee.. fhe.,ir heirs, legal
rcpresentctivcs und assigns tlie following property situuted in Sebnstiun� Indian River Counly, Florida, to-wit:
42
.. A 11. .. or LoB .?. . d�. . P., . B lk .. ia �6eekiur 11n3 �.2. ... of Sebastian munictpal eemetery as per Plat Number 1 there-
ot recorded in Plat Book 2, at page 66 ot the public records in the office of the Clerk of iha Circuit Court of St. Lucic
County of Florlda.
To Heve and to Hold the same fonver; provtded that said property shall be used solely and exclusively for t)�e interment of
tl►e deucl und sliall be used, kept nnd malatained at all times in accordance with tlie rules nnd regulntions, ordinances und resuluttons
ot the City ot SebasUan, Flortclu, heretotore, Aow aad hereatter adopted or provided for the governmeat snd operatioa of sald ceine-
tery. Tl�c conditions, restrictions aad requtrements contatned in this instrument shull be covenunts running with the land. In thc event ot
Uic fuilure of tl�e owner of any property situated wtthtu said cemetery to observe and cowply with sucli rules, regulations, resulutious
imd urdinanccs nnd the conditions .pf the deed of conveyance thereof then tl�e title of sucl� owner in und to said property shull tcrminute
and tLe sumc shall revert to the City oP Sebasttan, Florida.
IN WITNESS WHEREOF, Thpe said party of the first part has caused this instrument to be executed in its name und on its Le-
hulf Ly its llfuyor nnd nttested by itS'��� Clerk and its corporute seul to be hereto uffixed� the duy ond ycur first ubove written.
atc�st: . G'�-�-�s�.. .�.�. , . : . . . . . .��..
A s 81�ity . . rk . . . . . . . • . . .
Signed, Seuleci und DelIvered
L� 'l ie Presence ofs �
�f�! Y:"�:�.. � . ..................................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .N. � r. . L�� �%� ,�-•.'�--
CITY OF SEBA6TIAN, FLORIDA
Br • � . ��. . . . . . . . . . . . . . . . . . . . . . . .
7�
((ditg o�oeul)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER - ,•,/ �� .
I HEItEBY eERTIFY, That oa thts ..... °'�..�. ..day . .. ..�„�. .. ��l
°f . .....:'� ..............� 1 �
before me personally appeared F....�.UC�.BLtA..Crag.g .................................... and .�.�$.�,�..�'I.�..GaJi1p.�?9.�1.............
rrspectIvely Mayor anA� C1erk of the City ot Sebastian, a municIpal corporation under the laws of tlie State of l�lorida to me known
to be tl�c individuuls und offIcers described in and who executed the foregoing conveyance to
........................... Edw�4..R �.. �4d. RoFO�hy.. P'1...H�ul�],en,.............................................................
•••••••••••••••••••••••••••••••••••.• aad severally acknowledged the e�cecution thereof to be their free act nnd decd
...................
es sueh offieers thereunto duly authurlxe�� Wll� 111nC LiIC �tCi�i+al ea:ul of nµicl ourpurution ia duly ufflxed tLereto, nnd the anid convcynnear
is tl�e act and deed of satd corporation.
WITNESS my signature and officIal se�al at Seba$tian, in the County of IndSan River and State of Florida, the duy und year
lust aforesaid. .�- ' � ;
. .. . . . . . . . . . .. . . ....I!v..! ...�!�. �Z��L:1�.��
Notary Public, State of Florida at Large.
My eommission expires:
Notary PublEc, :! :t: cf `�'•;,�� �t Largo
�ly Commission Expires Nlarch I, 14%6
ponded by Aetna Insurance Comp��Y
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� Date of Mark-out !.��! ��� � �
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Date of Burial__,^ /`� Time � ` � d �' � `
Name of Funeral Home ���� � �
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Block ` ��. , ��•� � ,
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�;''�°Date of Mark-out �� � +� �� � --.
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Date of Buriaf ° � �` � � � � � Time T � ^ � � � � � � ,
Name of Funeral Home - �� r� �f �' -
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Authorized by �
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• STATE OF FLORIDA � �//
� �EPARTMENT OF HEALTH & REHABILI�/E SERVICES � '/.�
VITAL STATISTICS
�
�11'1�.1 L1Iti11.11"nf I V G�tN\ I1�F111
' APPLICATION FOR BURIAL—TRANSIT PERMIT
�`• (Type or Print)
1. Name of First Middle
Deceased Last OOF E Month Day Year
EDWIN R. HULLEN DEATH APRIL 17, 1989
2. Place of Death City, Town or Location Name of
County (lf neither, give streei address)
INDIAN RIVER ROSELAND Hosp, or
Inst. HUMANA HOSPITAL—SEBASTIAN
3. Name of Medical � Physician Address
Certifier FARHEIT KHAWAJA, M.D. ❑ Medical Examiner 7754 BAY ST. SEBASTTAN_ FT e
A G..
