HomeMy WebLinkAbout1-39-15a' • 3 /21 /85 i
Peid by CEMETERY Receipt No . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . .
List Pricxi S . . 300 .,00. . . . . . . . Maximum No. Eucial Spras . . . . .-? : . . . . . . . . .
Not Paid S .. 300...00. . . . . . . . Monument permitted . . . .F1 a t. . . . . . . . , .
Lots 15 6 16, BZock 39, Unit 1 addition
(Dat� tDo�e tUL Une !or City Itecord only)
f�tt� ,�f �1'b�tt�tt�ri
NO.
1G44
Edeltrauth Jones
1632 Stonecrop
Sebast.ian, Florida 32958
�pl�iP�Pxl� �P1'� N�. .� 1G44
7'HI8 INDENTUR$ l[ADE T►fa . . . . . 21 s t. . . . . . . . . . . d�y at . . . . . . . . . . Ma rch . . . . . . . . . . . . . . . . . . . . . . . . . . . A. D, 1Y.85 . .,
batvreen 1he City ot 9ebacUsn� • munleip�l oorporstloa actrtins under the Iawe ot the 9tate of Florfda� �� Oraator �nd
......................... Ede 1 t ra u t h Jones......................................................................................
1632 Stonecrop
. . . . . . . . . . . . . . . . . . . . . . . . ��k�.� �.i�tt . . .k'1.oF i da. . . .�.z 9.� 8. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
o! the County ot ....Indian River ................... . wl Bt�te ot .....F:�o�?.��........................................
a� (irantee� WITNE88$TH�
That the Grantor for and in coneidoration of tha tum of S,, 300,,,00 . ...............� jt in hand paid, tho reooipt wheroof ir herewith ao-
knowbdged, doea by this instrument grant, bar�aln. eeU� relee�e, wnvoy end �nfirm unto the Gtantee ,her, ,,,}���� � repre�eu►tadvei and aui�m
tho following property aituatod in Sebastian. Indian Rivec County, Florida� to-wit:
All of Lot(s) .� 5.¢, .1¢Bbck, ,,� �. ..., UMT �..d4'L�l �.z.RO , of Sebastian municipal oometary as per Plat Number 1 thereof reoordad in Plat
Book 2� at pa�e 65 of the public records in We ofHce of tho Clork of tho Circuit Court of St. Lucio County of Florida; taid land now lying and bein�
in indiaa Rivor County. Flodda.
To Have and to HoW the same forever; provided that said property shall be uaed aolely and excluaively for the interment of the human dead and ahall
be u�ed. kept and maintainod at all times in acco:dance with the rulee and regulationa. ordinancoe and reaolutions of tho Clty of Sebaetian, Florida. heteta
fore� now and he:eaFter adopted or provided fot the governmant and operation of eaid cemetary. Tha condltione, reetrictlon� and requiramant� contained
in this inatrument shall be covenants iunning with the land. In tha event of the failure of the ownei of any proporty eituatod within eaid cemetery to ob-
earvo and comply with such rolee. roguladons. raeolutiona and ordinanas and the conditione of the ddod of conveyonco thereof then the tltb of tuch owner
in and to eaid proparty ahall terminato and the sa� ahall revart to tha City of Sebartien, Florida.
IN WITNESS WHEREOF, The said party of the fust part haa cawed thia inatrument to be executed in ite name and on ita behalf by its Mayor and
attested by its City Cleik and Its oorpocate aeal to be horeto affixed, the day ar�d year first above written.
CITY OF SE TIAN� F IDA
I
.:.e:--���..� ............. . � B, . ..... ............... .............
Clty Qerk ��IPe
9ignrd, Sealed end Delivered
ld the Pre�enoe ofi
<. .��..'�.',..���..� . .............
. . . . . . . . . . . . . . .. . . . �ri�,�, . .
STATE QF FLOItIDA
COUNTY OF INDIAN RIVEU
���� ��n
/..,� -
I HE1tEDY CERTiFY. That on ihU ... . . . .21 s t . .. . . . . .. . .dny of . . . . . .MarcY� . .... . . . .. .... . ,,r.-. : . . . . . . . . .. 1Y�5 .,
.. .,,:,
betore me perronslly �ppenred ... Jim Ga11a9her .................. ............... .�d ...Deborah,C,, Kra9e.s...........
reipectively Msyor and Clty Clerk of the Clty of Sebsrtipn, ■ municipwl corporation undee the lawi ot tbe 3tate ot Florld� to me known
to be the individualr und otf(cerr descrlbed lo and who executed tbe tocegoln� co�veyrnce to
................. Ede1 trauth .Jones...... ........................................................................................
....................................:................... snd reverally acicnowled�ecl the executlon thereot to be thelr lree aet �nd deecl
as wch otticers tlurrunto duly authorlred� sod t6�t t4e Otilcia! reNl ot �aid corporation la duly •tlixed theretq �ad the wfd conrey�nee
is thc +ct qqd- dend ot pid ooryoration.
WITNE39 my �i�n�tnre �ad ofticW asl st SeDuWn. in the County of Iadian Rlver ud 8tate ot Florida, the day and �e�r
taat aforraakL
_ . . ..... .......,Q..:...�.�,� ...............
