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Home My WebLink About1-34-01 i0 BY Fi,r titCF Der ` .10 18 Oct 1, 2002 To whom it may concern: I am sending this check to have my husband Louis Miranda remains placed in the grave with his brother George Miranda. On Oct. 12, 2002 at 11:00 am on Sat. morning. I spoke with Kit Kelso he said to send $145.00 to the City of Sebastian,thank you for this service Yours Truly 44,1 -\\ )1/44 8h Cti w E InQ Zo. to L 30 30 + n'i� 9 G.036 / y' Name/1 4/5 /r1/kit/kb,/ �RrAi74.d/si �X to l•/C/ ( /t Unit Block J / Lot r Date of Mark-out /Q/ //! Z Date of Burial r�/ fZ L �--��" Time /7 - 0 404 Name of Funeral Home % Authorized by 0 STATE OF FLORIDA L DEPARTMENT OF HEALTH & REHABILIT, E SERVICES / " VITAL STATISTICS APPLICATION FOR BURIAL—TRANSIT PERMIT 1';%) � i A. (Type or Print) �,. Q*-- 1. Name of First Middle Last DATE Month Day Year ' Deceased OF George L. Miranda DEATH Dec. 5, 1984 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian River Vero Beach Inst. Indian River Memorial HOspital 3. Name of Medical ❑ Physician Address ,j Certifier Leonard E. Walker M.E. [}d Medical Examiner P.O. Box 188, Ft. Pierce, Florida 4. Funeral Home/ Name Address Di K S' R CX Cox-Gifford Funeral Home., 1950 20th St. , Vero Beach. Fla. 1 . 5. Check a El 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 certification of cause of death. c ® Leonard Walker was contacted on 1.2/ P.34 He/she verified that hp , Medical Examiner, will complete and sign the medical certification. 6. Funeral Director/ igna! r ' Fla. Lic. No./Reg. No. Date Signed Direct Disposer t , ' _ 0>ir; / 2283 Dec. .6, 1984 B. BURIAL—TRANSIT PERMIT Permit No._�3Q.3 84.— Permission is hereby granted to dispose of this body. LJ 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 ,�7� �f,� �v Issue Dec. 6 1984 Sub Registrar Signature <-'�"�"" �!/ Issued , I C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL—AT—SEA Signature , Medical Examiner Date or Medical Examiner, , gave author ration 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 [J STORAGE Date of Disposition DecenibVr 7, 1984 0 CREMATION IJ OTHER (Specify) Signature of Sexton ► �� e. 6 Lt 4 or Person-in-Charge ) DEBORAH C . KRAGES 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.) . 0 ()lift' of 'rbaiitta Trinetery Beth NO. , 1031 THIS INDENTURE MADE This 6th da y of December 4 A. D, 108 • between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Helen Miranda 154'*EiijTcYr"Delve Sebastian, Florida 32958 of the County of Indian River awl State of ....F1.4.T.z Gad as Grantee, WITNESSETHt 1 That the Grantor for and in consideration of the sum of$ 300 . 00 to it in hand paid, the receipt whereof is herewith ac- knowledged,does by this instrument grant,bargain, sell,release, convey and confirm unto the Grantee her heirs,legal representatives and assigns the following property situated in Sebastian,Indian River County,Florida,to-wit: All of Lot(s) 1 62 ,Block, 34 ,UNIT 1 ,of Sebastian municipal cemetery as per Plat Number 1 thereof 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;said land now lying and being in Indian River County,Florida. To Have and to Hold the same forever;provided that said property shall be used 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 resolutions of the City of Sebastian,Florida,hereto- fore,now and hereafter adopted or provided for the government 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 deed of conveyance thereof then the title of such owner in and to said property shall terminate and the same shall revert 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 affixed,the day and year first above written. CITY OF SEBASTIAN, FLOE DA At(1:114(../.4..) C /" By ... . . City Clerk Llayol Signed, Sealed and Delivered ` In the Presence of s .. ~ ,;.??a,-,',....)