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Home My WebLink About4-47-36 t~et~ad$ 200.00 E~eanor D. Qu:Lnones interred 10/9/88 (D~ .~o,. ~u U.~ tot ~ty ~ed om) ~-_,,tmum No. Burial spares ...... ]. .......... Monument permitted ....................... Lot 36,Blk.47 NO. Unit 4 Robert Quinones, Sr. 144 Wimbrow Dr. Sebastian, Fl. 32958 ( itu nf ebastia. emetery e 11 2 NO. THIS INDENTURE MADE This .......... ~,t~ day or ...... between the City of Seb~tlan, a m~ieJp~ eor~r~tlon existing ~der t~ laws of the State of Florid~ aa Grantor and ..................... Eober ~ quinones ~ 144 Wimbrow Drive, Sebastian, Fl. 32958 of the ~unty of .. Indian River a.l State of Florida ~ Grant~ WITN~E~ 200.00 T~t t~ Gr~toi for a~ ~ ~n~dera~on of the sum of $ .......................... to it ~ ~nd p~d, the re~ipt whereof is herewith ac- knowledged, d~s by t~ ~aru~nt ~ant, barge, ~H, rel~, ~nvey and ~nfkm unto the Gr~tee .. ~.~.. ~Rs, le~l repre~ntatives and a~ns the foHowi~ pwpe~y ~t~ ~ ~bestian, l~ian River County, F~orida, to~it: nH of Lot(s). ~.~ .... B~ck, . ~.~ ..... UNIT ..~ ........... of ~baaian muni~pal ~metety as per P~t Number I thereof re~rded in P~t Book 2, at p~e 65 of the pubhe re.ids in ~e offi~ of Ibc C~tk of t~ Ck~it Co~t o f St. Lu~e County of FloI~a; ~ ~nd now lying ~d being ~ 1~ ~ve~ County, Flogdm 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 aH times in accordance with the rules and regulations, ordinances and resolutions of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or l~ovided 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 iuch rules, zeguhtions, resolutions and o~dinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said pwparty shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the t-trst part has mused this instrument to be executed in its name and on its behaff by its Mayor and attested by its City Clerk and its corpotate seal to be hereto affixed, the day and year first above written. ~/ City Clerk Signed, Sealed and Delivered in the~Pre~enee oft /} ~- STAFE OF I~,~OR1DA COUNTY OF INDIAN RIVER CITY OF SEBASTIAN, FLORIDA ., ...... M~or ((llit~ ~eal) I HEREBY cERTiFy, That on thi~ ...... 7t.h ...........day et ...... October ............................. , as. 8~ , ,.dlicha:d B. Vo~apka .Kathryn N. 0 Halloran befure me ~rsoflally p~ ................................................ ~ ...................................... respectively Mayor and City Clerk of the City of Se~stian, a municilml ~rporalion under the laws of the State of Flor~a to me known g.O.b~.~ Q~Opn~.,. Sr. ........................... :..~ ........................ and severally acknowledged the execution thereof to be their free act and deed Unit Lot -~ ~' Dateof Buria," , o / .~' ?~ ,¢ ~,me Name of Funeral Home Authorized by Lot 36,Blk.47 NO. Eleanor D. Quinones interred 10/9/88 Maximum No. Btm, iai Simons ...... 1 .......... Unit 4 "'. 'i ;'~2 Monumentpemlitted ....................... Robert Quinones, Sr. 144 Wimbrow Dr. (Data above thin Hne to, C~ty l~eeord only) Sebastian, Fl. 32958 UNIT 4 BLOCK 47 LOT 36 DEED #119Z Robert Quinones, Sr. 144 Wimbrow Dr. Sebastian, Fl. Eleanor Quinones interred 10/9/88 City of Sebastian POST OFFICE BOX 780127 n SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 October 13, 1988 Mr. Robert Quinones, Sr. 144 Wimbrow Drive Sebastian, Florida 32958 Dear Mr. Quinones: Enclosed is Cemetery Deed No. 1192 for Lot No. 36, Block 47, Unit 4. 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, Veto Beach, Florida. Also enclosed is a form - Return for Transfers of Interest in Florida Real Property - which must be filled out by you and completed by the office of the Clerk of the Circuit Court. We are enclosing two copies of Receipt No. 539 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. Very truly yours, Elizabeth Reid Administrative Secretary LR Enc. RECEIPT IS ~EREn¥ ACF*NOWLEDCED OP THE SUit OF: FROM: ~llars ($_' - Thi~ contract sba22 be b~ndlng upon both part~es, the sel2or and the purchaser, a~vo ~d purchdse~(s) on tho tor~ ~nd ~nd~t~o~ sca~od In the Ci£~ o! &~bdsc~an STATE OF FLORIDA DEPARTMENT OF HEALTH & REHABILITATIVE SERVICES VITAL STATISTICS APPLICATION FOR BURIAL-TRANSIT PERMIT A. (Type or Print) 1. Name of First Middle Last DATE Month Day Year OF Deceased ELEANOR D, QUINONES DEATH OCTOBER 58 1988 2. Place of Death City, Town or Location Name of (If neither, give street address) County Hosp. or INDIAN RIVER ROSE[AND Inst. HUMANA HOSPITAL-SEBASTIAN 3. Name of Medical ]~ Physician Address Phone Number Certifier NOOR M~RCF. ANT,M.D. [] Medical Examiner 13875 US# 1 SESASTIAN, F[~ 589-0879 4. Funeral Home/ Name Address Phone Number (Area Code) m~W~O~ STRON[ Fb'~EI~A~ ROPE; 1623 N, CE~IL~T, AVE~dE SEBASTIAN, F~ 407-589-1000 5. Check a Appro- priate Box b 6. Funeral Director/ c [] The medical certification has been completed and signed. A completed certificate of death accompanies this application. LYDEE was contacted on 10/6/88 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 DR. NOOR ~7,RC~T will complete and sign the medical certification of cause of death. was contacted on . He/she verified that medical certification. , Medical Examiner, will complete and sign the #1672 BURIAL-TRANSIT PERMIT Permission is hereby granted to dispose of this body. Date Signed 10/6/88 Pe[mit No. 1228-88-446 [] 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 f[ling~t~e death certificate requested. ~ Registrar or / (~ ~ ,') , ' x'~ (~~Oate 10/6/88 Date Certificate Subregistrar Signature ~'~O/,~_~E ~ ~ · - 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 Disooser. 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 ali cremations. Method of Disposition: [~BURIAL ('-J STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton or Person-in-Charge I CEMETERY OR CREMATORY Place of Disposition Date of Disposition SEBASTIAN CEMETERY OCTOBER 9~ 1988 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. HRS Form 326, Oct 87 (Replaces May 86 edition which may be used) (Stock Number: 5740-000-0326-2)