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Home My WebLink About1-39-18a� � 3/ZO/es � ` paid by CEMETERY Receipt No. . . . . . . 1 �. . . . . . . Dated . . . . . . . . . . . . . . . . . . . . . . . . . . I.ist Price t . 3 5 0 ..0 0. . . . . . . . . Net Paid s . 3 5 0: 00. . . . . . . . . Lot 18, B1ock 39, Unit Maximum No. Puiial Spaces . . . . .-1. : . . . . . . . . . Monument permitted . . . , Fl a t . . . . . . . . . . . . . 1 Addition (Data sbo�e t6b llne tor Gtr Re�ord c�uly) NO. 1G42 Leonard W. Ours 7935 96th Ave., Vero Lake Estate Vero Beach, Florida 32960 �itg nf l3rb�,�t��n �PI�tPfPx�' ��Pi1 No. . 1u42 THi9 INDENTURE 1RAD$ 111r ....... 20th ... ... d+�y ot ........March .............................. A. D.. 1Y.85... between the City ot SebasW�y • municlpsl corporstba enirtln� undcr the lawr of the 8tste ot F1orWti �� aranto� and Leonard W, Ours ........... 7935"96th'Av'e, ;..Vero� Z,ake �Estetes .......................................................................... ........... Vero Beachr..Floric�a... 32960 ....................................... ............................................ ot the County of ....Indian,R�per ....................... �al Btate ot ....F.�O.�IFl�......................................... a Grantee, WITNR88ETH� That the Grantor for and in condderadon of the sum of S..... 35Q: .QQ . ............ to it in hand paid, tha receipt whoreof !s herowith ao- knowledged� doea by this inrtrument grant, bargain, eell, ralea�e, oanvoy and oonfirm unto tl►e Grantea , h?�, ,,, heira, legal represantadve� and awgns the folbwing proparty rituated ia Saba�tian, Indian RivCr County, Florida, to-wit: All of Lot(e) , IB.. .� g�� ..39 ,.. , UN1T I..add z t.ion � of Sebaetian municipal ameury a� per Plat Numbor 1 theroof reoorded in PLt Book 2� at pege 65 of the pubdc reoorda ln the of8oe of the Cbrk of the Clrcult Court of St» Lude County oP Fbrida; �aW L�nd now lyin� �nd bein� in Indian River Couaty. Floridr. To Have and to Hold the ieme forovar; ptovidod that �aid property ahall bo u�ed eolaly and axcluaively for the interment of the human dad and rhrll ba uwd, kept and maintained at all dmer in accordanoe with the rulea and re�ulatbne. ordlnanoe� and realutioni of ttie City of Seba�tLn. Florida. hereto- fore. now and hereaPter adopted or provided for the �overnmeat end operation of reW cemetery. The oondltlon�, rencictiont and tequlrement� contained in this inatrument thall bo oovenante running with the laz►d. In the event of the failure of the owner of any property dtuated within wid cemetery to ob- rarve and comply with auch rulea, ra�uladone. rewlutlona and otdiiwnae and the conditione of the de,ltd of oonveyanoe thereof then the titb of such ownet in and to iaid property thall terminate and the eame �hall revert to the City of Sebastian, F1orlda. IN WITNESS WHEREOF� The said party of the fuat part has cauaed thia inatrument to be executed in its name and on ite behalf by iti Alayor and attested by it� City Cleik and its wrporate �eal to bo hereto affixed, the day and year fuat above written. Attects �4f'. iv!v!4�. � }; ,!�`.l�S-;!!-, Clty Qerk � 31�nrd, Sealed and Delivercd In the Prerence ot� C'J� . . . .�� . .. ...... . :�r� . . . .. . . . . . . . . . . . . . . . . 4 4 '�' + � .. . . . . . . . . . 3TATE OF FLOItID COUNTY OF 1NDIAN RIVER CITY OF SEI3ABTIAN, IARIDA B� ......!........... ..................... l[yor �it{� o�) - - � ; i, I HEAEBY CERTIFY. Tbst on t1�L .......20th...........d�y ot .... March .......................,.-.,,..... ......