/)1(.11.4,..-t....K.-- d. ,,---40-6- -1 ' , "� (Glitq Aeal) STATE OF FLORIDA '`�=' COUNTY OF INDIAN RIVER _ I HEREBY CERTIFY, That on this 6th December _ day of '.....,. t.,•.P. , i.84... before me personally appeared J 1 m Gallagher D o r h and e.??P I c.•...x.4-A 9:P S respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known to be the individuals and officers described in and who executed the foregoing conveyance to Helen Miranda and severally acknowledged the execution thereof to be their free act and deed as such officers thereunto duly authorised; and that the Official seal of said corporation la duly affixed thereto, and the said conveyance is the Oct. rind deed'of said corporation. ;lIj,2TNE -ajf_filgn*tyre and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last atoreaski • y Note Public,lic, State of Fjprida pt r My commission expires; OW u tc, AN or rioride My Commission Expires Aug. 22. 1984 "W-..,.,..+^ bonded !Nu Loy ice•Isaac/we,Inc. 4. Y, 1 CITY OF SEBASTIAN 10 7 9 CITY CLERK'S OFFICE RECEIPT v Na ! 0 Cash ■ Date e.3 - t eck#2 7..3 6 Amount Pai 001001 208001 Sales Tax 001501 322900 Garage Sales 001501 341920 Copies/Bid Specs. 001501 341910 LDC/Code of Ordinances 001501 362100 Community Center Rent 001501 362100 Yacht Club Rent 001501 362150 Non Taxable Rent 001501 343800 Cemetery Lots 601010 343800 Cemetery Lots • Lot/Niche ,Block ,Unit 001501 369400 Interment Fee c'''et) 001501 369400 Weekend Service 680800 220681 Yacht Club Security Deposit 680800 220682 Community Center Security Deposit 680800 220683 Riverview Park Security Deposit (.3_,A .e.d._56_7-2.4,1. e-L-7e-ite- ts..5"....)475,717e.: i iNC:61"1- 7;--.",,-.-4, --r- /Ai' 6-----) Cf / -",d(4L-- l/ ' ` Total Pald GS Iriitl ' White.-Dept.of Origin• Yellow-Finance •Pink-Applicant I .. • • THE SEBASTIAN CEMETERY -1 City of Sebastian Sebastian, Florida RECEIPT IS HEREBY ACKNOWLEDGED OF THE SUM OF: G ' L..ec/iR.-6_e; _-- .Dollars ($.30-C,CTO ) FROM: Ale..64Li 211:-44-672'76 - 75�f enC 24 AVAC2e on this (ct- day of /O' C , , 19J"/for the purchase of the following described Cemetery Lot(s) upon the terms and conditions as stated herein: Description of Property: Cemetery Lot(s)# / �� +a Block# 31-1 Unit# j Purchase Price.-`G,-' e-7T-WMe 'L• t-�/ `' ($ �iC�O.CO ) cc,c,:l c ��,�Dollars �. Terms and conditions of sale: nL ?La//,-.2-4,1: (i ? Ci", ; !re"'Cl� L.( Y 4 u (1 Cp / % -7-g T)C This contract shall be binding upon both parties, the seller and the purchaser, when approved by the owner of the property above described. ( 1:7), or we, agree to purchase the above described property on the terms and conditions stated in the foregoing instrument: 9.-" (:(3.6_4,./e,_-_-,... .,/t9-.4L-41.x.0.44.ZZ.16-.2.4. ✓ wimu ,Truy nnat l min -g4f FUNERAL HOME, P. A. !l the above mentioned property to the above named 1 ttions stated in the above instrument. A SYMPATHETIC AND DIGNIFIED SERVICE ,, OFFICE 1950 20TH STREET POST OCE BOX 1 i 1 3 / J.CHARLES GIFFORD VERO BEACH,FLORIDA 32961-1 1 13 / C-CI CiK�'u--' LICENSED FUNERAL DIRECTOR (305)562-2365 w y of Seb- :tia Witness , 1 -,----------ic. ..i r 14,-1.....f- / A LA-et t)TERMS ,—.,..e.....---, ^in e-4) kl 1 e., .2 3 ,4 r C. 7 3, ■ if i>\z/ -f.Vti V1,%' f . 11 E L) N g, ki■,1,,, fir Y-0 • • 417181. 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