HomeMy WebLinkAbout1-34-23 L. 1164
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Paid by CEMETERY Receipt No 024 Dated 7/14/86 4-0
NO.
•List Price$ 150.00 Maximum No.Burial Spaces.. ts' e"J-7) 1120
Net Paid$ 300.00
Monument permitted )
mes
Lots 22 & 23, BLK. 34, UN.1 \ //
th St .
(Data above this line for Cj , Fl . 32957
State of Florida, Departmen f Health and Rehabilitative Services, Vital St 'stics ite °� V
APPLICATI OR BURIAL — TRANSIT PERMIT
A. (Type or Print) /
1. Name of First Middle Last DATE Month Day Year
Deceased Robert James Huston DEATH 03/16/1996
2. Place of Death City, Town or Location Name of (If neither, give street address)
County Hosp. or
Indian River Sebastian Inst. 458 Melrose Lane
3. Name of Medical I Medical Examiner Address Phone Number
Certifier 7744 Bay Street
Noor Merchant. M.D. }(Physician Sebastian, Florida 32958 (407)589-0879
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 Sandv was contacted on 03/18/19$5thin 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 Noor Merchant, M.D. 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 cemetery/ Removal
Final Disposition: iv re ory - na /c nty: Indian River n from state n Donation
7. Funeral Director/ ture F.E. No./Reg.No. Date Signed
der I It"Z 03/1S/1996
B. BURIAL — TRANSIT PERMIT 1228-96-0143
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 the death certificate reque ed.
.�.�.,Q
Rebieiwart,or ( Date + Date Certificate
Subregistrar Signature "' Issued: 1 `�� �° 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
E BURIAL ❑ STORAGE Date of Disposition "1"1-)C,...-,C n t 19 i 14°CF
❑ CREMATION ❑ OTHER (Specify)
Signature of Sexton )
or Person-in-Charge)
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:5740-000-0326-21
Paid by CEMETERY Receipt No....� Dated 3/18/96 • NO.
List Price S 1,000.00 Maximum No.Burial Spaces
1,000.00 1528
Net Paid$ Monument permitted
(Data above this line for City Record only)
(iii#1 of forhastititt
TL lt► r i .G r g E t r b NO. 52
19th March 96
THIS INDENTURE MADE This day of A. D., 19
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida,as Grantor and
Connie L. Huston
458 Melrose Lane
Sebastian, Florida 32958
of the County of Indian River and State of Florida
is Grantee, WITNESSETHt
1
That the Grantor for and in 000•00 consideration of the sum of$ r 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 pro•. ituated in Sebastian,Indian River County,Florida,to-wit:
All of L t(s)23 24. ,Block 34 ,UNIT 1 of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat
Book 2, . •e 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, FLORIDA. ��
Attest: f'f--))7 2• ! ()/ (� /ff i'�_ My 4.[.[.G - C,_l�E—r—e64z,u,J/c./
�/ City Clerk " \ Mayor
Signed,Sealed and Delivered
In the,E..ek ice of:
Of*Sent)
STATE OF FLOl11f7A
COUNTY (1F INDIAN RIVER
19th March 96
I IIE11EBY CERTIFY,That on this day of , 19....,
before ore personally appeared Louise R. Cartwright and Kathryn M. O'Halloran
respectively Mayor and City ('lerk 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
Connie 1,, Huston
and severally acknowledged the execution thereof to be their free set and deed
as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the act and Aced of said corporation. .)
WITNESS my signature and official seal at Sebastian, In the County of adieu(River n Stair of Florida, the day and year
I`Ins! aforesaid.
4
"M:'w^. LINDA M.GALLEY / Yn
..• li@ MY COMMISSION/CC 375724
+p• y�.ee EXPIRES:June 18,1098 Notary Fuhlir State' Florida at Lsr e.
