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Home My WebLink About4-33-06 ~ Paid by CEMETERY Rece\pt No. . . . . ?~ 1,000.OU List Price $.................. 1,000.00 Net Paid $ .................. ..... Dated....~ /.~.~?~................. Lots 5 Block _ Maximum No. Burial Spaces.. .. .. .. .. .. . .. . . Un it 4 <; NO. "14.13 Monument permitted. . . .. .. . .. .. . .. . .. . .. . . /' (Data abo... thl. line for City Rec:ord only) QUty nf l'r bustiun '14.10 ClLemetery m eell NO. THIS INDENTURE MADE TlIII 4th day of August 93 A. D~ 19....... bet...een Ihe City of Sebaltla... a munlelpal corporation exlllln, under the lawI of the State of Ftorlda, .. Grantor and Mr. Joseph S. Bendix ........................ ........ ......... '1318"6" 76t'h' . Court .. .................................... ....................... ....................... ........... ........... ~~b.a.~.~~~.~.!.. ~~.?r:~~l!I.. .~~??~.. .......................................... of Ihe County of .. ..+n.4;i..l;l.~.. R:J..v.~~..... .. ............. an'l St.te 01 ..... r.J..9.r; ;i,9,l;l......... ....... .... .................. u G..nt.... WITNESSETH I That the Grantor for and in consideradon of the sum of $ . ~ 1.q~<?.. 9.q...... ." .. .to it in .hand paid, the receipt whereoC is herewith ac- knowledged, does by this instrument grant, bargaiir, seU, release, con..ey and confirm unto the Grantee .~?: l? . .. heirs, legal representatiyes and assigns the following property situated in Sebastian, Indian RIver County, Florida, to-wit: AU of Lot(s) .~ ~.l?. ,Block,.}}... ,UNIT ...~......... ,0C Sebastian municipal cemetery as per Piat Number I thereof recorded in Plat Book 2, at page 65 of the public reoords in the office oC 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 shaU be used solely and exclusively for the interment of the human dead and shall be used, kept and maintained at aU dmes in accordance with the rules and reguiatlons, 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 shaU be covenants running with the land. In the ....nt of the failure of the owner of any property situated within said cemetery \0 ob- serve and comply with such rules, regula dons, resolutions and .ordinances and the conditions of the deed of conveyance thereof then the title of such owner in and to said property shaU terminate and the same shall revert to the City of Sebastian, Florida. IN WITNESS WHEREOF, The said party of the fust part has caused this instrument to be execnted 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 fust above written. AlteS~~lM.AJ.m. .O'l!!at.k.~..... . . (j -, City Clerk (GIillz ~eal) TATE OF FLORIDA COl'NTY OF INDIAN RIVER 4th I HEREny CERTIFY, That on thl. ....................... .day of August 93 It... .. b,'f.ore me penonally appeand .~?ry~~~...~.'...P.9~~~.1............................. and .~!'lt.l:1.~y.~..t:f.~..~~.~~~~.9?:~~ ".p,'rliyely Mayor and City Clerk of the City of SebA.tlan, a munl"ll'al corporation und.r the In's of thc State of Florid. to me kllown to be the Individuul. ILl..) officers described In ond who rxecu"~d the for('guing CORvryance to Mr. Joseph S. Bendix ....................................................................................................................................... . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . ... .. . . .. ... . ... ... .. and .....rlllly acknowled,ro the execullon ther""f to be th.lr free aet and deed OS slI"h offleer. thereullto duly Bulhorbed; and lh.t the OfflelBI seal of .ald eorpuralioll I. duly affixed thereto, alld the said Clloytyanee Is the net and deed of ..Id eorporalion. WITNESS my .Ignature and offlelal .eal .t 18&1 afore.ald. UNDA II. LOt& NoIBry,....... 01 AIIIIII .., CGmmIIaIon ~JUN '1,111& COMM' CC ClI27.- ( Name L () . (..f.. IS 1(- oF -r: I) /. j,/ /) I 1< Unit 4/ ! Block <!;,.. ;iI"- <: <' _1 ,..;; Lot ?, Date of Mark-out ", I ~ /'"" &., /"'1' " '''('? d' ,,r.,. "'. ~ " .._~ Date of Burial C",/ A / ......... I , /-1,- " " r' s..., , I".... <.... " I j / Time j ,r ;1 .{) D /~ .. /f Name of Fune~1 Hom,e , , ,- :~-.~~;~~'-~~~ Autho rize(l1Yt:<"/',i:>:f 5, r7::: V 1//(' jJ, -\:>y.':':i;;.,;,J ' J , [lD.~] State of Florida, DepartmtIPof Health and Rehabilitative Services, Vita,listiCs APPLICATION FOR BURIAL - TRANSIT PERMIT J~, 5 I G- :l -;.7-, I,) ,j ,:.? Ii t-I A. 1. Name of Deceased (Type or Print) First Louise Middle Last Bendix DATE OF DEATH Month Day 07/31/93 Year J. 2, Place of Death County Indian River 3. Name of Medical Certifier City, Town or Location Vera Beach Name of (If neither, give street address) Hosp. or Inst. Medical Examiner ~oor Merchant M.D. 4. Name of Funeral Home/ Direct Disposer Physician Address 77.14 B~y St. 2 Strunk 5. Check Appro- priate Box 1623 Nqrth Central Avenue Funeral Homes P.A. .? a 0 The medical certification has been completed and signed. A completed certificate of death accompanies this application. b Q Liz was contacted on 08/02/~J 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 Moor Mercbaut, bit D will complete and sign the medical certification of cause of death, c 0 was contacted on , He/she verified that , Medical Examiner, will complete and sign the medical certification. 6. Place of Sebastian Final Disposition: 7, Funeral Director/ [)il eGt t:)is~t'\"~ tery / - name/county: Removal from state Donation Date Signed ') B. BURIAL - TRANSIT PERMIT Permission is hereby granted to dispose of this body, o 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. o No extension of time for filing e death certificate request Registrar or Subregistrar Signature Permit No. 1 ?2R-9~-()~fi7 Date <7.,; q.7 Issued: ~' . {J Date Certificate Due: C. AUTHORIZATION for CREMATION, DISSECTION or BURIAL-AT-SEA Signature or Medical Examiner, , Medical Examiner Date , 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. D, CEMETERY OR CREMATORY Methods of Disposition: rn BURIAL o CREMATION o STORAGE o OTHER (Specify) Place of Disposition Date of Disposition ...JE 6f'1sT: ",,, (} e""fe "e~'f (.1....7.':> r 'y :j- ,/93 , Signature of Sexton ) or Person-in-Charge ) ./ ^ Q l/j~rZ) ~. I~/ / ~U T 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. T HRS Form 326, Feb 89 (Replaces Oct 87 edition which may be used) 7