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HomeMy WebLinkAbout4-46-15Paid by CEMETERY Receip Net Paid$ .o 800o00 1213 15 & 16 .. Dated .............................. Blk. 46, Un. 4 NO. Maximum No. Burial S~s ..... .2. .......... M=me.t.r ....................... ANK, S. 1055 E. Barefoot Circle Barefoot Bay, Fl. 32976 (Data above this line for C~ty · ito of ebastian emetery NO. THIS INDENTURE MADE ~ ...... .19..t.~ ........ day at ........ April .... .., ............ a. D., lg ...... , between the City of Seba~tinn, a mu~lcip/d eorporatinn existing under the laws of the State of Finrid~, as Grantor and FRANK, Peter C; and Sadie S. ............... J-.0..5. P...E..a..s..t...I}.a..r. 9.$9. p ~..C~ K 9.~.%...B..a~.e..f.p.p.t... B. ay..,....F !P ~ ~d.a.....3.2.9.7..6. ..................... Indian River Florida of the County o! ............................................. an~l State of ....................................................... ~ Grantee, WITNESSETH, 800.00 That the Grantor for and in consideration of the sum of $ .......................... to it in .han~[ paid, the receipt whereof is herewith ac- knowledged, does by this instrument grant, bargain, seB, relaaa% convey and confirm unto tho Grantee..t..h.e..1.r. haks, legal repre~ntatives and assigns the following property situated in Sebastian, Indian River County, Florida, to-wit: ... 16 '6 4 AL of Lot(s) I..D...~.. , Bio ck,..z+. ...... UNIT .............. of Sehe~ian mudi~pal cemetery as per Pla* Number 1 the~of recorded in P~t Book 2, at page 65 o f the pubhc records hi thc office of thc Clerk of the Ci~c/dt Court o f St. Luci~ County of Florida; said had now lying and being in Indian River County, Florida. To Have and to Hold the same forever; provided that said property shall be used solaly and exclusively for the interra~nt of the human dead and shall be used, kept and maintained at all times in accordance w/th the rules and regulat/on$, ordinances and resointinn$ of the City of Sebastian, Florida, hereto- fore, now and hereafter adopted or provided for the government and operation of ~aJd cemetery. The conditions, reatxictions and ~xxluirements contained in this histrument shall be covenants running with the land. In the event of the failure of the owner of any property situated within said cemctery to ob- aerce and comply with inch rules, regulations, resolutions andprdinances and the conditions of thc deed of conveyance thereof then tho title of such owner in and to ~aid property shall terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The ~d party of the first part has caused this instrument to be executed in its name and on its behalf hy its Mayor and attested by its City Clerk and its corporate seal to be hereto affixed, the day and year Fast above written. COUNTY OF INDIAN- RIVER CITY OF SEBASTIAN, FLORIDA Mayor before me per, onally appeared ...l~.~'.c..~..a..r.~....B. :...V..o.~.t}?.k.~ ......................... and Ka~hryn M. O, Halloran respectively Mayor and City Clerk of the City of Sebastian, a municipal corporation under the laws of the State of Florida to me known lo be the individuals and officers describe~ in and who executed the fore~ain~ coaveyanee to .............. ....................................................................... ........................................................ and severMly acknowledged the executinn thereof to he their free act and deed as such officers tl]ercunto duly authorized; and that the Official seal of said corporation is duly affixed thereto, and the said conveyance is tbc act and deed of said corporatinn. WITNESS my slsn~t~re and official seal at Sebastian, la the County of Indian River and State of Florida, the da~' and year last aforesaid. My Commission txplre~ D~c. 1 O, 199~ Unit Block Lot Date of Burial ~,/'7/ ~;V Name of Funeral Home .... ~,r!~?