?.," ... Bonded Thai Note PON*Unclavafters My commission explfeei
Linda M. Galley
, • . n,,R
E SEBASTIAN CEME RY
CITY OF SEBASTIAN, FLORIDA
CEIPT HEREBY A KNOWLED ED OF THE SUM OF:
Dollars ($///71//: )
FROM: � 1=� . 1�1� 't 17,
AiN1711 I I, _ /:),, ;
,
/ ,A ihI - / ' f ,01, C ')/
on this IcSI
day of 1.1,t/tA , 19 / n for the purchase of the
following described Cemet- •y Lot (s) /Niche (s) upon the terms and
conditions as stated herein:
i
Description of Property:
Cemetery Lot ( Aiii •5 !- Block Unit /
IP-Purchase Pri G�� Dollars (.$//k�.
t
Terms and Condition of sale:
This contract shall be binding upon both parties, the seller and the
purchaser, when approved by the owner of the property above described.
I, or we, agree to purchase the above described property on the terms
and conditions stated in the foregoing instrument:
The City of Sebastian agrees to sell the above mentioned property to
the above named purchaser(s) on t e terms a•d condit-ions stated in the
above instrument. -_
, 11 ;L:h/ . /7 -7,7
AI. .. 1.) Aft ,
Citc of Seb-s-0i4n
I
Witness
I
' ?..53,
E SEBASTIAN CEME R Y
CITY OF SEBASTIAN, FLORIDA
( BY A KNOWLFD ED OF THE SUM OF:
/� y �' Dollars ($/4 .
FROM: ( - � T - t
! Y
' , /-, )/
.d ,A / � / � c
on this /C< day of ?,' (d i , 19 ' for the purchase of the
following described Cemetery Lot (s) /Niche (s) upon the terms and
conditions as stated herein:
Description of Property:
2
Cemetery Lot(s = - = � , <5 Block 7 Unit l
Purchase Pri / k Dollars (S/ r/
ril !
Terms and Condition of sale:
This contract shall be binding upon both parties, the seller and the
purchaser, when approved by the owner of the property above described.
I, or we, agree to purchase the above described property on the terms
and conditions stated in the foregoing instrument:
The City of Sebastian agrees to sell the above mentioned property to
the above named purchaser(s) on t e terms a•d conditons stated in the
above . /7 I
/
---D ' ' -d•vg■P -=",-Li '
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City of Seba'15 n
;)//i .
jvi tness /
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Qqr 5,� ,
City of Sebastian
1225 MAIN STREET 0 SEBASTIAN, FLORIDA 32958
TELEPHONE (407) 589-5330 0 FAX (407) 589-5570
March 22, 1996
Connie L. Huston
458 Melrose Lane
Sebastian, Florida 32958
Dear Ms. Huston:
Enclosed is Cemetery Deed No. 1528 for Lots 23 &24,Block 34,Unit 4.
Also enclosed is a form-Return for Transfers of Interest in Real Property-which must be filled out by you
and completed by the office of the Clerk of the Circuit Court when and if you have the deed recorded. If you
wish to have this deed recorded,you may do so at the office of the Clerk of the Circuit Court,P. 0. Box
1028,Vero Beach,Florida 32960.
We are enclosing two copies of Receipt No. 882 and ask that you sign and return to us the copy marked with
an"X"and retain the other copy for your records. A stamped,self-addressed envelope is provided for your
convenience.
Sincerely,
'JJ
Kathryn M. O'Halloran,CMC/AAE
City Clerk
KOH:lmg
Enclosures
HOLMES, JANE DEED #1120 LOTS 22 & 23
7625 129th St . BLK. 34, UNIT 1
Roseland, Fl . 32957
kiZ),5 J e 1 0/tt5 l (i741
r 401
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c`�R '4k
N.4
o,,f 4 5 '0o
osrriica$C
City of Sebastian
L. Gene Harris POST OFFICE BOX 780127 ❑SEBASTIAN, FLORIDA 32978-0127 Kathryn M. Benjamin
Mayor TELEPHONE (305) 589-5330 City Clerk
June 9, 1987
Mrs . Jane Holmes
Family Pet Shoppe
13539 U.S. 1
Sebastian, Florida 32958
Dear Mrs. Holmes :
We are enclosing Cemetery Deed No. 1120 for Lots No. 22 and 23,
Block 34, Unit 1. If you wish to have this deed recorded, you
may do so at the office of the Clerk of the Circuit Court, 2145
14th Avenue, Vero Beach.
We are also enclosing a form - Return for Transfers of Interest
in Florida -Real Property which must be filled
Y out by you and
completed by the office of the Clerk of the Circuit Court .
