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Home My WebLink About4-23-13f~it~ of ~phtts#tttn A.Y iG it ` ~ •l ~ ~ ~ ~ ~ ~ ~ NO. LI .t C) ~L.J'C.9 THIS INDENTURE MADE Thla .... ZOth........... day of ......July ................................ A. D.,~..2001 bet~~•een il~e City of Sebastian, a municipal corporation exist[ng under the laws of the State of Florida, as Grantor and John A. Fredericks. .......................................451 Arbor Street.......... ...................................................... ....................................... Sehas.tian., ..F.l.orida..329.5.8.................................................... of the County of ........Indian..RiVer ................ an;i State of ....Florida as Grantee, WITNESSETH: That the Grantor for and in consideration of the sum of $ .1.s, 5 ~ ~ ~ ~ ~, , , , , , , , , , , , , 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 propertyl iuate i ~ Sebastian, Indian River County, Florida, to-wit: > > All of Lot(s) , ,~ ~ , , ,Block, .. , z,3, , ,UNIT . , , . 4, , , , , , , , , 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 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. .r.~..c City Clerk CITY OF SEBASTIAN, FLORIDA B, .~~ .~.1v.7 ..1~ ~.Gw~?.....:.... . Mayor ~- ~^ STATE OF FLORIDA COUNTY OF INDIAN RIVER (((Iif~ ~4ett1) I HEREBY CERTIFY, That on this .....2O.th............day of .......July ........................... ........ x~• •2.001 before me personally appeared ....Walter, , ~'~ .. , .Barntt_s . .......... . ... . . • .. , .. and .S.$~.~.y . A.•...~?~?~i?........ respectively Mayor anti 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 ut~d officers described in and who executed the foregoing eowveyunce to .....................................:............ John A... Fredericks..................................................... ••••••••••••••••••••••••••••••••••-•••••• ............... 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 act and deed of said corporation. 10/06/2007 23:20 5615892583 STRUNK FUNERAL HOME PAGE 01 FUNERAL DIRECTOR'S REQUEST TO CITY OF SEBASTIAN FOR BURIAL OPENING IN SEBASTIAN MUNICIPAL CEMETERY ,T~ S HOME OE VEUCAN ITUND For information contact: Kip Kelso -Cemetery Sexton Sebastian Municipal Cemetery (772) 589-2545 City Clerk's Ol/ice City Hall, 1225 Main Street Sebastian, FL 32958 Office (772J 388-8215 or 388.8214 Fax: (772) 589-5570 FUNERAL HOME: Strunk Funeral Home ADDRESS: 1623 N. Gentral Avenue, Sebastian, FL 32958 PMONE #: 772-589-1000 (C~eck One) ~ OPEN BURIAL LOT Lot 13 Block 23 Unit 4 OPEN CREMAINS LOT Lot Block Unit OPEN COLUMBARIUM NICHE Niche Block Unit N S E W BURIAL DATE AND SERVICE TIME: 10/1Z/07 2:00 ~.1~. FOR DECEASED: dames Frank Barnes, ,lr. Name NAME AND SIGNATURE OF LOT OWNER OR REPRESENTATIVE: (Must provide proper documentation\of ownership) .Name ~ Signature Date I certlfy that I have determined the ownership of the above described site, that all site fees and administrative fees have been paid and authorize opening of same. NAME AND SIGNATURE OF LICENSED FUNERAL DIRECTOR; David L. Hincemon j~ ~ ~ ~ ~i~/I4M ~ ~a ~ . Name Signature Date ----------------------------- Cemetery Sexton Certification: I certify that I have checked the ownership information by viewing the owner's deed and confirming with Clerk's office and that all fees have been paid !