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Home My WebLink About4-49-31 · of ebas an eme ery Bee NO, TInS INOENTURE M,DE ..... ........... d,y of .... .............................. A. between the City of Sebastian, a munlclp~ corporation exlst~g ~det the inws of the State of Finrtd~ as Gr~tor and RA~IRO SOLIS ............................................. .................................................................... ............................................. FELL S~ERE.~..FL ORLDA.. 3 Z9.4 8 .............................................. of the ~unty of ..... IND%AN.,RI~ER ................... a.t S~ate ut ..... F.IDRIDA ...................................... ~ Gran~ WITNE88ETH~ T~t the Gr~to, fur and ~ con~dcmfion of me sum of $ .; .?~Q.~ Q.Q .............. to it ~ hind paM, me w~ipt wh~eof is health a~ ~owiedged, does by t~s ~nt gr~t, b~, ~, rel~, ~nvey and ~nfm ~to the ~ant~e ......... heks, legal repre~taflves~d as~s the foHow~ pxopofly ~t~ted ~ Sebaflian, Indian ~er County, Florida, to-wit: ~ of Lot(s)..}.!.. , Blo~, ~? ...... UNIT .... ~ ........ of Seba~i~ m~a~l ~metery as ~r Pht Number I ~e~f re~rd~ in Pht Book 2, a p~e 6~ of the pubic re~r~ ~ the offi~ of the Clerk of the Cff~ii Co~t of St. Lu~ Co~ty of Flot~a; ~id hnd now ly~g ~d bei~ ~ In~ R~er County, Flofi~ To Have and to Hold the same forever; provided that said property shall be used rolely 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 govemmant and operation of said cemetery. The conditions, restrictions and requirements contained in tkis instrument shah be covenants running with the land. In the event of the failure of the owner of any property situated within said cemetery to serve and comply with ~uch niles, reguhtions, resolutions and ordinances and the conditions of the d~ed of conveyance thereof then the title of such owner in and to said property shell terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the £~rst 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 a/fixed, the day and year first above wtittan. / )v / city SPATE OF FLORIDA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA B, ..... Mayor I HEREBY CERTIFY. That on this ....... ~.T..H. ............ day of ....... 6U~.S.? .................................. ~x~...2.Q 0 2 before me personaBy ~ppeared ...... 1~..~..~..T..E.R....~.,...B. AR~ ........................ and ...SALI. X..A,.. MAIO .............. respectively Mayor and City Clerk of the City of Sebastian, s municilml corporatinn under the laws of the State of Florida to me k~own to be the tadividuals and officers described in and who executed the foregoing coaveyance to RAMIE0 SOLIS ........................................................ and severally acknowledged the execution theveof to he their free act and deed ss sneh officers thereunto duly autbor[zed~ and that the Official seal of said corporation is duly affixed thereto, and the sold conveyance is the act and deed of said cerporaBon. WITNESS my signature and official seal at Sebastian, in the County of Indian River and State of Florida, the day and year last aforesaid. -'-'"" ~ "'" · H. JOANNE 8ANI~ERG MY COMMISSION # DD 089532 EXPIRES: AFil 3& 2006 Unit ,Date of Mark-out Date of Buriar Name of Funeral Home Time // /'.O ~ /'/ RAMIR0 Paid by CEMETERY Receipt No ..... 9,9. ?'.? ...... Dated..~.~ ~.~ 9~ ................... Li" PH~ $.. 9.~9: ~Q ....... M~ No. "~hl S~, ................. Net P~d $ .. ~.~ ~ ~ ~ ....... Monist ~tted ....................... (Data above t~ls line for Clt3' Record only) LOT 31, NO. , '1854 BLOCK 49, UNIT 4 The Sebast{an Cemetery City of Sebastism, Florida Reseipt is zclmowledged in the sum of: on this Z~2~ day of _~~__~___, 20 ~r/7 for the pnrchase of the fotlow~ng described Cam----etery Lot(s)/Nic~(s) upon the te_uns and conditions a~ state& herein: Description of Property: Cemetery Lot(s)/Niche(s) %~/ Block Terms and Condition of Sale: u~t 5/ T~s contract shall be bi~ding upon both parties, the seller and.the purctmser, when approved by tAe owner of the property above dmcribed~ I, or we, agree to purc_~a~e the above described property on the terms and conditions stated in the foregoing iustmment Purchaser signature Purchaser signature The City of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in tAe above imtrument. ? SF. BASTIA HOME OF PEUCAN ISLAND August 12, 2002 Ramiro Solis 84 South Elm Fellsmere, Florida 32948 Dear Mr. Solis: Enclosed is City of Sebastian Deed number 1854 for Cemetery lot 31, Block 49, Unit 4. Also enclosed is a copy of your receipt. If you have any questions, please contact our office. City Clerk`./ "'~ ' SAM:is enclosure A. c'r'YPE) State of Florida, Department of Health, Vital Statistics APPLICATION FOR BURIAL - TRANSIT PERMIT 1. Name of First Middle Last I Date Month Day Year Deceased Esperanza Soils Death Aug. 2 2002 Place cf Death City, Town or Location Name of (if neither, give street address) County Hcap. or Indian River Roseland net. Sebastian River Medical Center Phone Number 772-567-2277 77 37th Street. #^10~. 3. Name of Medical Address Certifier Muhammad Faro~ M.D. [~Medical Examiner I ~l IPhysician Veto Beach, FL 4. Name of Funeral HomelY;,=,,; D;o~,~o&:: 1623 N. Central Ave. Establishment Strunk Funeral Home Check a. [] 5. ApproPriate Box I Address Fla. Lic. No./Reg. No. Phone No. (Area Code) Sebastian. FL 1228 772-589-1000 The medical codification has been completed and signed. A completed certificate of death accompanies this application. Carolyn was contacted on 8/2/02 He/she verified that this death was from natural causes, that there was no accident nor other extema~ cause of death, and that Dr. Farooq will complete and sign the medical certification of cause of death within 72 hours. c. [] / was contacted on He/she ver~ed that ed[C~a~e'/~' rtifi~a // , Medical Examiner, will complete and sign the m tion/~f ca~ of death within 72 hours. Funeral Director/ ~'"/' Si~tur/e/ ,~ ~ F.E No./Reg. No. Date Signed ~ //[/~-//'//~,_ C/ ~-/C/"'"'~/'~ 1862 8,2102 BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body. Permit No. 1228-02-0338 [] 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 certificate has been requested. ~ ~ Date Date Certificate Subregistrar Signature (~.&,,t,~,~ ~*~_ Issued: 8~2J02 Due: 8/7/02 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. A waiting period of 48 hours after death is required for all cremations. Method of Disposition: r~BURIAL DCREMATION Signature of Sexton or Person-in-Charge CEMETERY OR CREMATORY Piece of Disposition Sebastian Cemetery Date of D/spos,tion r--]STORAGE F'-IoTHER (Specify) Th s perm t 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 d sposition occurred. Distribution: White: Cemetery er Crematory