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City of Sebastian
Jim Gallagher POST OFFICE BOX 127 ❑ SEBASTIAN, FLORIDA 32958 Deborah C. Krages
Mayor TELEPHONE (305) 589-5330 City Clerk
July 11 , 1984
Mr. William F . Tracy
602 Meteor Street
Jacksonville , Florida
RE : Charles (Helen ) Culbertson
Cemetery Lot 3 , NE 1 /4 , Block 31
Unit 1 , 0 . B .
Dear Mr. Tracy :
Regarding the above referenced cemetery lots , our
records are old but show one lot is being used by
Charles Culbertson and two (2 ) lots remain vacant .
The purchase price of these lots in 1959 was $75 . 00
each . Today the lots sell for $150 . 00 each which
gives them a current value of $300 . 00 . They may be
resold to the City of Sebastian only at the purchase
price .
We hope this information will be sufficient for your
needs . If we may be of further service, please feel
free to contact us .
Very truly yours,
ar...!...L—C4Cije. -4.---rs2-
Deborah C. Krages
City Clerk
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April 14, 1872 �
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Mrs. H. Culbertson 1 4,
1828 Main Street, Apt. D
Jacksonville, Florida
Dear Mrs. Culbertssns
As per your request of April 13, 1972 I have made a complete
study of the Cemetery as pertains to your burial sites. You
have title to three (3) burial spaces, one of which has been
utilized. The nameplate of Mr. Herbert Murray was slightly
out of piece.
I would like to invite your attention to the fact that at the
time these grevesites were purchased, most coffins were not more
than three(3) feet wide and since your property is only 10 feet
x 10 feet, it is doubtful with the present size coffin end vault
if you could utilize this space for two(2) additional grsvesites.
Yours very truly,
A. T. Jordan
City Clerk
ATJ/f
July 15, 1975
City of Sebastian
I hereby give the City of Sebastian the right to remove
the trees on my cemetery lots - NE 1/4 of Lot 3, Block 31,
Section C in Sebastian Cemetery.
Mrs. Charles A. Culbertson
lag 414 �Y i[i1 t1 1 a.It
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THIS INDENTURE MADE°3bla day of jTnve wren:, A. D., 19..
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
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of the County of _-,..t.' T'1 V I. sat State of 71 0r-i da
as Grantee, WITNESSETH:
1 That the Grantor for and in consideration of the sum of $ 37.• 5.n to it in hand paid, the receipt whe
is herewith acknowledged, does this instrument ent grant, bargain, sell, release, convey and confirm unto the Grantee...2.1.1.. heirs, 1
representatives and assigns the following property situated in Sebastian, Indian River County,.Florida, to-wit:
Tr.--', %4f Lot D1-.•3 Section n of Sebastian municipal cemetery as per Plat.Number 1 there-
of recorded in Plat Book 2, at page 65 of the public records in The office of the Clerk of the Circuit Court of St. Lucie
County of Florida.
To Have and to Hold the same forever; provided that said Property shall be used solely and exclusive.ly for the interment
the dead and shall be used, kept and maintained at all times in accordance with the rules and re;u]ations, ordinances and -resoluti
of the City of Sebastian, Florida, heretofore, now and hereafter adopted or provided for the government and operation of said ca
tery. The conditions, restrictions and requirements contained in this instrument shall be covenants runsiing with the land. In the event
the failure of the owner of any property situated within said cemetery to observe and comply with such rules, regulations, resohrti
and ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shall termin.:
and the same shall revert to the City of Sebastian, Florida.
IN WITNESS M;t1EitEOF, The said Tarty of the first part has caused this instrument to be executed in its name and on its
half by its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year first above written.
j_ CITY OF SIEB , W.:
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Vy � L'i t. -Attest. ! Z Lam"`
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�/ City Clerk -. = � �
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Signed,Sealed and Delivered - - r '''
in. Presence of: ,,-"‘ e
Sts") . '
STATE OF FLORIDA ,
COUNTY OF I\'DIAN RIVER
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I HEREBY CERTIFY,That n-tbis ;9th day of I ov.e.mber 19.5
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before me personallyyappeaed - Ji.uE.E...iu.ER 11 and PAUL..R.. T.F.V-'rN5oN
respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me kaou
to be the individuals;and officers described In and who executed the foregoing ori'going conveyance to
and severally acknowledged the execution thereof to be their free act and dee
as such officers themunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyanc
M1 is the act ant decd of said corporation.
�Y .. WIT:N"ESS
my signature add official seal at Sebastian, in the County of Indian River and State of Florida, the day and yes
d last.aforesaid.:„ - -
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f ,. ,. v. r _ Notary Public, State of Florida at
cr" large. ,
My commission Public, tiro a %ze ,ate c-,
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f• „�^!144co icy Atrfa icon 3'=ty Ca. La, i' ,
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STATE OF FLORIDA 4/5- 6 2/ zit/
EPARTMENT OF HEALTH & REHABILITO/E SERVICES
VITAL STATISTICS
APPLICATION FOR BURIAL-TRANSIT PERMIT
A. (Type or Print)
1. Name of First Middle Last DATE Month Day Year
Deceased OF
HELEN ANN CULBERTSON DEATH JAN. 20, 1985
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
DUVAL JACKSONVILLE inst. ST. JUDE NURSING CENTER
3. Name of Medical ❑ Physician Address
Certifier DR. EL1AS M. MUALEM ❑Medical Examiner 4010 SUNBEAM ROAD . 32817
4. Funeral Home/ Name Address
Direct Disposer PEEPLES FUNERAL HOME 2220 SOUTEL DRIVE
5. Check a [j The medical certification has been completed and signed. A completed certificate of death accompanies
Appro- this application.
priate b DR. ELIAS M. MUALEM was contacted od-21-85 . He/she verified that
Box this death was from natural causes, that there was no accident nor other external cause of death, and that
1IR will complete and sign the medical certification of
cause of death.
c fJ was contacted on . He/she verified that
, Medical Examiner, will complete and sign the
medical certification.
6. Funeral Director/ Signature Fla. Lic. No./Reg. No. Date Signed
Direct Disposer
J. ROBERT PEEPLES, JR. eiti / ,� ' i #1149 01-21-85
B. BURIAL-TRANSIT PERMIT
Permit N&33-12
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 occurred.
Registrar or Date
Sub-Registrar Signature �i� _ � ,��_ Issued JAN. 21, 1985
C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA
Signature , Medical Examiner 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.
D. CEMETERY OR CREMATORY
Method of Disposition: Place of Disposition + ' ,L1 . > 7L—L /rt
BURIAL fl STORAGE Date of Disposition / /2. 3/ en-
CREMATION fl OTHER (Specify)
Signature of Sexton ►or Person-in-Charge ) / f)L„). -. ��
v J Elizabeth Reid, Deputy City Clerk
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.)