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HomeMy WebLinkAbout1-40-29• �tid'by CEMETERY Rocoipt No. . . •. . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " List Prioe S . . 450 ,Q0 . . .. . . . Maximum No. Eutial Spaas . . . :?.-... . . .. . . . . Gl�a 450.00 F1at `- 1 V r� Net Paid S Monumant permitted ... .................. .........''.......... Doris L. Tarducci Lots 29 & 30, B1ock 40, Unit 1 Addition 3723 Lakeview Dr. (Dat� above tbb Une foe pty R�cord ody) Sebas tian, FZ . 32958 �tt� Df �P�tMBftMri �PritP#P�'1� �P�� No. 1G72 THIS INDENTUAE 1[ADB 11� .... 26 th. . . .. , . . . . . . d�y o! . . . . .February ....... .. .................. . A. D.. lY. 86, r betNeen the Clty ot Sebastisn. • munlclp�l oorporstba adotins undce the lsws ot the State ot Flo�id�. �� anntor and ............. Doris L. ,Tarducci................................................................................................ 3723 i�keview Dr. ..............S�bas�iaz��..F.1.....32.�5� ............................................ ............................................ of the Co�u►ty oi ....�Bre���'a :..:..:....................... aol State ot ....F.�Q�'?�s�......................................... w Gtanta, WITN888ETH� TLat the Grantor fot and in consideradon of the sum of S...� J �. Q � ............... to it in hand paid, the reooipt whereof is herewith so- knowledged, does by this instrwnent graat, bargain. sell, relesee, convey and confirm unto the Grantee ,�1,��'. ,., heirs, legal repraset►tatives and ataigns tho followiag property situatad in Sobastian, Indian River County, Florida, to-wit: All of Lot(s) � 9& 3 0� gyp�� 4 0, .,.,� UNIT 1, ,Ad d i t i on , of Sebastian municapal cemetery as per Plat Number 1 theroof recotded in Plat Book 2. at paga 65 of the public records in the ofSoe of tho C1erk of the Ciccuit Court of St. Lucio County of Florida; eaid laAd now lyia� snd boin� in Indian River County. Flo�ida. To Have and to Hold the same forever; provided that said property shall be used wlcly and exclusively foc the intorment of the huit�az► dead and shaU be usod� kept and maintainod at all timet ia accordanco with the rulea and rogulationa� ordinance� and :ewlutions of the City of Sebsttiat►, Florida. hento- fore. now and horeaftei adoptod o: provided for the government and oparation of �sid cemetery. Tk►e aondition�, rettrictione and requirementt contained in this instrument ehall be covonanta running with the land. In the event of the failuce of the owno: of any property dtuatod wlthin said cemetery to ob- eerve and comply with such ruUes, regulations, neolutions and ordlnanooa and the conditiona of tho de'od of conveyance thexeof tlmn the title of auch owt►or in and to said property shall terminate and the same shall revert to tha City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust part has cauaed this instrument to be executed in its name and on its behalf by ita Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and yeaz fust above written. � . Attest s . . . .... . . .�.�. . r'�-r`.'� �*- • • • �• • )1�'YU.�✓ . Ity Qerk 9igned. 3ealed and Delivered 1n the Pr�ence Of i 'e:�����f� ,� . .'!� . . . . . .. • .. . .�I[���... .• •�.��������������r�������. STATE OF FIAItIDA COUNTY OF INDIAN A1VER CITY OF SEBABTIAN, FLOA A � �. , B� . . . . . . . . . . . . . . . . . . . . . : z. ;. .*. . N�yos � . _.► �.- ` _ � ,. . - -;; � � 1 � ��� �E^'? ~� ..� V i � 1' / \ ' I � ���.���'M�r � ` �� � ' . v ``� � ti\\\��\ I HEBEBY CExTIF'Y. �t � tUh ... . . . . 26 th. . . . . .. . . . .dpy oi . . . . .Februa r'� . .. . . . . . .. . .. . ... .. . . . . . . . . . . . . . . ., 1P 86.. before me personrlly .p�sna ....J.im..G�.�.Lash�r .................................... .na ..1?eko.�ah.�...KF:d9:�S ........... reepectively Mayor end City Clerk ot the pty ot SebRStfan� a municipoi corporation under the lawo of tlie $t�te ot Florlda to me knowo to be the individuul� ond otUeerr deceelbed i4 and wlw aceeuted tbe toce�olns eo�veyatux to Doris L. Tarducci ....................................................................................................................................... ,.'