~ ~ ~ ~ Cem tery exton pate This form to be provided to Clerk's Office by Sexton for permanent record upon completion. Ubltuar~es ~ lleath Notices ~ Newspaper Ubltuarles ~ Unlme Ubltuar~es ~ Newspape... Yage 1 ofL ~ 8~~ L-1 ~ ?~ View/Sign Guestboa_k - !~ ,* ~ JAMES FRANK BARNES, JR. Mr. ,~, James Frank "Grandpa" Barnes, Jr., °' ~ !; 73, of Vero Beach, FL, died October `~a ~ 7 2007 at his residence. He was . ~. ~ , ` `~ :-~,~ born May 6, 1934, in Little Creek, `~ ~ ` ~ ~\ Virginia, and lived in Vero Beach since 1963 moving here from ~~ Chesapeake, Virginia. Mr. Barnes t was the Owner /Operator of Barnes - Construction in Sebastian, FL. He ,,,~ r-, ~ -, was a member of the Masonic tf' ~~ Lodge in Melbourne, FL; a former ,_ member of the Moose Lodge #1767, Sebastian, FL, and the r Eagles Sebastian Inlet Aerie #4067. __ ~ He was an avid bowler and rolled ~"~' the first 300 game in Indian River ~~ ~~=~ County; he served in the U.S. Army `"~" ~ during the Korean Conflict. '~ ~ r, Survivors include his wife of 48 • ,- years, Mary Barnes of Vero Beach, FL; daughters, Rena Lynn Carr of Sebastian, FL, Gloria Lee South of s s' Vero Beach, FL; 2 sisters, Skinny ~~`~ Wollard, and Betty Totem; grandchildren, Pam, Amy, Sarah, Katie, Kristin, William, Crystal, ~ = ~'~. =~ Megan, Alicia and James. He was predeceased by his daughter, Tina Barnes Lucas. SERVICES: A visitation will held 5-7 p.m., October 11, 2007 at the Strunk Funeral Home, Sebastian, FL. A funeral service will be held 2 p.m., October 12, 2007 at the Strunk Funeral Home Chapel, Sebastian, FL, with Rev. Tom Kempf officiating. Interment will follow in Sebastian Cemetery with full military honors conducted by the Sebastian River Area Veterans' "Honor Guard". Published in the TC Palm on 10/9/2007. Notice • Guest.-Book • Flowers • Gift_Shap • Charities Today's_TC Palm_oisituaries and death notices Questions about obituaries and death notices or Guest Books? Contact Legacy.com • Terms of„use obituaries nationwide http://www.legacy.com/tcpalm/Obituaries.asp?Page=LifeStoryPrint&PersonID=95... 10/9/2007 JAMES FRANK BARNES ITY OF SEBASTIAN CITY CIERK'S OFFICE 3 8 9 0 RECEIPT c i Name V rr~~1 ^ Cash Date ~ a v ^ Check# No. Amount Paid 001001208001 Sales Tax 001501322900 Garage Sales 001501 341920 CopiesBid Specs. 001501341910 LDC/Code of Ordinances 001501341930 Election Qualifying Fees 601010343800 Cemetery Lots ~ LotMiche ~_, Block _~_, Unft , 001501 343805 Cemetery Fees r `N/'1~, ~ Total Pa ~ l ~~ als _.._,_ ...._._ w._..,.. hits - Dept. of Origin • Yellew -Finance • Pink • Applicant r ~ i l) ~l/\/1r\4lLr -----------_ - - --------_-~ u _ _ ,i _ ._ ~~~ - -- ~ ,- g 'Y~".i ~° 7~- ,~ ~v t~'"~ ~ ~~ --------- r ~-- ~_-- -- ~~a _.~ . ~~ i ~ ~~ ; t' ~ ' ~`- ~. ,~,~- .,,,--~, ~ _~ ~ ,,-a ~ ,n;, ~ l ~ a 3~ i 3 CITY OF SEBASTIAN ~ - CITYCLERK'S OFFICE t 3 8 91 RECEIPT Name ^ Cash Date 7, Check# ~ .J No. Amount Paid 001001 208001 Saies Tax 001501322900 Garage Sales 001501341920 CopieslBid Specs. 001501341910 LDC/Code of Ordinances 001501 341930 Election Qualifying Fees 601010343800 Cemetery Lots LotlNiche ~~ Block ~ ~ Unit 001501 343805 Cemetery Fees '' --t ~u-r l 3 ..,. I~F------- ~A~ --- - - e~#~ ~--- tY ICI'--------_-- t1' ~ ~ -~_ ----- 4 r ~. r -. ! i r . x 1 .. ~~~ i " F _ ,' -- / v... ~ .... _..,.. ~ .. - _J _ - -_ -. I • .nt 02 5 t 02 0 :~Z 5 02 t OZ 9 0'i it ~ ~ ,I~I E : , >•' . ~`ir`~e3'00• 1 1l y 1 S o' ~, ._ . ..._ , _.