� 1185.. beturt au per�onally �pperred .., Jim Gallagher � Debotah,C,,,Kcages re�pectively INayor �nd Clty Clerk ot the Clt� of 8ebutl�n� � munlclp�l curporstlun under the I�w� ot the 8t4te of Flurld� to tne knoqa to br the Individuuls und otflcers desc�lbed in snd wM e:ecuted the loec�oln� cwveyrc� :�. to Leonard W, Ours ................................................................ ...................................................................... ...... ...... ........................................ and reverally acknow�ledged the executlon tlxreot to be thelr free act �nd deed �a su�h oiticers tderrunto duly outhosired= aad tb�t the Otticla! rerl of a�id corpor�tion Ir duly •tflYed tbexto. and the MId conveyanee Ic tbe aet ond deed ot oaW oorpor�tla�. '� WITNE89 my alen�ture rad ottWal �eal at 8ebutlsn. 1n tLe Couaty of Iadlan Rlrer u�d State of Florid�. the d�y and �ear tart atorewW. . ... . .... .. . ..... .................. Nobry PuDlk. 8t�te$�� FlorWa at Lrp. . 1[y eo�ool�loe e:plreiY"�Y Public. Stite o� A�e MY Commission Expuej w.�.a rn�„ r,o �9• u, ��8 Y f�in • Inwriap. lat. � ,. _ _ ::. '.. ' � . :..�� . :..: � ._� � .. � :�. _... .'. .. '. , . ' .. ...,.. 1._ �( � :� J„�- � l� t �F^ rF 1 . . . � _ � FVame .��G7 /7 C�.�, i� �u.,e 5 i � ; Unit.. . � . �'l,i Block � ! . Lot � Date of Mark-out� r�� ' ? �.'� 1 � �� . Time ; / ' C�t`1 �, l'� , � . Date of Burial .t �. r � � `a , - �,�,� , : N� I ome � .. � . e �..:. . � - : � ��_.. .. - �. � , , . . , . , . . . , . j. Aut rized by _ ? i . � `_� ' , ; :. , �, ; ,i _ Paid by CEMETERY Receipt No. . . . . . d Z 7. . . . . . . Dated . . . . 3 /20 /85 . . . . . . . . . . . . . . . . . NO. List Prioa S. 350.:�� ..... . Maximum No. Puiial Spaces ....-1.: ... ...... Net Paid S 350 00 ... .. Monument pernutted ....F? a t. . 1 G 4 2 .,....... ............. Lot I8, B1ock 39, Unit 1 Addition Leonard W. Ours 7935 96th Ave,, Vero Lake Estate: (Dat� •bove tfib line for City R�eoord only) Vero Beach, FZorida 32960 �, ,x � ' � LEQNARD W. RECEIPT #OI7 9' "'`'96TH AVE, DEED #1042 ,VERO ZAKE ESTATES `VERO BEACH, FLORIDA 32960 '�r��. .. ,� . 4,.,; LOT Z8, BLOCK 39, UNIT 1 ADDIPION P D �� C�� - �� - y �� d - LJ CE M Index:REGORD # City af Sebastian, FL — Cemetery Lots ast Name OURS First Name LEONARD ddress 1 7935 96TH AUE. ddress 2 t�izy Deed # Unit # Lot Number Lot Number Lot Number Lot Number mment mment UERO BEACH 1042 Date i—A Block # 18 Interred Interred Interred Interred State FL 03-20-85 Amount 34 leonard Qurs �ip $350 d 32960— Dte Interred 04-1?-00 Dte Interred Dte Interred Dte Interred <F?wrd CB>ack CE]dit <D)elete CN>ext CP7re� <R>e—search {L>abel CT Monday, Dec 27, 2004 09:52 AM CEsc> I ��/C� �. , � . : � .: . . £ . � 1J U� � � _ �V�, : _�._. � _: `• : `_� , % �/ ''j �.I,.o � 3 y ' �4 _ � - �-g.�,� . �,� � �� . ; ►f')� u � \,o f'� ��' �' � -_ ., , ' � �� Y , G -�,a.rY� •. ' . `.�•� . �, � �' t�� . io �• �;:�� ' _ ` �jo ,� , � � _ �y �'� � - — f � , a� �,`a �' S;a �� . o �a� � �` � � � . � � � . 1 ,��,� o� �, a ��' �� - .\ � 7 � � �' ,�� 3� ' �� f . • - - - ----� . � ,� _. . �� Y3 Zv f/ � � � � �_ "� J � - � _ , � '�6�� -�� Q�u��n� � aZ�� a�� = �, �� , �,�� ., � : ' J� �' ,� �� a � , L � �-, �� 5 ��a � �� ^,�$ � ,, ' . _ �% ,,6�� D `� I '� , ,�� . � a r► � . _ � w . ��p y1 o y ,�;�� o ,�.��t�` �� , � b� ; _ �v � . � � �, � . . . - - � • . _ `'�," ! . 1 (,�'' . _ : �',� : • - ' • P 31 3i- • � z . G p� rN• �� . � ^ - �., � � �� , ` � _ , .J J J _� ` ' �✓ . �. - ,� ---�-�. --- ;/. f . .-.: , _... � �1�'�� > - ; , ., . ,.. . . ,r � � TNE SEBASTIAN CEMET6RY City of Sebaetian Sebastian, Floride .c�� RSC1►.iPT I8 8BR�8Y ACXAIO(rLSDOSD OF TN$ 8UN OF� . \a � � � < �� 11ara (S,i G -.�7.� % FBQM: � j - , /.�i � � - i � �- : � l�) �/'e ��,1 Y> �� - �� on th.iQ �.