We have now checked all the payments made by you and your daughter
in connection with the five lots purchased between both of you and
find that it works out that, in fact, your daughter owes you $50.00.
If you would like to go over our records for your own satisfaction,
please just come into City Hall at your convenience.
Very truly yours,
Fte
Elizabeth Reid
Deputy City Clerk
LR
Enc.
Paid by•CEMETERY Receipt No Dated 7/14/86
NO.
List Price$ 150,Q0 Maximum No.Burial Spaces 2
Net Paid$ 300.00 Monument permitted .1.a.1< Jane Holmes 1
Lots 22 & 23, BLK. 34, UN.1 7625 129th St. � �'
(Data above this line for City Record only) Roseland, Fl . 32957 i. if(/
Qitg of 'PIiaitian
(�
y 11
Tr ut r i♦ i p rg � NO. Ch-c-
THIS INDENTURE MADE Thla 4th day of June A. D., 18..8.7.,
between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and
Jane Holmes
7625..1.2.9th.S.t..,..Roseland,..Florida••••32957
Indian River Florida
of the County of aril State of
as Grantee, WITNESSETH:
That the Grantor for and in consideration of the sum of$ $300.00 to it in hand paid, the receipt whereof is herewith ac-
knowledged,does by this instrument grant,bargain, sell,release, convey and confirm unto the Grantee ..he.r.. heirs,legal representatives and assigns
the following property situated' ebastian,Indian River County,Florida,to-wit:
All of Lot(s) .2 2,.1$c ,3 L1 .... ,UNIT ..1 of Sebastian municipal cemetery as per Plat Number 1 thereof recorded in Plat
Book 2,at page 65 of the ublic 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,Flo 'da.
d
()C A-0
o�
(/-1,‘-‘) r
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, FLO•!
Attest: C-% - } 1 Air . AV .,...
City Clerk Mayor
Signed, Sealed and Delivered
in tie Presence of:
((tIitg fru1)
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this 4th day of June , 18..8.7
before me personally appeared L ..Ge.ne..Harris and .Kathr.y.n..M ...Benjamin....
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 coaveyance to
Jane Holmes
and severally acknowledged the execution thereof to be their free act and deed
as such officers thereunto duly authorized; and that the Official seal of said corporation Is duly affixed thereto, and the said conveyance
is the net and deed of said corporation.
WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and yea:
last aforesaid.
Notary PQUlie, to of Florida at Large.
My commission
�OTAA'T ftll�� �Ai< � FlBRIOA
MY COMMISSION EIP DEC 10,1988
WNOEO TNRU GENERAL INS. UNO.
QJy
III
/, v/ / 53g /C- S- /
67,,,,A).,,v i----Z_ 32 '?5-1'
THE SEBASTIAN CEMETERY
City of Sebastian
Sebastian, Florida
RECEIPT IS BEREBY ACKNOWLEDGED OF THE SUM OF:
// 41I�`.LL_1 Dollars ($36)10. 00 )
FROM: `„___)G41-12 I / '
762 /2 9 &.
—70--kac � 32 S7
on this 1 day of J , 198i for the purchase of the following
described Cemetery Lot((supon the terms and conditions as stated herein:
Description of Property:
Cemetery Lot(s)# c/2 F vc3 Block', ;4 Unit# /
Purchase Price:74/W- Dollars($ 36)() 00 )
Terms and conditions of sale:
yll /a . 00 ‘12,C,L. /),) D,t_
' - jegl -
This contract shall be binding upon both parties, the seller and the purchaser,
when approved by the owner of the property above described.
I, or we, agree to purchase the above described property on the terms and
conditions stated in the foregoing intrument:
O
e—e__-)
The City of Sebastian agrees to sell the above mentioned property to the
above named purchaser(s) on the terms and conditions stated in the above
instrument.
_S/
i. )1/ a
City of ebastian
1'
Witness
• rr Purchase price $ 30 0 . Ci)
il',, ,., I Paid Date Balance$
1 i�
y Paid Date Balance$
i
"1,0 ''' ! Paid Date Balance$
; G;ti% Paid Date Balance$
�- I;- I
V1 't1 Paid Date Balance$
r