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HomeMy WebLinkAbout1-37-22�tt� Af �P�tM��tMri (��eut�e#�e�� ��e�ed � �.�8�c� THIS INDENTURE MADE T�1s ......Z.�tll......... day of .........AUgllSt .......................... A. D.;��8..2��1 beti�•een il�e CIty of Sebastian, a municlpal corporation exieting undcr the laws of the 3tate of Florfde, es Grantor and CINDY SWAIN . . . . . . . . . . . . . . . . .. . . . . ... . ........ .. . ..... .. . .1.3.�.. �AP�� "Av�1�tf�.. . . ... . . . . . . .. . . . . . . . . . ... . . . . .. . . . .. ..... . ........ . ...... ............................................. ..SEBASTIAN�.. FI,ORIDA„3,2958............................................ oi the County oi ....INDIAN..RIVER FLORIDA ......................... an] 5tnte of ......... ....................................... ae Grantee, WITNES3ETHe That the Grantor for and in consideration of the sum of S,; 5 � �; � 0, ,,,,,,,,,,,,,, to it in hand paid, the receipt whereof is herewith ao- knowledged, does by this instcument grant, bargain, sell, release, convey and confum unto the Grantee ,,,,,,,,, heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, tawit: All of Lot(s) , 22, ,,, Block, ,,.? �.,, UNIT 1-A�D I T� O,�f Sebastian muniapal cemetery as per Plat Number 1 thereof recorded in Plat Book 2, at page 65 of the public records in the ofSce of the Clerk of the Circuit Court of St. Lucie County of Floiida; said land now lying and being in Indian River County, Florida. To Have and to Hold the same forever; ptovided that said property shall be.use� 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 resolutiona of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the goveinment and operation of said cemetery. The conditions, restrictions and requirements contained in this instrument shall be covenants running with the land. 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, resolutions and ordinances and the conditions of the dded of conveyance thereof then the title of such owner in and to said property sttall terminate and the same shall tevert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the first part 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 afiixed, the day and year first above written. . �-.� ��.- . . . . . . . . . . . . . . . . . . c�ty cterk nnd ' !n th...resen�!..,:. \ .. ......................... -, ... . . ... .. . . .. .. .. .1.�. ..�.,����,�,�,......... STATE OF FLORIDA COONTY OF INDIAN R1VER CITY OF SEI3r1STIAN, FLORIDA B, �,�>�..��,..�.. .�'.s..o�:.�„� ..........:..... Ms�or ��I[t� �YMI� I HEIiEBY CERTIFY, That on thia .... 27tYi .............day of ......... �lUgUS.t..............................., �..?j0�1 before me personally appeared .....Wc,l,lter'..W.•...Ba.r?�Q.$ ...............:.......... and ....Sa�.a..y..A.....�r�a.0............. respectively Mayor and City Clerk of the Cfty of Sebastien, a municipal corporution under the laws of the Stete of Florida to me known to be the ind3viduuls und officers descrlbed in �nd who executed the toregoing copveyunce to . . . . . . . . . . .. .. . ... ... . .. . .. ...... .......... ... . . . . . . . . . .. . .L,�111C�.X. . �,.S,Wc,`llll...... . . . .... . . . . . . . . . . . . . . . . . . . ........ .... ... ... ... . . . . ........................................................ and severally acknowledged the exeeuUon thereof to be their free act and deed as such office�s tl�ereunto duly authoriaed; and t6at the Officisl seal of said corporation ia duty affixed thereto, and the said conveyance is the ect and deed of said corporation. WITNESS my signature and officlal eeal at Sebaetian, in the County of Indlan Itiver and 3tate of Florida, the day and �ear �NRt Nf[IP1!NAI(�_ � ��id� =�ti�!s: rr;� : H. JOANt� SAI�lDBERG <: ,� Mv coMMissio►a � cc �a5ea2 �� , EXPIRES: AprN 30, �002 �,�����,�' 9onded Thru Notery Pubic Undenvritaro . � . ......�.. .... ................... �' Nota ubllc, 3tate of Florida at Large My mmiesion expires r G't CEM I Index:RECORD # NEWCEM Record:1715 Last Name Address 1 Address 2 City Deed # Unit # Lot Number Lot Humber Lot Humber Lat Number Comment Comment City of Sebastian, FL - Cemetery Lats Swain First Name Cindy 130 capri A�e. Sebastian State 1815 Date 08-27-01 i-A Block # 37 22 Interred Mae E. Parrish Interred Interred Interred See Reeder far lot 22 F1 pmount Zip $500 32958- Dte Interred 08-28-01 Dte Interred Dte Interred Dte Interred <F>wrd CB�ack CE>dit CD}elete CN>ext {P?re� CR?e-search tL>abel CT Friday, Dec 17, 2004 11:54 AM <Esc> Name Unit � � � � "-� Block Lot � t9 _ Date of Mark-out Date of Burial Name of Funeral Ho.me_ Authorized by . � / ' �^ / _ � � , -�, �� � � , Time � ' ��� 0 F1AR[DA DEPARTMENT OF HEALT A. 1. Name of Deceased First °� / ��'�' - � .� 7 - State of Fiorida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT Middle Mae Ellen 2. Place of Death City, Town or Location Counry I ndian River Vero Beach 3. Name of Medical Certifier Freedland Williams, M. [ � �Medical Examiner � 4. Name of Funeral HomelDi�t@ispvsal Establishment Strunk Funeral Home Last Date of Pa r ri s h Death Name of (If neither, give street address) Hosp. or inst. VNA HOSPICE House 1360 U.S. #1 Vero Beach, FL Address 1623 N. Central Ave. Sebastian, FL � az Month Day Year ust 24 2001 Number 561-567-4500 Lic. No./Reg. No. Phone No. (Area Code) 1228 561-589-1000 5. Check a. � The medical certification has been completed and signed. A completed certificate of death accompanies this Appropriate application. Box 8/27/O1 b, � JesiCCB was contacted on He/she verified that this death was from natural causes, that there was no accident nor other extemal cause of death, and that Dr. W11118�1'1S will complete and sign the medical certification of cause of death within 72 hours. 6: Funeral Director/ B. ��I was contacted on death within 72 hours. F.E. No./Reg. No. � �.—�- - ��,2 BURIAL - TRANSIT PERMIT He/she verified that , Medical Examiner, wi�l complete and sign the Date Signed 8/27/O1 Permission is hereby granted to dispose of this body. Permit No. � 228-01-0421 � 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 cornplete the medical certification of cause-of-death section of the death certificate within 72 hours. �No extension of time for filing the death certificate has been requested. �}y��--* Date Date Cert� ate Subregistrar Signature ��y,.p�,�.,. /l� ��.�.��Q Issued: � l.� �` O � Due: $�.'Z�( � O) T __ � C. AUTHORIZATION for CREMATIOId, DISSECTION, or BURIAL-AT-SEA Approval Number: Date Medical Examiner, , gave authorization by telephone to Funeral Director/Direct Disposer. Date The Medical Examiner's approval must be obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. p. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemtery �BURIAL �STORAGE Date of Disposition � �,� S /p / �CREMATION Signature of Sexton or Person-in-Charge �OTHER (Specify) � This permit must be endorsed by the Sexton or person-in-charge (or by the Funeral Director/Direct Disposer when there is no Sexton) and returned within 10 days to the local County Health Department in the county where disposition occurred. Distribulion: V1fide: Cemetery a Cremetory DH 326, &97 (Obsoletes all previous editions) Yellow: Funeral Diredor a Direct Disposer (Stodc Number. 5740-000-0326-2) Pink: Local Registrar . � r ' ,.��� � � � . ��w�7`� _.. , - , _., w. _. . � , '��. .�= ._._..n �%�:_ • . � August 28, 2001 Cindy Swain 130 Capri Avenue Sebastian, Florida 32958 Deaz Ms. Swain: Enclosed is City of Sebastian Cemetery Deed No. 01815 for Cemetery Lot 22, Block 37, Unit 1- Addition. Also enclosed is a copy of your receipt. If you have any questions, please contact our o�ce. Si y, � + . � . ' ', CMC City Gle - SAM:js �i'he 5���.s�a�: �e�n���-y Ci�y af 5e�a.s�.�., �1o��a Receipt is acicnowledged in the sum of: 0 From: I ?� � �� A�� � C�.11� T .. , � �r- 1 � � /'i/ ('i Dollars ($ �DD - D � ) on this o2 7� da.y of , 200 / for the purchase of the following described Cemetery Lot(s)/Nich s) upon the terms and conclitions as sta.ted herein: Description of Praperiy: � Cemeiery Lot(s)/Niche(s) �� Blocic � 7 Unit /- fd�A�Tid� Purchase I'rice: T,J,� (l�i�i� .�p �_ Dollars .($ SD�> D�� ) Ternis and Condition of Sale: 1'his contract shall be binding upon both parties, the se]ler and the purchases, when approved �by �the owner of the property above described: I, or we, agree to purchase the above described property on the terxns. and condiiions sta.ted in the foregoing instnament ' ` r c�J �.�� purchaser si ture Purchaser signatwre The City of �Sebastian agrees to sell the above mentioned property to the above narned purchaser(s) on the terms and conditions sta,ted in the above instrument. ity of Sebasiian Witness ,. . ,.aL+ ".�� .,., . „ _ - f: � e� ,.� '� CITY OF SEBASTUN CITY CLERK'$ OFFICE. RECEIPT ` Name �.�`:�.��4� r.•.�' � �� Cash " �. p� ,� ' � ,��– t_'� / ❑ Check * No. jG.f �V AmountPald �': r ' � 001001 208001 Sales Tax 001501322900 Garage Sales 001501 341920 CopieslBid Specs: 001501 341910 001501 362100 001501 062100 . 001501 362150 001501 343800 601010 343800 001501 369400 001501 369400 680800 220681 680900 720682 680800 710683 LDClCode of Ordnances — Community Center Reni Yacht Club Rent Non Taxable Rent Cemetery Lots ��"��� Cemetery Lots `�t �r, ;r rY; ;' LotMiche . �: �' , Biock �."f �� , Unit ! '3) Interment Fee Weekend Service Yacht Club Securiiy Deposii Community Center Securiiy Deposif Riverview Park Secuoiy Deposit t`�' :,�` � ��7/� r;, � 1 Toai a�d .,<<.� ���� Initlals � ` � Whip - D�pt. of;Oriqin • ��Iow , Fin�nc� ; • Piek • ApPIic�M - ` ; PaidbyCEMETERYReceiptNo...,1008, ,,,,,Dated....8�27�2001,,,,, ,,, .. List Price $ . 5 � � • � � , , , , , , Maximum No. Buriat S�ces . . . . . . . . . . . . . . . . . Net Paid $ , 5 0 � • � � . . . . . Monument permitted . . . . . . . . . . . . . . . . . . . . . . . (Data above this line tor City Record only) BLOCK 37 LOT #22 LEO AND /OR NAOMI REEDER 8Z0 DEMPSEY AVENUE SEBASTIAN, FLORIDA 32958 DEED #518 Receipt #009 �_ SWAIl�, CINDY 130 CAPRI AVENUE SEBASTIAN, FLORIDA 32958 UNI T #f 1 ADDTN . �. -, � �jCi G�� � �- �. � �I c���� �_ DEED ��1815 LOT 22, BLOCK 37, UNIT 1-ADDITION � ._ , i���Gt-� C= • � � C� "02 c� 'il � � CINDY SWAIN NO. ��i�v LOT 22, BLOCK 37, UNIT 1-ADDITION s r./ � j�' r 1 � ��� �/ � l � � 7J � � / � � > � �. � 1� hr�� � � ���� 77�� , � 0