__, r. f .__ w s o-~rV,r•~ ao~ ~~a>> ,~ ,. , ooie-ses tz~d iryt~3s0g11e~aae eiput ~ ~ I. ._ ~~ __ ip - se we a;_ . 096ZE Ij 8 N. eea410 u1~8 ~~ r~ ~. ~. ~~.. .mss t7. S~d110O ~ '" ~+ ~a daaao .. ; , _ e V .ldd.~; io - ~ ~ ~' ~ --- 31b'4 BZEZ-Z95cbLL •Hd ocsisozt-es ' ~ 0961E,'J~'HOV.38OLi3/1 '15• H1L1~9~6 , £~~9 NdI1Sd93S`1Nf103~d;.3~ydAQt/ HSbf~ • '\1'd `S3WOH""Idll3Nll~;~~INtllilS _ _ .mow--,-~ - ~.,-psi . , w i u ~ ~ - ' ..' - - _--_ ~~ u 7 a V ~p ~ ~ ., r q a a 5 i.na ~ a o,V V a myL h i r'~ a a'S Total Paid 4~' - UV Initials White -Dept. of Origin • Yellow -Finance • Pink • Applicant FLORIDA DEPARTMENT OF HEALT A. (TYPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL -TRANSIT PERMIT 1. Name of First Middle Last Date Month Day Year Deceased James Frank Barnes , .lr, Deatn Oct. 7 2007 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or Indian f2iver Vero Beach Inst. 9335 103rd Avenue 3. Name of Medical Address Phone Number Certifier ~'iichael A. Venazi , IVI.D. 805 83rd Avenue Medical Examiner Physician Sebastian, FiL 772-388-2110 4. Name of Funeral Home/Direet-BispOSal Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Establishment 1623 ~1. C~otrai Ave. Strunk Funeral Home Sebastian, FL 1228 772-589-1000 5. Check a. ~ The medical certification has been completed and signed. A completed certificate of death acxompanies this Appropriate application. Box b. ~ Christina was contacted on 10/8/07 He/she verified that this death was from natural causes, that there was no atxident nor other external cause of death, and that Dr. Venazio will complete and sign the medical certification of cause of death within 72 hours. c. ~ was contacted on He/she verified that Medical Examiner, will (~mplete and sign the meth certifi i cause of death within 72 hours. 6. Funeral Director/ Si a F.E. No./Reg. No. Date Signed Giwct.Disposec 44048 10 /7 /07 B. BURIAL -TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-07-0407 A five (5) day extension of time for filing the death certificate (exclusive of weekends) has been requested and granted since the physician has been contacted by the funeral director and will not be able to complete the medical certification of cause-of-death section of the death certificate within 72 hours. ~No extension of time for filing the death certficate has been requested. Rleglstraror-~ Date Date Certficate Subregistrar Signature Issued: 1017 / 07 Due: 10 / 12 / 07 c. AUTHORIZATION for CREMATION, DISSECTION, or BURIAL-AT-SEA Approval Number. Date 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. Awaiting period of 48 hours after death is required for all cremations. D. CEMETERY OR CREMATORY Method of Disposition: Place of Disposition Sebastian Cemetery BURIAL aSTORAGE Date of Disposition ~-'D ~/i1~0 ~• 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 County Health Department In.the county where disposition occurred. Distribution: White: Cemetery or Crematory DH' 326, 6/97 (Obsoletes all previous editions) Yelbw: Funeral Director or Direct Disposer (Stock Number. 5740-000.0326-2) Pink Local Registrar ~ ~~ „Y