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Home My WebLink About1-34-09 FITZMAURICE, ROBERT & MARGARET 'ZED NO. 1089 2 SUNSET P c 'RATTAN FLA. 32958 LOTS 9 and 10, BLOCK 24, UNIT 1 --g6-10.01 14,7y/a.1.2/1,2_ —. /-1th 4e)19 _ _ _ _ _ i Name /eD i- z..neI Jak/C Unit Block 31/ Lot Date of Mark-out 41ek/95 Date of Burial �`/J �9 Time ✓ 0 Name of Funeral Home Authorized by Paid by CEMETERY Receipt No 44 7 Dated _121 i 18, 1986 Lots 9 & 10 NO. List Price$ 150,00 2 Blk. 34 Maximum No.Purial Spaces -In i t 1 Net Paid$ 300•00 Monument r n permitted 1 C 8 9 Robert and Margaret Fitzmaurice 2 Sunset Dr. Sebastian, Fla. 32958 (Data above this line for City Record only) -�--- ____— -- ._TERMS F "Y) W ca 'i a ® �w � ►a f fy yg, w eern" 9/ nt\ MIPAI ,amyaF - 6' r r 0 .4.°, 1 Ordrj 4 yi, -.4';,\ ., 1 g l, '0.-- bllt. • . 7 �1-°�1��r0� 1G � ^_,,� peMpsiy -i9. tr° /� Q9aF�t10 ,_,31 3„ NOV r drall lr 1; J'cG m, C��l so0M+N ij , / ,, O� 8" ■ f� • _ p-..._1_f—ITTI I I I 11 1 1 I r i i-11 i -4 , ,-, r , . I Lots 9 & 10 • s 18 1986 Blk. 34 Paid by CEMETERY Receipt No 44 u Dated l , Unit 1 NO. 1 50.00 Maximum No.Pueial Spaces 2 p LiatPrice i 1G�J• Net Paid$ 300.00 Monument permitted 9 Robert and Margaret Fitzmaurice 2 Sunset Dr. Sebastian, Fla. 32958 (Data above this line for City Record only) flitg of Orbrttstisn Tenteterj f rrb NO. 1089 THIS INDENTURE MADE This 18th day of July A. D., 1986 between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Robert and Margaret Fitzmaurice 2 Sunset Drive, Sebastian, Florida 32958 Indian River th Florida of e County of awl State of as Grantee, WITNESSETHs 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, nt t ba ain sell,release, convey and confirm unto the Grantee S heirs,legal representatives and assigns does by this instrument grant,bargain, the following property situated in Sebastian,Indian River County,Florida,to-wit: All of Lot(s) 9 & 10 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 doled 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 mused 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 rust above written. CITY OF SEBASTIAN DA . At q -2`/ Mayor City Clerk Signed, Sealed and Delivered r F w. ° in theesence of e r . -- [ Z,, / l�r-C (City $eat) », STATE OF FLORIDA w ` T I State of Florida, Departmen Health and Rehabilitative Services,Vital St tics - APPLICATIO OR BURIAL — TRANSIT PERMIT ,,, 7 A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased Robert J. Fitzmaurice DEATH 04/02/1995 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Inst. 2 Sunset Drive Indian River Sebastian Phone Number 3. Name of Medical _J Medical Examiner Address Certifier JEREMY R. GEFFEN, MD. 407-770-5800 Dr. Geffen (Physician 981 37th. Place, Vero Beach, Fla. 32960 4. Name of Funeral Home/ Address Fla.Lic. No./Reg.No. Phone Number (Area Code) Direct Disposer 1623 North Central Avenue Strunk Funeral Homes, P.A. Sebastian, Fl 32958 1228 (407)562-2325 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ® Sandy was contacted on 04/03/95 within 72 hours after death. He/she verified that this death was from natural causes, that there was no accident nor other external cause of death,and that Dr. Geffen will complete and sign the medical certification of cause of death. c ❑ was contacted on . He/she verified that , Medical Examiner,will complete and sign the medical certification. 6. Place of Sebastian Cemetery In state cemeteri Removal Final Disposition: AIM crematory - .`r-/county: Indian River n from state n Donation 7. Funeral Director/ -Ignatur- �� F.E. No./Reg.No. Date Signed Direct Disposer _ 1672 04/03/1995 BURIAL — TRANSIT PERMIT 1228-95-0191 B. Permit No. 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 as undue hardship would result from filing within the normal time limit.If the certificate cannot be filed within this extended time limit,a"Funeral Director/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. ❑ No extension of time for filing th eath certificate requested. Registrar or �' Date "7" - Date Certi'c to 7 4S Subregistrar Signature f• !a4R-2,-,--/ Issued: 3 /s Due: C. 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. D. CEMETERY OR CREMATORY / Methods of Disposition: Place of Disposition -je-b �^ - g `J'J,/ a BURIAL ❑ STORAGE Date of Disposition -4pz:A- /i 9`45 ❑ CREMATION ❑ OTHER (Specify) Signature of Sexton ) or Person-in-Charge) j.�=. "i 'G 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 HRS County Public Health Unit in the County where disposition occurred. HRS Form 326,Feb 89(Replaces Oct 87 edition which may be used) (Stock Number:5740-000-0326-2)