� u day o!� ,r�. , 19@f� 1`or the purch�a• o! ttw �ol2owiny d�acribqd Cooet�ry Lot(�) upon tho termr snd anndalt�aru u�tattd h�r�in,� D�e$criptio� of Propertys Cematexy Lot (�) iY_ /� 81ockN � 5? uni tM /��d PuY'cha�e Price�� ' �x =- � Dnllar� (S�,S o . ,,� 1 � Term� and condit�ons of sa1e: y �t�.�-�� •-�-�.- cu. G -�-r� a--x.�.s ��c,o.�.c. This contract sha11 be bindiny upon Doth part�er, the �e12er and the pus�chNps', when appripvod by the owner of the proporty e�bov� dpacrib�d. I, or we, agree to purctwae the above described prop�rty on the terA� �7d conditiona etat�d in the foregoinq intrua+enti �}�'s ic.0 a-d <�.%..Gc.I�C1-- C�'�% I'he City oP Seb�atian agrae$ to �e11 the above mentioned prop�rty to tho above named pur�ha�er(a) on the terms and c�nndttion� �tatad .tn the abov� ir� trun�nt . witnesa y / City ot Seba�ti,an � .,` ) Purchaee price $ .��_S (J D�7 Pa1d_��_ �� pate . � - �✓Balance$ �� - Paid� � rn) Aaca�eal�na�S . , Pe1d�� '�D�ate_= -�j ,.�iSalance$ • O - Paid D�ata BalanceS Paid � pate _,Balwno�$. FLORIDA DEPARTMENT OF HEALT A. (n'PE) 1. Name of Deceased F 3. 4. 5. First /-, i R' /;� :3 % St�f Florida, Department of Health, Vital �tics /� APPLICATION FOR BURIAL - TRANSIT PERMIT C! �/� Middie Leonard Wiiliam Place of Death Ciry, Town or Location County Palm Beach West Paim Beach N me of Medical Address cert�fer Richard Levene Medical Examiner Last Date Month Day Year of Ours Death April 14 2000 Name of (If neither, give street address) Hosp. or inst. Hospice of Palm Beach County Phone Number 5300 East Avenue W. Palm Beach, FL 561-227-5130 Name of Funeral Home/Bireet�ispC!!� Address Fla. Lic. No./Reg. Na Phone No. (Area Code) Establishment 1623 N. Centrai Ave. Strunk Funeral Home Sebastian, FL 1228 561-589-1000 Check a. � The medical certification has been completed and signed. A completed ceRificate of death accompanies this Appropriate application. Box b, .� S ha Pon . was contacted on 4/ 15 / 0 0 He/she verified that this death was from natural causes, that there was no accidenf nor other external cause of death, and that DP . Levene wiu compiete and sign the medical certification of cause of death within 72 hours. c. � 6. Funeral Directod . was contacted on Helshe a�erified that. , Medical Examiner, will complete and sign the death within 72 hours. , F.E. No./Reg. No. -�"�-��— - 1862 Date Signed 4/14/00 B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. � 228-00-0192 � A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical cert�cation of cause-of-death section of the death certificate within 72 hours. �No extension of time for filing the death certficate has been requested. ��G � Date ` Date Certificate Subregistrar Signature �,J...`� Issued: �' � T � Due: �, �q, Ot� _T Y �. AUTHORIZATION for CREMATIpN, DISSECTION, or BURIAL-AT-SEA Approval Number. Date Medical Examiner, , gave authorization by telephone to Funeral DirectodDirect Disposer. Date The Medicat Examiner's approval must be obtained before disposai by any of the above methods. A waiting period of 48 hours after death is required for all cremations. p, CEMETERY OR CREMATORY Metho�i of Disposition: Place of Disposition Seb85tlafl Cemetery �BURIAL �CREMATION Signature of Sexton 1 or Person-in-Charge � �STORAGE �OTHER (Specify) Date of Disposition � ; % This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no 5exton) and returned within 10 days to the local County Health Department in the county where disposition occurred. DisVibution: White: Cemetery or Crematory DH 326, 8197 (Obsoletes all previous ed'Rions) Yellow: Funerel Director or Direct Disposer (Stodc Number. 5740-000-0326-2) Pink: Locel Registrar