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Home My WebLink About4-28-27, , Name Unit— Block Lot _ Date of Mark -out Date of Burial Name of Funeral Hom' Authorized by Time Qlity nt tprtlal3ttuu .rutr#rryrr NO. 163C 10th June 98 THIS INDENTURE MADE Title ............. day of .............. I... I .... ...................... A. D., 19....... between the City of Sebastian, a municipal corporation existing under the laws of the State of Florida, as Grantor and ..............................................Ann.. L9.U..1.UC.inn9.................. ............................................. 9380 101St Ct Vero. .Beach,.. Fl. _32967......... .................................. ......... . of the County of Indian River Florida as Grantee, WITNESSETHr 1, 500.00 ' That the Grantor for and in consideration of the sum of E .. ...........„to itpr hand paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, sell, release, convey and confirm unto the Grantee , II.B r ... heirs, legal representatives and assigns the following property situated in Sebastian, Indian River County, Florida, to -wit: AB of Lo*A 7A 28 , Block, .?$.... , UNIT . 4.......... , of Sebastian municipal cemetery as per Plat Number t 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 lyingand 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 miss 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 aid 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 iuch 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 fust part has =used 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. Attests City Clerk I'�sned, Sett""le`�d'' land Delivered �� ((��,, .�1� .�11p�I pp,�, ��l ' IntIs\\ .�Z. kosi'"WJr 6 . �/✓..�ast.LXt"LtY . ................................................ ...��....................... STATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA By.................. Mayor ((Qitu Ment) I HEREBY CERTIFY, That on this ........ Wth......... day at ............. Jul!tp................................ 18.9.8 Lrfnre ore personally appeared Ruth Sullivan Kathryn M. Halloran ........................... . and ................................... I... respectively Mayor and City Clerk of the City of Sebastian, a munirlpal corporation under the laws of the State of Florida to me known to be lite Individuals and officers described in and who executed the forgoing conveyance to Ann•, Lou., Luciano ..................................................................................................................... ,,,,,,,,............................................. and severally acknowledged the execution therrof to be their free act and deed as such officers thereunto duly authorised; and that the Official sent of said Corporation Is duly x \rereto, and roe said conveyance Is the act and decd of said corporation. WITNESS my signature and official seal at Sebastian, In the lest aforesaid. ' MY COMMISSION 0 CC 740478 EXPIRES: June 18, 2002 azxna iw Nooryi,utic UnanvnGm My Verod.Slate florldn, lire day end yea: .. at .. FROM: THE SEBASTIAN CEMETERY CITY OF SEBASTIAN, FLp DA OF T$E SUM OF: Dollars ($ / 1 t on this day o following described Ceme a Lot(: conditions as stated her . Description of Property: Cemetery Lotsrlxml (%(� s Purchase Price44'y (/ Terms and Condition of sale: 29 —T D for the purchase of the F54, upon the terms and ►iunit ollars ($ 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 the terms and conditions stated in the foregoing instrument: on. The City of Sebastian agrees to sell the aboveToned property to the above named purchasers) on/ hc'terma� and Candi ions stated in the above instrument. 1 / V / City of Sebastian 1235 MAIN STREET o SEBASTIAN, FLORIDA 329-58 TELEPHONE (561) 589-5330 Q FAX (561) 584-5570 June 17, 1997 Ann Lou Luciano 9380 101st Ct Vero Beach, FL 32967 Dear Mrs. Luciano: Enclosed is Cemetery Deed No. 1636 for Lots 27 & 28, Block 28, 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. O. Box 1028, Vero Beach, Florida 32960 or you may call (561) 567-8000 for more information. We are enclosing two copies of the Receipt 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, K`4 /ai; ?CM City Clerk KOH:Img Enclosures FLORMANDEPARTbMrr OF State of Florida, Department of Health, Vital Statistics 4o� 1 APPLIC�)N FOR BURIAL — TRANSIT PERMIT v�0 A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year Deceased OF Vincent Luciano DEATH June 6 1998 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Brevard Melbourne Inst. Holmes Regional Medical Center 3. Name of Medical Medical Examiner Address Phone Number Certifier Wayne Rordriguez, M.D. —X]Physician 200 E. Sheridan Road, Melbourne FI 32901 4. Name of Funeral Home/ Address Fla. Uc. No./Reg. No. Phone Number (Area Code) Direct Disposer 1623 N. Central Avenue Strunk Funeral Home Sebastian, FI 1228 561-589-1000 5. Check a ❑ The medical certification has been completed and signed. A completed certificate of death accompanies Appro- this application. priate Box b ❑ Donna was contacted on 6 / 8 / 98 within 72 hours after death. He/she verified that this deth was from natural causes, that there was no accident nor other external cause of death, and that Dr. Rodriguez will complete and sign the medical certification of cause of death. c ❑ medical certification. was contacted on . He/she verified that , Medical Examiner, will complete and sign the 8. Place of Sebastian Cemetery In state cemetery/ Removal Final Disposition: X cre tory - na p ty: Indian River n from state n Donation 7• Funeral Director/ / a Mature _ F.E. No./Reg. No. Date Signed B. BURIAL — TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-98-0268 ❑ 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 fill n the death certificate requested. Re"Subrer�aL — 6 Date Date Cef' as Subregistrar Signature Issued: b 9 9 Due: rti4 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 ab ve methods. A waiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Methods of Disposition: Place of Disposition /1 .. 77',2v , 9 BURIAL ❑ STORAGE Date of Dispositionf1rj 5 8 ❑ CREMATION ❑ OTHER (Specify) / Signature of Sexton ) or Person -in -Charge) This permit must be endorsed by the Secton 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. DH 326. 10196 (Replaces HRS Form 326 which may be used) (Stock Number: 5740-000.0326-2) 6/10/98 Paid by CEMETERY Receipt No ................. Dated .............................. NO. List Price $ .1 1. S OO :.0 0 Maximum No. Burial Spaces ................. Net Paid $ .1 , 5.00..00 Monument permitted ....................... 1636 (Data above this line for City Record only)