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Home My WebLink About1-34-17 Paid by CEMETERY Receipt No 439 Dated June 6, 1986 NO. List Price$—309..40 Maximum No.Purial Spaces. 2 Net Paid$ ...3011.00 Monument permitted -flat- 1081 Unit 1 Muriel Meguin Block 34 434 SW Azine Terrace oc T"4-o 1 R. 17 (Data above tbla line for Oty Record only) Sebastian, FL 32958 A \I/ Name a Unit Block Lot , Date of Mark-out Date of Burial $ , Name of Funeral Home Authorized by tit of Orbastir T i nt i t i i j ii E E 1I NO. 10 81 THIS INDENTURE MADE This 6th day of June A. D, 19 86 , between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and Muriel Meguin 434 SW Azirje„'�erzace Set,asta.axl,..IL...329;8 of the County of Indian River awl State of ..F.14x1da as Grantee, WITNESSETHa That the Grantor for and in consideration of the sum of$ 300.04 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 ..tier... heirs,legal representatives and assigns the following property situated in Sebastian,Indian River County,Florida,to-wit: All of Lot(s) 16 84 1,7Block, ...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 fast 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 first above written. CITY OF SEBASTIAN, F a IDA '• w �''�1 its/ c gy��A Deborah C. Kragegity Clerk . Gene rris Mapr'°` Signed, Sealed and Delivered In the P nee oft,,, - Ya-eo .. _ _ — _ ., 4-e-fr,STATE OF FLORIDA COUNTY OF INDIAN RIVER - I HEREBY CERTIFY, That on this 6th day of June ..,. ,. ,' , 19.86., 1 before me personally appeared ..I-t%.Gerle..Uarz1S and .Deborah.C..Krages 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 Muriel Meguin 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 Is duly affixed thereto, and the said conveyance is the at and dged of said corporation. ..•en.rn.. __ _f_..-_. __a _..a_.... ---1 _a 0_11.__..__ t.. aL� n......a.. ..1 'rind t... A►v.. anal Qt.*. n/ Rtnwtd■_ H. AMY and w... 1 w >Ya W o ,� �Ow 0 ._., a� 'S O � �, 1 to co-.0 .Q � •� b0 � c w � 0 �°cu a. Z 5 o '—, mob •~°x .n L.14) •••4 L LD cu C)• 7°� �al n C ,D w ..0 cnw y ,=CC � C U • r I DO _ o ' x CD N w O O Cll w Q �, .O tom" • O O a V� .. O .O 5O O O Z mo Q • wb x xcr' Z -O - � Q � N N; t 0, R bA_, ,- cn 0_44 ct� - C 5cc ,� ctcctiyr - -- � ;C °' .� O O ,..., 0 O a en 1 «3 I • NEW YORK STATE DEPARTMENT OF HEA H O p Vital Records Section Burial - Transit Permit Name First Middle g Last r iti S ::::::::::: f'()t,g/IE i Date of Death Age If Veteran of U.S. Armed'Forces, VY - �v� �� War or Dates (Y{) Pl; w : ilage e of Deth Hospital, Institution or Cr? ' i� Street Addres X3,0 KS at s Manner of Death ErNatural Cause 0 Accident ❑Homicide ❑Suicide ❑ Undetermined ❑Pending ill Circumstances Investigation la Medical Certifier Name Title iii_Address (2( E ‘ ,,,,,,,, 5.... ../___ „,5,,, ,s,47„.._ ,„y (1.706 :„„,„, Death Certificate Filed District Number — Re ister Number q Cit Town or Village - (j P g ��/ sCJBurial Date OS- ?-00-j� Cemetery or Crematory ' ::i:DEntombment Address / gcv.i23,1,4❑Cremation 1Ji �j ) - Date Place Removed ❑Removal and/or Held and/or 1,; Address Ei Hold 0 Date Point of / Efransportation ' ' 0 d - 00 - Shipment (Jt3La'ii4, 01,1 s by Common Destination i / Carrier l 74 I ❑Disinterment Date Cemetery Address ❑Reinterment Date Cemetery Address Permit Issued to I� Registrati tuber Name of Funeral Home I Ilii111,11 g ,041 P4,3 - : Ni.- 0,3 it) ((20?-- >: Address seaca .. # (i-r Name of Funeral Firm Making Disposition or to Whom Remains are Shipped, If Other than Above 2 Address ir LEI Permission is hereb granted to dispose of the human s described ab• e as indicate . Date Issued ' . Q � (�;� Registrar of Vital Statistics � � .4e) is nature) District Number 5764/ Place --�-�(` / xiiii I certify that the remains of the decedent identified above were disposed of in accordance with this permit on: 2 / -- til Date of Disposition l'/ jF,5 lace of Disposition ,5 = ' ; L7: cd'-_ 4 ; C,�= , /4`��` / / (address) /� ,� lit 4/) PA/,./ /7 _6/Fa.: 3 ,� (section) (lot number) (gave number) pName of Sexton or Person in Charge of Premises n 9/" Cc• //,6 Si .T4 __ z /� (please print) Signature `L" Title t X / Dfj° (over) DOH-1555 (02/2004) I - =—'---!r G JI rL-t - / ( C .)TERMS ______ W s 3. s / �- ,-, . c ' Cbe>?' . / 6 7 - 3- /- d5\ .N N ` 5 / C $ -f.F14 ti�-�� \,N71- , e.,..,)„ I L /3 11 ,v 5- �� .7 17 el, f W __-- — . . .4kUift \Af;p,k) . . • b • 31 y vv y3 % _ G� a_.r. T1G a7 �F - j Z \ J1 yv 33 V 35` 3r c A r�Rl.r`�J' �. Cv,c �-f-LLa f' �,-' m.�v 91 /l-...).1&1 (P,r(8 r' ,. -k- _ , ` 3 �' '�-�'C Pte=/ ,t-- , / = ,zGQ. 7 c•—...,.L 1./u _ I I CITY OF SEBASTIAN CITY CLERK'S OFFICE 3288 RECEIPT ... - ' /r CI Cash + C/ 5--.-'� heck# OZ Q, (�\ � e}"t VCAMC Za.4- Amount Paid S 1 208001` Sales Tax 1322900 Garage Sales -"uy N., `' '�.Q. alp+..+ 1341920 Copies/Bid Specs. n I 1341910 LDC/Code of Ordinances `t _7'(t,-Z I t i' t IC c r, L 'T 17 1341930 Election Qualifying Fees p 7 343800 Cemetery Lots a410-rvU&. (-- -0.4.,,,.. ' Lot/Niche ,Block ,Unit 1343805 Cemetery Feesjvrvd 9f4-411-1-44...1 )77",.....) - e/— 3� L /, e s, f-„ �4` co /9, Total Paid 71• v Initials White-Dept.of Origin• Yellow-Finance •Pink-Applicant //e/dAl‘i