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Home My WebLink About1-40-18� � �it� nf #�3�ebtt�t�tt ��e�t�e#P�r� ��e�e� No. .. 1053 TH18 INDENTURE i[ADE �fs . . .. ,14 th. . . . . . . . . . . d�y ot . . . . . . . . . .June . .... . .. .. ................ .. . A. Dy lY. .85 .• betMeen the Gty of $ebn�tir►a. � mualclpa! oorpontba ezbttns under the Iawr o! the 8bte ot Florid�. �� araator �nd Margie O'Brien .............................p . 0.��9ox��4 1.I....,................................................................................... ............................Sebastian�. FL,...32958.............................. ................,........................... Indian River Florida otihe County of ............................................. w 1 8t�te ot ........,.............................................. w Or�ntee. WITNE88STH� That the Gtantor for and in �nsideradon of the aum of s,? 5 0: 00 ...., . ............� it i�hand paid. the recoipt whereof b horowith ao- kiwwbdgod. doea by thi� iiutrumont grant. bargein, roA, raloa�e, oonvay and oonfirm unto the Crantoe ,., e r... heirti legsl topratontativee aad a�dgnt the folbwing p:oporty aituatod in Sobastian, Indian Rivar County, Florida, tawit: 18 4 0 UNIT 1 Ad d i t i on All of Lot(s) . . , . . . . , Blodc, . . . . . . . . . . . . . . . . . . . . . . . of Sobastian muniapal cemetery as per Plat Number 1 thereof rocordod ia Plat Hook 2, at page 65 of the public racords in the ofRoe of tho Clerk of tha Circuit Court of S� Luae County of Florida; eaid land now lyin,� aad bein� ln Indian River County, Flodda. Ta Hav� and to Hold the same fonevet; provided tj�t said property ahall be usai solely and excWsivoly for tho intortnent of tha humen dead and elutU be used. kept and maintainod at all timee in Accordance with tho rulea and regulations, ordinancxi and rewludon� of the City of Sabaatian, Florida� hetetw fore, now aM horeaPter adqpted or providtd for the �pvernment and operation of eaid cematory. The conditioae, rartrictione and requlrement� contRit►ed : in thi; iitetrument rhaU be covenant� runtrinQ wiW tha lend. In tha avent of tha failure of tho owner of any proporty dtuated withln eaid cemotery to ob- eerve and comply with such rulos� regulations. to�olution� aqd ord'uwnoe� and the conditiona of the ddod of conveyanoe thareof then the titb of tuch owt�at in turd to eakl pra�arty ehall tarminato and thA tama st►all rovart to the CSty of Sebattian, Florida. T�V WITNE3S WHEREOF, The ss►iid party of tho flrat part has causod thia lnstrument to be executad in itt name and on ib bohalf by it� Ddayor aA�d atteated by ita City Clerk and its oorpocate aeal to be hoTetp �ffixad, the day and year fust above writton. CITY OF SEH TIAN� FLO DA At s � , ,r,C.�. �i�!a? -�.�!. . . ,l �,..s . C7��"� i �.�-'� Br . . . . . . . . . . . . . . ... . . `. � . . . . . . . . . . . . . . . . C1�7 �AA�k ��i _':�y10n , Ai�nr�l, 8erled and Aelivere - --" � _ "� � / In th aence of� - • ; . . � , . . � . . �f.tiJryk.r..•. . . . . . . i � . , . ; _ � ;�: , �� ` _ _ - %= .. , ... .�j,�w� ...... .. ....... .,,. .......... � .J .. _ °��✓... J, - BTAT� OF FIAIi1DA ' GAUNTY Q�' INDIAN RIV$� , ��.,.�` ` I I�F+REBY CERTIFY� �t on tylll . . . . , , ,14 th . . . . . . . . . . .dsy o/ . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .� lY8 S •. .................une �efure a►a perwnally �ppe�red .....�im Gal2agher ................................... �..Deborah C. Kraqes..... ...... retpectively IM�yor �nd City Clerk ot t6e Clk� 4t 8ebutl�d. r munklp�l corporatlon uncler the law� of tbc $tate ot F1orW� b m� 1tnqlMq to br the Individuwl� wid oftker� darcrlbed 4r �pd who ac�ecuteid tbe torerola� co��eyspce to .•�•'"""" � Margie 0'Brien .... .,':`;.,: ...,•.. .............................................................................,.............................. . . ` +,: .. . . . ,� _ .. .., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . aad re�erally �cknowled�ed the eacceutlon U►eerof to 6e their tree �et �nd deed si;rucA'of('icrrs tGe�e�ento y�uly Author4edi sod tLat the Otflcial �wl o[ �aW corpontfon ir duly dpxed theeeto, �r►d tbe �aid eon�eysnee [s =:3hc j►ct rad derd of y�id oorpor�tba WITNE99 my..d�natyee and atfkW �eal at BeMatbn. lu tbe County ot Iadi�n Alver �ad �t�te ot Flor►cls„ the da� snd �nr I�at-^afoe�ald.! �- ` � _ .. ' ,(`� �''�- . .