.......... ....................................... sad �evee�lly acicaowled�erl the executton tLereot W be thds feee act �nd deed as�puct► ottkers�therrunto duly xuthorf�d; sud tL�t tAe Otticfal wl of ald corporation b duly atflud tberetq aud tbe �ald convcyance y nc� �ct rnd deed ot uW eorpor�tbu. vltiTNE:i$-my rf�nature aad otticW ual �t 8eba�tlnn, ln tbe County of IadJ�n Atver �ad 8tate ot 8lorlds, the day *nd �e�e I�s1 sfurri�ld. e ...,,� .. . .................. No ry PuWk. 8tate ot Fbrld� t ]Iy eom�olalonn esp�ra� Notary Public, State of Florid� My Commission Expires Auq. Z2, 1988 �dod Thru TwY Faip � Insur�nce, Inc. �ti _r . -.. _. _ _ : . - . . � � .:. � � . ' ,�• ' . .. `; i . � . �. . . � � . : �._ , , , � . - . . �'' . . . . .. . . � . .. . . . � . . , . � :,.. . . � . . , � . . � - . .. . - . . � r . . . . � . . . � '�i i .�^ i Name �,3 �i ,r�� � � �� �: *�+���,,,. ' � �. ' � ^ ; Unit ` A � "b r � r � hf � �; � - ' i u , i. � ,; 'il� - . � Block � � Lof � � � � ! . � � � , Date of Mark-out . � ,� � /�1 ` � f.� A, .�� r <s�:� � f�' �. � �T'ime I Date of B�rial �. I I Name of_ Funeral Home • �°'� �� � � � • ' � . , , � �, , , i � � � � �_ _ � . � � �� . Authorized by , . . � , I ., , _ ;� i � _ > : . , ��. � STATE OF FLORIDA �ARTMENT OF HEALTH & REHABILITA�SERVICES VITAL STATISTiCS APPLICATION FOR BURIAL—TRANSIT PERNIIT � ��; � �% � �r� � id� A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased James Tarduaci D ATH Feb. 25� 1986 2. Place of Death City, Town or Location C unt Gainesville AQlac�iva Name of (If neither, give street address) Hosp. or Shands Hospital Inst. 3. Name of Medical �•• �Physician Address Certifier Eugene Ryerson, M.D. ❑ Medical Examiner Shands Hospital Gainesviile, Fla. 4. Funeral Home/ Name Address �a�c Pottinger & Son Funeral Home 1200 S. Indian River Drive Sebastian Florida 32958 5. Check a� 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. F B. C« 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 ��2558 Feb. 25, 1986 Fla. Lic. No./Reg. No. BURIAL—TRANSIT PERMIT Date Signed Permit No59-653 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 occurrad. Registrar or Sub-Registrar Signatu Date � _ Q_ , ^ �. ` p �6 Issued AN �ri 7 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: Place of Disposition Sebastian Cemetery � BURIAL ❑ STORAGE Date of Disposition Feb. 27� 1986 � CREMATION � OTHER (Specify) Signature of Sexton ) or Person-in-Charge ► Deborah C. K s, Cit�Clerk This permit must be endorsed by the Sexton or person-in-charge (or by ihe Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the I�al County Health Department in the County where disposition occurred. HRS Form 326, APR. 81 (replaces previous editions which may be used.) CEM iex:' City of Sebastian, FL — Cemetery Lots ast Name TARDUCCI First Name DORIS L. ddress 1 3723 LAl€EUIEw DR. ddress 2 l;ity Deed # Unit # Lot Number Lot Number Lot Number Lot Number Comment Comment SEBASTIAN 1072 Date 1—A Block # 29 Interred 30 Interred Interred Interred <F?wrd CB>ack <E)dit Wednesday, Dec 29, 2004 10:27 AM State FL Amount Zip $450 Record:91 32958— 40 TARDUCCI, JAMES Dte Interred 02-27-86 Dte Interred Dte Interred Dte Interred ete CH�ext CP?reu <R}e—search LL�abel CT?a�t <Esc> .� J � � � TN� SEBASTIAN CEMETERY City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF TXE SUM OF: �.[/� � /n .i i iu �/1 .y � � A/VN G[�G/ 4 �0 U �/��'► Dollars (S__ �2% S�� .. J � 1 v � � � FROM: � Cl� / S L- _ % _i¢ � U ` G ! � 37z 3 �'�-���_ v��, � � r�. �- i I-TL�: l� ��aw� o� � F��}. 3 i 1� 8 / on this � d jf.� d$y of , Z-9�� for the purchase of the followin9 described Cematery Lot(s) upan e terms and cond�tions as stated herein: D�escription of Property: ' Cemetery I,ot (s) � �!�-3 n B1ockN T � Un� t!1 � � ���t� � o� �/�-7� Purchase Prioe:� /a v ,pollars ($ '( / - • J D ) Terms and�conditions of sale: �� . � ��G� � �"' / / � � � �a 6 �8 � This contract sha11 be binding upon both parties, the seller and the pr�rChaser, whan approved by the awner of the property above deacr�bed. I, or we, agree to purchase the above described property on the terms and conditio�s stated in the foregoiny instrument: �L � ' �' i ., �_ /� � The City of Sebastian agrees to se11 the above mentinned property to the above n�d purchaser(s) on the teras and conditions stated in the dbove instrument. Wi tness , , C ty o Se stian BLOCK 40, LOTS 29 & 30 UNIT 1 ADDITION DORIS L. TARDUCC� 3723 LAKEVIEW DR. SEBASTIAN, FL. 32958 JAMES INTERRED LOT 29 - 2/27/86 / °" � s� a . � � '� � m .