Phone Number
589-3000
- --
Address Phone Number (Area Code)
���G'STRUNK FUNERAL HOME 1623 N. CENTRAL AVE. SEBASTIAN, FLA... 407-589-1000
5. Check a❑ The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate
Box b[� PAT was contacted on 4/18/89 within 48
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 DR. KHAWAJA
and sign the medical certification of cause of death. will complete
c �
medical certification.
_ was contacted on . He/she verified that
, Medical Examiner, will complete and sign the
6. Funeral Director/ ' nature
C/��j Fla. Lic. No./RagrAle.
/ �
��-, `�1 �i1672
B' BURIAL-TRANSIT PERMIT
Date Signed
4/18/89
Permission is hereby granted to dispose of this body. Permit No.1228-89-189
❑ 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 oc-
curred.
❑ No extension of time for fili the death certificate requested.
Registrar or ' Date
Sub-Registrar Signature 4�18�89 Data Certificate
, Issued: — Due:
C.
�❑
Signature
or
Medical Examiner
AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA
, Medical Examiner Date
' , 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.
Method of Disposition:
(R�BURIAL ❑ STORAGE
❑ CREMATION ❑ OTHER (Specify)
Signature of Sexton )�
or Person-in-Charge )
CEMETERY OR CREMATORY
Place of Disposition SEBASTIAN CEMETERY
Dateof Disposition 4/�0/gq
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, May 86 (Replaces Apr 81 editio� which may be used)
(Stock Number: 5740-000-0326-2)
�l�ck �2 Lats 7, �
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T_��_t 2
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Hu�al �n.; i�rs. !�s����rd ( l7.Ye'��►y WI� `
5�±2 S.s�. S�:unders Str�et=
SeL�.stian� k'1.a.
Ea�.win Hullen interred Lot 7- 4/20/89
Deed ��1214 - transferred to Dorothy M. I-Iullen
and/or David L. Hullen
232 W. 42nd St.
Hialeah, F1. 33012
__�__ / � /'
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_. H[.�I� y:; �• s. ��:d ,��m.r � 7� e �-e'��, y Ni j D e e d�� 1214
Tranaierred to Dorothy A1. and/or David L. �ullen
- 232 W. 42nd St.
�1��:i1�T ?, F�oex �2, Lots 7� 8 Hialeah, F1. 33012
�%/so /�aaw� �.s '�G ..
Edwin Hullen interred Lot 7- 4/20/89 �"^\
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CEM
�ex:RECORD # NEWCEM __ Record:651
City of Sebastian, FL - Cemetery Lats
Last Name HULLEN First Hame ED4�IN R. & DOROTHY M.
Address 1 933 Streamlet A�e.
Address 2
City Sebastian State F1 Zip 32958-
Deed # 259 Date 04-25-89 pmount $2��
Unit # 2- Black # 42
Lat Number 7 Interred HULLEN, EDwIN Dte Interred 04-20-89
Lot Number 7 Interred BERTRAND,TABITHA CINFANT? Dte Interred 06-28-90
Lot Humber S Interred Dorathy Hu1lenCcremains) Dte Interred 05-29-99
Lot Humber Interred Dte Interred
Comment TRAHSFERRED TO DOROTHY M. AND/OR DAUID L. HULLEN
Camment 232 w. 42ND ST., HIALEAH, FL. 33012 Deed # 1214
>ack tE>dit CD�elete tN}ext tP}re� {R}e-search <L_}abel CT>ag CEsc>
Thursday, Mar 10, 2005 02:38 PM
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/ ! •
•
City of Sebastian
POST OFFICE BOX 780127 a SEBASTIAN, FLORIDA 32978
TELEPHONE (407) 589-5330
May 1, 1989
Mr. David L. Hullen
232 West 42nd Street
Hialeah, Florida 33012
Dear Mr. Hullen:
As per your request we are enclosing Cemetery Deed No. 1214
which transfers the ownership of Lots No. 7 and 8, Block 42,
Unit 2, fror� Edwin R. and Dorothy M. Hullen to Dorothy M.
Hullen and/or David L. Hullen.
LR
Enc.
Very truly yours,
r� s � �`�-�C
Elizabeth Reid
Administrative Secretary
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