-.. ��4y:�c.�. � - . ................. rrot ry r�bUc. et.te ot Znotld�� l[y oomodMla► acpirpr �ot�y �• Stata of Haida fJly Commusion Expires Auq. 22, 14$8 Wnd�d Thru TroY F�in - In�urrnc�, laa, ' • . � .'i�. . !t' :y 1. : �» � �i � U'B�2IEiV, N1ARG2'E RECEIPT #412 DE�'D # 1053 P.O. Box 411 Sebastian, FL 32958 Lot I8, BZock 40, Unit 1 Addition William (husband) interred 6/18/85 _ �..._ __ .. r (� :'��:._e____ Qr 1� _Q�lJrl�t!") _____ _._�__ � =L, � 1 .i�c�c ��.ict�--- — ------ = c c'�_._.__ �i�____ � _____ _ _ __ ____ ----- ;�� _�_�� I � _ __ __ ________ � �� OI ?_��;,r<i--Oil�_ ✓�, i, @ O I" _�"ti ?'� � �. _� . "...' ^', �f T �l�i i{�° �^" _ �,' �� S _.�._,_---____-_-_..._ ._T.�-, , u � T_ •- ; , • - -�_=��__�.�a hy_� - � STATE OF FLORIDA PARTMENT OF HEALTH & REHABILITA SERVICES VITAL STATISTICS APPIICATION FOR BURIAL—TRANSIT PERNiIT � i � /�' y� � i/� A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF William NMN 0 Brien DEATH June 15, 1985 2. Place of Death City, Town or Location Name of (lf neither, give street address) County Hosp. or Indian River Roseland Florida Inst. Huma.na Hos ital— Sebastian 3. Name of Medical n hysician Address Certifier Dr. William Richardson ❑ Medical Examiner 7945 Bay 8treet 464 Sebastian, Fla 32958 4. Funeral Home/ Name Address B�s�ad��.K Pottinger & 5on Funeral Home, Inc. 1200 S. Indian River Drive Sebastian, FL 5. Check a 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 �OX 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 certificatjon af cause of death. c ... 6, u ral Qirector/ Dir ct pisposer ification. Signature was contacted on . He/she verifiad th�t ! ., Medical Examiner, will complete and s,i�n the . # 2368 June 17, T9$5 Fla• Lic. No./Reg. No. Date Sign�d ' BURIAL—TRANSIT PERMIT 759-C1,� � . , � ,4 � , , .� Permit No. , � PermissiQn is hereby granted ta c�ispqse'�of �nis b4dy. ' �] A five day axtension pf time for filing the death certificate jexclusive of weekends) has been requestsd and ' granted.'If it cannat be filed within this time limit, a"Fu�eral �irector/Direct Disposer Report" wi{I k�t (il�d With the �,o�al Registrar of the Cou�ty in which death occyr�ec�. � Fiegistrar or (�� ^ -��9'll��'1 � e, � � ��' � ,; Sub-Re�istrar Signature ��`�� Cg 1 , C�68G�d , ,—�. C. AUTHORIZATION for CREMATION, pISSECTIQN or BURIAL—AT—SEA Signature , Medical Examiner Date or • Medical Examiner, , gave authorizatio� by t�lephone to Funeral Oirectar/Direct Disposer. Dete The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after dnath is required far all crematians. a. C�METERY OR CREMATQRY Method of Disposjtion: (� BURIAL ❑ STORAGE [� CREMATION [� OTHEH (Specify) Siynature of Sexton 1 or Person-in-Charge j Deborah C. Krages, City"C2er Place of DizRQ�ition Sebastian Cerneter� Date of Qispasition June 18, 1985 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.) �' '• � � THE SEbASTIAN CEMETERY Ctty of Sebastian Sabastian, Florida RECEIPT IS HEREEY ACKNOWLEDGED OF THE SUM OF: F,ROM: 0 � �a. ,�� _ �, 3a458� �..�. �i/�- 1 ars ( $ /S� � ) on this�'�_d�y oF��_, 19 �S for the purchasa of the following descx�bed C�me�px� I�a�(a!) ppon the terms and conditiona as atated haxein: Dq�crip�,�on of Property: /1,_/ . Cemetary ,�Ptl�,��► ��' B1ock�i '�i�d UnitN � (,(GZ �l'l Pt�rchasQ Pxiee:��C� �--°-;4^11ars($ /S'O• 00 1 T�xtt� t�d' �`ondi tions of sa1e: � �oC. �..�„�., p�/ c,�C,-# q�'i� �� This coqtract sha11 be b.�nding upon bqth parties, the apller and the pr�rch�ser, whB�a �p,proved by th� ot�►►ra,�r oP �he property �bove described. !� or w�, agree to purcha,se the above described property on the teru�,s and conditiona �tated in the fora�Q,ir�� instrument: �/ �._.. � � � ' � The City of Sebastic�n egraes to se11 the above mentioned property to the above na�c� Fuxcha$er(s) a,n Chp tes7pa and conditiona atated in the above �nstrwnent. a� . lGU��ct�'ti. ty of Seb st Witness �� c� S � � �L�u.� / � /, ,