Nota Publtc� Sbte ot �iyy�rub�c; �i� u� rwnw
l�y co�ood�lao enplreri
MY Commusan Expires Auq. 22, 19�88
{�od�d Ihtu Tror F.in; Inunaa. I�c.
�'� CEM
Index:RECORD #
Last Name
Address 1
Address 2
City
Deed #
Unit #
Lat Number
Lot Number
Lot Humber
Lot Number
Comment
Camment
City of Sebastian, FL - Cemetery Lots
JOHES First Name EDELTRAUTH
1632 STONECROP
SEBpSTIAN
1044 Date
i-A Black #
15 Interred
16 Interred
Interred
Interred
<F>wrd {B]ack {E>dit
Monday, Dec 27, 2004 09:10 AM
State FL
03-21-85 Amount
39
JOHES,CLpREHCE t�et)
Zip
$300
card:
32958-
Dte Interred 03-23-85
Dte Interred
Dte Interred
Dte Interred
N>e� CP)re� <R>e-search {L>abel <T>ag CEsc>
A.
1. Name of
Deceased
STATE OF FLORIDA � L-� S �� Ll %A
�PARTMENT OF HEALTH & REHABILIT E SERVICES
VITAL STATISTICS
AQPLICATION FOR BURIAL—TRANSIT PERNIIT
or Print)
First Middle Last DATE Month Day Year
OF
Clarence Horrice Jones DEATH MarcYj 20, 1985
2. Place of Death City, Town or Locatian Name of (If neither, give street address)
Counry Hosp. or
Indian River ndian River �nst. �k512 �. S$ 60
3. Name of Medical ❑ Physician Address
Certifier �nnan Sart�hez_CaS�s j N�l��cal Examiner p 0 Bqx 188 Ft �iexee, F1a 33454
4. Funeral Home/ Name Address
b3icoax��pcscerPottinger & Son Funeral Home 1200 S. Indian River Dr. 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
will complete and sign the medical certificacion of
cause of death.
6. Funeral Director/
xxRic�cx�Aispc�mcx
B.
C
f�
�❑ was contacted on . He/she verified that
_ , Medical Examiner, will comolete and sian the
ature
.
�2368
Fla. Lic. No./Reg. No.
BURIAL—TRANSIT PERMIT
March 21, 1985
Date Sia
Permit No. 759-600
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 reyuested 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 Cour7ty iri which death occurred.
Registrar or lJ r � Date � Gr
Sub-Registrar Signature ��//�Ls-u-/ ��l�---'� Issued�� %�''� � `�/ �/a`�
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.
Method of Disposition:
� BURIAL [� STORAGE
� CREMATION � OTHER (Specify)
Signature of Sexton )
or Person-in-Charge ►
CEMETERY OR CREMATORY
Deborah C. Kraqes, Cit�l �1erk
Place of Disposition _ Sebastian CemeterY
Date of Disposition March 23, 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.)
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403 3/21/85
Paid by CEMETERY Receipt No . . . . . . . . . . . . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . NO.
List Price S . . 300 :00 .. . . . . . M��um No. Putial Spaces . . . . .-? : . . . . . . . . .
Net Paid S . . 300 :00. . . . . . . . Monument permitted . . . .F1 a t . . . . . . . . . . . . . . 1 G 4 4
Lots IS & 16, Block 39, Unit 1 addition EdeZtrauth Jones
1632 Stonecrop
(Data above tbL line for Gty Record only) Sebastian, FZorida 32958
J�1�E�'; EI>E�TRAU7'H DEED #1044
1632 STONECROP RECEIPT #403
SEBASTIAN, FLORIDA 32958
LOTS 15 & 16, BLOCK 39, UNIT 1 ADDITION
CLARENCE INTERRED LOT I5, 3/23/85
� � y ��
T'AB SEBASTIAN CSMETERY
C�ry of Sebastian
Sebastian, Florida
RECEIPT IS HEREBY ACKNOWLEIX;ED OF THE SUM OF:
�� _ n�
C� , io u D�ol2ars !S ..�lr7�• !la J
FR01�7: lrr�sl� .. . i �' 1 �,._. _ . .
,/ L 3_].. .�'7'�rv L � w -
���.�,: • � " . �� ,�.1'q.��
on this� �_�' day of� , 198,,5"for the purchase of the following
descr.ibed Cemetery Lot(s) uporl the terms and conditions as stated herein:
Description of Property:
Cemetery Lot (s) #i /j' �/ G B.Zock�1 vnitll f Qa,(e%�J.,, ,
'�..'�a yl Q
Purchase Pri ce �''��,�«� / o �,o1lars ($„�(� ,� )
Terms and conditions of sa1e:
This contract shall be binding upon both parties, the seller and the purchaser, when
a�proved by the owner of the property above described.
I, or we, agree to purchase the a.bove described property on the terms and conditions
stated in the foregoing instrument:
/// . . _,, �_ ' � �
/ /_
The City of Sebastian agrees to se11 the above mentioned property to the a.bove named
purchaser(s) on the terms and conditions stated in the above instrument.
Ci t y of e i an
Witness