HomeMy WebLinkAbout1-34-35 Paid by CEMETERY Receipt No 5 Dated July 8th 19$6 NO.
$ . Maximum o. urispaces 2
List Price $30000 N P t S
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Net Paid S
$300.00 Monument permitted -F 1 at- t; 10 8 8
Lots# 34 &35 Marvin & Virginia Knorr
Block# 34 562 Orange Ave.
(Dab above Ws line for City Record only) $eb ,. 32958
Unit# 1
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Name V ik 6, 1/V /A X cv o g/f2
Unit
Block 31
Lot .3
Date of Mark out S !7 /9✓
Date of Burial .5-1."-i /9 / Time /0 :O fS A `Y'1 -
Name of Funeral Home S7-kuw /.
( - State of Florida,Department of Health and Rehabilitative Services,Vital Statistics / 3,f;
APPLIC4ON FOR BURIAL — TRANSIT PERMIT 0
A. (Type or Print) G/ /
1. Name of First Middle Last DATE Month Day Year
Deceased OF
Virginia Knorr DEATH 05/15/91
2. Place of Death City,Town or Location Name of (If neither,give street address)
County Hosp. or
Indian River Roseland Inst. Humana Hospital-Sebastian
3. Name of Medical X I Medical Examiner Address Phone Number
Certifier 2500 S. 35th.Street
Frederick Hobin, M.D. , M.E. Physician Ft. Pierce, Florida 34981 (407)464-7378
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 ❑ was contacted on 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 will complete
and sign the medical certification of cause of death.
c LI Helen was contacted orO5./1 6/91 .He/she verified that
Frederick Hobin, M.D. , M.E. ,Medical Examiner, will complete and sign the
medical certification.
6. Place of Sebastian Cemetery In state cemetery/ Removal
Final Disposition: c ematory -nam /county: Indian River n from state n Donation
/t
7. Funeral Director/ gnature F.E.No./Reg-Pdo. Date Signed
DirctDfspastsr- 1672 05/16/91
B BURIAL — TRANSIT PERMIT 1228-91-0241
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 filin e death certificate requeste
EigglIMPErr-or �/� Date _ /Z,` Date Certificate
Subregistrar Signature C��C�C chi . Issued: 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 / / (2,Methods of Disposition: Place of Disposition >``�"`iLQ C�E�x) id ..
BURIAL ❑ STORAGE Date of Disposition % I fl a 1`/ 9/
❑ CREMATION ❑ OTHER (Specify)
Signature of Sexton ) � 9-t .
or Person-in-Charge) J� 4../6 ,
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)
i
Titus of 3►rhastir.
TritteterH f' 8
THIS INDENTURE MADE This $th day of July A. D., 1986 ,
between the City of Sebastian, a municipal corporation existing under-the laws of the State of Florida, as Grantor and
Marvin and Virginia Knorr
562 Orange Ave. Seims.Gi FAA.
of the County of
Indian River and state of Florida
as Grantee, WITNES8ETHt
That the Grantor for and in consideration of the sum of$ 30.0.0.0 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 heirs,legal representatives and assigns
the following property situated in Sebastian,Indian River County,Florida,to-wit:
All of Lot(s)34&35. ,Block, .3,4.... ,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 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, FLORIDA
At es : /
B
Mayor
City Clerk
Signed, Sealed and Delivered
In the iresence of e
(rl c*pJ)
STATE OF LORIDA
COUNTY OF INDIAN RIVER
I HEREBY CERTIFY, That on this 8th day of July 1986,
before me personally appeared Gene...HArri s. 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
Marvin & Virginia.Knilrr
and severally acknowledged the execution thereof to be their free act and deed
as such officers l;hereunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance
Ia_t6�art And deed of said.corporation.
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HOME OF PELICAN ISLAND
1225 Main Street, Sebastian, Fl 32958—Telephone 772-589-5330—Fax 772-589-5570
April 4, 2006
NIXIE 327 1 24 04!07/OB
RETURN TO SENDER
NOT DEaL'SVERADLE: AS ADDRESSED
UNADL_En TO FORWARD
Mr. & Mrs. Marvin Knorr MC: 02959969799 ``0274--1E34O --0.5--4 t
562 Orange Ave.
Sebastian, Fl 32958
Dear: Mr. & Mrs. Marvin Knorr
This letter ette is to remind you that a permanent marker has not been placed on the gravesite
of your beloved deceased. The City of Sebastian requires that permanent markers
(bronze, marble or granite) be installed within 120 days after burial. I am enclosing a
copy of the rules and regulations that are applicable in the municipal cemetery.
Temporary markers have in the past been pulled up and discarded by vandals or have
been damaged by lawn maintenance equipment. At the end of 120 days the City of
Sebastian will no longer be under any obligation to replace the temporary marker.
Where this regulation renders a hardship or presents any special problems, such as an
estate not settled, special consideration will be given. Request for special consideration
should be made to Sally Maio, City Clerk, 1225 Main Street, Sebastian, Fl 32958.
Thanks for your attention to this matter and if I can be of further assistance, please call
me at 772-589-2545.
Sincerely,
Kip G. Kelso, Jr.
Cemetery Sexton
KGK/ar