~/~? V FRANK, Peter C. & Sadie S. DEED #1213 1055 E. Barefoot Circle Barefoot Bay, Fi. 32976 Lots 15 & 1~6 Blk. 46 Un. 4 Peter C. Fran, k - Interred Lot~16 - 10/2/89 559 1213 Lots 15 & 16 Paidby~ME~RYRe~ No ................. Dated .............................. Blk.46,Un.4 800.00 N~P~$ .................. NO. Maximum No. Burial Spaces ..... .2. .......... Monumentpemfi{ted ....................... FRANK, PETER C. &.]S~Ii~ S. 1055 E. Barefoot Circle Barefoot Bay, Fl. 32976 (Data above t~b line for C,[ty P, ecord onll~) City of Sebastian POBT OFFICE BOX 780127 [] SEBASTIAN, FLORIDA 32978 TELEPHONE (407) 589-5330 April 20, 1989 Mr. and Mrs. Peter Frank 1055 East Barefoot Bay Circle Barefoot Bay, Florida 32976 Dear Mr. and Mrs. Frank: Enclosed is Cemetery Deed No. 1213 for Lot(s) No.15 & 16, Block 46. , Unit ~ . 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, Vero 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. Very truly yours, Elizabeth Reid Administrative Secretary LR Enc. THE SEBASTIAN CEMETERY Citg of Sebastian Sebastian, Florida 0 ' described Cemoterg ~t(~) u~n t~ te~ and ~nditions as stated herein: Description of Propertg: ~r~ ~d'~n~tions of s~lo~ This ~ntract shall ~ bin~ing u~n ~t~ ~rties, the seller an~ ~he purchaser, when app~ved bg the owner of the p~pert~ ~ove descried. I, or wa, agree to purchase the above described propar:g on the terms and conditions stated in the foregoing instrument: The Citg of Sebastian agrees to sell the above mentioned property to the above named purchaser(s) on the terms and conditions stated in the above instrument. State of Florida, DepartmeJ~f Health and Rehabilitative Services, Vital S~tics APPLICATI~FOR BURIAL -- TRANSIT PERMI3' ~ (Type or Print) 1. Name of Deceased First Middle Last Sadie S. Frank DATE Month Day OF 05/03/94 DEATH 2. Place of Death County Indian River 3. Name of Medical Certifier Ralph Geiger, City, Town or Location Roseland 4. Name of Funeral Home/ Strunk Funeral Homes, P.A. a [] The medical 5. Check Appro- priate Box Name of (If neither, give street address) Hosp. or Inst. Sebastian River Medical Center c [] ...j Medical Examiner Y¢--] Physician 13840 U.S.#1 Sebastian, Florida 32958 Phone Number (40?)388-0770 Address Fla. Lic. No./..~C..o~.J~l~ Phone Number Ama Code 1623 North Central Avenue .~~__~ Sebastian, F1 32958 1228 (407 artification has been completed and signed. A completed certificate of death accompanies this application. Hiedi was contacted on 05/04/94 within 72 hours after death. He/she verified that this, death ,~as, from natura~ causes that there was no accident nor other external cause of death, and that t~&ipn wil~ complete and sign the medical certification of cause of death. was contacted on He/she verified that Medical Examiner, will complete and sign the medica~ certification. Place of~ebastian Cemetery /2. In state cemetery/ . .. Removal 6. Final Disposition: //~ //~-~ crem~t/ot- name/county: tnGlan River ~ from state 7. Funeral Director/ / ///~/'~ ./~,~,' ..... F.E..o./~ ~ Donation Date Signed 05/04/94 BURIAL -- TRANSIT PERMIT 1228-94-0199 Permit No.. Permission is hereby granted fo 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 "Funerel Dirsctor/Direct Disposer Report" will be filed with the Local Registrar of the County in which death occurred. [] No extension of time for filing/t~e death certificate rsquested. Registrar or /~Z~.~.~ ~ ~/~.~ Date Date Certificate Issued: 7-- Due: Subregistrar Signature AUTHORIZATION for CREMATION, DISSECTION or BURIAL--AT--SEA Signature , Medical Examiner Date or Medical Examiner, , gave authorization by telephone Ifc Funeral Director/Direct Disposer. Date The Medical Examiner's approval must he obtained before disposal by any of the above methods. A waiting period of 48 hours after death is required for all cremations. Methods of Disposition: [] BURIAL [] STORAGE [] CREMATION [] OTHER (Specify) Signature of Sexton ) or Person-in-Charge ) / CEMETERY OR CREMATORY Place of Disposition Date of Disposition 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 32S, Feb 89 (Reolaces (}ct 87 edition which may be used) [StOck Number- 5740-000-0326-2)